4828 Weston Hills Dr
~ rsair
~e~ti~icate o~ Cccupancv
~it~j o f ~agan
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at tht mne of issuance this structure was in cafnplionce with the vnrinus
ordinances of tfu Ciry riegulatrng building cor+struction or use. For the fo!lowing:
use Cfusifiation: SF nr_ ateg. Pnmh No. 26843
0-w-Y TYPe RQ /n 1 7.onirtg Disuia Ri Type Consc. vm
owmff oreWwing wwe nv rusc,g wadrm I(6R-R a nW RB, B'V***~- '
Buitding Address I.ocalityTA RDT~1M-- EM_IST
L~ J D:
tb~
&a1dn~OlriciaF~~ ~ .
POST IN A CANSPICWUS PLACE
. INSPECTI4N RECORD ~
'CITY OF EAGAN PERMIT TYPE:
3830 PilOt KnOb ROad Permit Number: 6, R 11 "S
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
. , E~ r ? t t~K „ ~ :~r~,•.i
PERMIT SUBTYPE: T1fPE OF WORK:
INSPECTION . D.
t wi
l:fIfll'li t 1'1 II 11;
~ I hlr;i !'t . I 1t+lr,I
!;I fqr'~i~t t'I;V . !.1 f'1 t;ir `/l11 1 i {•I
~ J
Permit No. Permlt Hotder Date Telephone #
, -
~ ELECTRIC J~~ 30 f~ 5
. ' PLUMBING - a
HVAC
Inapectlon Date Inap. Comments
FOOTINGS /''?Y~Q ~
FOUND
FRAMING '7
T~9
ROOFING
ROUGH
PLUMBING s~
PLec
aiR TEsr
ROUGH - / '
HEATING - ~n
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE J..)/ .(J acv /
FIREPLACE
AIR TEST t1
FINAL PLBG
J~ Iv
FINAL HTG - G} •~9G1
ORSAT
TEST
BLDG FINAL y O~ ~ 3~ h'~'~ ~ • S/XL~ G
7 'r
~ ~
~
BSMT R.I.
BSMT FlNAL
DECK FTG
DECK F1NAL
2/] 1-Q1n OFFI EUS ONLY This reqoast void 18 manMs Irom .olidotlon daie pnnted in N+is baa.
~ ~ :I-aa99
PLEASE PRINT OR TYPE
Rep~esl Dale Rough-in inspeclion re quircd2 ~[Yes ? N. Impeclion OtherThan Raagh-ln: 0 Ready Na.. ~ Will Call
ro~ m~z~ ~ou n,e o„~..n,.,~ ,saaY) oate aroar:
I, In licensed confrador Q owner hereby requesi inspeciion of ihe nbove elecfrical work a}:
Job Mdrepss (Sl p reel, Bm/,, o,r Roeh No.) Ciry Zp Code
02 0 G/E.i:'an S N~ a 17 N
Secfion No. Township Name or No. Ranga No. Fbe No. Covn
Occ~py n~~ Phone No.
~vom,d-? s lgy C ~.~s~ ~95 -5-337
Power$y~ylier Address
UA.E'em Z716cT,Pie
EIecM~y Commcror (COmpany Name) Contmctor Limroe No. Master Lic No. (%ont Elecl. Only)
/"aZ7/~ c~ ,e,- 7.~ ~ L'/I O/v~2
Moilin Pddross (C nVOCror or O.mer PeAorming Inclallotian)
~
Aulhonz tgnaium (AConha/tlo/~r Qr/O/wrror Perlormirg Insbllotion) Pho[n~e NCo.
E13-00001A-10 6/95 STATEBOARDCOPY•SEEINSTHUCTIONSONBACKOFYELLOWCOW
IIIIIIIIII ( I II I II REQUEST FOR ELECTRICAL INSPECTION S 9
Minnesoia State Board of Electricity
1827 University Ave., Rm. S 128, St. Paul, MN 55104
* 2 2 L 8 1 L* Phone (612) e42-0e00 `~p~In(o ~
Home upez Apf. Bldg. er: " New Addn
Commercial Indushial Farm Remod Re air
Air Cond. Htg. Equip. Water Wr. Load Mgmt. Other.
D er Ran e Elec. Heat Tem .$ervice
"X" above fhe work covered by this request En}er remarks in ihis space and on fhe bock of the white copy only.
Calculote Inspection Fee - This Inspection Request will not 6e accepted without the correcF fee;
Olher Fee # ServiceEnhanoe $ice Fee # Grcvils/Feeders Fee
Mobile Home Pork Stall 0 to 200 Amps rJ~- D_to 100 Amps s
Sfreef L}g./Traffic Sig. Above 200 Amps 6ovel~Amps
TransfarmedGenerator INSPECTOH'SUSEONLY TOTA~y~ JO
Sign/Outline Lig. Xfmr. ?-d~/' 7
Alartn/Remote Control
$wimming Pool I hereb urM1 fiat 1 Ins ecled Ihe eI 'ml i lla+l n desEribed he m an Ilie daks sbled
IrrigationBoom Rough-In
Special Inspedion
Final ? f~
Inves}iga}ive Fee
THIS INSTALLATION MAY BE ORDERED DISCONNEC 'NOT CO PLETED WITHIN 18 MONTHS.
Addtess 4828 wE5mN HIIa,s nffiVE Zip 5512~3
, , .
L.ot $ Blk t Sub rEEs mc,E Isr
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: Yes No Inspecror.
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry) V/
Permanent driveway v'
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of waler supply to
the outside lawn faucet before freeae potential exists.
Contact engineering division at 681-4645 before working in right-of•way or installing underground sprinkler system. ~
White - Ciry Copy Yellow • Resident Copy Pink - Contraclor Copy
~
Clty of Eapn ~ Pennil# ~
I Permit Fee: J~~
3830 Pilot Knob Road
Eagan MN 55122 i Date Rec,eived: j
Phone:(651)675-5675
Fax: (651) 6755694 i stasf:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION e2acd il/,'
Date: 64 - 7",0 Site Address: 7n G~d (~/P~7DN 1`lil~S JJ1~ Tenant: Odd 4A44M e Suite
RESIDENT/OWNER Name: 0!K! 9,4v+'1/Yfe Phone: IG~I'~a3"~!v°~S
Address / City / Zip: OWC,1V ~Lily hr, Applicant is: ? Owner _ Contractor
TYPE OF WORK Desaipiion of woiic: iViSA &W1W'41t
Multi-Family Building: (Yes No ~
Construction Cost: *256vo
CONTRACTOR Name: License
Address:
City: Siate: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Venfilalion Category'1 Worksheet • New Energy Code Worksheet
Category Su6mittetl Submittetl
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Pbone:
NOTE:,Plans arid supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-pdblic if you provide specific reasons that wonld permit the City to
conclude that fhe are trade secrets.
I hereby acknovAedge that this intormation is complete and accurete; thal the work will be in conformance vrith the ordinances and codes of the City of
Eagan; that I understand this is not a permit, bul onty an application for a permit, and vrork is not to staR without a pertnit that the work will be in
accord wilh the approved plan in the case oi work which requires a review antl approvt plans.
x x - -
Applican£s Printed Name ApplicanYs Signature Page 1 of 3
JUN 1 ? 2009
I
~
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Aiteration (Single Family)
_ Multi Deck _ Porch (ScreeNGazebolPergola) _ Exterior Alteration (Multi)
_ 01 of _ Plex ~ Lower Level _ Pool _ Miscellaneous
_ Accessory Building
WORK TYPES
_ New _ In[erior Improvement _ Siding _ Demolish Building`
Addition Move Building Reroof Demolish InMrior
~ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall •Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 3w Occupancy 36'2 MCES System -
Plan Review __Zo Code Edition )4V7 SAC Units l
(25%_ 100%__) Zoning R_I City Water -Census Code A-( 51 Stories Booster Pump ~
# of Units - Square Feet PRV
# of Buiidings - Length Fire Sprinklers
Type of Construction A' Width
REQUIRED INSPECTIONS
_ Footings (New Building) Sheetrock
_ Footings (Deck) Final ! C.O. Required
Footings (Addition) ~ Final! No C.O. Required
_ Foundation ~ HVAC
_ Drain Tile Other:
Roof: Ice & Water _Final Pool: _Footings Air/Gas Tests _Final
]jE Framing Sidin9' Stucco Lath Stone Lath Brick
-
~ Fireplace:~Rough In _*tAirTest YFinal ~ Windows
~ Insulation Retaining Wall
Meter SizO: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Pertnit 8 Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
5,115-~ I RESIDENTIAL .~5
BUILDING PERMIT APPLICATION
3830 PILOT KNOB RDEAGAN MN 55122
651-681-4675
New ConsW ction Raouirements RemodellReoair Reauiraments
• 3 registered site surveys showing sq. fl. of lot, sq. ft. af house; aid all roofed areas • 2 copies of plan
(20°h mazimum lot coverage allowed) • 1 set of Energy CalculaUons for healed addAions
• 2 copies of plan showing beam & window s¢es; poured found desgn, etc J • 1 sRe survey for exAerior additions 8 decks
• 1 set of Energy Calculations • Indicate rf hame served by septic system for additions
• 3 copies of Tree Presenation Plan if lot platted aRer 117193
• Rim Joist Detail Optbns selection sheet (61dgs wifh 3 or less unils)
~
DATE VALUATION
SITE ADDRESS ~ ~ e tjg~fa" `I't:b~3 l~r MULTI-FAMILY BLDG _Y ~ N
TYPE OF WORK FIREPLACE(S) k O_ 1_ 2
APPLICANT w6 GAFE-Iu S~s~.-i5 V JTemg
STREETADDRESS ~o CITY r-;'t lA,T STATET'`~IIPJrL-IIJr)
TELEPHONE #60- CELL PHONE # 61) ?7,7/ FAX #
PROPERTYOWNER 1! tM ~?`o( J'I.e)/ TELEPHONE#eSSI- 103' c7IW7
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNF.SOTA RULN'S 7670 CA1'EGORY 1 MWNL'OTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Phone
Plumbing Contractor:
AUG 1 e: 90.00
Plumbing sysfem inclucies: _ WaLer Softener _ Lawn Sp r J
_ Waler HeaLer No. of RI. ~ is
_ No. of Baths ~
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fce: $70.00
_ Heat Recovery Sysccm
Sewer/Water Contractor. Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appllcant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
I
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - MuIG
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demalition (Entire Bldg only) • Glve PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ plumbing
_ Founda[ion HVAC
_ Drain Tile pdier
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
- FraminS _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 8 9 3
(612) 681-4675 Date Issued: 12 / 2 7/ 9 5
SITE ADDRESS:
4828 WESTON HILLS OR
LOT: B BLOCK: 1
PINES EDGE 1ST
DESCRIPTION:
Building--Permit Type SF DWG
Suilding Wo.rk 7ype NEW
' UBC Occupancy`, R-3 U-1
Construction 7yp-s V-N
Zoning - R-1
Building Length 61
euilding Width 44
Building stories 2
~-.Squ:are Peet 1.981
Ce~r`5uat„G;od`e ~ 0101 1- FAM. DETACH
r
- .
_ , =•y~~ ,
REMARKS:
PRV - S& W PLBR - VALLEY PLBG
FEE SUMMARY:
VALUATION $164,000
Base Fee $1,207.25 MISCELLANEOUS $1,892.50
Plan Review $422.54 Total Fee $4,454.29
Surcharge $82.00
SAC $850.00
SAC % 100
SAC Units 1
3ubtotal $2,561.79
CONTRACTOR: - ,qpplicant - sT. Lzc OWNER:
HOMES BY CHRSE 18955337 0001619 HOMES BY CHASE
1668 E CLIFF RD 1668 E CLIFF RD
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 895-5337 (612)895-5337
Z hereby acknowledge thaE I have read this application and staCe that the
. in'Fnrmation is carrect and agree to comply with all applicable Stata of Mn.
Statutes and City oY Eagan Ordinances.
' ~ ~ r.1
-
I APPLICANT/PERMITEE SIGNATUFE ISSUED B: SI ATURE
CITY OF EAGAN 4~~J/ E~ ~ ~1
ILV9 3830 PILOT KNOB RD - 55122 ~ ~
,31995 BUILDING PERMIT APPLICATION (RESIDENTIAL) m~_~~
681-4675 nn
New Constructfon Reauirements ftemodeAReoair Reauiremanfs a-.G[.
? 3 registered site swveys ? 2 copies of plan
? 2 copies of plans (inWude beam 8 window saes; poured fid. design; eta) ? 2 site surveys (exlerior edditions 8 decka)
? 1 energy calwlations ? 7 enerpy calwlations for heated additfons
? 3 copies of tree preservatan plan H lot platted efter 7/1/93
roquired: _ Yes No
DATE: CONSTRUCTION COST: 112, 22 v
DESCRIPTION OF WORK:
c5;,.
STREET ADDRESS: 1~2
LOT ~ BLOCK ~ SUBD./P.I.D. ~11e.
in-_~'~(,Qc~-~r~-^? ~
PROPERTY Name:7~~~1~t~ Phone ' ~?~z
OWNER / nee+
Street Address• %
City: State: ~ Zip:_~~~ 3 ~7
CONTRACTOR Company: Phone
Street Addre License
City: State: Zip•
ARCHITECT/ Company: Phone
ENGINEER
~ Name: - Registration
Street Address*
City: State: Zip:
Sewer & water licensed plumber: ~ Penalty applies when address change and lot
change are requested once pertnit is i sued. ^
I herehy acknowiedge that I have read this application and state that the infortn ' s correG and agree to compty with all
applicable State of Minnesota Stawtes and City of Eagan Ordinances.
~ J
Signature of Applicant:
OFFICE USE ONLY -
Certificates of Survey Received Yes No 1 5 1995
Tree Preservation Pian Received Yes No
OFFICE USE ONLY
:,~,~r „ 'r•. ~+p~
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
,,''02 SF Dwelling o 07 4-plex ? 12 Muki RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
,4p~31 New ? 33 Alterations o 36 Move •
a 32 Addition o 34 Repair o 37 Cemolition.
GENERAL INFORMATION . ,
Const. (Actuai) Basement sq. ft. ~ 2qi MC/WS System o~
(Allowabte). Main level sq. ft. Lv1 , City Water
UBC.Occupancg, -i sq. ft. Zc, Fire Sprinklered
Zoning sq. ft. ' PRV rs
# of Stories Z~ sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth yy Footprint sq. ft. ess/ SAC Code
Census , . . ~*v°f e , r S 9 ~l
Census Un 9 /
APPROVALS Ir,'f '
~
Planning ~ Building Engineering _ Variance
Permit Fee Valuation: $ `l 001D
Surcharge ~
Pian Review s~ r-
License
MC/WS SAC y3
City SAC ~
l/.G7xx.3> ~
Water Conn.
Water Meter ~ /.&7 f
Acct. Deposit Y3 016, c 15
'
S/W Permit 7~ Z L ~
S/W Surcharge ~ ~ z Yo
Treatment PI.
Road Unk
P
Trails ark Ded. f~~ K r y: Ded 1~~--
Other
Copies 0 31 x
Total: ~3 X r ~
lo
% SAC
SAC Units -7eU l 2 9~
r-----
5 _,Z;~ M242 endotoiHe(ghte, Drive
~ MN 551"0
0~'~e'
ZIND SVR4EYOP5 - CINL FNCNEERS (812) 881-1914 FAX:661-5488
*ang neerin' urm viumens. iAwseaoc nrtcxirecrs 825 Highwoy 10 N.E.
BIQine, MN 55434
(412) 783-1880 FAX: 783-1883
Certificate of Survey for: HOMES BY CHASE ~
R, 4tlYtl Wt51VIV HI~W UKtYt
5.P'~17~A1~
REYtE1NED
BENC Ij~~ L . ~
TGP bF iR0'V
ELEV . 5.70 - By
Date
Ia G.ART ENG DF-PP
I
, '01 \
' 13 r q 5'~, 1 N89°49'18"E 198.98 01
~ 30.00 ~ 44.00 955.4 9552 957.4
I 95a.8
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~ I 0 857.3 ~ 956.3_ cn -l o i p
~i 12.00 h I ~ N
i 3 1955.1 9X7.0 L_ 957.0 W `
22.OD 5.7 10 N
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954,4 - i i
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HYDRANT- ~~Q~~~~~~J2~w 954.8 1r~6.70 956.0 ~
,
PoG°oMa v-~ Ei~ "
E3ENGHMARK MI7E PINE WAY
TOP OF IROM r
ELEY=955.18-'
NOTE: PQO°OSEU GRrPES SNOWN PeR GRADING R6AN QY; PIONEER GRGPOSED HOUSE ELEVATIdN
HOiE: BUlV%G CIUENS10N5 SHOiYM AR!: FpR H9PIZGN7AL ANO VE.9TCa1, LOCA110N T1914
OP 57pUCtVRE4 ONLY, SEE ARCHIi:^,TUAL PLAV5 FnR BUiLO!NG 4niD LOWE5T FLOOR ~LEVATION; r;
FOUNDAYiON GAIENSIQNS. TOP OF BLOCK E~EVATION: 57. ~
NOTE: NO SPEGiPIL 50f-_3 INV23TIGAiIOH HP~S SEEN GOUPlEIED JN TNIS LQT 8' iHE GS~ ~
5uRvEroa. rwE sui?aeiLirr oF sons 10 SUPPORT TWE SPCCIFIC YOUSE GaRAGE 5La8 ELEVA-9CN: ~
PRQPOSEJ i5 Not n+E qE5PoNsIaiuTr DF THE NRYE"OR.
NOiE: THIS CER71qC.1TE DOES ry0T PURpORT '.0 SHOW EASEME1475 OTNER THAN X OOOAC DENOTES EX;5TiNO ELfVATION
TMOSE sHDM ON THE RE-flRDFD ?U1T. ('000.00 DENOTES aROPCSED ELEYAT7pd
DENOTES ORAINACE ANO UiILITV HqSEMENr
IJOtE: C43kTRfiC10A MU57 VEAiFY CkiVEwAY DESIpV. OENOTES DRAiNACE fLOW OIRECTION
WOTE: 6EARINCS SHC'NN ARE 9A5E0 ON A^1 A93UMED bPTUM - ~ OENOTCS MONUMENi
--a- OEN07E5 dr?SET HVB
WE HEREB`! CERTiFY Th HOUES BY CHASE TNP.T THIS IS A TRUE AND CORRECF REPRESENTATiON OF A
SURVEY OF THE BOUND,4RIE5 OF:
LOT BI,OGK 1, PINES EDGE 1ST ADDITION
DAKOiA CDUNTY, MINNESOTA
IT DOES NOY PIIRPORT TD SNDw IMPRO`JEMENTS OR ENGYRDACHMENTS, EJ(CEP7 AS SHOWN, P,5 SURVEYED BY ME OR
UPJDEP, MY UIRECT $UPERV1S10N THiS 117H pAY OF OEC.. 1995.
SNIONEER E INEER ItJ PASCA4t : I I~yCH = 30 FEET s
~.~975 94400.08 BJ~1 arsan, LS, Reg. No. 19828
, i0'd ,
LOT SURVEY C}1ECKUST FOR RESIDENTIAL
.
` a BUILDING PERMITAPPLICATION
W W
N
K ~ PROPERTY LEGAL:
m ~ ¢
a 6 m ATE OF SURVEY: / Z_r//T 9S
W ~ LATES7 REVISION:
U N
t O ~
6 2 Z .
QOCUMENT STANDARDS
ffi~' ? C3 • Registared Land Surveyorslgnature and company
P'13 13 • Building Pertnit Apptlcant
W'10 o • Legal desc?iptlon
0--'13 C3 • Address
Ol"O o • Norih arrow and scale
Ql" 13 0 0 House rype (rambler, walkaut, split w/o, spitt entry, lookout, etcJ
V^0 o • D(rec6onal dratnape artowa with slope/pradlent %
'n ? • Proposedlebstlng sawer and water services 3 invert elevstlon _
~ o ? • . Street name
ffl'*~ O O • ' Driveway ELEVATIONS ,
Existlna
~O O • Sewerservice -
~o o • Propertycomers
6e, ? o • Top of curb at the ddveway
? m---'13 • Elevatlons o( any ebstlnp adJaeant homes
Prooosed
~ 0 0 • Garage floor
~ O O • Frst floor
m" o? • Lowest exposed eleretion (walkouUwindow)
@" O ? • Property comers
R~O o • Front and rear oi home at the toundatlon
pONDING_AREA 6f aooltcablel
O ~ o • Easement Iine '
o e~ n e NWL ? Q"' O • HWL
? ~Q • Pond # designatlon ,
? 4~ C, • Emergency Overflow Eiavatlon
DIMENSIONS
• Lot IineslBearings & dlmensions
t~ ? ? • Right-of-way and straet width (to back ot curb) '
ff"~a ? • Proposed home dimensiona Includlnp any proposad decks, overhangs flreater then 7,
~ porches, etc. 0.e. all sUuciures requirinp pertnanent foodnps)
B' ? ? • Show all easemants o/ record and eny Cily utllRias within those easemeafs
o • Setbacks of proposed struccure and sideyard satback of ad)acent exdstlng shucWres
; 0 • Retaining wall requlremen if any
;
' Reviawed:
ame / Dat
,July tN5 . .
r .Ktu y3pv~t~ 51tk~~`;~, i~
zt.~" 9 ~;e ~ ~ )h ! i ~ / X. ~ ~y. + y ' + %~rYlt Tt~. ,rnafb+ J-
. . , ~ r
. ' ~ . 11~I~~ irr: , . . , ~ .
e~~~: GI TY OF EA(aAftl DOES (~C~ i GUE,, .
`iHE FbCURACY OF UTILITV LOCATIOWS.
l r
~.~~';.IO'~, C'LE~~ATIONS. THIS D~~i:: ILi
~
-p
Rc . ;
. w:,.::f~f ION PU~RPQSES: 01: 1 Al.,
-n..r., ~l N .~3 lr I HOU~-J ~
:F~~.<<.~ ~ `
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1& 2 Family Residential "Cookbook" Methoa
~ ,
SfIEADDRE55 • cih'
BUILDER ~ Date
~
Minimum Criteria: ~
Rim Joisc R-19 insulation Foundaton Windows:• Insuiated glass, 12" air space, w'ood or vinyl &ame !
Entry doocs: la inch solid wood with storm or better'
STEP 1 Window & Door Acea STEP 2 Calculate ares as a percent of wall
Totai Window & Door Area in Sq. Feet Box A(window & door acea) divided by Box B(total
WINDOWS (including foundation windows): waU area) fims 100 equals the window and door area
Dimensions Qnty. ' Area as a peccenc of wall azea (Boz G).
~ o X g~,,.,rN., ~ 0 Box A -2 -2 7 x ioo = , o y
~ . z . f- -37 Box B C
~ ` . 30 5(0 ~
~X z „ 2 ` STEP 3 Des[gn Features '
X 3 z ASSEMBLY OPTION
x r-FRAME WALL:
x
STANDARD FRAIvIING ~
x
x ADVANCED FRAMIIdG
x ' CAVII7INSULATiON
X ~I
SHEATFIING:
DOORS: LESS'[xnN R-5 ri
Jvx e) I/ -Z" R-S OR MORE I
a x 7~ WIIdDOWS (except foundauon windows): .
X 7 k ~ U-FACCOR U','3
Total Araa of
Window & Doors 2 -77 A
From the table, determine the mazimum percent window
Total Wall Area in Sq_ Ft & door area for t6e design options selected and enter the
Wall Total Perimeter Heig6t Area.,_ value ia boz D below:
~Z
Box C must be less thau or equal to Box D
Total Area 30S( g .
of wall
.
. :
F. The building must not exceed the maximum window and door area as a ~
percentage of overall exposed wall area listed below for the combination
of framing technique, R-value of insulation within the insulated cavity,
sheathing R-value, and window U-factor. Other components must meet
the requirements of this subpart.
' MAXIMUM WINDOW AND DOORAREA
AS A PERCEN'f OF OVERALL EXPOSED WALL :
Cavity _ Window 'U-Factor
' Framin¢ lnsulation Sheathine 0.49 036 0.31 0.27
STANDAItD R-13 4.2R 7. 13.4910 17.8% 2L39'e . 24.3%
STANDARD R-15~ 2R-5 . `12996 12.14/6 20.1% 23.4°ro
, ; , ~
;16 09L ' 18.8% ' 22.046 ,
ST'ANDARD R-18 2R-5 13.5% 18.6% 21:8% 25.3%
~ ADVANCED _ : R=18,„ ; "tg g 11.1`Ye i 17.1%' . , ..20_3%. 23.4%' '
r . . : . .
ADVANCED R-18 2A-5 ° 13S% 19.2%. _ 22.5% 26.1°.'e
STANDARD 23.1% ;
STANDARD ' V R 21 2R 5^ 14.0% ' 122.5% 26.1°k
-ADVANCED` R-21. p. . , .<R-5~. 21:2% 24.6%
ADVANCED R-21 2R-5 14.0% 19.9% 23.2% 26.9% I
Subp. 3. Performance criteria. The combined thermal transmittance (Uo)
factors for walls, roof/ceilings, and floors over unheated spaces must be less than or `
equal to:
A. 0.110 Btu/h ft2 °F for walls;
B. 0.026 Btu/h h2 °F for roof/teilings; an d
C 0.04 Btu/h ft2 °F for floors.
STAT A1.t7'H: MS § 216C19
HIST: 18 SR 2361 (
7670.0480 Repealed,28 SR 2361 i
'
I
i
i.
i
I
. . . . , ' ' . ' . .
i
Mi[yL Rules Chapter 7670 26
i
June 1994
CITY USE ONLY
' i X BL RECEIPT ^5°~
SUBD. ~G ~OrY
DATE: ol 9~
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122 .
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACt{ TOTAL
Shower 3.00 x I_ = 3-
1Ma!er rlos?t 3.00 x :3_ = 4-
Bath Tub 3.00 x i = 3-
Lavatory 3.00 x 3 = 9_
Kftchen Sink 3.00 x t =
Laundry Tray 3.00 x J_ = 3~
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x I_ = 3-
Floor Drain 3.00 x 1 = 3-
Gas Piping Outlet " minimum - 1 3.00 x 1 = 5-
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal' Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Sprinkl@f home under const. 3.00 =
Alterations * to existin9 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL S0
SITE ADDRESS: LA ~a ~ 0.1
OWPIER NAME:~
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: 1~- ZIP:
PHONE#:( ) y4,'
STl'3F1ATQR~~~~EUF~'EF~Af Il'f
OFFICE USE ONLY
L BL RECEIPT -
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: . all commerciai/industrial buildings.
0 multi-family buildings when separate permits are II2t required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSNOMETERS TO BE INSTAlLED4 YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G, SPRINKLER SYSTEM2 _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PR1CE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
CITY USE ONLY
L BL _L RECEIPT ~a y
SUB , DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Add-on airpxchanger, i.e. Vanee system, etc.
Date:
FFFR
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 4.00~,,
Additional 50 M BTU 6.00
Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: 9. '~y PHONE ~p~ 5337
INSTALLER NAME: 6_?U~ &/L
STREET ADDRESS: gll
CITY: STATE: ~W/V ZIP: 5'2y
PHONE 2-
CITY USE ONLY
L - BL _ RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4875
Please complete for: ? all commerciaUndustrial buildings.
? multi-family buildings when separate permits are n-Qt required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: o $25.00 minimum fee gl 1% of contract price, whichever is greater.
P Processed piping - $25.00
? State surcharge of $.50 per $1,000 of yermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CIN: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
For Office Used
Ila Permit City of Ea
V r
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: t9
Phone: (651) 675-5675
Fax: (651) 675-5694 staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION &C? &d
Date: 11-0 - Site Address: bi
Tenant: Oh? 44ry1N1 a Suite
RESIDENT / OWNER Name: D& 6 4frl e Phone: 'Q
Address / City / Zip: ? 1 kllv //1 ?4 IT
Applicant is: ? Owner Contractor
TYPE OF WORK Description of work: 61,SA & /gid
Construction Cost: 42~o Multi-Family Building: (Yes / No 26
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category-1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(I submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accord /e withhtthe approved plan in the case of work which requires a review and approv f plans.
Applicant's Printed Name
CE~w D Applicant's Signature
Page 1 of 3
U N 1 7 2009
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace Porch (3-Season) - Storm Damage
_ Single Family Garage _ Porch (4-Season) Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex X Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building Reroof _ Demolish Interior
Alteration _ Fire Repair Windows Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation W Occupancy MCES System
Plan Review 04;L" Code Edition SAC Units
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: Footings -Air/Gas Tests Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: Rough In Air Test Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES _
Base Fee 13
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
For Office Use
City Of o
Permit 3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: OY Site Address: 9P l /off
Tenant: Suite
RESIDENT / OWNER Name: Cry ,grime Phone: 5/ 9 3" 3ro~s
Address / City / Zip: 512A/ , /L5 li, IV , i, 106
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK -New -Replacement _Repair -Rebuild '"Modify Space __Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation V Add Plumbing Fixtures
L__ RPZ / PVB) (_Main L-'1 ower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan- hat I understand this is not a permit, but only an application for a permit, and wo is not to start without a permit; that the work will be in
accor ce with the approved plan in the case of work which requires a review and approv f plans.
x- x A;'//e
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138128
Date Issued:08/10/2016
Permit Category:ePermit
Site Address: 4828 Weston Hills Dr
Lot:8 Block: 1 Addition: Pines Edge 1st
PID:10-57690-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Wendy Gamme
4828 Weston Hills Dr
Eagan MN 55123--390
(651) 249-7189
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature