512 Weston Hills Pl
AI
i
WeL`tifiCQ#C of cCC1tpQ1iC4
lKiM af Cfagan
Toarbacut ~ ~nidoecron
77tis Certificate issued pursuant to the requiremersts of ihe Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
~
orrlinances of the City regulating building corutruction or use. For the following:
Use CLusificazion: IM Bldg. Permit No. 22gs4
. Oc~,sY'lypt R3A4J Zoaing Disvict Ri Type Consl. Vld
owncr oreuiwingiICOCNAia ca1Sr Ilw naam-ss 7601 1451H ST w}+AMF. W.rFv
Building Address 5 $[L,LS ELAL'F Lociiity L.1.O.~~R 5o WFS11a14-E~S-$M
/ , ~Date:
ew~ oerx~
POST IN A CANSPICUOUS PIACE
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . D.
~ I I ,j
~
; ;i , i~ i i i•~, . .
i~,~l . ~
~ ~
, Permit No. Permit Holder Date Telephone !1
5/W
, PLUMBING o a ai -8/ ffo
HVAC
ELECTRI
ELECTRIC
Inspectfon Date Inap. Comments
Footlngs l Z
Foundation
Framing ~
Roofing
Rough Pibg.
? / a/~t7 v! c~
Rough Htg.
~r
Isul.
Rrepface 3 a g p~
Final Htg.
Orsat Test ~S
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
a
~09 4 ~av«yv 19~, off,
N 2 1 .LQ.Pa o?" 7
RequHt 0 F e No. RougM1~ln In etlqn RequireE InspecGOn Otner TM1an Rougn-In
fVau m II ins0eclor when reaEy) ~ ReaCy Now ? W II Notily Inspac r
" Ves No DaleReatl
I icensed contractor D owner hereby request inspection of above ele cal work at:
Job Atltl v1. Box or Rom N ) \ Ciry
i AMMel
$eaion o. Townsnip ame or No. Range No. Coun
Occu a ylqR pry
~
Power Supp er Atltlress
B tr al ConVano IGo~npany ,C racr§ license Noq
king Insifl ation)
\
nutnori Slg a ure iCOnlr ct 'Owner Makin sl P n e -
~
MINNESOTp STATE BOARD OF ELECTPICITY THIS INSPEGTION REOUEST WILL NOT
Grigga-Mitlway BIEg. - Room 5173 6E ACCEPTEO BY THE STFTE BOARD
1811 University Ave., 51. Paul. MN 55104 UNLESS PROPEF INSPECTION FEE I$
Phone(6t2) 642-0800 ENCLOSED.
REQUESTFOR ELECTRICAL INSPECTION
? Esooooiae`
'y See instmctions for compieting [nis form on ~ack ol yellow copy.
~ -"x°'Eelow Work Covered by This Request
w.. (Q ?(e
02819
- e}v dd Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range jElectric porary Service
Duplex Water Heater Heating
Ap1Buldng yer Management
Comm/lndustrial urnflcer (Speciiy)
Farm Air Conditioner
pher(specify) Convamor4 Remarks. Compute lnspection Fee Below:
# Othei Fee. # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool ~ 0 l0 200 Amps p~ 0 ta 100 Amps ~
Transformers Above 200 - Amps 100 _ Amps
Slgl15 Inspector5 Use Onl 7Q7 ~
IrrigationBooms LA
Special lnspection ~Z
Alarm/Communication THIS INSTALLATION MAY BE O ISC ECTED I NOT
Other Fee COMPLETED WITHIN.1 ONT
I, the Eleclrical Inspector, hereby R°°9n-m . I C~ - oata
certity that the above inspection has F;,,ai oaie r~
J 9
been made.
172
OFFICE IISE ONLY ~
This request vaitl 18 monlM1Slrom
~~2~5 D 5
AeO~est te Fire No. Rough-In Inpsection Requiretl Inspectbn O1M1er Tnan Rougn-ln
~ (VOU O cal pector when reatly) ~ peetly Naw ? Will Notiiy Inspector yes ? No Dete Reatly
ISp licensed contrector ? owner hereby request inspection of above-electrical work at:
Jo0 ess SireeL Bax r Raule oJ Gry
Section No. Township Name or No, aiga No. Cou ^
W
Occ p t I Pho e No. O I
PowerSuppli tlress
EI ical Com2ctor (COmOeny Name) • Contr ctork Lkensa No.
.NDRIC -jr
Marling Atloress ~COmr or Owne~r M(aking Installation!
~U~~IV~~ ~
141
A horizetl SlgnaWre (GOnVaciorrOwner M
axrn Installatron) e Number
ZF-~r hon r P~~t • S 12. Ou
MINNESOTA STATE BOARD OF EIECTRICITY THI$ INSPECTION REOl/E5T WILL NOT
Griggf-MlOway Bltlg. - Roam 5-173 9E ACCEPTEO BV THE STATE BOARD
1821 Univerelty Ave., St. Vaul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Plwn¢ (612) 642-0000 ENCLOSEO.
/J 9 REQUEST FOR ELECTRICAL INSPECTION A~~
See insVoom.oe
~ Udions for completirg this lorm on Oack of yellow capy.
"X" Below Woilc Covered by This Request
N 32915
7(s oiBuilding AppliancasWired EquipmenlWired
Range Temporary Service
Water Heater eclic Hea6ng
dng Drye( load Management
ndustrial Pumace Other (SpeciTy)
Air Conditioner
clly) Cuntractors Remarks:
Compute Inspecfion Fee Belaw:
k Olher Fee # ServiceEnlren Size Fe # Circuit Feeders Fee
Swimming Pool 0 ta 2W Amps 0 to 100 Amps
Transiormers Above 200 _ Amps Above 100 Amps
Si9n5 , Inspecmr5 Use Onty: TOT f/~
Irriqa[ion Booms
Special Inspection ~
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby R°ugh-in Date
cenify that the above inspection has F;,,ai oe ~
been made. 2,
OFFICE USE ONIY
This request voitl 18 monfis imm
Address 512 wESmN tuia.s P[.aCE Zip 5512 3
L.ot I o' Blk 5 Sub i wESiCIN tmLs 2NID
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: , j$ 5' Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) ~
Permanent steps (main entry) ~
Permanent driveway
Pennanentgas ?
Sod/Seeded grass V/
TraiUcurb damage ~
Porch f~
Basement finish ?
Deck
Please vecify with the builder the removal of roof test caps from the plumbing system and the shut-off of watet supply to
the outside lawn faucet before freeze potential exists. Contact engineering division a[ 681-4645 before working in righbaf-way or installing underground sprinkler system.
. White - City Copy Yellow - Resident Copy Pink - Contraaor Copy ~
~ ------5---
City of EapIl j Pertnit#: j
~ Pertnit Fee: ?O ~
3830 Pilot Knob Road
Eagan'MN 55122 ~ oate Recelved: j
Phone: (651) 675-5675
~ I
Fax: (651) 675-5694 i srarf: I
200o8/ RESIDENTIAL PLUMBING PERMITi AIPPLICATION
Date: Site Address WCc t) o ~ 1 1~~ ~ 1(,~. C~
Tenant: Suite
RESIDENT I OWNER Name: a.Ud Phone: 195-1-6~6 "Z`t0
Address 1 City / Zip:
CONTRACTOR Name: Licensq#:
Address: U U l ~ ~ ~,I`J
City: LDXzV l!_. State: -X&L Zip:.~
Phone: I-O*ConlactPerson:
TYPE OF WORK %ew _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tion of work:
PERMITTYPE RESfDENTlAL
~ater Heater _ Water Softener
awn Irrigafion Add Plumbing Fixtures
~ RPZ PVB) C__ Main _ Lower Level)
Septic System Water Tumaround
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) V
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 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 bumed out appliances, ductwork, etc.) (includes $.50 Shate Surcharge)
TOTAL FEES $
I hereby acknowledge that fhis information is complete and accurete; that the work will be in confortnance vMh the ordin and codes af die City of
Eagan; that I undersWnd this is not a permit, but only an applira6on for a permit, and work ' ot to sprt wifhout a e if, that Ne work will be in
accordance with the approved plan in the case of work which requires a review and approval o pla . ~
x ~
x 14A 'n', f
ApplicanPs Printed Name Appliwnt Signature
' ' ' . . y } . a y,-4 ~•?.r3 i~~ ~ ...v~+~gai, ,~~~Y~apSL'~q•~~*s'~.'" 5
s
POR OFFICE USE ei Revie~nred 8y, O~. af~>,~'. '+~iT
Required Inspect~ons Under GrAU~d~~~ c.~ ~2oug~ J1r ~ gs
7q 2 71 2007RESIDENTIAL BUILDING rExMIT arrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ~
Telephone # 651-675-5675 FAX 9 651-675-5694
New ConsWCtion Reauiremenfs RemodellReoair Reauirements Office.Use.OnN
3 registe2d site surveys shovnrig sq. R of bt sq. ft o( house; and all rooted areas 2 copies of plan showirg footings, beams, joists Cerl of Survey Recd _ Y_N
(20°k maximum lotcoverege alloweA) 1 setof Eneigy Calwlations for heated additions Soils RepoA
1 Soils Report i( proposed buildirg is fo be placed on distuibed soil 7 site survey for addNons & decks Tfee Pres Plan Reoi _`7 _ N_
2 copies of plan showing beam & window sizes; poured found design, etc. Adddion - iMicale Hon-sAe se tic sysfem Trea Pres Requued _X _ N
lselotEneqyCalculations D On-sifeSepticSystem Y _N
3 copies of 7ree Preservation Plan if lot platted after 711193 HAUG EC~~
RimJoistDetailOptionsselectionsheet (buildingswitli3orlessunifs) Minnegascomechanicalventilationform 1 0 2007
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date 0 6 I ld l 6, 1 Construction Cost
SiteAddress S r.~. we•SYCr, qi ((S P/QC E UniUSte #
~ r~ Ill 55 ~-3
Description of Work C( Ff k
Multi-Family Bldg _ Y VN Fireplace(s) 6~0 2
Property Owner J(r uGd Ka/'~ w. CJ t, 1 S'/$nS ai1 Telephone #(CyS ) C~S i; -
Contractor E'- S
Address CitY
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . . Residential Ventilation Category 1 Worksheet - . • New Energy Code Worksheet
(J submission type)- . , Submitted Submilted _
Energy Envelope Calalafions Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y N If yes, date and address of master plan:
Licensed Plumber" Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone ~
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
l(aI- C%/l-
~ ~5`t(~n J C
Applicant's Printed Name Applicant's Signahxre
~
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 07 Founda[ion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex '~K 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
* 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair .
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout to applicant
DeSCPIptiOn: WaterDamage_Yes Valuation ~ L) 0 Occupancy MCES System
Plan Review _Y100% or _ 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Sheetrock
Footings (deck) FinaUC.O.
_ Footings (addition) ZC FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fueplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: Building Inspector
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - = - - -
Base Fee
Surcharge
Plan Review ~ J
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
• 2422 Enlcrpr13e Qrlva
Mendota Uej,pts. IAH 55~24 .
r:
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I
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l~~Z..~~~~~ - ,
~ C..I i~~~~E~~••I~~I7~f IeNU 1'LnNNlkS. ~ANDSGMf AXODUCIS 615 I119hWJf ~~1 IIUIII~CUS~
UIUInB. b1N 5b1S1
1012) _183-1e6p-r".
MC DoNALD cO1J5TfZUCTI0N ~ __j~
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ry~0 < ~h.~T Mr p QQp<<f 82 24 Z9" yy
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EAGINEE'tING DEPT.
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~ aO l.Kcu'f
~ F'~zo6B ~r1Ca1~.lE8 1 t~+ t~°'~~s;~
PRUPOSEU GRAUCS SHUWN PER GHAUING PLAN HV..__-a s r U I
NUf E: CUNI RAGTUR MUST YERIFY ALL UIMENSIJNS ANU DRIYLWAV DESIt3 14p7F: NO SPECIF3G SDILS IIIYES7'IGA710N HAS BEEfi C:OArPLEYEU ON TH15 LOT BV THE SUpVEYUp•
iHr SW7AU11-17Y OF SOILS 1'D SUPPUHT THE SYECIfIC HUUSE PROPUSED IS IiOT 7NE RESPOµSI[f1UT'Y OF Tt1E SURVEYDH.
7Hig GER'fIFICAS E JOES NOY PURPONT 70 $HUW EASEMEN75 OTFIER THAN THOSE SIiOWN ON TNE RECUR( DAT,
PHOPi~sE;n 1ic~usE ~lEY 1010
Uenules LxisUriy Elevutlun
pe11otes F'rupu~nd ElevulEun Luwasl Fluur Eluvulicjn; .9.,1'4,1
: Dcnut~s Uiuinoye dc Ulillly Easeritent ~up P( LjIOCk EICVUIIUII: '153.1
..----[luuulns Uruinuye Fiaw UirncUon GuIGya Slub Elevul'1on:95~,3 .
Ounolas Monumeni
-u - Duiulcs Uf(bct ilub Ueurinys showri ara ussunicJ
T {O ~ 13LUCK S-WESTON H{LLS 2tAU APbITION
DAKO7A Gli11111Y. lU1JNE1f11A
Y
1 hn WY nnJy 11s1 IbM w~v~y. Nlin u' nPwl 5?~ pfCV JdY uo IILO•Or'-~4vA US19Verv`dun y1d Ilwl l un ~~1~`~~~IFl[,11J ~wreru~
1 Iot~Et4t~
~,,,,ip il,~ Hrd ol Iha +la~~ ~I M1O1~r>Ula. UalbJ tldt.--~-^
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gz'7 92 223.05
00
70
RESIDENTIAL BUILDING
Permit Application I
City Of Eagan 9 p 3
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWClion ReauiremenLs RemodeVReoair Reaui2menls Olfice Use Onlv
3 registered sita surveys showing sq. ft of lot, sq. N. of housa; and all mofed areas 2 copies of plan Cert of Survey RecA _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reo] _ Y_ N
2 copies of plan showmg beam 8 window sizes; poured found design, etc. 1 site survey tor addNons 6 decks Tree Pres Reqd _ Y_ N
isetotEneMyCalcuWtions Addition-indicateifonskeseph'csysfem On-siteSepticSystem _ Y _N
3 copirs of Trce Preservation Plan if lot platted after 711193
Rim Joist Detail Opfions selection sheet (bldgs wilh 3 or less uniLs
Date o-3 Construc)tlon Cost
Site Address k/ L° S'7~0 vl ~~i ~ cd c2 UniUSte #
Description of Work h) S~ S".7,7 e h~
Multi-Family Bldg ~ Y _ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Av1 G~ S,-YC h SO ~ Telephone #(65~ ) 6 T G -~t'~~ °
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone
SeweNWater Contractor Telephora ( ~
i~n S'~, i 2
'I
I hereby apply for a Residential Building Permit and acknowledge that the i,nformation i`"s ete land accurate;
that the work will be in conformance with the ordinances and codes of the FCity-of-Eagan-an&tiie State of MN
Statutes; 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 accordance with the approved plan in the case of work which requires a review and
approval of plans.
/9,L/ / 2-C lz~' ),-s *
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ex[. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Stortn Damage
? 06 04plex ? 12 12-plex 7 PIbgiY or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
X 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA hantlout to applicant
Valuation 94gr Occupancy ~/Z,3 MC/ES System -
Census Code y3 Y Zoning 4C-I City Water -
SAC Units - Stories Booster Pump
Nbr. of Units Sq. Ft. " PRV
Nbr. of Bldgs - Length ^ Fire Sprinklered ~
Type of Canst ~ Width ~
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) plumbing
_ Foundation ~ HVAC
_ Drain Tile Other
~ Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding Stucco Stone
Fireplace R.I. Air Test Final Windows (new/replacement)
It Insulafion _ Retaining Wall
Approved By , Building Inspector
------------°03----------
Base Fee ~::22
`
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~00143 RESIDENTIAL BUILDING
Permit Application
City Of Eagan .
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 0 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reaui2menfs RemodeVReoair Reouirements Ottice Use Onlr
3 registered site surveys showing sq. k of lot sq. ft of house; and all mofed areas 2 copies of plan Cert of Survey Recd
(20% maximum lat coverage albwed) 7 set of Energy Calailations tor healed additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey (or additions & decks Tree Pres Nol Reqd
1 set of Eneigy Calalalions AddNOn - indicate 8 on-sife sepfk sysfem _ Onsite Septk System
3 wpies of Tree Preserva6on Plan if lot plaHed aRer 711193
Rim Joist Defeil0ptions selection sheel (61dgs with 3 or less units
Date -7_ / / 63 ~ Constructian Cost ~Yl
6
Site Address ~ a'CD UniUSte #
Description of Work
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 ~ 1 _ 2
. ~
Property Owner ~~_L_k,0 r4e L) sw Telephone #
Contractor ~(klQ< Cw c 3C.t-,nN~S'
+I~
Address l
Sc'f' City 6{y}<; ( &~!S
State MI~+ Zip Telephone # ( ~j( ) ~~Q-- ~ -77
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Wortcsheet
(J submission type) Submitted Submitted
• Energy Envelope Calculatlons Submilted
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#~ J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 accordance with the approv plan in the case of ork which requires a review and
approval of plans.
Applicant's Printed Name App icanYs 5ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling C] 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ribg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolitlon (Entlre Bldg) - Give 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) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
- -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
k~ 'p t'2 Sx ' cw*`.;p. rg ~,~,.usi.s aL' i vC. R$ 7~~,q M°po",~' a. v 3'c zFctxg q~ wk
. <a~'~~k.~m~'3'i
~ f .b.33 ' ~ '~~'w3s~t
c~~~ 3 dc sei~:~ ~m«:
£ 3 s 1':2::3>ku°v<+.e::~:size~~^~.R ~3;:3.~>~ 3~ ~~a~a,3.`~ i 3 • :1~:, i~-w,'o- ~S ~&Ra3sc ~ § s . ~ €
: . > . v~..'a~..:... soar.x~t's:.l~.i3l x3.3. i~.,,..u a,,.,..:q...sA.xsxsStt• s
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMIT3 ARE NOT REQUIRED FOR EACH DWELLING UNIT.
- - - - -
DATE: CONTRACT PRICE: $
NEW BUILDING
, INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF !CWOM FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF IT FEE.
TOTAL $
SITE ADDRESS: _
OWNER NAME: TELEPHONE
TENANT NAME: (nNtPROVEMENTS orrLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
~
. 3:.
. . " . . . : .
....5......... . r.i.o.<.:.::.:.....i..'
»...,:::.:°rs:::ss:xu<[:.... .#g :i~.. ..y..,..~. . . .
n w~"'~a ~ $ W M~5 ~ -
~uB~
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNIT.
~ NEW CONSTRUCTION
ADD-ON A/C
ALD-O?+? FURNACCE
FIREPLACE INSERT
DATE _ c\ - c~ ~
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU Iqo~Dc)CD 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) 3 q.U~
ADD-ON/REMODEL (ExISTING CoNSTxucrIOrr) $ 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRE3S:_
OWNER I'ELEPHONE (n 1
INSTALLER:
ADDRESS:_ 1l
CITY: 't b~ STATE: m3 fl t'1 ZIP CODE: ..SS
TELEPHONE
-
SI NATURE OF PERMITTEE
PERMIT ~
~~CITY OF EAGAN } 9C) u s
3830 Pilot Knob Road PERMIT TYPE: ( ~ B U I L D I N G
Eagan, Minnesota 55123 Permit Number: ~ 7-Iy 0 2 2 8 5 9
(612) 681-4675 Date Issued: 0 2/ A 7 19 4
SITE ADDRESS:
512 WESTON H7LLS PL
LOT: 10 BLOCK: 5
WESTON HILLS 2ND
P.I.IV.: 10-83751-100-05
DESCRIPTION:
Bc(flding)-Permit Typa SF pWG
iuilding W-dtrk 7ype NEW
(416C tlccupancy,--~ R-3 M-1
~ Construction 7yk V-N
/ 2oning R-1
~ Building Length / 64
' Building Width -'1 49
6yildinq stories f J 2
1
C~Cnu Q0 C~~un
REMARKS:
PRV S G W PLBR
FEE SUMMARY'
VALUATIfJN $176,000
Base Fee $905.50 MTSCELLANEOUS ---$1,828.50
Plan Review $588.58 Tota7. Fee $4,210.58
Surcharge $88.00
SAC $800.00
SAC ~ 100
SAC UniL's 1
Subtotal $2,382.08
CONTRACTOR: - Applicant - sT. I.zc. OWNER:
MCDONALD CONST INC 14327601 0002376 MCDONALD CONST INC
7601 145TH ST W 7601 145TH ST W
APPLE VALLEY MN 55124 APPLE VALLEY hIN 55124
(612) 432-7601 (612)432-7601
I hereby acknowledge that I have read this application and state that the
° informetion is rorrect and agree to comply with ell applicable State of Mn.
Statutes and City of Eagan Ordinances.
('K.to o ' I
I NP LICA /PERMTEESIGNATURE ISSUED V: GNAT RE
i _
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B u z Lo.r. N c
3830 Pilot Knob Road Permit Number: 022859
Eagan, Minnesota 55123 Date Issued: 02 J 0 7/ 9 4
(612) 681-4675
SITE ADDRESS: L o r : 10 B L 0 C K e 5 APPLICANT:
512 WESTON HTLLS PL MCpONALD CONST INC
WESTQN HILLS 2ND (612) 932-7601
PERMIT SUBTYPE: TYPE OF WORK:
sF owG NEw
INSPECTION .
FOOTINGS FOUNDATION
FRAMING RQOFING
INSUlATION FIREPLACE ROUGH IN PLBG ROUGH :GN HT6
FTNAI PLBfi FINAL
REMARKS: PRV S& W PLBR -
L -----`-J
REACTIYATE _ CITY OF EAGAN
PEW06IT. t ` 19WBUILDING PERMIT APPLIGA'CI_0~1-,
' '44 681-4675
' JAN 1 8 1994
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys,1 d-eoov-
calcs. ,
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of awnth.
in which request is made, 2) address is thanged or 3) lot change 1_s requested once permit
is issued.
Date IlL Yaluation of work
Site Address: 5 12 W esi-o~.
SiREET iU[TE /
Tenant Name: (commercial only)
Lox aLOCx S sosn. s P.I.D. N
Descri tion of work:
The appl icant i s: ? Owner IR Contractor Cl Other co.sorine> .
Name - Phone
Property LAST FIR51
Owner Address
SiREET CTE M
City State ZiP
Company A4`~~n,A Phone 1-1~~2 - ?(,ol
Contractor Address 7601 iyST4 Sf, UJ License d aoo a,.74 Exp..3-1`/
City A,,,,~ O.a 1 e State Zip "•{ij
Company Phone
ArChit@Ct/
Engineer Name Registration /
Address City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant: ~ - "
OFFICE USE ONLY
„ .
BUILDING PERMIT TYPE
? 01 Foundation ? Ob Duplex ? 11 Apt./Lodging., ? 16 Ba'sement Finish
E2 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace 0 19 Coiom./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
PF 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition O 34 Repair ? 36 Move ?
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. 3 MWCL System x
(Allowable) ~ lst F1. sq. ft. 3 7 City Mater -
UBC Occupancy 3+?.( 2nd F1. sq. ft. ~ o PRY Required T
Zoning , S q. ft. total Booster PumP
1" of 5tories 2 Footprint Sq. ft. Fire Sprink ler
Length ~ On-site well Census Code 40/
Depth ~ On-site sewage SAC Code ell
APPROVALS %
Planning Building Assessments
Engineering Variance
REDUIRED INSPECTIONS '
0 Site a Footing A-Framing U Insulation
? Wallboard 0 Final ? Draintile ? Fireplace
Permit Fee v.w.c;«n: 8 11_)&T0p0 •
Surcharge f~ td-~
Plan Review 30 : SSO,/p
license q~ Mwct 5AC l y k~ = ~-o. 3 z, 3 ~ 6.s's,~y
City SAC 2 f -2 9y z- %o, G
water Conn. ~.-4-
Water Meter ~J+ vf ~9~/~
Acct. Deposit n
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
coPies
Other J
Total:
SAL %
SAL Units
d F.~it
• • ' 2~22 Enlmprl9e Drlve
' it ~ Me~,dota Heipls. 1,4 55120
(i81-191i•}~N UU1 .54118
. . . . .
..~~M~~~r{ IAre)!i.iRNYV~:'s•VNIFNfJ!lflHS _ . +
ww "uw~Etis . iAnoscne[ uraeiECt. S`L5 I1I•nway tU riorum~y~
EiIU{ne. AIN 9y134
(612) 783-1880•Fox /t1~--t8tiJ
T
MC DotJALD GO?•15Tt2uGT40N
Ge, tlticate ol Swvay lor._...-----..-.._-.----- -
FJOR f 1 I
9~~., a . 52 ~ ,
R 6a 3 7
0
+ s 'O ~Q6~1
os~s x9~9~
is Atsiy~ a,q'1,G ~
a ~ Kv Mp, ~i-
0.0 949,5 M 3rsk'qY ~ S o $~'aUp~ wa/d ~1
,~h ry ~
. ~ ^y ~ x 52 _ e p d. I .`pQ
`
p~ a~~
. ~p. n • s, m ~ ~ v • ~ I I ` ~ *q V
14
b '<~`!.I$ ^7.co F 40: 9'° -1i61 1 w i
0 r M 1r"
p. _ n; l.g p/ I 1•I ) J ~
r
~O . 94..
4 C
qx FQ FyC < W
<7'y :
G
~ A(;AN \~tiQ ar-•--•• M
RRVtF'w~D fs~ yy~.s` r tiy
~ gy
o y
-2
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~ p, ~
0 4• ~p;~.o ~9~ • bti v~fa
m `t
-
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~ EAGAI~T EIV INEERIIVG DEPT.
a~ ~I&aC ou T'
;
FROPOSEU GAAUCS SMUWN PER GRAUING PI.AN BV:_ ~~BE ~~ra ~ _
~ a ~ . ~~M~G3~~
HU'FE: CUN7 RACTPR MUST VERIFY A4L UIMENSWHS A11U Dfl1YEWAY DESIG ~
NUTE. NO SPECIFIC SOIL5 IMYESTIGA?ION HAS BEEN COMPLB7EU UN THIS LOT BY TNE 5UpVEYUp•
iHfl SUiTAUIIITY Of 5014S 1O SUPPUBT 7HE SPEqPIC HUUSE PHOPOSED IS HOT 7l4E kESPUNSIGiLITY OP 1't4E SURVfYUF3.
1"HIS CEHTIFICATE UU@S NO7 PURPOftT 70 SNOW EASEMENTS uTHER 7NAN THUSE SNOWN ON THE RECURPEU PLAT,
. a,wo penutes ExisUriy Elevutiun F'Hf}F?OSE;D HO05E €1 E;YAl15)t! ,
:'~q, pe~~oles Pruputind Elevullvn lowesi Fluur Eluvaliun: 944.1
Dcnulus Uiuinaye dc UtiHly Euseinent 1up at Block Elevullon: q53.1
Uunules Uruinuyd Fluw D1recUon Gutuya Slub Elevulio~r 951,3 .
Denolea Monumen~ ~
_u - Uunulcs Uffsc;t ilub f3eurblys shown are ussunic:d
1_0I lo , E3LOCK ?JWE5TON HIl.LS ~.cAu APbIYioN
PAKOTA C(il)fliY. 11ifJNES[IIA
Y 7i4l guY mltly tbN Uu3 IWr~y.4lin Yr 4913011 w111 WtyeiadL/ 1uf or unJy,mVl1U4Gt wyGrfYdon oul lhal l aw J~ty H4014,1J u,eJ Sw.erm
~ ~
_
2l~f JaY uI:L'---!.` eNl U: (yIONEBR ~
~~a il,~ Hn~ ul ILa Liaid ut Mmnew la. (7aluJ thlt A.U l y 7 "I
-
BS!-x! ~.•v*-_ _ - ..-~'~-G~A/a~l9~"s' Z F'
~ G ~lfa:p/,~ 4
U~. .S 1=.
C' +~IIa~40 li41 C'
d
gz'7 93223.05
LOT iIIROEY CHECICLIST ?OR ItEBZDENT211L
sIIILDIIiG ptRMIT AFPLZC7?TIODT
DROPERTY I.EGAL2~/6,
~ Date O! iurveps
DOCIIliENT BTINDMB
D 0 D • Aegistered Land Surveyor siqnature and eoanpaay
0 0 D • SuilCing Permit 1?pplicant '
D 0 0 • I.egai descziption D G 0 • 1?ddress
D O 0 • Horth arrow and baz scale •
D 0 0 • Bouae type (ramblar, valkout, sp11t .y/o, split entry,
lookout, etc.)
D 0 0 • Directional drainage arrows vith slope/qredient t.
0 D 0 • Proposed/axistinq sewez and watsr aervices
0 D 0 • Street name .
D D D • Driveway
as.znATioxe
IExistine
O D G • Sawer service
0 D 0 • Lot corners
D D 0 • Top of curb at the dziveway
13 0 0 • Elevations of any existing adjaeent homes
proflosed _
D 0 0 • Garage tloor •
G 0 D • First floor
0 D 0 • Lowest expoasd •lovatioa (aalkout/window)
D 0 0 • Property corners .
D D 0 • Fzont and raar ot bome at the !'oundation
PONDING f?RE715 fif apol3eab1e1
D D 0 • Easement line
D 0 G • rnaL
D O D • xWL •
D 0 0 • Poad t desiqnation
D D 0 • Eoerqeney Overflow Elevation
DSKENBIOIPB
D 0 0 • Lot lines
D G 0 • Aight-of-way and street vidth (to back of cusb)
D D 0 • Proposed bome dimensions incluCinq any proposed •discks,
overhengs qseater than 21, porches, etc. (i.e. all
struetures zequiring permanent lootinqs)
D 0 0 • Show all ensements of record and any City utilities vitAin
those aasements
D D 0 • Setbacks of proposed structure and setback oi adjaceat
ax3sting homes -
D D 0 • Retnining vall requizementa, if any
ReviaveQ:
Name / Date. .
October 1992 ,
' MINNFGOTA STATE ENF.RGY CODE CAi.CUi.ATiONs
• HASED ON CHAPTER 5 OF TItE
t10DEL• ENERGY CODF - 1983 EDITTON .
Adoption Effective'
Owner ~ IT I~ Phone Date
Site Address °Contractor Phone
Building Classification: Type A1 (Single Family & Duplex) -~6
Type A2 (Residential, 3 stories or less) (OVer 3 stories) (Other)
bOTE: Comolete pagea 3 and 4 first.
GENE1tAL INFORMATION L7/b u
i
1. Buildihq Perimeter ~J Q~L~ SN' pt.
2. Wall height (ground to eave) I+ ft.
3. 1. X 2. (above) gross wall area sq.ft.
4. Buildinq dimensions (L) X(W) _190~? sq.ft.roof 6 floor area
5. Sq. foot area of rim joist - F oor joist size (2 X"
Ile )
X 2240 (Perimeter) sq.ft.
12
6. Doors - Area 7Thickness~ in U. factor_{/
Type of Construction Per meter ft.
. Manufacturer
7. Total door's perimeter ft.
e. Windows: Manufacturer Iw~UL YLe~ 3tate approved
U factor ?p i~q
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
tl ~ il EACH UNITS SQ FEET
O
9. Total sq.ft. Glass_?~rJ
10. Fireplace area: Width X ileiqht = X = sq.ft. .
11. Exposed foundation: ileight X Perimeter,67 sq.ft.
COMPLETION OF TEIIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDINGS BEING MOVED Wt1ERE ENERGY, OTHER TtiAN T[tE MINIMAL
CODE ALLOWANCE, IS USED.
-1- .
12. Framinq area = 104 of groes wall ares.
13. Gross wall area -j:;oc/JA4 eq.ft.
Window area A4-
Z-~ . sq.ft. U windows =•~7(% UxA =
Rim joist area A~sq,ft. U rim joist= 4V UxA =
.
poor area A ~ sg.ft. U door'prea= lIlt UxA =
Other doore area A12--sq,ft. U other doore=-,,- OxA =
Exposed fndn A_III_sq.Ct. U foundation= ~0 UxA =5;7_
Framing area A_301f s9.ft. U framinq area=rO UxA =/5-
Net wall area A7i1,421(/sq,ft. U wall= .d`i''Y UxA =
(13H) TOTAL . . . . . . . . . UxA ro2
14. Groes wall area x 0.11 (A-1 eingle family & duplex) = allowable UxA/Code
(13. above)
x 0.23 (A-2 other reeidential) •
x .23 (other buildinge)
x .28 (over 3 stories)
- i 40 BTUti muet be larqer than or same
A 0 x u coae =.`7 °F. as 13B above
15. Ceiling framing area (Af) equele lOt of ceiling area
15A. Gross ceiling area =(L) x(W) ~ _/S D 7 sq.ft.
15B. Joist area (Af) = 10$ ceiling area - k~-sq.ft.
15C. Net ceiling area (Ac) (15A - 15H) _ A3 5,~,3 eq.ft.
U ceilinq x A c _x e~mpr
[I framing x A f SO~ ~ x!.Q7"~
15D. TOTAL U x A
16. Ceiling area (15A) x 0.026 (A-1 single family & duplex)
= allowable UxA/ Code
x 0.033 (A-2 other residential)
x 0.06 (other)
~ , x D.~ BTUH must be larger than or same
A 15A 1 a v~ U Code t !X/ e °F. as 15D above
NOTE: Use U anil A values obtained from paqes 1, 3 and 4.
CEBTIEI-C8T3SN: I hereby certify that I have calculated the "U" factore end
"R" values hereln and thet the 6uildlnq here described meets or exceeds the
state of Minnesota Energy Conservation Act.
Date Signature
-2-
4 ~
-~~~-18Z
N N
Z 72 D~
59;~x<47, Q-4?, st3A S69, 5~ "z = I si
- - -
~ I so~
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- 30
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~r -204~ 2`~x 3 2 Z~
f1. _ t050 . -2 IIDk_?.- Z_7C
I 5 k Z Z .~o
~
Vi 7~;x 4 Z 3 s
( 3431 509 Z ~(o . Z.~ _
- - ~~g
Z Ph'to ID?, . l I 3° 5-re, oR- _Z 40
CRSCRDE MEDICRL,INC TEL:612-941-7019 Jul 12'94 10:16 No.008 P.03
~ " - '
2421 E4%lerpr4ae Drlve
~ x Mundolo I10011ls. ?IN 55170
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.u. n~_ v. r...... . .
'w'P ku'xias.'iuroswPt Nro+uns 025 IllqhwoY IfY I401Uhauet
~ W01ne. 1AN 5S+44
(612) 785-11180404 J63•-1863
~
or: MC DoNAI.D COWSTRUCTION
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PROpoSED (iRADES SHOWN PEp Gi1ADING PLAN 8Y•
NOf E: CONS RACTOR MU6T YERIFY ALL DtMENBIONS At1D DRIVEWAY DESIGIt•
NOTE: I10 SP@CtFIC SOIL6 INYHSTIOATION MAS SflEN C01+1PLET8D OM TH14 LOT ¢Y THE SUAVEYOR.
THB bUlTAUILITY OP SOILB 70 8UPPOHT THE SPECIf IC HOUSE PAOPOSED IS MOT 1 NE RESPOHSIOILITY Oi 1'tIE SURYEYOp.
TNIS CERTIFICATE DOE6 HO'f PURPORT YO 6HOW £ASEMENT6 OTMER THAN TMOS& SNOWN OH THE RECOHOEO PLAT.
. awo ()motes ExlsUng Elevutlon 11045f €4CYA110t!
,,npaUeiloLes prupoueJ Elevuttnn Gownhl Fluur Elowtiun: 944.I
pwjolus Urainoye dc Ulillly Enscmanl Yup al Biock Elewiton: 9sS.1
[?s;n::lus Oru{nuge rlow Ulrecklnn G41UgQ 51ub ElOvullorI: 951.3
r.p,.• ObllUleB Monurnenl -
_u _ ilwiolus Uffsnt Ilub f3eollnys ehown are ossurnnJ
lo , f3LUCK 5 wEsroN H?LLs 2dD ADbiT1aN
DAKOTp C[1UNIY. 1lINNES!)iA
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CRSCADE MEDICRL,INC TEL:612-941-7019 Jul 12'94 10:20 No.010 P.01
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R=96% 612 961 7019 07-12-96 11:26AM P001 #39
I -
CASCRDE MEDICRL,INC TEL:612-941-7019 Jul 12'94 10:15 No.008 P.01
CASCADE IWICAI1, INC.
PRAiRIE
E~EN , MN 868~C
10180 TELEFAX COMMUNICATIOId TELLPfION& FN( (61$) (612) 841-7845
942-91118
~nr~c~ 6 /ru nose n ~
~~n c ~~y o f ~-ag ~ ?~t o,ma,,,p
Fh M ee r )n CASCADE MEDlCAL, INC
F0x No. Fax No.
A-1 6 / 612-941-7019~
Date: Pages To Fdlaw
[n Case of Difficxilties, Ptease Call: 612-941-7345
$lOOd GlYCd9e MOnlfOting $y'BC0a1
F"VORMAU Cusiomer Support: 1-800-525-6718
I R-96% 612 941 7019 07-12-84 11:21AM P001 #38
CRSCRDE ME?ICAL,INC TEL:612-941-7019 Jul 12'94 10:16 No.008 P.02
1'0: Craig Rnudseo
Enenewing Tech~iCian
CitY ofEeBan
From Paul Christee9oa
512 Weaton FTlls Plece
Lot 10 Block 5 Weston Hft 2nd addition
Re: Rttaining wall nwd to wetland / dreinage pond.
Here aze the sketches ttiat you requeated last Thwsday wha? we spoke. T'he dashed lines
sre contour lines that I measured uesng a water level.l'he solid lines are w6ere the one foot high
reMimng walls wrnild be place4, The bese of wall l wwild be at 941.5. The plateau between the
walls aould be at 942.5 and the top of wall 2 would be at 443.5
Do you think this is wodcable? I wou(d like to heer yoar commente, criticisms, an1 any
oharigea you would make.
Sinom+ely Youra;
Paul Clmstenaon
R-96% 512 941 7019 07-12-94 11:21AM P002 7i38
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1994 PLUMBING PERMIT (COMMIItCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
_ NER'CONSTRUCfION
ADD ON
REPAIR
WORK DESCRIPIZON:
CONTRAGT PRICE: $
FEE: 1% OF CONTRACI' FE&
STATE SURCAARGE $.50 FOR EACH $1,000 OF FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAIdIE: Sm #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
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1994 PLUMBING PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTT.
- - - - - -
NO. FIXTURES EACH TOTAL
~ SHOWER 3.00 3 , ()o
WATER CLOSET 3.00 V.do
BATH TUB 3.00 r)0
LAVATORY 3.00 10,06
KTI'CHEN SINK 3.00 3.c90
LAUNDRY TRAY 3.00 , 06
HOT TUB/SPA 3.00 11070
WATER HEATER 3.00 FLOOR DRAIN 3.00 60
GAS PIPING OLTTLET • minimum - t 3.00 ~
_:Z_ ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • naiLay. ur- 20.00
U.G. SPRiNKT .F.R • home „naa const. 3.00
ALTERATIONS • w exisung 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
SrrE ADDRESS: ~a! o II ~~S / D h ~ ~l C Plo G- e
OWNER NAME: fc)
INSTALLER: r S m /h
ADDRESS: Jl4i~ Avp.
~
CI'I'1'. ~ LO VC STATE: ZEP CODE:
PHONE
~
SIGNATURE OF PERMITTEE
C!ty of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use /l
Permit #: / V 3
Permit Fee:
Date Received:
Staff:
-3-
0)-
INFLOW
-INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: J� /� ` a 3 /c2 Site Address:
.5"/_ 7/0 I1 ttc:c_.
Tenant: Suite #:
Name:
PC1, 1,0 d- KO, Phone: CS7 —6g to — 7
Address / City / Zip: GJ /oZ es.S'f"Q n. 1111 /.S PI 0,,C -e.
Name: IIP,hk:i'\-t k Pi
Address: 5,5- - k� 0- 4 U f�
ril
/PciuI r License #:
City: ih v et 64-6 (0 -e -J 14.1 klq
State: JE IQ Zip: 57.4).--0 ? 7 Phone:
Contact: ?4te I P € J --r- Email:
PLUU BING (Within the building envelope)
V Sump Pump Repair
Other:
SEWER & WATER (Outside the building envelope)
Repair
Other:
Description of work: X `i-e_4(d LLImp p ii/n13 //At ov`
is ka LUC
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
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 accordance with the approved plan in the case of work which requires a review and approval of plans.
x t tt (,h !^t�
Applicant's Printed Name
d
Applicant's Signature
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132987
Date Issued:09/15/2015
Permit Category:ePermit
Site Address: 512 Weston Hills Pl
Lot:010 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Christenson Paul E
512 Weston Hills Pl
Eagan MN 55123
(651) 686-7488
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138648
Date Issued:09/12/2016
Permit Category:ePermit
Site Address: 512 Weston Hills Pl
Lot:010 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-100
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 -
Christenson Paul E
512 Weston Hills Pl
Eagan MN 55123
(651) 583-1568
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145192
Date Issued:08/28/2017
Permit Category:ePermit
Site Address: 512 Weston Hills Pl
Lot:010 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Christenson Paul E
512 Weston Hills Pl
Eagan MN 55123
(651) 686-7488
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147013
Date Issued:12/01/2017
Permit Category:ePermit
Site Address: 512 Weston Hills Pl
Lot:010 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 -
Christenson Paul E
512 Weston Hills Pl
Eagan MN 55123
(651) 686-7488
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169854
Date Issued:09/21/2021
Permit Category:ePermit
Site Address: 512 Weston Hills Pl
Lot:010 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-100
Use:
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Paul E Christenson
512 Weston Hills Pl
Saint Paul MN 55123--398
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169854
Date Issued:09/21/2021
Permit Category:ePermit
Site Address: 512 Weston Hills Pl
Lot:010 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-100
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Paul E Christenson
512 Weston Hills Pl
Saint Paul MN 55123--398
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174880
Date Issued:02/24/2022
Permit Category:ePermit
Site Address: 512 Weston Hills Pl
Lot:010 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Paul E Christenson
512 Weston Hills Pl
Saint Paul MN 55123--398
(651) 686-7488
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature