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4654 Weston Hills Dr . ~-----.t-~- ~ INSPECTIDN RECURD = CI'tr OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ' i t1 • I+~M ft ? t 1 • vt~ i~ ~ i~r; ~ ~ : i . ~ i, i ~ • ~ ,'.i,.~~ Y~,, . (Fi l ) d • ' ~ PERMIT SUBTYPE: TYPE OF WORK: IYPECTION . r~,•.i . ~ . . I L - - - - - - - -------~1 Permft No. Permft Holder Date Telephons Y . S/VU - PLUMBING 3~ .115 HvAC 7 93 _ ~ ELECT ~ ELECT a9a • . ~ Map~ctfon Date kl~ Commwb Footings I '~1d Foundation 2 Framing ' Roofmg Flough Pib9• `wo Hg. ue- Fireplace Fmel Htg. 2022 Ora81 Test Finel PDg. _ ~ P1bg. lr~epedor - Noti~Y PMxnber Canst. Meter EngrlPlan Bldy. Fnal ~ Deak FtQ. Dedc FrW 9 ! ~ Well Pr. Disp. =W-6-jy J" -T/~7 ~ ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: of, 4/~ (612) 681-4675 SITE ADDRESS: APPLICANT: ? << I ,t „i ~ , .1 r.1, l LJt 7(tN !I I t I 1) 1t M~ UlINpl li ~ ti~t`.1 ? t.r~ } 1! 1 11I4 il 7 1 i'. ( F,1 1 (i t' i PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • I ~ ~ ~ Permit No. Parmfl Holder Data Telephone • S/1N PLUMBING HVAC ELECTRIC ELECTRIC 1nsPwtion Deb Imp. Commmnts Footings I Foundafion Ffeminy Roofin9 Rouph Plb9• Rouph Ht9• Isul. Fteplace Finel Htg. Orsat Test Rrel Plbg. Plbp. InspeGor - No4iN Plumber I Const Mete? I I Enqr./Plen ( Bldp. Final Dock Ftg. ~ Deck ~ wer ~ I Pr. DiW. I ~ ~ ~ ~ J ~ $ . ; ~ ~~~ca#e a~ ~ccu~anc~ Tliis Certificate issued pursuanl to tke nquinrnants nj the Unrform Building Code certifying that at tlu trme ojissuance this structurr was in compliance with the various ordinartces ojthe City riegulating buildrng cort.slruction or use. For the fnllowing: u:e cl~rwmim: SF DW eag. Peffnu No. 22071 00-p.,,,,Y TYM R3/NQ 1 z,,;" o;m;a R 1 Type const. VN o..a d ewwiag MCDQNAID am IINC ~aa~760I 145IH ST W. APPL vI?tJl!v swmingAaem 4654 iES'1a+I tBils i]RIt1E t,omdS,Fa, WESEy HrrJ S Builmie~ dfia~l a / D~: POST IN /1 OONSPKxIOUS PIACE a. t Address 4654 wESiON tiiu,5 D?uve Zip 5512 3 Lo*. - p Bik Z Sub wESmtv xnas THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: Yes No Inspector: Final grade (6 from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas tl/ Sod/Seeded grass TraiUwrb damage Porch Basement finish ~ Deck tl STqIR$ Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply ro the outside lawn faucet before freeze potential exisis. Contaa engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Residcnt Copy Pink - Contractor Copy ~;s7 7,3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION $ 1~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651-675-5675 FAX # 651-675-5694 New Construction ReauiremenLs RemodeVReoair Reaui2menls OR~ce Use OnN ~ 3 2giste2d site surveys shawiig sq. R. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum lot coverege allowed) 1 set of Eneyy Calculations for heated additions Tree Pres Plan RecO _Y _ N, 2 wpies ot plan showing beam 8 window saes; poured found design, etc. 1 site survey for additlons 8 decks Tree Pres Required _ Y_ N 1 sel of Energy CalculaUons Addrtron - irMicate il on-stte septic system On-site Sep6c System _ Y_ N 3 copies of Tree Presenation Plan if lot platted after 711/93 Rim Joist Detail Op6ons seledion sheet (buildings with 3 or less units) Date Z i Construction Cost ~ G~J SiteAddress y~,S~/Izg~/~~j// /ylLGSv~, UniUSte # Description of Work AG Multi-Family Bldg _ Y_X N Fireplace(s) _ 0 2 Property Owner ~f,SS~_: LL Telephone # Contractor _cTo!r/~ Address t= City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Ca[eeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilahon Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitled Submitled . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. 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 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 pl ' the case of work which requir sra review and approval of plans. 05 Applicant's Printed Name Applicant's Signat ',I , ~ OFFICE USE ONLY Sub Types ? 01 Foundalion ? 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 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ~ 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Slorm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding K 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alleration ? 37 Demolish 8uilding' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (EnUre Bldg) - Give PCA handout to applicant Valuation 2-i (g ut 0 Occupancy MCES System Census Code L( 3~ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V!~2 Width REQUIRED INSPECTIONS _ Footings(new bidg) _ Final/C.O. _p~ Footings (deck) ~C FinalMo C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Freming _ Siding _ Smcco _ Srone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge 912 d Plan Review MC/ES SAC ~ ? L~ City SAC ~ Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2Men422 Enterprise Drive dota Heighls, MN 55120 * PIONEEF~ LpND SURVEYDRS • CIVIL ENGINEERS (612)_681-1914•Fax 681_9488 * _ ~ UND PLANNERS • LANUSCAPE ARp11TECT5 * e~g~nee1..~~g 625 Highway 10 Norlhcas * Bloine. MN 55434 * * ~ (612) 783-1880•Fax 783-1883 Certificate of Survey for: MCDOnQId Construction I(1C. House Address: Weston Hills Drive, Lakeville. MN Model Name: Customer: S 89'42'30" W 33153.76 37.I6 33.00 - ~5,~-- N-- - - - 9 rT1 ~D ,s.ea ,,~oa:~ 53' IO o N I ~ II ~1 r o ~ o ~ O~)O (Jl ~ SERV~e ~ m s m~ I ~ z~D W J > c o 00o J> O I oU I °c i j Ul _ cc !q - . 'l ~..i~ o w q55' ,ao ~ ~qS7•8 ~o F 7.00 ~ 7 oo ( 4 I _ ~ A CD 2.00 II II N ~ o 0 l zo.oo `1S ~ J o N I_a}5~N ° Cp N 28.59 33.00 ' x 157n m IJN ~~9 •~~I~ X° 4 ~19 ~ n °D L. 1 145 1 ~i~~i 9~~• S 89'42'30~~ W ` POLC' I ~SH9 ~~L % Z NOTE: CONrRnr7nR MUST VERIFY ALL DIMENSIONS AND DRIVEWAY DESIGN ?54.0 !(~[~~.Q''r f'"` . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION j50.8 . 9vo.o Denotes Proposed Elevation Lowest Floor Elevation: C - Denotes Drainage & Utility Easement Top of Block Elevation: 951.5 - Denotes Drainage Flow Direction Denotes Monument Garage Slab Elevation: )58•5 Denotes Offset Hub Bearings shown are assumed LOT 8, BLOCK 2 WESTON HILLS DAKOTA COUNTY, MINNESOTA I hereby certily that this survey, plan or report was Pr ared by me oru e my direct supervision anA that I am dkdy RegistereA Lnnd Surveyor under the laws ol the Slate ot Minnesota. Dated Ihisday of , . _ A.D. 19~y ~ Scale: 1 inch=30leat B96 93212.02 Cities Digital Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. So 2005,- RES)DENTIAL, PLUMBING PERMIT APPLICATIOM. . . . . ~ CITY~OF EAGAN ;3830„~PILOT KNOB ROAD, EAGAN MN '55122 . L r 6517675-5675 • ' 4 . , : . Please complete for modifcations to existing re"sidentiaFdwellings: Oate stcesireetaadressT~ . qU:\~je6 jVk_: br unicu ~ ~JI • .Property Owner Telephone(-6b)) u I CC~"c~~~f11 . - . - contracmr- --Telephone# (61a)$01=6a(pQ Aaaress ciiy,h'uVW visov~- stateN\Q vzip5 The Applicantis: 4 Owner Contractor =0ther, ' . Alterations to-existing'dweilirig 50.00 . _ Add piumbing~fxtures.(excludes.water`softener~and/or water.heaLer--complete nezt` sectiomif installin~g these appliancesj. Y _Septic System Abandonment - , - j p ~ Nf~y~.i,~ " - _WaterTurnaround(add$125.00ifa'S/8"meteris,required)' f?~r~~ Other. ~ ' , . . _ _ WaterSoftener Water~HeateY $ 15A0 = new. ` repiacement / ? Lawnlrrigatiort , '_RPZ ?PVB \ v--new, _repair ~ -requild StateSurcharge_.; $ .50 Totai 1 hereby apply for azResidential.P[umbing. PermiY and acknowledge_that the information is complete and accurate; that the work" will ber in conformance. with° the ordinances and' codes of the City of Eagan and the pfumbing codes;\that l understand this.is not a permit, but only an appiication for a permit, work is nbt to start.without a permit and work wiil be in accordance,with-the approved plan in the event a plan is required to be reviewed and app'roved: " ~ ^ Applicant's Printed Neme ApplscanYs Signature RESIDENTIAL BUILDING Permit Applicatioo City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 a~~ Telephone # 651-675-5675 FAX # 651-675-5694 New Construchon Reomrements RemodeVReoair ReQUiremenis Offce Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot oaverage allowetl) 1 set oi Energy Calculations for heate0 additions Tree Pres Plan Reod 2 copies of plan showing beam 8 wintlow srzes; poured found design, etc 1 site survey for addi6ons 8 decks Tree Pres Not Reqd isetofEnergyCalculaLOns Addih'on. Mdicaterfon-srteseptmsystem _On-siteSepticSystem 3 copies of Tree PreservaLOn Plan'rf lot platled aker 711193 Rim Joist Detail Op6ons selechon sheet (bldgs with 3 or less uni4s Date 6 / -3 / c3 Construction Cost SiteAddress U65,( We-5,(6,1 ( Jr/~VP linit/Ste # DescriptiAlf IWok _ ~1~aa'~" /yl ~)S Multi-Family Bldg _ Y~ N Fireplace(s) ~ 0 _ 1 _ 2 Property Owner ~U $$e- WA?tSQ^ Telephone # ( (q5~ ) 07z Contractor a'1fi~C~ E:,'dj~ `G wh-s.c/v~S ' Address /Z Z q`7 cot0 A?. City ~G?~^Sv?~K State 41A1 Zip Ss.33 7 Telephone #(-11'7_) 767 6'6I ,$-5 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_ (dsubmissionType) Submitted Submitted- • Energy Envelope Calculations Submitted 1 II I Licensed Plumber Telephone #(I'I j )~N I ~ i Mechanical Contractor Telephone ) B_y_ ~ Sewer/Water Contractor 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 approved plan in the case of work which requires a review and approval of plans. AUA~ ~ Applicant's 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 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_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 ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bltlg) - 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 bidg) . FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addi[ion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tes[s Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wal] Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit 8, Surcharge Treatment Plant License Search Copies Other Total PERMIT ~ Ix CITY OF EAGAN CK~~'U!J ~ 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 022071 (612) 681-4675 Oate Issued: 10 /26 /93 SITE ADDRESS: 4654 WESTON HILLS DR LOT: 8 BLOCK: 2 WESTON HILLS P.I.N.: 10-83750-080-02 DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy-\, R-3 M-1 Construction Type V-N j Zoning \ R-1 ~ Building I.ength 68 Building Width 33 i . , : ~ L:.~j u REMARKS: PRV S & W PLBR - FEE SUMMARY: VALUATION $138,000 Base Fee $772.50 MISCELLANEOUS $1,744.50 Plan Review $502.13 COPY $.50 Surcharge $69.00 Total Fee $3,838.63 SAC $750.00 SAC $ 100 SAC Units 1 Subtotal $2,093.63 CONTRACTOR: - Applicant - S7. LZC OWNER: MCDONALD CONST INC 14327601 0002376 MCpONALD CONST INC 7601 145TH ST W 7601 145TH ST W APPLE VALLEY MN 55124 APPLE VAI.LEY MN 55124 (612) 432-7601 (612)432-7601 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 Mn. Statutes and City of Eagan Ordinanoes. ('~14 N1411 APPUCANT/PERMITEE SIGNATURE ISSUED BY.iSIGNATURE' ( REACTIVATF _ CIIY OF EAGAN ea~1T 1993 BUILDING PERMIT APPUCATION ~ gl U-% ~ ' 681-4675 Oil rA SINGLE 8 MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy 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 month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work 1 660 Site Address: iS o1 ' u ~~-l~~1~/-~~ STREET SUITE 1 Tenant Name: (commercial only) IAT BIACK SIIBD. OeS~o~- ~115 P.I.D. N Descri tion of work: ~ The applicant is: ? Owner Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE N City State Zip Company Ati C bon1q (J Cnvi s Zvk c- Phone ~13a-7(~oi Contractor Address 7601 IY5 71` -51 uJ- License #oooa37G Exp.~ City ,A~n~e UAllE ~ State ~2 Zip 55/aU Architect/ Company Phone Engineer Name Registration N 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 Appl icant: 52, OFFICE USE ONLY , BUILDING PERMIT TYPE . ' f; P~ ? 01 Foundation ? 06 Ouplex ? 11 Apt./Lodging p 16 Base'mer~:Fr~,ish k3( 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 B-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. 0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE U( 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition 0 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCC System YEs (Allowable) v- N lst F1. sq. ft. City Water YEz> UBC Occupancy R-1 M-1 2nd F1. sq. ft. PRY Required yFs Zoning 2-I Sq. Ft. total Booster PumP N of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code i°' Depth On-site sewage SAC Code a, APPROVALS ' Planning Building Assessments Engineer•ing Variance REQUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee v.iuacim: S ~ 38~ O~O Surcharge CaqRAG~, ~ Plan Review _ 3u Zz-66o License "L MWCC SAL Z ~c ST- (I6) City SAC Water Conn. BSrnT; 2,cf6= 9952 water Meter 3~X26=98s Acct. Deposit S/W Permit 8 kl~l _ ~ S/W Surcharge IS` I S1 vo Treatment P1. Road Unit Isr c~, Park Ded. Trails Ded. Copies - 5~ 7 No FLoorz: Other - Total: $AC % p~ 1 t K g" j y u J J SAC Units ~ / o0o X Sy~ 13~ D 11 ~ . U.' LOT BIIRVEY CHECRLIBT FOR RESZDENTZAL y BIIILDING ERMIT AP LICATION J < m J ¢ PROPERTY LEGALi p; < N Date of Burvey: ZW ,v-'?Ez 15 n ~ Z 2 DOCIIMENT STANDARDS ? • Registered Land Surveyor signature and company ~ ? ? • Building Permit Applicant Q--~0 ? • Legal description ? 13- ? • Address 2~ ? ? • North arrow and bar scale B, • House type (rambler, walkout, split w/o, split entry, lookout, etc.) [r-? 0 • Directional drainage arrows with slope/gradient t. H, 00 • Proposed/existing sewer and water services C~~ C] 0 : Street name @' 0 0 Driveway ELEVATIONS £xistina Q-~? • Sewer service g ~ ? , ? • Lot corners ? 0 • Top of curb at the driveway ? 0-I? • Elevations of any existing adjacent homes Proeosed Q' 0 ? • Garage floor O'~ ? ? • First floor 0~ ? 0 • Lowest exposed elevation (walkout/window) ZT ? 11 • Property corners 13 • Front and rear of home at the foundation PONDING AREAS (if aDnlicable) 0 Af~ ? • Easement line ? 8r ? • NWL ? ,s o • xwL 0 ~H' 0 • Pond # designation 0 ? • Emergency Overflow Elevation DIMENSIONS ,zf ? 0 • Lot 1 ines ~r 0 ? • Right-of-way and street width (to back of curb) 00 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) ? • Show all easements of record and any City utilities within ~ those easements 0' • Setbacks of proposed structure and setback of adjacent 1 existing home ?1J ? • Retaining e're nts, if any Reviewed• Name / te October 1992 • ~i ~ 7_4?2 Entr.rprisr. Drivc * Mendolo 4leights, MN 55120 PIONEER UND SURKIORS • CIVIL ENGIN[EAS ~(612) 681-1914•Fax 681-9488 * - LANO - -PIANNERS - - • UNOSCMC ARCIII1EC15 625 IIIqF1wOY 10 Norlhcosl * eng~neer~ng * 11(612) f31a i c. MN 55434 * * 783-1880•Fox 783-1883 Certificate oF Survey for: MCDOnClICI Construction. IC1C_, House nddress: Weston Ililis Drive Lakeville, MN Model Name: Customer: I I 30 IV ~EI F . -J I 5 89'42'30" W N,j33153_76 ~ ' _ _ ~ `~5~•y `y ~s~,~ ~ 57.16 ~ 3300 -I m AD ~o f is.a.~ on.i7<q5 Xr~S~,ln I Iv/~ I O N ' 0 n~ U' I A~R~'<'L I u° 2°~J u Z lO W J VIOI .t P , Q Z C:3 OD O ° U1 J °c ,.oo fi~S•~ ~ R sz.6 ,.oo p 11 5 ' l7 A p F,~- - s zoo ~ II II N ~ ~ o ~ ,(a ~ / 20.00 CA N ~ 28.59 33.U0 N . ~ I~~n f~l ni X U x?75-7 • 3Q, 1 m or ; g 145.19 = uc•i I Y S 8 9' h 2' 3 0" W POL~ D ~Stiy I Dq_ AD I 0 r . IID O p0o G~o~o G ~ ~ DM. NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS AND DRIVI=WAY DESIGN LOdtO•7T t=LC•1/~'finnl.' '15'4.0:. . con.n Denotes Existing Elevation PROPOSED HOUSE_ELEVATION . 900.o Denotes Proposed Elevation Lowesi Floor Elevotion: ~50.8 Denotes Drainage & Utility Easement - Denotes Drainage Flow Direction Top of Block Elevation: 951.5 Denotes Monument Garage Slab Elevolion: -Ei- Denotes Offset Hub Bearings shown ore assumed LOT 8, BLOCK 2 WESTON HILLS DAKOTA COUNTY, MINNESOTA I hcreby Cerilly that Ih{5 survey, plan or repori was prqiared by ~ID r ~y i~dcyinv direcl supervisIon ond 1hit 1 nm <luly RcAistcred lonA Survcyor under Uhe laws ol Ihe Statc of Minnesata. Daled this4( L. fIBv OI A.D. I91-37,-' Scale: 1 inch=30feet fa.//~J,. • r~~f-1~_ Bf 961 93212.02 ` • HINNE, 'A STATE ENERGY CODE CALCU fIONS BASED ON CtiAPTER 5 OF TIiE MODEL ENERGY CODE - 1983 EDITION ~ I Adoption Effective L I I~ I Owner i5 u_ A(ctS- ll(,6z~ Y. Phone Date Site Address_~~~(~15~L ~-,=T 8.~ ~JI«S Contractor ~ ~,~i l.~ ~~~5~ IV<~• Phone Building Classification: Type A1 (Single Family 6 Duplex) Type A2 (Residential, 3 stories or less) (OVer 3 stories) (Other) NOTE• Complete pages 3 and 4 first. U GENEf2AL INFORMATION 1. Building Perimeter ft. ~I 2. Wall height (ground to eave) ft. 3. 1. X 2. (above) gross wall area ~i6 Z~ sq.ft. 4. Building dimensions (L) X(W) sq.ft.roof & floor area 5. Sq, foot area of rim joist - F oor joist size (2 X 1V ) , X 7_L-4-3, (Perimeter) = Z18 sq.ft. 12 6. Doors - Area Thickness 1 in U. factor 1j 1-/0 Type of Construction Perimeter ft. . Manufacturer 7. Total door's perimeter ft. B. Windows: Manufacturer__1`Z/ LSf~~~0A • state approved U factor_ I lo TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL EACH UNZTS SQ FEET fJ'r/ ir 9. Total sq.ft. Glass :2~,L 10. Fireplace area: Width X Height = X = sq.ft. , 11. Exposed foundation: Height X Perimeterj&~_X sq.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WtiERE ENERGY, OTHER T1iAN THE MINIMAL CODE ALLOWANCE, IS USED. -1- . 12. Framing eren = 10$_,f groes wall area, 13. Gross wall area Ll0 7-;~? sq.ft. Window area A sq.ft. U windows = ~2 6::~ UzA = 1(0 Rim joist area A~A C-) sq.ft. U rim joist= I D41 UxA = Door area A S sq.ft. U door area= 1(4 UxA Other doors area h~_sq.ft, U other doors=-, ~r2_ UxA Exposed fndn Att,~6 sq.ft. U foundation= ! b UxA Framing area A'1-402 I~ sq.ft. U framing area=UxA Net wall araa AMI• sq.ft. U wa11= I C~q,~ UxA (13B) TOTAL . . . . . . . . . UxA 3 14. Gross wall nrea x 0.11 (A-1 einqle family & duplex) = allowable IIxA/Code (19. above) x 0.23 (A-2 other residential) x .23 (Other buildings) x .28 (Over 3 etories) ) BTUH must be larger than or same A x U Code I 1 I = ZF_-) °F. as 13B above 15. Ceiling framing area (At) equala 108 of ceilinq area 15A. Gross ceilinq area =(L) x(W) sq.ft. 15H. Joist area (Af) = 10% ceilinq area ~i (L_sq.ft. 15C. Net ceiling area (Ac) (15A - 15B) sq.ft. U ceiling x Ac = Db x OZ U framing x A f = \0v X 1 0_71 _ 15D. TOTAL U x A 16. Ceiling area (15A) x 0,026 (A-1 eingle family & duplex) = allowable UxA/~ode x 0.033 (A-2 other residential) x 0.06 (other) BTUH must be larger than or same A(15A) ~~x U Code I 1~CX/ oF. as 15D above NOTE: Use U anc] A values obtained from paqea 1, 3 and 9. O-EATIFICATION: I here6y certify that I have calculated the "U" factors and "R'I values hereln end that the building here described meets or exceeds the State of Minnesota 8nergy Coneervation Act. Date 9lqnature -2- , ~1. x<4v -~q v-f ~ t?~ 3 z= 1Z~ c~ 8,P3x~38t38-t Z7,st-z?,S){~~~ IIS - - ?~Z3 - ( 4 '~Dod.11S - - Z~u ~6v Z 8,75 x S ll ~iax ;Uo (o, s-x Z ' Z 1 ?ox4(o ?-~K ' 36:2 ~ o S - - ~U pATI a N- - - ~'d R ALUE : U VALUE ~ Ine(de air Ellm.' ,68 ' NALL Lnteclor;~ell : .?5 .(Nall) U - R - SECTION (naulatl~n' 1'0 ' 5heething `:p(p ,~7J Outslde.elr film .11 r . . 70'tAL I Ihqlde.atr fllm ~ .68 ~ STUD , ihterlor ',wall • 45 SECTION ' ttud . , R .{PG3$ (p,s (Framing) U - R - SVieething:, 1 ` . ~95 Slding . Outslde itr film ' .17 R TOTAL ~ IpClCLo[.H9I 1 SECTLQN.. Ineulatlon all ) U.~ F I xterlor" all cover n 1 y!, Extettoc'{aLc fllm R -.17 . R TOTAL ' . / Inteclor~;alr film R= ,68 RlH ~ I lnsulatlon • ~q.00 r. . ~ .101sT • lk Inch ~ooEt Nood R=1 .88 ' (Rlm U = R = ; ' Joist) Sheatliing Zd(O y , Exterlor,iWall coveringco1 ~ I . • Extertor,.' ;alr Ellm R' ] ' . w..1----.: . , _ • . z. ~ R TOTAL 46 ~ . • i ' ' . In[erlor:: alr film R= '.68 ~1 nstilntl1on Founda[ton ' ~~•~g (Fdn.) U = R = . " ~ ` Exterlo R r;•alr f,lln ' :17' . F TOi'nL I 313 • ~ExpbsedBluck . { •\';~,radG • .-i • ' ~ 3 , CMLING WITH V$NTED ATTIC SPAC£ ABOVE R VALUE R VALUE FRAMING CEILING 0.61 AirFilm 0.61 Znsulation ~ ' 4.38 Joist 0.56 Ceiling 0.56 0.61 AirFilm 0.61 Tota1R 1621~? U=1/R idL~ Window lnfiltration 0.5 cfm/lineal Eoot oE crack Residential door infiltration 0.5 cfm/square foot or door and minimum code requirement Non-residential door infiltration 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulatlon =.4'I R 2.1 Ub 12" concreta block insulated cores =,26 R 3.8 Ub 12" lightweight block =,32 R 3.1 Ub 12" lightweight block insulated corea =.12 R B.3 U single glass = 1.131 with storm window .54 U double glass = .55 U triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). Vapor barrier must be on the inside (heated side) of wall. Vapor bnrriers of the polyethelena thin film have no R value. ~1.~~ - /n~s (0 5 I- ~/c.o ~ z . ~ , ~ lrR:ICiil'f-3 SI-IDRl` f-OFih1 J'rib a#: I-Itg l:;l.i] Far: i•IC_'i_;J":RI_P Ci)t'r5-il-iZlC.'fl0,! flul<_:_icle db -12 B9 Insj.de db 70 'Tti ~•nv ne=ign -rn B; a=; 638--:u61 VHLL[_YWrrD nai 1. V Range - I I !n<_ ide Humzcl. 50 By: cnNnr-;c;l_LED Fi:[R Grains Wat"r'r . 33 309 :_'I•.tD 7 PoF(iqil;l,"ICill t91d 4 Cunst. Quaiity a 4 n't Fa.r-e; lr,:_n= HGq'f 't 4:f: ScDI I> h='r'7F1 1"( CIjC1L:f lcG -L" i_)I i f P'I"!Lhil- M47o-.o FdRt._!!;'tI!-;!_. N a i:ea i^a„el Uid11Wi:II6 i1odE._1 1 yP,a 8A TyE" F i i ac _taS'IC . I-f'_;I-i- 80.0 t.Ui'.iL_I__i,., ,.•i i_R on) i-Iea&np 7.i;4:,:it ir;u{>OO S:!:uh :=.r..i;_'il_+Ir Can7ing 0 ?3tut-i HE,;;'i_'...ng tiVtplla] 20000 Fl1=uh I..._..;,.r-_ni'. C'r_,r,li,ng 1_:}_l:l'1 H"ai. i.ntJ i'r,mp Fi ise `i:l 1ir-3t) r Tf_i La1 f,Ool i Itn, Do('i I~ l;r-tu:ZI H:_ah.ufg f--&n 1411 i-1=1'I Ar.i_uai Continq !='an 113t Pf-P1 Ni.g P:ir I-!oaj F-ci=w, C),-,i_:; l:i=Plr-tuh i'lg r3zr 1=1c," 1==cL-,m C),.c, 451 f:F ;•i:r;i_,_ii: =pic:']C AhoYfCosfG!_ 1_nad SoIlSi.blrn HH=."I'. i"c3'c.iri I': ) J I 1 1'Jr,i`;; _ ~ Ai{E H ~ 1-I I o , C'L V_ , I-I T(_ , CI _G, ,;M,.1=1 B'Il;rl ~ 1:0111 ~ i..l l9 ~ l-,F lq . r -ti'-i;H . : i C` =1'~~7 , _2"'.' ~ 30n0= , `^f3 :I.iM1 ~ ~ i NY i=•D RM kk; . J_'.:6 1 ._54; , 2t1V , toi' ; A.IPi UF; Y Hr'i'I I-I t.47, i , 1291 , 1984 , :I.:',::a K"[TC.I:EN p;l'.ETT!= ~ 715 , ij';:;y ~ o=1% , 157 f-ri.1 -L11_.Y , .I __5,_ Lr: •.1`'`~`~ 1 ~t F~~ ' i~' ' L.I'JtNli i-'i'I 1,5 6065 2918 114 . 1. ;6 Fli'iEFi Iiti-'itQG ~ .:r";. 77t79 , 201°? , 1-45 , 111 iir=;C;Fr•IE_rd f ~ 17=., _ , 14117 , 792 ~ 266 , r_a Eit . . - t:ll,,. ~ I'iOltd:e , Z612 75002 10207 1431 1411 F=q:_~lp, 0., fi'=;M 1271:' V:=ni=ilatir,i-i Ai.r 2235 ~ .35 :.dhClit L'oi?l:inrt ~.tlSl Illfrdl.'<; I 16_.{:-' 78057 , 31623 14::1 ~ :431 rir;t•dUFaL ,I: 7i:Fi Cd. Fi:I5H"f-,I: 'Jl.bb PERMYT bITY OF EA(aAN 3830 Pilot Kriob Road PERMITTYPE: BuzLozNc Eagan, Minnesota 55123 Permit Number: 023859 (612) 681-4675 Date Issued: 0 6/ 14 / 9 4 SITE ADDRESS: 4654 WESTON HILLS DR LOT: 8 BLOCK: 2 P.I.N.: 10-83750-080-02 WESI"ON HILLS DESCRIPTION: Building Permit Type DECK Building Work Type NEW ~ REMARKS: FEE SUMMARY: 8ase Fee $30.00 Surcharge $.50 Lic. Search Fee $5.00 Total Fee $35.50 CONTRACTOR: - npplicant - ST. LIC. OWNER: MCDONALD CONST INC 14327601 0002376 MCDONALD CONST 7601 145TH ST W 7601 145TH ST W APPLE VALLEY MN 55124 APPLE VAILEY MN 55124 (612) 432-7601 (612)423-7601 I hereby acknowledge that Z have read this application and state that the information is correct and agree to comply with all applicable State ofi Mn. Statutes and Cit ofi Eagan Ordinances. J APPLICANT~MITEESIGNATURE ISS~~nSIR~~EI , • CITY OF EAGAN $3S'. S O 1994 BUILDING PERMIT APPLICATION a3 8s ~ 681-4675 . SINGLE & MULTI-FAMILY 2 sets of plans, 3 reg'stered site surve s, 1 copy of energy calcs. . COMMERCIAL 2 sets of architectur _8_structur.at.p]a s, 1 set of specifications, 1 copy o energy ca c. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work / 620'M Site Address: l~os`~I We5 ov~C) STREET SUITE # Tenant Name: (commercial only) LOT BLOCK o~ SUBD. we'S o^ `A Z_ P.I.D. # Descri tion of work:!G The applicant is: ? Owner XContractor ? Other (Describe) Name Phone Property LAST FIRST Owner qddress STREET STE M City State Zi Company C Phon- Contractor Address 76 0 S License # OOO a3~~ Exp.~_ City AnAe State Zip SS~ Architect/ Company Phone ' Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber~ Processing time for sewer & water permits is two days once a'rea 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. ~ ?'~-ve..a~ Signature of Applicant: OFFICE USE ONLY • BUILDING PERMIT TYPE ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ' ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind. 0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comn./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck 0 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish 037 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Oepth On-site sewage SAC Code Census Bldg APPROVALS Census Unit ~ Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? .Site 0 Footing ? Framing ? Insulation O Wallboard O Final ? Draintile ? Fireplace Permi t Fee vaimc;m: g Surcharge Plan Review License ~ MWCC SAC i City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Oed. Trails Ded. Copies Other Total: SAC % SAC Units 2422 Enterprise Drive Mendota Heights, MN 55120 y* PIONEER LAND SURYEYORS • GVIL ENpNEERS (612) 681-1914•FO% 681-9488 IAND PLANNEFS • IANDSCAPE ARp111ELi5 lf e~9~~ee~~~g II 625 Highway 10 Northcast ~ * II Blaine. MN 55434 * * (612) 783-1880•Fox 783-1883 Certificate of survey ror: McDonald Construction, IC1C_ House Address: Weston Hills Drive Lakeviile. MN Model Name: Customer: so I i~- J ( N0 S 89'42'30n W I h63~°yy R ~ ~5~' ~,rq.33153.76 - ~ 95~,9 ~ I 37.16 ~ 33.00 ` _ -N s,~a--- --l ~ 8 qs ~ m A ~ io E 15.93 oa.i7 53~ (0 ~ 11 II r I O N~ I~ 56R? I v~ ° f' Z Ce 4 O Z 1~I (O O J~ N C p I O x 00 O C_ c _ ~ 4.00 95Sy q S~ • 8 o O r- 7.00 ~ U) 7 0 r p w c~ I I I 20 D 2.00 A E n m o o 0 so.oo N m ~N i~ 28.59 33.00 ~ o 145.19 i``"~ 95~1 D 4 ~O S 89'42'30 W I POL~ I NOiE: CON7RACTOR MUST VL-RIFY ALL DIMENSIONS AND DRIVEWAY DESIGN L~dtO:T i"LrJA,'~'en.' c!S4.O:. . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION • 9~ Denotes Proposed Elevation - Denotes Drainage & Utility Easement Lowest Floor Elevation: 9c,q.8 - Denotes Drainage Flow Direction Top of Block Elevation: 95y.5 Denotes Monument Garage Slab Elevotion: M•S Ei Denotes Offset Hub Bearings shown are assumed LOT 8, BLOCK 2 WESTON HILLS OAKOTA COtJNTY, AAINNESOTA 1 hereby certify ihat ihis survey, plan or report was pr areA by me r u e my direc[ supervision nnA that I am duly flegiSlereA LDnd Surveyor under the laws of the State o/ Minnesota. Oated this~..day ol A.D. 19 ~ Scale: 1 inch=30feet -~~d-~~~-~'-`•.-,~"""~"„ i. 9 93212.02 f iTS&:oM,Y . ~y ......::.y~ x:.<::...•:.. ~ • q ~i ` .i' . ....~..~n':..: . . ':.~..Y~. ......n... ~.~:::....n.....~..~:.i:^:,:.>: ~ <..:<.. :r..:r:.,. , , . , . ......Y.:... .c....:.....~..5;..~... ~i;;i::.:..~:~,:: ..a..~ . # . :<.<ti`.in;;•,yo;.; ...::..:~:.....:.:a:; . , m.:.. ~ . : . . . . ~ :.•?i . . ~ . . .....:::.:r . , ::r. . . ~ . , . . . ~...:..i.~ ~.a'. a.~ ~ . . ~ D• 1993 MECHANICAL PERMTT (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 PERMTTS ARE REQUIRED FOR EACH UNIT. - NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU $ 24•00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUh1 1@ 53.00 EACH) (o ~)o ADD-ON/REMODEL (ExtsTING coNSTRuMoN) $ 15.00 STATE SURCHARGE .50 TOTAL 3D 50 SITE ADDRESS: OWNER NAME: LEPHOIvE '-A 2) 2-7 ~O! l INSTALLER: ADDRESS: . C~ • ~ ~ ~ ~ A~ ~ S~ CTT'y; C` k - STATE: ZIP CODE: TELEPHONE n~ . SI ATURE OF PERMITTE ~'JTY;,C~SE:ONL'Y..~M.~.~.A.. ,....._Y...,.~ . -::~_~~,_.~~.~.ww_~....~.~..~;~:~~;v , ,.<.:.,.,<. , _ . L. . . 8~, . . . r.... . . , . .<.,:..,..<,..:;..:;.,:.> . ~ ~ . . ~ . . .n..~... n .'...v... ~_....P ..Y: 5;':[~. { ~ :v..> > . ....v.:.... : . . . . . . ..Jf:t::'.:.. . . . . ...u. . ~e. n.:..... x } ~..<t....>.;. t . 5.,. L:eel<.icj~:-~~ ~ , ,....,a. .x~ .as.5.'~ ys . . . : : . ~::t:>;' . , , i,....,..r.,,.,. ~ .r3.. c. ....e..._.._ g~ ;t~.<.. L:.. . v._. _ ......c...,...:._.... <,.....,.:..T., y~:.. .iff'} , . < u . . ` . . ~ cs;^' . ..~.~~.n ,'s~~. ~.~.K.-sx.ti.;;:•d..';»~.:w,,'v~,. • Z~. `l~lwil:' ~~2:,:,i D , ; :g-a .D ~:';~i ~ . . ~ a r: , . , . ~ ..,•.,..F,... ,..>:..:a~~ . .....,...._._....t,`>:::;o=a,.>.s3ir...M.._.....~,,...,..>_ n.,..:..x:: . ,.,a...wn....Y...... ...aa>a._..,..~.~...:,.. . . ~ 1993 MECHANICAL PERMTT (CObMERCIAL) " CTTY OF EAGAN 3830 PILOT IINOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCLAIJINDUSTRIAL BUII.DINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE PERMTt'S ARE NOT REQUIRED FOR EACH DWELLING UNIT. - - - - - - - - DpTE: CONTRACT PRICE: $ NEW BUILD]NG INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIR4UM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF I'ERMST FEE. TOTAL $ STTE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMEMS ONLY) INSTALLER: . ADDRESS: CTT-y; STATE: ~ ZIP CODE: TELEPHONE SIGNATURr OF PERMITTEE `'TTl' INSPECI'OR . :..:.:.t;. : . < ~ . . . , ~L ~ . . . . . , ;.:;~,>':<;r°;i':,,:::•:~:;:....~ . , . ~ .,:.,...~r... ~ . ~ ..q...~. , : . . _ .:':.:1 ;r':,',•~.' ~ 5' 6.a.~' . . . . . ~ ...a:. 5... j:l°aYO a•:~':~ :.r3 • . . ' . . :i:... . : ! . . . ~ .L:::,f:.~.:..:.':... . !.,:".Yi;::.!~.::.~i'~i.i.:': :::~i~.Ye•i<'~.{uviiifai:: . . . . , D., , . .~.,~..~.~~~;~a;~~sx~A.~..~.~,...~,.,. :K~~"":`:i,.~::;::~.~,:-::.<°', 1993 PLUMBING PERMIT (RESIDENT'IAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETF, FOR SINGLE FAMII.Y DWELLINGS. AISO, FOR TOWNHONIF-S AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. 'O. FIX1'URES EACH TOT~ ~ SHOWER 3•00 3 ~ WATER CLOSET 3.00 - y ~ / BATH TUB 3.00 3 ,3 LAVATORY 3.00 ! KITCHEN SINK 3•00 i LAUNDRY TRAY 3.00 ~ HOT NB/SPA 300 3 w ~ WATER HEATER 3.00 3 "T ! FLOOR DRAIN 3•00 ! GAS PIPING OLTTLET • minimum - t 3.00 3 ROUGH OPENINGS 1.50 ` WATER SOFTENER 5.00 PRIVATE DISP. •DakCry.lic. 15.00 U.G. SPRINKI.ER • eome uneer oonst. 3.00 ALTERATIONS • co odsung 15.00 WATER TURN AROUND 15.00 S7'ATE SURCHARGE .50 ' TOTAL: SITE ADDRESS: OWNER NAME: ` INSTALLER: ADDRESS: CITY: ~~r•V'1S STATE: ZIPCODE: PHOT'E ( lFl2 ~ `~37' S 2 I,~ SIGNATURE OF PERMITTEE y ~ :i.~.,.... ~~'C......`G~:.: ..~:a. . m.~-~•~:::d:.:.. uAguTgmggng~ ~...;..~.~.,,.~..._~,.........,~.,.,m~;::;:;~;~~~~..;:.~:.,~ 1993 PLUMBING PERMIT (COMMRCIAI.) CTTY OF EAGAN 3830 PIIAT KNOB RD FAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMIvSERCLAIJINDUSTRIAL BUILDINGS. AISO FOR MULTI- FAMILY BUI:.DINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH DWELLING L':;:T. _ NEW CONSTRUCI70N ADD ON REPAIR WORK DESCRIPTION: C01v'TRACT PRICE: $ FEE: 1% OF COhTRACf FEE. STATE SURC}iARGE: $.50 FOR EACH $1,000 OF PER111Pf FEE. MINIMUM FEE: S 25.00 CONTRACf PRICE X 1% E STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENAIr'T NAA1E: STE. # OWNER NAIVIE: INSTALLER: ADDRESS: CI'lY; STATE: ZIP CODE: PHONE FOR• CITY OF EAGAN APPLICANT Use BLUE or BLACK Ink r For Office Use C,-/� C cam. • Permit#: / / — / Clty of Eagal Permit Fee: /!�'" 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 buildinginspections(a cityofeagan.com Staff: • 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: ---0_ / �L/� /��cc LA./2/k, L Phone: !D/Z- --34,—A) Resident! ) Owner Address/City/Zip: (16,..59 /. ' t G1€!1S , i Applicant is Owner , 3 Contractor Description of work: c�p Type of Work � /L�p i 3 Construction Cost: 35r7 Multi-Family Building:(Yes /No ) 1 Company: b.,, l(',t,,cE2D lN1s-T zr�,4_, Contact: ice"/t./Z 1 Address: -70 3 ?) /� J/1/AJ. City: G }kiL> Contractor l 1 State:MA/ Zip: CS-12-3 Phone:63/2 • 3.ldcjt' Email: i•)p waDD G�sy�„k_z,,c. ®�, / ILicense#: )G�—/3 834,1) Lead Certificate#: If the project is exempt from lead certification, please explain why: i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: I Licensed Plumber: Phone: 1 1 Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: 1 I Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the I information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. __' _ _ _ _ You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on, the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.qopherstateonecall.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 pans. ,---- ,,/ 41. --....... -.41111111111111111111111111p X /G-i‘ i'�! .actin Applicant's Printed Name Applicant' - • •''- Page 1 of 3