4672 Weston Hills Dr
- - ~ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: 0 ~ 1 1 ' ' t
,
(612) 681-4675
SITE ADDRESS: APPLICANT:
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PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA • DA
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y„ PLUMBINC3
HVAC
ELECTRJC~
ELECTRIC
awpacrion Doft Insp. CommMts
F°°ti^gs I
Foundation
Frafforg
Roofing
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asat reW
Fmpl Pbg. Plbg. InspeCtor - Notily Plumber
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Cormt Meter
EnprJPlen
Bklg. Fhnal
Deck Ftg.
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A Wertificate vf Cccupanc~ .
~itv of
Tcportmeut of 13saing ~a~cct~ea
This Certificate isstad pursuant to the rrqairemeRts of the Uniform Buildrng Code
certifying tllat at the time of issuance this stnrctwre was in compliance with the various `onlinances of tlu Ciry regulating building constnrctrors or use_ For the following:
usectumfum;m SF DWG swE. Pttmic No. 23212
O-P-y TYve R3/M 1 u~inS nisa;a R 1 Type comt. VN
o.w.arewwinSFiMES SY CHASE wamn 2500 CIY ED 42, B'VIIlE
sawi.g Aaa~+672 WESDON EIILLS DItIVE ,yL2, B2, WFSICN HIILS M
~
Daw
i Bei1m OfficiaI
POST tN A OONSPICUOl1S PLACE
aaaress= 4672 wESmrr tuLLs nEM ziP ssia~
Lot 2 Blk 2 Sub wesrrxa Fm.r.G 2rvn
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 61CA719 Yes No Inspector:
Final grade (6" from siding) V
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway V,
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage ~
Porch
Basement finish ~
Deck
Plcaze verify with the builder the removal of roof test caps from the plumbing system and the shut-oK of water supply to
the outside lawn faucet before freeze potential exists.
Contaa engineering division at 681-4645 before working in righhof-way or instaliing underground sprinkler system. ~
White - City Copy Yeilow - Resident Copy Pink - Contractor Copy
PERIVIIT C2
~CITY OF EAGAN Y4`
3830 Pilot Knob Road PERMIT TYPE: e u r L D T N~
Eagan, Minnesota 55123 Permit Number: 023212
(612) 681-4675 Date Issued: 0 4/ 11 J 9 4
SITE ADDRESS:
4672 WESTON HILLS DR
LOT: 2 BLOCK: 2
WESTON HILLS 2ND
P.I.N.: 10-83751-020-02
DESCRIPTION:
Building Permit Type SF DWG
Building Work Type NEW
UBC Occupancy',. R-3 M-1
~ Construction Type V-N
Zoning ~ R-1
Building Length 60
Building Width 51
Building stories ' 2
~
' -
REMARKS:
S 6 W PLBR - VALLEY PLB6
FEE SUMMARY
VALUATION $138.000
Base Fee $772.50 MISCELLANEOUS $1.828.50
Plan Review $502.13 Total Fee $3,972.13
Surcharge $69.00
SAC $800.00
3AC % 100
SAC Units 1
Subtotal $2,143.63
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
HOMES BY CHASE 18955337 0001619 HOMES BY CHASE
2500 W COUNTY ROAO 42 260 2500 W COUNTY ROAD 42
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 895-5337 (612)895-5337
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 Ordinances.
~ J
APPLICANT/PER ITE/ NATURE " I~/~~ G!A ATURE
CITY OF EAGAN '~-~1
1994 BUILDING PERMIT APPLICATION /
681-4675 ?
SINGLE & 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 Yaluation of work
Site Address:
STREET SU1TE 0
Tenant Name: (commercial only)
IAT BLOCK a SUBD. P.I.D. k
N C1~
Descri tion of work:
The applicant is: Owner ontractor ? Other (Describe)
Name Phone~yS'-.~33J
Property LAST FIRST ~
Owner qddress v~S~c7 GlJ. A/ ~Y
STREET STE if
City State~~lti Zip•fna.~2_
Company Phone
Contractor Address License # Exp.
~
City State Zip
Architect/ Company Phone
Engineer Name Reaistration #
Address '
City State Zip
Sewer & water licensed plumber - .a, Processing time for
sewer & water permits is two day once ar a as been ap roved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with a applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY 11~' 01
BUILDING PERMIT TYPE . ~ ~ ~
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
PJ 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition 0 08 8-Plex . ? 13 Garage/Accessory ? 18 Comm./Ind.
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
U 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 1.13 C.) MWCC System ~
(Allowable) lst fl. sq. ft. /,.3 e-, City Water ~
UBC Occupancy 2nd F1. sq. ft. 2/~ R PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth ~ On-site sewage SAC d
Census6ldg
APPROVALS Census Unit ~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
O.Site 19 Footing C$ Framing 10 Insulation
O Wallboard K1 Final O Draintile ? Fireplace
Permit Fee Yelutim: $ ( 3$. G 0O
Surcharge
~~a'i~4rr
Plan Review d~,,.•,~,..,r4
License yc vl s_ i;s~j
MWCC SAC u~• s~.Y~ •
City SAC 3~- y.•.t ~~~r' ''v,
Water Conn.
Water Meter d ~ J,ont
Acct. Deposit y 2SrX,~~ = 7
S/W Permit
S/W Surcharge
Treatment P1. '
Road Unit
Park Ded.
Trails Ded. aauja= 764 .
CoPi es ~ G ~(1, 1 'r
Other Total:
SAC %
SAC Units
Cities Di i.~ ta1 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.
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CERTIFICA'I'E aF SURVEY
For Hf ~IIN~~~ ffY GH&&E
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~ HAB~'PER PLAT ~
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ED
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' EAGAIV EN^vIIVEER~G DEFT
' James R. Hi11, Inc. PasB 2 of 2
'kr,noo ~ CERTIFiCATE 4F SURVEY
For 42MLS _.~Y~C,~,I~.SE
PROPERTY DESCRIPTION: L-ot 8, 119*k WBSTON H1l.LB 8N0
A0DITIDi+1, Dakote OowntY, 11111tlno+sota.
We hereby certify that this is a true and correct aurvey of the above descriqed property and that It was
performed by me or under my dfrect auperviaion Hnd that I am a duly Licensed Surveyar under the
laws of the Stats of Minnesote. Thfs aurvey does not purport ko show all improvemente, eaaements
or encroachmants, to the property except as ahown thereon.
11
Signad this day of 19 ~ James R. Hiil, InC.,
gy; ?4L,'-~
Gery R. rrls, Minneaota LS. No. 10943
Notes:
1, Buflding dimensions shown are far 0 Denotes sat Iron monument
horizontal 8 verticai locati0n of structure onl , 0 Denotes tound tron monument
Y x 927.88 Denotes exlsBng elevation
See architectural plans tor bufidfng & (030.00) Denotes prvpO6Bd elevffilon
foundation dlmensions. -rt Denotes prapoaed dralnage
2. No specific eolls invastigation has peen
completed on th(s lot by James R. Hiil, (r1C. Banah Merk:
The sultability of solis to support the apeclfiC Proposed Gerage Floor= 9sg.~
house proposed is not the responsibitlty of PrOpoe9d HDU88 TOp BlockQ qsB,-,
James R. Hill, InC, or th9 Surveyor. Proposed Oarage Top Block= sm,7
3. Proposed gradea shown were taken from Proposed Loweet Floor- -uo.e.
the grading BJor development plan prepared by Bearings are on asaumed detum
PR4BB 6NOINaeRINO SCaIB: 1"= 30'
Page 1 of 2
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o James R. Hill, inc.
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o m PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY, Rp. 42 0 BURNSVILLE, MN. 55337 9 812-800-6044
LOT iCR9LY CELCT3+Z8T ?OA =L6IDZll'PIaL
~ 31IIILDI]i0 P=RX2T aPPLICATION
ZROPLRTY L*?±±.l
~ '
at• e! Sur?ey:
,,Cl=NT RTRATDi*na
Re istersd IanC Survoyor siqnaturs and aompany •
8' 0 D • IAqalidiser3ptionpplieaat '
OID 0 • 1?adrsss
8-'D G • xorth arrov and btr scal*
8ouso typa (rambiar, vaikout, spiit v/e, split antiy,
lookout, tte.)
8~D D • Diroetioaal drainaqe arrovs vith slope/qradisnt C
~ ~ • proposed/axistinq sevsr and watar servSees
D • btrost name
~~D 0 • Drivevay
sLMr=oxs
sx3.tt3a4 .
II~D D • sewer servic•
D~0 D • Lot corners
t-D D • Top of curb at the dzivevay
!~D 0 • Elevations ot any sxistinq adjaeent lsomes
presesed -
D~D D • Gnraqe iloor '
0~0 D • First Sloer ~ 0 0 • Lovest exposad elevation (valkout/vindov)
L~D 0 • property eorners
~n n • Front and roaz of Aom* aL !Ae iouadation
pONDiHG aRLikB fit aflalie~bl~1
fl D~D • =assmsnt liat '
RWL
O 9~'0 • M17L . .
a ponC ! dssiqnation
fterqeney Overflow Zlwation
a2xENero~Q
O • Xot linss
D D • RiqAt-ol-vay and street viEth (to baek of cnzb)
D~b 0 • Proposed boms Qimensions iaeludinq aay proposed -deeks,
overhanqs qreater tAnn =1, pozches, etc. (i.e. ali
struetures sequirinq permanent footiaqs)
Shov all •asements ot seeord and any City utilities vithin
thoce eesemenLs • a~ 6etbncks of proposea strueture and setback of aejaoeat
- ` existinq homes,
D q~~ • Retaininq y~l requirements, it any
Reviswea:
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$ ~ ~ EX~~ ~---Ex EP'
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1 ~ ~A \ ~ I I t1 WYE 3+19 I I~ SAN- EEV. @ Pl
1 ~y ~ 1 ~ I PL 944.80 I
W Y E 3+95 ~ SAN. ELE~. @
ga6.03.1 - _ ~
I1 t ~ '1 I~ SAN. ELEV. @ PL
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15T. H~~' -6 X6~ CpOSS W - 1 1 `NVE 3+0~ 944,54
141'~ 3+g7 1 ~ SAK EIEV. @ I I
EY,IS~I ~ i 1 1 SA~ ~ EV. O a' 945.90 1 ~ 1
I- 6' GA YAL
y 1\ 11 1~ 11 1~
~ WESTON HILLS DRIVE STA. 13+91.40
STRATFORD LaNE.STA. 1+76.35
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\ 1 NLFILaV CFp11CV THAT TNIC PI AN WAC ~ .
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11111I I: Il - .~,7lL~~v' C ~ J - , , . ~ , • ~ . , . .
s i re nuoRESS:
cuntiancron: unrE: riiouE:
_~l I~ . ~~S~S'33>
bElERH111E 11Oftl;uic suunnE FOOTACE OF EACII: . :
. . , . .
I.. iornL ExPosEU unLL AnEn........ sq fc x"U''
z. iornl noor/cElllnc nn[n......,. sti fc x'lU"~' '~l5
n
3. ToTnl exrosKO,unLl nnen cnlcuLnrinust . ~ . . „ , .
Total exvosed wall • . ~
' arco abovc. floor.
7 sq f t
- . . :i.,
o) Total arol I wllldow area: • ' glazed.,.... l33 sq ft x"U" ,'/L *
glazed...... sq ft xliUn r
6) Total Joor orca • '3q ft x~'U"' . 3y~ °,/~•(oU
~
c) ~lotol s1lJlnst nlass'door 'areaY' ~ , . ~ , . '
~ , ~ . . • . , . ~ , .
- 9lnzed.:.... sq ft x nUn
rIlnzed.* sq, ft x ltUto . ~ ,
J) Total flreplucc wall erca • ~d sil ft x"U" e +
c) Total ~aall freining arca
(Avcra(lc IU%).......... ,~U 7 sq ft x "Uli EJp ~
' F) Total net o-+all area above .
floor (insula,te(l)........ ] S(i ft x"U" i 0~ff~ ° Or Z.
ci) Total rlm Jolst erca...... sq ft x"U'! ,0q1 Total foundatlon
i1fCa
(EXpn.nul) . . 5f, rt
h) lotal founJatlon ~
wlnJorr area............. sq ft x nU'l .
Total net fvundatlon'
arca above graJcli sq ft x"U" o 9,4
70Tl1L a) thru I) a ~~F
ltaro I13 Is thC samc as, or less than Itr.m pl, you hovc met the (ntent o(
• S,II,C, Sectlon 6006 (c) Z, •
~u~~~L E_xrusru Ruur/cCiLlric r,nLcuLnriuns:
' . , . ° .
'lot:rl exposed . •
~ roof/cc 1 I Inr~ areo. . ~ /54(v 2 sry f t . . . .
. lotal skyllalit. area........ O sry ft x'•U" ~ ,''~'i'•
Total roof/cclllnq framing
arca (Avcranc lOry)...... ~~Z_sry ft x ~~U~~ ,U~iL n ~ ~9•'.. '
r
1) 1"vtal nct InsulnteJ
, roof/ccllinq area....... s t x "U"
ry f jooZ' e
~ • .
. , ToiAL J) thru I)
tofalvf NIl Is tlic samc as, or less thon P2, ydU havc met the Intent of
I.C. Sectlon 6611G (c) I. ,
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AL7EfUlnt[ bUllblllr EIIVELOtIE DESIr:11 . , •
o u[Illzr_ lhc total envelope systeln method, the values,establlShed by the Sum . '
f I tems p} n„d (fl1 shal l rrot be greatcr thnrt the Sum of I tems /!1 and .1/2, ;
3• + ~i, s, e• . '
r.~ rtT) r,i r,nr 1 nn .
I here6y certlfy thot I have calculute(i the "U" factors alid "R"
valucs hcrcin vnd U,a t tltc hullJlnn hcrc descrlhed mcets or excceds the Statc
:)f 111rinesota Encrny Conscrvatlon Act.
• ; ~ qnaturc .
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1994 PLUMBING 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 PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXT[JRES EACH TOTAL
' sxoIATER 1W 3-
WATER CLOSET 3.00 5 -
BATH TUB 3.00 ~ -
-3 LAVATORY 3,00
q _
KTTCHEN SINK 3.00 ~
T LALTNDRY TRAY 3.00
~ HOT TUB/SPA 3.00
WATER HEATER 3.00 73-
FLOOR DRAIN 3.00
7- GAS PIPING OUTLET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRNAT'E DISP. • netay. uz 20.00
U.G. SPRINKLER • nome una« consL 3.00
ALT'ERATIONS • to ca,uog 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
S:TE ABDRESS: `'l 6-l a l A I es 4JIt ~ a
OWNER NAME: mk \i C j, .4 ~ c
INSTALLER: C o ~ c~
ADDRESS: ~ Co
C1TI': STATE: ln1 - ZIP CODE: S L 3 c~
PHONE
SIGNATURE OF PERMITTEE
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1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMIlVIERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEPI SEPARATE PERMITS ARE I30T REQUIItED FOR EACH
DWELLING UN1T.
_ NE~'W CONSTRUCfION
ADD ON
- gEp,QIt - - -
WORK DESCRIPTION:
CONTRACI' PRICE: $
FEE. 196 OF CONTRACC FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF fgt1~T FEE.
MINIMUM FEE. $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
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1994 MECHANICAL PERMIT (RESIDENTIAL) ,
CITY OF EAGAN
3530 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUII2ED FOR EACH UNTT.
- - - - - - - - - - - - - -
~ NEW CONSTRUCI'ION
ADD-ON A/C
ADD-ON FLJRN.4CF
FIREPLAC$ INSERT
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADllITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ~ _c~_Ci0
ADD-ON/REMODEL (ExISTIlVG CoNSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL U
STTE ADDRESS:_~(O~
OVVNER NAME•
INSTALLER: ` 1 ~
ADDRESS:_~~~ _
CI'I'I': ~U.r STATE: Y V 11~-~ ZIP CODE:
TELEPHONE
- -
/ NATURE OF PERMITTE
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1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf.
- - - - - - - - - - -
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ~CSNT'C~ACf' FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PE1tM2T;' FEE.
m S au.....:
TOTAL $
STI'E ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLi)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CIT'Y INSPECTOR
CERTIFICATE UF SURVEY
For u~,~RS t~y CYIA~E
,•e~S. d0 9 d4 •/7".0'O E•. 4~se~c )
LOT Z k
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e ,
~ pgp~p~d VTILITY ~
g PER PLAT •
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O ~ ~~-~Aa ~v~ra'~`y i$ O
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ELEV,.7atfA4? `O wn~,eaRr. ~ ~.~~96'6:6~
<9s~,7g. , .z7
86.04 9 041 ~7'd0'• E .
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rjW~'6 774NI/
~ James R. Hi1l, InC. 1'age 2 of 2
UUc
CERTIFiCATE OF SURVEY
For HONQ ,~Y_ CHS~l`~j9~1ay
~
PROPERTY DESCRIPTION: Lpt, $r 11311o.oK $9 WESTON NI1.1.8 8NQ
AODITION. DakOte OountY~ M1410006ta6
We hereby certify that this is a true and correct Survey Of the above cieecxibed property artd thet It wes
pertormed by me or und~r my direct supervielon and that I am a duly Licensed 3urveyor under the
laws of the State of Minnesota. This survey does not purport to show all fmprovements, easements
or encroachments, to the property except ae shown thereon,
3igned chls day of 04'k04ca , 19 5Y James R. HIII, InG.,
By:
Gery R. rris, Minneaota LS. No. 10943
Notee:
1. Bullding dimensfons shown ere Tor 0 Denotes set iron monument
horizontal & verticai lOCatlon of structure onl 0 Denotes tound Iron monument
Y, )(927.88 Denotes exlstlng elevetlon
See erchltecturel plans tor buitding & (BSO.oo) Denotea proposed elevatlon
foundation dimension8. -t Denotee proposed drelnege
j Y. No spenific aolis InvastigatYon hag bean
~ completed on thls lot by James R. Hill, Inc. Benah Merk:
The sultability of soiis to support the specifiC Proposed Gerage Floor = 4s8,~
house proposed is not the responslbility of Proptre9d HOUee TOp Blocka ese.~
James R. Hfll, Inc. or the surveyor. Proposed Oarege Top Block= 9BR,-7
3. Proposed grades shown ware taken from Proposed Lowest Floorm QAo.s,
the grading &/or development plan prepared by Bearings are on aesumed detum
PROOH BN91NBHftINO • $CaI@: V°= s o ' Page 1 of 2
0 m VD
o ~'Naj James R. Hill, inc.
Z C) Z o , PLANNERS / ENGINEERS / SURVEYORS
o
2500 W. CTY. pp, 42 e BURNSVILLE, MN. $5337 9 812-890-6044
U~Jc
b>>eoo •
CERTIFICATE QF SUIRVEY
For HOMES B'Y C1
H,A SE
~
PROPERTY DESCRIPTION: !-pt ~o * W6
8Tt9N Ni1.L8 S~fO
,
AOOITION* Dakota Caunty, N11qq00ota,
We hereby ceRify that this is a true end correct survey of the above deBCribed propefty and thet it.was
pertormed by me or under my direct supervision and that I em a duly Liaensed Surveyor under the
laws of the State of Minnesota. 7his survey does not purport to show all Improvements, easements
or encroachments, to the property except as ahown thereon.
.rj(
Signed this aay of 19 James R. HIII, Inc.,
By;
WO/
Gery R. rrta, Minnesota LS. No. 10943
Notes:
1. Building dimensions shown are for 0 Denotes eet Iron monument
horizontal 8 vertical loc9tion of atructure Onl 0 Denotes tound Iron monument
Y• x 927.88 Denotes ezisNng elevation
See archltecturel plens for building & (930.00) Denotes proPOSed eievauon
foundAtion dlmensione. Denotes propoeed dralnege
2. No speaiffc eolis inveatigetlon ha5 bean
completed on this lot by James R. Hiil, InC. eanch Merk:
The sultability of aolls to support the apecific ProposedGerageFloor= 9sg.~s
house proposed is not the responsib(Iity of Proposed House Top Blocka 958.'7
James R. Hill, Inc. or tha surveyor. Proposed Oereoe Top Biock= 969.-7
3. Proposed grades shown were taken from Proposed Lowest Floor- q=,Q,
the grading &/or development plan preppred by Bearings are on assumed datum
PROSH BNQINBHitINO SCoiI@: I"°3O'
...Page 1 of 2
~
o 0 James R. Hill, inc.
~ m ~ o
g m y~ o W PLANNERS / ENGINEERS / SURVEYORS
2500 W. C1Y. RD, 42 s BURNSVILLE, MN. 85337 • 812-890-8044
~ ' ~
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.t1B00 CERTIFICATE CaF SrURVEY 211,i4'~70
For ;.an~?~r~.~ ~'Y CHA~E
,
•B9. DO 9 00 °/7".~'D" E•. 5~xt__o)
k~
LOT
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S R PLAT .
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~~WE'~TON
~ Jnmea R. HiIX, Inc. Page 2 of 2
Date:
C!ty of EaQall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
�j2012 RESIDENTIAL BUILDING PERMIT APPLICATION
` ✓ - (a Site Address: L (07 ' 1 I5J. O ( Unit #:
Name:
k`ekk r"lar�aye �c
Address / City / Zip:
Phone: 657- - 91 73
3735'
01 Dh
Applicant is: Owner Y Contractor
Description of work:
Construction Cost:
Company: gCrr 14161- of vl .6/4,5 Cd h Irac )t• ''''"Contact:
Multi -Family Building: (Yes / No e')
Address: 1 751,3 ,kePrr C 1
State: '2A1 Zip: 5-5v � Phone:
City: Fa r wt; k� toy
6101- ,3 ‘g
License #: ( -o / 7 co 4 ( Lead Certificate #: N ` kT " 10 8 76.
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota St; to Building Code must be completed within 180
days of permit issuance.
-t--°e.I/2.„�.�wtc�f/l
Applicant's Printed Name
Applicant's Signatur
ge1of3
411,1/
City of hp
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use O %meq
Perm it#: j9% b ! /
Permit Fee: /10.6• �
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: Am cV65TcN// h 5 j3"2 Unit #:
Name: ,� 5i < /Itoze 3/4r -t) Phone:,5 � i '37
Address / City / Zip: /60" WW S 0/7/7/i//S
Applicant is:
Description of work: 8611,00E ii7 RAP49Cg Cly)//51.-
Construction
ly)//51.-Construction Cost: 00 Multi -Family Building: (Yes / No x )
Company: NA ` I r Ln t, S �r� }.avet Contact: "Th ►i1 �,% `�' ��r
Address:
DR City: S i- : I v,, r-\-.
State: lug_ t_ Zip: S ,� 9 Z Phone: 1 ,! 4 1 c
License #: Lead Certificate #:
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.
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.
x h f --`t' tr
Applicant's Printed Name
X �.-
App icant s ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109985
Date Issued:04/17/2013
Permit Category:ePermit
Site Address: 4672 Weston Hills Dr
Lot:002 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-020
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.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Ricky J Martagon
4672 Weston Hills Dr
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112176
Date Issued:07/31/2013
Permit Category:ePermit
Site Address: 4672 Weston Hills Dr
Lot:002 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Janel Behrends
122 West 3rd S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Ricky J Martagon
4672 Weston Hills Dr
Eagan MN 55123
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118341
Date Issued:10/31/2013
Permit Category:ePermit
Site Address: 4672 Weston Hills Dr
Lot:002 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Lisa Nyberg
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 -
Ricky J Martagon
4672 Weston Hills Dr
Eagan MN 55123
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:EA171108
Date Issued:07/30/2021
Permit Category:ePermit
Site Address: 4672 Weston Hills Dr
Lot:002 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-020
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 -
Ricky J & Julie A Martagon
4672 Weston Hills Dr
Saint Paul MN 55123--397
(612) 791-2471
Encompass Builders
17754 Icon Trail
Lakeville MN 55044
(608) 280-1877
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173838
Date Issued:12/07/2021
Permit Category:ePermit
Site Address: 4672 Weston Hills Dr
Lot:002 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-020
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Ricky J & Julie A Martagon
4672 Weston Hills Dr
Saint Paul MN 55123--397
Summit Construction Group Inc
5325 W 74th Street, Suite 11
Edina MN 55439
(218) 343-8884
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173912
Date Issued:12/13/2021
Permit Category:ePermit
Site Address: 4672 Weston Hills Dr
Lot:002 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-020
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 -
Ricky J & Julie A Martagon
4672 Weston Hills Dr
Saint Paul MN 55123--397
Summit Construction Group Inc
5325 W 74th Street, Suite 11
Edina MN 55439
(218) 343-8884
Applicant/Permitee: Signature Issued By: Signature