4676 Weston Hills Dr4111
City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: ! 3-/ e
Permit Fee: ✓ 5 C
Date Received:
Staff:
7 / J 2010 MECHANICAL PERMIT APPLICATION
Date: J - 27 0 Site Address:
Tenant: Suite #:
RESIDENT I OWNER
Name: �''�1(1 f 4_622 � Phone:
Address / City / Zip: f` 7i 2 S1c'"1
11 s
CONTRACTOR
Name: AU r%1 d SLS fy�- C. -G'' L �° - License#: -2�2- 6 ZZ
/2-�j
Address: 2/7/6 . i'i7 ki c^, `G�— j U City: f (% f l!
State: til n) Zip: 5— d c/ i_( Phone:
Contact: (/‘ k"-- 4' K-tV13 Email:
TYPE OF WORK
%
(11.*
C!tyofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #: / ;1
Permit Fee: - V V
Date Received:
Staff:
L
2010 RESIDENTIAL PLUMBINGrPERMIT APPLICATION
Date: 7- Z?- /0 Site Address: /1i7 7b W1 $1 7I1 1 A psi
Tenant: DOLO ‘C:k ') a11/4032
Suite #:
RESIDENT / OWNER
Name: a O t 8 k 1 V 0 S _, Phone: 65% 6.'86 6S-25—
(
Address / City / Zip: `7, 76 1,-)e,5+i R' 115 DY.-
{CONTRACTOR
CONTRACTOR
Name: Oi.11" 1 rO. L 1.. C . License #: 6 5o 13 2 of
Address: 1-100 )--y 1/11.4AA. B ( 0 d City: /114 k - -
State: ill /v Zip: S 531 7 Phone: q 5) AXE) -14S-48
Contact:—nwi�e SS -e-( Email:
TYPE OF WORK
New Replacement Repair Rebuild Modify SpacejWork in R.O.W._,j�
u> &
Description of work: A e ✓v3, -F tout si hN. k 104-11 Nao tmf; f SD4-
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater
t /
Add Plumbing Fixtures ( Main / X Lower Level)
Lawn Irrigation (_ RPZ / PVB)
_
Water Turnaround
Septic System
New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gooherstateonecall.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 derstand this is not a permit, but only an application for a permit, and work is not to s rt without a permit; that the work will be in
acco � . nc- : a s • roved plan in the case of work which requires a review and approval o `plans,
idebi•
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Foroffice use
sq
Permit #:
Permit Fee: j! c *6-1
Date Received: l `f'
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION evAct 41/46-
Date: G 10 Site Address: L16169UN �S � v i^I t 115 r 4 //
Tenant: Suite #:
RESIDENT / OWNER
Name: -0C vf. '(- I rrar(k& ()Jc1kt L Z . Phone: C, 51 ()"{ 05 -J.)Y
Address / City / Zip: (0-1(9 (,U e) l7iv-. I -I J I S D r
Applicant is: Owner K Contractor
TYPE OF WORK
Description of work: , c,,del ,T,cn,,,
-
Construction Cost:. 3 (c -s^ cJ Multi -Family Building: (Yes / No )
CONTRACTOR
Name: -boN V', d ,Srh we t C,i Can i T, Tr (, License #: -1U,-)(n ,C�,
Address: D, 11 167 t2eiv\ri t, t Y V t 4 City: Lo, k" --P v 1// t
State: Pri 1.0) Zip: S--"").--01-1 LI Phone: C (16 61 3 ),
Contact: TV -)YT _L1C9145 Email: be ("re) dovv.a sr,1r,weiancvrts%rt CTw, .
COMPLETE
In the last 12 months, has
Yes _No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.
x7)G,rlc-i(IV\S
Applicant's Printed Name
SUN 3 2010
pplicant's Signature
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
_ Accessory Building
WORK TYPES
New
_yAdditio
Alteration
— Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
__. Move Building
Fire Repair
_ Repair
, Y4 3.)Qccupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
(25%_ 100%_X
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
�c Footings (Deck)
---Cb/% Footings (Addition)
_ix Foundation
Drain Tile
Roof: _Ice & Water _Final
)C, Framing
Fireplace: _Rough In _
Insulation
Meter Size:
Reviewed By:
Air Test
Siding
Reroof
Windows
— Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
CALA-
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: _Footings Air/Gas Tests Final
Siding: Stucco Lath Stone Lath _Brick
_Final Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Control
'r L. , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
32c7,d5'
g -s-.4,0=-3141.3/4
, Z3, 9?/. Lv
l-/r(tro
Page 2 of 2
',6(3.
REScheck Software Version 4.2.2
Compliance Certificate
Project Title: Two Story Room Addition
Energy Code:
Location:
Construction Type:
Glazing Area Percentage:
Climate Zone:
Construction Site:
4676 Weston Hills Dr
Eagan, MN 55123
2000 Minnesota Energy Code
Dakota County, Minnesota
Single Family
34%
2
Owner/Agent:
Dave & Andrea Walkosz
4676 Weston Hills Dr
Eagan, MN 55123
651-68-0575
Designer/Contractor:
Bart 'kens
David Schweich Construction Inc.
21716 Kennck Ave
Lakeville, MN 55044
952-469-3222
bart@davidschweichconstniction.com
Compliance: Passes
Compliance: 1.0% Better Than Code
Assembly
Maximum UA: 101
Ceiling 1: Cathedral Ceiling (no attic)
Wall 1: Wood Frame, 16" o.c.
Window 1: Above-Grade:Vinyl Frame:Double Pane with Low -E
Door 1: Glass
Basement Wall 1: Masonry Block with Empty Cells
Wall height: 4.0'
Depth below grade: 3.5'
Insulation depth: 3.5'
Furnace 1: Forced Hot Air 96 AFUE
Heat Pump 1: Air Source 9 HSPF, 15 SEER
Your UA: 100
Gross Cavity Cont.
Area or R -Value R -Value
Perimeter
300 0.0
600 rap
0.0
167
38
156 11.0 0.0
Glazing UA
or Door
U -Factor
7
23
47
11
12
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code
requirements in REScheck Version 4.2.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Name - Title
C'1IroiT ) €p
Signature
Date
Project Title: Two Story Room Addition
Data filename: Untitled.rck
Report date: 06/01/10
Page 1 of 1
LAND
a.V7oRS • UAL_ ENGINEERS
2422 Enterprise Drive
Mendota Heights, MN 55120
(812) 681-1914 FAX 881-9468
625 Highway 10 N.E.
Blaine. MN 55434
U)
z
cn
w
Certificate
30
955.4
954.9
LANG KANNEr+s. LAtoscA E MCHTCCTS
(612) 783-1880 FAX: 783--1883
of Survey for: KEY LAND HOMES
3658-�C
4676 WESTON H�1t"�L1LLrr
A NI
REVIEWED
TRANS.
q
30.00
BENCH MARK
OF HUB
ELEV.= 956.55
IDIt1N1R
1
2 (ill)/// 0
/ IJ
142.00 N89°42`3 •" 953.9
52.33954.51
1)
0
r()
0)
O
0
tri
CO
954.0} x
954: 6
30/ •
LIGHT /
—err , j 3 50
956.0 x
022 66
W a 4 O\i;
0.3 2.0
I a Q \
24.0
11955.8
b 2,0
1 ----- I
10�TELE.
PED. I ?13,50
13.50-<'� I
0"955.6
c_N 1
-SERVICE
ELEV.=
1944.8
rn
- 30.00 -
provtr'
((�k,dc
9 lY�
L
t
O.
0
to
5 2.33
`ckh��l I x{200
956.2 F 956.2
\`TV_ PED. EX IS ING/
32± HOUSE
PROPOSED GRADES SHOWN PER GRADING PAN 81)
4
BENCH MARK
TOP OF
ELEV.
By
D
9 53.64
N89°42'30' E
951.7
( 951.-)
N
EAGAN ENG1 EER1 G DEPT.
PROBE ENG. CO., INC.
NOTE: BUILDING DIMENSIONS SHOWW ARE FOR HORIZONTAL A1) VERTICAL
LOCATION CC STRUCTURES ONLY. SEE AACNITECTUAL PLANS FOR BUILDING
AND FOUNDATION DIMENSIONS.
NOW: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN.
NOTE; NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS
LOT BY THE SURVEYOR. THE SUITA9,UTY OF SOILS TO SUPPORT THE
SPWnC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
LOT
x 000.00 Denotes Existing Elevotion
( 000.00 ) Denotes Proposed Elevotion
_ — _ Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction
---�— Denotes Monument
0 Denotes Offset Hub
BLOCK 2
DAKOTA COUNTY, MINNESOTA
111 .V..i• y tt)' lb
til ii c. L....,i;
THIS CERTIFICATE DOES NOT PURPORT TO SRO* EASEMENTS
OTHER THAN THOSE SHOMM ON THE RECORDED PLAT.
BEARINGS SHOWN ME ASSUMED
p$OPOSED HOUSE ELEVATION
Lowest Floor Elevation: 5 I
Top of Block Elevotion: ' 57.7
Goroga Slob Elevotion: 91.7.(/
WESTON HILLS 2ND ADDITION
We hereby certify That ;his eurvoy, plan or report was pr• ored by ma or MACH my direct aupervidi
under the Iowa of the Stole of Minnesota, Dato4 this 15TH R
day a( A.D. 19
Scale:
1 inch = 30 feet
and that 1 am duly reglsterd Land Surveyor
ONE !t' PIONEER rN(G.P.A.
John C. Laraoli, L.S. Rog. No. 19828
IN5PECTION RECURD
~ C7TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: ~ ~ ti i~,, ~ APPLICANT:
„ ~sr i f,a ri I I i
i„ PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
"iMt-A i i "I'l
I E± ,'1l A I I$IN ~ 1 I• 1 f•? ,ii t
ft::l 1 ill'I
rirtF: ? , . r>RV , I 1 1, 1 rs;; 11 t mc 1. ti
F
L
~
wrmit No. Permn Iio+dsr oeES Tslephons s
S/VY
~ , . PLUM8ING
HvAC 3o yy'l- l
ELECTRI
ELECTRIC
I tnspocdon Dets Insp. Commwnts
I Fooungs i
!
I
r Fou~ ~
Freming L
[
ROO*9
Rough Plbg.
R°"9'' "`9.
Freplam Y/s/4ll 5~17
FinW Hi9. Z .
Orsal Test C
/
Fnel Pbg. P". InepeCtor - Noft Plumber
C.onst. Meter I
En0?./Plen
Bldp. Finai ~
Deck FLp.
DeCk Fk1al
VYetl I
Pc Diap. I
I
ZS•
~
I T T INSPECTION RECORD---
CITY OF EAGAN PERMIT TYPE: ~ ~ ~ ~ ~ ~ + { ~ ~ •
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675 r~12 SITE ADDRESS: APPLICANT:
'I~. 't. t ll , f~~Fa fl l l I'. i~i i;rsl: i ri~,i Clni• I
III I I1N 1•11 1('~ 'MI~ i ~ ~,:si.
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION r • D•
~ I
I 1
Permit No. Permfl Holder WM Ts"hane N
5/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
kvspection Daa Nap. Commsnts
Footirgs I
FOUndetion
Framing
F1oMinp .
Raigh PIb9.
Rough Hl9•
Isul.
FlfeQlaoe
Final FRg.
Orsal TeW
Final PRg. Plbg. Inspectw - Notily Plurnber
Const. Meter
EngrJPlan
Bldg. Final
,A
Deck Ftg. ff 1 r' O /L
Dock Fa,W 2• 9.~ /1/G ^ 7 s~ ' O
Weli ~
~
Pr. Disp. I
I
.
seraficate of ccc"anc4
~ "gm
MOWS"Went anoftt"O«
This Cenifuatt issaed pursuant to tlte nqxirrrnents of the Uniform Building Code
certifyrng tlwt at lht lune of issreance tlees stnecfiur was in compliance wrtk the various
or+dinanees of tlu City irgWating buildirig construction or rese. For the following:
U. a.~.~.: ~DWr- eift. Pemik ro. 23164
O-W-Xr TM R3/"I 1 zo.ift owna R 1 7ype cansc. VN
o~ ot ammw, KEYI.ArD HCMF'S Ad&= 14450 B/VIIIE PKWY, B' VIILE
Bw-kft Addmn 4676 WES110N HII1S IlItIVE L3, B2, WESM HIILS ZEID
D.re:
~L
POST IN A OONSPICI.IOUS PLACE
Address 4676 weSrcxa tiuLS Dxrve Zip 5512 3
Lbt •3 Blk 2 Sub [aesm[v Hn,ts 2rID
THESE IT'EMS WERE / WERE NOT COMPLETE AT THG TIME OF THE FINAL INSPEGTION.
Date:TRO- Yes No Inspector.
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ~
Permanent gas
Sod/Seeded grass
TraiUcurb damage ,
Porch V/
Basement finish
Deck
Please verify wi[h the builder the removal of roof tes[ caps from the plumbing system and the shutroff of water supply lo
the outside lawn faucet before freeze polenlial exists.
Contact engineering division at 681-4645 before working in righto6way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
CITIf' OF EAGAN PERMIT O'K-r
3830 Pilot Knob Road PERMIT TYPE: ~ ~~a -1
Eagan, Minnesota 55123 Permit Number: 023164
(612) 681-4675 Date Issued: 0 3/ 2 9/ 9 4
SITE ADDRESS:
4676 WESTON HILLS DR
LOT: 3 BLOCK: 2
WESTON HILLS 2N0
P.I.N.: 10-83751-030-02
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 56
Building Width ~ 52
Building stories 2
REMARKS:
PRV S& W PLBR - D C MECH
FEE SUMMARY:
VALUATION $114,000
Base Fee $688.50 MISCELLANEOUS $1.828.50
Plan Review $447.53 Total Fee $3,821.53
Surcharge $57.00
SAC $800.00
SAC % 1@0
SAC Units 1
Subtotal $1,993.03
CONTRACTOR: - Applicant - ST. LIC. OWNER:
KEY LAND HOMES 18942636 0001553 KEY LAND HOMES
14450 BURNSVILLE PKWY 14450 BURNSVILLE PKWY
BURNSVILLE MN 55337 BURNSVILLE MN 55306
(612) 894-2636 (612)894-2636
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances. I
a4yR I I J
APPLICANT/PERMITEE SIGNA7URE ISSUED BX.51 NATUR
, CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION /
681-4675 1 /
~,1_~,1
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 ZZ? - / 9 4 Valuation of work
Site Address: 46-76~ WE.STot~ t+iL(-S DRtUE~_
STREET SUITE M
Tenant Name: (commercial only)
LOT 3 BLOCK Z SUBD w~T~ LL S p I.D. #
ca
Descri tion of aork: ~~W -5cr1Lr_rLz_ FF}rncLi` C>E'CAG+4er__, k6wtK
The applicant is: O Owner Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner Address
STREET STE #
C7 t,y $tdt@ Z7 P
Company LAi-IP +~omF= S Phone 8c?4-24a3(o
Contractor Address 445p f?>uZ~HSVtL-LE_ plltW`~•License # P553 Exp.3-31-15-
City gr)zt-1SVil.I.~1 State rn4- Zip 55306
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber D,~_• N1E~k#At1~c,4L. . 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 applicabl State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY %1
BUILDING PERMIT TYPE
O 01 Foundation 11 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
A,02 SF Dwg. O 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition O 08 8-Plex O 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility
0 21 Miscellaneous
WORK TYPE
,9 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) 1/ Basement sq. ft. ~ MWCC System x
(Allowable) v/y lst Fl. sq. ft. i City Water ~
UBC Occupancy ~ 2nd F1. sq. ft. 7 PRV Required
Zoning R-I Sq. Ft. total _2737 Booster Pump
# of Stories z Footprint Sq. ft. Fire Sprinkler
Length _7T__ On-site well Census Code
Depth 3Z.33 On-site sewage SAC Code ~ i
APPROVALS eensus undt ~
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? .Site ,EI Footing El Framing [a Insulation
O Wallboard JD Final ? Draintile 12 Fireplace
Permit Fee Yalutim:
Surcharge 6 C.r,~ ~ 6 Q r
Plan Review 2(0~ Zo - 52dX
License
) ~ y
MWCC SAC Z X ZD =1/0
c; ty sac IG
Water Conn. 7
Water Meter z~rJrZD ~ SZo
5/Wt PermPtsit I i(k Z~
S/W Surcharge s'~ ~O ~k S c~= ~b y36
Treatment Pl.
Road Unit r^a'^ ^
Park Ded.
Trails Ded. lc/,~zo =280
Co ies
o~al: _ -Z3b.r 15 ~ 3(15-0
SAC % 10o ZL
SAC Units T
P.02
2422 Enterprlse Drlve
Meqdol0 Nelghte, MN 55120
* PtO11NnA (812) 681-1914 FAX:~1-~
wm s,a.c~aas • aw aarans
* eng nee f10 iANO PL`N1°°• 1AtDM''R AAO"= 626 Htqhwoy 10 N.E.
Blalne. MN 55434
(812) 7e3--1980 FAX: 783-1883
Certificate of Survey for: KEYLAND HOMES
3658-C
4676 YYEST'ON HILL~~I(~ pE
REVIEWED
8v S
-7 ~
---BENCH MARK ~A"M L5 ~ '
I / TOP OF NUB
1 ELE4.= 956.55 I
h~'^ 2
,MNS. ~
30 - , 142.00 N89042'30"E
' W - 30.00 - - 52.33 954.51 953.9
, 955.4 96. \ 952.4
10 J~350 13.50~,957.3 t
0 956.0 x 45
~ o?2.66 p 55.6 ~ W
LLJ
954.9 M I 0 w~ 2.0\0 \ N 27.67 954.2 I Fj~9~3.8 m
J ;a e
J ~ a a ~ ~ o \ I
24.0 y W 3 ~
_ ~ 955.8 m y:> 1o TuZ
0 ¢x W
-~SERVICE z
~ a P~ g
o a ~~~W, O
Z 0 944.8
I ~ o
0 O a 26.33 954YIi x952.6 ~
(n I ~ TELE. ~ 6. I 952. 45
W ~ 10 PED. I~13.50 _ 13.SOK ~ ~ I 954.6 i
~ ~ - ~
954.0 x _ 1951.7
3 ~546 -30.00 - 5233 953-64 ~
cNh~?~l 142.00 N89°42'3~'E ~ l9 ~l•~~ N
LIGHT 95,&2. \ 9562
V. PED. - EXIS ING
sz± HoUSE 4 : - -
'-BENCH MpRK
TOP OF -
0.EV. • 5~
~
EAQAAN ENGIIVEE G %DEP1P.
PRaPOSED GRADES 910Mt+ PFR cRAMc rwr Br. PR086 ENG. CO., INC,
~aar e a scn~s air A"~onah"cn°~iu ~s v~a~ e'~inn~wa lro U-li o V o~~`-~`'.1
un FouwAna+ oo~asaNa
Noh: cONtt+AcmR rusr vErevr oancwAr otvw. nus anrnuh oars Nor wavae. iv s,ow uxMENn
oN07E; NO SPEQFlC SOIS WKSTCATON MAS BEEH C04PLF7ED ON 7Mt5 TM~ TMµ ~ ~ ~C~~ ~T
lOT Bv iilE 3URVEYOR. 7XE SUITIIBILIT'! Of SOLS TO SVPPaNT 7HE BEARNIG9 S110M7/ ME A49lIYED
SPECJi1C MOUSE PROPOSED IS NOT TIE NESPONSIBUJTY OF iNE SINVEYOR- .
PROPOSED HOlSE ELVATION
x ooo.ao Denotes Existing Elevation
( ooo.oo ) Denotes Propoeed Elevation Lowest Floor Elevatlon: q5
_ Denotes Drolrloge k Utfllty Easement q 5~ 7
--r Denotes Oralnoga Flow Dlrectlon Top of Btock Elevatfon:
Denotes Monument
Denotes Offaet Hub Garoge SIaD Elevotlon: 9579
LOT 3 ~ BLOCK 2 WESTON HILLS 2ND ADDITION
d1KOTA COUNTY, MINNESOTA
We hue0y c.rliir that :1112 surver. Dlan or .epat waa p••p wed Ey mt u unEar m Elrecf wDrd! on0~lha1 I em duly n0lstKd Land Surreyor
undr lee lawa ol IM Slaie of M'vuwwte,Oaled Nb 15TM daY ol MARCH A.D. 19 . .
' PIONEER E 6NEE G. P.A.
Scale: 1 inch = 30 feet
JoAn C. Loro, L.S. Req. No. 19818
27 94055.02
. LOT fIIRPEY CELCELZST !OS 8L62DL3fTI7IL
~ BIISLDI2i ?LRlSIT JLFBLIGTION
pROPERTY L*?n_ ~ ZZA~z
~ Dat• Of SulVepi
T~-
DOCQKLNT !Tf?ND ena
~Q D • Aegisterea Iend surveyor siqnature and company 8~ 0 D • 8uilding Permit 1?pplieant '
B~ 0 D • ieqal deseription
8~ D 0 • Address
D',0 D • North arrow ana bar scale •
G 0 • Souae type (rambler, vaikout, spiit v/o, split antry,
lookout, etc.)
~D D • Directional drainsqe •rrows with slope/qraQient
VD D • Proposed/existinq sovsr and vatsr servicas
8',~ D • Strset name D~0 0 • Drivevay
LLEVf1TI ON9
Lxistira
0 • Sewar serviee
1~ 0 D • Lot cornera
0~ 0 0 • Top of curb at the dzivevny
D~ 0 0 • Elevetioaa of any existing adjacent Aomas
prenes~d
eD D • Gnrage lloor .
~ 0 D • First ilooz
0 • Lovest exposad alevation (walkout/vindow)
D • property cozners
V0 • Front and rsnr o! Aome at the toundation
pONDipG AREl18 fii aflfllieabie)
D ~ DD • Eement line
D t D • awl. .
D O_~~0 • Fond f designation
D ~ D • Emerpency Overllov L1evaLion
DixZxszoxs
B 0 / • 7.ot liaes
D'J D' • Riqht-of-vay ana street vidth (to back of curb)
D' D D • Pzoposed bome dimensions including aay proposea •deeks,
overhanqs qreetez thnn 21, posch*s, etc. (i.e. all
strueturss requiring permanent footinqs) vl,~D G • Show all easementa ot reeord and any City utilities vithin
thoae •asementa
D 0 0~ • Setbacks of propesed structure ana setbeck of adjaeent
existing homes, .
D fl D • Retaini re rements, if any
Revieved: ~
ame / . Date
OCtobei 2992 .
.
N~~ N 3HE CITIf F EAG~ DOES f~OT GUARANTEE - 1
~ OF UTILIT`t LOCATIONS ROU r
TaaE Acc FOR
--AGA1~1
A~IDIOR ELEVATIOf~S. THIS DONLYS ~D
{y~FOf~R9ATlOf~ PURPOS S
y, p~R,~O11~S UvIiVG IT SHO D VERIF`1 T- - ~
INFORMATIOfiI ON T
s\ - 1 4 1 1 , ~ '1 6. HvppPpS
NT C'~F ~ \ l~ 1, 1 11 1 +1S t 1, 5 X6, fi E~
~ ~ ` ~ ~ ~ WYE2 94~~1 ~
1 3+19
It 1 1 yl V E 94~ g0 ` 1 ~ ~ v
P~- 1 .
\@9~~\ ` \ ~ 11 WV£]+9P`91&03'•
It 1 1 Sp,t1 ELEV 1 l~ ~1 1 t 8
~
_v
\ ~ it \ \ 1 , ~ ~ `11 17 VC
16
,1
q41.1~
D
. - - ~ 1 16 03
` - r J ,1,fE 5+
6•X6_CR~~ ELEV. ~ P~ q44S '
W VE 3167
945.90 1i .
SAtIEt£V-,°~ { 1 1 .
GA VAl
~ It 4
WESTON HILLS DRfYE STA. 13+91.40 =t
$TRATFORD LANE STA. 1+76.35 ~ 1 3 J ' ~ /
A 1 ~
1
~
~
. , . . .
. . ...._,,..~1-...w,.c.,.._.. :..~...~.M..~...:.c
•
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. _ f~~nf~s. ~ .
~
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°'es+
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i7'A..............................:................
f~.,,.........................
h1.R~
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....................'....~,Y::::OF::::f~:°f:lLt.~'f::::~PGrATIE:.b`.................
. . • . ;~...p.~=.p... : .~g:. ...F43:~................... ;
.
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......................:......................_..............................y~.............:.. . ...................._..................":::c_ . ........~.vA ..~~1. .
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t`
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..ln 1....................... \tJ:i4.+..~. ~,I.. ' . A ~ ~7 , 1.......'.`................ 1............
.................a
...............:::st.~~'i_:.:.:,:~r.,.t..~t....C~1.TH~Si....r.......................... :
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ii.
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1+00 15+00 16+00 17+00 18+00 19+00
~ ownER; ~----~---If F}-l------- nnrr:_3 -Z7-14
S?TE ADDRESS:~D I~ W5701-~ LLS PhlONE: UR4 "
GON TRAC?OR:Yr,:~ Lf~e_~ PLAN #
Determine working square foota9e of each
1. Total exposed wall area..... 1-I 3 o sq. ft. x.11
2. Total roof/ceiling area..... IZ-.:;, sq. ft. x.026 = 3 I Z'~`
Total exposed wall area above.floor=_I
z. Total wzll w.indow arza . . . . . . . . . . . . . . . . . . . . . . . fo
b.~ Totzl door area 39
c. Total sliding glass door- area 4 0
d. Total flreplace wall area
e Total wall framing arez (averr.ge lOx).............................
f. Total rim joist area _
g. net wall area a6ove floor ~7 31
h. wzll area a6ove floor
i. wall area above floor
rrzme wall area at iouneat_on
~
Total exposed foundation area= ~7 Z
k. Total foundation window area -
1. Total net.TOUndation area abcve grade "7 Z
u" value of each wall segment
Determine
(e.g. taindota, <loor, each separate wail section)
z- In~ x 11 u,. -7
b. u„
C. GI O ~ -
d. X U.. _ - ,
r-
.
e. 1'13 X I,UII , O`I
f. X V v = S~~i!`+
9. 1.31 X „u„ _ , Z
v
h. X 11 ul. _
X 11 U., _
i.
• j, X"U" - If item z3 is tn
x „V„ = as, or less thzr
Y..
rl, you have re:
X„U„ intent or SBC oG
3 . .................................Total
4. TOTAL EXPOSED RQOF/CEIL111G CALCULATIOtIS:
• ' , • • 7ota1 expnsed
" roof/ceiling area........ sq ft
: j) Total skylioht area....... ~ sq f[ x"U" - °
k) Tocal roof/ceillnq framing
area (Averaae 10%)......_~_Zt7 sq ft x"U'
1) Totzl ne[ insulated
roof/ceilinq arez....... 10~&/~ sq ft x"U" ,pZS = 7iI v3
TOTAL j) [hru 1) 3~• S ~
I.' total of =11 is the same as, ur less than P2, you have met the.intent or
. 2 ::C:_t 1.16005 :4 am d 0.
ALTERtIAT"c BUILDING ENVELOPE DESIGN
To uiilize che total envelope system method, [he values estzblished 'oy the sum
oT i[ens .'3 2nd =4 shall not be nreater than [he sum of items 1l1 and -2.
+ z. ~~3 = 7,3c>. 03
3. lSV,~3 +4. I<Ar~
• ~ I
I
X CITY OF EAGAN PERMIT 8
PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 4 3 S 7
(612) 681-4675 Date Issued: 0 8/ 19 / 9 4
SITE ADDRESS:
4676 WESTON HILLS DR
LOT: 3 BLOCK: 2
WESTON HTLLS 2ND
P.I.N.: 10-83751-030-02
DESCRIPTION:
Building'Permit Type DECK
8uilding Work\Type NEW
/
, .
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPY $.50
Surcharge $.50 Total Fee $31.00
Subtotal $30.50
CONTRACTOR: OWNER: - Applicant -
BARLAGE MARK
4676 WESTON HILLS DR
EAGAN MN 55123
(612)686-5776
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.
APPLICANTlPEqMITEE SIGNATURE ISSUEO B SIGNATU E
CiTY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
G9
r 2 l kk, SINGLE & MULTI-FAMILY 2 sets of plans, 3 register d si.te surveys, 1 opy of energy
calcs. ^
COMMERCIAL 2 sets of architectural & s - --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 c?_ /1,~4-/ Valuation of work
5ite Address: 467(o QES'6.ti ff~c`.1 Ole,
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCKSUBD.~a~n S ah P. I,D. #
Descri tion of work: &.i<6 48€Cr-
The applicant is: Owner 0 Contractor ? Other (Describe)
Name 234-eC147 Phone iloYkJ^77(z,
Property LAST FIRST
Owner qddress ?)6 (,cJEJ~dr
STREET STE #
City~~~AN State f~ Zip
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
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• , G~~
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation O 06 Duplex ? 11 Apt./Lodging 1:1 16 Basement Finish
? 02 SF Dwg. 0 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 S-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
0 05 Sf Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
,0-31 New ? 33 Alterations 0 35 Tenant Finish ? 37 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
Lengtfi On-site well Census Cade ,
Depth On-site sewage SAC Code
Census Bldg
APPROVALS Census Unit ~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
?.Site 0 Footing O Framing ? Insulation
? Wallboard O Final ? Draintile 11 Fireplace
Permit fee veimc;m: g
Surcharge
Plan Review
License ,
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
,Other
Total:
SAC %
SAC Units
q`'~`;~rt~~ 2422 Enterprlse Drive
MeDdolv Hel9hin, AIN 55120
~ ~ (812) 881-1814 FAX:bet-9480
. o~ wm s,a.cr aRS • a,. u+w+mi:
. '
enn neer ng L" w'~• ~'~'"~m 626 Highway 10 N.E.
Blalne, A~N 55434
(812) 7d3--i980 FAX:7B3-tB63
Certificate of Survey for: KEYLAND NOMES
3658-C F A('~ A I~
4676MfESTON HILL7*17RIVC
REVIEWED
BY S
Z > ~BENCH MARK
I / TOP OF HUB
l ELEV = 956.55
2 I
<p TRANS.
W 30 . 142.00 N89°42'30'Ess3.s (`j52,4)
> 955.4 11-30.00 - 52.33 954.51 952.4
~ ~
Q,' /7` ~ 10 ~~l~ 1350 13.50-" 1 957.3 ~1
956.0 x
w
0 22.66 0 55.6 ~ 45
I W W T ~ I ~ w~ N I
O I ~ 3 2.O~a 954.2 >953.8 ~
954.9 ~ ~ w~ a 27.67 I~Q M
J ~ ~a h
a°~"~~ O
_ 24.0 W W 3 0
m N y N
9~J5.8 d
~\O WZ
-~SERVICE ~ Q 0 Q~ zg
ELEV= a a
I¢
Z O' I944.8 1 \ aw 1 O
O " o.
I~ N
~ 26.33 ' 954.~ / X952.6 m
TELE.. 1 . 645
0 PE
1 D~13.50 13.50~ ~ i
~
W N 952. 954.6 1
954.0
3 ~546 '30.00 52.33 953.64 . A951.7
00 ir.f- N89°42'30 E
so/ cR6p%3~ 142 \
LKr~r/ I 9~'z 9562 , N
TV. PED. EH0~ G 4
I ' '-BENpi MARK
TOP OF B -
0.EV. _
B `
Y `
D
E:AGAN EN~INEERIhTG DEPT.
PRaPOSED GRADES 9HOVN PER pUDNG PUa Br: PROBE ENG. CO., INC.
H07E: BuIDWG OIMEN9pIS 910MN ME FOR Hq4Zp1TAL MIU VER7IGL •LOCAnpI Oi 5111UCiURES OHLY. SEE MOOTECNAL %1NS FOR BUUWO
AND FOUFCAiION dMd9p15. Pi rVv '(1 Eu, 1u
NOIE; Gp17RAC70R MUST VEAhFY D(IIVEWAY DE9W. 7MI5 Q1171FKA7E DOES NOT PUXPOHT TO SMOK EA$EM[Nl$
' 07HEIt 7H/u1 iMOSE S10MN OM 7ME RECONOEn P1wT.
HO7E: NO 5?EQFlC SalS WrE5TCA710N HAS BEFH COUVLEiFD Of1 7MI5 •
lJT Bv iNE 9URVEYOP. TNE SUITA9U7Y OF ShcS TO RlPP01iT 7HE 6E.HiING4 SHOMI ME ASAl4ED
SPEGFlC MWSE PROPOSED IS N0T h1E RESPONSI&UTY OF 7ME SURVEI'OR- ,
PROPQsED HOUSE ELFVATION
z aoo,oo Danotea Existing Elevation ~5
( ooo.oo ) Donolea Proposed Elevotion Lowest Floor Elevotlon: ~
- Ornolao DrolAage 6c U11111y Easement
Denotes Oralnaga Flow Dlrectlan Top of Block Elevotlon:
Denotea Alonumenl 957R
6 Denotes O(faet Hub Caraga Slab Elevallon:
LOT 3 ~ BLOGK 2 WESTON HILLS 2ND ADDITION
U4KOT4 COUNTY, MINNESOTA
We hare0y cutily Inal Y. plan or rwP ut raa n arcd bY me w un0u my EiredsuDmdei ona (ha/ 1 am duty feylal~r0 lond Surn)or
:nle eurre ~
. .
under the lara al 1h. Slau ol Ninnawloi Dalw1 Inb ~S~n day 01 MAfl CH A.D. 119
GNE ~PIONEER E EINEE G. P.A.
Scale: 1 inch = 30 feet
John C. Lare , L.S. Req. No. 198213
.ED~j~{~
~~~r/~
L>•.~..~........~. ,,.,.......r[".e.«'.aro:.p,.yy.t'....n...a..Y......~~,C•:•......,.......~<{,ril~Ua ~M
RE
CEt 1 a#
'.F:•,•
. . . .
~..:t~
.~,k~~~'~'.'.'.~. '.i..:.:~:~?:;...-.:::: ' [y ' ~ .
: , . A'~L:;,:~
. .....:...::........::.i.~ . .
. ~Q:::7~'':~'~.. ~
1994 MECHANICAL PERMTT (RESIDENT'IAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
? NEW CONSTRUCTION
.ADD-ON A/C
ADD-ON FUkNaCE
FIREPLACE INSERT
DATE .3laxI94
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ~,t~{~~- \ ~J • Do
ADD-ON/REMODEL (Ex1STING CONSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL 33 50
SITE ADDRESS: 'y6 7
OWNER NAME: A~ TELEPHONE 89y- 36
INSTALLER:
ADDRESS:_ J.yO
CITY: C?Azc, a-1[a STATE: ~"4- • ZIP CODE: SS_ 3
TELEPHONE 7 ~F7 - y
SIGNATURE OF ITTEE
,.r--
. a.. %~:LV~
n~~~.
~ ......e.»+:_s..,~ •<<::.~..,:~x....... ;
4
yyY
u.....:.... . .~yy.a;ix:...o....'S:"~k."2 ::$S?~:i:f•~' ~
1.,.::• .._....<~,AL:,yE:«..., F:.y _ _.,..„..:,,:e ...c ..r-..c r:x::~.~.:.: ,1."L kT:4><^i:'.a£.:. :v,S;µ'
.s:.>...,... ~....~~.EY:.2A.,s..~.:.~ ...:........:...........q:D:':r:'^,t.
c.. , e.. .3x. ....>......q ....r..... s.s . r;
...35 tS..L<.. ....i.~... . :k::,..>..~..n....~n...:.r
3~ :~.3..~3..>h..n#i~ ;~~>:2JSi6~k~ie.:x'i°) [`£.t _.i : E:T•'iif •:i(x ~'.k~~:
«r.;. ~ . . .r...~`yc
..n.~.;Sn:<:~.~..k:... .a...~£.:..... .
. ~,...5:5.~...,..,,•;ry ~ h<.r:?
........................a....c.. ~ >...:t.v.:...c-:.;....... ......>.:..o.c.:..'.'~..<..Y.:..3'.:.. x ic• <YJi.$.3:<`:.`~:R.~.. ei<~i~ ~T` Y ,
. r~:.,
.,t~..?~:.>.~:Y~:'..':):..: R:,. x ....:,q•,:,,:F:t'. '.`ii:.,~:4::?::ba:..: ti:lwy.e
'k....~. .i:.:.n._
_ . : -
.,<,..F ~~<<.~,
SUBD.~ ~ :.~.•::.:~~e~~.. : DAT'E,<. ~ 3 ~
• >
, , , ~ _ _
..........:::.w........,...~.uf::::b.::.v.w.:._.:~..,x.....N:.:.~~.a.,x.:,.~w..<:i:;,.r,....>..r" L>..,.,.w..:.xv.ws:o:u....~..,,: ~d~..x.,...ve:,.x:.~°...a........,.a,.:...:~,.cc...w::$~.~ ~,,:a:.;.:s:...;:a;._;,.c..,..,.x.....,,........
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
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
- - - - - - - - -
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
I% OF CON1`[2ACI' FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERivIIT FEE.
TOTAL $
SITE FWDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMEN'I'S ONLY)
INISTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
. ~ SE"~~I::~.`
<..,..<..:
;r; . ...w, w. ~1'~"~'
y , ,..._r,.,._... . <
vY ~
L,,~ £a 11L~ ~ f ~ ~ J # K s ~W.G ' ~ ~t~Y ~ ~ ~ ~~.1~'i`•'.~
` ~ ~..a,.~ ~4~ .
1994 PLUMBING PERMTI' (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. FIXTURES EACH TOTAL
~ SHO WER 3.00 ~ ov
-3 WATER CLOSET 3.00 9• vn
_C>Z BATH TUB 3.00 G. rro
3 LAVATORY 3.00 y, m,
~ KITCHEN SINK 3.00 da
/ LAUNDRY TRAY 3.00 3. vv
HOT TUB/SPA 3.00
~ WATER HEATER 3.00 3, oa
_L FLOOR DRAIN 3.00 _ ofl
GAS PIPING OUTLET • minimum - 1 3.00 ~3,~
ROUGH OPENINGS 1.50
WATER SOFtENER 5.00
PRIVATE DISP. • Dak.Cry. lic. 20.00
U.G. SPRINKLER • home under consi. 3.00
ALTERATIONS • to aisting 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS:
OWNER NAME:
INSTALLER:
ADDRESS: W// !J
CITY: STATE: ZIP CODE: Sr3 7
PHONE
SIGNATURE OF PERMI'1TEE
C? .,~C: ,
. . ,r. N 'Y . " .
~.ry~.
.
'~~i
~.~f y'?°: v.~. a . Ci.f'R..., A .
%~'.s:x:
SV:D~u.•.'.: .,..~<:,~a~'•,xYR£:-~:~~:. . . . . . . . . ~AA.tl:. S , a
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BLJILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NMV CONSTRUCTiON
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
Gfi6: 19c OF CONfRACT FEE.
S7'ATC SURCHARGE: $.50 FOR EACH $1,000 OF P~Eft~T FEE.
MINIA1UM FGE: $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICAIVT
2007 RESIDENTIAI. BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Mmbe ouirements RemodeVReoair Reauiremmts Office Use Onlv
ys showing sq. R of bt, sq. fl of house, and all mofed areas 2 copies of plan shovnng foodngs, beams, Idsts CeR of Survey Recd Y_ N
caverage allowed) 1 set ot Energy Calculahons for heated addiGons Sdis Repal _Y _ N
osed building is lo Ge placed on disWrbeA soil 1 site survey for addihons & decks Tree Pres Plan ReW _Y _N.
2 copies of pWn showing beam 8 window sizes, pwred tound desgn, elc. Addi6on - indcafe A on-sde sep6c system Tree Pres Requ'ved _ Y_ N
1 set of Energy Calculations Oo-site Septic System _ Y_ N
7 copies oi Tree PreservaYon Plan d lot platled after 711193
Rim Joist Detail Opbons selection sheet (bwldings wiN 3 or less umts)
Mmnegasco mechanical ventJa6on fortn
Plans are considered ubiic information unless ou state the are trade secret and the reason.
Date / l_~/ I~ ~ CqR~t ruction Cost / S'
JS~F 0~
^
Site Address 9v~ UniUSte #
F^
Description of Wark
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Z[,f f7 4Z Telephone # 697) 6 r~ 6 ~J C
n r
Contractor
Address City r~ k
State ~I IU ZipJ`~.53 f~ Telephone c.I `7 M 2 n[9 )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(V submission type) Submitfed Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the Cify 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 )
1 hereby apply for a Residential Building Permit and acknowledge that the information is complete and acwrate;
that [he work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
utes; nderstand this is not a permit, but only an application for a permit, and work is not to staR without a
permit; at e work will be in accordance with the approved plan in the case of work which requires a review and
approvalof .
~~Co'~c('V'?~S ~
li nt's Printed Name ApplicanYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Ot Foundation ? 07 OS-plez ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Owelling ? 08 06-plez ? 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 Eut. Att - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc.
? OS 03-plex ? 11 70-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 Fi2 Repair '
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolilion (Entim Bldg) - Give PCA handout to applicant
DBSCrIptlofl: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review _ 100% or _ 25% '
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIl2ED INSPECTIONS
Footings (new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
Footings (addition) _ FinaVNo C.O.
Foundation _ HVAC
Drain Tile Other
Roof Ice & Warer Final _ Pool Ftgs AidGas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace R.I. AirTest Final Windows
Insulation _ Re[aining Wall
Appraved By: , Building Inspector
Base Fee Surcharge
Plan Review
MC/ES SAC
City SAC
Utiliry Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
, Other
Total
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For Office Use
Permit#: /1""i -567
qd
E AGA N
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginsgectionst cityofeagan.com L
2018 RESIDENTIAL"ABUILDING PERMIT
APPLICATION
Date:t 2, • Site Address: `ti 1 lc; fi t---�I t-= l-W 1 — Unit#
Name:-Di � C_- (.'u H)S Phone:02-(49c (P•D C)
Resident/
Owner Address/City/Zip: t'� c Uv C ((L ••s•-' i-irk L�
Applicant is: Owner S Contractor
_
Type of Work
Description of work: t
, 11/4. , f_
Construction Cost: 0 'o Multi-Family Building:(Yes /No )
Company: z_uf',- (- "S i1�''(,k i✓N Contact '{S'` (2f\1 -Ci/
Contractor ION
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