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4680 Weston Hills DrCity of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit#: el"\ \c1Ti� Permit Fee: Date Received: Staff:( 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /1- 3—Jp Site Address: -/ e Po .d6f3 h /9J ✓� Tenant: Suite #: RESIDENT / OWNER Name: e/// eel /2 ' ' Phone: 6J'- 7i Address / City / Zip: /o 2Ptelefhii /X D( ,qya/ Al Applicant is: Owner Contractor TYPE OF WORK Description of work: "'Teel ?-0-46- 0 ieegeo Construction Cost: 2 YS °° Multi -Family Building: (Yes / Nc ) CONTRACTOR Name: ct/Z 1./461/e1 A/ 66 ZgYj lat icense #: k 3 7s---619 /� Address: 3c7- ,"i, k 4146 City: L;/. 6: c 'i i An Al State: I✓ Zip: 5"5717 Phone: S'1'• JAY " 5767 Contact: t'k V/y► ce/i[?/S Email: e0e-WerS el, G','• cad' `` &T COMPLETE In the last 12 months, has 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: _Yes 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. CaII 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.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 o plans. Applicant's Printed Name x Applicant's Page 1 of 3 . . . . . . . . . INSPECTION RECORD ~CITV"'OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i,0i111 ll~ir~ir , + ~ . i ,E•i i ~ i . ~t~~ , PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . ~ .Itf it PI 1 I i:t I'I I?~ ~ I'I lt~, r~lf~,ll I 14 I{ t i~ i t N1I1 ~ i , Permk No. PKmk FbIdK Date Tslaphone # I ~ S/VV PLUMBING ~ I ~ 890 .~~'8 I I HvAC ELECTR Ir ~ I I ELECTRIC I I rapweion D.o. Insp con,manu I FoWngs I y ~ FoundaWn i Fra" pm" R-0 P". • ~~~.9y ~ Rouo R9. , 7~y~ I FimpWe FmW~. ~ OrW TeM S I Fw%u P". Pft. irdpaa - Naar Pkvnbw I ~ co*t. ti+acer I Engr./Plan I I BId9• Fhel I DeCk Ftg. I D9Ck Fina Well Pr. Disp. I -9 ~ ~ ---MgPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ { • ' ~ ' ' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i (11 A li? ui ; i;; i~ir~ ~I ~ ~ r~. •r~~, ~ i ~ ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D• • .A e 11iii I'~I~,S {t ~.=1fi j~~~ ! . I' 1 ~11• ~ 1 1 ,i ttJ 1 f,~1'~ .i . u~, ~ ii i i~: ~ M 1 1 } il~. I r ~ itnui) fRnME ri l I~: f st ~ FUlf ; itt,t }:I R141 ~ F L ~ ~ Pertnit No. Pormit Holdw Date Tslsphone t I ELECTRIC I ~ PLUMBINC3 HVAC Irnpwtlm oN" Irop. Camn»nb F00T1NGS FOUNO FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROIICH HEATIMG GAS SVC TEST INSUL GYPBOARD I I FlREPLACE I FlREPLACE I AIR TEST I FlNAL PIBG I FINAL WG I ORSAT TEST I BLDG FINAL I I BSMT R.I. BSMT FINAL DECK FTG 7 f0 DECK FINAL • ~q Wertificate af Cccuvanc~ ~itio of O"'M Ttoortamr .f 1380ing 3*##CCfl*x This Certifcate issued pursuaret ro the rrquirements of the Uniform Buildirrg Code certifytng that at tht tinte of issuartce this structun was in conipliance with the variour ondinances of tlu Ciry regulating building constructioR or use. For the fo!lowing: Use Clauific~tioa: SFDW BWE. Pemri[ No. 2273q 0--P-Y TYPe -MlJ- 7mios Di:acia R I 7ype Const. VN Owm ot euildios L..AND Fl'IYF.S Aedaees 14450 SIVlT I F. PitldY- R! MTI1 F. BwWmS wddmss 4680 WESICN fUIS IXIVE tacaliryIA 6 B2 . {iES1iN 41'[i 7 S9m ~ , ~ ~ n.e_Mf 14/94 eai~ POST IN A CONSPICUOUS PLACE Address 4680 WESroN HIL.LS DRIVE Zip 5512 3 Lot 4 Blk 2 Sub wESTOrr iina.s 2rID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 03/ 14/94 Yes No Inspector: Final grade (6" from siding) ~ Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded gass TraiUcurb damage ~ Porch ~ Basement finish Deck Please verify with the builder the removal of roof tesl caps from the pWmbing system and Ihe shuboff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ~ White - City Copy Yellow • Resident Copy Pink - Contractor Copy PERMIT C~ i795 cr CITY,OF EAGAN . /a -9, 9 -93 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 2 7 3 9 (612) 681-4675 Date Issued: 12 / 2 8/ 9 3 SITE ADDRESS: 4680 WESTON HILLS DR LOT: 4 BLOCK: 2 WESTON HILLS 2ND P.I.N.: 10-83751-040-02 DESCRIPTION: 13u3ldinq,,Permit Type SF DWG Buildinq Wqrk Type NEW ,UBC Occupancy~, R-3 M-1 / Construction Typ,e V-N j Zon.ing ~ R-1 ~ Building Length ~ 58 Building Width ~ . 42 Buildinq stories ~ 2 ir , REMARKS: PRV S& W PLDf2 - D C MECH FEE SUMMARY: VALUATION $143,000 Base Fee $790.00 MISCELLANEOUS $1,744.50 Plan Review $513.50 Total Fee $3,869.50 Surcharge $71.50 SAC $750.00 . SAC % 100 SFlC Units 1 Subtotal $2,125.00 CONTRACTOR: - APPlicant - sT. LIC. OWNER: KEY LANO HOMES 18942636 0001553 KEYLAND HOMES 14450 BURNSVILLE PKWY 14950 BURNSVILLE PKWY BURN3VILLE MN 55337 BURNSVILLE MN 55306 (612) 894-2636 (612)894-2636 I hereby acknowledge r.hat I have read this appli.cation and state that the informaL'ion is correct and agree to cornply with all applicable SYaYe of Mn. Stat'utes and City of Eagan Ordinances. ~ J ~ Az APPLICA T/P RMITE IG UR~ ISSU DAY: ~ SIGNATURE ~ l~ REACTIVATE _ CITY OF EAGAN ~9~D vEwM17 #1993 BUILDING PERMIT APPLICA IOVk~, ~~g3 ~ 681-4675 11~5, 4 G4.r~d - 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 172G . /14_ / Gl3 Val uation of work Site Address: 4(o4~Sn W GS-roiJ ~-+iLLS PRt 1/F STREET SUITE F Tenant Name: (commercial only) IAT A BLOCK 2 SUBDO-iLLS P.I.D. * ADDc i Descrof work: s1 kkoj C.E ~kl'ytL'~ tNl The is: ? Owner Contractor ? Other coes«;ne> Name Phone Property LAST FIRST Owner pddress STREE7 STE M City State Zip Company V1F_`~LA&AD 1-torviEs Phone !Z94-21n3~ COntf8Ct01' Address 14450 gU~.t-~Sl11LLE Mwq • License # Exp.3-31-15 Lity 5tate Ml4 . Zip 5S7704o Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber T2- MEc.4A4-1% L-+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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging~y P.,4BWme~t Finish El 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.[317 Swim Pool 0 03 SF Addition ? OB 6-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. O 04 SF Porch ? 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc. ? OS SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility 021 Miscellaneous WORK TYPE Zf 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish O 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) V/ Basement sq. ft. ~CJ 61 MWCC System ~ (Allowable) lst F1. sq. ft. o,/ City Water UBC Occupancy Z-3 M•/ 2nd F1. sq. ft. ~ PRV Required ~ Zoning L- Sq. Ft. total Booster Pump N of Stories z Footprint Sq. ft. Fire Sprinkler Length ~ On-site well Census Code ~ Depth 8133 On-site sewage SAC Code O/ APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O Site P Footing El Framing El Insulation O Wallboard /0 Final ? Draintile ? Fireplace Permit Fee wiuac;a,• g (~3 Oc;t~ Surcharge Plan Review 722? ~oar. License - ZS2 z01r30 MWCL SAC City SAC ~ 3 Sk ~ 1 7O.f- Z~ ~/O Water Conn. Water Meter - '2320 ~ Acct. Deposit l06/k~~- / fZ~[ S/W Permit 939X/6~ / S/W Surcharge Treatment P1. Road Unit lZ; z Park Ded. Trails Oed. - Copies Other Total : 10~ 8,J' S-% ~ .5- ~69 7 SAC % SAC Units . 12/1L/y3 17:49 nne aeiias• WE57UN HILLS ORIVE 3662-C ` SURVEYOR'S CERTIFICATE KEYLAND HOMES I /BENCH M4RK C~P[~s9r.TS z . _ 30 I I 1 2.00 N89042' 30"E e15 30.00 a2.33 c o.6) i 9D9. W ~ _J•~ 4.6 io as 964.7 ~ ~ W ^ Q p\26.67\0 54.3,+( ~ O ~ 2 I 8~ 959.1 ~ M I N N I ~+j If1 ~ 4U ~ Y Q I ~ o \ ~ . J - ~ i ^ --~QW J ~ v i I 954.3' WZ S' ' ao . P ~ p I<~ i 0~ a w I J $ 1o I ~4 , ~ 45 . Z b OD 10 II I9SA46.33'' I 94.9 Ow I m O~ N ~ L~ _1 J . z.a~' 1-r 950. q2.6 f( 94 8•~ 953. 30.00 42.33 ' 951.7 i I 142.0 \ N89042130tiE ~ I N ~ I E Y'! V1~wCNHPE . ( ~ ?ZEVIE~933.57~ L~JI ` \ l ~ i av v~ por°-'do~o I 2 ~ 16 -°~3 NOTE: BUl:U1NG DIMFNSION$ S~MOWN ARE FOR FOqfLpfti,Cl A VERTICAL•LOCATON OR STRLCTURE ONLY. SEE- ~ ARQIIT2CfUAL FUN$ FOft DUIIDING Ot FOUNpPTIpi OIMENSIONS. * ' R Nt E D NOTE : NO SPECIPIG SOIl3 IIVVESTIGATION MAS BEEN GOMPLE7ED ON THIS LOT BY JAMES R. HILL, ING. THE SUITABILITY OF By SOILS TO SUPPORT THE SPECIFIG HOUSE PROPOSeD IS NOT THE RESPON3181LITY OF JAMES F. HILL, INC. IC -a- DENOTES PflOPOSED SURFACE DRAINAGE IE~sG'a~T EP]Cr`YNEERIIVG DF.PT. O DENOTES IRON MONUMENT SET SCALE; 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PFiOPOSED GARAGE FLOOR = y57. / FEET X000.0 DENOTES EXISI'ING ELEVATION PROPOSED LOWEST FLOOR - y49.4 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = c~57, g FEET WE HEREBY CERTIFY TO KEYLANO HGMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lo1 4, Obck 2, WESiON HILLS 2ND ADDITION,according lo the recorded plot fhereof,.Dakoto County, Minnesoia. iT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY pIRECT SUPERVISION THIS 29TH DAY OF NOV. , 1993. . PFiOPOSED GRADES SFIOWN WeRE SIGNED: JAMES . iILL. INC TAKEN rROM TME ORADING PIAN FOR WESTON.HILLS PREPARED BY. PROBE ENWNEERING. BY; GARY R. RIS, LAND SURVEYOA MINNESOTA LICENSE NUMBER 10943 y Ja.mes R. Hill, inc. ~ o~w-~A° °o ora I"m -mi% ?-K ~rnND C1~ o~ o~ Z ~ Z~ m"m PLANNERS / ENGINEERS / SURVEYORS N _ 0 m ~ W ~ 2500 W. CTY. RD. 42 0 BURNSVILLE, MN. 55337 a 812-890-8044 nnrr:_~7-- 6N N E R ; -1-f--~-----... , 5?TE ADDRESS: PHONE: CONTRAC?OR:J`j'7 PLAN Determine working square foota9e of each O / 1. Total exposed wall area..... T 71,- S sq. ft, x.11 = 2. Total roof/ceiling area..... /77Co sq. ft. x.026 = / Total exposed wall area above.floor= a. Total wzll window area b.' Totzl door a'rea c. Total sliding glass door area ~ d. Total rireplace wall area 7~~ e. Total wall framing area (average lOK)......._ f. Total rim joist area , g. net wall area a6ove floor -7 Lo h. wall area above floor i. . wall area above floor j. rrame wall area at: fou-naat_on Total zxposed foundation area= k. Total roundation window area V 1. Total net."foundation zrez above grade Determine "u" value of each wall segment ~ (e,g, windoia, door, each separate oraii section) • a. x„U„ . = 3. S , b. z l, -uii C . X „u„ d X 'lull - _ - : e. ~?v X 1. U„ ~ f. Z=~19 X „u„ . _Z/. X iiuil h. X ~lull _ X 11 ul. _ i. X "U" ' If item s3 is t`. . ~ X "U"a5, or less thzr. you hzve me`_ 1, &V X"U" intent of SBC 61 3. .......................Total = yZ-3~aTi - 4. TO7AL EXPDSED RQOF/CEILING CALCUpL.AYTIONS: • , , C~•. Totzl exposed .~~-f roof/ceilinq area........ ~40 D sq f[ : j) Total skyliaht area....... - sq f[ x"U" ° - k) Total roof/ceillnq framing area (Averaae 1(1%)...... sq ft x'"U" 104~= 1) Totzl ne[ insulated v~ Z~,~ s,f roof/ceiling area.......~`. ~ TI f.~ sq ft x U i • y~ 'J L TOTAL j) thru 1) If total o` `li is the same as, or less than N2, you have met the intent of 2 `!G4't 1.16008 :4 ar.d 0. . ALTERtlATE BUIIDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items '3 and ?4 shall not be nrea[er than the sum of items N1 and 92. 1:~) + z. 31,~' _ ~,a3 " 3. ~i?'~~J.~i -F LOT BIIRVEY CSECICLIBT YOR RESSDENTIAL ~ . SIIILDING ERMIT LPYLIC7ITION pROPERTY LEGAL: -7 Dat• of 8uxveys /~(~/I- DOCIIMENT BTANDARDB 6-0 0 • Reqistered Lnnd Surveyor signature and company G--0 0 • Building Permit 7?pplicant ' Ll~ 0 • Leqal descriptlon 0 0_~0 • Address H~ 0 0 • North arrow and bar acale ~D 0 • House type (rambler, xalkout, aplit w/o, split entry, lookout, etc.) 0~ 0 • Directional drainage arrows with alope/qradient t. 0 C#~10 • Proposed/existing aewer and water services 6~~0 0 • Street name D' O 0 • Driveway ELEVATIONS Exiatinc D 0rI0 • sewer service 0-- 0 0 • Lot corners Q~ 0 0 • Top of curb at the driveway II~0 0 • Elevations of any existing adjacent homes Pro,poseQ 0-~0 0 • Garage floor 0-~ 0 0 • First floor fl 0 0 • Lowest exposed elevation (walkout/window) 0~ ~ 0 • Property corners D/D ? • Front and rear of home at the foundation PONDXN6 l1REA8 (if aDelioable) D C~~p • Easement line 0 m' 0 • NwL 0 C~ 0 • HwL 0 Br 0 • Pond # designation D 0~0 • Emergency Overflow Elevation DIMENBIONB Q 0 0 • Lot lines , ~D 0 • Right-of-way and street width (to back of curb) I~D 0 • Proposed home dimensione including eny propoaed decks, ovezhangs greater than 21, porches, etc. (i.e. all _ / structures requiring permanent footings) ~v 0 0 • Show all easements of record and any City utilities within those easements 0~0 ? • Setbacks of proposed structure and setback of adjacent existing homes D ? • Retaining 1 r qu ements, if any Reviewed: ~ Na e / Da e October 1992 , 3< CITY OF EAGAN PERMIT cp_~ f20 q 3830 Pilot Knob Road PERMIT TYPE: BUI LDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 9 7 2 (612) 681-4675 Date Issued: 0 7/ 0 7/ 9 5 SITE ADDRESS: 4680 WESTON HILLS OR LOT: 4 BLOCK: 2 WESTON HILLS 2ND P.I.N.: 10-83751-040-02 DESCRIPTION: (FUTURE PORCH) Building Permit Type DECK Building Work Type NEW , i _ REMARKS: FUTURE-PORCH FOOTINGS SIZEO FOR CLEAR SPAN TRl1SSES OR CATHEDRAL CEILING (i.e. HAND-FRAMED RAFTERB WI7H CENTER RID6E BEAM) FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - BRUNING BILL 4680 WESTON HILLS DR EAGAN MN 55123 (612)844-8889 I hereby acknowledge that I have read this application and staCe that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICA RMIT1EMSIG~ ~Tj1RE ISSUED eYFIGN~IT~U E~ ~ . s : . . '1"1'' <:; . . : L`:~> : BL , : > . . . . . . ..;v; - , , . . . , . , 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF FAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf. - - - - - - x NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE 12121193 FEES HVAC: 0.100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 C 53.00 EACH) 9. 00 (RANGE, DRYER & FIIRN) ADD-ON/REMODEL (ExISTING CONS7RUCI7oN) $ 15.00 STATE SURCHARGE .50 TOTAL $ 3 3. 5 0 SITE ADDRESS: 4680 WESTON HILLS DR. OWNER NAME: KEYLAND HOMES TELEPHONE 894-2636 INSTALLER: METRO AIR, INC. ADDRESS: 16980 WELCOME AVE. S.E., PRIOR LAKE, MN. 55372 CITY: PRZOR LAKE STATE: MN• ZIP CODE: 550ge TELEPHONE 44 7-s 1 za 0 SIG ATURE OF P ..w.........;~;.;, .__....._.._.,...._~.~._,._,..u~.w.;..;.,..,.fCTP1C • . . ~I~~~ $L . . - „ _ . " , ' A:'S:' • _ . . ~ , 3~:lI .°k.i~.,'~;•,[;Y,.,~ ~ , . . c, -...:i.:.....: : . .:..........y:. .......:<r.ag;,.....~:<; s.... ~ . . , ~ . . . . , . ~ x.. ~ D. . . , >,~._k.m~..~..,_...~.~,._~.~.ww.~.~.>.,__.:~„~ , ~ 1993 MECHANICAL PERMTT (COMMERCIAL) CTTY OF EAGAN 3830 PII.OT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL CONAERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUIIDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DA.TE: C4N7RACT P???CE: 5 NEW BUILDING INT'ERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMfF FEE. TOTAL $ SP_'E ADDRESS: OWNER NAME: TELEPHONE TENANT Ir'AN1E: (IMPROVEMENT'S ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECI'OR L gL al~-' ci USE ONLY RECEIPT 11,2- I SUBD. RECEIPT DATE: Ud797 PERMIT # 1999 PLUMSINfi PERMIT (RESIDENTIAL) CITYOf EAfiAN 8830 PILOT KN08 RD EAfiAN, MN 55122 (651)6$1-4675 Please complete for. > single family dwellings % townhomes and condos when permits are required for each unit % backFlow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum - i 3.00 x = $ Hot tub/s a 3.00 x = a Kitchen sink 3.00 x = $ Laundr tra 3.00 x = $ Lavator 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = 5 Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = S Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h a enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = S Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ -5-0-e' Water softener if dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = S Water turnaround 30.00 x _ $ State Surchar e 50 $ 50 TOtdl $ U . Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ---k~-o--w---- - - - - - - - I hereby acnledge Nat I have~- read this application, state that the infortna6on is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It is the appticanCs responsibiliry to notify the property owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its normal operational and maintenance activdies to the faahties constructed under this permit within City property/righ4of-way/easement. SITEADDRESS: p ~ OWNER NAME: : p f ~ I ~ S' vl I ?1 TELEPHONE hS/ E O C~ -~^II ~ (AREA CODE) INSTALLER NAME: TELEPHONE 66-1- 6F~,471? STREET ADDRESS. 79 O ~ IA C~.S'~1~ l~T I~ I S pr, (AREA CODE) CITY: FA C 4?~ STATE. ZIP: ~ SIGNATURE OF PERMIl7EE r:.~TFY~7;O,.I~I~Y,,.,.....,.:.._..;....., ~ L~ .,.~,..:.,,..~,„.,<:x~>.:< SE ^ ~ , . #'~°I s - ssx .3r~ - W t Y' a A. - S~fa $ y ~ r z n 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AL.SO, FOR TOWNHOMES AND CONDOS WHEN PERMI'I'S ARE REQUIRED FOR EACH UNTI'. NO. FIXTURES EACH TOTAL ' VHoYIvyR 3. oo ~ ~ WATER CLOSET 3.00 a2 BATH TUB 3.00 Cv •ob -3 LAVATORY 3.00 G). (fU KTTCHEN SINK 3.00 ? rip I LAUNDRY TRAY 3.00 rro HOT TUB/SPA 3.00 WATER HEATER 3.00 =='3, ~ FLOOR DRAIN 3.00 :31 OU GAS PIPING OUTLET • minimum -1 3.00 3- d7~ 3q ROUGH OPENINGS 1.50 Sy-,cSv WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cly. lic. 20.00 U.G. SPRINKLER • nome uneer consi. 3.00 ALTERATIONS • io «i:iing 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .SO TOTAL: ~ D SITE ADDRESS: OWNER NAME: I jL~1 L~tn~1~ ~Drr~S INSTALLER: Do , MG ~lc/t c noLQ ADDRESS: /7/// Lu Ia?(o~" . CITY: STAT'E: fi:?/4-) ZIP CODE: PHONE ( (p/o2 ) - OAM At SIGNATURE OF PERMITTEE 4 . a. ; > 5 <..;n....~. ...:,..:,::'x yA:r ic:ti'..~:~`G•;: a:' J;.S„ R":'»~', f ...;y:: . • ie.ii.!p }.,.;~:r..7.. .'i:2n~:i. .3•3,D^°'35 'w'~;.ri; . ,J'o:~.^"" . . SVDL..~~k~F~~?.5~:: J'S.::F`~R. ' ' j• { . ~ -r._ ...<~..<., . ..I.'.~::.'3.°;k;::~.:~:,~. ~ F~~ 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ NEW CONSTRUCfION _ ADD ON _ REPAIR WORK DESCRIPITON: CONTRACT PRICE: $ rrE: MoF corrrt:ncr FEE. STATL•' SURCHARGE: $.SO FOR EACH $1,000 OF ~ FEE. N11NIn1U111 FEG: S 25.00 CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAA4E: STE. # OWIYCR NAME: INSTALLER: ADDRESS: CI1'Y: STA7'E: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT Date: City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECVIED ViaR 11 141it Use BLUE or BLACK Ink 1 For Office Use Permit #: Permit Fee: 1 073 Date Received: 31Z " ! `f Staff: 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION 3L13 -L -1L1 Site Address: f CdC) LAJ c f -Va 1 Hi! r; ,re J Tenant: Suite #: Name: Li Phone: CoSI-(Bb- 87/1 Address / City / Zip: /214, SS"Ja3 Name: 8` I-1eSS i c n P i u r. i . A. S e- Y t, t c.e.s ZK License #: PC- (0Y`4 3! Address: P o` 4 o,k ori a /'1 City: t< Sc ti State: Y. -.A/ Zip: SS 1 a 2 Phone: (2 S/ (, d I 8 L S 2. - Contact: Contact: / r ' 1l Vie_ Email: /1'+ ; 1 P h tJ'J'; c 4 tio l- r- '"A ' c, =^ New _ Replacement Repair _ Rebuild _ Modify Space — Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ ' 0 • 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.gopherstateonecall.ora { 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. Applicant's Printed Name SC.2 ' l -'1/ #14 Applica eSignature 4/1.d,3 FOR OFFICE USE RE Related 1 Rough -in Meter Size Radio Read Use BLUE or BLACK Ink ------------------- � For Office Use � C' j Permit#: j� SGr �� j �� Ol ��11 � Permit Fee: l��. �� I 3830 Pilot Knob Road � ��r � Eagan MN 55122 j Date Received: �°�/`/� j Phone:(657)675-5675 I I Fax:(651)675-5694 I Staff: /YL�' 1 I I �_____��________��J 20'!4 RESIDENTIAL BUiLL11NG PERMIT APPLICATIQN �� k tsa�e: 7 �aaaress: �� ,�f�,l��t17�L /Yt lfS �' un�t#: t Name: L C`!�'Y� /�� Phone:(��`�YOSO 0 ��c� Reside�tt! �� OX t�l S (�p 1 i /� Owner Address 1 City!Zip: Applicant is: Owner 1`Contraetor � . � Type of Wark Description of work: ��"�C.� E' L�G�-�� !� Construction Cost: _�� • � Mul'-Family Building: (Yes /No� p y /u 6d�� lJ�:� � . A� � � Com an : ontact: �c.Gt�.-y Address: � Y" � � /�[�• Cit1r: '( � Contractor c7 — State/�Zip:�__��Phone:L�_.��„�`�EMai1: License#:i�Zll��j b Lead Gertificate#: /ll�� Y"��1 '! If the project is exempt from lead certificatian, please explain why: (see Page 3 for additiortal inforrnation) COMPLETE THIS AREA ONLY IF CQNSTRUCT'ING A NEW BUILDING tn the last 1 Z months,has the City af Eagan issued a permit for a simifar plan based on a master ptan? Yes _„_No If yes, date and address o#master p1an: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8�Water Corrtractor: Phone: NOTE:P/ans and supparting documents that yo�submit are cor►sidered ta be pc�blic infarmation. Portians of the iitforr»ation�nay be classified as non'-public if you provide specific regsorts tha#would perr»�t the City to conclude that the are trade seere�. CALL BEFORE YOU DIG. Call Gopher Stabe One Call at(B57)454-0002 for proteaion against underground utildy damage. Call 48 hours before ou intend to di to receive focates of unde round utili i www. r Y 9 rg tes. qophe stateonecall.orq ', t t�r+eby acknrnMedge that this irifurmation is canplete a�nd accurate;that the work will be irt cor�forrnant�e with the ordinances and codes of the City of co fo E an;that I unde�stand this is not a rmit but onl an a ication for a m►it nd rk is not t rmi� a8 pe y pp1 pe ,a wa to s art without a pe t,that the worlc will be in accQMance with the approved plan in the case of wark which requires a review and approval of pier�. Extsrfor work authorized by a bulld7r�g permit issued in accordance witlt the Minr�sots�State Idinp Cnde rnua completsd withln 18Q days of permit issuance: x s' X ApplicanYs Pri Name Applicant's Sign re Page 1 of 3 . � � � . , , Use BLUE or BLACK Ink �-----------------, '`��I �:;� � For Office Use � ,,,a • I ��( 1 C�4y �� 11��11� � , , ,. ,�' I Permit#: l� U I ! -:.� i h�� i � Permit Fee: lJ � 3830 Pilot Knob Road � � Eagan MN 55122 I Date Received: � Phone: (651)675-5675 � � Fax: (651).675-5694 . � Staff: � �� _�J 2014�RESIDENTIAL PLUMBING PE MIT APPLICATION � r q ' � �'� � Date: Site ddress: Tenant: W L�'�{j�.., ,,. 3uite#: ��y�,��ss��Ar ,��.y �'r �}�t t �'. 5�„�,M�M'tG��t��''�� . � `,�^ � . ��,� ��, ��x'��y��a°� Name: W�"" �~ � {� Fu Resit�enYlOwner�� Phone: p ��`�"�'�,�� s � 3� � � . t'�� :�� Address�'City/Zip• �}'�� .;� r �. � t.r � n � ,.. ,� � �� y � ,N<,��n�£��,��5 � Mifbert _ompany Inc dba Cullign Water t��,�� Name: ��cense#: WCG431.�6 ';d,�,i ��'�i,��'�r� ; . t . _ . .. :��ir�.�� n�� „ 180150.. Street East �r�µ��ico tracto � x AaareSS: c�tY: Inver Grove Hgts. �=�� '��`�� } �/�^' 55077 651-451-2241 • ,�,�,y,��?`�,��x�� "" v State;. Phon .is�csla�� €H'�y tr�. . 'I V 1!V�..� Zlp: B: '�.,'sm{t��"��k� y 'j��. � � .. . ... . . � . _��,,,: ._��,' r�,�,�,,zµ.,��,� ;� Contact: W I I I I a CYl' R.'M I I b2 t't. Emai�: <it'.��i{� 4(g,t�,�f�c�r'��? �: , � " � �� ... . �. d: ��T��e�'o�f�lNor —�eW eplacement _Repair _Rebuild _Modify Space _Work in R.O.W. '`�"�`�x yp,� j . � � �li t��a t� � rk . � . . ,��^��,.4�; .t�_`i.� ..`' 'Description o work: '�`�'�'�`�",.x��"`�`��?�' RESIDENTIAL , ��`��y � �� . . �� a�'iv�j��s�°��- WdiB(H88t@� Y�'�G��=�x��,�w�� , ,�t y,rP��Cfi�� , � Lawn irrigation�RPZ/_PVB) �Water Softener �`•�� '��-��`�y��'�= SepticSystem Add Plumbin Fixtures _ ) Y K� �� g �Mam/ Lower Level '.�r�� 4�� <<� ��_�.��,��;, ' .��. New WaterTumaround ��a �e��r'xy�,'»y ~��.�,� .� - ;.�-,�K�ti�!' ��h. .� � P�s ��'. ?��° �°��,� � �� . � A6andonment RESIDENTIAL"FEES: $60:00 We4er Heatet,:1Nater Softener, or Water Heater and Softener(includes$5.00 State Surcharge) � $60.00 Lawn:lrrigafion::(includes$5.00 minimum State Surcharge) $60:00 Add.:Plumbjng fixtures, Septic System Abandonment,Water Tumaround*(includes$5.00 State Surcharge) �. -. ._"Water Turnaround(add$200.00 if a 5/8"meter is required) $115.:00:Septic SVStem New.($10.00 per as built)(includes County fee and$5.00 State Surcharge) � TOTAL FEES S CALI.BEFORE YdU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call.48 hours before you intend to dig;to receive'locates of undergroursd utilities. vwvw.qopherstateonecall.ora : I hereby acknbwledge fhat.this informa:ion is complete and accurate;that the work wil�be in conformance with the ordinances and codes ot the City oi ' Eagars;:Chat I`understand this is not a permit but ony an application for a permit, and work is not to start without a permit; that the work will be In accordance with the approved plan in the case of work which requires a review and approvai of plans. � � . x �r � { . X Applican.ts Printed,Name Appli anYs Slgnature � '�»��.t'��.��r�� q a . � s r , . ,.. � � � i : F�Rk"O �FICE'US � a�� ,�@ �e c1��, ' k = �r;�� r �"�`�Da�t�"�7�'�" N�M��` �� °��"�� rG � �,°4 � °� �� '� �° " F y F `� µ N�.� � ..'� .r. a, , Required li��peeti„,�ns :t�� w r ,und R�� I��::� �. � �e'� s��i �oe s�,�'`�=1t12`��„M„�$Fv.u� `: $�� a � �� ' r� t; ��TM��.��; Meter� ela � R' � g �`d I�ems�� ete i ` � � �f$'� , � ��. � � _ _ �� ....� ; � ,�. :� � . .��-, � �. . : . : ; � � . __.. �.a � : CITY OF EAGAN „ „ 69 tl1 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) . , . 681-4675 New Construetion Reauhements Remodel/Reoair Reouirements ? 3 rogisterod site surveys ? 2 copias of plan ? 2 copiea ot plans (include beam 8 window sizes; pourod fnd. Oesipn; ete.) ? 2 sRe surveys (eMerior atlAitions 8 dedca) ? 1 enerpy caleulatlona ? 1 energy calwlaUOns for heatetl additiona ? 3 copies of tree Dmervation plan if lot platted after 717193 requirod: _ Ves _ No DATE: Sune ~ 9~ I 9 95` CONSTRUCTION COST: C) `GO/INyf S~~[a DESCRIPTION OF WORK: 0- y 19 D2~~ L,--i2-_-k' o~ ~usu~t ~~''QN• ~CL No7L JN STREETADDRESS: ' y6~u We-5tvn ~PillS 'Cwive- . EaRo.,N MN Sa3 LOT 4-1 BLOCK oZ SUBD./P.I.D. WeS+'an 8s~v-888q cw> PROPERTY Name: Phone OWNER I StreetAddress• yARU We.-5'ton Z/ills Br~U,9- Ciry: Eo~ac.n State: Q) zip• ~51,'I 3 CONTRACTOR COmpany: Phone Street Address: License City: State: Zip• ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State oi Minnesota SWWtes and City oi Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY 7RE C-E V- E Certificates of Survey Received Yes No i Tree PreseNation Plan Received Yes No OFFICE USE ONLY ~ .3, • ~ • , ~ -""'-a• BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool ? 03 SF Addition ? 08 S-plex o 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 _ plex ,,0415 Deck ~ WORK TYPE SPR~/ /Aa~rser ,,j"1 New ? 33 AltPrations ? 36 Move CA'NI~~~ ~~•~~~N 0 32 Addition o 34 Re air ? 37 Demolition ~G al~ GENERAL INFORMATION N4No 'r~A~~~~t J3r~~~ < CLN'1t/~ Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. y3 y Depth Footprint sq. ft. SAC Code ni Census Bldg i Census Unit 0 APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit • S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °h SAC SAC Units , SIAVEYOR'S CERTIFICATE KEVLnND iiohIEs pECK Loc.ATiOt"` ~ icNOrF'r~ireK i - - I /ELEV..954.;G I ~ 30 14)200 Na9°4 ' 3o°E ( m D537 Y S0.00 42.33 9J3.1 ~ i ss~.e n 8 ,1 1 --I --r=J Q1 952.2 954G 1 ~ W 10 I^'e--'- ~,•.'^-15.40.-.•t~~ I ~1 1 >~y1 W954.7iI,O 4 26.67\,~, 954.3 I I~''~^-~`•-.~ Il) Q N I h t953.! / C~ 0 n, t~) I ro - -0 ¢ I ' ` ID 7~ I 41 V " ~ = y I~ J V) -I 954.3~ Ptu ~rc I v "p ~ v~ 1 ro i~ ti= ti w p ~ ~ 4~ yy5 J U) - I ~ ~ ^~y ~ z lA ~ 2G,33 US' Q ~ Ip 954.1 NJ 19,52.9 nfW 5 953 V) 6~l.~) ~ 3--% 95LT J 42.00\ N89°4?,3OE I ` I N I b[NCii r,nnnK ` TnrorrmK i -I 6LGV..983.7i L 'aorsO~~c,viNC puan+^iorrs stIvnN nAE 1-OR W)nrzwrrnt, A VEf1TICnLIbCAT10N pr '57fTJ,fURF Olff_Y. SEE ) ARC1IITFCIUnI_ R1+J15 rCNi I79Il01YiG H pp"4pn71LY7 OIMENSY~I~S. , ~'»TC • 170 S!'ECdFIG OIL9 INVESlIGAiIVN Hl1S F1[FN GOMI'Lt'I'ED O~J 'II{19 LO'1' D1' Jl1M175 R, 111LL, ING YHE 5!IIlA61LITY UP a011.3 TO 91jf'h0ft7 711P., SP(!GIfIC II0U3E ptiphr;>Eri IS P:OT THE RESI'ONSI13Il.17Y GF J/1MES INC. ~ DENoiE S) PRoPoseD iURFACE bRAINAUC U DFNOTE^u IRUN MONUMENT SET SCALE: 1 INUH - ;p Frrl • UfIJU'fES IIiUN MOIJUMEIJ7 FGUIVD PRGPGSGD GARAGE FLUGR - q5 7, I FEET XU00.0 bCIJC)7CS EXISiRJC; ELEV/1TIOIJ PRGPGiE17 LUWES7 f-LUUR -~'j49,¢ F[F..7 (000.0) DENOiES PROPOSED ELEVA7IUN PRUP(JS[U TOF OF FILUCK - ?f5 7, 5 pEET WE I IEREf3Y CEfi71FY'r0 KE'fLAND HCXvIES 1HAT 7HI5 IS A TRUE AND COR(7ECT RFI'fiE5EN1ATION OF A SllRVFY UF 7HE BOUNUARIES UF; - L~1 '1, pk•:k 7, WF.;ipl,l HIL_I_i S_fJU /1DUIIION,according lo IhC fecofdP(1 plal Ihrrcol, pol<oIo Counly, hllnitesofo. . . II DO[S h10T I'URPORT 70 SHUW IMPROVEMENIS Oft [NCIlO/1CHMEPITS, EXCEPT AS SIIOWN AS SURVFYCD f3'y' ME OFt UNpER MY OIRECT SUPERVISIUN 1H15 29TH bAY OF NOV. . , 1993. rnom'ro (;ivncrg ;lM)WN wEriE SIGNEU: JAMES . ~ILL,INC. inicrii rnorn tliE Gpnnirir I'L/~N ren vyES7UW HILLS rR~rnnEo 5Y f ROIX EWOMF.EpINQ f3Y: ~ GAFtY R. I~IS, lnNn SURVEYOR MItJiJESOTA LICENSF NUMBEFI 70943 ~ Z: v `--y~ r ~J 0 ~C~1 1 I~CJ 1~. I(ll gj ~ ~1~C• - 0 1 c-~ ii 6~• T- 'u `ll ~-n`•) m PLANNERS / ENGINEERS / SURVEYORS z c) w 2500 W. CTY. f1D. 42 o OUfti•lSVIIlE. MfJ 55337 • f312•090 6044 PERMIT City of Eagan Permit Type:Building Permit Number:EA150861 Date Issued:07/26/2018 Permit Category:ePermit Site Address: 4680 Weston Hills Dr Lot:004 Block: 002 Addition: Weston Hills 2nd PID:10-83751-02-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William J Bruning 4680 Weston Hills Dr Eagan MN 55123 Window Outfitters Inc 12605 Creek View Avenue Savage MN 55378 (952) 746-6661 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170315 Date Issued:06/28/2021 Permit Category:ePermit Site Address: 4680 Weston Hills Dr Lot:004 Block: 002 Addition: Weston Hills 2nd PID:10-83751-02-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - William J Bruning 4680 Weston Hills Dr Saint Paul MN 55123--397 (651) 413-2018 Bormann Brothers 17593 Foxboro Ct Farmington MN 55024 (952) 891-8586 Applicant/Permitee: Signature Issued By: Signature