4683 Weston Hills Dr
öîö
üð
ÿ
þýý üûúùû úú
øýýùðüìýêýþ
ãöõ
ñã ã
þýö
þýüû
úîýøôøòø
öøû
úàê
îýøôøòø
Úýø ø øúøëøïýøëìýüøøøÿþøúøÿßâãÞ
ý
ã
øëîßùúëÞåãè è
õø
þýøìø îçåãèâ è âã
ôÿÿó
öòñ
úú
÷ øõ ôøìê
òü
ãúúø ìþöñöõ
ø
þý àãã ññâ
úúæ
àãã
ßâãÞñ ã
ìøü
ê ììáøìúúìì÷øëøø øëú
êìúúüþ
÷þýò
÷ íøè
úúé
øëþ ýøý
þ ýø
INSPECTION RECORD
CIV OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
• I 'IN H i I ! •.0 f;"hli . t t41 , ~~~~Iflt I 11
ic~ ~~irJ It?i ~ c~~, ~ ~r~ ~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
.,ry
I t Nt11
i'1 A1 f
I . ~I,t~l ~ . , . . . ~ , , ' •It . I
I
~
L
Permit No. Pennn Haa. o.rs T•NphorN #
S/MI
. ~ PLUMBING ~ O 3Q
HVAC
ELECTRIJ~
~1`GO ~ _•c' • ~p 9 C~°„
ELECTRIC
knp.cdon o.u w,sp. commsr»s
F°°bngs I lo
Foundalion
Fra„ing
~
~
Rougr? ?n9. I! / q 43
ls,i" 2 S
R'eplam ~ 3
Flnal Hlg. 7 f (LL1!
Orset Teet
Final Pbg. PIb9. Inspector - Nolily Pkrtiber
!
Cormt. IMeter
EnyrJPlsn
Bldp. Final °7/7~ V 44
Deck Ftg.
Deck FYW
I
WeN I
Pr. Disp. I
I
s _ - J I
I
~
d .
5
` wemficate af cccuvanc~
~c~rrta~eut o(r ~xi[bi~g ~x~recNon
Tliis Certificare issued pursuanr to the require?nents of the Uniform Building Code
. certifyireg that at rhe lime ojissuance this stnrcture was in compliance with the various
ordinances of rhe City r+egulating building construction or use. For the foflowing:
use C7asrifiation: SR 1M Bag. Pertnit No. 97285
pocupancy 7ype BAKI_ Zonina Distria IR J Type Ccrost. iAiii
o.nerot a,~wng DONtntNREM EXMS Aaar- ._4639 PAEtK RID(E TIR, FJlf',A& s~ Aamnm 4683_UES,Lad HIII_~T~t_iVB Lowiry T A 1R5, WEStYW_HIILS ZDD
l
Bmld~n60t~iaal Da[e-
~ l Ye'
- POST IN A CONSPICUOl1S PLACE
~
,
Address 4683 weslorr tiuM D!uve Zip 5512 3
Lot ' "4 Blk 5 Sub wesTCxv HII.i.s zrm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 2 7~j Yes No Inspector. ~(f
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ~
Permanent gas ?
Sod/Seeded grass ~
TraiUcurb damage VI"
Porch VI"
Basement finish i/
Deck , ?
Please verify with the builder the removal of roof test caps from the plumbing system and ihe shut-off of water supply to
the outside lawn faucet before freeze potential exisu.
Contact engineering division at 681-4645 before working in rightaf-way or installing underground sprinkler system. ~
White - City Copy Yeilow - Resident Copy Pink - Comractor Copy
~ 2005 RE5IDENTIA1 BUII,DING PERNII'C APPLICATION
City Of Eagan ~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ~r/./
New Consiructron Reauirements RemodebReoair Reauirements OKCe Use Onlv ~
3 registered site surveys showing sq, ft. of IoL sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20°/a maximum lol cove2ge allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y_ N.
2 copies of plan showing beam & window saes; poured tound design, etc. 1 site survey for addNOns & decks 7ree Pres Required Y_ N
lsetofEnergyCalculations Addifion - indicatei(on-sdesepficsystem On-sAeSepticSystem _ Y _N
3 copies o(Tree P2servation Plan Hlot platted aRer 7/1193
Rim Joist Detail Options selection sheet (buildings with 3 orless unfts)
Date 07 l~~ l af` Constructian Cost Y ft DD
Site Address &d 3 w@~~~ GP'lf S I~/l . Unit/Ste #
6Al -,M2-3
Description of Work mv 7G'i.l -FI/~plR.r~
Multi-Family Bldg _ YZ Fireplace(s) _ 0 2
Property Owner A1114-1pd/ a '~PLlg 1T26F144 Lo Telephone ti (tr~ l) ~S L' ~b v z
Contractor 171- 'LhJl~Y~Nr &d LDoe5 la)c ~ Z°13z36'J
Address a41 I/N twly G/Z ' City 4
State ~ Zip STTz-31 Telephone 0 (~12 ) 716 b7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet
(JsubmissionType) Submitted Submitted
• Energy Envelope Calculations Submitled
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
.l'd6~.S #e, s44--' < <
ApplicanYs Printed Name Applic s' ature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'DemoliUon (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspectar
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~ PERMIT C`~"~
CITY OF EAGAN
PERMITTYPE: Buz~oiN~
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: 022285
(612) 681-4675 Date Issued: 10 J 21 / 9 3
SITE ADDRESS:
4683 WESTON HILLS DR
LOT: q BLOCK: 5
WESTON HILLS 2ND
P.I.N.: 10-83751-040-05
DESCRIPTION:
Building Permit Type SF DWG
Building Work Type NEW
iUBC Occupancy,, R-3 M-1
' ConsCruction Type V-N
j Zoning R-1
Building Length ~ 54
Building Width , 36
i
• .
6
Q~~~~
REMARKS:
S& W PLBR - OLBERG CONST
FEE SUMMARY:
VALUATION $147,000
Base Fee $804.00 MISCELLANEOUS $1.744.50
Plan Review $522.60 Total Fee $3,894.60
Surcharge $73.50
SAC $750.00
SAC % 100
SAC Units 1
Subtotal $2,150.10
SOHSDHdF1~ES INC, DONAPD 114560034 0001603 D9FIRL-DR50HNSON HOMES INC
4639 PARK RIDGE DR 4639 PARK RIDGE DR
EAGAN MN 55123 EA6AN MN 55123
(612) 456-0034 (612)456-0034
I hereby acknowledge that I have read this application and state that the
informat3on is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
- ~
/f ~6~~ f
~AP T/P RMITEE SIGNATURE ISSUED BV: SIGNA RE
REACTIVATE ;,CI1Y OF EAGAN ~
PERMIT ri ' Uu~~V E U 1993 BUILDING PERMITAPPLICATION
~ #C4 3 1993 681-4675
ct'k:P, ,l i -
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 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 chan9ed or 3) lot change is requested once permit
is issued.
Date ~7 Valuation of work /lO,oe~c
Site Address: ~E-4_4-~n jt'/~L~ 1~E-
STREET SUITE r
Tenant Name: (commercial only)
LOT ~ BIACK s SUSD. ~_~j P.I.D. N
Descri tion of work: Xezd
The applicant is: ? Owner Contractor ? Other (Dentribe)
Name aQa-.Q Phone
Property LAST FIRST
Owner Address
STREET S7E M
City State Zip
Company kj~-~2e'h F Phone 4~~~Dd~
C017tf8CtOf Address 4&z?q 2 License Exp cs-
City 412~- State 12~ Zip 92.3
Company Phone
Architect/
Engineer Name Registration M
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once a a 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 a licable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE ` ? 01 Foundation O 06 Duplex ? 11 Apt./Lodging 06 B
,,~p4meA,t F•inish
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. TI 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Forch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. - 0 10 Mu1ti..Add'1. O 15 Deck ? 20 Public facility
O 21 Miscellaneous
WORK TYPE
'R 31 New [3 33 Alterations 0 35 Tenant Finish O 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V-N Basement sq. ft. MWCC System Yt'3
(Allowable) V-N ist Fl. sq. ft. City Mater ~
UBC Occupancy (L.3 M,I 2nd F1. sq. ft. PRY Required
Zoning R-1 Sq. Ft. total Booster Pump
~Y of Stories Footprint Sq. ft. Fire Sprinkler
Length 374_ On-site well Census Code oi
Depth 3& On-site sewage SAC Code ~
APPROVALS ~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
0 Site O Footing ? Framing ? Insulation
? Wallboard C final O Draintile 0 Fireplace
Permit Fee v.iet;d,: S~ Nr), 000 - ZrvD ~ioor.t !
Surcharge
Plan Review (3 AR_AGE: 7Zh22 =y$~,( ~~~66X6
License Q dWL1
nwcc sac P',zx C! s)
c;ty sac - / ~lby7`7
water Conn. F_,S>MT; 466 X~6'.r r?USG ~
Water Meter . - ~
Acct. Deposit 2 611 33.: 8$8
S/W Permit S/W Surcharge 1y~21, l4 = Za3
Treatment Pl.
Road Unit Jn(~I 1f IS= I59 I~
Park Ded.
Trails Ded. IST f;.o04z; ~
Copies
Other 5S1-TT= IOGa I
Total: 1(
sAC % laID zx6 = )'L 5~ S6~
SAC Units 3 Z?~7: 14
Ilo3Ksu~
CONfVliINO INOINHns . DONALD ?OHNSCY.I {.1o~'IE$
, nonE Pl11flNes ana inno lunvfvont ~b 6035.4~
. ENGINEEttlN(3 BK. zoz '
~ COMPRNY, INC.
I woo [nar 14e1h Smcn, awHevaLc, Minxuou eeeer rn +3x-eooo
CERTIFICATE OF SURVEY Legal, Description: Lo _q;.~~ac WE,~O_ N/GL.S 2NDAOD/T/O,V,
I ~OYA COY/•V N7/A%N
I
D[NOTES EX13T1NC3 ELEVA'fION
~ ( 956.0) DENOTES PROPOSEU EIEVATION
INUICATES DIRECTION OF 5UFlFACE DRAINAGE
i 5.9 L•33 a F1NI8FiED OAFaAGE FLOOII ELEVATION
48. i e 13pSEMEN7 FLOOR ELEVATIDN
956, bb = TOP OF FOUNDATION ELEVATION
i i
sanle ~ 1' . ao• ~,~~,yyqRK I TNH 4 40 TS ¢ f 5, LVaK Z.
i EcFV. . 955. !3 ` i
p V
~ U "G n,
~{~V •
~ ~RoN7 B~iI.OfNb I
, SeT&iCK LiNE
DR.4/Nq6E AND 30.00 i
UT/L/7Y. EASEI796NT
ry? 7 . hf ~~`~2~30~E Hue•954'~~ .
~
185.00 HvB:95¢,e6 ~47.67 5ff,
- - - l.m til
ID
y.
~0 \ ~jL!.'
26.00 953. I ~ 0 I
~\LOT 4
TB~o= g :9z~3g~ ~ i
\ ~j s," Z 3• . /3.67 GARAE£~
~ zZ.3 3
~ ~ ~_NuB+ 15i_ ~
rg9e,si 100,00
m ib,w rsa,r N~g• ~1
N 89°42'3dE 95l.61 ~qsz, ~
. ..,x,. , ,
' ' : : i
, • . . ;'r..,,j . o.'.•t,.i Y , . r! ~
IED~Y~ I
IEAGAN E1VG E13YN IDEPT.
hereby cartity thak tlile is a true and oorreot repreaentation of a traot of
an aa eliown ond deearlbed Iiareon. Ae prepored by me tlile dey of
' ~ 7G v , ' 19,~,_• , .
Mlnn. 31a9. No. 160e5
i
LOT BIIRVEY CHECRLIST FOR RESZDENTIAL
BIIILDING PERMIT APPLICATION
~ V ¢ PROPERTY LEf3AL: _t~~__~
~ a w
< m Date of Survey: /O ci~
~
DOCIIMENT 6TANDARDB
? • Registered Land Surveyor signature and company
~ ? ? • Building Permit Applicant
0 ? • Legal description
0 Er" ? • Address
D~ ? 0 • North arrow and bar scale
0' 13 ? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
p--~? ? • Directional drainage arrows with slope/gradient t.
?9~ ? • Proposed/existing sewer and water services
Er'~0 ? • Street name
@~? ? • Driveway
ELEVATIONS
£xistina
0 C3~11 • Sewer service
0~? ? • Lot corners
B' • Top of curb at the driveway
? 2~ ? • Elevations of any existing adjacent homes
Pronose8
C3~0 D • Garage floor
H- 0 ? • First floor
B~ 011 • Lowest exposed elevation (walkout/window)
-El~_ ? ? • Property corners
B'0? • Front and rear of home at the foundation
PONDSNG AREAS (if apDlicable)
? C~ ? • Easement line
? EY ? • NWL
? Q~ ? • HWL
? ~ 0 • Pond # designation
? 0'~ 0 • Emergency Overflow Elevation
pIMENSIONS
~ ? 0 • Lot lines
G/ • Right-of-way and street width (to back of curb)
0'~ ? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
zl*~? ? • Show all easements of record and any City utilities within
those easements
ff? p • Setbacks of proposed tructure and setback of adjacent
/ existing ho
? 'p ? • Retainin wal 'rements, if any
Reviewed• ~
•N e / Dat,
October 1992
D'onald'L. Johnson Homes, Inc.
Energy Code Worksheet
Weston Hills Model II
Address - 4683 Weston Hills Drive, Eagan
Contractor - Donald L. Johnson Homes, Inc. Lic #1603
4639 Park Ridge Drive
Eagan, Minnesota 55123, Phone 456-0034
Building Classification: Type A(Single Family & Duplex)
General Information:
1. Building Perimeter - See Worksheet
2. Wall Height - See Worksheet
3. Gross Wall Area 2256.82
4. Square Foot Roof Area 1206.00
5. Square Foot of Rim Joist 124.00
6. Doors - Area 34.20
U Factor 14 &.47
7. Total Door's Perimeter
8. Windows - See Worksheet
Crestline Insulated Casements
9. Total Square Foot Glass 191.19
10. Fireplace Area -0- Clearance
11. Exposed Foundation .67* 161 83.08
12. Framing Area = 10% Of Gross Wall Area
U Factor
13. Gross Wall Area 2256.82
Window Area 191.19 0.36 68.83
Rim Joist Area 124.00 0.04 5.08
Door Area 3420 0.14 4.79
Other poor Area 0.00 0.47 0.00
Ecposed Foundation 83.08 0.14 11.63
Framing Area 225.68 0.10 21.44
Net Wall Area 1598.67 0.04 68.74
180.51
14. Gross Wall Area 2256.82 0.11 248.25
15. Gross Ceiling Area 1206.00
Joist Area 120.60
Net Ceiling Area 1085.40
U Ceiling 1085.40 0.02 26.05
U Framing 120.60 0.02 2.77
28.82
16. Ceiling Area 1206.00 0.03 31.36
07-Oct-93 Page 1
Corialc}L. Johnson Homes, Inc.
Energy Code Worksheet
Weston Hills Model II
Address - 4683 Weston Hills Drive, Eagan
Contractor - Donald L. Johnson Homes, Inc. Lic #1603
4639 Park Ridge Drive
Eagan, Minnesota 55123, Phone 456-0034
Worksheet
26+48*8.33 616.42
26+48+14+32* 13.67 1640.40
2256.82
Roof 1206.00
Windows
2636 6*5.01 30.06 6
2040 2*2.18 4.36 2
2640 7*8.36 70.00 7
3040 1* 11.65 11.65 1
205010*3.37 33.70 10
1636 2*1.83 3.66 2
2036 2*2.18 4.36 2
2650 4*8.35 33.40 4
191.19
Doors
atrium 3420 1
6'0 Patio
34.20
I hereby certify that I have completed the above information
and tcompliwith Minnesota State Energy Code.
Je nne M. Date
07-Oct-93 Page 1
RESIDENTIAL
~Ln ? BUILDING PERMIT APPLICATION
GTY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681•4675
NewConslruclionReouirementa Remodel/ReoairRacuirements ~
• 3 registered site surveys showing sq. ft. of lol, sq. ft of house; and all roofed areas . 2 copies of plan -3 -Q ~
120%maximum lot coverage allowed) . 1 set of Energy Calculations for heated addihons
• 2 copies of plan showing beam 8window sizes, poured found desgn, etcJ . 1 site survey forextenor addNOns & decks
• t set of Energy Calculations . Indicate it home served by sepGc system foratldifions
• 3 copies of Tree Preservation Plan if lot platted after 711/93 L
• Rim Joisl Detail Options selection sheet (bldgs with 3 or less units)
DATE 3122/ p2 VALUATION
JOB SITE ADDRESS /bg2-? WeSFDN 1~ILLS Dl2 JSFl6f1/ll
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER R Y"^DN F~n 6161C
TYPE OF WORK_ 6"WZX 661 ;S]4 FIREPLACE(S) _ 0_ klll~_2
APPLICANT _1"R 14u1L061ZS PHONE#
ADDRESS I3Zd ! Jti-LviThl )0/, F} ~V~'~ I/Lf / ZIPCODE
PAGER # CELL PHONE # ~~2- ~I fIP ~ S~d7 FAX # 7S7
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP D
Energy Code Category MINNESOTA RUI.FS 7670 CATEGORY 1 MAR 2 2 2002 D
(check one) - Residential Ventilation Category 1 Worksheet Sub d
- Energy Envelope Calculations Submitted ~ P
_ MINNESOTA RULES 7672 ey
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing Systcm Includcs: Walcr Softciicr _ Liwn Sprinl:lcr rec: $90.00
Water I-Icatcr No. ol'R.I. 13atlis
No. of Baths
Mechanical Contractor: Phone #
Mech,uiic.d Systcm Includcs: _ Air Conditioning P'cc: $70.00
Heat Rccovery Systcm
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance .
Signature of Applicant ~
Certificates of Survey Received _ Tree Preservation Plan Received Not uired
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ~19 Loweevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
V 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Reptacement 'Demolltion (Entire Bldg only) - Give PCA handout ta applicant
Valuation 2-0 0 ° Occupancy R- 3 MC/ES System
Census Code V3L( Zoning I City Water
SAC Units ci / Stories Booster Pump
Nbr. of Units O Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type of Const s~/? W idth
REQUIRED INSPECTIONS
_ Faatings (new bldg) _ FinaVC.O.
_ Footings (deck) ~ FinaVNo C.O.
_ Footings (addition) t~ Plumbing
_ Foundation _J~- HVAC
Drain Tile Other
Roof Ice & Water Final _ Pool _ Ftgs _ AidGas Tests _ Final
Y Framing _ Siding _ Stucco _ Stone
~ Fireplace J~ R.I. _r'Air Test _ Final _ W mdows (new/replacement)
~ Insulation _ Retaining Wall
Approved By ~ 19 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Suppty & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
I
PERMIT# -L I 5 -P~ " RECEIPTDATE:
2002 RESII?EP17AL PLUM$IftG PEfiMiT APPLICATION
crrY og EAfiax
3830 Pu.oT xtuos Ru D~~~ 0 d~ D
HA6Aft.1HN 551E8
e51-681-4675 APR 0 9 2002
Please complete for: single family dwellings, townhomes and condos when pertnits are required for ea unit, S~
backflow preventer for irrigation system By
Y-4
SITE ADDRESS:
OWNER NAME: : ch v" n I TELEPHONE GS I` LI 5~/ ~ n~
(AREA CODE)
INSTALLER NAME: C L 1'- Lql r1-re TELEPHONE Ttn I~ d~ l1
STREET ADDRESS: 2- 7 O U ii (AREA CODE)
CITY: tSTATE: -*J• ZIP: S U ~
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_T
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit 5!8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ 50
Total $ 501 . 5 ~
I hereby acknowledge that I have reatl this applicatlon, slate that the iniormation is correct, and agree lo comply with all applicable City of Eagan ordinances. It
is the applicanPs responsibiliry to notity the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its normal
operational and maintenance aclivities to the fadlities constructed under this permit withi ' roperty/right-'~o.-v~eas ent, q
O~
~
SIGNATURE OF PERMITTEE 1/02
.
. . . . . .
:e::iY;
. j
. ..BT. ' ~+C:~':~
. . f :,~»=w:°
. ~s
. . . . . . . .
r,,... . . .o.. . ~ :,..~....~.':..:.:.:a ::3!;' f:f':
:If•.:•.
, ;<r.c.....
.
) . . 'w: : " . . ~
. _ . . ' . . . . "
.
, . . , :
.
. . . . . ~ : .
t.
,
: . ~
< .
~ . . . . . : : ~
~
ii
, . . . . . . .
;t
. . : .y?~..r' . . .
.
. ,
D.
~e • .:.,.-s.:~
..a.......~ . ....._........,..::s::~.:;:~e~',~~:a~.w.~......:. . :
.:.:...:....................t.......:..............,..,...a.......... .
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - -
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE ~PI~Y~.UU ~ I (0
FEES
HVAC: 0-100 M BTU $ 24.00 ?
ADDITIONAL 50 M BTU 6.00
GAS OLTTLETS (MINIMUM 1@ $3.00 EACH) LQQ ~
ADD-ON/REMODEL (Ex1STING CoNSTRUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL -in
SITE ADDRESS:
OWNER NAME: TELEPHONE u`"J IJ~
INSTALLER n
ADDRESS:
CTI'Y-1 U-~ YICjU I (Lu STATE: ZIP CODE :~~ao~
TELEPHONE Lq6-" N(l/
SIGNATURE OF PERMITTEE
_..,.za._:....? .._..,...r:., ...,v.:e.. M...m::
t. . ........~.,...w...,.~ A
.
<
s
.,r.. >p.
..v... .a• .i... .Y
.
. . .
:..._c. . .
: . '
~ . .
y. „ ~ A.,, •
, :z•DA'!'~'i:
...V~.....,.:::....~ ~N'~
1993 MECHANICAL PERMTT (COMIVIERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COIvIIvIERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WI-IEN SEPARATE
PERMITS ARE NUT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMTF FEE.
. .
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CTI'Y INSPECTOR
t~TY iISE IJNI..Y .
.
. :
.
•
L•. , .
,
,
, BL c.i:;';..:
.
.
:
p : x:.,•a, ;:.(i:'.: ti:: ..:';;'.5:~~.i..,
;o . :..:....n..
. J . ~ . , . .
. ; ~ . ":f~it:..',~s~':'~"t~'.Y:':"%r..1j..i":,c:::;..:.
~y
,
Jf1. . ~ Yj~
~ . . . ~ . . . . , ~~y
. ' .
. . ~y!
.,.P. .e'r~. /...tc,-~?r.~.~.....:. ...t ;.;~''c~~~i7~ -
1993 PLUMBING PERNII'f (RESIDENfIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
- - - - - - - - - - - - -
NO. FIXTURES EACH TOT~
~ S'r'.^v'vJER 3.00 ~ • o0
T WATER CLOSET 3•00 9• o ~D
~ BATH TUB 3.00 G. • o u
LAVATORY 3.00 12 - o 0
KITCHEN SINK 3.00 3 0 0
1 LAUNDRY TRAY 3.00 3~ o 0
HOT TUB/SPA 3.00
~ WATER HEATER 3.00 ov
FLOOR DRAIN 3.00 t5. 1:1 1:1
T GAS PIPING OLTTLET • minimum - t 3.00
~ ROUGH OPENINGS 1.50 ~
WATER SOFTENER 5.00
PRIVATE DISP. • DakCTy.lit. 15.00
U.G. SPRINKL.ER • nome une« mmi. 3.00
ALTERATIONS • to oisung 15.00
WA7ER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: u a ~ ~
SITE ADDRESS: ~v-
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE (U2) ~23• 3~3d
SIGNATURE OF PERMITTEE
.n<...~<_.._........~ ,...,.;...:..~~:~._...;~V~M
..U.
. . NLY
,
L. BL ~7hE(.`ETl','T.:#~`
~ :
v.
. . ..:<...:.,.~:....,....<:>:...,.>~ r~3£>::;s::: ;
....°:.~.~.fl..:
~av... .
. . ::.z:::~: _
. , . . . : ~;;~r`s><
. . . . ~.r. . C..i'~i.:.~:.. . 1S~w ...b~:
`~~1 •
~ . : . . ._.3.>C s'N,"::F~I
.q. . . i.~:.°.?
. a.. . a . a....'..: , ...:i4~q.....:...c:
A'' . . .c.w:5:$'r>::~.y...f..
w
....._::j::S...:.::: . .,a.~ ti..,,:2..n.~5n•,.'•,.'3'a`:.
c .
. '.:.;:~..,::c..'::..~• .......:::..:r:.,...a..:^..'£:c.:;i`;,-......,.w.,...: , :v
. .
. . . . .
>:a:.
: e . ~r~:`~`~ ~5 " F i. .."';;7~:_F~%~ •'i . F::.;"q;
. r~..~ ,..,...nY.,.... ..:,.~.,.v .
a.,.;......-... - ~ ......M.._~.~.m ,....~.,H,~.._.~....~>,~,,..
_ . ._:a.....
1993 PLUMBIIVG PERMIT (COMMERCIAL)
CITY OF FAGAN
3830 PD.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCL4L/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUI: _)INGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING L...T.
NE,'W CONS'IRUCI70N
ADD Oh
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CON'I'RACT FEE.
STATE SURCHARGE: 5.50 FOR FACH $1,000 OF PERMPf FEE
MINIhtUM FE& $ 25.00
COl`'TRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SIT'E ADDRESS:
I-t-ivAfvi N.4T3£:
OV1fi'ER NAN'IE:
INSTALLER:
ADDRESS:
CITY: STA1'E: ZIP CODE:
PHOr'E
FOR•
CI'IY OF E4GA1`' APPLICANT
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4683 Weston Hills Dr
Lot: 4 Block: 5 Addition: Weston Hills 2nd
PID:10- 83751- 040 -05
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: P
Fee Summary:
Valuation: 3,000.00
Contractor:
Excel Roofing
700 Bunker Lake Blvd. NW
Anoka MN 55303
(763) 712 -0757
ctures are not acceptable in lieu of inspections.
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
J Damon Fitzgerald
4683 Weston Hills Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA078956
07/23/2007
ePermit
ýû
ÿþþ ýüüû
úþþ ìòéþíþÿ
âùö
áóãââ
ÿþù
ÿþýüûùø÷ô÷ÿýüû
ù÷ýüû
û
÷û
ôÿôóïÿûü
ò
ñÿ÷ð
÷÷üð÷ÿ
þ
æâßîÿ
ßûßÝââæ
æãææá
ðåâåéáéáâ
ôú
ÿ÷÷
çÿåâåéâàéàâ
çÿâé
ó ðñ
ùîö
ûû
ô÷ ß
ôþ
æâßîæáóùö÷
ßûßÝââæ
ßÝââóóàã
êæèãææá
÷þü
î÷ûûí÷ì÷÷
÷ìûüûûþ
íß ÿôüí
ï÷é
ûûø
ÿü
ÿ÷
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114736
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 4683 Weston Hills Dr
Lot:004 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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 -
Matthew P Cabak
4683 Weston Hills Dr
Eagan MN 55123--397
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:EA119527
Date Issued:12/04/2013
Permit Category:ePermit
Site Address: 4683 Weston Hills Dr
Lot:004 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Matthew P Cabak
4683 Weston Hills Dr
Eagan MN 55123--397
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:EA120026
Date Issued:01/10/2014
Permit Category:ePermit
Site Address: 4683 Weston Hills Dr
Lot:004 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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. Call for final inspection after installation.
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 -
Matthew P Cabak
4683 Weston Hills Dr
Eagan MN 55123--397
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:Plumbing
Permit Number:EA135592
Date Issued:03/24/2016
Permit Category:ePermit
Site Address: 4683 Weston Hills Dr
Lot:004 Block: 005 Addition: Weston Hills 2nd
PID:10-83751-05-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew P Cabak
4683 Weston Hills Dr
Eagan MN 55123--397
(904) 753-4419
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature