4688 Weston Hills Dr
, . , INSPECTION RECORD
CITY' OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: `3 r~~-a
(612) 681-4675
SITE ADDRESS: APPLICANT:
I lt 1pj 111 i I I~I IM1
1~rfl , I I s I. iJI~ ~.1 1;'.•1 !~i ~ 1
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
; ; A MiNi~ irot,
Par11
i.J t'ltik 1-'l l'Mfrllll'I t'I-I;i,
L
J
Permn No. vermR Hoae. Dsta releplwns:
~i ^J/W
J
PLUMBING ~ r S3 3" 3 ?
~
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HVAC
ELECT
ELECTRIC
! inapection Daa Insp. Commnna
r
F°°W?ga i 10
r-ouriaan«,
Fraffin~
~rig
Rwo Ptbg- /-9
o T
Isul. I J7 /174?5 ~ ~d ~I ~U
Flreptsoe
FhW Fily.
Orsat Test
Fmel Plbg. ~0'/ Plbp. Inspedor-Nodiy Plumber
Consl. Meter
EngrlPlen
Bldg. FWW
Deck Fig. I
I
Deck Final
weli J
1
. Disp.
j
~
r ~ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ' ` ~ 1 0 1 N'j
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 1
SITE ADDRESS: APPLICANT: I
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . D.
t,~~ ~ i
~
`
~
~
F- ~I
_L ~
Pormk No. Vormk Holdw Oate TeNptwne #
~ ELECTRIC
PLUMBING
Hvac
M.p.cu«+ o.a rnW. comn«,n
FoonNcs
FOUND
FRAIAIW(i
ROOflN(3
P U~MBIN(3
PLBCa
AIR TEST
ROUGFI
HEATING
~ SVC
INSUL
arn eoAao
FlREPUCE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL FITG
ORSAT
TE5T
BLD(i FlHU1L
BSLfT R.I.
BSMT FINAL
DECK FfG v
DECK FINAL
~8'/~
~ F~
Wei.~jicate of cccu.vanc~
girv o~
~ ~o"fion
This Cerrificcue issutd prersuant to the rrqrerrenttnts oj the Uniform Building Codt
ctrtifyirtg t/tat at the time of issuance this structure was in compliance with the various
o+dinances of the Ciry regulating building construction or use. For the following:
ux cbszir,cuice: SP DWG abg. Pem,;, r,o. 23350
ow,pu,,ry ryl, R3/M I y;g o;sja R) Type Const. VN
o.ot eWr.WACMAtt HMS 48 Adk.,. 1801 QD WY 8, NBW BRI(~Il~l~
ewwiog Addr=Z 46AMSInN HI11S I3tIVE tAcatay Lb, B2, WBSIXN EIIIIS ZNID
/ • ~f ~ o.~e- /`'~~~~i`~
POS"T IN A CONSPlCUpUS PLACE
Address 4688 wESmN NTT T S pgIVE Zip 5512 3
Lot S Blk 2 Sub weSlChv tm.Ls 2rID
THGSE IT'EMS WERE / WERE NOT COMPLECE AT THG TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector.
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry) v,~'
Permanent driveway
Permanent gas ?
Sod/Seeded grass VI.
TraiUcurb damage
Porch V/
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exisis.
Contact engincering division at 681-4645 beforc working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Residenl Copy Pink - Contractor Copy ~
le-
~ n RESIDENTIAL ~ ~ ~ ~j
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Canstruction Reauirements RemodallReoair Reauiraments
• 7 registered site surveys showing sp R. ol Icl, sp. A, of house; 3nd all roofed areas • 2 cc0ies ol plan
(20% maximum lot coverage allowed) • 1 set of energy Calculalions for heated adtlitions
. 2 coDies ol plan showing beam 3 window saes, poured fountl tlesign, etc.) . 7 s¢e survey tor extenor additwns & decks
. 1 set ol Energy Calculauons . Intl¢ate d home servetl by septic system for addrtions
. 7 copies ol Tree Preservalion Plan if lol platted aRer 711793
• Rim Joist Detail ODUOns seledion sheet (hidgs wdh 3 or less um6)
DATE aSI o~ VALUAiION g 14 o O O
SITE ADDRESS "f (p ~SS.S WESTb~ I~ I IS D 2- • MULTI-FAMILY BLDG _ Y rN
iYPEOF WORK ~e,SJLZ Yt g '96DT FIREPLACE(S) _ 0_ 1_ 2
cinae was window a iding
APPIICANT Dri"
STREETADDRESS Ph'~952~~440O~&KOM891"4250 CITY STATE_ZIP
TELEPHONE # CELL PHONE # FAX #
S I ~
PROPERTYOWNER~jOJ1L/v1TE1DJDlaI'\So'Y~ TELEPHONE# (DgP- CDq`3 2-
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIV\l'.ti0't'.\ RL'I.1•:5 7670 C:\"Ch:GnRl' l MINVESOT:\ RCLES 7672
submission rype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Enveiope Calculahons Submitted
Plumbing Contractor: _ Phonc #
Pluinbing system includcs: _ Water Sof[ener _ Lawi Sprinkler Fee 590.00
Watcr Hea[cr No. of R.I. Bachs
No. of Badis
Mechanical Contractor: Phone #
N/[cchvnc.il s} tilcm incliulcs: :1ir Condiuouing Fcc: 570.00
- HcaL Rccovcn' Scslcm
Sewer/Woter Contractor: Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all opplicable State of Minnesota Statutes and City of Eagan Ordinances.
Signalure of Applicant C-11.- ~ -
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Recerved _ Not Required _
Updated 4I02
OFFiCE USE ONLY
O 01 Foundation ? 07 OSplex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-ptex ? 12 12-plex Plbg_Y or _ N ? 25 Miscetlaneous
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 A4teratlon ? 37 Demolish (Bidg)' ? 43 Reroof O 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Giva PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories , '.BooSteriPump
Nbr. of Units Sq. Ft.
Nbr. of Bldgs Length it ' n'~{Fe S~dinki~fed
1S?Fk{lU. ~ Y , !h
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new btdg) _ FinaUC.O.
_ Foo[ings(deck) _ FinaWo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice 3c Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (aew/replacement)
_ [nsulation _ Retaining Wa11
Approved By , Building Inspector
6ase Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT ~'7~1<
ITY OF EA~aIV PERMITTYPE:
3830 Pilot Knob Road B U Z L ff 2'N G
Eagan, Minnesota 55123 Permit Number: 0 2 3 3 5 e
(612) 681-4675 Date Issued: 0 5/ 12 / 9 4
SITE ADDRESS:
4688 WESTON HILLS DR
10T: 6 BLOCK: 2
WESTON HILLS 2ND '
P.I.N.: 10-83751-060-02
DESCRIPTION:
Building Permit Type SF DWG
Building Work Type NEW
UBC Occupancy R-3 M-1
Construction Type V-N
2oning R-1
Building Length 58
Building Width 48
Building stories 1
i
~ ~`i/~' ~ _~I~ •
~
i
REMARBCS:
PRV S S W PLBR - PLYMOUTH PLBG
FEE SUMMARY:
VALUATION $111,000
Base Fee $678.00 MISCELLANEOUS $1,828.50
Plan Review $440.70 Total Fee $3,802.70
Surcharge $55.50
SAC $800.00
3AC % 100
SAC Units 1
Subtotal $1,974.20
CONTRACTOR: - Applicant - S7. LIC. OWNER:
ROMAR HOMES CO 14844044 0001281 ROMAR HOMES CO
1801 OLD HWY 8 116 1801 OLD HWY 8 116
NEW BRIGHTON MN 55112 NEW BRIGHTON MN 55112
(612) 484-4044 (612)484-4044
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 5tate ofi Mn.
Statutes and City o an Ordinances.
- J
APPLICAI T/PERMITEE SI ATURE ISSUED 8: SI NATUR
` CITY OF EAGAN
94 BUILDING PERMIT APPLICATION
~ 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural pians, I 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 '7' / 7 /~Y Valuation of work
Site Address:~l~,Q-,~
STREET SUITE p
Tenant Name: (commercial only)
LOT ~Q BLOCK T SUBD.~ P.I.D. #
Descri tion of work:
The applicant is: ? Owner 19.Contractor ? Other (Describe)
Name az.~r~c -4~kv i7!~Xr n[ft cvk ~ Phone
Property LaST FIRST
Owner qddress
STREET STE p
City State Zip
Company Phone
Contractor Address~.~~L~~. License #X)MZR-.\ Exp??~
City`0\~., State . Zip
Company c ~ Phone
Architect/
Engineer Name Registration #
Address '
' City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once-irea 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: asa
~ ~ ~
~ BUILDING PERMIT TYPE OFFICE USE ONLY
.r, '',._....:+ei
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
l% 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
O 03 SF Addition ? 08 S-Plex O 13 Garage/Accessory ? 18 Comm./Ind.
? 94 SF Porch ? 09 12-Plex D 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Oeck O 20 Public Facility
11 21 Miscellaneous
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) v A,/ Basement sq. ft. !l S.~ MWCC System ~
(Allowable) lst F1. sq. ft. LS~ City Water ~
UBC Occupancy / 2nd F1. sq. ft. PRV Required
Zoning _ Sq. Ft. total Booster PumD
# of Stories I Footprint Sq. ft. Fire Sprinkler
Length rpOn-site well Census Code
Depth ff , On-site sewage SAC Code ~L
Census Bldg
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .Site E) Footing ~ Framing Insulation
O Wallboard ~ Final ? Draintile ? Fireplace
Permit Fee vaiuacia,: S f/l, ~'Uo
Surcharge
Plan Review
License 1~Yt~(= 341
MWCC SAC
City SAC t~- r16= tg3-
Water Conn.
Water Meter
Acct. Deposit
S/W Permi t
S/W Surcharge
Treatment Pl.
Road Unit ax~
Park Ded. B-t- =1 f Sa
Trails Ded.
Copies
Other
Total: ;a,y,rau,N =~6G
5AC% a'r~~ = y~
SAC Units 7o1w X = //iz-G `
Pinnaer Enslnaerine 7833883 P.02
~ 2422 Enttrprlse DrWe
Mendola Heights, MN 55720
~ PIO ,M~~~7 W!U SUR~EYORS ~ dNl ENCUlFf7t5 (812) 681-1914•FOX 88I^g~S
* eng neer ~g LMM WAmm • ~~AM ARMWJM I 625 Hlghray 10 htortheosf
* Blaino, NN 55434 '
I (812) 783-7580•F6x 783-1883
Certiflcate of Survey for: Romar Ho e5 C.'
House Address: 4688 Weston Hills Orivej Eagan ~ Model Name: The Cape ~ i
,i ~ `
S89'42'30'W ~ 85.00 ;
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~•a~ ~ DRIVfWAY
EAGAN - - .
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: q5$8, ~ ' i
wai~~ 9St.E 5~.42.3 . ~ y49.7 A '
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~ WESTON HILLS DRlVE
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NOTE: CON7RAQT(xs 11UST WtlFY ALL dA1£NSONS ANO DRIVEWAY DE'Shc I :
I
. soao Oenotes Existing Elevatlon pROPOSbD HQUSE EI.EVATI(lN
•c!M!~) Denotrg Proposed Elevction Lowest Floor Elevation:950.45
Denotes Orainage 8c Utllity Easement
Top af ~lock Eievation:953,66 Aenotes Drainoge Flow Direction ~
-o- Denotes Monument Garage ;Slab Elavatton:953.q4
-E3- Qenotes Offse!_ Hu6 Bearings shown are assumed ~
LOT 6, BLOCK 2 WESTON H1LLS ~
DAKOTA CWNTY, MINNESOTA 2 N D A Q D I TI O N . I hwaEy prtify Jlut this aurvoy, plsn er report was prepyrad by m0 0r uM1N my direet tVpBFAi10n antl ihat 1 em duly PplsUnd I.and Surwyor
. under Ihe lavn of tAe Smte of Minnesata. Oeted thifJl7" dey of rc1s~ 0'+ A.D. 19
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LOS •IIRVEY CELCRLIBT !OR ItLSIDLNT2l1L
~ SDILDIl10 RMIT AF LIG1T ON
Dat• ef lurvept _
Roc rrr sr Nf,A4.,A /%T/y
O 0 • Registered Lnnd 6urveyoz siqnntuze and eoa+peny S O 0 • 8uilCing perrit 1?ppliennt '
D D • I.oqnl dtacription
_8- 0 • 11ddiess
l7 O O D • North arzov and bnz •enle
D-~ 0 0 • House type (rambler, valkout, split Y/O, fplit entry,
lookout, etc.)
0~ 0 0 • Disectionnl drainsqe azzou+s vitA slope/qrrQient
8~D 0 • Fzoposed/existinq sover and vnter sezvices
0' 0 0 • Street nnme
VD 0 • Dzivevay
tLLOI?TION9
sxistina
fl D 0 • Sewer sezvica
L7~ D D • Lot eorners
0 0 • Top of eurb et the erivevay
D~ 0 0 • E leve t ions of any exicting edjeeent hoaiee
proeeseG D D D • Carage tlooz L~0 0 • First 11oor D~ 0 0 • Lovest exposed elevation (velkout/viadov)
0 • Fzoperty corners
0 D • Fzont and zear of bome at the foundntion
?ONDINO 71RE7?8 fit aeplieablef
. 0 ~D • Ensement line
D ~ 0 ; t~wL
0 • Fo d f designet3oa
D D • fterqeney Overflow Llevation
nIMt?tBIO1P8
~ D 0 • Lot lines
VD D • Ripht-oi-wsy •nd stsiet vidth (to bsck of cuzb)
~D O • proposed Dome Eimensions inelveinq •ny proposed deeks,
ovezhenqs qrenter thnn 210 porches, etc, (i.e. a11
structuzes =equiting penennent footinga) •
D 0 • ShoW all easements of reeozd and any City utilities vithin
those •esements
D~ 0 0 • Setbeeks of proposea strveture anQ setbeek oi edjeeent
D _ /p ~ existing homcs , .
O' Reteining equireaents, if any
Revitved: Y7
Nn e 7 n r.
313r'. c•Anc'
EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET
To Determine Cortgliance with the Minnesota F3lergy Code
(Section 502_of the State Amended 1983 Model Energy Code)
Project Title
Site Address~~o~Q~
1. EXPOSED WALL CALCULATIONS
ARFA "U" VAIAE ARFA x "U"
A. Opaque Wall
1. Masonry/Concrete
a. x
b. x
c. x
2. Foundatirn Wall (Above Gra e)
e• x E> = C ~7
b. x = c:
3. Wood Frame Wall
a. Insulated Area i sfc% 7 x -72.2.51'
b. Framing Area (Ave. 158 at 16" oc) x , o9 = I 8
c. Framing Area (Ave. 108 at 24" oc) o x = o
4. Peripheral Floor Edge/Rim Joist
a. g .c7,713 = 7,G~
b. x = v
B. Glazing
1. Windvas
a. 7 x /DE...7
b. c-' x = v
2. Doors sG~~-Tiuncr~2 32 x av2 =/3.y`i
C. Doors
1. Yood
a. Solid o x = o
b. With storm door C9 x = r~
2. Metal 3 S x
3. Overhead ax = o
4. Other x = c~
D. TO'PAL WAIL ARFA, sq. ft .a v5- Z
E. TOiPAL of ARFA x"U" 21"7. Y j
U. ROOF/CEILING CALCULATIONS
A. Roof/Ceiling Insulated Area /j411 x .022,
B. RDof/Ceiling Framing (Ave. 15% at 16" oc) C';, x = p
C. Roof/Ceiling Framing (Ave. 108 at 24" oc) x 02u = D. Skylight n x = a
E. "AL RJOF/CEILING ARFA sq. ft %`U
F. TOrAr, cF r,xMA x"U ° 33e6*l
M. BUILDING ENVELOPE REQUIREMENTS
TOTAL AREA RDQUIRID "U" ,ALLOWABLE
(Fran I.D & II.E) (Frcan V.) (Area x "CT")
A. EScposed Wall: x = 1? 3e<r=-
B. Roof/Ceilirg: x ..U= L = 3Sa'41
C. TOTAL ALLOQABLE BtJILDING ENVEIAPE (TOtal of A& B aUove) 3 I I.7
~
IV. ACTUAL BUILDING ENVELOPE
ACTUAL
(Area x "U")
A. Exposed Wall (Frcen I.E) ? 7, v 3
B. Rmf/Ceiling (From II.F) 3;,nss
C. 'POPAL ACiUAL BUILDING ENVII,OPE (Tota1 of A & B) . . . . . . . . . . . . Z 6,f% f /
*(Xeets code requirements if less than III.t)
V. REAUIRED "U" VALUES
WALIS %JOF/CEILING
Detached ore arrl twn family dwellings ,11 .026
* Multi-Family Residential Buildings .238 .033
(3 stories or less in height)
* All Other Construction Zypes (3 stories or less) .238 .06
* All Other Constructirn Types (More than 3 stories) .28 .06
' Based on 8007 heating degree days (Mpls/St. Paul)
Adjust 'U" values accordinqly for other locations
CERTIFICATION
I hereby certify that I have canpleted the above inforniation and that it camplies with the
Minnesota State Energy Ca7e.
Signature ~.,n-,. Date
/
BCSD 3-89
CC/S64/6574
,
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PERMIT M0 +5 q-o s
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 0 0 I N G
(612) 681-4675 Date Issued: 0 7/ 13 / 9 5
SITE ADDRESS:
4688 WESTON HILLS DR
LOT: 6 BLOCK: 2
WESTON HILLS 2ND
P.I.N.: 10-83751-060-02
DESCRIPTION:
Building Permit Type pECK
Building Work Type NEW
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - Applicant -
JOHNSON THEODORE
4688 WESTON HILLS DR
EAGAN MN
(612)726-4467
I hereby acknowledge that T 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.
. ~
APPLICANTIPERMITEE SIGNA7URE 0 ISSU D BV: NATURE
CITY OF EAGAN ~ U
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -46T5
New Construetion Reauirements RemodelJReoair Reauiremenfs
? 3 registerod sRe surveys 4' 2 eopbs M plan
? 2 copies of pWns (include beam & window saes; pourea fitl. 0esign; etc.) I ? 2 eke aurveys (erterior addRions 3 deeks)
? 7 enerpy calculatlons ? 1 enargy calculations for heated edtlRiona
? 3 copies of tree pieservatlon plan 'rf lot platted after 717193 '
roquirod_ Yes No DATE: 1h I 95-
CONSTRUC i ION COST:
DESCRIPTION OF WORK: f2ui ij Am D2LV.
STREETADDRESS: Mq. I36,TW ttill5 ~R• ~ Y~-tCs/~N ~AI. ~SIZ~i
LOT BLOCK SUBD./P.I.D.
PROPERTY Name: ~µ,l1so~J I f~~6/ad2E Phone W
OWNER
Street Address,-
City: ~w State: Mxl, Zip: 55~23
CONTRACTOR Company: _ Phone
Street Address: Lic2nse
City: State: Zip:
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer & water licensed plumber: Penalty appiies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the infortna' p is corcect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY p-¢~~ENED
CeRificates of Survey Received _ Yes _ No J U L 0 7 IS05
Tree Preservation Pian Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 MuRi RepaidRem. ? 17 Swim Pool
? 03 SF Addition o OS 8-plex o 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex 14 Fireplace o 21 Miscellaneous
? OS SF Misc. 0 10 _-plex 65p-~15 Deck
WORK TYPE
03'~31 New o 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
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. 4/3 j
Depth Footprint sq. ft. SAC Code L
Census Bldg /
Census Unit o
APPROVALS
Planning Building Engineering Variance
Permit Fee ~ Valuation: $ /Zfio
Surcharge YfqS. 4or'~ p
Plan Review 0 1'
License De(,k ~ art
MC/WS SAC
City SAC ~4 c'
~ dr
WaterConn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
7otal:
% SAC
SAC Units
~ Pionaer Envinserlns 7BE1883 ' P.02
! " ~ . .
2422 Enttrpriae DrNe
Mendola Helqhts, MN 55120
~ P1011N@ER (012) 6e1-i9t+•Fox sei-saae '
* uw° PLANNM' uxnscnvc Paan
e11 ° s rnyn.oy io Naineoal
* e neer n* g 1 Blolne, NN 5~434 ' ~
.~c * * i 1(50212) 7as-~eeo•eo~ 7e3-1e83
~ Certiflcate of Survey for. RORI Qr H Orl'1 es. I n c.
. Housa. Address: 468 Weston Htlls privei Eaaon._MN_ • ~
. i Modei Name: The CaDe ~ ~•i
~ ~ •
i1 S89'42'30'W
85.00
~ . '
" ~ • . ~PC _ ~~x ,
, ~~e E`~4 G A~.N .
' 5 '?~0 94aH6 Tee ~97~9 Y I R E V I E WE Di
` e q5 q
er.
Il3a3 sersr q~
taeo u.o ~aeq ~
N 1• ~ ~I N ~ ,
~ vrmPOSm xouse o ~l
: o ~ a a MPM "IMuE,r 4.0 ~ . w sz,r • ~
rNxour 4
y4f3.1 d~ 10.00
I ~ ou+AGE 7.0
14M '
].ao 1aw ~ xa.31 ~ 95t.sY~113
I .
~ 9 !.2 9si.4
. By
~
D ~ oavEwAr
a`L -----J,8 ~
EAGANE G E E
.c ~ I o~ • ~
1~ 95 BrJ. I t
~ ~ 9sr.d 1589 L'42•3 • ~ g49.7 5i '
~.s.., sJ-~, -
; WESTON HILLS DRIVE ~ ~ .
Pr.pnsad el.v Son Sewqrr, o-t P..p. I:n• 4vo.6 . .
NOlFs 0014711A01011 MUST VQlFY NL dNFHSI0N4 MA DPoKWAY OEpGN I (
. ~
. soao Denotes Exieting Elevafion pROPOStO IiQUSE ELEVA'RON'
¦c,0M Denots ?rapesed Elevatlor. • ~,oWesL or r~evaiion:55~.45
, - Oenotes Dralnage dc Utlilty Easement
- Denotea Drainoge Flow Direction Top of ~tack Elevatlon:953.66
-o- Oenotea Monument Garage ~Slab Qowtlon:853.
13_ Denotes Offset Hub gearings ahown are aseumed ~ .
i .
LOT 6, BLOCK 2 WESTON HILLS
' oiucorA couHrr, aiNNesorn 2 N D AD D I TI 0 N
. 1 h•r.6Y artlfy th.e lhL au.voy. P6n er r.pn" w.. PmprDd bY Mr a uM" my diqet I donsntl Na! 1amdufy RpltUr.d Urd Sutvyar
. u~r Ur Iwn of LM Shn of Mlnnnoh. Wttd tALI$IH dsy of mALib A.D. iB~. .
ScVIe: 1iar-h=30fmt
ME 1329E.07 ~
R-95% ~ 7831883 04-14-94 02:26P6t P002 3i26
, ,,....«...u.,,,,..>..;r~y .y:r.;;~c CTrY SUSEONLY
. .:.y :
~ . . ^r~x.%n .
. . . . 'n~a.:
. . .c.:~ ..~.~t[.::.: ~ f::.v !~:i
. . .p~..~....~ . ' • rv~~ a .
~,Usn
. . _ . . .
1994 PLUMBING PERMII' (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
I SHOWER 3.00 0 L-)
1;z WATER CLOSET 3.00 Co • dv
-a BATH T'UB 3.00 (o • 00
~ LAVATORY 3.00 ~
KITCHEN SINK 3.00 ~3• c30
LAUNDRY TRAY 3.00 3: ao
HOT TUB/SPA 3.00
WATER HEATER 3.00 3= c~
FLOOR DRAIN 3.00 3= co
~ GAS PIPING OUTLET • minimum • 1 3.00 3-u`ro
ROUGH OPENINGS 1.50
WATER SOFI'ENER 5.00
PRIVATE DISP. • Dak.Cty. lic. 20.00
U.G. SPRINKI.,ER • nome uneer const. 3.00
ALTERATIONS • to aisting 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL: 14g.00
SITE ADDRESS:_ LI Iogg wLjolkn
OWNER NAME: eo-,T~ C3UYYl~-w
INSTALLER:~
ADDRESS: IM W UY1r\k4'ka- l.(AA ~J.
CITY: STATE: 1' Y L?j ZIP CODE: 52I 29
PHONE
SIGNATURE OF PERMITTEE
a
~ ~ ~ •s:~.,.,
» . ::;:;.:.h
~
j<.:.:• g~ e~.
e , . Gg,; i.
~TpT a. <v , r s~y .c~a - o v;
'~X".•'L£~£FT`,c'."a~`.n.~'.~'..'~dR~ . , 'a~l.~'«.~,a.. . <...s+~-~wai..~.,.., .,!~?'.-,3;t
1994 PLUMBWG PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MI3 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 CONSTRUCI70N
ADD ON
~ REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FiiL: 1% OF CONTRACT FEE.
STATC SURCHARCE: $.50 FOR FACH 51,000 OF ERIK,P~T FEE.
NtINI11iUTt FEE: $ 25.00
cor'TRACT PRICE X 1% a
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR•
CITY OF EAGAN APPLICANT
CT'tTTSE:;ONt;Y
; . . :,._,.~ya,..;... . . . " . - .
. : , y... u.._...: ~..ro.c..~....,~n
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1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- -
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExIS'r'IING CoNSTRUC'Cion$ 20.00
STATE SURCHARGE .50
TOTAL 33.6b
SI';E t;DJRESS: ~(o~~ ~.25~^C1 vT& CV .
OWNER NAME: TELEPHONE
INSTALLER:
VOCT HEAT, 1tiG 8 AIR COkDRiONlNd
ADDRESS: 19Fn r.nQUnr-4 nlir
ST LO!!IS PARI<, Mfd 55426
CITY: SA1 FC Q9Q-fi7F,7 SFRUI(:F Q994$WIATE: ZIP CODE:
TELEPHONE
SIGNATURE F PERM TEE
~ . . .,.::,:,..w....._.w...
. ;o ~
r:.::.~,.:~.,z..a. . :....:..:....."^:~E<.r 'S~'~c.:;"^.«'"'~t"" ^w,.x~+~r.aw- ..;.r;,:;,,;~ •
L.<:ax'iiz:.o_>:.:.. ':'i . ,
.DL :.f.....~..::..n..>•:.:..,....':..s.,n:>:.[y:~...o:3.Yw~:,':.:.:.. ~,..~~>v:~~~ ~iq'; 3.'S';.:
.r...... , . .
:.4y
,....:ra• . . .........:..N.....:
e.
..-.....:.a..a.. . [...na... ' . . ......~vt. a ~ .a. ~fj<i;`:::af a
. . ...n..:w< < Q o-'@.~ .RY.n :.8°l•.:i . ..:<Ni~'y;a a..i~< < L..•,.•[..d...d~aiE?.':~:i_i A.~:f;"~
..a::i.
._......,.F.....:.. . ...c.... oyri..q........e T.:.n..A. y `Z•, ~ .r...~.:_.
y~~ ° . ;n~....c< Pr...~.....3.~. ..rx
. . ...o-.... . ..".:...:...~...a...~.. . .:..a::o..:c..
: ....~:..i...;a~:;
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..:......a. ..n ..a.......k..: ~a. S. ~...~.~~~av:..c...~:.:v:.~y'. °ef... i... p. 3
..:'FR~'...:....... A.....:....:y.5 _~..Y';x..l.o.a.......i\:a.:9.s..."R'~~ ;E:•>l:_:.L . . . ....J . R.r.:~R 'nk::.c„ i~F
~ ..........ny.:::'..~.....e:c. . :.J:.]y...~.i.c~ .....r...~+..a..>~n.[.n.N.... .Yt ..on.......:.q~n:< onJ~n..:.:..' aa...m....?...:` .:..r .
,a.n • J.......:.. fe:[...~5'id.~~.... tr ..o .n<.
Y.~
^cni%:~ i~.l.~.A.. e4fi~ i::~:a •n:F:o ~A.^:.f~.S.: ~:in.~..:y .huEL~aF~..:~:
.:a.... ,.<_.::...r:.~r=<: .~s,:: t;~;l) '•`.s.r. ~.~:°.;:;:s.;,.~_~..
c..~..::~.:::~..~..~~s,....... s,?i;:%'.:.i:Mb~So.1:~i:.'sY.`.s?ii>isc.i4:{:.~Si:.;'st~..w1~'G"",,.:.n... ~sis.....w.,,~,..ra,ae.~.,.»,H~.....b..w,.e.., ~~"..w..xYa'`zTe,.e».,..„sr.f•~~
1994 MECHANICAL PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMIIvIERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WI-EN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
- - - - - - - - - -
DA'TE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONTRR;CT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STAT'E SURCHARGE $.50 FOR EACH $1,000 OF PERM~'1~ FEE.
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONL1)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CTTY IIVSPECTOR
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Date: V.)
Tenant: Q �4
RESIDENT OWNER
CONTRACTOR
TYPE OF WORK
PERMIT TYPE
x
Applic: nt's Tinted Name
FOR OFFIC
Required Ins ections:
City of Evan
2008 MECHANICAL ICA PERM IT APPLICATI N
Site Address: i(P ZJ w P �L�
Name: TA
1� L C
44 rn Phone: (-4S
Address City Zip: "t CO WP- S'"V'Nl �V
Name: �r0C
Address: V V L City: ‘2-t.�
Phone: (On 7- Contact Per
New
Description of work:
NOTE: Both roof mounted and ground mounted rnecharnical equrpt r req to
be screened biy City Code. Please .contact the Mechanical Inspector or one: of t he
Planners forinformat on permitted. screen' ingrnethod
Under Groun
RESIDENTIAL .Q_
1\ Furnace "P awr'Wr'�'
Air Conditioner
Air Exchanger
Heat Pump
Other
ough In
Replacement Additional
RESIDENTIAL FEES:
$50.50 Minimum Add -on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
COMMERCIAL FEES:
$70.50 Underground tank installation /removal
$50.50 Minimum (includes State Surcharge)
If Permit Fee is Tess than $1,000, surcharge is $.50.
If Permit Fee is $1,000, surcharge increases by $.50 for each
$1,000 Permit Fee (i.e. a $1,001- $2,000 Permit Fee requires a $1.00 surcharge).
I hereby ackno ledge that this information is complete and accurate; that the work will be in confo
I understan s is not a permit, but only an application for a permit, and work is not to s
work vghich requires a review and approval of plans.
New Construction
Install Piping
Gas
x
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State: 1
Under Above ground Tank Install Remove)
When installing /removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
e
License
ordina
at the w
Applican s Signature
For EIKOINLo
Permit# q/6 0 g
Permit Fee: 7
Date Received:
Staff:
L
Suite
OR Contract Value x 1%
oor Heat.
ZipEy J��
Alteration Demolition
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
HVAC units must be screened
TOTAL FEE
Permit Fee
State Surcharge
TOTAL FEE
of the City of Eagan; that
cordance with the approved
Jeffrey Wheeler
From: Lora Lee Lutz [mflutz @wwdb.org]
Sent: Monday, November 09, 2009 2:47 PM
To: Jeffrey Wheeler
Subject: Jack and Kristi Tsahalis 4688 Weston Hills Dr.
To: Jeff Wheeler
City of Eagan Man.
From: Mike Lutz
Genesis Heating and Air Inc.
Jeff,
/ 94A, 00- 9760e
As you requested the Orsate test at the Tsahalis home has been completed
Results:
Co 0 PPM
Co2 6.9%
02 6.3%
Stack Temp 130 Degree F.
Manifold pressure 3.5 "WC
Heat Rise 59 Degrees F.
Luxaire
Unit Model # TM9X080C16MP11
Ser# W0L9570975
Input 80,000 Btu Natural Gas
Web Site WWW.LuxaireCom
You also requested the manual be on site. I found it in the lititure rack on site at the home.
I hope this will be all you will need to close the permit. Please call me if there are any challenges.
Sincerely
Mike Lutz
Genesis heating and Air Inc.
Mar 07, 2014 01:50 PM 8885487039 To: 16516755694 Page 1/3 From Todd J. Adams
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RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 6eST G.ie s- ' 7 les 1% unit iM
;Gall Gopher $tate On6-Ctall•at (651) 4544002for protection against -underground utility damage. Call 48 hours
locates nt urOarground_utildies..www.aooherstateonecatl.orq
irrratton is.cpmplete. 64(1'0600(e; that .the work wtll tie. in conformance with the ordinances and, codes of the Cil o
perm)t, but- only an appiicatloq'fnr a pernjit, and work, is ;n..ot, to start without a.peintih that the Work wall be ii
in tho ase of work which .09004 140W, review and approval:of plans ,
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Idf�gA lmiX tssu din ac or4ance yluth the Mmn. ,.„ . ate ,p ln. ds,.m s b. ,,,.,.rnp, tRd rat .
Generated by CamScanner from intsig.com
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144514
Date Issued:07/28/2017
Permit Category:ePermit
Site Address: 4688 Weston Hills Dr
Lot:006 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-060
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 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 -
Jack G Tsahalis
4688 Weston Hills Dr
Eagan MN 55123--379
(651) 454-4311
New Windows For America
2123 Old Hwy 8 NW
St. Paul MN 55112
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148513
Date Issued:04/03/2018
Permit Category:ePermit
Site Address: 4688 Weston Hills Dr
Lot:006 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-060
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 -
Jack G Tsahalis
4688 Weston Hills Dr
Eagan MN 55123--379
New Windows for America
2123 Old Hwy 8 NW
St. Paul MN 55112
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151067
Date Issued:08/06/2018
Permit Category:ePermit
Site Address: 4688 Weston Hills Dr
Lot:006 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-060
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jack G Tsahalis
4688 Weston Hills Dr
Eagan MN 55123--379
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(952) 895-8100
Applicant/Permitee: Signature Issued By: Signature
IC
r
0
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122 1810 E C E ■ VE
(651) 675-5675 TDD: (651) 454-8535 I FAX: (651) 675-56 Staff:
buildinainsaactionsecityofeaaan.com JUN 1 2020
2020 RESIDENTIAL BUitaDIN PERM APPLICATION
Site Address: Unit lt:
Name: CAL .* Kars,; T5A4-1ALi s
Address / CUy / Zip: Life t A s i!
Applicant is: Owner b Contractor
Phone: 1��71r - &Al% citiq
•.Is Oh
Description of work FE. - r I§ IL! a; i'
Construction Cosh COO Multi -Family Building: (Yes I No ( )
Company: ides. t 1 0, �.�,j t r
Address: r3,�to ($4 r
Contact Ci.46e9''�'urr'
City: d f K.-, tie I
St0te:7t u . ZiP: l- Phone: t<Z�r$„
License # . f " A� ' �° Lead Certificate it:
lithe project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
Mechanical Contractor.
For Office Use
Permit It: /a �� I
Permit Fee: eP9 4 ' 0 7 1
Date Received: //
NM: and isupp 'tatyor~sabinitalmt conskIsnidrebr publicbdromrai9on. Portions Otto i pi m iney be.:
chketiged as non pUbifo ffybupavidesppcf1teem* Chet tnt►ld' ' the 0 m o conclude that = ale :;, r:secrets
You may sulk to receive an etectronlc notification from the City of proposed ordinances by signing up for an email update on the CIty's
wet slte at .aftvefeaaan.com/subacribe.
Exterior work authorised by a building pearmtt issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at 051) 454-0002 for protection against underground Lady damage. Call 48 hours before you
intend to dig to receive hates et underground unties. www gonherstateanecall.grq
I hereby acknowledge that this irdormatlon Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 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.
x 1 P-N'a - ;i �11 v ` , Sl x
Applicant's Printed Name Applicant's SI_
(--/6ge 14ilLs , 2c/6
_ Single Family
Multi
01 of Pies
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace
_ Garage
.Deck
Lower Level
Porch (3-Season)
— Porch (4-Season)
— Parch (Screen!GazebolPergola) —
Pool
WORK TYPES,
New — interior Improvement
Addition _ Move Building
Alteration _ Fire Repair
Replace _ Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
0
Siding
Reroof
Windows
_ Egress Window
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
_ Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test Final
Insulation
_ Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed Sr
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
(c1./
ExteriorAltenatien (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building'
Demolish Interior
— Demolish Foundation
_ Water Damage
*Demolition of entire building- give PCA handout to applicant
,3,4fILL MCES System
Mg „0, )bAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final 1 C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: Footings Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath Stone Lath _Brick — EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In Final
Erosion Control
Other:
, Building Inspector
Ofailc
f?ftL2 lt�f-0)f--
1100 yl<: iJn�
Page 2af3