4692 Weston Hills DrNov 02 10 03:06p Paul Brennan
Date:
City of Eaaall
3830 Pilot Knob. Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
5076457109 p.1
Use EWE' or BLACK Ink
For Office Use
L� v7-
Pemilt
/Permit#: 5- Fee: b 0
Date Received:
Staff:
2010 RESIDENTIAL PLUMBING,gqPERMIT
APPLICATION
1)0, Site Address: Ve "W e:3?'GV 1" (L
Tenant:
Suite #:
RESIDENT I OWNER
Name:PC )v7/ Ak.L..)eit)f5-P4_ Phone:
Address 1 City 1 Zip: `( �"l a 1,t?ac,UJ, dos i.
CONTRACTOR
Name:--6,\.a..-AA' Pcvi44_6 /'L rigi License#: D.. 92r Poi
Address: ),G -L i) -e--4-/ J�J d /t/.ur� City: t1C, �C��
,J /�
State: l&f zip: `� ��e7 Phone: 079 - '/7 / / F /$
Contact Email:
TYPE OF WORK
New Replacement Repair Rebuild Modify Space _ Work
_ _ _
jiin"fR.00.W.
Description of work: .1. iv /(.%['5 k 3f ct ixc' 1 r % Ors- ! �lir v
t�i N!'
RESIDENTIAL
Softener
PERMIT TYPE
Water Heater
// �f'
Add Plumbing Fixtures ( Main ! `f Lower Level)
Lawn Irrigation ( RPZ 1 _ PVB)
Water Turnaround
Septic System
of
New G Q,; () 09-h't zj�
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 518" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities.
l 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
Ea.an; 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 wit be in
a •': , ce withl the approved plan in the case of work which requires a review and approval of
g
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _Under Ground ,,,,Rough -In ,^Air Test ___ Gas Test Final
City of Eathall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
61
\
h
4)0j
i�
+P Use BLUE or BLACK Ink
g4r offae Use
Permit #: ``-� \ i\( may'\
Permit Fee: A, 2
Date Received:
Sta
J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / %- 20 -20/0 Site Address: ?2 W 7tI4 fi; %/ l0r,' y /S& y it, AM
Tenant: Suite #:
RESIDENT / OWNER
Name: d 0..i Kr U eJ/1 F'?e 1 . Phone:. 6/.,z-7 7.- 7p/ 3
Address/City/Zip: 4692Wi7o M i? f 1',Pjvee?c?glP'L,/%4N 5< 7..2
Applicant is: Owner .X Contractor
TYPE OF WORK
Description of work: A";:‘,4,.,.1 A, AAu't 4 e i44 e be ]/�
1.071 4.1-14
Construction Cost: 2.2/ 0 0 0, 0 0 Multi -Family Building: (Yes / No X )
CONTRACTOR
Name: L tc dter d ,,,,g,.„`. ., „u...zy P., License #:
Address: 45-6144,3..3 521,jee e.� City: �G'�'Ara ova P�1,1�'
State: j1V Zip: e:6C�0 e / Phone: (oil— 33 7_2OO 7
/��
Contact: 1.....mit Z. 6e404,4 \ Email:
COMPLETE
In the last 12 months, has
_Yes _No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phones
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 maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name
Applicant's Signature
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
Garage
Single Family
Multi
01 of _ Plex
Accessory Building
Deck
Lower Level
WORK TYPES
New Interior Improvement
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%(
Census Code
# of Units
# of Buildings
Type of Construction 1//3
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: , Rough In "ff. Air Test
. Insulation
Meter Size:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
— Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
676
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: Footings Air/Gas Tests Final
Siding: _Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings Backfill _ Final
Radon Control
Erosion Control
Reviewed By: /i OA , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies 6 @
TOTAL
01a
3Tad
Page 2 of 2
INSPECTION RECORD
~ CIY'Y"OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota55123 Datelssued: ' ~ I'r~~
(612) 681-4675
SITE ADDRESS: APPLICANT:
. i,t t nN 11! I 1•. ~~l~ ? I `i t i,t~t~ Il~~rtl .
PERMIT SUBTYPE: TYPE OF WORK:
I , ,
~
14 r ,
INSPECTION .
i N~. . I 111INlii1 I I I',i '
M I i;i+ul l No, ~
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PsrmR No. Pfrmit Holder Date Telephone •
,
. S/W
' PLUMBING
P
HVAC 3p 07. ~
` ELECTRIC )~7s EL f.
ELECTRIC
I
Mapectbn OoEt Insp. Commenb I
I FoobngsI I
~
FourKleAiot?
FramWog
Roofing
Roug^ Plbg.
Raigh FI19• ~ I
Isul. _ y II
7
F"Oplace -1-9 ~ G LQ f:.~ r! II
Fatel Hlp. J I
G'
Orsat Test I
Fnal Plbg.
Plbg. Inspector - NdNy Plumher II
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C-OW. mew I
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INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Perm,t Number. i
Eagan, Minnesota 55122-1897 Date issued: ;0
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ ,W ~ ~ ? , . nf~ . . . . „ , ,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION
s
I
~ ~II
~ I
Permlt No. PermR Molder Dato ToNplwnw #
ELECTRIC ~
PLUWIBING
HVAC
Inspft-qon DrM kisp. Commwb
FoonniGs
FOUND
FRAMING
ROOFIN(3
ROUGH
PLUMBING
PLBG
Alfi TEST
ROUGH
HEATING
CiAS SVC
TEST
INSUL
QYP BOARD ~
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLB(3
FINAL HTG
ORSAT
TEST
BIDG FINAL
BSMT R.I.
BSMT FINAL J
a
DEqC FTG
DECK FINAL
S ?1 CO i~ ~
fA ~
C3';ei.fifiea#e nf Cccupanc~
CM4 of Cfagatt
m4wXtutur of 13,~~ ~ni*eCtion
Tliis Certificart issued pursuanl to the requirenients af the Uniform Building Code
certifytng that at the time ojissuance t/iis structure was in compliance with the various
orrltnances of tiu Cify regulating building constructioR or use. For the following:
use aassifintion_ SF ME swg. aermii No. 21141
oa,V.Wy Type ?SM I ~ing vnaict R I T,pe canu. vN
Owner d BuilmnE KEYIM FIM Admnss 14450 B' 7 E PKWY - B' VIi 7 F.
smwu,g Aem,,!, 4642 WES= HIIIS DltVE t.owuy L7 . B2, wE.STm Emnq 2bID
j (-a o.: 4z
POST IN A !'.ONSPICUOUS PLACE
Is _
44 ")000~ RESIDENTIAL
BUILDING PERMIT APPLICATION
~ CITY OF EAGAN <
3830 PIL 68O SRS - 55122
651
New Canrtruction Reouirements Remode1lReoair Raouirements
• 3 registered sAe surveys stawing sq. ft. of bt, sq. h. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculatiau for heated addtlions
• 2 copies of plan showirg 6eam & windav sizes; poured found desgn, etc.) . 1 site survey (ar exterior additions R decks
• lsetofEnergyCalcuWtioris • Indicatei(homeservedbysepticsystemtoradditions
• 3 wpies of T2e PreservaGon Plan if bt platted after 711193
• RimJoist Detail Options selectbn sheet (Wdgs wiN 3 or less unifs)
DATE VALUATION ~ff 'v V
JOB SITE ADDRESS ~&IMI Af/IIS O~tll~_
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER_ V~&0F-(--
TYPE OF WORK Rtl i UJ P S~. FIREPLACE(S) _ 0-1_ 2
APPLICANT 6213uTryii,hoePlace . PHONE#
ADDRESS f~8fN1262-96 6~ IIP CODE
PAGER # . CELL1PHONE # FAX #(QS 1 714 4~03' O
NtIV RESIDENTIAL BUILDING ONLY - FILL OUT COMP
Energy Code Category MINNE50TA RULES 7670 CATEGORY JeA R Ra U~ D
(check one) - Residential Ventilation Category 1 Worksheet Su PR 17 Zp
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672 gy rJ
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing System Includes: _ Water SoFtener _ Lawn Sprinkler Fee: $90.00
Water I-Ieater No. of R.I. Baths
No. of Baths
Meehanical Contractor: Phorte #
Mechanical System Includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Confractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowVedge that I have read this application, state that 1he inforq~ation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi fices.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Receiv d_ Not Required _
Updated 1/07
OFFICE USE ONLY Aib~
? 01 Foundation ? 07 05-plex ? 13 16-piex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6•plex ? 16 Fireplace 0 21 Porch (3sea.) ? 31 Ext. Att - Multi
O 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorohlAddn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ~9: 23 Porch (saeened) ? 36 MuIG
? OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 SYorm Damaga
? 06 04-plex 13 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement O 38 Demolish (Interior) 0 44 Siding
l~ 32 Addidon ? 36 Nbve Bldg. ? 42 pemolish (FOUndation) O 45 Fi?e Repair
10 33 Alteration O 37 Demolish (Bidg)• ? 43 Reroof O 46 Windows/Doors
,
? 34 Replacement `Demolition (Entire Bidg ony) - Gtva PCA handout to applicant
Valuation ~(919~7 Occupancy fZ 3"ti2 MC/ES System
Census Code Zoning City Weter
SAC Units Stories .a- Boooler Pump
Nbr. of Units Sq. Ft. PR13.
Nbr. of Bldgs Length -''Fkb ~prinklered
Type of Const, t(~ W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) ~ FinallNo C.O.
Footings (addition) _ Plumbing
Foundation FIVAC
Drain Tile
Roof Ice & Water Final Other
~ Framing _ Pool _ Ftgs _ Air/Gas Tesb _ Final
_ Fireptace _ R.I. _ Air Test _ Fiaal _ Siding Stucco Stone
_ Insulation _ Windows (newheplacement)
Approved By- Z , Building Inspector
Base Fee 1 S ~ ~
Surcharge ~l U CJ z~,~,
Plan Review
V v l x~ (
MC/ES SAC ~(j11 L l f-
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
MechaniCal Permit
License Search
Copies
Other
Total ' > 7
- S
Address 4692 WESTON kRLLS DRIVE Zip 5512 3
Lot 7 Blk 2 Sub wESnN [m.i.s 2rID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ~
Sod/Seeded grass ?
TraiUcurb damage '
Porch V
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
ihe outside lawn faucet before freeze potential exisis.
Contact-engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ~
White - Ciry Copy Yellow • Resident Copy Pink - Contracror Copy
~
P. 0 2
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0 0=, to 2422 Enteryrlso Drlve
Ba Mendvto Ne{qhts, MN 53120
(612} 681-1914 FAX:A81-'948B
~ H H O L M I D 7 V el K M t7 • C M U 1 7 A m t 3
y y a r~p naer np ~~~ncn 626 Hi9hway 10 N.E.
BIaIne, MN 55434
(e12) 7ss-1ee0 Fr?x:7e3-Iee3
14
Certificate of Survey for: KEYLAND NOMES
3472-8
4682 WES7DN HILLS ORIVE ~
BENCH MARK
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NOIC, NO SFCp/IC SOlS WKSTGATON NAS BG]I COMPlE1ED ON TN~9 onM TMµ ~UT.
LOT BY TK SIRYETOp, ME 3lITABq1TY M SOILS TO SUPPd11 7ME BEARINCS SHOfAI M!E AS9NED
SVECVIC MOUSE PNOPOSfO IS NOT 111[ RC9p191BIUT' OF iXE SURVEI'OR. ,
PROPOSEO HOLSE LVATtON
x aoo.0o Denotea Ezisting Elevotlon
( ooo.oo ) Danotea Proposed Elevotion Loweat Floor ElsvaUon: 46, l
, Denotes DrolAOge k Utillty Eoeement q 5~ 2
Denotea Drolnaqe Flow Direetlon Top of 91oek Elewtlon:
Denotet Monumenl
--e-- Denotes Offeet Hub Goroqs Slob Etswtion: q`~' 3•B
LOT ? 3 BLOCK 2 WESTON HILLS 2ND ADDITION
MKOTA COUNTY. MINNESOTA
wo eaaDy cwlUy tnat :hb eun.y, oIM a repal oa Pr orod EY me a under my A4dct a+p I4-Jc-hnC.Lorson, h 1 pn EWr N9bl~d ;ING. r.aror
unaer Ihe 1e~1 e/ IM ilair ol 4nne*ele. Oo1W Ula 1~ day el MQRrn A.D. REVISen 3-I8-94 MrnE HOUSE pIONEER~OtNe P.A.
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Scale: 1 inch = 30 f@@t 1 L.S. Reg, No. 19828
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0 o N°' ~ 2422 Enterprlse Drlve
; g ~ ° * Mendvta Neqhls, MN 55120
o wro aM.tIas • am oa~m~s (612) 651-1914 FAX:6d1-~4W
~fOeP nQ L^"° ^u'w. L""esr"re ""°"'cn 626 Hiyhwoy 10 N.E.
w . . * Blaine, MN 55434
(612) 783-1S0 FAX:783-1083
fi
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Certificate of Survey for: KEYLAND NOMES
3472-B
4692 WESTON Hill3 ORIVE
~TBpEPCOF HU8 / ELEV.=.951.29 '
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NOTE: NO SPttfllc SOLS WKST"tId! NAS 9Efl11 CWPIETM ON TW9
LOi 81' TfE SURYEl'OR. iHE 3ilITABUi7 OT SCLS t0 SUAPORT 7HE BEARIMGS SqIM MtE AS4+YED
SPEGf1C HOUSE PNOPOSEO IS NOT TM[ Rf40N91BIU7Y OF 1ME 91RVETpL .
x ooo.oo Denotes Existing Elevatlon
( ppp.oo ) Denotes Propooed Elevotion lor+eet Floor Efevatlon: ~o~~
, Denotes OrNAoge k Utlllty Eaaement
Denotes Orolnage Flow Dtreetlon Top of Bloek Elevatlonc q 542-
Denotea Monument gora s Slob Etsvotron: a53•0
Denotes Offset HuE 9
7 j BLOCK 2 WESTON HILLS 2ND ADDITION
LOT
MKOTa COUNiY. MINNESOTA
we AmraDy carUfy Ihot :hls eurwy, plwn or •n0at •os prare4 hY me a undoi my dk~ct ~P ~'Y
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onOn Na la.$ of IM Stal- e/ Miu~owla DOIW Ih15 1~H day 0( MARCH A.D. flEVISED 3-18-94 MOVE HOUSE PIONEER~GIH ING, P.A.
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~ PERMIT
CITY OF EAGAN
3830 Pilot knob Road PERMIT TYPE: B U I L D I N G Eagan, Minn2SOta 55123 Permit Number: 023141
(612) 681-4675 Date Issued: 0 3/ 2 5/ 9 4
SITE ADDRESS:
4692 WESTON HILLS DR '
LOT: 7 BIOCK: 2
WESTON HILLS 2N0
P.I.N.: 10-83751-070-02
DESCRIPTION:
Building_Permit Type SF DWG
Building Work Type NEW
~UBC Occupancy\ R-3 M-1
j Construction Type V-N
/ Zoning ~ R-1
~ Building Length 68
Building Width ` 36
~ 8uilding stories ' 2
<
~
• ~ ,
~
.
REMARKS:
PRV S& W PLBR - D C MECH
FEE SUMMARY:
VALUATION $163,000
Base Fee $860.00 MISCELLANEOUS $1,828.50
Plan Review $559.00 Total Fee $4,129.00
Surcharge $81.50
SAC $800.00
5AC % 100
SAC Units 1
Subtotal $2,300.50
CONTRACTOR: - Applicant - sT. LIC. OWNER:
KEY LAND HOMES 18942636 0001553 KEYLAND HOMES
14450 BURNSVILLE PKWY 14450 BURNSVZLLE PKWY
BURN3VILLE MN 55337 BURNSVILLE MN 55306
(612) 894-2636 (612)894-2636
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 3tate of Mn.
Statutes and City of Eagan Ordinances.
~
I AP PLICANTIPERMiTEE SIGNAlURE I SU D B: SI NATUR'
CITY OF EAGAN '
1994 BUILDING PERMIT APPLICATION/ i
681-4675 ~
,i
j n 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
specificatians, 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 tql~z('Ilz /I_ Yal uati on of work 17i~), 3cfy -
Site Address:__4t092 W~sTd~ t+ILLs P RIVr-_
STREET SUITE p
Tenant Name: (commercial only)
IAT BIACK SUBD.WF_STOFI 14-jLL<-. P.I.D. #
SE44414 A9PI t ti1
Descri tion of work: QEW sl/-I LE AMiI.. ~ E,Y'~1E
The applicant is: ? Owner J~r Contractor ? Other (Deseribe)
Name Phone
Property uST FiRST
Owner Address
STREET STE #
City State Zip
Company kF'-? LAi.lc> 4ornF---;, Phone ?-)°I,q
Contractor Address _14450 gUtZ+.ISV'tI.E 'PAWY. License #~v3 Exp. zi-31-95
City FlUR5,4SvIL.I.E State I~ Zip 5 3 p
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber 'p•L •MELM+-liL.'c1L . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this ap lication and state that the information is
correct and agree to comply with 11 appli b e State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: -
OFFICE USE ONLY BUILDING PERMIT TYPE ~ ` ~s . . o...~.
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
El 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 Sf Misc. 0 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
El 31 New O 33 Alterations 0 35 Tenant Finish ? 37 Demolish
? 32 Addition D 34 Repair ? 36 Move
GENERAL INFORMATION
Lonst. (Actual) V,11 Basement sq. ft. 1302 MWCC System
(Allowable) 1/// lst F1. sq. ft. -TT~%7 City Water y
UBC Occupancy ,e 2nd Fl. sq. ft. o,P PRV Required r
Zoning / Sq. Ft. total Booster Pump
# of Stories z Footprint Sq. ft. Fire Sprinkler
Length _0~ On-site well Census Code
Depth -3-T,3-7 On-site sewage SAC Code ~
Census Bldg _L
APPROVALS tensus Unit
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? .Site El Footing ,E] Framing 0 Insulation
? Wallboard .0 Final 0 Draintile ? Fireplace
Permit Fee v.imc;o,: g ~ 3. dc~o
Surcharge
Plan Review
License - - z Y3
MWCC SAC
c;ty sac
Water Conn.
Water Meter J
Acct. Deposit
S/W Permit
S/W Surcharge 2- _
Treatment P1.
Road Unit f I~
Park Ded.
Trails Ded.
Copies
Other
Total: /O
5AC X -~y35
sac un;ts J/~~,35 .~s1/ : s9c's- 0,9n
P.02
~
2422 Enteryriso Drlva
Mendvta Nefqhte, MN 59120
* P10111EEA w+o XMYtYM - Q. oKOMM (612) 681-1914 FAX: edt,1111498
* OnQ ROe1' n0 L" n,w+e"°• Lr°'e"re "lta""n 625 Hiyhway 10 N.E.
* * * * Blaine, MN 55434
(812) 783-1800 FAX:783-1893
Certificate of Survey for: KEYLAND HOMES
3472-B
4692 WES70N HiLLS ORIVE
:,,-BTOPCOF NUB
ELEV.:.951.29 '
I ti° 1 / 6 I
let~TRANS, /
- I 2.00 N89°42'30°E (q4~.1)
W 9438 9~' ~33 950.70 947. I
~947.8 951.8 ~
> , .67 o R ~ as !w
W B.ee X KI
Q W ; y\ ~ n 94T.6
~ 9415 ~ I O>_ \1\
M a
N ao ~ " N I ~ O
8.0 ~ 961.0 9496
g N
~ 951.3 5.0 .~a I
I Q ~
~ ~SEAVICE f'
IELEY-' .n l r v- ~rz r('~,ak,hoC. C?~
^ $ a
939.5 SI L R R x en'n 6 m wI
Z Q
0 O ~ o W K• p
N m 10 21133 95Q8 x~ 45 ~
W~ CB ~ 5QB >10. 0. IQ00<~.a 94~"°_ (9 45.re) 1
~r 948.7 ~ 949L I
~9 -3n , ,I 2.00 .33 - .Ze N89042'30't ~ Cq4a,i)
30 Le
MQ CB RIM
I St~ \ = 945.6 I
sJ
\BENCH M RK . ~
TOP OF HU8
eA ELEV.-951.22
~EV1rL'lNED
a
3~-2- Z - ~g~ -
fl~~ D
G~N ENGIIVEER
pROPOgo eRMES 9towN PER puoerC aW+ BC PROBE ENG. CO., INC.
NOIE: 9UILWNC W11EM90N5 910w MH FOR HOfb20NTIl AND V£RTCLL
LOCATON 0~' 47RUCNRES ONLY. SEE AAOIIlLC7UAL PlANS FOR BW.dMO O o V? L~~,:
uq FOUNDATON qYEN9dNS
NOIE CONTRACTOR MVbi VERIFY DRIVEMAY DE9pl- MIS CENTi1CAlE DOf4 NQT PVRPptT M SMOM EASEIAEN74
O1NFJt MM1 T109E 9W1i11 pl MC ltEOdlOEO PUi.
NOTE: NO SPEC7i1C SOLS WYESTGATON NAS BEEN CpAVLE7ED ON 71113
LO7 BY TfE SURVEYOR. ME SUITIBKJtt OF S01LS TO SUPPOR7 7NE BEARINCS 910M1 ME AS4111ED
SPECInC HWSE PROPOSfD IS NOi 1ME RfSOM91BIUT/ OF iME SURVEYOIL .
x ooo.oo Denotes Ezisttng Elevotlon ~~a~t Floar Eievat~on: ~o~~
( ooo.oo ) Denotes Propoeed Elevotion
- Denotes Orelrlogs k UtAlty Eaeement c~ $¢,2
Denotes Orclnaga flow Diraetion Top of Block Elevatlon:
---w- Denotes Monumenl
a- Denotes Ofiset Hub Gorage Slob Elewtton: q53•9
LOT T ~ BLOCK 2 WESTON HILLS 2ND ADDITION
MKOTA COUNiY. MINNESOTA
wa nqrabr ca.tiy tnat lh4 eorwy, olan or .6pat .aa w ored AY me a undat 71 av~ ~p e4 ~ 1h I auiy nqi.iKtan' neyor
un0er lhe to.§ ol lha S(aie of 4:nn*rola. Oeted IAIz 15TM day DI MARC ti~• REVISED 3-IB-94 MOVE HOUSE pIpNEEING, P.A.
Scale: 1 inch = 30 feet L.S. Rey. No. 19e28
9?71 94055.-61
LOT iQRVEY CBLCELZBT !OS 1tL6IDLNTI7IL
~ DIIILDZNC LRKIT aP LICLTION
4ROPERTY LFp71L•i (2S ZZL~~
Datoe ot surveps
DOCIIliE1Q2 6T1NmAene
~Q D • Aegistered iand Surveycr siqnatuse and company
8~~,0 G • Building permit llpplicant '
C~ 0 • 7wqa1 doscription
0 • 1lddresa
D 13 • North arrov and.*aricale
~0 0 • House type (sambler, valkout, split w/o, split antry,
lookout, etc.)
~ D • Directionnl drainege arzovs vith slope/qraQisnt i.
~ 13 • Proposed/axisting savar and watez servicea
D~0 0 • Street name
• Driveway
ELLV7ITI ONB
Lxistina
D 0 0 • Sewer service
C3~D 0 • Lot cornera
• Top of curb at the driveway
D L'f O • Elevations of any existing adjacent homes
proaoseQ D~0 D • Gnrage Sloor .
~ First tloor
6~0 D 1'OWe=t expoaed slevation (valkout/vindow)
.
D~ D 0 . property corners
Front and raar o! Aome at the foundation
PONDZNC ARZIg !if aoolieabiol
D EKD • Easement liae 0 0 •
0 D~ • ~i
D
• 8ond f desiqnetion
D 8 D • Emerqeney Overfiow Llevetion
DSlSENBIOti6
13 ~ D - Lot lines
~D
Right-cf-vay and stzeet vidth (to bnck of curb)
~D D • Proposad Aome dimensions includiag any proposed -deeks,
overhangs qreater than 21. porches, stc. (i.e. all
structures requiring permnnent footings)
8~D 0 • Shov all ensementa oi zecord and any City utilities within
those aacementa
17-~0 0 • Setbacks of propcsaC structure and setbnck of adjacent
~ existing homes ,
D L•f 0 • ReLainin ze irements, it aay
Reviewea: p ~-T Z
ame Date
October 2992
O~VEWAv
Cp• _ 1 .
- 1 ~ 1 1~ ~ I 1~ I WYE0+90 I~SA,
1 1_ ~1 I~I ~ 11 YE1+~~1.9811 1~ 1~ 11 WYE0+11 9395A01,~~~1SAKELE V.
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46.031
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17+00 18+00 19+00 20+00 1-F-0~
i ~ SANITARY SEWER,
zy~
EXlttilUl< tnYL'Ll11c nvcnw~ ~
~ 014NEQ/:. nnrr : 1 Z-13 K
S?TE ADDRESS: 41O'"I~L WE~~ tLl~ Ph!ONE:[j~4-ZCOZjC~
CONTRACTOR: kC Lk~t~fl PLAN
Determine wot'4;ing square foota9e of each
1. Total exoosed wall area..... 3l zl, ~S sq: ft. x.11 = 3 U
2. Total roof/ceiling zrea..... I Z"-{ (D sq. ft. x .026
-
Tctal exposed wall area-above,floor=7-7 Zn
z. Total wail window area Z I-
S ~o
b. Total door area . . . . . . . . . . . . . . . . . . . . . .
c. Total sliding glass door area 3 7Ll
d- Total `ireplace rrall area ~'7 Z
e. Total wall frzming area (averzge lON . . . . . .
3
~
i. iotal rim joist area r S
9• net wall area a5ove rloor 7-114~.•'
"
h. wzll area a6ove `loor
i_ wall area a6ove floor
_
,7. _ -o~^.e •at'on . . . . . . .
. rr a m e wall area ae. =
Total exposed foundation area= 41 1~ S
Total foundation window area -7
1. Totzl net foundation area above grade 8$,7 .
Determine "u" value of each wall segment .
(e,g. window, door, each separate wail section)
a. z~-7,-7 Y , ~f7 = ~az'31
b. s~ X„u~~
c. 32, L4 x. 'lull
d X ~~Ul.
-
. .
e. Z,7 Z Xu~~ ea-7 = I I.pq
r. 31 5- X„U.l ~ QA = IZ,Co
g. ZtiLi~ X ~ D~• _ e1-7.91r
n. X u~~
X 'lull _
i.
j. X"U" ° If item 13 is the sz
as, or less than ite
• z,(a. X"U" ;1, you have met the
x „u„ 1 y L( (o intent of SBC 6006 (
~ .
3 . .................................Total = 0450~ Z ~0
• lotal exposed roof/ceiling area
'ro_al s}:yli.gltt a:ea r-
n, '?'ot=_1 roo_`/ceilinr, fe-aming arca (avcrayc 102) , I Zy ' V-
o. :otzl net i.^.salatcd roof/cciling are:a....,.:..... ' I~1Ca .
Determine "U" value for each roof/ceiling segnent
n. X 'lUll
r.. 1 7r a-ti- Z, c17
c. 1 l ~(p Xl-U-, ~OZi = 2Z'-3 Z-
lbtaz
" total c' is the same as, or less t:han 42, you }:ave met 'the ir.tent- o: .
Si3C 5005 ;C1 t ,
A1`e-n=`e 5uilding Envelope Desiga
t^e total ezvelooe'systeln method, the values established by the s;n of '
_tems -3 ar.d sha11 not be greater than the sum of itens ;1 and R2. . "
+ z. 3z.Zy = 3-7
3. ZgU.ZL +4. zl!. 251 _ ~oS.SS' .
PERMIT Ckgqol
CITY OF EAGAN 3J31~Q5
3830 Pilot Knob Road PERMIT TYPE: B I ~ ING
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 2 8 7
(612) 681-4675 Date Issued: 0 3/ 3 0 J 9 5
SITE ADDRESS:
4692 WESTON HILLS OR
LOT: 7 BLOCK: 2
WESTON HILLS 2ND
P.I.N.: 10-83751-070-02
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
7ota1 Fee $30.50
CONTRACTOR: OWNER: - ppplicant -
KRUENEGEL BEN
4692 WESTON HILLS DR
EA6AN MN 55123
(612)304-8084
I hereby acknowledge that I have read Yhis application and state that the
information is correct and agree to comply with all applicable State o'F Mn.
L Statutes and City of Eagan Ordinances. ~
APPLICANT/PERMITEE SIGNATURE ISS ED BV: I TURE
CITY OF EAGAN $3 0 0
~ 3830 PILOT KNOB RD - 55122
111995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Naw Construc[ion Reauiremants 6emadeVReoair RenuiremenLa
? 3 registered site wrveys ? 2 copies af plan
? 2 copies of plens (inGude beam 8 window sizes; poured fid design; etc.) ? 2 sita surveys (ezterior add'Rions & decks)
? 1 energy calculaGOns ? 1 energy calculations for heated addRions
? 3 capies of tree preservation plan H lot platted efter 7l1f93
required: Yes No II
DATE: 1-2,8 ) GIS- CONSTRUCTION COST:
DESCRIPTION OF WORK: DGG k
STREETADDRESS: g Sr9/1 H•`IlS
LOT / BLOCK ~ SUBD./P.I.D. ~e'~~n ~+~`S o~.~ R ,~9 D?I
Work 3DY Sogy
PROPERTY Name: Phone
OWNER
StreetAddress: L()Ps-t'ar1 /IJis 0P-
City: ~ a5~La r7 State: n, IV Zip:
CONTRACTOR Company: ~ Phone
Street Address: License
City: State: Zip-
ARCHITECTI Company: . Phone
ENGINEER
Name: Registration
/
Street Address-
~
City: i 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 apptication and state that the information is correct and gree to comply th Xfllall'
applicable State af Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE US E ONLY ~ ~ ~ EWED
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY ° ~ u
; f
' .
w ~ eA
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex cs~ 15 Deck
WORK TYPE
=t5~-31 New ? 33 Alterations ? 36 Move
? 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. y3
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit D
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ lZ G~ ~
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Pertnit
S/V11 Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
. .
. ,
. ~
C
n ~
..~k t..~:
pC
Co
.'.:,.:.~..;.j~:>~::`li::.:?:;ih£°P.:." `
.:~=•"y.~Pn::.,i vm:c„~ii C:' :S`Y::
Drivewa ~•~.C~rage;::;.:';;::?:<>;:;~~:;':;i,;,..a.;::
Y
30 fl.
:.niii`'~~•.'j' ~^E;:;i.. ~:L'::•'hiYS:°t''~:;6i:.>i.., j71,c~..~
Deck
59 ft. -
..2rEri•;~'.~•:~t<"r. >
! :l`i:: T:t;: ~.::6`. • ii:i
.Y.,`.'::"`~[Y.$fi~:A10~~Q' ~•y~ ~i~~1~~ij~:(=~ ~S.[
`~:k!.., ,c.~~:1e;~>~:.:`:i~~:H e[`•.ii:°:: II
NfIlU
i
7$ fl.
`~~?Y:~'~;[k:~~,i•:::1.aYi:"B „.._.:vq:n':iikjj.:..
~:;z.,; :~:ri'i
?
I C
N Deck Addttion - Sde Survey
4692 westoo Hmg odw
n:ocnen\akdz.vsd
Ben IWerxgel 4541958
Mareh 23, 7995 8:36 AM
i
. - ~ Cl'I'~
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y
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r~j, .'rvt : .Rl$:;... ,a.E~~:'«:4.§. _..R'>„^:C~i i~a5.. iN.,"`.i.'l~~,~'i:A.`'d'~~.Ci~. a':F°. ~j
:>.>3^i~ ~
b
....o..~.,n.,. . .
..v . ,r ~...,s,::.._. ~ ..e:..~_ ...~.:.C~".~ .......::.:.:!::::.~.....:.~::.:7:
~
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•
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y'x;~i• ..ou~•
F:
...~..0... .t~'.<'..~fi . rtpf .p.p~[
~ ...:.f.i...:IJ.~':i..^.:.~..':~bi~: .PC•<,P~A,;:,S,: . t~.v.. ~ ':~Y~+~T.~~ ~.°:k".~4~J.%~p~... Y~ "~5~
.,a~.. ,.~,.w..m ..oo.~.,:~i;.<.:..:....(; w ..a.:.:a::i.f:..;...:.w..: i:n:gR.o:.a.o.:al;.~..~...........: . ,
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675 ~
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTI'.'
NO. FIXTIJRES EACH TOTAL
I SHOWER 3.00 ~3• UU
~ WATER CLOSET 3.00 ~
BATH TUB 3.00 Z.C/a
LAVATORY 3:00 i4 . ov
/ KITCHEN SINK 3.00 3. Ut)
~ LAUNDRY TRAY 3.00 dD
HOT TUB/SPA 3.00
~ WATER HEATER 3.00 ~~rv
~ FLOOR DRAIN 3:00 3- vD
~ GAS PIPING OUTLET • minimum - 1 3:00 3• a
~ ROUGH OPENINGS 1.50 c..F.-:SD
WATER SOFTENER-Cemrn~ 5.00
PRIVATE DISP. • Dak.Cty. lic. 20.00
U.G. SPRINKI..ER • home under const. 3.00
ALTERATIONS • to aisting 20.00
WATER TURN AROUND 20.00
~
STATE SURCHARGE i .50
TOTAL: 1 SO • d~
SITE ADDRESS:
OWNER NAME: A-2,eg /A,~/ ~yt1Au77
WSTALLER: ~fl1iC/l!
ADDRESS: ~4// "2CO
CITY:_ STATE: /2~ ~ ZIP CODE:
PHONE
SIGNATURE OF PERMITTEE
~
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S.U$Dm~~;..
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 CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACf PRICE: $ rrr•_: t% OF CONTRACT FEE.
STATG SURCtIARGE: $.50 FOR FACH $1,000 OB FEE
1111\In7UN1 FGG: $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE a
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OW]\`ER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT _
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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 PERMTTS ARE REQUIRED FOR EACH UNIT.
- - -
V NEW CONSTRUCTION
AbD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE 3Iz8I9~
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) 4,00
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL ,3o.so
SITE ADDRESS: ~ Iv~ G(~~
OWNER NAME: TELEPHONE
INSTALLER: (1~i~~~
~
ADDRESS: 9c40 • 6r•
CITY: ~?i.~o-~ ~ STATE: ~I • ZIP CODE: -S-Sj 7•;--'
TELEPHONE 4141? -
SIG ATURE OF P I E
tRM' _
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~.,.....e.......d.... F«-~a..~~::::D
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
- - - - - - - -
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
OF CONTIZAC'f=. FEE $ _
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.SO FOR EACH $1,000 OF PERIvIIT FEE.
~
TOTAL $
SITc ADi^.^ESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONL1)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECI'OR
NF~~c
L CITY USE ONLY RECEIPT#: S~
~ B~ ~
/C7-~ d
SUBD. DATE: Lkln
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
r/ i,ud-on air coiidiiioriing Aad-on air excnanger, i.e. Vanee sysiem, etc.
Date: 99 ( D
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) 0.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
~ Gas Outlets (minimum of 1 required @$3.00 each)
? 5tate Surcharge _50
TOTAL
2 0•SO
SITE ADDRESS:
OWNER NAME: F)QXI FG YV nV lr.C'iri,I PHONE
INSTALLER NAME:
STREETADDRESS:
CITY: II'1l/P,r LVDVe. IitS STATE: M fv ZIP:
PHONE#:
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUndustrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: , $25.00 minimum fee 4i 1% of contract price, whichever is greater.
. Processed piping - $25.00
• State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CIN: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
I
Date:
City of Eapa
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: qc. .04
Permit Fee:
Date Received:
Staff:
2010 MECHANICAL PERMIT APPLICATION
g
Ii iO Site Address: 4(0'11- +ot-kAts PC
Tenant: Suite #:
1
J
RESIDENT / OWNER
Name: ben L- Utv-NQ lPhone: LA-- 45q, c-
Address / City / Zip: 4t7.- WDGSf Wks 5 4 4 *IA c55 R3
CONTRACTOR
yDr
Name: �S `ut1+'\:(.iQ\ l Q c�riseAC ` ` I ACL
Address: 50 b, 1N. ,��� City: 31' 2UJL
State: WO Zip: 101.--
(in
Phone: Y 1
Contact:il: -°----
TYPE OF WORK
New )C Replacement Additional Alteration Demolition
Description of work: Q Lt -16-0 fOsictl, 1 0,..,A% color.,
NOTE: Roof mounted and ground mounted mechanical equipment is required tp be screened by City
Code.` Pleas"
va ,, e -contact the Mechanical Inspector for tnformstion on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
X Fumace
COMMERCIAL
_ New Construction _ Interior Improvement
Air Conditioner
Install Piping Processed
—
Air Exchanger
_
Gas Exterior HVAC Unit
_
Heat Pump
_ Under / Above ground Tank ( Install / _ Remove)
—
Other
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$.50 State Surcharge)
$.50 State Surcharge) $ 50'. TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation/removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
Permit Fee requires a $1.00 surcharge).
Contract Value $ x 1%
_ $ Permit Fee
- If Permit Fee is Tess than $1,000,
= $ Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000
= $ TOTAL FEE
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.aopherstateonecall.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
wit the approved plan in the case of work whch requires a review and approval of plans.
U\nLQ-.J
Applicant's Signature
Applicant's Printed Name
FOR OFFICE US
Required Inspections
Reviewed By:
ugh In g Air Test Gas Service Test
Exterior HVAC Screening Inspection
Date:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138114
Date Issued:08/10/2016
Permit Category:ePermit
Site Address: 4692 Weston Hills Dr
Lot:007 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Bennett J Kruenegel
4692 Weston Hills Dr
Eagan MN 55123
(651) 454-1958
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature