4696 Weston Hills DrDate:
CityofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
«al
Use BLUE or BLACK Ink
Permit #.
Permit Fee:
Date Received:
Staff:
2011 RESIDENTIAL PLUMBI/�sJb
G PERMIT APPLICATION
-a a Site Address: �( 9 6 �/ih /4,14 Dr , v e
Tenant: Suite #:
RESIDENT / OWNER
Name: , o vii t c d th/f 0e I +, r
Address / City / Zip:
CONTRACTOR
Phone:
rh
Name: , EMU h r_ License #: 0/ �
Address: 6j sY Std, Qh 1G d r I ve City: pod ,b Uly
State: Nln Zip: N.7 9
Phone:
Contact: ave \ Email:
TYPE OF WORK
PERMIT TYPE
_ New _ Replacement Repair _ Rebuild Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn. Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
Water Softener
)Add Plumbing Fixtures (Main / _ Lower Level)
Water Tumaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Cali 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
1 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
accordancewith the approved plan in the case of work which requires a review and approval of 'ans.'
X 13avid. r Svnr h
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE U5
Requi
UndE
Date:
€ityofEaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee: ,F..‘�
EEb rP...
Date Received: 2
Staff:
2011 RESIDENTIAL BUILDING PERMIT APP CATION 1 \%
/-3/-11 Site Address: 1406 1e5TON 414LL5 21$1111 1:>40-%%•l f'i
Tenant: Suite #:
RESIDENT / OWNER
Name:
Address
Applicant
•
Ett..l. ? Stank ea.a0k1 Phone: (9S1- 23i- LOlia(o
/ City /
is:
Zip: 4-11:610 (4[00/4 4IL.S RD '6%1414l`I 55/23
Owner X Contractor
TYPE OF WORK
Description of
Construction Cost:
work: lhatelbe. WILL ?Nemea.. I'DR NEW kkUtt 1 4 BATH
se
Sig! 0�" Multi -Family Building: (Yes / No )
CONTRACTOR
Name:
Address:
State:
Contact:
MCbibtMIMV.D REMObELA1 1 License #: Z0W0Z
$S3
�/
ROJE T615 .
(00IS CM$LL 6 E City: huve) 4 'T
(
044 Zip: SS�O%i0 Phone: 1051 SJ�T—/ �
NM 1,000.4C Email: a.) i.t € 1M0000 Qpt4f k . COrbi
COMPLETE
In the last 12 months, has
If yes,
THIS
the City of Eagan
date and address
AREA ONLY IF CONSTRUCTING A NEW BUILDING
issued a permit for a similar plan based on a master plan?
of master plan:
_Yes _No
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
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q. , yF{{`�.�li�-}
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, Y y�c � o �r'�y, -� t t E id "n3� %, G 4
gg _$ ! �SrYiasaF ®�� 0 [�, l $ $d d$d
e
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 - knowled• - hat this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eaga ha I and =nd this is no permit, but only an application for a permit, and wok is not to start without a permit; that the work will be in
acco . an with, - : pproved plan the case of work which requires a review and appro$i plans.
x
Applicant's Printed N
Page 1 of 3
•
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
DO NOT WRITE BELOW THIS LINE C>1
Fireplace
Garage
Deck
Lower Level
_ Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
_ Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
rovip6vt leto ,,, , f , tLi Gi. /Y1" ft 4t1
_ Interior Improvement
_ Move Building
Fire Repair
Repair
'1,20
(25%_ 100% ( )
Census Code
#of Units
# of Buildings
Type of Construction
V6
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
'TZ
Siding
Reroof
Windows
Egress Window
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Its
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
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
, Building Inspector
uJ �i�fl
e
c)((i - ?b x20 r 6,DO
• (b)( /30 xz
)Ce, o
f Q G
4.2
O
Page 2 of 3
INSPECTION RECORD
` CIT OF EAGAN PERMIT TYPE: ~
3830 Pilot Knob Road Permit fVumber: • ~ ~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675 {
,
SITE ADDRESS: APPLICANT:
i Fi'si. 4 ~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
'•i t I~r~ t ~~It~ ~~.i~,
I t1 t. ~ ~I 7: IA h. I
~
. I
~~---~---s - - - - - - - - ~ ~
aem+n no. wmn tiote.r oate r."none r
s/w
PLUMBING
HVAC ~
ELECTRI yo . D ~
ELECTRIC
Ax~Ctfo~ Dats Insp. Commanb
Footingsi y
FoundOw
Frafni??g ~e-
jg=
~ng w.sw-a- I~r" " i~•~•~r.. .l~~1~0
~ S
R°"yn Flbg.
R°"o "`9.
isLr.
Freplaoe
Final Htg. G~
Orsat Teat
Final Plbg. Plbg. Inspector- NotitY Plumber
Const. Meler
EngrJPlan
Bldg. Fn81
!
Dedc Ftg. G
Dedc Finel
Well
Pr. Diep-
~
~ INSPECTIUN REC4RD i
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 3q ~ 7-a ~
Eagan, Minnesota 55122-1897 Date Issued: I
(651) 681-4675 I
SITEADDRESS: APPLlCANT:
. .
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
ileri
. I~Fk/I t~ I~L I,N I I h4 uU! 4;i i~ i(,f~ ar~; I I t~lnEc;?•I+, ,
+ t:~ • i,~ . ~ ~ f. I . . ~ , ~ ~ ~ , . i• i ,
~
Permft Holder OmEs Telephons •
I WA ER I
I PLUMBING I
I HVAC I
I Inspectlon Dsb Insp. Commanb ~
I FOOTINGS I
I
FOUND i
I
I FRAMING I
I ROOFING I
ROUGH
PLUMBING
PLBG
AIR TEST
RQUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCnvm
TEST
HVDROSTATIC
TEST
BSMT R.I.
BSMT FlNAL
DECK FfG
DECK FINAL
INSPECTI4N REC4RD~i
CITY OF EAGAN PERMIT TYPE: J. s r4`'
3830 Pilot Knob Road Permit Number: '1 i`'
Eagan, Minnesota 55122-1897 Date issued: `(612) 681-4675
SITE ADDRESS: ~ ~ ' ~ ' ~ ? ~ i~ ~ ~ APPLICANT:
L o 1, H H i.clt
~?r ~;~rrN ~i ~ ~ na i ~ ~ . i~,~~.. ~ , .
. i ~~?r ,R ~ i ~ . i ~r~,. ~ -
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
• -iFtMf'ft 1.11tH ;MAI I.f'R ffF'C'Y ~
~
F
~ I
J
PertnM No. PertMt Holder Dats Telephons i
ELECTRIC
I
I PLUMBING
I HVAC
I Inapection Oab Insp. Commenb
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
I ROUGH
I HEATING
I GAS SVC
TEST
INSUL
GYP BOARD
I FIREPLACE
FIREPLACE
I A1R TEST
FINAL PLBG
FINAL HTG
I ORSAT
( I TEST
I ~ BLDG FINAL
I ~ iiSMT R.I. ,
I ~
95MT FINAL
I DECK FTG ~23'I
~
,FCK FlNAL
b
I - -
x
1
~ %ertiticate of CccupaucV
(OM of Wagan
~mtnt of la.iah%
This Certificate tssrud pursuant to tlte nequiremenls of the Uniform Buildrng Code
certifying that at tht tinu of issuanct this stnecturr was in compliance wtth the various
orrii?rances of the City rrgalating building construction or use. For the followiRg:
ux C1miFiauon: SP I]WC' Bwg. vemut Wo. 23154
o.P.. r TYP., R3'rl ~ Zonft DWxia R i rype Cortu. VN
ower d ew,mng HDO $Y QiASE Add.. 2500 W i.TY RD 42, B'VIIdE
smwuoa waa= 46q6 WFSit'N EIILi.S DCQVE t,,,wicy I.B, B2, WESION FII1S M
POST IN A CONSPICU)US PLACE
• ~ RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ~ qQ zF
~7~ I 3830 PILOT KNOB RD - 55122 1 1•
651-681-4675
NewCon5lructionReauiremenls RemodellReoairReauirements r CQIIed b#11O•
• 7 regatereC site surveys shoxnng sq. R. of bl, sq. ft of hase; and all roofetl areas • 2 copes of plan
(ZO%mazimum bt coverage allowed) . 1 set of Energy CakulaUons for heated additions ~
• 2 copies ot plan showing 6eam & vnndow sizes; poured found design, etc.) . 1 site survey for exlenor additbns & dedcs
• 1 set of Energy Calalations
• 3 coqes of Tree Preservafion Plan A bt pladed after 7l1193
. RimJastDetailOpWnsselectronsheet(Wdgswilh3alessuni4s)
U
DATE 3- 16 - D/ VALUATION (EXCLUDING LAND) 3SV v
JOB SITE ADDRESS:Zd9 4~rsio~ 171144r y,tJ ?a
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 13.144 OArti a1?
TYPEOFWORK ~b~r' ovi/iz taxfl~s.i,ra /Jj_eiY FIREPIACE(S) _0 _1 _2 _3
APPUCANT 72919 Ox~/~d-lJ~o.c r•/n~c PHONE #
ADDRESS 1163 /II/OOW.t oelev.n f9W1G02-r jv~n/ IIPCODE S§o 7 ~:7
PAGER # CELL PHONE # 612- "41-a " ;"-v%T FAX #93-2 "ee4l-Jel ° dr--
~ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
~
~ Energy Code Category _ MINIVESOTA RULES 7670 CATEGORY 1
~ (check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Ernelope Calculations Submitted
MINNESOTA RUI.ES 7672
i - New Energy Code Worksheet Submitted
~
I Plumbing Contractor: Phone
Plumbing System Includes: Water Softener _ L.awn Sprinkler Pee: $90.00
Water Heater No. of R.I. 13aths
No. oF 13aths
I Mechanical Contracfor. Phone ~
~Mechariiril System Includes: Aii• Conditioning I'ee: $74.00
Hra[ Recovery System
i Sewer/Water Contractor: Phone # ;
~
All above information must be submitted prior to processing of application. D ~
(1~c.~ a
a~
I hereby acknowledge that I have read this application, state that The information is correct, agree to comply
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
By
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ ot Required _
Updated 1101
OFFICE USE ONLY • ~
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) O 31 Ext. Alt - Muld
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck (11 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-piex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
11C 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Dertalish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Dertalish (Bldg)' O 43 Reroof ? 46 Windows/Doors
O 34 Replacement 'Oemolitlon (Entiro Bldg only) - Give PCA handout to applicant Valuation 'YfiC'O Occupancy 3 MGES,System
Census Code 2oning City Water ,
_ ~
SAC Units z~/_ Staries Booster Pump
Nbr. of Units ~ Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const 5- '/t Widfh
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) 7V FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Dram Tile
Roof Ice & Water Final Other
~ Framing _ Pool _ Ftgs _ A'v/Gas Tests _ Final
_ Firepiace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By~(.Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Address 4696 wesmN turls DxIVE Zip 55123_
I.ot. . s, Blk 2 Sub wFSnm Hn.i.s 2rm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: F Yes No Inspector: f,~14
Final grade (6" from siding)
Permanent steps (garage) ,
Permanent steps (main entry) ~
Permanent driveway ?
Permanent gas
Sod/Seeded grass ~
Trail/wrb damage vl~
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shu4off of water supply to
thc outside lawn faucet before freeze potential exists.
Comact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Comractor Copy ~
~ s-.a • - \
~ p~t, Jrp y ~t
f ` 013
OJi21/94 14:55
CERTIFICATE OF SURVEY
For HOMES BY CHASE ~
WESTON. I-1/LLS OU71114-
6d l49.4
CP.4.4B'~ PER ^ .
~ Q l60. S 96D./ wM 9Q~tY.
449z
o~n o,• 6~r OO 3.00'/7'JO'" E' • ~o, g '
(750,6)~.i o AIV,.
BENCHMARN
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EAGAN EI3GINEERIN ~ DEPT.
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James R. HTill, Inc. PaSe 2 of 2 ~
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PERMIT cx'~/
~ 4
CITY OF EAGAN ~---/~~~i~ ~
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 023154
(612) 681-4675 Date Issued: 0 3/ 2 9/ 9 4
SITE ADDRESS:
4696 WESTON HILLS DR
LOT: 8 BLOCK: 2
WESTON HILLS 2ND
P.I.N.: 10-83751-080-02
DESCRIPTION:
Building'Permit Type SF DWG
Building Work Type NEW
'UBC Occupancy\ R-3 M-1
Construction Type V-N
Zoning ~ R-1
euilding Length 54
8uilding Width ~ 36
Building stories 2
'j
c
REMARKS:
PRV S& W PLBR - VAILEY PLBG
FEE SUMMARY:
VALUATION $138,000
Base Fee $772.50 MISCELLANEOUS $1,828.50
Plan Review $502.13 Total Fee $3,972.13
Surcharge $69.00
5AC $800.00
9AC $ 100
SAC Units 1
Subtotal $2,143.63
CONTRACTOR: - Applicant - ST. I.IC. OWNER:
HOMES BY CHASE 18955337 0001619 HOMES BY CHASE
2500 W COUNTY ROAD 42 260 2500 W COUNTY ROAD 42
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 895-5337 (612)895-5337
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
raA
7/4 L{,~~ 91 A. I
APPLI M/P MITEE SIGNATURE ISSUED B SI ATUR (
CITY OF EAGAN -
1994 BUILDING PERMIT APPLICATIO
~ 681-4675 ~ - `
43,
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 3_ Valuation of work Zj!~ ~~90
Site Address: ~O,i tC/-46'~0~. s
STREET SUITE N
Tenant Name: (commercial only)
IAT BIACK SUBD. P.I.D. #
n d
Descri tion of work:
The applicant is: Own r I~Kcontractor ? Other (Describe)
/`S- S3j,Z
Name P h o n e
Property 5T FIRST
Owner qddress ~so o w. ~~C ~v
STREET STE M
City 14451G11,6 State 2'17,a ~ Zip 2Lj37
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone .117 Architect/
Engineer Name ~o &~,.,.--<, Reaistration q
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once rea as been app ved.
1 hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with al applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
El 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 B-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
19 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) ? Ar Basement sq. ft. MWCC System k
(Allowable) )/,t/ lst F1. sq. ft. ,e-s„ City Water L-
UBC Occupancy ,11.3 2nd fl. sq. ft. ,~Sc PRV Required y
Zoning R-i Sq. Ft. total Booster PumP
# of Stories z footprint Sq. ft. Fire Sprinkler
Length 53.(a~ On-site well Census Code /X~)i
Depth 3Y On-site sewage SAC Code a~
Census Bldg /
APPROVALS Census Unit /
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .Site [3 Footing 0 Framing [:k Insulation
? Wallboard El Final ? Draintile ? Fireplace
Permit Fee vatuetim: $
Surcharge
Plan Revievr 2~~
License z z y i_
MWCC SAC -
City SAC f
Water Conn.
Water Meter
Acct. Deposit 5/W Permit /
S/W Surcharge %2,~ z~ =~7z ~ j'~~ Z
~
Treatment Pl.
Road Unit ~ j ~ c z v
Park Ded. i : 5- ° }
Trails Ded. /
Copies
Other
Total:
SAC %
SAC Units
(1 ~ 1
r 1_1.J/21/~-14 LY:SC _I
6I1800
_ ~
~S
CERTIFICATE OF SURVEY
For HOMES BY CHASE i
;
;
505 ~ ~49.4 ~~iiT ~
CB m PeR :
: PLO,V ~
960. S 9BO.i W rR sstY. ~'1 ~ I
"94vz ;
v~i o,. 8~ DO 3.00 /7',BD'" E• .~P~o. g `
~9 ~b.6) i i o 9~~!! o c~.'+~1,1• S) I
BENCNMARK
TOEL8VPOFPIPE c~~ ~ /D g BEN6OHMARK
.e96/• 97 p a~s~~rd
~ 7OPOf• PIP6 ~
~ I O.P/YEW17 ELV.-9B/RP
1 LS$ ~9S$.8 - - - 96/.6-
54.
f9 5~
S O v GA,a 1 ti
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a ~ V 0 ~J I
DRAINAQE d UTILITY a O !
~ EASEMEN7 PER, PLA7 `
G,~+.~p ,
RE~1~~ LOT ~3 ~
S .
dx ~3 23 113 . s) 85. 04 6 DD° '.80
op~ ~
~on awo n P \..SVIJ a ~D ~ ,
,
ZAGAM~~8'~~~ n
~
James R. Hill, Inc. Page 2 of 2 i
;
~
03:21/94 14:54 Ut_~
snaoo . '
,
CERTIFICATE UF SURVEY
For HOMES BY CHASE
;
PROPERTY DESCRIPTiON: Lot 8, Block 2, WESTON HILLS 2ND i
i
ACIDITION,, eccardlnfl to the recorded plat thereof. Dakota Countv. ~
Mlnnesota.
We hereby certity that this Is a true and correct survey of the above described property and that it was '
performed by me or under my direct supervislon and that I am a duly Licensed Surveyor under the '
laws of the State of Minnesota. This survey does not purport to show all improvements, easements
or encroachments, to the propeny except as shown thereon.
Slgned this day of James R. HIII, 111C.,
gy. .Gary . Harris, Minnesote LS. No. 10943 ~
i
!
i
i
Nates: ~
1, k3ullding dimensions Sr10Wll 81'9 fOf 0 Denotes set iron monumeM i
• Denotea found iron monument ~
horizontal & vertical location of struoture only. x 9271e Denotas existing elevetlon
See archltectural plens for building & (e30.00) Denotes propoaed elevetlon ~
foundation dlmensions. -0- Denotes proposed drainege ;
2. No specific solls Investigation has been Bench Mark:
completed on this lot by James R. HIII, Inc.
The suitability of soils to support the specific Proposed Garege Ploor = 954. /
house proposed is not the respansibility of Proposed House Top elock= 9s~ 2
James R. Hill, Inc. or the BuNeyor. Proposed Oaraye Top Block=
3. Proposed grades Shawn were taken fram Propoaed Lowest Flaoro
the prading BJoY development p18n prepared by Bearings ere on assumed datum ;
PROBH 6NQlN8HRIN0 CO., INC. SC81A: 'I"p 30' ;
Page 1 of 2
~ o~~ o o a FW.CTY. R. Hill, inc.
o Z N~ a~ m o W ENGINEERS / SURVEYORS
O m 9 BURNSVILLE, MN. 55337 9 612-890-6044
~VE`NAY -
~---AGpN
WYE 1+72
5 ~ 94
SAK
WYE p+P` p 0~ 1
110 ti. ia ELE~. @ 9+ •
WYE 0t1T J
3 1~ ~ 1 E E EA+~ 941.98 I ~ 1 ~ pl 939b9{
1 1 SAl6 V. ~O ~ ~ 0+65 ~SpN. ELE~. O J'
1 ~ ~ K WYE ~ 940.59 1 i
~ 1 I 6. HYOftAN1 1 ~ SA EiE~. ~
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WT iQRPEY CSLCELIBT !Ox RL6IDLNTZIIL
~ 'IIILDZl10 ERISIT JLPP 2GTION
pROPLRTY LzeAy= °
~ Date o! Survep:
DOCIIlSENT BTA*D14na L2~
~ D • Aeqistered IanQ 8urveyor siqnatur* and eompany n ~ Building Permit lipplieant '
a Iegal deseription
11D 0 • 1?adross
D'-„D D • ttorth arrov and baz •cal• .
D' D D • 8ouse type (ramblsr, ralkout, split w/o, split antry,
lookout, ttc.)
II D D • Directionnl drainaqa arrows vith slope/qradiant
H~.a G • Proposed/existinq sevar and water sarvices
0 • Strset name
D' 0 0 • Drivevay
ELLV7ITION9
Existino
D,`0 D • Sewer service
Q/G 0 • Lot eorners
D- .O 0 • Top ot curb at the drivevay
Dl0 0 • Elevationa of any existinq adjaeent homes
Prere..e '
~ 0 0 • Gnrage iloor .
H~ D 0 , First floor
Lowest expossd •levation (walkout/vir?dov)
~ D • property corners
D D • Front anC taar ot Aom* at the toundation
pONDING 71RLA8 (if aaal3eaD1e1
D CI~D • Ensement line D L~~ - x~'wy
D G • Bond 4 dssignntion
D 0 • ftezqency Overtlow tlevation
arrExs=oxs
D~D D • Lot lines
~~~0 D • Right-ot-vay and siraet width (Lo back of curb)
i'J D D • proposed Aome dimensions ineludinq any proposed •aecks,
overhanga qreater than 2'0 porches, etc. (i.e. ail
struoturea requirinq permenent footinqs)
V"~D D • Show ali •asemento ot reeord anQ any City utilitiss vithin
thoee eesements
DIG 0 • Setbecks o2 proposea structuze and setbnck of adjaeent
existir,g homes ,
D 0 • Retainin all z irements, if any
Reviewed:
ame / . Date
Oetober 2992
•
aurn.it! A'~
si iE nuunEss:
c0111«ncTOii: s i~2-r unrE: -rnone
UETERNIIfE. tr0ltl;trir SQUIIRE FODIAGE OF EACII: ,
I ioinL ExPosEu unLL nnEn...,.... ~~'l_4_ sq rt x,~U
o%/ e C1~~,7~1
2 . iornl noor/cliLinc nnrn........ /~~2~ • s,i rc x~~u~~"
. ~ .
3. ToTnL ExrosKO,unLL nnEn cnLeULnrlOnsI
Total exposed vrall • .
' areo above flaor~ sq ft . ' .
, ' . . . . . . , r~
n) Total wrall window areat • '
nUll 36~
rylazed...... sq ft x"U" a .
b) 7ota1 (loor arcu ~9q ft x"U"•
. ~ , ~ . ,
c) •7otu1 s1lJin(i nlass'door~areai' , .
~ . , ~ . . , . • .
glazed. ~ sq Ft x.uU'.'
qla zed.'..... ' sq, ft x nUn e .
d) Total flreplocc wall erca ' sq ft x"U"
c) Total wall frflining aYea
(nveratic to~,) • 117~ ~ Sn rc x,~U,~
' f) lbtal net riafl area above •
floor (Insulate(l)....... sq ft x "U" r C)y~~
g) Total rim Jolst area...... /~3 sq ft x"U'!
Total foundatlon ~
ilrca (Exposed).......... sq ft
h) Total founJatlon
wlnJori area............. , . sq ft x nUn a
Total net fni~n•~,•!on ' . ~ • • .
~
arca above gradc% Ull
sq f t x
Tornl a) chru t)
0
lr''tem Is thc samc as, or less than Itr.m AI. you havc met the Intent of
. S,b,C. Sectlon GOQ(, (c) Z.
'
IIUUI/I.I:IIJIIL r,nLcuLnii(ins: . , '
lo~;tl r,xp~~SCJ '
, rnof/cclllnq orea.....~..~~~,'Z ~ sq ft .
J) . lotal skyl laht. arca.'..... _ 9q ft x"U~~
14
1:) 7otal roof/ccl llnq framing .1~
arca (Avcranc Ip~). (~~-i sq ft x"U"
I) lbtal nct InsulaleJ rovf/cel I lnq orea.......
;!42 sq ft x 1-U„
. ' . TOT/IL J) tliru I)
totalbF FIt Is thc sarne as, or Icss thnn 02, you liavc met tlie Intent of
I.C. Sectlon 66t16 (c) I. .
.
~ . .
• . : . ,:~~a~. _
. . • . . . • ' • •'':'s . ' . .
. . . , • ' . . ' • ' •
l1lTEftfIA7C bUILi)lllf EIIVELOPE 11E511;N • •
utlllze thc to[al ciwclope system melhod, the volues,establlshed by the sum .f 1tr_ms If) tinJ #h shall not bc qreatcr tlinn the sum of Items pl anJ n2. :
1 . + 7. . .
3. + 1~, 1' e•
f . E It T I F . I C A T I o I I
I hereby certlfy*tlrnt I have calculnted the "II" factors nnJ "R"
values hercln ;md tl,at thc hulldinn hcrc descrlhed mcets or excecds the Stote
o( Itinneso[a Encrpy Coiiscrvatlon l1ct. ~
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, ' . : ( qn tvrej
PERMIT
CI7N dF: EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L O T N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 41 2 2
(651) 681-4675 Date Issued: 12 / 0 7/ 9 8
SITE ADDRESS:
4696 WESTON HILLS DR
LOT: 8 6LOCK: 2
WESTON HIILS 2ND
P.I.N.: 10-83751-080-02
DESCRIPTION:
Buadiiirr ~permit Type BASEMENT FINISH
Bui !diiio LJnr~k Tvpe ALTERATION
Pen,,us Codn ~ 434 ALT. RESIDENI'IAL
~ ~ -
RENP[RPijEVIEWED BY CRAIG NOVACZYK.
SEPERATE PERMIT REQUIRED FOR ANY PLUMBING WORK.
CALL 445-2840 REGARDING ELECTRICAL PERMIT ANO INSPFCTIONS.
FEE SUMMARY:
Base Fee $50.00
Surcharqe $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicane -
PELTON WILLT.AM
4696 WESTON HILS DR
' EAGAN MN 5512"s
•(651)686-4945
T I-ier^by a cknowli,~lu^ Ilt,~t L havo rn.,d thie ~uoLlr,o tion , nd stNLr Lh.1 tit^
iniormati_on i,, corracL „nd to comolv witli i1l ipplic~:hl^ Si,t • nt i4n
StetuT. Ind Citv ot tooan Ordin•-nros.
APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIG ATU REr
- - - 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
314 13830 PII.OT KNOB RD - 55122
681-4675 ~
New Construction Reauirements RemodeVReoair Reavirements
L ~xx~~1?J
• 3 rcgistered srte surveys ? 2 capies of plan
? 2 copies of plans (inGude beam 3 window sizes; poured fiE design, etc.) ? 2 sile surveys (exterior add'Rions 8 tlecks)
? 1 energy calwlations ? 1 energy calculations for heatetl addRions
? 3 copms of tiee prexrvation plan H lot platted after 711/93
raquved: _ Yes _ No
DATE: /I I t c7 7 CONSTRUCTION COST;
DESCRIPTION OF WORK:a4141S~`- kjc?e.."erL-L~
STREET ADDRESS:
LOT: BLOCK: _-D- SUBD./P.I.D.
Name: / G ~71~ h uW CCN- Phone
PROPEStTY 1-ast Fim
OWNER
Street Address: G/ &~~P
Ciry State: Zip: .S~i r z3
Company: Phone
CONTRACTOR
Street Address: License k
Ciry Stare: Zip:
ARCHITECT/
ENGINEER Company: S~ Phone
Name: Registration
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction only): Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appliqtion and state that the infortnatlon is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECEIVED
CertiScates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes - No _ Not Required BY~~-
- , y
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~ 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex O 12 Multi Repair/Rem. O 17 Swim Pool
O 03 SF Addition ? 08 8-piex O 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch 0 09 12-plex 0 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex 0 15 Deck
WORK TYPE
O 31 New ~ 33 Afterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~-ti Basement sq. ft. MC/WS System
(Allowable) 5- N Main level sq. ft. City Water
UBC Occupancy OP -3 sq. ft. Fire Sprinklered
Zoning 2-/ sq. ft. PRV
# of Stories - sq. ft. Booster Pump
Length , sq. ft. Census Code.
Depth ~ Footprint sq. ft. SAC Code
Census Bldg /
Census Unit ~
APPROVALS '
Planning Building Engineering Variance
i
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/V11 Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
CITY OF EAGAN PERMIT ~~.6141`
3830 Pilot Knob Road PERMITTYPE: auiLozNG
Eagan, Minnesota 55122-1897 . Permit Number: 0 2 7 3 3 5
(612) 681-4675 Date Issued: 0 4/ 2 2/ 9 6
SITE ADDRESS:
9696 .WESTON HILLS OR
LOT: 8 BLOCK: 2
WESTON HILLS 2ND
p.I.N.: 10-83751-080-02 '
DESCRIPTION:
~ . FTG FOR FUTURE PORCH '
Building_Permit Type DECK
Building Work Type NEW
' Census Code 434 ALT. RESIDENTIAL
, J .
REMARKS:
16 X 14 DECK FTG SZZED FOR FUTURE PORCN 3 AT 24" flND 1 AT 26" (@ INSIDE
CORNER WITH SMALLER DECK)
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Lic. Search Fee $5.00
Total Fee $50.59
CONTRACTOR: - Applicant - sT. Lzc.OWNER:
THE DECK & DOOR COMPNNY 14523192 00005457 PELTON BILL
11632 AKRON AVE E 4696 WESTON HILLS DR
INVER GROVE HTS MN 55075 EAGAN MN
(612) 452-3192 (612)686-4945
I hereby acknowledge that I have read thie application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
J
APP/pERMITE'IG AT ISSUED B SIG~ATURE'~
CITY OF EAGAN S- 0 S0
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construdion Reaulroments RemodeVReoair Reauirements
? 3 regislered sKe eurveys ? 2 cropies of plan
? 2 eopfes of plana (InGude beam 6 window sizes; poured tnd. design; etc.) ? 2 site suneys (exterior addilions 8 decks)
? 1 energy calcuiationa ? t energy ealculalions for heated additions
? 3 copfea of tree proxrvatlon plan H lot plaNed after 7!1l93
requlred: _ Yes _ No DATE: 'izl CONSTRUCTIONCOST:
DESCRIPTION OF WORK: Al/C-/)/ick'
STREET ADDRESS:
LOT ~ BLOCK SUBD./P.I.D.
PROPERTY Name: 49F L l~o/`` Phone
OWNER
Street Address•
City: Y A-6-.stA1 State: 1,4 Zip: C~3-12,3
coNrw?CTOR Company: z'f=~4,1C V-AJuJ°L eO• '~4/C Phone
Street Address: /!d3 2 AkL~1,7or/ iz License
ciry:lNV~a~P.orf 117W6ir171 State: 1`711-1 Zip-1:rS-0 71~
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address•
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY PRECEGMED
Certificates oF Survey Received _ Yes No APR 95 M6
Tree Preservation Plan Received Yes No
OFFICE USE ONLY ' -
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facifity ,
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex 09~, 15 Deck
/Yat X
WORK TYPE
,6- 31 New ? 33 Alterations o 36 Move
? 32 Addition o 34 Repair ? 37 Demolition 3~'
GENERAL INFORMATION ~lJz~L6 Ceys~^°`
1'
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. y3y
Depth Footprint sq. ft. SAC Code
Census Bldg /
Census Unit o
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
' ~ .
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Et1GAN ENGINEERIN DEPT
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James R. Hi1], Inc. Page 2 of 2 ~
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1994 PLUMBING PERMIT (RESIDF.NTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOIVIE.S AND
CONDOS WFEN PERMITS ARE REQUIRED FOR EACH UN1T.
NO. FIXTURES EACH TOTAL
~ SHJWER 3.00 -3-
~ WATER CLOSET 3.00 -
BATH TUB 3.00 la - ~
~ LAVATORY 3.00 a -
KITCHEN SINK 3.00 3 -
LAUNDRY TRAY 3.00 3._
HOT TUB/SPA 3.00
1 WATER HEATER 3.00 ~ -
1 FLOOR DRAIN 3.00 z_
f GAS PIPING OUTLET • minimum -1 3.00 3-
3 ROUGH OPENINGS 1.50 y• su
WATER SOFTENER 5.00
PRIVAT'E DISP. • oaLay. ur- 20.00
U.G. SPRINKLER • nome unau mnu. 3.00
ALTERA'fIONS • a aa,an6 20.00
WATER TURN AROLJND 20.00
STATE 3URCHARGE .50
TOTAL:
SITEADDRESS: q V16 (,tl~s~a~ ~~~:1)s ~q-
OWNERNAME:
INSTALLER:
ADDRESS:_~/b
CTTY• To, c' a. STATE• ZIP CODE• Ti 3>' ~
PHONE ( ) ~~a - a ( a+
CVU Pl__
SIGNATURE OF PERMITTEE
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.~pn:i<~Sd N.is.Z~w.1994 PLUMBING PIItMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMIMERCIALJINDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUII.DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
_ NEW CONSTRUGTION
ADD ON
REFAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE. 1% OF CONTRACT FEE.
STATE SURCHARGE: SSO FOR EACH S1,000 OF k~11t~ FEE.
MINIMUM FEE. S 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
1'ENAN'd' PI.AME:-- _ STE
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CI11' OF EAGAN APPLICANT
.
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1994 MECHANICAL PERMIT (RESIDENI'IAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN NIIY 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNIT.
v NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACI-) ~ Ia (n
ADD-ON/REMODEL (ExIS'I'IING CONSTRUCI'ION) $ 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
OWNER NAME: - -f'~ Y tr T'ELEPHONE
INSTALLER:
ADDRESS: . _ % • ~Ci~1 ~ ` ~ S~
~ \
CIT'Y: C;"" STATB: ~ (1 ~1 ZIP CODE:~ L
TELEPHONE \ ~ lo (1 ~~G
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IG ATURE OF PERMITTE
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1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WI-EN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
- -
DATE: CONTRACT PRICE: $
NEW BUII.DING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ';4C.T FEE $
,zx:x>.u.M;:,v,..~..•M;3
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMTP~ FEE.
~.w.,..:.~.m.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS oNL1)
INSTALL.ER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
1
CERTIFICATE O,F SURVEY
For. HOMES BY CHASE
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OA~ P.R.i/. R~~~~RHEL B
EAGAN ENGINEERIN DEPT
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James R. Hill, Inc. Page 2 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107943
Date Issued:11/06/2012
Permit Category:ePermit
Site Address: 4696 Weston Hills Dr
Lot:008 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-080
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
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 -
William C Pelton
4696 Weston Hills Dr
Eagan MN 55122
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I For Office Use I
I
Permit
City of Eaffiaii
Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 j Staff:
I I
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /0'1 6 ~3 Site Address: ~(D ( t f(J 4121 Unit
Name: 4~// ZZdlki Phone: G 5 l a 3 2'- ( C
Resident/ 4 r
Owner Address / City / Zip: ~j✓ ,f p
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes / No )
Company: ~\O t "IWM~ 70S ~~a Contact:
Contractor Address: City: hlc~e ,Oc, _
State: UKp Zip: '5-sW 7) Phone: 2&3 -r)/ ~g.,~
License c (?y Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name Applic of Signat re s
Page 1 of 3
Use BLUE or BLACK Ink
�-----------------,
� For Office Use y,
• ' ��� ���� �
n�} n� nn �n I Permit#: I
1. 1 1� I�.A 11 I �
V li U 1JU /
� Permit Fee:_6.����� I
3830 Pilot Knob Road i �
Eagan MN 55122 I Date Received: �
Phone: (651)675-5675 � Staff: �
Fax: (651)675-5694 L________________�
2015 RESIDENTIAL PLUMBING PERIMIT APPLICATION
f ''
� �ate: >��Z� l 5� s�te ada�ess: �� � G��STlS� l�C t—t-S ���
Tenant: Suite#:
� � � } � � ( � � ��Sc -z3 �- (� � Y�
t� � �uat�=�� ����rsr�5��iu������ .�: Name: (,✓�L�l��'"�'—� ����/'`i � Phone:
1���'s[f��[1'��ll;i�1�1' "
"������a�:����,n������������= �: �/� � -�nI S T� �'�t-�1—�rf rr� 3
�� Address/City/Zip: 7�P �P G��� �fU� �SfZ
��� � �fi
��` � ������� �`��'��'� Name: License#: � �
�,�� � �
��� ��� �����
m� .
i � �� �� ��n.t ���� Address� � City:
���� �: ���.� � — �
"�'°� State: � Zip:� � � Phone: � � � � � �
� � � �
��.....� �? w;���� Contact: EmaiL � � �
���
���a9: � �
i'����"°�� ��Ru���i��"�� New '�Replacement _Repair _Rebuild _Modify Space Work�in R.O.W.
�����t���?1" = �»a — —
w.=
"a�� �1���'�'�?�!��}�'''� �-� � io- Description of work: �`� ��'t �'e�r" �Je�.�-✓ (�-�-e�¢-<-/"
��,� ��� RE3IDENTIAL � �
���ro
Water Heater
���a������_ �� � '� ��� � � Water Softener
�� 5 �-� �����; Lawn Irrigation�RPZ/_PVB) � �
�������: � � � � � � Add Plumbing Fi�ctures�Main/_Lower Level)
f n.�'��� � Septic System �
������ � � � Water Turnaround � � � �
'� � � New
�, ��� ��
ti�' r����, � � — �
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes$5.00 State Surcharge)
'Water Turnaround(add$210.00 if a 5/8"meter is required)
$115.00 SeptiC System New($10.00 per as built)(includes County fee and $5.00��tate Surcharge)
TOTAL FEES$
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. 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 i:a not to start without a permit; that the work will be in
accordan�with the approved plan in the case of work which requires a review and approval of plans.
x ��L-L.r ��� � ���-C.'� � �,��Gv ��rc------�.
ApplicanYs Printed Name Applicant':�Signature
Qe
i�� �I � �� � �� = �
� �� �� ���� �i'r—�� �
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�6� �� i �`t�;�#:4'�1' �� �pi4?'u��I1�'�" ' ml�il���° m�,fNklilW��1�_ � � �� -01� tl w��� ,v� w � ����� ,�r�i�'I�F���a���zw�r etl�':
��� � �h I, �� �'
{i� :����i� I� r- � ,.� -� ��- ��
,�$��i'������C��,���� ��fi.'1'�' �.'�' � 'E9��'c'�£�,`����� '.���u�r i�;���i�� ���,a w��._. �n���
s a IINi�i � �.� ��_.�. �,�� , �� .=ti, rl��4G1, _ �'� `c" n-�..-�-��
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA130592
Date Issued:05/04/2015
Permit Category:ePermit
Site Address: 4696 Weston Hills Dr
Lot:008 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & 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)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
William C Pelton
4696 Weston Hills Dr
Eagan MN 55122
(651) 238-6686
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156554
Date Issued:07/08/2019
Permit Category:ePermit
Site Address: 4696 Weston Hills Dr
Lot:008 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-080
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Zachary A Svendsen
4696 Weston Hills Dr
Eagan MN 55123
(651) 271-8397
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168569
Date Issued:04/26/2021
Permit Category:ePermit
Site Address: 4696 Weston Hills Dr
Lot:008 Block: 002 Addition: Weston Hills 2nd
PID:10-83751-02-080
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Zachary A & Emily S Svendsen
4696 Weston Hills Dr
Eagan MN 55123
(651) 271-8397
Blue Ox Exteriors Llc
308 6th Ave S
South St Paul MN 55075
(651) 303-4190
Applicant/Permitee: Signature Issued By: Signature