4600 Westwood Lane . . . _ . _ _ _ _
•
W-ertificate of Cccupanc~
witi) of ~agan
Zepartmeut ef SKiIb'rag aa6pection
This Certifecate issued pursuant ta the requirements of the Uniform Building Code
certifying that a1 the time of issuance tiris structure was rn compliance with the various
orrfinances of the City regrelating building cosstruction or use. For rhe followrng:
uu c?assification: SF nw[: swg. PLffnit No. .9.Iur, ~o .
Oceupanty TYpe _gi,lm I Z.oning Disoritt $j Type Const. IN
owner or swlding 0 C S 7C waamu fA(19 LMW-F' AVE S, Elf=
euiMing aaanm 4600 WFS'1[a[m TANF: L=Wity IJ, Bl, CWK Cl.IFF PM-ZM
Buil&ng Ofi"ic.ial
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
.
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 'I "y',
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I -,ill I liNF
PERMIT SUBTYPE: TYPE OF WORK:
. ~ ,
INSPECTION
~ ~ • , ~ ~ ~ ~ i ;j. 1; i rl i I I:~, ~•i~ •i
..F.,.. ,
~ ~
Permit No. Permit Holder Date Telephone #
S/W
- PLUMBING
HVAC A
ELECTR
ELECTRIC
Inspection Date insp. Comments
Footings I
Foundation v~/93
Framing
Roofirig
Roug, PIN. • l/-q-~~ d6i
,
Rough Htg.
1107-
lsul.
/slG.~ W ' ~L17
7
Flreplace
Fnal Htg. lI3 ~
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
peck Final
Well
Pr. Disp.
A-,W ` ~ ~s-
Address 4600 WESIWOOD LAM Zip 55122
Lot '1 Blk I Sub ontc .t.rFF Fm 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: `3 p Yes No InspeMOr:
Final grade (6" ftom siding) ?
Permanent steps (garage) L,_~
Permanent steps (main entry) v
Permanent driveway v
Permanent gas
Sod/Seeded gtass
TraiUcurb damage
Porch j/
Basement finish
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing sys[em and the shut-off of water supply to
the ouuide lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sp[inkler syste
White - City Copy Yellow - Residcnl Copy Pink - Contractor Copy
6! 5' y'3 nd 4910
ov
5121 ~ / Q,~
Request Oata Fire No. Pough-i ection NOTICE: Vou Must Call Eleclrical Inspecmr
G Requir . If A Raugb-In Inspection
$(Ves ? No Is Repuired.
1
ItO licensed contractor ? owner hereby request inspection of above electrical work at
Job Adtlress (Street, Ban or Route No.) City
aNF ~~r6d^1
Section No. Township Name or No. Range No. County
~.dr~!iT
Occupant(PRINT) Phone No. '
A4 " CO~ST 33v- 6a7e/
Power Supplier Atltlress
,400.4 f~d/1*4lNy7o;rJ
Elecincal Conimctor (COmpany Name) Contractor's Licensa No.
~.c9k ,ol~ L grlll~ 7`~iG f~t 0/a3
Mailing Atltlress onVacror or Own¢r Making Instaliation)
c X
Authonzetl Signat (COnVact V~W Mak Iretallal' Ph-oJne Number
y~
MINNESOTA STATE BOAflD OF ELECTIiICITV THIS INSPECTION flEQUEST WILI NOT
Grigga-Mitlway Bltlg. - Hoom 5173 BE ACCEPTED BV THE STATE BOFRD
1821 Unlverelry Ava., SL Paul, MN 55104 UNLESS PROPEP INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
I REQUEST FOR ELECTRICAL INSPECTION ee-oooo,-oe
?$ee instructions for~ompleting ihis fortn on back of yellow cnpy,
~
p
Y~ 05 121 ' "X" Belaw Work Covered by This Request
ew Wdd Rec. Type of Building AppliancesWired EquipmeniWiretl
X' Home Range Tamporary Service
Duplex Water Hea[er Electric Heating
' Apt. Builtling Dryer Load Management
CommJlndustrial FurnaCe Other(Specify)
Farm Air Conditioner
01her(speciry) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps f~ o ta 100 Amps
Transformers Above 200 _ Amps Abov 100 _ Amps
Signs Inspector5 Use Only: TOTAL !
Irrigation Booms '~.09
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPIETED WITHIN 18 MO ~
I, the Electrical Inspector, hereby Ro~yn-~n e;.~~
certify that the above inspection has
Fnal ' Date ' v
been made.
OFFICE U5E ONLY
This request void 18 months from
' PERMIT
( NTYOFEAGAN
830 Pilot Knob Road PERMITTYPE: euxLoiNG
Number: 021809
Eagan, Minnesota 55123 Permit
(612) 681-4675 Date Issued: 0 8/ 2 5/ 9 3
SITE ADDRESS:
4600 WESTW000 LANE
LQT: 1 BLOCK: 1
OAK CLIFF POND 2ND
P.I.N.: 10-53576-010-01
DESCRIPTION:
Build'in4t,.,Permit Type SF DWG
Building WQrk Type NEW
'UBG Occupancy~ R-3 M-1
/ Construction Type V-N
~ Zoning R-1
~ Building langth i 50
~ Bu3lding WYdth 49
,
„
`
LiL
`-w-•`- ,~1
REMARKS:
S& W PLBR - B J M PLBG PRV
FEE SUMMARY:
VALUATION $131,000
Base Fee $748.00 MISCELLANEOUS $1,744.50
Plan Review $486.20 Total Fee $3,794.20
Surcharge $65.50
3AC $750.00
SAC % 100
SAC Units 1
Subtotal $2,049.70
CONTRACTOR: - Applicant - sT. LIc. OWNER:
VARLEY CONST JOS 13346034 0003249 0 C P HOMES INC
16800 SHIEIDSVILLE BLVD 8609 LYNDALE S 101-B
FARIBAULT MN 55021 BLOOMINGTON MN 55420
(507) 334-6034 (612)881-0127
I hereby acknowledge that I have read this application and sYete Chat the
information is correct and agree tn comply with all applioabla State af Mn.
StatUtes and City of Eagan Ordinances.
IIL -
l ~l,oun ft Q, ~1 ~ L1~
~ ;APPLCtANTIFEFiM-ITEESIGNATUR ISSUEDBYSIG ATURE
- ~
RE!Aic CITY OF EAGAN
PE1993 BUILDING PERMIT APPUCATION 681-4675
~
SINGLE & MULTI-FAMIL ~ 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. '
COMMERCIAL 2 sets of architectural 8 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 Valuation of work C-)
Site Address: OD Gt>ESTaJDO~ !-u
STREET SUITE f
Tenant Name: (commercial only)
IAT ~ I I BIACK ~ SUSD. OAK CLIFF POND P.I.D. * 10 535 ?(o
ew esi ence
Descri tion of work:
The applicant is: ? Owner IJ~ontractor ? Other (Describe)
Name OCP Homes, Inc. Phone $$1-0127
Property L"STg609 Lyndale So. ~~lOlg
Owner qddress
STREET STE M
City Bloominaton State MN Zip 5S420
Company Joseph P. Varlev Construction Phone 507-334-6034
Contractor Address 16800 Shieldsvill Rlvd. License #nni244 Exp.3/aiia
City Farihaijlt State Mni Zip _S.Sn9_
Phone 645-4170
Company
Architect/
ngineer Name Grover Dimond Registration #
E
Address 2332 Bourne
City St. Pau1 State MN Zip 55108
Sewer & water licensed plumber BJM Plumbina . Processing time for
F sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ~ Joseph P Varley Con tion, Inc.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging 16 Ba'sementfinish
P~P,02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. •O 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind.
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
0 OS SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
f7~ 31 New O 33 Alterations O 35 Tenant Finish ? 37 Demolish
32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System YEs
(Allowable) v_~ lst F1. sq. ft. City Water vES
UBC Occupancy R"3 M.~ 2nd fl. sq. ft. PR4 Required V95
Zoning ~c-i Sq. Ft. total Booster Pump
8 of Stories PD Footprint Sq. ft. Fire Sprinkler
Length ,5-01 On-site well Census Code /o!
Depth 491 On-site sewage SAC Code 0 !
APPROVALS -~1-
Planning Building Assessments
Engineering Var9ance
REQUIRED INSPECTIONS
? Site ? Footing ? framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee veiurecion: , g 131~000''
Surcharge GAR
Plan Review ,Kv`t° x11,
License 23
MWCC SAC - I5-ta
City SAC 4 y` 4i = 36
Water Conn.
Yater Meter
Acct. Deposit Z-X 7
- ~ ~
S/W Permit ~ 66p X~~-~ 24c~oo
S/W Surcharge ~
Treatment P1. ~Syj:64 (L
Road Un i t
Park Ded. Pf~n'1i- 1~60
Trai 1 s Ded. r I0
others ~O~'/ 7~ x s~r ~ 90, 6r2
Total : f 2 Kr2 %IyL(
5AC x 10o I 3oi 3x9
SAC Units ~
P_01
2422 Entarpriae 4rive
i4 Mennota keighks. 4iN 55720
*~~NIEER um svK+rt_va~s - crviL cNCn"RS ($12) 681-1$14-Fax 681-94$8
625 Highwoy 16 Northe68t
Biotng. MN 55434
~ * (612) 783-1880•Fox 783-5883
certifiCatO of sur,?ey for. aCP Homes. Inc.
#iouse Address: 4600 Westwp4d Lane Eaaan MLL
Model Pfame:
Cus#omer:
VVESTWtJOD LANE
Ra~~
N 89~"5~$E
17
29&~
ci o~o
W SL~°~wl e~~ ~ R ~ \
433
~
\ to-
41•~~~~9
y4k ~31"v
!1 surw 'D'
ti ~ ~02•~'~- E
~ REV ~ t':,W(!~
By
Date -
"AGskiki
L_i? p r
? ? L
Ho7E: CoNirtacTnx ?HlsT vElaFY Al1. DIMENSaNs two oRwEwnr nMcrN
, auen panotes Exleting Efecvolion RROROSED HOUSLEtEVA?I{lN
_4K Qeno#bs Proposed EY+ev'ctian Lowrest Flcar Efeva#Eon:836.25
- penotes prngnoge & ULliTty Faaanent k Efevatton:3A5.70
- Denotw Draf~a~9e Flow Direction ~ RF ~oiz~
Danatea Monwment Ganage Slab Etewtlon:944.7q
Denotes Ot[9at Hub Boorlegs shp+Yn a'e ossurted
LOT 1, BLOCK 1 OAK GLIFF POND
s? bA1WTA COU1171: i6NNESOTA 2ND ADI)I Tt0 N
1 hff[bY ~rtfy that thls wrwY, Wan a repori xmt Pi'eVarcd bY m ofuswrmYoincs wpw..M. v.,...~~ AuIY ~o8~tlweA 1.iM SurrvYO~
unOnNslaws, '~:eoiMini+s~oti.Oatodthis~diYaf A~~G. .A.D.19~-.
~r:: ;'r8143 nsr, a~.o~qrFg , .
.r- nw
ROHEPT6. . r 6.lY0.I4691
~ ~~.o~
Q
~ LOT SIIRVEY CHECRLIST FOR RESIDENTIAL
.-JBIIILDI PERMIT APPLICATION
m
m L ¢ PROPERTY LEGAL:
~ e w
N r Date of survey:
U D
< z 2 DOCUMENT STANDARDS
? • Registered Land Surveyor signature and company
0~ ? ? • Building Permit Applicant
0-~? ? • Legal description
0'~-0 ? • Address
Cr~?? • North arrow and bar scale
13 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
0~ 0? • Directional drainage arrows with slope/gradient
0-~? ? • Proposed/existing sewer and water services
13"'? ? • Street name
p/ o ? • Driveway
ELEVATIONS
Existina
? 9' ? • Sewer service
C~ C~ . ? • Lot corners
• Top of curb at the driveway
• Elevations of any existing adjacent homes
Prooosed
d-' 0 ? • Garage floor
0'~' ? ? • First floor
? • Lowest exposed elevation (walkout/window)
C~ • Property corners
? Q" ? • Front and rear of home at the foundation
PONDING AREAS (if apAliCable)
? ,9"~? • Easement line
? 3'~- ? • NWL
? 9'~ ? • xwL
? • Pond # designation
? LY ? • Emergency Overflow Elevation
DIMENSIONS
p~ ? ? • Lot lines
P1~ • Right-of-way and street width (to back of curb)
? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc.. (i.e. all
structures requiring permanent footings)
? • Show all easements of record and any City utilities within
those easements
0-~ p? • Setbacks of proposed structure and setback of adjacent
existing homes
?~K'b • Retainin~l re rements, if any
Reviewed• 7
me / te
October 1992 4
• 1~ s~ CI1T OF E1GAN
~ ETIERIOH ENYELOPE AYERAGE IUI COMP[!Td?ION
OMNEE:
SIIE dDDRFSS: G0(~ e,- Q p U~ L
coMrsacros: DA7E: PHONE:
Determine Morkiog sqaare footage of eac6s
1. Total exposed wall area ...aa742 aq, ft, z.11
2. Total roof/ceiling area 1572 . S aq. ft. x.026 = /
Total ezposed vall area above rioor = A Y -I'a
8• TOt81 N811 VSndON area ~4 1 q
b• TOt.81 d001' area 0
c. Total allding glass area ~
d. 7ota1 fireplace wall area
e. Total wall framing area (average 10%)
f, Total net wall area above floor
8. TOt.81 TLIO joist area
'
. Total ezposed foundatioa area s
h. Total foundation xindow area I. Total net foundatlon area above grade
Determioe OU• value of esch wall aeBeent:
~ ~ ~ x ,U, .34 . = a.46 ~ -
b. x ~U' ~ _
c. 40 x'U' s !3. a
d, x OU' - _
e• ~ x ~U' .0417 ~ _
f, x 'U' .045 =
g. x 'U' .042 =
h. x 'U' _
i. ~ x tUt ~76 = 3ai,~b
3 . 7ota1 ¦ a ro 7
If item 03 is the same as or less thsn item /1, you have met the intent of SBC
6006(c)2.
Total ezposed roof/ceiling area = ~ 5 7.2
' J. Total akylight area
k. Total roof/ceiling framing erea (average 10%) 15.
II 1. Total net insulated roof/eeiling area r 1s
OYER
Determine 'U' value for ex6 roof/ceiliag aelpent:
. ' d ~
J. x 'U' . `17 c
k, l 57. a = 'ot oa6 = 'I-() .
i. l'41 5 :4us , 0 21a = 31-13 ~
o . Totiel
If total of /4 ia the same as or less than /29 you have met the intent of SBC
6006(c)t..
diternate Building Envelope.Design
To utilize the total envelope system method, Lhe values eatablished by the aum.
of Items 03 and /4 ahall not be greater than the sum of Items /1 and i2.
t. 361. ~O t2. 10. ( e 3'1';2,r5
s. 4. 33 30b
I
i
~
~
2
• I
`
, .
r... . .
Providc insul¢tion baffles in every' ' R~OF ~ L~~L~N(~ •
-ra=i,e: space. -
. (R) 1
. ' O ??'TEUlo~ r.IR FfLM .61
5/3" W eD. - ..Si
O INSUTAI?oN = ",pe
. ~ ' • .To
O EXjER;oR A?F FI~M
, l U ~3- (STtll)
ToTAL (R)=fS`
'
I
=io1-' AiR FtLn
, 9 (D 'hu 4YP.' 8D.' . . . ,4,~*
. . . OO t^a:.t~.` 1NSOLATIoN Siz''191b~!
• ' ~ . O. zs/3Ln l. ~
CEDAIZ Si~~r•G .~I
loio- krX FlLt-I ' 017
_ ' . . ' ToTRL (R) =2.Z4
. RIM . va.oi5
. , . . IfA
- ~Z • ~ lttTei'1or, qlr~ Fiu1 CR,.ES
5 1/Z INSUC%%Tict-i
2" n R 911.1 .~U15j ~
~p i
105 ~f5z 50"=T.-A12-:' . • . .
, . . 4 ExT~r~~r~ aR ~ • 17
. . . e •
• o, ' ' ' , _ . . _ T°7P' (it)=23. B;
. oo , . . foJ~ADATIOO
Q iNTE1l10R AIiC FlU1 VALUc
`Pa.. Fa1r, g.D J~lsuu~o,.~ 31- aF~. c a/,2a I2'IX ~j?L. ./7 ~~ExiE.~oz Atrc FILM -17
R= G.45 ToJpLrc -
C i~3as
Floors ove; unhcated spaccs nust have miniaum R-fattor of R-20 (tuck-undeT garagV) ~Of 6
Floors ov,r ou[door air (ovcrhangs) oust liave a niniwum P.-factor of R-33. '
1
e `
tt M £ Ol ¢ 3~[.g`iLg ~C•3.:'S,~i.'fi_~~ka`.wi'~y'Y N id F yy~ 3'(
1993 PLUMBING PERNIIT (RESIDEIVI'IAL)
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 REQUIl2ED FOR EACH UNIT.
NO. FIXTURES EACH
1 SHOWER 3,00 3
3 WATER CLOSET 3•00 g
BATH TUB 3.00 0
LAVATORY 3•00 4~-
KTTCHEN SINK 3.00 3
~ LALTNDRY TRAY 3.00 3
HOT TUB/SPA 3.00 3
WATER HEATER 3•00 ~
FLOOR DRAIN 3•00 ~
GAS PIPING OLTTLET • minimum - t 3.00 6
D ROUGH OPENINGS 1•50 °
n
o WATER SOFTENER 5•00
PRIVATE DISP. • Dek.cry. ue. 15.00 a
U.G. SPRINKI.ER - eome unaer oonst. 3.00 O
ALTERATIONS • to edsting 15•00 ~
WATER TURN AROUND 15.00 v
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: '216 0 0 ~?.~sa-r.~ o
OWNER NAME: Uaral~
INSTALLER:
ADDRFSS:
17
CTTY: -~7~~K / STATE: i~11f ZIP CODE: S"s/ o I
PHONE ( 6 ix ) 7 7 ( - 77
~ ZZ~
SIGNATURE OF PERMITTEE
1
,
l~d } ~lt c s. y ~r a 3 ~i^ca s £~SL~x ~h~e~~k . s~ 6xs °'r'c.t ' ~a S t f : :
m4 S s x ce r x~ -.~a~ Rw~~ a~"a~i ~a ?~„~',e ~SL'xx'''~~~' «.9 353'.,, ~sS a^sY~ i~ss~~~w'~ as a i
1993 PLUMBING PERMIT (COMMIItCIAI.)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAERCIALJINDUSTRUII. BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUII2ED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
I
CONTRACI' PRICE: $
FEE: 1% OF CONTRAGT FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF P,.~JI~~! FEE
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME: ~
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
I
op
x ,«h . . . ~aa~~, . . . . .~.a..,. . . xa.:s.£~.c i.. ~ .~e ...3..g3. Cc . - . ' . .
1993 MECHANICAL PERMIT (RESIDIIVTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLE.43E COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTI'.
- -
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLET'S (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCI'toN) $ 15.00
STAT'E SURCHARGE .50
TOTAL gaga~o
SITE ADDRESS:
OWNER NAME: TELEPHONE
INSTALLER:
ADDRESS:
CITY: CI ~Ff1/1 JA STATE: ZIP CODE:.~060
TELEPHONE #:.'S7J ~7 -
SIGNATURE OF PERMITTEE
~
-
p~Y' -ut
1b u~,4r x
1993 MECHANICAL PERMIT (COMIIIERCIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COD~vvIERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII,DINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF QRM'FLM FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF RML`F FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLl)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CIT'Y INSPECTOR
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
~ ~a' ~ (651) 681-4675
New Construction Requirements RemodeUReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1193
required: _ Yes - No ~
D
DATE: f a 7 ~g q CONSTRUCTION COST; 13 1, 700,
r
DESCRIPTION OF WORK: ~ X robYh
STREETADDRESS: ItoOO e-S~-2JOOGQ L?i °
LOT: BLOCK: ~ SUBD./P.I.D.
Name: 0? l~LY'~° Phone#: l4-fI'~-2 ~D3L7
PROPERTY Last First
OWNER
Street Address: A `JD V e-
City E~aar State: Mal . Zip: S~'/ o~ %Z
~
Company: Y & `i' i O 'E-'YI G I osu r e s Phone (o SI ' 611 I' I IDO
CONTRACTOR n '1 1~f
Street Address: ~ 1 2 3 ~ 1 (~l tTL? License # 1(0 7~/ Exp.
City IU t°4'J d7' 1'G ~V~ _ State: yl'/ h. Zip: -r:f-//,2
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Sueet Address:
Ciry State: Zip:
Sewer 8 water iicensed 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 application, state that the infortnation is correct, and agree to comply with all applicabie Shat
of Minnesota Statutes and City of Eagan Ordinances.
Signature ofApplicant: r \
OFFICE USE ONLY Certificates of Survey Received _ Yes _ No
Tree Preservation Pian Received _ Yes _ No _ Not Required ~
OFFICE USE ONLY ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
~ 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowabie) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. Census Units
Zoning sq. ft. Census Bldg
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation:
Surcharge /
Plan Review
License
City/SACAC 121 ~t x 4n = 511 ~ti m=
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other Copies
Total: % SAC
SAC Units
f 1•_U1.
iL 2422 Entarpriae UrivA
'k PIONEER UGnwota ka(gh1s, 4dN 551:0
* _ LMO 91/Iv[TpNS - CIVII. CNCflIEERS (512) 681-1814-Fox 681-94$8
$ng~"?a 'eer ng L" "NaR4 - -LZMN h~-
625 Highwuy 10 Northeoet
9101na. MN 55434
(612) 783-1880•FOx 783-f863
Certificato ot su,,,ey fo,: pCP Homes. Inc
#iouse Address: 4800 iNes woad Lo~e„~,~gg~n
Model Name:
Custorner.
wESTwooQ LanrE
, zN`yN 85l* E
nao ~cv ~ 4a" ~2g
z
d m
w
W L xas 1 BI~ ` ~ \
~ S 0~ ~~s 94 x ~
v~
-gp
M
.
}s
4v, 3p5'3*
!1 ~ saes e~ w
4~.
~EMU9~EU
N07E: CONTRItGTpR MUST VEWFY ALL WMEN90!!4 ANO ORiVEWAY OE90N
•It= Danotes Exlsting Elorotiart P470POSED HOE15f , VA110N
•elgO Qenotas Proposed Elevotian Lot~neal floor Elevotlon:936.25
Denotes Dra&~oge & UUITty Easament
Denofes prokmoqe Flaw Directbn IkR1 ~~~~k Elevatton;945.70
Denotes hlonument F Garnge 51ab Efevotlon:944.70
--e- D°^°t've OfEs°t Hub Seorings sho+m are asaumed
LOT 1, BLOCK 1 OAK CLlF'F POND
uAIcorA coMY: IANNsorA
~~1 n(~ I TI {l N
1 hK[bY nrety ihat thta wrnr, dan w rePart +w [rracardi 6Y Ts nar my di~aF~S(~dit'6x~ dulv RKUnrOA Land Surwvo,
rn0er tM laxn nf Minnewb. Oat~d this~ deY o( A~C.. A.D. 79
~0/43 Nlr. Rer_ecqfF9 J~
~
~ ROBERTB. . ~ G.WO.U091
~ • ,-30
~
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
5- 3830 PILOT KNOB RD - 55122
651-681-4675 ~
New Conshoctlon ReouiremeMs Remodel/Reoah Reaulrements
/
D 3 registered sBe surveys showing :q. fl. of lof, sq. R. of house 2 coples of plan
and,gll roofed meas (20R maximum lot eoveraae allowed) 1 sef ol energy calculaNOns lor beafed addNlons
? 2 coples ol plans (show beam 6 wlndow sizes; poured fnd. deslgn; etc.) 1 ske survey for exferior addRions a decb
? 1 se1 of energy calculaNons
D 3 copies of hee preservailon plan X l01 platted affer 7/1/93
DATE: CONSTRUCiIONCOST:
DESCRIPTION OF WORK: e- G~ S fG..?tiA
STREET ADDRESS: 00 ~ ~ C)JC)6
LOT: ~ BLOCK: - SUBD./P.I.D. n -
Name'~ r- '1~' ?.~cg Phone
PROPERTY Last Fir:t
OWNER L!
Sfreet Address:-~, 66 We-s:tW 00 b L/U -
City S- State: Zip: S S( L Z-
~
Company:~~'" pw~-M Phone
(area code)
CONTRACTOR ?
; e-LJ lJcense # Z°! S0,1 11 Exp. /0 C3
Street Address:1, 0w e c)
City State: Zip: s S~ 2y
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Sheet Address: Regisfration
Ci{y State: Zip:
Sewer 3 water Ilcensed plumber (reaulred for new conshucHon onlvl:
Penalfy applies when address change and lof change ts requested once permR is Issued.
I kereby acknowledge that I have read thls applicaflon, sfafe that the i ation is correcf, and agree to comply wMh all applicabl
State of Minnesota Stafutes and CHy oi Eagan Ordlnances.
r'~
~ SlgnaFure of Applicd •
=~1
OFFICE USE ONLY
Certificates of Survey Received ~ Yes _ No v 2
Ii11
Tree Preservation Plan Received _ Yes _ No ~ Not Reguired___
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex O 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex fit 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only _ ? 43 5iding/Soffits/Fascia
X 32 Addition ? 36 Move Bidg. ? 40 Gas Insert 0 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair O 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code . 71
(Allowable) Main level sq. ft. SAC Code 7
UBC Occupancy sq, ft. No. of Units ~
Zoning sq. ft. No. of Bldgs ~
# of Stories sq. ft. MC/ES System l.ength sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ C C'
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other Copies
Total:
SAC Units
% SAC
.
2422 Enterprise Drive
Mendota lieighks. 4lEl 55120
* PIOPIEER LAW 9UItVE+,M5 - CAVL rkcMRS ^ (etiz) 681-1914-Fox sei-saea
_s-~,..r............,,~~.-.~.~~
@ ~~~~~ra~n~ 4vip xaN1EA8 . UWpSC+~Pt Md111ECiS 625 Highwoy 10 Northe69t
Aa
~ ]f * (612) 783-1880•FUx 783-t883
cotifioata ot surwy for.QCP Homes. lnc.
tiouse Addrese: 4600 Wes woad Lane. Eggan. MN
Model Name:
Customer:
wEsTwooo LANE
`M gg'~~g .2~.
55.17 E
aa.oo sr~v ~-fa.~, 4.
?
N7~69
z ~ ~+fa~ ~~.oa
OIw tI
I v' ) Y
w W y~~ l~ ~ 9753~ ~ yNa~~ ~
, m,w L3.m
0 4~~,x •
~ g3~. z y
At%6
~ ~ pc+F Y9a$ •1
~y\ ~ 9w3.i
~p 16 ~ ' ~a.
12, 6~
.
~~~~WIF
~ Ur~`1"~'F11?~c; Y~,~,~:.~,
RE R0~~ OR E Q "Utl!i 6pmu
NQ7E; CONIT2ACTOR 1Nt5T VERIfI' ALL qMEN90NS /WO ORFVEriAY OE30N
..mn Par?otes Exieting Elevation PROPOSED HOUSE , ELEVATlq"
*C~n Denotan Propoaed Elevatiar? ~y,~i f?oor E.{evctlon:936.25
Denotes Drahoge & U[Nity F.mment pa~tton'•8A5.70
- - Denotes Drvkloqe Flo+Ar Direction ~ ~h~ ,..oo~~
- Denotes Monument Gnroge Slab EleviotTon:944.70
-a- Denotes Oftaat Hub $"rlnqs shawn are asaumed
'~`?T BLaCK 1 OAK CLIFF PONO.
DAIMA CaA11r MMESOTA 2ND
1 IN'eAY esmfy mac tnM wrwr. oM a"Can vr~ OyAMtl 6V 010 r..
nnAer tir Iavn r./ Nin.raoY. OMr Mii-. ~A r~ .:j X t die. AEt~aA/ . . . ~+B /'13 ~Y
f
SC:CIIP.: ~?'3
Q~ 4!rn m
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4600 Westwood Lane
Lot: 1 Block: 1 Addition: Oak Cliff Pond 2nd
PID:10- 53576- 010 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
PERMIT
City of Eaan
Construction Type:
Occupancy:
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.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Merri K Middleton
4600 Westwood Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA088519
03/20/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4600 Westwood Lane
Lot: 1 Block: 1 Addition: Oak Cliff Pond 2nd
PID:10- 53576- 010 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Merri K Middleton
4600 Westwood Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA088853
04/23/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Date:
City of Esau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
yas31'
Ciatgoga
Use BLUE or BLACK Ink
Far rOfce;Use
Permit #:
Permit Fee:
Date Rece
Staff:
2011 MECHANICAL
��PERMIT APPLICATION
Site Address: `1 00 I/tlt.✓I yyOtYd. Lail&
,OL2d Sweef-Ha rm
Suite #:
1
RESIDENT / OWNER
Name: _WOO wethva0
Address / City / Zip:
e
CONTRACTOR
Name:
e
re'
000 Welfw!T,
•
cur bail n
Address: 1614 1%1 E ' I I
State: ri�{j t jZip: 55C) f �
Contact: VIA 1 i 11 e t Ie�l 1 I Ck 1 Email:
Phone: &1SI- 2-0367
01164,6w, 'An 65122
r License #:
ee+City: Sti n
Phone: COS 1.—
+31 4-11
unenourair' yam
TYPE OF WORK
PERMIT TYPE
New 4Replacement Additional
Alteration
Demolition
Description of work:
Roof tountetand ground mounted
to Please contact the Mechanical Inst
RESIDENTIAL
V Fumace
Air Conditioner
Air Exchanger
Heat Pump
Other
moat equipment is requires
for:information on permitte
cha
dor
New Construction
Install Piping
Gas
0
Cree'
y elty
ening methods.
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install / Remove)
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x 1%
$55.00 Minimum (includes State Surcharge)
_ $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
= $ TOTAL FEE
CALL BEFORE YOU DIG. CaII 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.qopherstateonecall.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 plan •
x Jamie perirn ah
Applicant's Prin ed Name
x
D�• wkwaw
Ap T cant's Signature
R OFFICE USE
q t red Inspections =Under' Ground: .Dough In `',Air Test
error HVAC, Screenir g.lhs
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118513
Date Issued:11/04/2013
Permit Category:ePermit
Site Address: 4600 Westwood Lane
Lot:1 Block: 1 Addition: Oak Cliff Pond 2nd
PID:10-53576-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 .
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Danny J Braaten
4600 Westwood Lane
Eagan MN 55122
(651) 600-3382
J Carver Construction Inc
1345 Schletti St
St. Paul MN 55117
(651) 645-5488
Applicant/Permitee: Signature Issued By: Signature
