4620 Westwood Lane • . ~
~
.
Wertifrca#e nf Cccupanc~
Cfitv of Cfagan
Zeoarhncnt of 15,fthtS 3a30ection
This Certificale issued pursuant to the requirements of the Uniform Building Code
certifying tirat at the time of issuaRCe this structure was in campliaace with the various
ordinances of the City regulating building construction or use. For the following:
Ux Classificuioe: SF DW Bldg. Permit No. 24078
OocupancY Type R3/M1 2oning Diatrin PD Type Com[. VN
O.of BuiMiu6 OCP FOES INC Addma 8609 I.YNDALF+ S. BUIM
Brilartg Addmss 4620 WESZWOCD IANE iocalpy T+If B4, C1AK a,'F' FM ZNID
uoe.
eWwing oWDCULI ~ PO.ST IN A COFISPICt10US PLACE
~
. . . ~ INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pifot Knob Road Permit Number:
~ Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
• I ii . i I l;irli+ 1 I1N( rsi , t lii,,
r1 '~I ~ I I i . ~ <<<•~1~ I'~I~ ' ' ii ~ . ~•1 ~.41
PERMIT SUBTYPE: TYPE QF WORK:
INSPECTION . .A
i ti~re f i C4 s,'. ;
riI, i<llili
:;i ri".0"r . i, ?I, H iI i:t c: I at F'i t<l,
F
~
L
_ Permit No. Permk Holder Date Telephone #
' S/W
_ PLUMBING
HVAC ~zlk, - 81? W' r03W
ELECTRIC
ELECTRIC
Inspection dete Inap. Comments
Footings I / q
/
FoundaGon ~
~ 71,q f'
Framing
Roofing
Rough Plbg.
Rough Htg. ~C ' a(
[SUl.
Freplace
Final Htg.
Orsat Test
Finai Plbg. Pibg. Inspector - Notity Plumber
iY
Const. Meter
Engr./Plan
Bldg. Final f/J
Deck Ftg.
Deck Final
Well
Pr. Disp.
~ a
~067~59 4
Repuest Date FI No. I Rough-In Inap Fequired Inspection Other Than Rouph-In
(YOU must call Inspector when reatly) ~ Rseay Now ~ Will Notiry Inspector
7- !7 Ves ? No De~e ReaG
I,Cklicensed contractor ?owner hereby request inspection of above electrical work at:
Job Adtlrass (SVeet, 9ox or Route NoJ Ciq
40KVOlvF?4aia10 L~5- 116dis--d.rl
Section No. Township Name or No. Renge No. Coun
,.t1~B~
Otcupant(PPINT) Phone No.
SJ Cvits~/1~a~ 33 41- ro ?ll
Power Suppliar Atltlresa ~
Eletlncal ConVactor (Company Name) CoNrecmr's Licenss No.
c~a/:2
Malling Adtlress (ConVecbr or Owner Meking Installalion)
t76-t' l,lJ/l l~~ -A/ /L1ld -~~aw
ANhorized Signa ~COmracbr/Ow~k~st ) Phone N_'mWr~~ ^
)Qi %
MINNESOTA STATE BOARO OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT
Grlggs0.11Ewey Bldg. - Poom 5-128 BE ACCEPTED BY THE STATE BOARU
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 642-O800 ENCLOSEO.
8/9/4 REQUEST FOR ELECTRICAL INSPECTION eB 0 Qop1 os
7 ~_'y4
~
000 1 5 9? See Instmctions Por campleting thl6lorm on beck af yellow copy. ~
~
_"X" Balow Work Covered by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
' Home Range Temporary Service
Du lex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (S ecify
Farm Air Conditioner
Other (speciy) Coniractor's Remarks:
~
Compute Inspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Faeders Fee
Swimmin Pool 0 to 200 Am s Fill 0 to 100 Amps O
Transformers Above 200_Amps / Above 100 -Am s
SI fIS Inspector'S Use Onty: ~ ~U '~'OTAL
Irrigation Booms
S ecial Ins ectlon
Alarm/Communication THIS INSTALLATION MAV BE IS OrECTEO I NOT
Other Fee COMPLETED WITHIN 18 M .
I, the Electrical Inspector, heraby Rough-In
cert'rfy that fhe above inspection has F;nai oa~e
been made.
OFFICE USE ONLV
Thls fapuest voitl 18 mon[hs from
Address 4620 WFS14,1'lOD LANE Zip 5512 2
I.ot' 1 .1 Blk 4 Sub OAK QIFF P(M 2rID
THESE ITEMS WERE / WERE NOT COMPLE'I'E AT THE TIME OF THE FINAL INSPECITON.
Date: 9~y Yes No Inspector:
Final grade (6' ftom siding) ~
Permanent steps (garage)
vl-
Perinanent 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 shuboff of wa[et supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in tightof-way or installing underground sprinkler sys[em. ~
White - City Copy Yellow - Residen[ Copy Pink - Contractor Copy
PERMIT ~O`%o~wg
CITY OF EAGAN J-/~O-5q
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 4 0 7 8
(612) 681-4675 Date Issued: 0 7/ 12 / 9 4
SITE ADDRESS:
4620 WESTWOOD LANE
LOT: 1 BLOCK: 4
OAK CLIFF POND 2ND
P.I.N.: 10-53576-010-04
DESCRIPTION:
Build ng--Permit Type SF DWG
'Building Wark Type NEW
;'UBC Occupancy\ R-3 M-1
/ Construction Type V-N
Zoning L ~ PD
C Building Length ' 56
Building Width 57
stories 1
Ting
l
~ ~ f ~I -lp C n,~LFJ rJ~I~
C-~,~j ~C~ i -.C~;_~ ~
REMARKS:
PRV S & W PLBR - B J M P'L8G - - - - - -
FEE SUMMARY:
VALUATION $126,000
Base Fee $730.50 MISCELLANEOUS $1.828.50
Plan Review $474.83 Total Fee $3,896.83
Surcharge $63.00
sac $800.00
SAC % 100
SAC Units 1
3ubtotal $2,068.33
CONTRACTOR: - Applicant - s7. LIC. OWNER:
VARLEY CONST JOS 13346034 0003249 0 C P HOMES INC
16800 SHIELDSVILLE BLVD 8609 LYNDALE S 101-B
FARIBAULT MN 55021 BLOOMING70N MN 55420
(507) 334-6034 (612)881-0127
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 afi Eagan Ordinances.
~
A,4 A
APPIICAMlPERMITEE SIGNATURE -ISS ED IY: SI ATUR
CITY OF EAGAN T ~
1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered, i~UTDp of energy
calcs. ?
COMMERCIAL 2 sets of architectural & stru tural`pl0anst9`414se of
specifications, 1 copy of ene -cal.c.s_____
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 ance permit
is issued.
Date /a / 30 LY Valuation of work / yS_, O O O
Site Address: 6 r_~~U W E~ ~~e-'5?-A j.tv
STREET SUITE #
Tenant Name: (commercial only)
LoT ~ BLOCK SUBD.OAK CLIFF POND P I D # O4O b/
SECOND ADDITION
Descri tion of work:
The applicant is: 0 Owner ? Contractor ? Other (Describe) bbl-UIZI
Name UCP omes, nc. Phone
Property L1609 Lyndale so. #h3U
Owner pddress
STREET STE M
City Bloomington State MN ZiP 55420
Compan~oseph P. Varley Construction Phone 507-334-6034
Co ntractor AddresJ6800 Shieldsville Blvd. LicenscPQA3249 {XP,3/31/95
City Faribault State MN Zip 55021 645-4170
Company Phone
AI'ChiteCt/ Grover Dimond
Engineer Name Registration #
Addres$332 Bourne
City St. Paul State MN Zip55108
Sewer & water licensed plumber BJM Plumbinq Processing time for
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. ~ oseR~-~V_arley Con~tru~tion, Inc.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE „h,; O 01 Foundatian ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
Q 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) VAI/ Basement sq. ft. 15?j MWCC System ~C
(Allowable) /i lst F1. sq. ft. /S 9% City Water 7j~7
UBC Occupancy 7 /,-i 2nd F1. sq. ft. PRV Required ~
Zoning Sq. Ft. total Booster Pump
q of Stories / Footprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code (~2
Depth 57 On-site sewage SAC Code a~
APPROVALS eensus Undt i
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site n Footing Framing El Insulation
? Wallboard QYFinal ? Draintile ? Fireplace
Permit Fee vei,,,t;,,,: $ ( 2!~ oDo
Surcharge R
Plan Review
License /y3
`Yv co
325~
MWCC J~~ - 6 yo
City SAC
Water Conn.
Water Meter y Yc ir k ~r
Acct. Deposit
S/W Permit
5/W Surcharge r)9
Treatment P1. _ J Raad Unit
Park Ded.
Trails Ded. ~2~,-r
Copies
Other
Total:
SAC %
SAC Units
,
r---t----
2422 EnterprFse Drlve
Mendotn Hoights, MN 58120
*PIoi1*IEER (s12) eei-tst4 Fax:set-s4es
uw sun~vaxs . ow'. eraxe[as
* b11jj rild0 WU 1A1D °V'~~• L~SWE'AQV1OCiS 626 Highway lU N.E. .
Blaine, Mk 55434
1(612) 783-1888 FA)t:783-1883
Certificate of Survey for: OCP HOMES, INC.
aszo wESrwooo LnrE
BENRI MARK g''
IOiP veia o°O~ R23$06.43
!ls d0°0922"
n~ ~ r
' I Q 36
s
~v 966.1
r
~
iy • 961.4
Q / T~~L4'E7 B i.l 2O~
a 4 /Qp~y
TOP BENCH MARK Y'~,~,U~,~~ ~'`T(a~.~p~',~•• ~3 ~2~ yo~L OF MJ B
ELEV.a 983,34
.
41 f ~ o Q ~ 9y ~
h• e~a ~4,• g ~c
M
t ~2/ 96Zt ' ~ Irr_ -
9633 /4
IS \ y~ro ~ 94 ~ ~ r 7 T
~
N
~ ~ ~Vzz7 x, ?ra-~
934.4
TV. A TELE. vEOSI/f
953.E4 $ ~1.s ~ 71/
'~{r 74° . ~63a.c} M
2 ~'2 3g'+~ sa~s ~tn
~
EAGAN
REVIEWECP+Z ~
P
9Y S
C~F3~ 9% EAGAN E 'INmIN DEII'T
PROroSED GtUOES strdYn Pfn cRnarM ruw er. o c r r?ams, irvc.
HOYE: HUR4ING WAEN9ONS SH01Wl ME FOR HORI70NTP1 AND YCHIICK --lOCA710N Of' 57RUQNRES p1LY. SEE AROIIIECNAI PlRNS Fdi BL1l.QINO
ANO fOUN0AliON pIMEN90HR '
ND7E: WNiRACT(Mt MI35T 'kPoFY OPoVEWAY Of51GH. 71US CERfIF1CAlE OOES XOT PURpQ{7 TO 6HpW EASENENT9
~ uoTe: ++o spranc sans ixVEsnsAna+ Hns eeov ecwrcerEo oH nns orNeR nrnn nHose sHorW a THe kecortnro vuY.
lOT BY 7NE SURVEY[IPt. 7NE $lRTA91G11' aF SOkS ttl SUPPOK( iHE BEAPoNCS 9i9YR1 HM A6SVMEp
SPEdttC nbJSE PROPO5E0 Is NOr 1fiE RESP06SIgIt17Y (F 114E 9l1RyEYpR. .
2-R0pQa0 HOUSE ElEVA710k
x ooo.oo Oenotes Exisiing ElevaUon
( oonm ) Oenotes Propoaed Elavati0n Lowest Floor E]evotion: +
- Denoles arainqge & Utflity Easement ~~~,0
Danotee Drainoqe Flow Directlnn Moin F(por Elowtfon:
Danotea Monument
_a- penotea Offset Nub Garage Slpp Efevation:
LOT ~ s B L 0CK 4 QAK CLIFF POND 2ND ADdITIDN
DAK01A COUNTY, MINNESOTA
~ qp perabV eertily th" :die eutae. Plan a r y q~t .oa ~~a~p 6y me w unUer mY dkect supr on•enQ ~not I mn dny ngieterdo wypr
vlltl[ Ihe lnwa al !ne Slnl* ni Minneeoko. Doted tNi4~ d0Y OI J~A.. ~
O
GPlOEER µEE , P.A.
Scale_ 1 inCh 3o fieet -
Jahn C. L
oreon, .S. t2eg. No. 14828
I~+an ss2oa
~e-a
IAT SIIRVEY C8ECICLSST FOR RE6IDENTIAL
~ SIIILDING PERMIT APPL2CATI0
pROPERTY LEGALt ~
Date of 8urvey: ?
pOCIIMENT BT ARDS `
0 • Registered Land Surveyor signature and company
0 • Building Permit Applicant
[Y 0 • Legal description
~ p • Addrees
iYd 0 • North arrow and bar scale
p-~n 13 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
~b 0 • Directional drainage arrows with elope/gradient
Q/L] D • Proposed/existing sewer and water services
&-~D 0 • Street aame
D--n p • Driveway
ELEVATIONB
Exiatinv
0 • Sewer service
0 0 • Lot corners
0,~ 0 ~J3 Top of curb at the driveway
00' O • Elevations of any existing adjacent homes
prooosed
8-~ 0 0 • Garage floor
D 0 : First floor
r? ? Lowest exposed elevation (walkout/window)
0 • Property corners
p0 • Front and rear of home at the foundation
40NDING AREAS (if aDOlicable) 0 rR,,;,ZV- C D • Easement line
0 O • xwL
n • xwL
D • Pond designation
D 0' 0 • Emergency Overflow Elevation
DIMENSIONS
P 0 • Lot lines
0 • Right-of-way and street width (to back of curb)
D--0 0 • Proposed home dimensions including any proposed decks,
overhanqs qreater than 21, porches, etc. (i.e. all
structures requlring permanent footings)
V'0 0 • Show all easements of record and any City utilities within
those easements
9'13 0 • Setbacks of proposed structure and setback of adjacent
~ existinq homes
D O • Retaininq re irements, if any
Reviewed: ~
Na / Dat
October 1992
~ ~Je
t5, ' ? INV--350.29 , - ~ 6"-22 1/2' BEND
7.97 CS-983.1
).9 S-0+91
INV-955.89 HYDRANT RET. ALL
CS-966.9 6"x 6" TFE, ~
' 17'-6"DIP, CI~'52
,
GND. ELx96`3. ? y-";
AtJ OUT t
6 G V.
s,.x 6" JEE
CLEAN OUT
6' G.V. MFi ~ STA. 5+91.07
~ 4 S-0+48' ' RET. WALL_~'
S-0+80 i ~ INV-947.~
INV-955.66 INV-95U 50 CS-958.7`~.
CS-966.4 C5-963.6
2' BEND, CLEAN OUT 2
MH ~ STA. 6-F81.31 ;
5 1.36iL
.
s-0-+-76
{ INV-947.79 POND AP-10
CS-962.0
~
MN ~ STA. 7+51.21
6 1.64 Sl 0+17 %
S ICS-960.02 ~ 00r~UT
S-0+58 ,THE G! : Y 0~~ rr,C~',~l u^.:8 P':) i i:Ur: ~i~!`~"~=i~
' INV-945.16 ' 1'~ AGGU''P,CY OF UTI(JTY i.CJvAi (WIla
1+36 CS-958.3 A6vC?6Oa l GLEi,'r,il0ivv. TNIv ~~l;7i". I~;=OR
145.47 ' ;•`sAl i0N PURFOSE3 C'7'_.`~ AP.D
i57.0 liClh!G IT SHOUL::
Af"IOP.1 ON THr,r,iiE. ~
- ~
~
WESTWOOD LAN E/ WOODHILL
; . . .
. . . . . . . . . . . . . . . . . . . . • .
Li ...............il............ , .
. ; _RE-963,3Q. . . . MH_
BLU=19.96 4
a:.;. . . . ~ ; .
~F,~ . , . . . .
MH RE=956.80
. . . 7 :E3LD-11.87- PE=06U.95 . . . : . . . . . : j . . . . . . . . . . . . . . . .
~5 : •
~ . : RE=957.55 MH ~PRUPU`.
. BLD=13.37 • 6 ~ ~ : ' STM. S
_ ~ : • . .
. .
. . ~ ~ . , : - " • PROPO
6° UIF
CL. 52
. . . . . . . ~ . . . . ; ~ / . . . . . : . . . .
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~ , . . . . ; .
, • /
.7 9' MIN,
COVFR ~
.
- . : .
'
• • PROP{35ED
' : , STM: SWf2. . : ~ 317. : : ~ 1 <
STN. 5wr.. . . . . . . . . . .
• /
. . . . . . . . / . . . - ' ~ . y w~~F,
. I . . ~ • .
. 1 .
PROPOSED-'
. .
. . 6,, pIP : YVN~
. . .
. .
.
. C~., 52: • . . . . . . . . . . . ~'XISTING: GROUND . . . • ~
. . ~ : . .
: , . . : . . .
'....:`~...'.......P..•
~ D GRADE : .
; • :6'RT. : . . . . . . . : . . . . I . . . . . . . . . . ' : . ROROSE . . y,
/
. . . . . . . . . ~ 4' L7. I. . : \ ~ : : ` _ ~
. . . ~ ~ rR
. . • ' :
. . - . . . - - , • ~
~ . ' ~ . . . . V . . . . . . . . . . . . . • r F~~.~•
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.
°VC, PVG, ~ ~ • ~ : " ~ .
. : . . . . . . . . . . ~
. ` : . . .
j
' 26 C~ 0.40%JSDR 2E :0 C. 40% SDR 26 a . 0.40% . . . • p i . ~ ~ , :
. . . .
.
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S
• I • • I : ~ 3~~9;.
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~
. :6^ pIP .WN',;
. . ~ : . . . :CL.. 52 • . .
. y;;~
. : : : • . . ~ . '
. : • •
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. . . . . . . . . . .
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.
. . . . . . . . . - • . . . . . . . • . . . . -i. . . ~ - .e~ ~ , . ~.4'. ?G~
. . . . . . . ' , . . . . . . : . . . - . . f•. . . . . . . . . . ' , e rwE.t.
. . . . . . . . , . . . . . . . 7.~~' • - . . " . ..._~ie ;
' ' ' ~ . • ~ . ~~.~~~Ft~,.
~ z
, . . . . . ~xn Z . . - . . ' ' : . . . . ~loo.. , . . • . . . . . ~ vj'.';~rud~+~~M~
. . . . . . ~ ' ~ . . ' . • ~:.3 'a~. .
O,0i...... • NN'' • . " ~,~.~u
• .-5~l~ . . ~d~ : - CY) m... . . • . . ~ ~":i~ . ~nt d ; rnla,' : . . > >
rn . 1 . . . .
• 11 Il . >l>
i17..
. _ : Z.Z Z : -~-7 . . . . . . . . . . . . . 3+00
.
n n 4+00
cmc oF ucut 1
EITERIOR ENYEWPE BERAGE OU' CONPU7I7IOA
owNee: C f H D M .S/
SI7E ADDP6SSS4LaoWF-s-r-WaoD LN LOT 1 B) OCK '9' PI1ASE ~
COMTEAC70H: VAfZLE`/ rDNS?PC-`r. DiTES PHONEs
Determiae wrking spuare footage of aaoAs
1. Total exposed wall area aq. ft. x.11 : 3
2. Total roof/ceiling are• aq. fL. x.026
Total ezposed wall ares above rioor ¦ .2-C_5 Q
a• Total M811 VSnEON area .~-i..ii~
E. Total door area '
, c. Total sliding glasa area
4. Total fireplace M811 a1't8
Total wall framing area (iYl1'igQ 10s)
t. Total nei wall area above floor Q-enr
B• TOY81 /'S10 ,OSSL 8l'!Y •0 0*0.0 oo*..• '
• 7ota1 e:posed foundation brea s~19Q
h. Total foundation window eres.......................
i. Total net foundation ares above grade 2 ~
Determine OU' value of-4~h wali segmeats
a. ~~6 : ' U' 7 : 17'~
b. s~ : IuI 11-4 = a
o. zz o : lu~ .4q s_ I ~
d. ~U~ - - a ,
. e. Y IU' .097
f. ~ x ' U' , v ~f-S ¦
6. _ I 76 x'U' .O'f2 s 7
h. _ oU' s
: OU' .076
30 ...................................:.1 5'.~~.......... Total . 3 Z 1
If ltem 03 is LDe same as or less than item 01, you have met Lhe iatent of SBC
6006(0)2.
iotal e:poaed roof/oeilin6 area s 1783
.
J. Total akylight •rea....................... .
k. Total roof/ceiling framing •rea (average tOf) ~
l. TOtil1 net insulated roof/eelling •rla
OYEB
DeLbrmine OU' vaiue for eseb rooflceiling aegsoentt
- ' :
k. 1 7S :out ,0 6 • 5 .
1 605 = out •o~ . ~
~ . roo.i . ~
IT total of /4 ia Lhe asme as or lesa than /2. you have met the intent of SHC
6006(c )1..
llLernate Buildiog Fmelope De316n
7o utilize the total envelope system method, the veluea established by the sum.
of Items i3 and /4 ahall not be greater than the aum of Items /1 and 02.
1. 3, 67~ ? 2. - / 6' ,
3. 37l , q. 0 _ 4 t 1_-
e
i
~
I
I
I
~
~
.
2
i
':TBS.:... •>;ixs! ,a:::xs,. . ...s?.a>x: ~ : ~~2:'~u:.ei.~~~'~~Y.:'~~,
s<.. y E~t.'3>~9~.:".•;.....t.x 3. ~L'~C w~2 -
~
....:::3: ~ ~ e~. . . z.~: Y.<;£...~ :y..ir., x`Y'•~i.:g. ~m..:ee.>~~~?%f ' n<#~..«~ .!.:xnE'
YwE
1994 MECHANICAL PERMIT (RESIDE1VTfAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTT.
- ----------------________~w~_.____..~____W_____________--------------------------
V NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE ~//~/2 ~
FEES
HVAC: 0.100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OLTfLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExisTING CoNSTRUCi'ION) $ 20.00
STATE SURCHARGE .50
TOTAL ~
SITE ADDRESS:
OWNER NAME: V HcY-,FJV (20k),~r TELEPHONE
INSTALLER,
ADDRESS: ~=-;L ~aLelo~
CTTY:~ 14-~77J/1 JtiJFt STATE:__22:~,r. ) ZIP CODE: ~5~~<)
TELEPHONE
SIGNATURE OF P RMITTEE
<.:;
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1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRAGT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF FEE $
,.y.~PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
CIT1'. STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY IN3PECTOR
7
2006 RESIDENTIAL BUILDING PER]VIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Nevr Construction Requiremen4s RemodeVReoair Reouirements Office.Use Onlv '
3 registered site surveys showing sq. R. of lot, sq. R. oi house; and all roofed areas 2 copies of plan showing foo6rgs, beams, joists Cert of Survey Recd _ Y !N
(20°6 mazimum lotcoverege allowed) 1 set of Energy Calculations for heated additions Soils Repod . _ Y_N
1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions 8 decks iree Pres Plan Recd Y N.
2 copies oi plan showing beam & window sizes; poured found design, etc. Addrtion - rndicate if on-s8e sepfic system Tree Pres Requrzed _ y_ N
lsetofEnergyCalculations On-SiteSeptic5ystem _Y _N
3 copies of Tree Preservation Plan i( lot platted after 711/93
Rim Joist Detail Options seiec6on sheet (6uildings wdh 3 or less units)
Minnegasco mechanical ventilation form .
-V
Date2'Y/ e4, Construction Cost
SiteAddress Y&ZO c O Ir17'4" UniUSte #
Description af Work de- - !'LfJ d K'
Multi-FamilyBldg _ Y~N Fireplace(s) 2
Property Owner LlLs "lD C~'? Telephoue )
Contractor
Address 3 ( 51 72C7-e-V City
State V` ' Zip 553 5'2 Telephone #(G 2)_ Y 9 G~$/37
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Wodcsheet
(J submission type) Su6mitted . Submitted
• Energy Envelope Calculations Submitted .
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masier plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a xeview and
approval of plans.
~~"d &t' S( )47ec~ CfJ;`-!
Applicant's Printed Name Applicant' ignature
DO NOT WRITE BELOW THIS LINE
Sub TVqes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06•plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt • SF
? 04 02-plex . ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebolperola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 19-plex ? 25 Miscellaneous
Work Tvpes
O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant
DCSCfIpflOn: WaterDamage_Yes Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheetrock
_ Footings (deck) FinaUC.O.
_ Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Fraxning _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final Windows
_ Insulation - Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge -
Plan Review
MC(ES SAC
Cify SAC
Utility Connecfion Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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.Hr1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
I SHOWER 3.00 3
WATER CL05ET 3.00 6
I_ BATH TUB 3.00 -'3
3 LAVATORY 3.00 g
I_ KITCHEN SINK 3.00 3
.y LAUNDRY TRAY 3.00 L
~ HOT TUB/SPA 3.00 3
WATER HEATER 3.00 3
FLOOR DRAIN 3.00 L.
~ GAS PIPING OUTLET • minimum • 1 3.00 /z
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00 S
PRIVATE DISP. • Dak.Cty. lic. 20.00
U.G. SPRINKLER • nome unaer consi. 3.00
ALTERATIONS • to ezisling 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS:_
OWNER NAME:~
INSTALLER:
ADDRESS: qq G
CITY: STATE: /uI /f ZIP CODE: SS/o ~
PHONE ( ~r) ~7 7 ~/7 ~
SIGNATURE OF PERMITTEE
: xd ? 3.3€1 i : tT y f:. CL ~'~b q S C.: i
~lJl1~ : ;^kY _.'sx ' y` b-d:.. F - 1'V "-"s aYt f*P.33ie M,\ _ t
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NGW CONSTRUCTION
ADD ON
REPAIR
WORK DESCffiPTION:
CONTRACT PRICE: $
rre: i% or cotvTxncT FEE.
STATC SURCHARGE: $.50 FOR EACIi $1,000 OF pEk. MIT FEE.
MINIMUM FEC: $ 25.00 ,
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STA1'E: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163083
Date Issued:08/13/2020
Permit Category:ePermit
Site Address: 4620 Westwood Lane
Lot:1 Block: 4 Addition: Oak Cliff Pond 2nd
PID:10-53576-04-010
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 -
J C & J Llc
4056 Camberwell Dr N
Eagan MN 55123
(952) 564-2620
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature