4628 Westwood Lane
y ` ~a
~ C~~ei.~ti~icate of Cccuvancv
(AM of ftgau
Meoartmext of 13rcnig anoecHoa
Tliis Cenificate issucd pursuant to the requinments of the Uniform Buildireg Code
certifying that at the time of issuance this stnecturr was in compliarice with the various
ondinances of the City regulating building construction or use. For the following:
uxCimifwatiom: SF DWG/GAR BWg. Pe„.,n No. 27644
p-wa,i,y rype R-3 U-1 zjzniw;,x PD R-3 Type ca,5i. Vn
o.wr of B,,;td;ng O CA P HOMES Ad&m 8609 LYNDALE 5.. BIAOMING'1'ON, MN
swie;og nmrm 4628 Ia8 W00 LANE Locatay L3. 114. OAK CL1FF POND 2ND
Daft:
' AWICAM officw
POST IN A CONSPICUOUS PLACE ,
INSPECTION RECaRD ~
CITY OF EAGAN PERMIT TYPE: i~"' "W' 3830 Pilot Knob Road Permit Number. i' 74 4
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
APPLICANT: '
. i i? ~i'I,tkinlf t IiNF.
iiNIt I•t7, ~ '.t_i.' , . ! t.i4
PERMIT SUBTYPE: TYPE UF WORK:
10 1', !i: G.t
INSPECTION „ . DA
i 1'i~1~!!'~!~ I:+!I7! kPlti
i f~d~,flt ~1 i I~~Pd i I It? t t ii~ I
' 11`1(i1 I'111~~ ! IMCiI
:'I MA14 . 1'F,V il t I 1.1: 1 14 ! 1 t~~,
F • ~
~
L
Permit No. Permit Hoider Date Telephone N
, ELECTRiC ~ ~a 7.G ~
t
, PLUMBING
HVAC 5-07
Inspection Date Insp. Comments
FOOTINGS S~
FOUND
FRAMING
ROCIFING
ROUGH
PLUMBWG ° ~/~j-9d !(/7f ,
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST b
INSUL ~'d ~Q ? ~ ~V y 7 ~ ~ w
7' 2
GYP BOARD
FIREPLACE
FIREPLACE
AIF TEST
FINALPLBC,
FINALHTG 1t
ORSAT
TEST
BLDG FINAL
- (i
BSMT R.I.
BSMT FINAL
OECK F-rr, 7„~ /1 u ?
1f-~ fl
DECK F!r.
f7
3 0 6-1 L[J [1 OFflC USE QNLY Thls requeel void 18 monihs from volidofion dole prink/d in this pborQ. /
~ CY/y0 S°
PLEASE PRINT OR TYPE
Reiueet Dme Roueh-in inspeclion required2 ~Yes Inspetlian OlherThan Roogh.ln: ~ Ready Now 0 WIII Call
m~~~ ~~.P. ~,.,nM .roaY) Dam Ready:
I, ~ licensed con}radar Q owner hereby request inspedion of fhe abova eleciliml work at:
lo@ Mdress (Street, Bov, or Raute No.) Ciry Zp Code
NG1fr 1.j e5 4
SMion No. Townshtp Name or Na. Ronge No. Fin No. Counry
VRl' h.
p¢uP~_n~ / Phone No.
rhr. S os.~
Power S{u~pPlier Addrexs
iq r rn, n ~
ElxMml Conhador (Componr Name) Contrador limnu No. Masbr Uc. Na. (Plum Eletl. Only)
p r~~ ~ z:-t--- t-Aric .l_rrG C/40 i yoa
Nwiliig Addnu (Convocmr o~r /Ownm Perlolming Insfallation) l I h
J`J~ db' SR![/JS~.~lc l3)..d a,w.17- c~7J41
lwth ~vawrorOwnerPedorminglnswllatian) PhoneNa.
!.c) fl~ ~ ~Y
EB-OOOOlA10 6195 STA ARDCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOW
III III ~ II I~~I REQUEST FOR ELECTRICAL INSPECTION
MinnesoW State Board of Electricity Qwv 182
1 Universiry AveRm5 728. Paul, MN 55104
*0 3 0 6 7 2 6 L * Phone (612) 642Home Apt. Bldg. 6`mer.New 1 Addn
Commercial Indusirial Farm Remod Re air
Air Cond. Htg. Equip. Water Hlr. Load Mgmt. Other:
D er Ran e Elec. Hea1 Tem . Service
'k' obove the work <overed by fhis request. Enter remo s rn this space and on the back of fhe white copy only.
r Ouf L-. •
ge"60
l~ I1 Lt n~ t,~'~ ro,,...,1 Se~ra~ co
Cvlculate Inspec(ron Fee - This Inspection Request will nof be aaepted without ihe correct fee:
OlFier Fee # Service Enhance Siu Fee # Graiih/Feeders fee
Mobile Home Park Stall 0 to 200 Amps ry., 0 to 100 Amps p,s.
Sireef Lig./TmHicSig. Above 200 Amps Above 100 Amps
Tmnsformer/Generator INSPECTOR'S USE ONLY TOTAL
Sign/Ouflina Lig. Xfmr.
Alarm/Remote Confral
Swimming Pool i ha.: can~ that n .d-thg eieaaW in ~nn. on ihe daks ,a
Irrigdfion Boom ~„gh-i Dok i4 !
Special Inspeciion
Investigafive Fee Fin
THIS INSTALLATION MAY 8E ORD DISCONNECT D I NOT COMPLETED WITHIN 18 MONTHS.
0~1 147 ~o?S ~3~
Request Date Fire No. Rough-In Inspec Requiretl Inspedion Other Than Rough-In
(~O must caXl ec~or whe~ Ieatly) ~ Reatly N. ~ Will Nolity Inspeclor
~S ? Ves CR No Date Read
IA licensed contractor ? owner hereby reques[ inspection of above electrical work at:
Job AtltlraSS (SlreeL 8ox or Roule No.) City
4TZ? UlEs i wo o d L,di?b ,cr.J6a.v
Seaion No. Township Name or No. Range No. Counry .
/7A.6/N
O<cupani(PRINT) Phone No.
l/~ Let~ Cprvs%. 33v-Su.~~/
Power Suppller Atltlress
vFD F,dVc7rr,r~
Eiectncal Comraqor (COmpany Name) Conlractor's License No.
0 12,3 F'
Meiling ACtlress (COniractor or Owner Meking Instellation)
/~f22 /5aX ///t' ~ .«•.~~/~t~ /nztJ ,r~OV6
Authorizetl Sign re (Convactor/Owner aking In Ilation) Phone Number
~.~s
B TRICR T
OPER INSPECTION P~ E S
18rPY Unl'ven ~y Ave.,5t ~Pau S MN 8 551 11111 I I~III II I I I I I III III III IIII EUNLES NCL09ED.
Pbone (612) 662-0800
v-~(a.~~ REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
,
7a~ 95 T 10- See instruclions br completin9 this Porm on back of yellow mpy.
"X" Be/ow Work Covered by This Request ~w
N@ Add Rep. Type of Building Appliances Wired Equipment Wired
ome Range Temporary Service
Duplex Water Heatar Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Om r (specify) , Contractor's Remarks:
S44M..!
Campute lnspection Fee 8elow:
lF Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool % 0 to 200 Am s /S ~2. 0 to 100 Amps s 01,
. Transformers Above 200-Am s Above 100 -Amps
51 n$ Inspecror's Use Only: TQ'~/~L
Irrigation Booms r, ~S ~0
S ecial Ins ection ~J
Alarm/Communication THiS INSTALLATION MAY BE ORDE ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oate
certity thal the abova inspection has oste
been made. /
OFFICE USE ONLY
This request voitl 18 months fmm
Addzes~ 4628 wES'rwoon t,nntaE Zip 55122
IA1. 3 BIk 4 $Ub OAK CLIFF POND 2ND .
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ~ g Yes No Inspecror: LIE
Final grade (6" from siding) - r/
Permanent steps (gazage) ~
Permanent steps (main entry)
Permanent driveway ~
Permanent gas ~
Sod/Seeded grass ?
TraiUcurb damage ?
Porch
Basement finish -r
Deck ?
Please verify with the 6uilder the removal of roof test caps from [he plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
ContaM engineering division at 6814645 before working in righbof-way or installing underground sprinkler system. ~
Whife - City Copy Yellow - Resident Copy Pink - Contractor Copy
. • PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 6 4 4
(612) 681-4675 Date Issued: 0 S/ 2 8/ 9 6
SITE ADDRESS:
4628 WESTW00D LANE
LOT: 3 BLOCK: 4
OAK CLIFF POND 2ND
P.I.N.: 10-53576-030-04
DESCRIPTION:
~ildiiftg Permit Type SF DW6
*U3lding' _ork Type NEW
'UBC Occupanc"y` R-3 U-1
GpristMUCtion t-y'pe V-N
~Zoning i.-_\ PD R-3
~ Building Length ~ 52
i BjGtilding Wiclth 40
~ Bui.1diYrg storieS
a r e Fe e-i 1, 7 6 4
6sni~'t},sCRdeS ~ 107 1- FAM. DETACH a ~
t
,
w--c...~r...,.
REMARKS:
PRV . S& W PLBR - B J& M PLBG
FEE SUMMARY:
VALUATION $111,000
Base Fee $942.25 MISCELLANEOUS $1,923.50
Plan Review $971.13 Total Fee $4,292.38
Swrcharge $55.50
5AC $900.0@
SAC % 100
3AC Units 1
Subtotal $2,368.88
CONTRACTOR: - Applicant - sT. I.IC.pyyNER:
VARIEY CONST JOS 13346034 0003249 0 C P HOMES INC
16800 SHIELDSVILLE BLVD 8609 LYNDALE S 101-I
FARIBAULT MN 55021 BLOOMINGTON MN 55420
(507) 334-6034 (612)881-0127
I hereby acknowledge that I have read this application and state that the
in#ormatian is cnrrect and agrse to comply with all applicabla State of Mn.
Statutes and City af Eagan Ordinances.
APPLICA T/PERMITEE SI TIIRE ISSUED Y: SIGNATURE
i _ - -
14 C44 CITY OF EAGAN 4 4
3830 PILOT KNOB RD - 55122 ~
1996 BUILDING PERMIT APPLICATION (RESiDENTIAL)
681-4675
New Constnidfon Reouirements RemodeLReoair Reauirements
? 3 regbtered sHe surveys ? 2 copies of plan
? 2 copies ot plana (Include beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (ex[erior additions 8 decks)
? 1 energy calculatlona ? 1 errergy calculations for heated addHions
? 3 wples of tree prosenaNont{la~n ii lot platled aRer 7N/93
raquhed: _ Yes i'S No 754-
DATE: r 7 ~ CONSTRUCTION COST: /
DESCRIPTION OF WORK:
STREET ADDRESS: ~Zr,2,9~ C2~~,
LOT -7 BLOCK Z74 SUBD./P.I.D. (1`tX-l (~2"FF Q'U D
PROPERTY Name: DGP ~D ~'ve Phone Q
OWNER • u•, p rine+
Street Address* n,I
City: J t~0-44 1-4J 6 10 14-) State: At ~ zip:
• C~O .,r ST~ ~cri e ~J
CONTRACTOR Company: /J.-ft4Eel-, Phone # -O7'-~~~'~ °3y
J5~ v-0
Street Address: License O3
City: 6X G/L T State: /N ,1LJ zip:lff~
ARCHITECTI Company: Phone
ENGINEER
Name: 64:R6k/~-~ o~ fl Registration
Street Address,
. Ciry: 7- , /2v~t L) t , State: Zip:~`~
Sewer 8 water licensed plumber: 'Oe~ d~~ Penalty applies when address change and lot
change are requested once pertnit is issued.
I hereby acknowledge that I have read this appiication and state that the information is corre gree to c y'th all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of Applicank
OFFICE USE ONLY ~~CECNED ~
Certificates of Survey Received _ Yes _ No c~~~~ _ N
Tree Preservation Plan Received _ Yes V No r
;n,~-/ -
~
,
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation a 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
~2 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
,xr'31 New o 33 Alterations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ly Basement sq. ft. T 9(o MC/WS System
(Allowable) N Main level sq. ft. G~°y City Water o`-
UBC Occupancy JZ- -i sq. ft. Fire Sprinklered
Zoning P- - sq. ft.. PR Y&S
# of Stories Iss.~r sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. 5AC Code oL
E Census Bldg i
Census Unit o
APPROVALS
Planning Building Engineering Variance
~
Permit Fee Valuation: $
Surcharge
Plan Review
License Zyx y fr
MC/WS SAC fo xz6 30`f
City 5AC
Water Conn. 7 x =/oz b
Water Meter 00 '7,5
Acct. Deposit
S/W Permit ~AKr- 74,7 x
SNV Surchar ge x Sy~
Treatment PI.
Road Unit 70, ~f16 `
Park Ded. 2o x Z y= yYo
Trails Ded.
Other
Copies Y
7otal: Z--
% SAC L1,2--O SAC Units 0
~ _r-~
2422 Enterprise Drive
Mendota Heights, MN 55120
i,wo rn (612) 681-1914 Fl4X:881-9488
~ . . --,~rans . rnn~ ~cn~cns
~ q~g ngg~+-~/~~ i.rm rurtnu~s. W+or~vr tiacm¢c}s 625 Highway 70 N.C.
Bloine, MN 55434
(812) 783-1880 FAX:7B3--'18$3
f;ertificale of Survey for: OCP HOMES ~T
4628 wESTwaoo LnnE
~B[NCH MARK
J<W OF PfPE
r7- n. ~ ELfV.=`J7'3,p9
7jW
,25a r
r~t~JpS]7 2
c~z ~ HCIU,NC /j
7~ 9fi4. ~ /~r
~
eQi
SERVICG °
INV.=9d7.8- ~ysi.4 r2~ g N81047f»~W
2.39
•t' sz.sz f 22,pp
C)V~ `r? p>~( \95f~i:0 948 939.4
U?
Q t ~ iuQ dY 3 33 ~ G
~ ~ ~ 959 1. 06~ f11-114?° t 9 .6 942.4
w C o~ ni , r. _ x
E1~vAt-i~ ' 0"~f r°~ 4 1 r~~t N
# c
Q Y%'
I
(Q&°9~l ry+r~)60.(3 a.:13
~ kw
946.7
056.3 n+!~ 943.1 ~
f( J4p~
BENCH MAftI( 947.5 940.5 Z
70P OF FIPE ~
v.=960.76-` 4 00 i93oI,o)tACaP+IlI
REV E?MED
D
nr[2GAN ''~V diVr+E ~'A DEPT.
fiOYL AROPOSED GRADES SYIOMSJ PER GRADINC PLAN B}' DCP }tOUES PROpASFD HOl15F Fl FVATiOM
NuiE: WkDIriG MuEr+5*111 snowr+ u+V, Fcw HowzoraTnV nrro wmcu. 1-10cannn L044EST FLOOR ELEVATION; ~
OF S7RVC7VRE9 ONLY. 5EE R(+GHIIQCTUAL RLANS POR BOLDIN(: ANO
Fp1NDA710N DIhICMVONS.
hdplN FLOOR ELEVAi1pN;
NOTE: NO SYEUFW 5a45 iNVES11CqTItW HAS BEEN t.C21PLE7FD ON TH3 LOT BY iHE
"Y
9UR~'E~'OR, M( SV~Ta01UTT Of Sp1,5 TO SIWPORI 1HE SVF:pFN: HOUSE GARAGE SLAB ELEVATION: ~
Pf10NDSEG IS NOT 7HE flESPONSIBIUTY CIF TNE SURVCYp7.
ND1E: 145 4F.RnnCATE OOES NOY PURPqi'r 7n UfOW F.nSfMFn75 priM4;1( ItIAN JS OOG.60 DFTIl7Tk.'4 E73SfING ELEYATiUN
'RiOSE SNl]YNV GJ RiE AFCdRt]EQ PLAT`, ( UWAD ) OIHUTE5 PROPOSED ELEVAIION
- C1EN07ES OkA1NACE ANQ UT1uTY E4SCUENI
HplE: ClIN1RACfOP. MUSI- YERIFY ORIVEWAY DE4GH.
DEMOTES ORAfNACE fYOW OIRECTIUN
WL17[: IlLAft4Hay bYH)WM RRC DMEU W N1 A'.'w'aUME]1 DA7t161 -~r- OENUTES MUNUMENI---~- rxrnarr.s oFF"YEr Hue
WE HERE£3Y CERTIFY TO OCP H4MES TNAT 1HI5 iS a TRi1F RNO CDRRECT REPRESEPtiATfQN OF A
SURVEY 6F TFiE BOIjNDAFtIE5 DF;
LOT 3, BLQCK 4, OAK CLIFF Pt]ND 2ND ADdITIdN
QAKOTA COllNTY, MINNE5bTA
iT DOES NOT PURPOR7 TO SHCIW IMPROVEMFNTS OR EDlCHROACHMENTS, EXC£PT AS SHQ41N, AS SuRVEYED BY ME OR
UNpER MY DIRECT SUPERV151i7N 7H1S IOIN fIAY OF laAY, 1996.
` CNE PIpNEEft FNGIfJE NC, P.A,
SCAL[ : 1 INCH = 30 FEET
e r
~
98A 93200.20 Sw1S 6.!~ John C. Loison. I..S. Reg_ Ido. 19828
70'd
; LOT SURVEY CHECKLIST FOR RESIDENTIAL
• , - ILDING PE MITAPPLIC TION
PROPERTY LEGAL; ~
DATE OF SURVE :
> LATEST RE1/ISION:
~ DOCUMENTSTANDARDS
a z
i7- 0 13 • Registered Land Surveyor signature and company
2"'13 ? • Building PermitApplicant
o% ? • Legaldescription
w'o C3 • Address
~r' ? ? • North arrow and scale
LrIci 11 • House type (rambler, walkout, splft w/o, split entry, lookout, etc.)
~11 cl • Directlonal drainage arrows with slope/gradient %
? ? • Proposed/exissdng sewer and water services & invert elevation
~'13 ? • Street name
W'? ? . Driveway
ELEVATIONS
E)asdna
~o ? • Sewer service (or Proposed)
3,0,13 ? • Property comers
goo ? ? • Top of curb at the driveway
Mo'~'o ? • Elevations of any eristlng adJacent homes
Prooosed
W`~? ? • Garege floor
M--`o ? • Flrst floor
M'0'0'0 ? • Lowest exposed elevation (walkoutNvindow)
&10'~o ? • Property comers
9"~'o ? • Front and rear of home at fhe foundation
PONDING AREA fif aoolicable)
? Er'0~0 • Easement line
? LR'a • NWL
? u-, ? • HWL
? e~ • Pond # designation
? L3 • Emergency Overtlow Elevadon
DIMENSIONS
10""0 ? • Lot IinesBearings & dimensions
? B-'13 • Rlght-of-way and street widih (to back of cur6)
e~o ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all sVuctures requiring permaneM footings)
e-'O ? • Show all easements of record and any Cily utili6es wiThin those easemenTs
0 0 ? • Setbacks of proposed sfructure and sideyard setback of adjacent exissting structures
? o-'cl • Retaining wali requireme ' any
Reviewed: ~
ame Date
' Januery 7996
crsuc i mMMocPanrr. FM
~ 5 9 P M7A.'1-"f'b`^ . if
1 98.~~
/ 57 BCh' V~ [ S*a - r~ ' 1•2i.el+
At~ op 1 ~}3.06^ MM ~ S1A
IT ~ ~ 5-I~aS ~ 1 ~ 1NV-95079 -44
...--pu.+ ` ~~'C.j,• Ovr.; .,Nv-957.97/ ' CS-9011 t i6'-12i:'7' BEND
i5-969 9 ~ 5- 0~91 n/ l ~ / ' .
~ E 9'9.9 ~ ' - ' "NV-9559% HYGRANI - ~L9b2a6 CS-9669r16'x 6' iEE. ~ r'RC'/Wnli
i66 ` .-I 117'-6''.NV. 0. 52 L t
i
i> ..n f-; G EL.
i ~ ~ i . ~966 r . .
AN011TJ1~.`~~ Sr~ ! r h fG.'
•96b.96 ~'9 , ~ 6'G v as ~y~' Op 1 EDP. :i
I
.'v 5 .b x 6' TEE ~ % TNN EL.915.22 I . . . ~
a, of r:F iV:S ' f CLEAN pUi i
41'
. . . . ii b S-O.5 0.46
eES 7e mv - 5'~'< - 955,8015 6 t . S ].67 NS~~SB.7~
~5 . .S-975S S e49 'S 966• MV-95U
. ' ~ CS-963
6
a -:7;1' 9E'.Dri~- ~flEa, V,. . . .
Stc 6-02. I ~ s , \ . . .
, . 1 J~`. \ \\J
, TNN E4 9598,4 /1 27 Y \ \ ' . _
152, ~ ( \f w ~ . N : . .
l/J
m' r ~-)ic Ir ; l~~-
, q~ f ~
/ ,b
2, +.V 9~33. ~ E 9xe.Di 1 t Y, 1.6r U TIf~l ~ti~ I:.AV~'i~i il/'~l~!3
a - 1 oy /~n
inGln0~7. iHl.^ ~ G,,':i:~
. ~<c 9a5 / . b y1p ^ ^ r'li3 1
9~/ ~ ~~...4 i-rz11V14 PUf 7l" OJCS A1'?D
f1~^.~IIVG IT SHOlJLli ~~'i:~,~, t~ 'e;-~i
Etvr0~ ~.1~=,TIOrJ OIV THE SITE.
WESTWOOD LANE / WOODHILL COURT
965.55 961.60
kE'~ 4..' , 'V... . . ' ,
' 95T.09
qr_LL6.'~ ~ 2030 " . I8.90
9851 965 ' =-?eio=~ :;E.,,s°' s
; 955.90
, 9N.20
RE.9Y-`! /Mn \ . .~r ~ S~'_i 13.60
seo i 960 ; u:oe V "W^• ~
,
: , u
, . . ,
-cr 975 955 _ _ ~ . . 9i-=Z .
`x.... . ~ ~
%3.55 t--7,5MIN.
. _i_4b3^' COVER I '
970 950
EL~57
f1eo'. e• avc. soR }s o°'e iez
965
\ _ -
~
-CvNNFCr W Eal<_T. 6'DY ~ yp~_
wa1EA MAi~+. COrviRACiOP i d0"{8' PvC. ' 90'-8" vvC 82 e ll'
~i VEdfY LOi~'ION Of SDF'SS ~OA1LfE /C. 87'-8" VG,
/ 960 940 ne w,-ea .IAI.i. . i . 0.35 I SUR 26 QI O.J*~NA ISUR 2e n o z, 5oe zb ee Q~~?z, y~,_~., .
~ . , .
-vu:,n;t D ->euvvstc
sne. 5vm 6° cIF ~v
I
955 i 935 ! e -
' 85,
~ . -
' _ I I ' ' . , . . . 0.53
I
. - i 950I930 . . oirais4
_ REC011o Pull -
" i COMSTNIK'fED CY N
m ~ 945 ~ 92::
MOOCUiO OOM7T. m
o-nn ' R+no 5+00 Ra2382u
~
. .
i . crts W FaaM
EXTERIoa ErveLora aveeAca •u+ carruranox
a~esa:
gl7g •,..e a= ;Z8 WF-ST W cpD L.N -PIL
COr?UCi08s VAR6= r_ okl5r~c.T- DATPs S-I
Deteraipe ypry3nR sqove lbeEege of no6i
aq. !t. x.11 ¦ 3
19
1. 7bte1 expoasd wall area S 7
2. 7bta1 rooi/ceiling uea 3 D Z sq. !'t. x.026 a 3~
Total asposeA rail arsa abeve floor . :Ze2
a. Total wa11 winda+ aren 4_
b• Titrll dOOC area
e. Total sliding g2eas area
d. Total firapiwe wall ares
e. Total xall framing aree (sverage 10%)
f. rOtfil Dlt. Mill area.above floor r..... o
. 8• TOt.Yl rim joiat area • u... 0 000 .u.. 00 '
. 7bta2 esposee loundrtioa area s 13:2.
h. Total foundaLion wiedow arem...................
I. Total neL foundation area aEove gr,de.............. T
AeLermine '0' value of eaob vall sepents
6. j3~ 7t tUt 7 a ~ 3 3
b. s *U~
C. i lU~ .~4g s
d x ~U~ :
e. 1 'U' •D47 a '1
x ' U'
g. s 'Ut .0~~ • ~
A. - - 7[ 'D'
i. 'U' , tJ7C = ~
ss
s . Total e 2$5
If itam f3 is the seme oa or lesa Ltun iteo #19 you have met tAe it+tent of SHC
6006(0)2.
ibta], etposed e+0ot/oe11ia6 ma a ~
' J. Total skyli`dt •rea ^
k. Total roof/eeiling lYaming area (aversge 10%) j'Z ~
1. Total net insu2ated roof/oeiliog srea
oYER
Determlae ~0' vdue !er eaob reof/0e411n6 sePeoti
r
k. 30 :~u~ .oa6 . 3 .
117 PR _ ou. • oaa . R6
q . ToLol a °2 I
If totai of #0 ia the same as or lesa thaa 129 you bsve met Lhe intoat of SBC_
6006(c) t..
llteraste 8ulldiae 0nelope maio
7o vtllize ths toLal envelope syatam methodr the rolues astab2lahed by the sum..
of Items !3 end 04 shall not be greetee than tM sum of Itema /1 and 02.
1. 2. 3
3. ? a.
2
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
• - ' CITY OF EAGAN
~ 3830 PILOT KNOB RD - 55122
~ o 851-681-4675
New ConshucXon Reaulremenla . RemodeURendr Reaulrertenh
> 3 reglaferetl qte wrveya ahowlny sq. R o1 bt, sq. H. of house 2 copiea ol plan
and gH rooled areas (70% maximum l01 coveraae allaweCl 1 set of energy calcWaHons for heated addltlons
> 2 copiea of plans (show beam & window sizes; poured tnd. design: etc.) 1 dte wrvey tor extedor addlXOns & tlecks
> 1 ser of energy caculatloru
> J coples of free preaervatlon plan If Id plaMed alter 7/1/93
pqTE; .54 Z. /vv CONSTRUCTION COST:
DESCRIFTIONOFWORK:
F11~%J4,; ~'LecT lNS~c.~ 4~Y~•si1[.G~ .V7GG104 ~/•v/S/fiy~ d. ,O ec/~ o~~s ~s ~-O~c;Ki-~rs ~Rit~l./N~ -iSi
STREETADDRESS: 2'~•"ea~°w-k.- ~ _
LOT: ~ BLOCK: SUBD./P.I.D. ~44
Name:/Po Phone U:
PROPERTY Las? Fl'st
OWNER
SheeiAddress:~6.2d'
qty Sfate: Zip: SJ%L. Z
. Company: L-;Yf27',~ v~Z,«~~i.x- /•v~ Phone M:
(area code)
COMRACTOR
Sheet Address: J~ ~R S i tifw/3C.~2~- .eiJ' License A 2- Exp.
Ciy ~`7di? Sfate: ~Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Sheet Address: Regisfraflon
Cly State: np:
Sewedwater licensed plumber (H instalflna sawerNvaterl: Phone (
1 herebY acknowledye lhaf I have read this applieaNon, state that the infortnaibn is cort and agree to comPh' ~ atl applicable Stafe
of Minnesota Stafutas and CNy of Eagan Ordinances.
Signature of ApplicanY.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ' ViAY I 2
Tree Preservation Plan Received _ Yes _ No _ Not Required ~
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES '
? 01 Foundation ? 07 05-plex ? 13 16plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Multi
? 02 SF Dwellfng ? 08 06-plex ? 17 Garage 22 PorchlAddn. (4-sea.) ? 33 Ext. AR - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti
O 04 02-plex ? 10 08-plex 0 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or_ N? 25 Miscellaneous
? 06 04-plex ? 12 12-piex O 20 Pool ? 30 Accessory Bidg.
WORK TYPE
-tt'31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (FoundaUon) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code O~ # of Stories 2 lo~-, +fA-~" sq. ft.
No. of Units a Length zo sq. ft.
No. of Buildings i Width Footprint sq. ft. ~
Const. (Actual) gAj Basement sq. ft. ;vN Census Code 143y_
(Allowabie) v.v Main level sq. ft. 3~10 MC/ES System
UBC Occupancy Q-3 sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee '-E i k•9 j Valuation: OUCI
Surcharge I ~ •
Plan Review
License C~~-~k 1~2uv
MClES SAC 1i ~262 S G
City SAC 12-,~ iz= I'-ry x-~lSy
WaterConn. I~x2o ~ 329 k"Sy ='I7, ZYp
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traits Ded.
Other
Copies ToWL• (o~ ~
SAC Units
% SAC
i i
MNCh2Ck GOMPLIANCE REPORT I I
M7nnesOtd Energy Code ~ POrmit # ~
MNCheck software version 3.0 I I
I I
I Checked by/Date I
I I
CoutJrv: oakota
SraTe: ntinnesota
ZONE: 2
CONSTRUCTION TYPE: S'Itlgle Fdm'Ily
DATE: 5-17-2000
DATE OF PLANS: 5/8/00
TITLE: TOM AND LAURIE ROSSIN (,2-,9 Lc3sS7 L~DU,O L N~
PROJECT INFORMATION:
2 STORY ROOM ADDITION- SHELL ONLY
COMPANY INFORMATION:
ENER]AC CONSTRUCTION
1688 STRAWBERRY HILL RD.
AFTON MN, 55001
COMPLIANCE: PASSES
Required uA = 148
Your Home = 133
10.0% aetter rhan Code
Area or Cavity Cont. Glazing/DOOr
Pel"'Imttef' R-Valu2 R-Vd1U2 U-Vdlue UA
CEILINGS 464 38.0 0.0 14
wALLS: wood Frame, 16" o.C. 425 19.0 4.0 22
waLLS: wood Frame, 16" O.C. 560 19.0 4.0 29
GLnZrNG: windows or ooors, above Grade 169 0.350 59
FLOORS: Over outside Air 156 30.0 7.0 4
FLOORS: Over Outside Air 180 30.0 7.0 5
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Minnesota Energy Code.
suilder/Designer zl-~t-+lLJ-v~ Date--'Sr//6
ENERJAC DESIGN BUILD ENERJAC 16 May 20004:55 pm
~ 1688 STRAWBERRY HILI RD. N/A, AFTON, MN,. 55001- (651)436-8517
FASTBeamO Engineering Analysis O 1996-2000 Georgia-Pacifc Corporation Version: 3.1(95/NT)
ro~ect~. nl form ion tloor eams -
Mark # : • Beam - Floor Desc :
Usage : Beam(Floor) Repetitive : No Spacing (in.) : 0.0
Max Defl : LL = L/480 TL = L/240 Composite Action : No
L-J 5.5", 565 psi 5.5", 565 psi
i 12' 0" i
LOADS Pro/ect Design oads : oor. Lrve=40 ps , ead=1 ps ;
Live+pead Ld(T) Live Ld(L) LDF Lxation•
# Sha Start End StaA End 5pan# Starts Ends Atlditionallnfo _
1 ni orm(pl 55 7 0 00 7 0
2 Span Carried(ps~ 55 40 100°k 1 0' 0" 12' 0" 12' 0" s.c. • roof and wall
Un'rform(plf) 5 0 0 0 12' 0" Self Weight
'Dimensions measured from left end when s an# is 0, othenvise, 1rom !eR end of the speci(ed span.
S
1 2
Max R'n 2342 2342
Max 100% 1680 1680
Min R'n 662 662
MIn 100% 7680 1680
DL R'n 662 662
Min Brg(in.) 2.37 2.37 [Based on bearing stress below]
B Str si 565 565 ~Value Span X Group Allow LDF Ratio V(Ibs) 1867 1 1' 3" 21 3948 100% 0.47
M(ft-Ibs) 1 6'0" 21 9780 100k 0.72
~
LtRn(Ibs) ( 23421 0 0' 0" 21 5438 100°a 0.43 See Note #5
RtRn(lbs) `23 7/ 0 12' 0" 21 5438 100% 0.43 See Note #5
LLDefl(in.) 029 1 6' 0" 21 0.30 L/502
TLDefl(in.) 0.40 7 6' 0" 21 0.60 L/360
USE: GPLAM 2.OE 7.75x11.88" 1 PIV Grade selected by user
G-P LAM tm Georgia-Pacific Corp.
NOTES:
1. Designed in accordance wifh National Design Specificatfons for Wood ConsWCtion and applicable Approva/s or Research Reports.
2. Provide /aferef support af the bearing low6on nearest each end of the member. Continuous lateral suppoK requiretl for compression
edge.
3. Loads have been input by fhe user and have not been verif7ed by Georgia-PaclBc Engineered Lumber Techniea/ Services.
4. Design valid for dry use only.
5. This reaetion Is based on fhe combination of /oads 6 duration faetors fhat produces fhe highest stress re6o and may be /ess than
maximum reaction. Therefore, when reaction values are requlred, use Max R'n from 'Supports'secfion above.
6. Bearing /ength based on design materfal; suppoR materlal capaciry shall be verified (by others).
7. When requfred by the building code, a registered design pro/essiona/ or bullding ofricia/ should verlfy the input loads and producf
applicaNOn.
8. This engineered lumber protluct has bcen sized for residentlal use. A coneenhafed foad check, per the building code, must be per/o ^ iW
for commercia/ uses.
9. Company, produet or brend names referenced are Uademarks or registered frademarks of thelr respective owners.
10. Load Combinations: 90 = D, 20 = D+ 100%, 30 = D+ 115%, 40 = D+ 125%, 50 = D+ 133Y, 80 = D+ 100% + 115%, 70 = D+ 100% t 125,.
,gp=D+100%+133%, 90=D+100%+115%+133%12,100=D+100%+115Yd2+133%,110 =D+CommercialLd(100%)
11 Group = Load Combination Number + Load Patfem number. (For simple span Load pattem = 1 for LL, 0 for DL). _
1 .
L~WLsyL L~l ~ H7 I~. CSi2e
,d
Page 10
:
. ENERJAC DESIGN BUILD ENERJAC 16 May 2000 4:53 pm
: 1688 STRAWBERRY HILL RD. N/A, AFTON, MN,. 55001- (651)436-8517
FAST8eam0 Engineering Analysis O 1996-2000 Georgia-Pacific Corporation Version: 3.1(95/NT)
Project : KMSINS.FBD : oor beams
Mark # Beam - Floor7 Desc :
Usage : Beam(Floor) Repetitive : No Spacing (in.) : 0.0
Max Defl : LL = L/480 TL = L/240 Composite Action : No
5.5", 565 psi 5.5", 565 psi
~ 12' 0" ~
LOADS Project Design Loa s: oor. ive=4 ps , ead=10 ps ;
L(i~ve+Dead Ld(T) Live Ld(l) LDF Location'
7 Sneortn(p155rt @End @~t~art@End ooQSpan#~Starts EZds Additlonallnfo _
2 Span Canied(pso 55 44 100% 1 0' 0" 12' 0" 12' 0" s.c. - flr. load and wall
Uniform(plt) 71 0 0 0 12'0" SeHWeight
`Dimensions measured from !eft end when s an# is 0, otherwise, from IeN end of fhe s eciried s an.
P sJ
1 z
Max R'n 2375 2375
Max 700% 1824 1824
Min R'n 551 551
Min 100% 1824 1824 OL R'n 557 551
Mln Brg(in.) 1.50 1.50 [Based on bearing stress below]
B Str(psi) 565 565
D !
Value Span X Group Allow LDF Ratio V(Ibs) 1893 1 10' 9" 21 7896 100% 024
M(ft-Ibs) 71 1 6' 0" 21 17844 100% 0.40
LtRn(Ibs) 375 0 0.0.. 27 70876 100% 022 See NoG;.:
RtRn(lbs) 2375 0 12' 0" 21 10876 100% 0.22 See No:
LLDefl(in.) 1 6' 0" 21 0.30 L/832
TLDefl(in.) 023 1 6' 0" 21 0.60 11639
USE: GPLAM 1.8E 1.75x11.88" 2 Plies Grede selected by User
G-P LAM tm Georgia-Pacific Corp.
NOTES :
1. Designed in accordance with Na6onal Design Specllicatlons for Wood Consbuctlon and applicab/e Approvals or Research Reports.
2. Provide lateral support at the bearinq focation nearest eaeh end of tAe mamber. Continuous laferol support requlred Ior compression
edqe.
3. Loads have been input by the user and have not 6een veriRed by Georgia-Paciric Engineared Lumber TecAnlca/ Services.
4. Deslgn valid tor dry use only.
5. This reacSon /s based on }he combinatlon of foads 8 duration faetors thaf produces tbe highest stress refio and may be less than
marimum reac6on. Therefore, when reacfion values are requlred, use Max R'n from 'Supports'section above.
6. Bearing /engtb based on tlesign material; suppoR maferlal capaciry shall be verified (by others).
7. When required 6y the bulldinq code, a reglsMred design protessional or building officfal should verify the Tnpuf loads and product
applicaUon.
8. This englneered lumber product has 6een sized for residenfial use. A concentrated load check, per the building code, musf be peAormed
for commercial uses.
9. Verify fhat /oad is applled at rop or equally from both sides.
10. Nail plies togefher with 16d nails @ 12" o/c along top and bottom edges. Nail from a/temafe faces, 2" from edges.
11. Company, produet or brand names referenced are frademarks or registered trademarks o/ fheir respecdve owners.
12. Load Combinafions: 10 = D, 20 = D+ 100%, 30 = D+ 115%, 40 = D+ 125%, 50 = D+ 1331%, 80 = D+ 100% + 115%, 70 = D+ 100% + 125'/0
,80=D+700% +133%, 90=D+100% +115Ye+133%/2,100=D+100Yo+115Y?2+133%,910=D+CommercialLd(100%)
13. Group = Load Combination Num6er+ Load Pattem number. (Far simple span Load pattem = 1/or LL, 0 for DL).
(2)
L.Dw-~ [~.4./_ /21w~ l3~ cfxl~_ -7 ~.-,~.a
Page 1 of 1
ENERJAC DESIGN BUILD ENERJAC 16 May 2000 5:41 pm
'j 1688 STRAWBERRY HILL RD. NlA, AFTON, MN,. 55001- (651)436-8517
FASTBeam@ Engineering Analysis O 1996-2000 Georgia-Pacifc Corporation Version: 3.1(95/NT)
~o~ect~$$1R'~~~Tn oion : oor eams
Mark # ; Beam - Floor712 Desc :
Usage : Beam(Floor) Repetitive : No Spacing (in.) : 0.0
Max Defl : LL = U480 TL = LI240 Composite Action : No
L-J 5.5", 565 psi 5.5", 565 psi
t _ 12- 0° i
LOADS rojec[ sign oads: Floor. Live=40 ps, Dead=10 ps;
LIve+Dead W(T) Live Ld(L) LDF Location'
# Shape @Start @End @Start @End S an# Starts Ends Additionallnfo
1 Uniform(pl~ 5 45- -10 60 12' 0"
2 Concentrated(Ibs) 300 240 100% 0 6' 6" 8'0 beam
3 Span Carried(pso 55 44 100°k 1 0.0.. 12' 0" 12' 0" s.c. -
Unfform(plf) 11 0 0 0 12' 0" Self Weight 'Dimensions measured from left end when s n# is Q otherwise, irom left end of the specified an.
P
t 2
Max R'n 2512 2537
Max 700% 1934 1954
Min R'n 578 583
Min 100°h 1934 1954
DL R'n 578 583
Min Brg(in.) 1.50 7.50 [Based on bearing stress below]
Brg~Str~ i) 565 565
~
Value Span X Group Allow LDF Ratio
V(Ibs) 2055 1 1019, 21 7896 100°h 026
M(ft-Ibs) 7 1 6' 6" 21 19560 100°k 0.41
LtRn(Ibs) 512 0 0' 0" 21 10876 100% 023 See Note #5
RtRn(16s) 0 12' 0" 21 10876 700% 0.23 See Note i!5
LLUetI(in.) 0.17 1 6' 0" 21 0.30 L/836
TLDefl(in.) 022 1 60" 21 0.60 U645
USE: GPLAM 2.OE 1.75x11.88" 2 Plies Grade selectedby User
G-P LAM tm Georgia-Pacific Corp.
NOTES:
1. Desi~nedln accordance with Natlona/ Des7~n Specifications forWOOd Construction and applicable Approvals or Research Reports.
2. Prov~de lateral suppoit at the bearing locafron nearesf each and of the membei Confinuous latera/ suppoR requlred for compressfon
edge.
3. Loads have bem inpuf by the userand have nof been veri(ed by GeorgfaPacifie Eng/neered Lumber Technica/ Services.
4. Design valid for dry use only.
5. This reaetlon is based on the combinadon of laads & dura6on facfors fhat produces the highest stress ratlo and may be /ess fhan
maxlmum reaction. There/ore, when reacilon va/ues are required, use Max R'n from 'Supports'section above.
8. Bearing lengfh 6ased on design maferlah support materiaf capacity shall be verified (by ofhers).
7. When required by the 6uilding code, a registered desJgn professJona/ or building oKaal should verify the lnpuY Ioads and product
application.
8. This engineered lumber product has been sized for residential use. A concenhated load check, per the building code, must be performed
/or eommereial uses.
9. Verlfy that load is applied at top or equally from both sides. -
40. Nalf plies together with 16d nails Q 12' Wc along !op and 6oftom edges. Nail hom altemate faces, 2" from edges.
11. Company, product or brend names referenced are Nademarks or registered trademarks of their respectlve owners.
12. Load Combinatlons: 10 = D, 20 = D+ 100%, 30 = D+ 115016, 40 = D+}25%, 50 = D+ 133%, 60 = D+ 100% + 115%, 70 = D+ 100% + 125%
, 80 = D+ 100Ye + 133% 90 = D+ 100% + 115% + 1331Y.12 , 100 = D+ 900^/, + 115%?2 + 133%, 110 = D+ Commerclal Ld (100%)
13. Group = Load Combination Number+ Load Pattem number. (For simp/e span, Load pattem = 1 for LL, 0 for OL).
~
vL
Page 1 oi .
• ENERJAC DESIGN BUILD ENERJAC 16 May 2000 5:01 pm
• 1688 STRAWBERRY HILL RD. N/A, AFTON, MN,. 55001- (651)436-8517
FASTBearr@ Enineering AnaJysis O 1996-2000 Georgia-Pascifc Corporation Version: 3.1(95/NT)
Project RZ`!$$1A~g~wn : oor beam
Mark # Beam - Floor1l Desc :
Usage : Beam(Floor) Repetitive : No Spacing (in.) : 0.0
Max Defl : LL = U480 TL = 11-1240 Composite Action : No
2.5", 565 psi 2.5", 565 psi
i 81011 i
i
qD rojectDesign oa s: oorLive=40ps, ead=10ps;
Live+Dead Ld(T) Live Ld(L) lDF Location'
# Shape @Start @End @Start@End Span# Starts Ends Additfonallnfo 7n1orm pl 3 4 10U"o 1 " 8' 0" oor an wa I
2 Trapezoidal(plq 55 15 40 12 100°k 7 D' 0" B' 0" floor
Unrfortn(plf) 4 0 0 0 8' 0" Self Weight
'Dimensions measured Irom left end when span# is 0, otherwise, from left end of the specified an.
( S
7 2
Max R'n 404 351
Max 100% 283 245
Min R'n 121 105
Min 700°k 283 245
DL R'n 121 105
Min Brg(in.) 1.50 1.50 [Based on bearing stress below]
B Sthpsi) 565 565
r~ ~
Value Span X Group Allow LDF Ratio
V(1bs) 304 1 0' 11" 21 3159 100°k 0,10
M(f[-Ib5) 755 1 4' 0" 21 6476 700% 0.12
LtRn(Ibs) 404 0 0101, 21 2472 100 % 0.16 See Note #5
RtRn(Ibs) 351 0 810.. 21 2472 100°h 0.14 See NMe #5
LLDefl(in.) 0.03 1 4' 0" 27 0.20 Ll3534
TLDefI(in.) 0.04 1 4' 0" 21 0.40 L12472
USE: GPLAM 2.OE 1.75x 9.50 1 PIV Grade selected by User
G-P LAM tm Georgia-Pacific Corp.
NOTES:
i. Designed in accordance with NaUona/ Design Speclfications for Wood ConstrucUon and appliwb/e Approvals or Research RepoRS.
2. Provide lateral support at fhe bearing IocaSon nearest each end of fhe mem6er. Continuous lateral support required for compression
edge.
3. Loads have been input by the userand have not been verified by Georgia-Pacific Engineared Lumber Technica/ Services.
4. Design valid Por dry use only.
5. This reaction 7s based on fhe combination of loads 8 duration factors thaf produces the hiqhest s6ess re8o and may be /ess than
maximum reacilon. TAerelore, when reaction values are required, use Max R'n from 'Supports'section above.
6. Bearing length based on design material; support mafeNal eapacity shall be verifled (by others).
7. YYhen required by the building eode, a registered design piofesslonal or building official should verify the input /oads and product
application.
8. This engineered lumber product has bean sized /or resldential use. A eoncentrafed 7oad check, per fhe bu0ding code, must be perlormo.:l
for commercial uses.
9. Company, product or 6rand names referenced are 6ademarks or regisfered hademarks of their respecGve owners.
10. Load Combinafions: 10 = D, 20 = D+ 100%, 30 = D+ 195%, 40 = D+ 125%, 50 = D+ 133%, 60 = D+ 100% t NS%, 70 = D+ 100% + 1F ~
,80=D+1p0%+133%, 90=D+100%+115%+433%12,100=D+100%+115%/2+133%,110=D+CommercfalLd(10044)
11. Group = Load Combination Number + Load PaMem num6er. (For simple span, Load pattem = 1 for LL, 0 for DL).
~
(J~S ,oiSL~ ld `L'-t1t
Page 1 of 1
1
~-1921 Lnlerpri5e Drive
Mendotu lieighls, FAN 55120
'k plO1MEE1* (612) 681-1914 FAX:881-4488
~ Etllgji16 Lr~Y1u . . uvoFtnrmu~s wroq.u~E ~x:rnnur~ 625 fHyhwuy 10 N.f.=
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IJNPI17 1,AY DIRECT 5UPERVISIhN Ytq5 li]T}I i)AY bF" b1AV, 1h96. `
ILNF(7% ~ f'IUNEER fNGIWEEF;~NC, P.A.
SCALC : 1 INCH = 30 FEET , ~
tIt A 9J200.2p Syy}( ti
,k~hn C, t.o~sari. I_.S. Req. No. 141li?R
t(]-<I
1999 BUILDING PERMIT APPLICATION (RE3IDENTIAL)
CITY OF EAGAIQ
3830 PILOT KNOB RD • 55122
/ 651-681-4675
New Construction Reauirements RemodeVReoair Reauirements
? 3 regislered site surveys showing sq. k o/fot, sq. R. of house J 2 copies of plan
and a71 roofed areas (20% maximum lot coveraae allowed) ? 7 set of energy calculations for heated additions
? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) • 1 site survey for exterior additions & tlecks
? 1 set of energy wlculations
? 3 copies of hee preservation plan if lot platted after 771l93
DATE: Z(o -CONSTRUCTION COST: D~O~OU
DESCRIPTION OF WORK: epEet~ L C{~/I~,~D//I
STREETADDRESS:
LOT: J BLOCK: 4- SUBD./P.I.D. D C 2
Nazne: Phone N:
PROPERTY First
04['NER
Street Address:_
Citt State:Zip: '2g~~ _~23
Compan~:_ Phone p: -
CONTRACTOR
Street Address: I.icense If _Exp.
Cin' Siate: - - Z~iP'
ARCHI'IECT/
ENGINEER Canpaziy: Phone
Name: Registration H:
Sheet Address: _
City State: Zip:
Sewer & water licensed plumber (reauired for new eonstruction onlv):
Penalty applies when address change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the informatio is correct, and agree to comply with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances.
~ 5ignature of Applican /
~ OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
17 01 Foundation ? 06 4-piex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea)
? 03 1 of _ plex O 08 6-plex ? 13 16-olex 0- 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level 0 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE ~f 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg. ? 41 Wood Stove 0 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORh9ATION
Const. (Actual) .5'A./ Basement sq. ft. Census Code 437
(Allowable) Main level sq. ft. SAC Code -77-
UBC Occupancy sq. ft. No. of Units ~
Zoning 'n sq. ft. No. of Bldgs a
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
APPROVALS Fire Sprinklered
Planning Building ~M Engineering Variance
Permit Fee Valuation: $ ~Z0G,--
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. . t ,
Trails Ded.
Other
Copies Total:
SAC Units
X~-
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~
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EVED
- BY
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C 1 ~IL~ 6~4t 9R~~N..
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BUiLDiNG INSPECTIONS DEPT
~ ~p,~ i b sr ~a. ; j ~f"~~ i ~.~~•'~.:~x ~ c+1
pl,
t
L 3 BL Zll CITY USE CMLY RECEIPT 1511;~1(05
a
~ tP
SUBD. L DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY aF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Fireplace conversion (to existing fireplace)
- - - - - - - -
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRES " eQ .
OWNER NAME: PHONE #'~3
INSTALLER NAME: y
STREET ADDRESS: '
CITY: ) STATE:- ZIP: ~
PHONE ~,Yl~ •
~
J
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
7995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are not required
for each dweliing unit.
DATE: CONTRACT PRICE:
'vJuRK iYFE': niEW COiVSTFcL1C i iuN WTERfOR iNIPROVENIENT
DESCRIPTION OF WORK:
FEES: $25.00 minimum fee p[ 1% of contract price, whichever is greater.
Processed piping - $25.00
State surcharge of $.50 per $1,000 of oermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
CiWivtR YANit: TELEPHOidE
TENANT NAME: pnnPROVenneNrs oNLv>
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 749
DATE: 08/31/00 TIME: 11:09:57
ID:
NAME: LAURIE A ROSSIN
3212 9001 4628 WSTWOOD LN 30'.00
3430 9001 4'628 WSTWOOD LN 1.00
2155 9001 4628 WSTWOOD LN 0.50
Total Receipt Amount: 31.50
CR136727
USER ID: JAN
CITY USE ONLY
L _ BL ~ RECEIPT#:
SUBD. OQk CIISS WN RECEIPTDATE:
PERMIT# 42-b/'l
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos wben permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to~xi$t~ng dwe,lling - minimum fee $ 30.00
Describe: fidcl ~i0 Y
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum • 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished ' requires MPC lic. 75.00 X = $
Se tic System abandonment 30.00 x = $ ~
RPZ new installationlrepairlrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwalling under oonstruction 5.00 x = $
Water softener if existiny dweuing 30.00 x = $
Watertumaround 30.00 x $
State Surchar e 50 $ 50
TOtal
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have reed this application, state that the information is cortect, and agrae to compty with all applicable City of Eagan ordinances.
It is the applicanPs responsibility to notity the property owner that the City of Eagan assumes no liability for any damages caused by the City dunng fts
normal operational and maintenance activiGes to the facilities constructed under this pertnit within City propertylright-of-way/easement.
SITE ADDRESS: ~'2~ w'L 5 OO 44
` ~ s/- ? 7-D T
OWNER NAMFs: : 0 514 TELEPHONE
(AREA CODE)
INSTALLER NAME: TELEPHONE
' (AREA CODE)
STREET ADDRESS:
CITY: 14 STAT : l IP:
C~
SIGNATURE OF PERMITTEE
PERMIT # 150 2 T J RECEIPT DATE: =t7 ~-O 2-
E00E RESIDEPTUkL PLUM$IAH P£ftMiT iRPPLICATION
crrY og EAsM
S$SO PII.OT KPOB RD
EAHA1V, M1V 551 EE
667-6$I-4678
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irtigation system
SITE ADDRESS: ' 11!/ 2V 1 Ye"om LY1
- 7D~ - oq7
OWNER NAME: : U(? V& ~JJ{~J TELEPHONE Y/J1
(AREA CODE)
rk~
INSTALLERNAME: . ~ pi b!~ TELEPHONE#: K9r-3625f 1'J'7V
n~7
STREET ADDRESS: ~i~~l~ K0A (AREA CODE)
GTY: STATE: mt~l ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Ahandonment of septic system.
_ W ater turnaround - existing dwelling unit 518" meter if needed -$118)
Other:
1
_ RPZ: nev: instal;aticn/repaidre5uild ~ ~ Q ~ ~ $ 30.00
_ lawn irrigation system D MAY 2 3 20aZ '':i!
v
ReplacemenUadditional: _ water sokener ~ water heate gy $ 15.00
State Surcharge $ .50
rotal $'5!~Q
I herebyacknowledge Nat I have read this application, state ihat the information is correct. an gree to complywith all applicable City of Eagan ordinances. It
its
is ihe applicanCs responsibflNyto ool'rfythe pmperiy owner that the City of Eagan assume o i ty fqr,any damages caused 6y lhe City duri
operational and maintenance activitias to the facilities constNCted under this permit w' in C' e~ylri ht-of-way/easemenL 7--
ATUR F PERMITTEE 1l02
CITY USE ONLY ~
L ~ BL .r RECEIPT
~7 a
SUBD. a,/] ~ , ~ DATE: k
PC/
7996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH d4, TOTAL
Shower 3.00 x
Water Closet . 3.00 x
Bath Tub 3.00 x ! = 3~
Lavatory 3.00 x l,z
Kitchen Sink 3.00 :c 3
Laundry Tray 3.00 :c I = ~2
Hot Tub/Spa 3.00 x 1 = 3
Water Heater 3.00 ;c
Floor Drain 3.00 x = 3
Gas Piping Outlet ' minimum -1 3.00 ;c
Rough Openings 1.50 x =
Water SoRener 5.00 x
Private Disposal * Dakota Ciy. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations ' to exdsting 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL ~S~i• S~
SITE ADDRESS:
OWNER NAME: v~ ~rs-Ipw.~~a~-.
INSTALIER NAME:
STREET ADDRESS: 9y3 •
CITY: -Sz- - STATE: ~rl ZIP:
PHONE z// 77
blUNATUREZ31- Pk=KMI I I
OFFICE USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (CQMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ~ aIi commerciai/industrial buildings.
. multi-famity buildings when separate permits are Il4S required for each dwelling
unit.
DATE: CONTRACT PRICE:
iivvnn i{rc: _NrcVL` ^.O";STRL'CT!C!J _ P.Dn nh! _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLlOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY(LER PERMIT.
FEE: $25.00 minimum fee or 1°h of conhact price, whichever is greater. State surcharge of $.50 per
$1,000 of oermft tee due on all permfts.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: 21P:
PHONE SIGNATURF:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
n
m
M x w ~
I hereby certify that tliis plan, speciticaiion,
m
or repoit was prepared hy me or under iny n 5
a~' ~i W~ A
direct supervision and tfiat I am a duly 913 (~•1~5~~""` L
p~~~va N
Licensed Professional Engincer under the = Q ~ J Z% m
lawsof Stateof&1" Y" $51~~ wo~ W~y~ ~ o
aa°iVbJ
I / ~ JOJ I rcZ
YVBy rcv, 60.m m
~ I q Q W
Date 1{7 License f746256
~n
r.--12" ~ N
`/i DECKINC E-%ISTIiJC 2 rc 70 KLASH OVER UPPER DECK ANO 0 j~
LEOGER 2" l1NDER SIC]NG ~ m O m ~
Z o0o A
~ <mio
2. 10 INPIER RIM JOISiS (NP.)
x 8 J01S15 JOIST HANGER
2
(ABOVE m~
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PROPOSED - 5 a
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dyzoi~
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TEMO HpNGING j m
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Oip N
PROVIOED a w+ ~
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PROPOSED 2 x 4 GRE'cl~ a
. COAiBINES CO MAKE 5 NL' ~ eQ
~UPPER OECKMG COYERS ALL TEMO ROOF AREA. 7HcRE LfUGER FOR SCREl45 TO co a w
WlLL NOT BE A SKO1V LOAO ON OUR REY1 ROOU. SECURE EVEftY 12" i0 O
~OUR FI,ASHINC IS 5TFiCCHEO LONC ON UPPER DECKINC EXISONG 2 x 50 LE~GER _ 4
TO MOVE ANY W+tCER CJT PAST HANCING CHMUN£i_ AREA W o
•L011£R HANGWG CHAnNEL IS PLASHED t< CAtlLKE6 TO 6 r 6 ENGINEERED ~ m -zz SEAL iHIS ARER A150. POST PLACED ON p QJ y~ D
WIE NEEDEI) TO A00 7HE 2 a 4 BELflW 5HE EX6iiNG OUiER CDRKERS OF
w
LEDGkFt L`UE TO fi x 6 P4Si NGULO IK7ERFERE WITH THE EXTERIOR WALL m
LENGT`i 6F CUR ROOF & TO SECURE TO HOIAE. CAIfi1LEVER
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1~1011AE~q p (812) 881-19t4 FN(:881-9488
Lwo SV(~KY~e . rwn. nm.raru:
qf'ig~IR~+eI'"~IY~ ~ ~v~ortiuaiu~s- i.Arinir~u~~ nrn:mnr.i, r
* ~ . 62.~ Itl,yliwuy itl N.f_
Rluinr:, MN 554,54
(817) 783-1880 FA%:783-Y983
C;erLific;aLe of Survey for: QCP HUMES
_ -
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~;Y pF iHE HOUH~~~nftIES Uf'; ~
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RAI<OTA CDIINTY, MINNESOTA . ' 11 o(7F5 Nor PUFiPOHi ICI SNOW IM~HOVf:MF:NIS OR EPlCHHUACrtMFNTS, EXC£PT Afi SHt>MM. AS SuRVFYEU BY ME OR
VNpI fi MY DIREC7 SVPF.l2N51bN YH15 10-0`I bAV Of' 61AY, 141!i(;.
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t0•.J
• ' Page 2 of 2
~
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PameCa Dudziak
Planner, City of Eagan
3830 Pilat Knab Road
Eagan, MN 55722
Ph: 651-675-5691
Fax: 651-675-5694
~~.4dnt8ffi~x,~rfm+pe~~yY-a_.. sAs~u~m5:n~mP~s-!E~~.4 »~~~d^a~i~#Wt^~4~src.na~a~t+`r="~,mS
6/2/2008
~ Page 1 of 2
` Pam Dudziak
From: Pam Dudziak
Sent: Monday, June 02, 2008 4:15 PM
To: Mike Ridley
Subject: 4628 Westwood Ln
Mike,
Terry gave me a permit application for a porch addition (110 s.f.) to this house. It already ha5 a deck on
the main level, and a deck on the 2"d level above, and the porch addition is an the main level, beneath the
upper level deck. The lot is only 7,758 s.f. in area, so they ure pushing 26% lot coverage, which is why
Terry gave it to me. If the lot were a standard s-f size of 12,000 s.f., they would have 1723% coverage.
This PD was done under the D-II land use designation ns "detached townhomes" in a6out 1996, and the R-
3/R-4 finish requirements were waived. They were permitted one side lot ynrd with 0' setbnck. There is
also a substantial sized outlot, which is owned in common by the 23 townhome lots. I don't have an
accurate size on the outlot, which includes the pond and the streets. The site was originally a gross 9
acres, which divided among the 23 units would be a gross site area of about 17,000 s.f. per unit.
Because this PD was npproved as detached townhomes rather than single-fnmily, and because the outlat
provides offsetting open spoce for the smaller lots, I'm inclined to let this one go.
Please let me know if you cun support this reasoning, or before mnking the call if you want to see the
permit application and other plat informotion I dug up.
(9,kcul
jo
6/2/2008
~ 2006 RESIDENTIAL BUILDING rERMIT arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
l.~
New Cons;mctian Reouirements RemodeVReoair Requirements Office Use Onlv
3 registered sAe surveys showing sq. R of IoC sq. 8 of house; and all roafed areas 2 copies of plan showing footings, beams, jdstr CeR of Survey Reoj Y N
(2001* mazrmum lot wverege allowed) 1 set of Energy Calcula6ons fa heffied additions Tree Pres Plan Recd _ Y._ N,
2 copies of plan showing beam 8 windowsizes; poured found desgn, etc. 1 site surveyforadditions &tlecks Tree Pres Required Y N
7 set of Energy Calculations Addition -indreate if ai-sife sepGc system On-site Sep6c System _ Y._ N
3 copies ol Tree Preservation Plan if lot platted after 711193
Rim Joist DeUil Options selectlon sheet (buildings with 3 a less units) Cr Minnegasco mechanical ventilation form ~ ~
Date 05 / --T/ / '460S Construction Cost ; ~ / _S
Site Address ~ p . f M UniUSte #
5V ~
Description of Work
kI uu~
Multi-Family Bldg _ YI N Fireplace(s) 0 1 2 ~
Property Owner Telephone # (us-i
'
Contractor (.,I~,/I.C,CJVJV 44
Address Jr' r'JJr City
State Zip 65.3. Telephooe #(AS~,
~
COMPLETE THIS AREA ONLY IF CONS7511IJ.ldTING A NEW BUILDING
. ;i, r . • '
- Minnesota Rules 7670 CateQOrv 1 ~ Minne , sota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet - 4 • New Energy Code Worksheet
(d submission rype) Submined Submitted
• Energy Envelope CaiCUlations 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 )
SewerlWater Contractor Telephone J
I hereby apply for a Residentia! 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 olly.,an application for a permit, and work is not to start without a
permit; that the work will be in accordahce'wifh-the,-approved plan i the case of work which requires a review and
approval of,p ns. , ~ _ . •
~ b~ . ~t
V"
Applican's rintedName Applicant's S gnature
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Firepiace ~5L 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 16 Deck O 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Oamage
? 06 04piex ? 12 12-plex ? 25 Miscellaneous .
Work Tvaes
? 31 New . . ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation 45 , Fire Repair
-0~- 33 Alteration ? 37 . Demolish 8uiiding* ? 43 Reroof, ? 46 . Windows/Doors
? 34 Replacement . `Demolition (Entire 81qg) - Give PCp hantlout to applicant
DeSCriptlOn: Water Damage _ Yes .
Valuation G~/ ~~r Occupancy MCES System
Plan Review ~ 1 DO% or _ 25%
Census Code ~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Canst Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings (deck) FinallC.O.
Footings (addition) r~ 61 ~v x FinaUNo C.O.
_ _ Foundation t,/O ti
HVAC
Drain Tile ~ Other
Roof Ice & Water Final Pool Ftgs AidGas Tests Final
7L Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
d' ? s?i7~~
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge c2 L~
Treatment Plant D/V /~?7~
License Search
Copies
Other
Total
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4628 Westwood Lane
Lot: 3 Block: 4 Addition: Oak Cliff Pond 2nd
PID:10- 53576- 030 -04
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:
Laurie Ann Rossin
4628 Westwood Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA091516
10/08/2009
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
Use BLUE or BLACK Ink
r----------------� ��
I For Office Use �
� �I .� (�/�
Permit#: � 7 —/ �� I
Clty of ����� ; . / t ;
I Permit Fee: (� �
3830 Pilot Knob Road �
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 L Staff: --------------�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:���°� 7 Site Address:_ �� � 0 " (iL/ �
Tenant: Suite#:
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������, �,� Name: .r� Phone: �/`��/^ �/d 3 — �3a,�
.� _ = �; Address/City/Zip:�j�_�� — ��� �
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� '�� � "¢ � � Name: °' � � License#: �'�1 �� � /`�l?'l
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�� - ��� Address: ��f S /;�� �5 T` City: /=�.r�..-,•�-�'--
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� i Contact:_�i�� ,7Q uc � �'� Email:
�- - �
� �k��. �� ", _New _Replacement _Repair _Rebuild �Modify Space _Work in R.O.W.
� ��Tj(�@ �'�_ _
,�����__, e� ,� Description of work: .,.-�., /�
�� ��� � ��� = RESIDENTIAL
�� ���
� �� . £
�'"� Water Heater
�� .- � �
Water Softener
_ � Lawn Irrigation�RPZ/_PVB)
���
� �� '�s = Septic System Add Plumbing Fixtures�Main/_Lower Level)
�F§ _ e �
� � � � New Water Turnaround
�����p
�� �.m� � �: ; —
�_ � 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$200.00 if a 5/8"meter is required)
$115.00 Septic SVStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X ,�%// SQ�. ��� X /���'/����ti�-►
ApplicanYs Printed Name Applicant's Signature
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F�Si� ��l� :_ .� � _ - . s 4 .��,�: t
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�Meter���?������.���� �a �� ���� : . � : ��: ��,vea� ��_ ��_ u
�_,s�,�
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA175095
Date Issued:03/11/2022
Permit Category:ePermit
Site Address: 4628 Westwood Lane
Lot:3 Block: 4 Addition: Oak Cliff Pond 2nd
PID:10-53576-04-030
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Norma J & William C Hustedde
4628 Westwood Ln
Eagan MN 55122--402
(414) 403-3323
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature