4632 Westwood Lane ~ ~_.7~ . • . . ii - y..: •~~~7~`~ l~C .
rg ~ e' 4, . 1 + ~ y~ - ' .f~> ~ ~ ~ - • ! . - . - ' ~
Of,ertificate of ccculpaitc~ Wit4 of Cfagaa
~ tmnct 44 1311110hig axocctioK ~
Tiris Certificale issutd pursuant to the reqwireneents of the Uniforrn Building Code
certifying that at the tinee of issuance thts structurr was in compliance with the various
ordinances of t/te City regulating building construction or use. For the following:
Use Clusif'~ ~jjJG Bldg. Permit No. 250IG
o-m-y Typ. R3/M1 zoaft okuia PD&I Type const. VN
ow" or auia;,s dCF EEMFS, INC. Aem= 8604 LYNMZ AVE S} ffiUM
e„aa;og naan=4632 G1ES1UU LANi t,o~~ty IA. B$, QAR tLTF'F PM 2NU
8uilding plTic9a1
POST IN A CONSPICUOUS PIACE
_ ~
INSPECTIUN REC4RD
•'CIW OF EAGAN PERMIT TYPE:
3830 Pi!ot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: '
- - (612) 681-4675 S Gy~
SITE ADDRESS: APPLICANT:
,.:.'It t nNF ,
r , y
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA • DA
~ fi II~ I 1~ti! ~ I l f Il~ I
1
i i 4 I.~. I Ill`~I
Mf l t} 1 1~, Is 1 hl 1•I.ttt~
I ~
~ ~
Permtt No. PartnR Holder date Telephona *
S/VN
PLUMBING ~7I• /~f7
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date insp. Comments
,~,SG ~S /vG- Tv JcYS7~l' 4-
Footings i
~ / C S - r-
~l
Foundation
Framing AV- f ^
Rooting
Rough Plbg.
RougM Htg.
I8ui. ~ y_ 9r ry~ .
Fireplace ~C.4 c( .
c 3 6~L
Final Htg. ~d r
Orsat Test
Flnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Dedc Final
weli
Pr. Disp.
[11~2 ~135 ~ ~ • a 1201
Requesl Oa~e Fire . cdgh-In Inspec~ion iretl Inspeclion Other Than Raugh-In ~ (YOU ml oallidape wben reatlyJ ~ ReaGy Now 0 Will Notify Inspector
Ves ? No Date Read
1 0 licensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlreas (Sireet. Box or Route No,) City
M G~57/4io00 GONe E.sG,eN
Sec[ion No. Townsnip Name or No. Range No. Counry
Occupant(PRINT) Phone No.
?
L~Y conr v~T~o.v Sa z- 33 60
Power 3Upplier Adtlress
fWArldfiMGTO/?
Electrical Coniracror (COmpany Name) ConVacmrs license No.
lil.'sr.e ~ f1 /I/C «0/.2
Mai(ing Addrees (COntractor or Owner Making )nstallation) 2 O.r /~•f' E?li/LL,F /illr/ S6"0
Autborizetl SignaWre (Contracto.iOwner Making Instell ' n) Phone Number
3~a -gY4/7
MINNESOTA STATE BOARD OF LECTR THIS INSPECTION ftEQUEST WILL NOT
Gtlg9s-Mldway Bldg. - Poom 5428 9E ACCEPTED BV THE STATE BOARO
1821 University Ave., SL Peul, MN 551 I II III II I II I I I I. I II I II UNLESS PROPER INSPECTION FEE IS
Phone (612) 692-0800 ENGLO ED.
REQUEST FOR ELECTRICAL INSPECTION epe-ooooi-os
10- See instmctians ior campleling lhis farm on back ot yellow copy.
~ "X" Be/ow Work Covered by This Request
Ne ktid Re . Type of Building 'Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Eledric Heating
ApL Building Dryer Load Management
Comm./Industrial Furnace Other (Specify
Farm Air Conditioner
Other (specily) GonVactor's Remarks: .
Compufe /nspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool X 0 to 200 Amps ¢0 ~,+,5 0 to 700 Amps OC'
Transformers Above 200_Amps A 100 _Amps
SIgOS inspecror's usa Oniy: TOTAL
D
Irrigation Booms o r
5 ecial Inspection Alarm/Communication . THIS fNSTALLATIOWMAY BE Mir, D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby Rough-in , ostv^L q
certity ihat the above inspection has •7 ~
Finel D
been made. (p-G
OFFICE USE ONLY
Thls reqvest voitl 18 months Irom
Address 4632 wES7wooD 1,AtvE Zip 55122
Iqt, . 4 Blk 4 Sub OAK aIFF POND am
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: Yes No Inspector: /M
Final grade (6" from siding) a~
Pecmanent steps (garage)
Permanent steps (main entry) VI/
Permanent driveway
Permanent gas
?
Sod/Seeded grass
' TraiUcurb damage
Porch
Basement finish ~
Deck
Please vetify wit6 the builder Ihe removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before &eeze potential exists. Contad engineering division at 681-4645 before working in right-of-way or installing undergtound sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy
i...~
b8a10
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date n 2 1 22 105
Site Street Address 4{I%32 UV'PS-4WUUCI L}`1 Unit #
Property Owner I vm 4aneq Telephone #(~jj )~-I5 Z/)'r'~ I5
Contractor flp pl peY1(bwS Telephone #(ly5j) 3(6I aJTU
Address ~~W~0 b)(1U Rt.l City tfAgari State MN Zip 55 I23
The Applicant is: _ Owner V Contractor _Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (exdudes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ~ Water Heater $ 15.00
_ new ~ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State $urcharge $ 50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the a rove
the event a plan is required to be reviewed and approved. iJ ' d LC
m 1ndd 0 6
~ F E B 2 S 2005 ~
ApplicanYs Printe Name Applicant's Signa e
By
t~. v CP
I - PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 025016
(612) 681-4675 Date issued: 01 / 10 / 95
SITE ADDRESS:
4632 WESTW00D LANE CX 35-y4,0V
LOTs 4 BLOCK: 4
OAK CLIFF POND 2ND ~/~0/cy6-
p.T.N.: 10-53875-040-04 ~
DESCRIPTION:
B,Uildinij).Permit 7ype SF DWG
Oui1d'ing Wii.rk Type NEW
fUBC Occupancy,., R-3 M-1
; Construction Ty`p~e V-N
i Zon3ny PD R-1
~ Buzlding Length 54
~t Building Width l'48
`xy_ Buildin•g stories 2
S4uare Faet 1,965
e~i~L!~`.~j;~~~'~ i~
REMARKS:
PRV S& W PLBR - B J M PLBG
FEE SUMMARY:
VALUATION $154.000
Base Fee $828.50 MISCEl.LANEOUS $1,892.50
Plan Review $538.53 Total Fee $4,186.53
Surcharge $77.00
5RC $850.00
SAC % 100
SRC Units 1
Subtotal $2,294.03
CONTRACTOR: - Appricant - sT. LSC. OWNER:
VARLEY CONST JOS 13346034 0003249 Q C P HOMES INC
16800 SHIELDSVILLE BLVD 8609 LYNOALE S 191-8
FARIBAULT MN 55921 BLOOMINGTqN MN 55420
(507) 334-6034 (612)881-0127
; L Mereby ackn-owledye that I have read this applicatian ahd stats that the
infarmation i5 carrect and agrEe to comply with akl applicahle State afi Mn.
Statutss and City of Eagan Qrdinanees.
f- ~
Ae,~ &
APPLICANT/PERMI E SIGNATURE IS E Y: IG TUFE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: e u z Ln x NG
3830 PilOt Knob Road Perrnit Number: 025016
Eagan, Minnesota 55123 Date Issued: 01 /10 / 9 5
(612) 681-4675
SITEADDRESS: Lor: a aLocK: 4 APPLICANT:
4632 WESTWOOD LANE VAR4EY CON57 JOS
OAK CLIFF POND 2ND (507) 334-6634
PERMIT SUBTYPE: TYPE OF WORK:
SF OWG NEW
INSPECTION D. . DA
FOOTINGS FOUNDATION
FRAMING ROOFING
SNSULATION FIREPLACE
OUGH TN PLBG ROUGH IN HTG
IFINAL PIBG FINAL
REMARKS: PRV 5& W PLBR - B J M PLBG
F - - .--I
L
•
CITY OF EAGAN T "
0 0' 1994"BUILDING PERMIT APPLICATION ~ ~
681-4675 ,
,
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s eys, 1 copy of ergy
calcs. 3
COMMERCIAL 2 sets of architectural & structural p1ans.,_1_set_a.f__
specifications, 1 copy of energy cal 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 once permit
is issued.
Date lB~ 1 ,9;111 Valuation of work /'70'
Site Address: y~, l_'j `G S'r 6-P v O~J
STREET SUITE #
Tenant Name: (commercial only)
LoT L-f BLOCK suaD. OAK CLIFF POND p I D # 0 D O b~
SECOND ADDITION
Descri tion o£ work:
The applicant is: ? Owner ? Contractor ? Other (Desoribe) 881-012/
Name OCP Homes, Inc. phone
Property L"bT604 Lyndale so. #fM
Owner Address
. STREET STE q
City Bloomington 5tate MN ZiP 55420
Companyloseph P. Varley Construction Phone 507-334-6034
Co ntractor Address16800 Shieldsville Blvd. LicenseW3249 EXP,3/31/95
City Faribault State MN Zip 55021
Company Phone 645-4170
Architect/ Grover Di mond
Engineer Name Registration #
Address2332 Bourne City St. Paul 5tate MN Zip55108
Sewer & water licensed plumber B,7M 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 applitable Stat -M.'nnesota 5tatutes and City of
Eagan Ordinances. Joi ph arl ictionInc.
Signature of Applicant: 4 C~__ ~
OFFICE USE ONLY
BUILDING PERMIT TYPE •c
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 16 Basement Finish
K 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
931 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL tNFORMAT1pN
Const. (Actual) ~ Basement sq. ft. 5z,y MWCC System
(Allowable) lst F1. sq. ft. ,4 szr City Water ~
UBC Occupancy .e-~i._1 2nd F1. sq. ft. PRV Required
Zoning ~Sq. Ft. total ~ Booster Pump
# of Stories 2w/4J,~,. Footprint Sq. ft. WIS''~ ~ Fire Sprinkler
Length s y On-site well Census Code oi
Depth On-site sewage O+s SAC Code 0/
Census Bldg i
APPROVALS Census Unit ~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? .Site J:`-Footing 4EI Framing E3~ Insulation
? Wallboard 9 Final ? Draintile ? Fireplace
Permi t Fee rraa,ac;a„
Surcharge
Plan Review 6 5mr.
License
MWCC SAC 3 x% = 27 ~ZFs-33> °o~ t? >
City SAC iZ.s- x zs = 3~3
Water Conn. ~ (odo y
Water Meter ~ x 3~ ~
Acct. Deposit ~L.S x zb = 3'' zz~s~°
S/W Permit z x L ' y
S/W Surcharge ~ G7 = yz~
Treatment Pl. /7 s-
Road Unit .s3 x i1•~7 `
Park Ded. E•73x s = 3Z
Trai 1 s Ded. 9 x g ' 77- y3/ X~G
Copies - j-~ g~b
Other z,~~~,._ ~L-
Total : ,3.17 , yo = sz7 82, y V' =
/Z
c.sf w = z 3~ oo
SAC Y 77/
5AC Units z „9a = eo
~s3,
<+sxzo,se`>=<>s7 / ' ~
. . . . ~
2422 Fnteryxlse lJrive
~ ~ FAenduto }leTyhts, LIN 55120
(812j 881-1914 fAx:681-9468
* w~u su~,ws • aw n~o.saec
0.0 ~ c~no wu.~ne. ts~asc~e~ ~aauacts S25 Highw4y 70
N.E.
414 ~ * 81afie, }~AM 55434
1(612) 783-iHBO FAX:783--1883
Certiticate vf Survey for: O CP HC)6~UllES. iA}C.
483a WCST1Y4pp LAI1k
.~r f 6FAPME
!AV=VICE ~ l,a~ ~ FLEVi 9 591
/.~v asas 1-1- s 3
~J
CP~
A N,
R E VI E iM E D saa~
sss. ~ o,
o-Q+ .
.s e ~ t •~s, ~ ~ t T - a / u
954. 6
94 1
n7E_._,
x 9 2
9ENCH Mi1kK 5~ q
TOP OF pliE 9575 ~`i 9~2
E~EY.egs8.b3 O~ \ /
N EX~57}NG f_.~r `~x94 .d
HOUSE 5~.~l~ ~ ? $ .47 y~f
FIX
~ ~~wn c S.c .a
Tiate------~~Z..L_9_~' Af
EAGAN Lj,:;iNL,'EIRING ED P1; (JfA,7Nro~. ~t.w.r tq
G°-D G°~oMa ~EL:
PN~C'OS6o aROW y1D1M aEn tIRWxU 1'ui11n!. _ OCP {iOMES N07[r MRDIN G~lM~IS lWIM 1tl1E f~! NOA6LMTAL N~1 V~ItiCAL Ai9 f,~A'INCA16 p0l9 NOl ftIRPOR~ U~JIF]1l9
IOCAA11) OP l1MIC'Itm qLY, !Q NEOHRCMQ PfN19 FCR d11RAmld iu lNO11
01lY~! tNAM 1110~ !1lnMl dll Trt NCCd10ka AA1
$01 ?aI11Qki1Q1 q19190N~'
utrm aiwneAcyart wus? rvnrv omWMr orsvi. SCAt~ : 1 fNCH ~ 30 ~EEi
Nbl[: w spEOr1C sCI1.E NM~1qASIR! HAS e~brN o~m 0 hYR 9EAr1lws sp~w As9t~lo
l0T 67 111E S7N1E1CIC y!1[ lUlfpoIR GF m7 TD %N'iORi II~.'
3!Cl7E HdHt F110V11~b Ig NDT 111L R9Pa1lJa11Y OF R7E lMIKYdE
PR{]Pf35Eb Hd,ISF EISVAtidH
x DoaDO Dlnntls Ek1atMQ Elewltian
t~am ) qenMsa oaed pewlton Loweat Floa Rsvaflon: 2EZ-
DsnoRES Ura age #e LHIHy Eooement
A?enotbe Oruhaqe flmr bkso4lon ptnin Flaor Eierottan: IG!• 's
---4-p. Uenotss Monurhm!
-4-- Uenotss O}Iset Hub Gad~e aryeb Elevatlun: 0.5
WE F1Ei2E8Y CERTIFY 't0 b C P NOMES, itdC. THAT nOs IS A?RM AND CORRECT
REPRE5ENTAl1flN DF A SURVEY t7F 11w BoUNbAR1ES OF:
L0`f a, BLOGK 4 , oax CL[FF PONO zNo aDnirbN
OAKOTA CUVNTY, f.lINN£SOTA
IT DOES NDT PURPURt ?p SNOW 1AlPitOVEfiYENFS U12 ENCFIF2DACf{I"tS. EXCEPT AS SFIOWft, AS
SURVEYEO BY IAE OR UIfDER MY DiRECt Sl1FERVihflN itll I5FA1 OAY OF" 0 EC. , 1994.
~ i~ttN1EER ENGIH~_.+-''"'
BY= •
R
~ n ~
LOT BIIRVEY CHECKLIST FOR AESIDENTIAL
~ HDILDINO PERMIT 7?PPLICATI N ~
PROPERTY LEGALi
~ Data of Busveys
DOCIIMENT BTANDlLRDg
6~~0 0 • Reqistered Lnnd Surveyor signature and company
0 • Suilding Permit Applicant
0 • Leqal description
0 • Address
V- 13 • North arrow and-Btrr•scale
LK 13 0 • House type (rambler, walkout, sp13t w/o, split entry,
/ lookout, etc.)
6'' 13 0 • D3rectional drainage arrows with slope/qradient g.
0-'D 0 Proposed/existing newer and water services
6~' ri 0 • Street name
E~ O 0 • Drivevay
ELEVATI0N8
Existina
C~ D 0 • Sewer cerviee
0 • Lot corners
D'~ 0 0 • Top of curb at the driveway
0--~D 0 • Elevations of any existing adjacent hcmes
ProDOSeC
9~0 0 • Garaqe floor
~0 0 • First floor
~ 0 0 • Lowest exposed elevation (walkout/window)
~ 11 0 • Property corners
D~ 0 0 • Front and rear of home at the foundation
pONDING 7?REAB (if applicablef
0 [3~ • Easemeni Iine
0 0 . NwL
0 R~0 • HwL
a a'~D • Pond ~f designation
n o' 0 • Emerqency Ovezflow Elevation
DSMEN8Id118
0 • Lot lines
0 • Rfqht-of-way and street wfdth (to back of curb)
PD • Proposed home dimensions iacluding any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
/ structures requir3ng permanent footings)
U D ~ • Show all easements of record end any City utilities within
those easements
0-11~0 0 • Setbacks of proposed structure and setback of adjaeent
existinq homes
0 H' p • Retaining reguirements, if any
Reviewed:
N e / Dat
October 1992
rvpicAL"SER ' ~~"~'~rt~cfi~o~i~,~
$ G
c
5-1+29 5-0±$0 ~ 7
S_0+74 Ai:S-0+30~
INV-966.16; lNV-,963 20 INV.-957 74 ; INV-955.~56
- A
_96~.9 CS=966:4 ; ~ =983.6
CS-978.1 GS=975,5 :<.C5 GS. \
6"--22 1/2' bEND,~~ ~~yrfClEAN Ol)T6+82.31
6"--22 1%2' BEND-, MH rk STA,,,
5, 1.30 0:2' k
. . p,:} U r , o~`~
~ V-`447 79
C5-962.0 r
1:64'L S-0+17
INV-945.02
S CS-960.2
!
5-0+58
INV-945.16
.S7A .0 ±6G CS~958.3
.09 7 INV 945 47
'
5--7+50 i V~945:6
INV~946.41 956:$
CS-956.7 • ~ ;
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l+ ~ i . ~F~ t.dT!'.i..~
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~t,,~ ~ v ~3u~ .r;
BLD=~- i '
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E]M p, # 'C tyrr4"~'~t ~ ~ . vl . IZ IO
. . ~J85,~i 1i.45~
~yy 5
: . . ~ ~ ~ 4 ~ RE~~ MH:.
BLD :1&50:1
,
980'
,
> s
975 955
. . . . . .
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957.09 4 4 r.-
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r F•.~ 5~.5~t ; ~ . . . . . , ~~k j~ t ~ w .
~ti~~~,~3+ r
~
. . . . . . . . . ` '~i. ~ ~ t
, (Td[ a~i,~f~~~~ ~.~~4, ?~~~wl~ i i^S}~ iP "f e ~d f r(1_r J`j
n x
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i3~ tl
c-p~ .rypy
E ~!'~VI~J 17s1 xi ~4~{a~`~ :h~~i~l et:
(j~.$,'"F~i ~fb
;QI SI!J t
. . . et.`' C . . ~~..sr~ V1t]~ T
~$Ys
rt~
u tYO
y ~
r ~
rs~~
ai4~'~¢~x~+t `~~"X ~
~yt~FC1'M`'~',~~~3~~r`f~ °~}~'7rfYr~:r7; ~
f1ir~7
z ~ s~T~3 ~i{ ~dtJt~ S ~ !k ~ ~ 1~Y~F4~ ~ ' ~ kn"}'~~.~~ ~ A' ~~+y~~ ~i~~':
R~f 'hlxtic S ~ a 4.w L 1 t>' 4 y .i , .n4 ~ c.
pp.
.
i ~ CM 'OF KIM
~ EITERIOR ENYELOPE AYERdGE +u' arrnurarsrn+
[NfNEB: Q
srrE ennxesss .;d6 2 W sr 1RtDcD La~r 4 mLK :d nd5cJL
coereacsaa: vAa= r- amc.-r_ aus: PEMe
Detersine wrkiag square looLese ef eao6t
1. Total e:poaed vall aroa 7~ aq• ft• _•I I ¦ ~O ~
2. Total roof/eefliag area sq. ft. :.62b
Total i=pOIIGd Itall aTlO ItD07G f100Y s 377G
0• 7ot.81 NHll 11ftIQ0w area *I.*@ a~~~~~• ~
b• TOS.81 d001" a1"Qa 0 ..s... ~O
c, Total aliding glaaa area
d. Total flreplare wall area
B• TOt.81 N811 ~ilUiAg area (sverage 1~) 371B
r• -TOt81 i141L MBZZ HTlB above floor ..o..o...... ;Raga
'
. g• Total rim joist 8r@8 • u....... *
Total e:poseQ fosmdation srea v ;24-}
h? ros¦i rounaetion wiodox eree.......................
I. Total net foundation area above grade „T
Determine 'Ot value of eseh vall sepeett
e. 445 s 'Ut
b. sti : 11),
c. ;IQ x 'U' .4~j = l9.G
d. _ TLC a
, e. 37~~ 7f ' U' oO 9 7 e~
f. 2$$e x'U' .o S g
g• ~2 2„A xVU~ 9. r,
h. TUI
i, 1 41~ x +US . t77C =
93 .1ss Ig 3 /
3 . 7ots1 :
If item #3 ia the same as or leas than itam 01, you hsve met the iatenL of SBC
6006(0)2.
ibs.i e:posea roor/ceuiae .re.
' J. Total skylight area...............................
k. Total roof/ociling traming orea (averaga 10%)
1. Total net insulated roofleeiiiag area
OVEA
. Detcrmioe 'U' valve for e.mb roofloeiitag sesmot:
;
gi1t •
3, 2
k. 155 z
1. u' , D 2 a
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN . W'
~ 45 ~ 3830 P1651-88/46 5- 55122 -
~
New ConsfrucHon ReauhemeMs Remodel/Reoalr ReaulremeMs
D 3 regiafered aBe surveya showing sq. fl. W loi, aq. H. ol house 2 coples oi plan
and pq roofed areaa f20R5 maxtmum lof eoveraae albwed) t set of energy calculaHons for heated addNions
? 2 coples of plans (show beam R window sKes; poured fnd. dealgn; efc.) t:He survey for entedor addlHons i decb
? 7 ael of energy cakulatlom
D 9 coplea ot hee presenaNon plan B lot plaMed adFer 7/7 /93 ~
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: h~~ -PDQ." r>o 44,e
STREET A DRESS:
LOT: ~ BLOCK: ~ SUBD./P.I.D. pRi`A~ P--~
Name: ~5'1e4A?W' pPhone Ik: ! /'/L)
PROPERTY First
OWNER /
Sfreet Addreu: y~ ai7 !n~ ~dC,ncc
City State: Zip: S3~1 Z' Z'
Company: Phone C /L~ ~7 - ~aSSf
( ea code)
CONTRACTOR
Sfreet Address: ~ Zy~I ~ ~ GaLCPi/ ~r` license # 'LO/407 S} Exp. 7POO
City 176~ S Ui ~Z6 State: Zip:
ARCHI7ECT/
ENGINEER Compony: Name:
Telephone area code ( )
Streeg Address: RegistraHon
Cffy Stafe: Zip:
Sewer 3 wafer Iicensed plumber [reauired for new conslruction onW
PenaNy appltes when address change and lof change Is requesfed once permff Is Issued.
I hereby acknowledge that I have read thls appllcation, state that the informaflon is cortect, and agree fo comply wNh all applicabl
State of Minnesota Sfafufes and CHy of Eagan Ordinances. ~
~ Signature of Applicant: ~
OFFICE USE ONLY -
Certificates of Survey Received _ Yes _ No SEP 2 8
Tree Freservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 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 O 39 Gas Line Only ? 43 Siding/5offits/Fascia
? 32 Addition ? 36 Move Bldg. p 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Oemolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant tor demolition permit
GENERAL INFORMAI`ION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
2oning sq. ft. No. of Bidgs
# 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
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PL
Park Ded.
Trails Ded. :
Other ;
Copies
Total:
SAC Units '°k SAC
~ v
L /r/ BL d CITY USE ONLY RECEIPT #16 •
SUBD. ( n~ DATE: -3~3J
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(692) 681-4675
Please complete for: ? single family dweilings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x
Water Closet 3.00 x 3 = 9
Bath Tub 3.00 x
Lavatory 3.00 x = / >
Kitchen Sink 3.00 x ! = 3
Laundry Tray 3.00 x 1 = .3
Hot Tub/Spa 3.00 x ~ = 3
Water Heater 3.00 x ! = 3
Floor Drain 3.00 x _L = 3
Gas Piping Outlet * minimum -1 3.00 x
Rough Openings 1.50 x =
Water 5oftener 5.00 x =
Private Disposal ` Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
OWNER NAME: ~ns~cfiDn
_ INSTALLER NAME:
STREET ADDRESS: 9~- ~
GITY: STATE: ~Y1 Zlp; Jrs~~ !
PHONE
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are got required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of rmi fee due on all permRs.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: ' STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
APPLICANT CITY OF EAGAN
CITY USE ONLY
L ~ BL ~ RECEIPT#: 2~~'SJ`7
SUBD. DATE: ~ G S
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Fireplace conversion (to existing fireplace)
- - - - - - -
Date: S ^ ~C jSfJ~
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 , f ru
SITEADDRESS: L4 C32- ""`be'"
/
OWNER NAME: , ~/~21/'s PHO E#:
INSTALLER NAME:
STREET ADDRESS: Y U~ti Vv
CITY: STATE:ZIP:
PHONE ( S~c 7) uS C~ lll
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUindustrial buiidings.
? multi-family buildings when separate permits are Q4S required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.00 minimum fee or 1% of contract price, whichever is greater.
p Processed piping - $25.00
State surcharge of $.50 per $1,000 of pgrr~js fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
- - - -
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115840
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 4632 Westwood Lane
Lot:4 Block: 4 Addition: Oak Cliff Pond 2nd
PID:10-53576-04-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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 .
Nathan Corbin
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas F Heaney
4632 Westwood Lane
Eagan MN 55122
Corbin Exteriors Llc
1115 Southview Blvd
South St Paul MN 55075
(651) 760-3116
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137612
Date Issued:07/12/2016
Permit Category:ePermit
Site Address: 4632 Westwood Lane
Lot:4 Block: 4 Addition: Oak Cliff Pond 2nd
PID:10-53576-04-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$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 -
Thomas F Heaney
4632 Westwood Lane
Eagan MN 55122
Ron's Mechanical
12010 Old Brick Yard Rd
Shakopee MN 55379
(952) 445-8585
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137656
Date Issued:07/14/2016
Permit Category:ePermit
Site Address: 4632 Westwood Lane
Lot:4 Block: 4 Addition: Oak Cliff Pond 2nd
PID:10-53576-04-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas F Heaney
4632 Westwood Lane
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(763) 370-0074
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174505
Date Issued:02/02/2022
Permit Category:ePermit
Site Address: 4632 Westwood Lane
Lot:4 Block: 4 Addition: Oak Cliff Pond 2nd
PID:10-53576-04-040
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Michele Owen
4632 Westwood Ln
Eagan MN 55122
Craftsmans Choice Inc
5680 Quam Ave NE, Suite A
St. Michael MN 55376
(763) 276-7465
Applicant/Permitee: Signature Issued By: Signature