4636 Westwood Lane . .
Wertcficate of cccupanc~
Witij o f Cfagan
cat of 131giaiag auoecriox
r This Certificate issued pursuaRt to rhe rrequirements of the Uniform Building Code
certifying fhat at the time af issuanee this strucrur+e was in co?npliance wilh the various
ordinances of the City regulating 6wildrng corrstructian or use. For the following:
uttcim;r.6on: SF DWG aiag.ptrmitrw. 22182
oc-p-y Tya R- 3 M-1 zooing Disv;u P D Typecon5t. V-N
owner orsu;w;ng 0 C P HOMES INC naams 8609 LYI3DALE S
suiwingAderms 4636 WESTWOOD LN t.ow[ty LS B4 OAK CLIFF POND
!i APRIL 28, 1994 _
POST IN A CONSPICUOUS PLACE
, .'.i
. INS114CTION RECORD
a'6I1rY OF EAGAN PERMIT TYPE: ~
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4875
SITE ADDRESS: APPLICANT:
, ~ i h~r tr?~,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
,
? u t I
.
1') 1:4,
~ ~
~Pormit No. Permft Holder Date Telephone #
S/W
- ~ PLUMBING
HVAC
ELECTRI /
ELECTRIC
Inspection Date Insp. Comments
Footings I ~ J
Foundalion J
Y
Framing
0 3 yy -
Roofing
Rough Plbg.
Aougn Htg.
Isul.
[u
Flrepiace
Fnal Hig.
Orsat Te.st •
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meler
Engr./Pien
Bldg. Firo,
Deck Ftg.
Dedc Fnal
Well
Pr. Disp.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
NewConaWCtionReaulremente RomodeVRemlrReaulremenh
• 3 registared site surveys shawing sq. R. af lot, sq. IL of house; arM all rooted areas • 2 wpies of plan 1
(20%maxirnum lol coverage allowed) • 1 set of Energy Calculations for heated addilions
• 2 copies ol Dlan showing 6eam 8 window sizes; poured fouiM design, etc.) • 1 site survey for exterior addi6ors 8 decks
. t set of Eiceyy Calculatlons . Indicate'rf home urved by septic system for additions
. 3 copies af Tree Preservation Plan if lol platted after 711l93
• Rim Joist DetaA Optians seledion sheet (ddgs with 3 ar less unAs)
DATE _ ~aS~o / VALUATI N
JOB SITE ADDRESS `7 ~ ~ ~
If MULTI-fAMILY BUILDING, How MANY UNITS? ~r n n
PROPERTY OWNER o ~
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT l~ PHONE#
Y"VIou7-4 ZIP CODE 5SY%~
ADDRESS ~T ~~~~"P '
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
energy Code cate9ory _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor. Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor. Phone #
All above informatlon must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SlgnWureofApptlcant n I~ I~ I'I
Certificates of Survey Received _ Tree Preservation Plan Received _ Not R ire~"'"` 0 a ~
Upda /01
By
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doars
? 34 Replacement 'Demolltion (Entire Bidg only) - Give PCA handout to applieant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee j z) cl .
Surcharge 3
Plan Review
MC/ES SAC
ciry sac
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other r~
Total ~ l ~ ~
31176 8 14 d ~ Q
Raquest Da[e Fire No. I Rough spec[ion NOTICE: You Must Call Eledncal Inspector
p Rcyuired? II A Rough-M Inspection
l4 2 Ves ?Na IsRequiretl.
I 2a licensed contrac[or ? owner hereby request inspection of above electrical work at:
Job Atltlress (Sireet, Box or Route No.) Ciry
4g3.S 6o;sT 4-i Fed 6A A1
Seclion No. Township Neme or No. Rarge No. CourHy
OAa k QT/.1
Occupant(PRINn Phone Poo.
P542 f P Co.v57: 334- 6DN
Power Supplier Address
(J 14 1 FA 6L,WN1 nI G T O N !v~/
Eledrical Contrador (COmpany Nflme) Contrsaor5 License No.
,,'W1b.S747Zr g=c6:rne c c.a o li a-3i?
Mailing ACdress (COrnractor or p.vner Making Inatallation)
IF2 X .130 x iS.C
AvMOnzed Si onhacloUO r Making Installation) Plrone Number
MINNESOTA STATE BOApD OF ELECTflICfTY THIS INSPECTION qEQUEST WILL NOT
Gtlggs-Mitlway BIdB. - Room 5113 6E ACCEPTED BVTHE STATE BOARD
1821 Unherslty Ave., St Peul, MN 55104 UNLESS PPOPER INSPECTION FEE IS
Phom (812)642-0800 ENCLOSED.
~ 414 REDUESTFOR ELECTRICAL INSPECTION `ea-oaam-oe
~ Sce instrudions for completing this form on Dack oi yellow copy M 6'X" 8elo'w Work Cavered by This Request _ :
ewAdd Rep. 7ypeof8uilding AppliancesWired EquipmentWirad
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Load Management
CommJlndustrial Furnace Other (Specify)
Farm Air Conditioner
Olher (specity) Contractor5 Remarks:
Compute /nspection Fee Be/ow: `
# Othar Fee # ServiceEntrenceSize Fee # Circ ft eeders Fee
Swimming Pool 0 to 200 Amps p -0 to 10o Am s 0-
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspactors Use Only: TOTAL v
Irrigation Booms ~~Q '
Special Inspection t
Alarm/Communication THIS INSTALLA AY CONNECTED IF NOT
Other Fee COMPLETED I A8
I, the Electrical Inspector, hereby Rough-in
certify that the above inspedion has F;nai o oate} _
been made.
OFFlCE USE ONLV
This requesl voitl 18 months fmm
Address a6i6 wFSTwonn r.N Zip 55122
I.Dt~ 5 Blk 4 Sllb OAK CLIFF POND 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: APRIL 28, 1994 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
SodJSeeded grass
TraiUcurb damage
Porch
Basement finish b
Deck
Please verffy with the builder the removal of roof test caps from [he plumbing sys[em and the shui-off of water supply ta
the oufside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Cantractor Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875 ~ V~\~~
New ConsVUCtlon BeaulremeMa RemodeVReoalr HeaWrements
• 3 replslered sMe surveys shaxing sq. R. of bt, sq. N. of house; and II roofed areas • 2 copies of plan ~-1- a-G - o a-
(20% maximum bt coverege albwed) . 7 set ot Energy Cakulations for healed additlons
• 2 copies of plan 5haxing baem 8 wintlow sizes; poureU found tlesign, etc.) • 1 stte wrvey for eberbr addltlons & decks
. 1 set ot Energy Cakulatbns • IndWe N home servetl 6y septk system for addHions
. 3 capies of Tree Preservatlon Plen A bt platte0 stter 711193
• Rim ,bist Deteil Options selectbn sheet (bldgs wHh 3 or less units)
~ /~D9~
DATE T I~ 8 VALUATION J) f
SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N
NPE OF WORK 3 Se v^' t~. Ll, FIREPLACH(S) _ 0_ 1_ 2
APPUCANT rn; t Aa ei ~~~•tr~ ~evr\o~)eO-~S ~~••'.S~'a•^^~G ~ v`t ,
STREET ADDRESS l(O r~ CINSTATE Zlp 'K
TELEPHONE # 419 r75~ 5~3 GELL PHONE # GI -2 Y03 FAX #
PROPERTYOWNER FC~`-'1 TELEPHONE#
~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CA1'EGORY 1 MIIQNESOTA RLJI.FS 7672
(4 submiasion type) • Rasidential Ventiletfon Catagory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Coniractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Spruikler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor:
Mechanical system includes: _ Air Conditioning 70.00
_ Heat Recovery System
aPR 2 2 2002
Sewer/Water Conhactor: #
B
I hereby acknowledge that I have read this application, state That the information is c-orrect, and agree to comply
with all applicable State of Minnesota Statutes and Cfty of Eagan Or '__n S.
- -
Stgnature of Applicanf
_......~..r.._...~..o.~
OFFICE USE ONLY
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
d 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 7~ 21 Porch (3sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 D&plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
? 05 03-plax ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interlor) O 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) O 45 Fire Repalr
)2~ 33 Atteration 13 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolkion (Emire Bldg only) - Give PCA handout to applicant
Valuation ~t_19_00 Occupancy MC/ESSystem
Census Code ~ Zoning City Water
SAC Units _C9~ Stories Boaster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const -,(,V- Width
REQUIRED INSPEC710NS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water Final Pool Ftgs _ Air/Gas Tests Final
~ Framing _ Siding Smcco Stone
Fireplace - RI. _ Air Test _ Final _ Windows (new/replacement)
~ Insulation _ Retaining Wall
Approved By %-euilding Inspector
-
-
Base Fee 3
Surcharge L
Plan Review 100y"&-14 j[40 MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permft
Mechanical Permit
License Search
Copies
Other
Total
2112 Fntv(risc tkl.n
rn!~sv Me.iduta Nsip1,ls. uN 5512 A
s1z} sej-{914•ra~ se~..s,0erngiu+o p11~Hwrcts e25 Hfyb*ay to r+a?ncast
-~sns
(sti). raa-ieao Far 7e3
Cettillcate e15ur~r 1or: OGP HdMES a.ING•
L~J
Ntlqtlf
w
~
vQ` •
q r
r
~wy •o¢-°o~`O ~ ~A' ti,,t~
/ ^ ~,,`~y ~a ~ 0), .
,o~":~ ti° pQ: ',n a~' tiy.`' ~ ,4,y~ .
CY
4~~`
4
bA,°? ~ 8v, o •8s•
pK`.;
°sr
Q+ ~
!r~,` a.T.n~*Y.~•• L Otl ~
yg,~- \
°Ili
WED r G
h"N
By n ,p / "1.• l,
p E~G DEF~. :1(A~i ~ o p
c'
,GAN ENGINE ~t+ ~ I a
pr' ~ a a q
HUtt_ L"UNlNAG1L)g I+a1SI VfNlFY A!L OIMENSIONS ANLI UltIVEWAY OEStCN•
ila5 CtkiIflCAIE UlJkS NoT 1'lHIPCMt[ lU SHUN fA5lM ~F~',{.Q~',[.~)7.Ii~}R/•)7
i, n tl t~ o V n L~! i,.,•, , 'u
IIInN ilio5t 5li0MIN ON REGOk[7EU P41.T.
Et~VATitk!
,na penoleg Exislin4 Elevatlnn ~R()P¢~~El fISlU5~
~ tlan: `~:5~?-Z
,C oo~ Derloias Prvposad EtevaUon LoMesl Flaor Elaw
• Denolee Urofinoga Ac Utpily Easantcnt hyal„ Ftme fEavvUon: ~S~_7
----benoles UraMapa Fiaw Qirection ~roge 51ab Eisvoqon- 9 ~'r7
o- Denotee MonumenE
-g- penntes nilael Ilub Hearinga slinwn aro assurned
LOT S, BLOCK 4 OAK GLIFF POt1D ZND A.M.
DAK07A rMN41r. WMlNE50iA
1 bnMw euqly Auf thh wnlY. Ptm p#Nwt w.' pr.red br m ~^dlt et.~f~wpwrNlnn ad dut 1«nduly 11e4hI1104~ Wd fa'nrol
.n~~~a -a.•P~ou~ea~c,~N~P~`1
..Pd..tn.f...reixrsfn* of &Himet.,os..on.aHw.UZL e.y oIQK A
~e~/. 12 ~Z 1~al3 ALaR ~Jds7: EI.E*/~5 ~
~~fi 0 i~t g _
~Se51~~'e'~ ~~a/' ~ GIC,K565tJ G•~. 12~,~i•t•u 17~~1~
L9AA M9';2o0.03 ~
PERMIT
tITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 2/ 8 2
(612) 681-4675 Date Issued: 12 / 2 8/ 9 3
SITE ADDRESS:
4636 WESTW000 LflNE
LOT: 5 BLOCKc 4
OAK CLIFF POND 2ND
P.I.N.: 10-53576-050-04 • ~~w
DESCRIPTION:
r' \
B}eilding;`Permit Type SF DWG
Building Wb~rk Type NEW
~UBC Occupancy\ R-3 M-1
Construction Type V-N
~ Zoning PD
; Building Length 46
~ Building Width 56
BtaiJ ding sT.Qries J-J 1
/
,
Oo !,t~
REMARKS:
PRV 5& W PLBR - B J& M PLBG
FEE SUMMARY:
VALUATION $116,000
Base Fee $695.50 MISCELLANEQUS ~_$1,744.50
Plan Review $452.08 7ota1 Fee $3,700.08
Surcharge $58.00
SAC $750.0@
SAC & 100
SAC Units 1
Subtotal ~ $1,955.58
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
VARLEY CONST JOS 13346034 0803249 0 C P WOMES INC
16800 SHTELDSVILLE BLVD 8609 LYNDAIE S 101-8
FARIBAULT MN 55021 BLOOMSNGTON MN 55420
(507) 334-6034 (612)881-0127
I hereby acknowledge that I have read this appliaation and state that the
informatSon is correct and agree to comply with all applicable 5tate of Mn.
5tatutes and City of Eagan Ordinances. L
i
T~1o w
LUA I~
APPL NT/PER I E SIGNATU -ISSUED e SI NATU E
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: guzLozNG
3830 Pilot Knob Road Permit Number: 0 2 2 7 8 2
Eagan, Minnesota 55123 Date Issued: 12 / 2 8/ 9 3
(612) 681-4675
SITE ADDRESS: Lo T: s a Ln c K: 4 APPLICANT:
4636 WESTWQOp LANE VARLEY CONST JOS
OAK CLIFF POND 2ND (507) 334-6034
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION .
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATION FIREPLACE
ROU6H IN PLBG RtlUGH IN HTG
FINHL PLBG FINAL
REMARKS: PRV S& W PLBR - B J& M PLBG
~
REAL7IVATE _ ~ . TY OF EAGAN
PERMIT ~e ~ ~ ~ ~ ~ ~ ~-4.99 BUILDING PERMIT APPUCATION .t51 ~j ~ ~ , r~
G; C 2 2 1993 681-4675
F
~ X.~e,~n. l irz
SIN6LE ~ MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
LOMMERCIAL 2 sets of architectural 6 structural plans, l set of
specifications, 1 copy of energy catcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of aonth-
in which request is made, 2) address is changed or 3) lot change 1.s requested once permit
is issued.
Date ~a / a// 3 Valuation of work~ U d
Site Address: ~CO ~C~ l/~C~~~O~~ ~ ~
tiREET WITE ~
Tenant Name: (commercial only)
IAT BLOCK ~ SUBD. OAK CLIFF POND P.I.D. n 10 53596 Q.S-O D~
SECON
Descri tion of work: New Residence
The applicant is: ~ Owner ~ Contractor f> Other (Descr(be).
Name OCP Homes, Inc. Phone aRi-ni~~
Property ~~ST FIRST ~
Owner 8609 Lyndale So. k1016
Address
STREET fTE M
Cliy R~oomingf~n 5t2te pq~ ZiP 55489---
Companydoseoh P Varle,y ('nnctrurtinn PIIOII2 ~„g,~_^z~~~
CoMractor Addres35aon sn;Pi~+«;ne R,~„+ Licens~lv3~T9 Expr,,~;;~
City F-r;h, StatePM1N Z~P yggz~--
~ Company Phone 645-4170
ArchitecU Name Grover Dimond Registration ~
Engtneer
AddresF332 Bourne ~
City St. Pau1 State Mni Z1Bc~n,,e„~_
Sewer 6 water licensed plumber R.1M oliimhing . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this apptication and state that the information is
correct and agree to comply with all applicable St innesota Statutes and City of
Eagan Ordinances. ~ J ph . Var e tr ction, In .
Signature of Applican ~ ~
OFFICE USE ONLY
BUlLDING PERMIT TYPE " ~ s..
.x . ~
,
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging Q 16 Basement Finish
A 02 SF Dwg. O 07 4-Plex E3 12 Multi. Misc. E3 17 Swim Pool
? 03 SF Addition O OB B-Plex ? 13 Garage/Accessory E3 18 toam./Ind.
D 04 SF Porch 13 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. E3 30 Multi. Add'1. ? 15 Deck 13 20 Public facility
O 21 Miscellaneous
woRK rrPe
,W31 New 0 33 Alterations ? 35 Tenant Finish O 37 Demolish
? 32 Addition O 34 Repair ?_36 Move
GENERAL INFORMATION
Const. (Actual) Ily Basement sq. ft. ~ MWCC System ~
Allowable) Y-M lst F1, sq. ft. tity Yater
OBL ~ccupancy =3 / 2nd F1. sq. ft. PRV Required
Ionin p Sq. Ft. total Booster Pump
i of ~tories ~ Footprint Sq. ft. Fire Sprinkler
length ~ On-site well Census Code /7Z7
Oepth ss8a On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIR@D INSPECTIONS '
O Site b Footing 0 framing EY Insulation
O Wallboard Final ? Draintile O fireplace
Permit Fee v.a.cio,: $ )/6 400
5urcharge
Plan Review
License MWCL 5AC 1320
City SAC
Water Conn.
Water Meter /e,k.y - 2
Acct. Deposit
5/w Permit 1S8'O,Y(~/° = /4o
5/W Surcharge
Treatment P1. c k r
Road Unit
Park Ded.
Trails Ded. ,
Copies
Other
Tot al : j g 00
l(
SAC 76
SAC Units
r ni
?192 Cntarprbe Ikl+e
~ lAendotn fleSqhts. 4tN 55120
'k PICI!'~IigRR 012} set-1914•Fpx sa~-•s,~a
~ wa suavE'raas • aw. eHCm"mt .,_r_...~.._,_•,...~--,--•
. ,..,.,g~....,-.~...r_..:.•-•..,a,.... Norincdit
~ f!ll~~f1l~A~"'j6cu+o vlJr«cn3 . uMOSiii+c tw'wrttCrs 625 Bloi Hna.SgIAhNway io
543{
1612) ~ea--~eaa•Fox ~e3~~ana
Certiflcate af SurrEr tor:
Nop if f
~ti J/~1y~fi(~
4.~pe~ 1~ .
n, rn^ 2 r~ f<
+~h~ • p a ~a~ e.? .
~ • ,nys ~
°~'''~'i ~ ~r~ '4 ~ v~es° ~,t , ~~'V~+
p fi
p
d.
\'k
qIf o
yY
F,P4 9a~?`v + ! b
b`~ J 3~Q J~S f~,r ° a • A iR~
42
~ " ~r`e,'~ ~ ..+!"'~~rt' ° Y
QA aFi ~ y~
~~•1
~ ~ h~~ y p' ~
Al
~ ~-r''y= ~J c,"j
Cf
Gp 4,`tip~ ~ ti ~ I ~
~
D ` N:!` iLf,
u~~-qs
EAGAN E1VGII~TEEAIIVG G~l qd.,~
.°Aftrait
~a-
VaQ~~`'
UNIY~WAY OE5iCN. ~~r~
NUlk _ GtJHlNAG IUft FAUS[ 1lERIf Y At! OIMENSIUFtS ANU
1li:i f:kk}I(If:AIE UC1k5 AK1T !'UkI~URI 10 5FIGNEASlM~q3~oik`N'o
111N1 lIIOSt `a1IOWH ON RECOkUfU PIAt.
. onna penaies Exlsting Fievntton pR(JPQ5~n il[N15E Et~YAtitk!
Da?atcs Prv{~oaed EfeMatton Lowea! Flcgor ElexutFan:
Denatss Oratnoga & lttpily Eoserraent blain Flow f IevaUon:
benales 4koinaqa Vlaw Difection Gagage Slab £icvallon: rt 5r5
Denotcs IrAonuminF.
penotes UfFsel Ilub F3ear#ngs at,nwn af e osaurrted
LUT !5 , BLOCK 4 oaK cLIFF PoNo ztAo Aba.
DAKOTA r,aINIY. "WAILs010 tepait wf p~Prsd bY tN` ar u t di.e24 \wpwYW~u nd ~M41 a~n duly i~Nk}M W ta~d i~rwya
1 AnWr nIIity thw ihls wnlY.O~ q ~yy~ .r ~ r A.R. i,6 &INE~R~N
unda. ~hr M+yi sl NM ivlf M M~H. ~ted ehh/-i=:i- d~Y r~~. ;p40llECRT,~
rwY, 12httq3 Aw. P-JtlSY.
1i
~'bh' ~ G/CITSap+eJ G.S.- It~~~ .t.J /?~!CyC+
Stul ~'t;-l .-...o ,.....-oo?
24flA $3200.03
. ; LOT BIIRVEY CHECBLIST FOR RESIDENTIAL
SIIII.DIN FERMIT J?PPLICATION
~ PROPERTY LE(iAL:~: r='~
Date of 8urvey:
Ia'~D 0 • Registered Land Surveyor siqnature and company
,@" D 0 • Buildinq Permit Applicant '
C0 0 • Legal description
0 0_~D • Address
0--D 13 • North arrow and bar scale
e-~0 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
0'~0 0 • Directional drainage arrows with slope/gradient S.
13 0 • Proposed/exfsting sewez and vater services
0 • Street name
2-113 0 • Driveway
ELEVATIONB
Exiatina
~ B'0 • Sewer service
Q'~D ? • Lot corners 8" D D • Top of curb at the driveway
0'^0 0 • Elevations of any existing adjacent hoaies
4roposea
L•'1"~0 ? • Garage floor
9' 0 D • First floor
9' 013 • Lowest exposed elevation (walkout/window)
IYD D • Property corners
O--D ? • Front and rear of home at the foundation
PONDING AREA8 (if aDDlicable)
LI'*~ D 0 • Easement line
0 • NwL
10 o • xwL
Q-D 0 - Pond # designation
0 0/6 • Emergeney Overflow Elevation
DZMENBIONS
13 0 • Lot lines
0 13 • 8ight-of-wey and street width (to bnck of curb)
0_~ 0 0 • Proposed home dimensions incluflinq any proposed -decks,
overhangs greater than 21, porches, etc. (i.e. all
structures reguiring permanent footinqs)
8"13 0 • Show all easements of recorfl anfl any City utilities within
those easements
0~D 0 • Setbacks of propcsed ctructure and setback of adjacent
existing hom
0 0 • Retaini r irements, if any
Reviewe8• 1,2
2 z
~ ame / ate
October 1992 ,
CITr OF EAGAN _
~ E7CTERIOR ENYELOPE 1YERAGE 'U' COMPUI'd7I0N
OWNEB: F\ D L E.- S
-°7 5 g~.,'-1'i
SITE ADDRFSS: -C W oo t:-2 L. Pl ' PI.iAS.~ TL
coNr$ecTOa: 1ll~.1_G4-/` GcsJ.d ;7r, aaTe: esoxe:
Determine vorkiag square fooiege of each:
1. Total exposed wall area 300 aq. ft, x.11 = 330
2. Total roof/ceiling area Lf h~ aq. ft, x.026 e 37
Total ezposed xall area above floor
a. Total vall vindow area 376
b. Total door area
c. Total sliding glass area
d, Total fireplaoe Wall area
e. Total wall framing area (average 10%)
f, Total net ?rall area ebove floor
S. Total rim 3oist area I 7 7
. Total e:posed foundation area = 378
h. Total foundation Window area
I. Total net foundation area ebove grade ~
6.ta
IIetermine 'U' value of each wall aepent:
a. .376 X tUo .31 - ~ag
b. 58 x fU' .I4 = -
c. •¢p x 'U' .:34
d, x 'Ut - - -
. e. ~}S x ' U' . ~7 = ~3.7
f. 17~7 x lU' 045 = 77 J -
B• !7 ~ x 'Ut ?.rL -
n. x lug -
I. _q x 'uv ~ _
. SS ~
3 . 7ot 1 S
It item 13 is the same as or less than item 11, you have met the intent of SSC
6006(c)2.
Total ezpcsed roof/ceiling area c J~! ~
' J. Total skylight area
k. Total roof/ceiling framing area (average 10%)
, l. Total net insulated roof/ceiling area
OVER
Determine I U' value for each roof/celliag aepent:
J• x 'u, ° •
k. 1`f' 1 :,u, .o;zG ~ 3. 66
x.u, .~2 zz
~ . Totial :
If total of 04 is the same as or less than 02, you have met the intent of SHC
6006(c)t..
Alteraate Building Envelope Design
7o utillze the total envelope system method, the values established by the sum
of Items 03 and /4 shall not be greater than the sum of Items I1 and /2.
11-~ ~r
+ 2.
1. :
e
3. ~gl 3 ~ = 3a.3
2
~TSK~31~Y
pw ~ ~'G~' ~ .a r~pn fF y ~~<;Y3'':Su~k~~' ~ 1 f . .....C., x.......ve. ~.u. W k . . i. i .~:.a. w~~~~ ~.~.tr ~`:2 .
1993 MECHAI~IICAL PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55I22
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS VVHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
- -
v/NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24•00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@ 53.00 EACH)
ADD-ON/REMODEL (ExIsnNG coNSr[zucrIoN) $ 15.00
STATE SURCHARGE •SQ
TOTAL
SITE ADDRESS:_~
OWNER NAMfi: 'I'EI-BPHONE
INSTALLER; L-
~
ADDRESS:
C~{ STATE: ik)• ZIP CODE:-!~3~'j
TELEPHONE #:-~)~7
SIGNATURE OF PE M EE
~yr ~MO1.+1AiL~
~Frw
~ea~'}~£ ~~`x~
i~
.3 : : ~ y~ Y"" s 5. ~ "s.'ts ~ .a,x3r F FF xi,.•k,F ~x °~a ?t , £K t a k x
o., . . ......Y_..x~d:) . i~.>w
1993 MECHANICAL PERMTf (COMMERCIAL) ~
CITY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COIWMERCIAI.JINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY $UILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING iJle'?T.
- - - - -
DATE: CONTRACT PRICE: S
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTI023: .
FEES
1% OF Ct7lV1'RACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CI'TY: STATE: ZIP CODE:
TELEPHONE
SIGNATUR!= OF PERMITTEE ''T'T'Y INSPECI'OR
~ . . . ~ ,
1994 PLUMBING PERMTT (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 PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
I SHOWER 3.00 ~
~ WATER CLOSET 3.00 ~
2- BATH TUB 3.00
LAVATORY 3.00 1 Z
_I KITCHEN SINK 3.00 3
LAUNDRY TRAY 3.00 3
HOT TUB/SPA 3.00
~ WATER HEATER 3.00 3
FLOOR DRAIN 3.00 3
a- GAS PIPING OUTLET • minimum - 1 3.00 ~
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cty. lic. 20.00
U.G. SPRINKLER • nome under consi. 3.00
ALTERATIONS • to existing 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL: S~
SITE ADDRESS:
OWNER NAME:
INSTALLER: uL-W
ADDRESS:
C1TY: STATE: /%n ZIP CODE: SS;;~a/
PHONE ( 6 7 7 / -
SIGNATURE OF PERMIT'TEE
s
s
. . . .F.a....u ,.a....vD, <..a.<..i. ...a.<. r..>..n ~.33i.k
1994 PLUMBING PERMTT (COMMERCIAL)
CI11' OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(512) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPI'ION:
CONTRACT PRICE: $
FGE: l9c OF CONTRACT FEE.
S'I'ATG SURCHARGE: $.50 FOR EACH $1,000 OF ~~~IPf FEE.
MIN1MUn4 FEE: $ 25.00 . .
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
IN5TALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107268
Date Issued:10/03/2012
Permit Category:ePermit
Site Address: 4636 Westwood Lane
Lot:5 Block: 4 Addition: Oak Cliff Pond 2nd
PID:10-53576-04-050
Use:
Description:
Sub Type:e - Water Heater
Work Type:New
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:deb larson
8815 209th st
Lakeville, mn 55044
952-469-6999
Valuation: 875.00
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Charles F Rooney
4636 Westwood Lane
Eagan MN 55122
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114578
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 4636 Westwood Lane
Lot:5 Block: 4 Addition: Oak Cliff Pond 2nd
PID:10-53576-04-050
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 -
Charles F Rooney
4636 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:Plumbing
Permit Number:EA133426
Date Issued:10/13/2015
Permit Category:ePermit
Site Address: 4636 Westwood Lane
Lot:5 Block: 4 Addition: Oak Cliff Pond 2nd
PID:10-53576-04-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Charles F Rooney
4636 Westwood Lane
Eagan MN 55122
(651) 238-8474
Tri County Water Conditioning Inc
325 Third Ave NW
P O Box 65
Huchinson MN 55350
(320) 587-2950
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137661
Date Issued:07/14/2016
Permit Category:ePermit
Site Address: 4636 Westwood Lane
Lot:5 Block: 4 Addition: Oak Cliff Pond 2nd
PID:10-53576-04-050
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 -
Charles F Rooney
4636 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:EA144368
Date Issued:07/24/2017
Permit Category:ePermit
Site Address: 4636 Westwood Lane
Lot:5 Block: 4 Addition: Oak Cliff Pond 2nd
PID:10-53576-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings 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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Charles F Rooney
4636 Westwood Lane
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature