4283 Westchester Cir • ' . .
,
~
Wertificate nf cccupanc~
Wttv of Cpagan
zqartwext ~ ~~pectwx
TYFis Cenifrcate issued pursuant to the rrquirernents of the Uniform Building Code
r'
certifying tfwt at the time of issuance this structure was in compliQnce with the various
onlinances of the City regulating building construction or use. For the following:
SF DWG/GAR 21117
Use Clusificatioo: Bldg. Pamit No.
0-P-Y TYPe 7I' Disaict . - ~CtCll AMNGTo q~1. ~~SVII.U' MN
owoer of 6aildiog address 1 ST
_ C s •
. I Btdlding Address I.acality
nate:
• ~
POST IN A CONSPICUOUS PLACE
~
~
t.
: ~ . - ~ . .
INSPECTION RECORD
~ Cil"Y OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
~ Eagan, Minnesota 55123 Date Issued: ~0 ;'h-'-i
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ i~~ li~ ;ikk [`Ik . . . i~ ~i~~r•~~ .
li:.111 it!~i• 11i illllili'~ I'~ I ~,i.' N/~+~ :?~tJ , ' J),~`~ i
PERMIT SUBTYPE: TYPE OF WORK:
r,f .
INSPECTION .
. . ~
!,f itr.; ,D~;;•r:~ . 1~ liI ! . ~ ~ '
~ I
~ Permit No. PermR Holdsr Date Teiephone ~F
S/W
. PLUMBING
HVAC i3 9 GO-
ELECTRIC
ELECTRIC
Inspection Date Inap. Comments
Footings I G'/~J,)4
Foundation
Framing
Rooting
Rough Plbg.
2`l
Rough Htg. 7 ~
I5ul.
Flreplace N11,9 3- ,~/i~ ~
~~v
Final Htg. Y--~-1 5 j ~
.u
Orsat Test
Final Plbg. Plbg. Inspector - Notily Plumber
Const. Meter
EngrJPlan
4s
Bldg. Final /J
(
Deck Ftg.
Deck Final
weu
Pr. Disp.
~ ' ~
INSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
, ~ ~ ~a~ i i < . . ,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA • DA
iiril~ i'• r1 ',t 1'J~k~ f'1 1 1 I f I: f9 1 1 1'. I, P 1,>tt ! k( I~ ! I~tpf;. A) t
~
~ y~~~ . . . 5:• . c~~ . , . . z€~~.g:~~~ . . _ ~f~Y
Permit No. Permit Holder Dete Telephone #
ELECTRIC 3 Q f 9,S' ~
PLUMBING
HVAC
Inspection Uate Inap. Comments
FOOTINOS
FOUND
FFIAMING
ROOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING o•~Y'~j
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINALPLBG
FINAL HTG
ORSAT
TEST
BLDG FINAI
85MT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
AddiCSS 4283 WESTCHESTER CIR ZlP 5512 3
LIJt' g' BIk 4 $llb HAWTHORNE WOODS 1ST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 9 9~ Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish ?
Deck
Please verify with [he builder the removal of roof test caps from the plumbing system and the shut-off of water supply [o
the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION r~
CITY OF EAGAN a
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New ConsWeGon Reauirements RemodellReoair Reauiraments
• 3 registered site surveys showing sq. ft. of lot, sq. ft. ol house; and all roofed areas • 2 copies of plan
(20qo maximum lot coverage allawed) . 1 set of Energy Calculations for heated addi6ons
• 2 copies of plan showing beam 8 vrindow sizes; poured found design, etc.) • 1 site survey for exterior additiore & decks
• 1 set of Energy Calculafions . Indicate if hane served by septic spslem for additions
• 3 wpies of Tree Preservation Plan'rf lot platted a@er 711193
• Rim Joist Delail Options selectlon sheet (bldgs wifh 3 or less units)
DATE n ' CZ VALUATION 0~~--
SITE ADDRESS MULTI-FAMILY BLDG _ Y
TYPE OF WORK "S-P FtREPLACE(S) ff4~ 1_ 2
APPLICANT Catastronhe R_storation S_rvi .ea inr
11'
STREET ADDRESS 2489 Rice St $uite 7D CITY_Rncey&g_STATE ItAN ZIP,rjS
TELEPHONE # 651_714_9413 CELL PHONE # FAX # 651_dr,2_0219
PROPERTYOWNER TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ yIINNFSOTA RLILES 7670 CATEGORY 1 MINNESO'CA RULCS 7672
(4 submission lype) . Residentiai Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Su6mitted
. Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone # lr?'~'1
Plumbing system indudes: _ Wa[er Softener _ Lawn Sprinkler F ,~p 0 04
_ Water Heater _ No. of R.I. Baths AUG 1~20~C 4
~
~
Mechanical Contractor. No. of Baths Phone #
Meckianical system includes: Air Condilioning Fee: $70.00
Heat Recovery System
Sewer/Water Confractor: Phone #
I hereby acknowledge ihat I have read this appiication, state that the information is correct, and agree to comply
with all applicabie State of Minnesota Statutes and City of Eagan Ordi ances.
c ~
Signature of Appll
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 DS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi
? 03 Ot of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
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
_ Faotings (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 Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Reta11110 Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ -7 . _ PERMIT ~ 9 C ~
~ CITYOFEAGAN ('r,
RERMITTYPE: qa r ozM~
3830 Pilot Knob Road
Eagan, Minnesota 55723 F'errnit Number: 021117
(612) 681-4675 Date Issued: 0 6 j 0 3/ 9 3
SITE ADDRESS:
4283 WESTCHE3TER CIR
LOT: 9 BLOCK: 4
HAW7HORNE W0005 1ST
P.I.N.: 10-32156-090-04
DESCRIPTION:
B,At`ildi_`tYCX__Permit Type SF DWG
Building LJprk Type NEW
~F'~1BG Oocupancy,, R-3 M-1
f Canstruction 1'jpe VN
Zpning ~ R-1
Building ltrngth ~ 70
( puatlding WicFth • 52
L b!, ' ^
~C./ . . .~,p A.,?~
y C(~_- agan
REMARKS:
S&W CON7RAC7tlR - RICHIE'S PLBG. PRV
FEE SUMMARY:
VALUA7ION $200,000
Bese Fee $989.50 MZSC FEE5 $1.744.50
Plan Review $643.18 Total Fes $4,227.18
Surcharge $100.00
SAC $750.00
5AC % 100
SAC Units 1
Subtotal $2,462.68
CONTRACTOR: - Appli cant - sT. Lrc. OWNER:
ARLSNGTON HQMES 14329725 0003200 ARLINGTON Bl1ILDERS CORP
13774 PRINCETON CT 14551 C7Y RD 11
SAVAGE MN 55378 BURMSVZLLE MN 55337
(612) 432-9725 (612)432-9725
I hare&y ecknawledge that I hdv8 read Chis appiieatkon arrd sbato-that th,e: ;
;infoi-mstion is carreet and agree to comply with ak1 applicabYe State of Mrr,
Statutes and Gity of Eagan Qrdinances.
APPLICA /PERMITEE SIGNATURE ISSUED Y: IGNATURE
PERMIT. # • ' CITY OF EAGAN
REACTIVATE _ -3 4982-BUILDING PERMIT AP
681-4675
0 ~ MAY 2 5 1993
SINGLE 3 MULTI-FAMILY 2 sets of plans, 3 registered site sur gy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applles when typing of perm3t is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date d'S- e5- /"zP3 Valuation of work E/~a
Site Address:
STREET SUITE N
. Tenant Name: (commercial only)
r
LOT q BIACK ~ ~ SL~BBP~~u~~ ~ P.I.D. 8
Descri tion of wark: 7~G~U
The applicant is: O Owner Contractor ? Other (om«fee)
Name v Phone
Property IAST F ST
Owner address
. STREE7 - STE #
City State
Company Phone
Contractor Address L P /'1 License N Exp.
City 5tate Zip
Company ZZ.?6A'14~
Phone
Architect/
Engineer Name Registration ~
Address LC/
- City 5tate
Sewer & water licensed plumber 1,vocessing time for
sewer 8 water permlts is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ~ , •
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
02 5F Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
9~03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~ 31 New 11 33 Alterations ? 35 Tenant Finish ? 37 Demolisli
32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Canst. (Actual) N-nJ Basement sq. ft. M!WCC System YES
(Atlowable) lst F1. sq. ft. City Water ~
UBC Occupancy. - E_1 2nd F1. sq. ft. PRY Required
Zoning R - t Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ~10 On-site well Census Code
Depth Sy On-site sewage SAC Code ot
APPROVALS 1
i•
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing ' ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit F
Surcharee
~?°ea~b R9rt V'W~."1
Plan Review 3 `
License k ~ ~ l~l X/t= !6 ;
MWCC SAC 'Z. y- 13 ZL GXGx~/~,~ cJ8
City SpC 55v4j°
Mater Conn.
Water Meter . 311)r32M
Acct. Deposit ~ yc '22 -
S/y, Permit
5/W Surcharge << y Z ~ 2 y 1 1C Sy~ 0 C t~f
Treatment Pl. 3yX i ~ - ~i
Park Dedt 1.5 ~C 15': ~ 3,
Trails Ded.
Copies
Other r3SrnT= ISSS
Total:
5AC %
SAC Units
'
2422 Enterprise Drive
* Mendota Heights, MN 55120
* PIONEER LpND SURVEYORS • QYIL ENGINEERS (612) 681-1914'Fo% 681-9488
engineering LAND PLANNEflS • LANDSCAPE ARCHIlECTS 625 Highwoy 10 Noriheost
Bloine, MN 55434
(612) 783-1880•Fax 783-1883
Certificate of survey for: Arlington Homes
House Address: 4283 Westchester Circle. Eagan. MN
r Model Name: 93154 •
S 89'32'55" W
196.14
7 yq4~,8
~ g ~
qoX 0.09
' ` 10
9513 sz.ai
8 ` r
~ 14.0 s 1 1
~ w
\ 1y ~ oC~% ~S o o x 9
~ 9'~ - T wl s.4e ~ ~ a O) N
~f~ ~`+~L.29! 3g o0 m 1 (Q •
6D'O pROPu5mgp5CMµT $ q5a•~~ ~ O
Q~S 9 0 '
r Z
N o 1~.42 10.
~Y \ o t1.53 0 4So .9 b
\ 22'33 ~ .75 ° \3.53 ~l.°J
q539 ssa~ ~ rm
q5~,l1 DRNEWAY _ J n
950.
v ~ , _ 49So.?
950.7''
A'e
~~•25~ 9So.4o
1
r
150,a~
B
Q~
NEERING DFP7"
~
NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS ~OwO ~~~S v u ~ llL~~ L/
. 900.0 Denotes Exlsting Elevation PROPOSED HOUSE ELEVATION
. soo. Denotes Proposed Elevation Lowest Floor Elevation:941a,26'
- Denotes Drainage & Utility Easement Top of Block Elevation: 964.3tu
Denotes Drainage Flow Direction
Denotes Monument Garage Siab Elevation: 54.os
-e- Denotes Offset Hub Bearings shown ore assumec~~~'T 6~.EJnriO~J ;
LOT 9, BLOCK 4 HAWTHORNE WOODS 1 ST
OAKOTA COUNTY, MINNESOTA
I hereby certify that this survey, plan or report was parad by me or under my direct supervision and that I am duly Registered Land Surveyor
under the laws of the State of Minnesata. Dated this~Y day of _m8!6 n.o, 1e93
RoB~B. IIIC . EG.N0.14891
Scale: 1'^h=30-f-gal
LOT SIIRVEY CHECRLIST FOR RESIDENTIAL
UJ°w BUILDING PERMIT A YLICA N
~
m v ~ pROPERTY LEGAL: '
< ie w
W < m Date of Survey:
N
< s 2 DOCUMENT STANDARDS ,
~0 ? • Registered Land Surveyor signature and company
0~? ? • Building Permit Applicant
~ ? ? • Legal description
~ ? ? • Address
? • North arrow and bar scale
[3~ • House type (rambler, walkout, split w/o, spl.it entry,
lookout, etc.)
0~0 ? • Directional drainage arrows with slope/gradient
B~ • Proposed/existing sewer and water services
Cr ? 0 • street name
;K ? ? • Driveway
ELEVATIONS
Existinq
? ~ ? • Sewer service
B' ? ? • Lot corners
H' • Top of curb at the driveway
Q~ • Elevations of any existing adjacent homes
Proposed
E(~ ri 13 • Garage floor
B' ? ? • First floor
13 ? • Lowest exposed elevation (walkout/window)
? ? • Property corners
• Front and rear of home at the foundation
PONDING AREAS (if BDDlicable)
? gr ? • Easement line
D e` D • NWL ,
0 u' ? • HWL
? cr ? • Pond # designation
0 .6' ? • Emergency Overflow Elevation
DIMEN3ION3
~ ? ? : Lot lines
Q? Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
? • Show all easements of record and any City utilities within
those easements -
H~ • Setbacks of proposed structure and setback of adjacent
existing ho
• Retainin 1 ments, if any
Reviewed• ~
N me / ate
October 1992
rxTr•.atOa r:NVr:.r.oPE nvr•.aACr "o" Cf)MPU•rnTroN
owNER : _ Jwooj * L~ --71 S`}
SiTe nnDaEss:
cc~rrcR~,r.roR:~UAI~(DN Dn•rE: q2~qi Pwanrr:
nLrreRMrNr: W(7RKING soonaE roo•rACr• nr• r•r,rH:
1. TO:CA1:- L'XPUSED WAJ:,)'., AREA :157Dc~ SQ. ["C. X tip_ _ ~ZSU
2. '.CO`CAL ROqF/CEILING AREA l009 SQ. r'f'. X
3. 'C(7:CA1:, EXPOSED WAl:,7:, AREA CALC'ULA`CIUN;:
Total exposed wall
ar.ea above flooc
a) Total wall wi.ndow area Q~Q SQ.F'C. X-U" J~ = l51/?
b) Total door aeea SQ.F'C. X"U" 1(}7 = 2~~0
q/n~j 2
c) Total sli.di.nq glass door ar.ea SQ.F'C. X"U" c~t = J7r~'
d) Total fi.replace wall area ~ SQ.P'C. X''U"
e) Total wall frami.ng area ddl~~ l SQ.F'.C. X"U" 1 O( = 3/lZ~
(averaye 10%)
f) Total net wall area above SQ.F'C. X"U" :?i~3
ftcor (i.nsulated)
r,) ',-ccal ri.m joi.st ar.ea SQ.F'C. X"U"~= (~3
Total foundaL•j,op ai,-ea `G•~ SQ.F'C.
(exposed)
h) Total foundation wi.ndoiY area V SQ.F'C. X"U" ~ - ~
i.) Total net foundation aeea SQ.F'.C. X"U" lC7
above qrade _
` tCtYPAI:, a) throuqh r~3~~ .
If i.tem #3 i.s the same as, or less than i.tem xl, you have met
the i.ntent of 2 MCAR 1.16008 A and
PAGE 1
q. -ro-ra" r•.xPnsr:n ROOF/Crn rNC CAT('UT ATIQNS:
'.Cotal exposed rooL/ I ti P:Q.F'C.
cei.li.nq area
j} 'COtal skyli.c(ht at-ea ,r,q,F'C. X"U" - ~
k) 'COtal cooE/cei.li.ny ;Q,r'.C. X "U"'
frami.ny area
(avetage 10/)
1) '.Cotal net i.nsulatQd SQ.F`.C. X"U"
roof/cei.li.nq acea
'.CO`.CAL j ) thi:ough 1
If total of #;q i.s the same as, or less than #2, you have
the intenL of 2 hICAR 1.16008 A and 0,
311 G- -ty~0 9
AL'.i'ERNA'CE BUII..DING ENV$L,OpE DESIGN
'Co uti.li.ze the total envelope system method, the values
establi.shed by the sum of #3 and #9 shall not be qreater
than the sum of i.tems #1 ano #k2.
1. +2. _
3. +9, _
CER'CIFICA'.CZON
I hereby certi.fy that I have calculated the "U" factors and
"R" values herei.n and that the bui.lding hei-e described meets
or exceed= the State of Mi.nnesota Energy Consecvation Act.
M~. a
(..,i1natu,. )
S
r7
(Date)
PAGE 2
_ } PERMIT ruzo•sLgo ll~
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number. 026510
(612) 681-4675 Date Issued: 10/ 11 J 9 5
SITE ADDRESS:
4283 WESTCHESTER CIR
LOT: 9 BLOCKa 4
HAWTHORNE WOOOS 1ST
P.I.N.: 10-32150-090-84
DESCRIPTION:
,
qtYZf~an"~ Permit Type BASEMENT FINISFI
JA ua.lcia,.ng G1'4Frk Type Al..7ERATION
.
5 ~s
g
t . '
_0 . ~ . , ym.~..
„f 4. ?
? et~
? re
'A`` -a 091 t~ ~ i
REMARKS:
A SEPRRA7E PERMIT IS REQUIRED FOR ANY PLIJMBING QR EI_EC7"RICAI_ WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge ~ $.5@
Tatal Fee $35.50
CONTRACTOR: - APpiicant - sr. Lzc. pWNER:
ARLTNGTON NOMES 14329725 0083200 JQRDAN MIKE
14551 COUNTY ROAD 11 4253 WESTCHESTER CSR
BURNSV7LLE MN 55337 EA6AN MN
(612) 432-9726 (612)686-7656
I 'heweby acknowkedg~ thAC t havs read th3s appiieat3,vr, and: gtaet that,`.th4i
' "lnftirm,atItorr ali~ correet Ond a.gree'tia 60mpl,y aith aj-l, appl3.cahle st,~to, o-f tfn.
atatutev ancE.Csty of Eagan Ordin~abcas~
~~e ; -
APPLICA /PERMITEE S1GNATURE ISSUED B: SIG E
' CITY OF EAGAN n
1"10 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTiAL) r~
681 -L675
New ConsNUrlion Reauiremenffi RemodeURenair Reauiromenta
? 8 registered sito awveys ? 2 mpies of plan
? 2 copiea M plens ('vidude beam 8 window c@es; poured fid. design; etc.) ? 2 site surveys (exterior edditiona 8 dedcs)
? 1 energy celculations ? 1 energy celculetions for heated addffions
? 3 copks M tree pmservation plan if lot plaped efter 711/93
required: _ Yea No
DATE:
C'-~- :3 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: ~ Y3 LOT ~ BLOCK SUBD./P.I.D.
PROPERTY Name: d Phone#: b`6~-765k
OWNER
5treet Address- j~z~3
City: (~f C- 5tate: Zip:
CONTRACTOR Company: ~ --Z~- A° 'r`"- Phone -3,L l 7 2'5-
Street Address: /~SS~ ~YU ~r-
License #3 2 bCD
City: ?3~~~~ State: 04 - Zip. 5533 7
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address,
City: State: Zip:
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby aclmowledge that I have read this application and state that the intortnation is cortect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
2~ 7
5ignature of Applicant:
OFFICE USE ONLY ~ c WE
Certificates of Survey Received _ Yes _ No G C T 03 1995
Tree PreservaGon Plan Received _ Yes _ No
OFFICE USE ONLY
~ ~ .
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex o 11 Apt./Lodging -a' 16 Basement Finish
0 02 SF Dweliing o 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition o OS 8-plex o 13 Garage/Accessory ? 20 Public Facility
n 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
a 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
0 31 New -5--33 Alterations o 36 Move
n 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of 5tories sq. ft. Booster Pump
Length sq. ft. Census Code. 11,311
Depth Footprint sq. ft. 5AC Code 0L
Census Bidg ~
Census Unit o
APPROVALS
Planning Building Engineering Variance
a
Permit Fee Valuation: $ Ifz~O ~
Surcharge
Plan Review
License
MCNVS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW PertnR
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
% SAC
SAC Units
City of Eakan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For MOffice,Use s
Permit #:
Permit Fee:
Date Received:
Staff:
/ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
7 ((0 Site Address: L 6 3 WtC C /'t r C1 re- ` L
<I nL7' /\ Brite740n
Tenant:
Suite #:
RESIDENT / OWNER
Name: K 1 I) /1 / 74 A 6 P' r 1710 n Phone: z i( /P5 8' L 6 /3
Address / City / Zip: LI 2 8 3 W t 5 -ft 11 1 54/ r (l re l d
Applicant is: Owner "2`Ontractor
TYPE OF WORK
Description of work: 2 pi 14' c door r i p1O j /1114'1-4 s rn 17' f r4 f)7
Construction Cost: 6 b la 7 Multi -Family Building: (Yes / No )
CONTRACTOR
THD At -Home Services, Inc.
Nam( 2690 Cumberland Pkwy, Ste 300 License #:
AddrE Cumberland Office Park q S' 95 - 1 6 V7
(3
Atlanta, GA 30339-3913
City:. Lic# 20268257 Ph. 763/ 542-8826 State: Zip:
I/
Phone: Contact Person: J b 1 �' riif JO A,/ S
COMPLETE
Energy Code
Category
('1 submission type)
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
the City of Eagan issued a permit for a similar plan based on a master plan? •
date and address of master plan:
_Yes
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-publicif you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 6Lt)e1 (C.
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
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RESIDENT OWNER
Name: ..eAl f3 r t -Et o u* phone: co 9 1 230 (p (v
Address 1 City I Zip: \Nest CL &t r a rd e- i 5 12
CONTRACTOR
Name: J y L t Pr 0 b t License 0 0 C a
Address: 0 1.5 W C Z'1 4 45& W
C ity: V t t F_'. State: M iV Zip: .55 °4-
Phone: ct 2 4- c CG 4 44' 4 Contact Person: DP.D or 12-05-1
TYPE OF WORK
New X. Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
X Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $165.00 if a 5/8" meter is required)
New ($10A0 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES 50.50
City or Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
952 985 5282
DRAIN PRO PLUMBING Fax:952- 985 -5282
Permit
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: i°' i a O R Slte Address: 4-2-53 W g-f kin eAc Cz rde u
Tenant: V rti >t
Applicant's Printed Name
4.8K
Oct 19 2009 09 :5lam- P0011002
50
1
6t) Permit Fee:
Date Received:
Staff:
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.gooherstateonecall_org
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 t0 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 9 b rain 1,_.A1-34
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4283 Westchester Cir
Lot: 9 Block: 4 Addition: Hawthorne Woods 1st
PID:10- 32150- 090 -04
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: Replace 2 patio doors
Census Code: 434 -
Zoning:
Square Feet: 0
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
Comments: 1/11/2010 Per Jodi at Elder- Jones, this permit was originally for 945 Jefferson Lane. They ended up not doing the work for
that address so we have exchanged it for 4283 Westchester Cir. Jodi's phone #952- 345 -6047. pf
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
Kenneth R Britton
4283 Westchester Cir
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA090205
07/15/2009
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 with all applicable State
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110841
Date Issued:05/30/2013
Permit Category:ePermit
Site Address: 4283 Westchester Cir
Lot:9 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Fee Summary:BL - Base Fee $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 -
Kenneth R Britton
4283 Westchester Cir
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA113094
Date Issued:08/29/2013
Permit Category:ePermit
Site Address: 4283 Westchester Cir
Lot:9 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-090
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.
Diane Moyer
Home Energy Center
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Kenneth R Britton
4283 Westchester Cir
Eagan MN 55123
(651) 238-6613
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119086
Date Issued:11/14/2013
Permit Category:ePermit
Site Address: 4283 Westchester Cir
Lot:9 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-090
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 by law in ALL single family homes .
Lisa Nyberg
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 -
Kenneth R Britton
4283 Westchester Cir
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143627
Date Issued:06/21/2017
Permit Category:ePermit
Site Address: 4283 Westchester Cir
Lot:9 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 -
Kenneth Tstes R Britton
4283 Westchester Cir
Eagan MN 55123
(651) 238-6613
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature