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4284 Westchester Cir R 1 . , r e • . t ~ ~ d C~;e~ti~icate cccuvanc~ ~it~ o~ ~agan _ ~c~trt,acur v~ ~ui~biag ~a~ou This Certifrcate issreed pursuQnr to rhe requirements af tbe Unifarm Building Code certifying that at the tinre of issuance this structure was in compliance with the varioers - oidinances of the City regulQting building construetion or use. Far the foliawing: SF UWG 1831 use classification: _ sidg_ Pcruut xa VN Oocawan,y 7ype Zoning Districl "lype Coa4t own" or sWawg BEETI4JOOD H[k&'.S IIC 1564 W~ AVE, ST PAiJL V , M, i Btrilding Address [.ocality Date: 03/25/q3 Bad4n8 ~cial POST IN A CONSPICUOUS PLACE Controi INSPECTIUN RECORD I No. CfTY aF EAGAN PERMIT TYPE: ali [L n t Nn 3830 Pilot Knob Road Permit Number: 661"; 1 Eagan, Minnesota 55123 Date Issued: sI /Z4 /g? (612) 681-4675 SITE ADDRESS: Lo z: 10 PlucK. n APPLICANT: 4,Hil WFSYcHEt;sER rrO PREarWOOO HaNEs HAWI'H{)RNF WOOC?''. (612) 646°6629 PERMIT SUBTYPE: TYPE OF WORK: ',F ilkjl, kFti INSPEC-FION . .A { ui+ f 1 Hlt E`RpM1N6 t h`.Elt. A t tpN FYMAL FtkFf I A~ ( f:i'MAR k s; Rf I f 1!' T# f RV S G i.l Ct)MTRAGI'Op - VA1.LEY P1.BH ~f s ~t~*~G • i ~ ~ t 4 x f - , 1 - ' ~ ` a: ' Permn tb. Perma Noaer 04" reMptwrm s S/1AI PLUMBfNG HVAC ELECTRIC av ELECTRlC Inspection Daq Inap. Comments r-oofi??gs i Fowidatbn Fmn*w RoON 'lo'gn Pft' --G A+ , Flouo Mg. LS,I. 2.c 93 Ffrepleoe ~ FmW HV. 3 -z ~I p omairest Ftmi Flbg. Plbg. lnspecW - Nonry Pl,mb- Const. Meter Er?grJPlen B{dg. Flnal Dedc Ftg. Deck Final YVell Pr. Diep. s S ^ l~.c~ ~ ~~Q~ Address 4284 WESiaiESre.R cIIt,~ Zip 5512 3 Loq - , 10 Blk 4 Sub y=s TEIESE ITEMS WERE / WERE NOT COMPLETE AT THE.TIM OF THE FINAL INSPECI'ION. Date: 03 25 93 Yes No Inspectox: Final grade (6" from siding) Peimanent steps (garage) Permanent steps (main entry) ? Permanent driveway ~ Permanent gas Sod/Seeded grass f TraiUwrb damage ~ Porch Basement finis6 Deck Please vei with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to ihe oufside awn faucet before freeze potential exists. Contact engineering division a[ 6814645 before working in rightof-way or installing underground sprinkler system. ~ White - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy --OITY OF EAGAN PERMIT Control No. 1329 PERMIT TYPE: 3830 Pilot Knob Road k3 U I L D T N(3 Eagan, Minnesota 55123 Permit Number. 001831 (612) 681-4675 Date Issued: g 1 q /g` SITE ADDRESS: nzsn wEsrcIIEsrER cIR i_or. io sLocr, a HAW7"HORNE WCYDL7S DESCRIPTION: °$ui2rl$ja.Q Perm:t 'iypa SF DWG ` guild.i:nej.,.L_Jork Tvpe NEW t18C Occupan'c,4Y R-3 M-1 Corrstrurtion p c, V-..N . Xo....n3rtiq R-1 Iluiltling Lengih E>8 Bui1 ding Wadth j 39 ~a ~ : nn ~ ' rt 11` LJ REMARKS: RLGESFT 9k ~~~~~J(p-ZP RV S f, W CON'TFtRCTtJR - VALLEY PLBG+ FEE SUMMARY: VflLU{ITIQIV $195.000 BasP Fee $972.00 hiISCELLANEQUS ~ 1 61,~.50 Plan Rev,iew $631.60 '1"otial Fee 1.1.80 Surcharge $97.50 SAL" $ 7 0 @ .@0 SAL % 1@@ SAC Units 1 SubtQtal ~ $2,401,30 CONTRACTOR: -Appli r.ant - s r. L cOWNER: BRENTWOOD HQMES 16466529 000151.9 BRENTW(J00 HOMES 1564 UNTVERSTI`Y AVE W 1564 W UNIVERSI7Y AVE iT PAIIL MN 55104 ST PFlUL Mh 5510 4 (812) 646-6529 (61,2)646-6529 I hereby aekrtowledge that x have reatl' Cha;s appiication and' state Chat C'he 3nformatipn is corrAact and agree ta compl,y with aSI appli,cable State afi Mn. Stiatutes and City caf Eagan Qrdinarices: ~ - APPLICANT/PEFMITEE SIGNATURE ISSUED 8y: SIFiNTU! ~ _ DERMIT # CITY OF EAGAN O~II ~ REPC-?INA's 1992 BUILDING PERMIT APPLICATION 681-4675 O V: B RECO SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, l copy af energy calcs. Penalty applies when typing of permit 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 I I /1-7 / 92 Valuatian of work 2.3'r' , OC) > Site Address:_WEtS ~,C, r STREET SViTE 0 Tenant Name: (commercial only) LOT lC~ BIACK !4 SUBD.1.{pWrM Oek~E W~ Y. I. D. k Descri tion of work: b4Euz 1 The applicant is: ? Owner Contractor O Other (o6g«sne) Name F 6\l Tll_~`)Q 140(YIE.S Phone L4(0- !j Property IAST FIRST Owner Address Ibco4 vJ tJU,NEQs TY WE- STREEi STE N c;ty 5T. P.Ai)L state zip ~ t04 Company aQ EN'TZntpnp 140(Y-1 Phone _-S Ct Contractor Address 15b4 W E,\Wj\) - Slj4' W1-License MaplStcl Exp. 3 -93 City ~i . PAVC~ State MN Zip SSld4 Company Phone ArchitecU Englneer Name Registration # Address City State Zip Sewer dc water licensed plumber UAl1EY Qum g,ti C~ Processing time for sewer 3 water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the informati,,rcorrect and agree ta comply with all applicable State of Minnesota Statutes and Ci' ~ Eagan Ordinances. ~ aS Signature of Applican • ~ / / OFFICE USE ONLY BUILDING PERMIT TYPE 11 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 lh se n~`Finish 19 02 SF Dwg. ? 07 44lex ? 12 Mult1. Misc. O 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE g 31 New O 33 Alterations O 35 Tenant Finish ? 37 Demolish ? 32 Addition 0;34 Repair ? 36, Move . j . GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCC System es (Allowable) y_ lst F1. sq. ft. City:Water UBC Occupancy ~l 2nd F1:=!sq: ft:. . 'PRV Required Zoning R_I Sq. Ft. total Booster Pump N of Stories Fooiarint 5q. ft.• Fir.e,Sprinkler Length G8, • On=s'ite well Census Code /O! Depth 341 On-site sewage - SAC Code o/ APPROVA.LS Planning Building Assessments Engineering Variance, REGIUIRED INSPECTtONS ? Site ? Footing O Framing ? Insulation ? Wallboard , ? Final ? Draintile• • - ? Fireplace , Permit Fee v.i~.cia,: s 00 ~ - Surcharge Gqaq~E: 30 2 Plan Review X 4='12c> License 2 x ip1J2 ~~Z j~ MWCC SAC ~ _ Z ~ City SAC x ( ~ Water Conn. Water Meter 6^ ~1 K 16 = 10 ,e3?. Acct. Deposit 38)(32= 121(. S/W Permit t?' ;W S/W Surcharge 'I~ X f5 ~ a~o Treatment P1. l X 12 ~ Road Unit ! Z Park Ded. 2 T•rails Ded. IsT FLooR; Copies Otfier ~'l) T = ISZ6 Total: q c% ~po rs 3s x,~3~ 8~,3s5 . Z~DFi.oa/jF. 3tSX32=.r2/L. t y XZ,~ p P1 n 149~X53= 7939 19H.y?~ (g}g;) N89°32'55"E 206.94 (4tAA) . ~ , 5r ~ ~ - _~--KITTY a ' ORAINAGE I~ e. ' EAS£AIENT 40 M i ~ ~ I M \ ~q ~ * ` r 1y\ IV PI 2i\ lllv ; ~ ~ . d' . v (r ti' Ivoura -o +a^' / 1 i P~~psEO 6• k` / 9. 14 *9 ` ~ 9s ~ ~ i }es`~'~ e 4a ~ NYR ~ ~k \ / / ~ ~t.98 . ~S . lq5°~~ t,1j' I BY N l . E AG`, N BAG~~ ~ ~tNE'ERrNG r~~PT ~ aEVI eW E D....._. J O Oerwtas iron MomaneM~- ZC' -y z . Lf" o ll ll o V o l7 ll L~ u~~~ D ° Denotes Waod Stake3A3E X000.0 Denotes Exist(ng Etevatlon FrOpOSed Tpp pf FOUf1d21ii0n E38YS110na 93 3.2 (OOOA) Denotes Pruppsed Elevatlort Proposed Garage Floor Elevatlon- 952.87 .4-- Denotes Dlrectlon of Surface Oratnage Proposed Lowea! Floor Elevstfon- 144.37 I hereby certlfy thet tA1a is a true end corract repreaeMation of a survey ot the boundarles ot I.OT 10, HI.OC& 4, HARFH081iE w00D IST AD?ITION. DA&OTA (70[fF'1R, lSiH6SSOTA And of the location ot ail buildings, if any, thereon, and all visible encraachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed buiiding. As surveyed Dy me or under my direct supervision thls 29TH day of 0CMQSHB ,19 92 , M rank RoosAqisociates, Inc. e,,: , ~ ~ PAUL A.1 add. x~sf Q/n~. //-j-92 Land Survr, Mlnrt. l.ic. No. 1~38 McCanEsFraMtRoos AuoGaMe,inc. '~~•40• CERTIFICATE OF SURVEY ~ for t506023NAva N. En~pnaeo Z96 44 Prynroutl~MN65~47 BRE,vrwooo NoMEs Bt7147aeoto sune;~oo oo /D2/5 _ _ . . . ' EXTERIOR ENVEIAPE AVERAGE "U""CONPUTATION " . owMx BC2.E_[~I T1,~ ~jc~ Hb M E[a sxTe anDxESS ~12ag W1NG1+F'S'T'~L P_C~ CONTRACTOR ~-~LT1/~~OOf_~ DATEI .6-7AL.-PHONE -K7 _ Determine working square footaqe of each_ l. Total exposed wall area . . . . • . ?57~1'X--:)sq. ft. X ~ - -a 2. lbtal roof/ceiling area I fZ;,p_sa_ ft. X:0Z,49 A. Total wall window area . . . . . . . . . . . . . . . . . . . . . . . . . . 278 . !e Z. B. Total door area................................. !08 C. Total sliding glass door area................... Qq D. Total fireplace wall arza N A E. Total wall framing area (average lOt)........... u,y F. Total Rim joist area , G'. Total Net wall area above £loor----------------- 264t2 Total exposed foundation area - IB 4 H. Total foundation window area N,C~ . I_ Total net foundation area above grade........... 1$ g Determine "U" value of each wali seqment_ a- 279. /eZ X"u" , 35 _ 105- B8_7 b. 4, 6' x..u„ . 0 la7 = g. L C. ~A X ..U.. , so = 40 . a. N A X..U.. NA = NA e. Z2 .4 x "U" x1 f- 2'IQ~ g x °u.. ~Oq = 9 24a5'7 ,sE, Xl.u.. , 04 = 82 h- ?.1k x ..U. NA ; e9 x..U,. _ 13 = Z.9 3........... ........................TOtal = 2'7 If item 03 is the same as, or lc-ss than item ql, you have met the intent of SBC 6006(c)2. ~ ' ! ~r ~ :'3` • f ~ . ' y r .K:t i A. ,N vt > . _ , . Yl::': . . . . . . iv. ~ . . ' ' . x 2,r. . . . . _ Tatai'exposed roof/ceiling area = - (q FS (,p j. 1bta1 skylight area-------------------------- N A k. 7bta1 roof/ceiling framing area (average 10+t)._._:: I pr, l. Total net insulated roof/ceiling area........_.._ ~L'q Detezmine "U" value fo= each roof/ceiling segment_ ] - X "o" 1~1 A = IV /~t k. i48, co X..U- , 03 = 9, 4s 1: ?-19-7. 4 X°U° • 02 27 4............ ----TOtal = If total of C4 is the same as, or less than #2, you have met the intent of SSC 6006(c)1- Alternate Building Envelope Design 2b utilize the total envelope system method, the values established 6y.the sum of items @3 and #4 shall not be greater than thesum of items #1 and #2. 1. 352 + 2. 35 = 3~ i j- 29~ + a. 3Z = g- sc'~b'1 ka RESIDENTIAL aS BUILDING PERMIT APPLICATION a %S CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsW d'an Reauiremenls RemodellReoair Reauirements • 3 registered site wrveys shawing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (200h maximum bl coverage allowed) . 1 set of Energy Calculatians for heated additions • 2 Cop'ies o( plan showing beam & window s¢es; poured Pound design, elc.) . 1 5Ae survey for exlerior additions & decks • 7 set of Energy Calculalions . Indicate'rf home served 6y septic system for addilions • 3 copies of Tree Preservation Plan if lot platted after 7I1/93 • Rim Joist Delall OpUons selection sheet (bldgs wilh 3 or less units) DATE VALUATION4`kZ.S~ SITE ADDRESS MULTI-FAMILY BLDG _Y 54N TYPE OF WORK-tr-c__`re~1~1. FIREPLACE(S) .1L0 _ 1_ 2 APPLICANT~''a'~g'~'[-C`a~~ STREET ADDRESS 2i1W9 CITY Y 1C. STAiE_1w. ZIP _~!UAZ> TELEPHONE # IsPi-I?W-94'?A CELL PHONE # FAX # ~SI~~~?rb219' PROPERTYOWNERTT~..~. TELEPHONE# COMPLETE TH15 SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULP;S 7670 CATEGORY 1 MINNESOTA RiJLES 7672 (4 submission type) • Residentiai VentilaUon Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted , • Energy Envelope Calculations Submitted Plumbing Confractor: Phone # Plumbing system includes: _ Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. 13alhs No. of t3aths Mechanical Confractor. Phone # Mcchanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # m 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. Signature of Appllca~ T~ ~ .J.L1l1L.244499-- OFFICE USE ONLY ~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not ke~'quired- Updated 4/02 OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 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 O 33 Alteratian O 37 Demolish (Bidg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handaut 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 _ Footings (new bldg) FinaUC.O. _ Footings(deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ FraminB _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By .Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ° - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . ~ ~ X~ . ~.AIRS g ~F e`~ A£ 4 'w ~,Y: Z H' ~ , . wa~., ^r'~s,v acTe.3ls e.~' 1993 PLUMBING PERMIT (RESIDIIVTIAI.) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6824675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UN1T. NO. F'IXTURES EACH SHOWER 3.00 3 ~ WATEP. CI.C)SET 3.00 ~ J a BATH T'UB 3.00 s LAVATORY 3.00 tf- ~ KITCHEN SINK 3.00 -s- ~ LAUNDRY TRAY 3.00 ~ - HOT TUB/SPA 3•00 t WATER HEATER 3.00 ~ - ~ FLOOR DRAIN 3.00 ` GAS PIPING OUTLET • m~~;m~ 3.00 ,-3_ ROUGH OPENINGS 1.50 ~ ~ - WATER SOFTENER 5.00 PRIVATE DISP. • DaILay. iic. 15.00 U.G. SPRINKLER • nome uneer const. 3.00 ALTERATIONS - w adsiing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: 5 3 - STI'E ADDRESS: 1-rc C. ~ R c 1~ OWNER NAME: c1 l~ o, s INSTALLER: Pi ADDRESS: C~ { J C 2~ c. ~t CITY: Sje STATE: ZIP CODE: 5 S 5~- ti PHONE SIGNATURE OF PERMITTEE i mm9 ~h/ : >u e p ~ E~p SkD~$F ss ~ x~ `7~'~~s. , t`~ ~ 5~u ~°~~~~wa.~ rS 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMNIERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIIZED FOR EACH DWELLING UNTT. _ NEW CONSTRUCfION AAD ON REPAIR WORK DESCRIPTION: CONTR.ACT PRICE: $ FEE: l% OF CONTRACT FEE. STATE SURCHARGE 5.50 FOR EACH $1,000 OF FEE. MINIMUM FEE: $ 25.00 CONTR.4CT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SI1'E ADDRESS: TENANT NAME: ST'E. # OWNER NAME: INSTALLER: ADDRESS: CIT'Y: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT * s `3 r~ ~ ~E h yL ' -HKS~3 ~~xt'nf"fia:~ 'a~ 'rv ~C ~Y:.<. MECHANICAL PERMIT (RESIDEIV'rIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN NIN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWF_LLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNIT. XXX NEW CONSTRUCTION ADD-QN A,/C ADD-ON FURNACE DATE .Tanuary 13, 1993 FEES HVAC: 0-100 M BTU $ 24.00 ADDTTIONAL 50 M BTU 6.00 WAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 3.00 ADD-ON/REMODEL (ExIS'I'IDrG CoNSTRUCi'ION) $ 15.00 STATE SURCHARGE .50 TOTAL $33. 50 STi'E ADDPcESS: 4284 Westchester Circle OWNER NAME: BRENTwW00D HOMES 1'EL,EPHONE (612) 646-6529 INSTAL,LER: GENZ-RYAN PLUMBING & HEATING C0. ADDRESS: 14745 South Robert Trail CITy; Rosemoimt STATE: MN ZIP CODE: 55068 T'ELEPHONE (612) 423-1144 • SIGNA RE OF PERMITTEE 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~k City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 Nevr ConsWction Reauirements RemodeUReoair Reauirements Oifae.Use Onlv 3 registered site surveys showing sq. ft. ai bt, sq. R. af house; and II roofed areas 2 copies of plan CeR af Survey Recd Y_ N (20%maximum lol coverage allowed) 1 sel of Energy Calculations for heated additions Tree Pres PlanRecd _Y _ N. 2 copies of plan showmg 6eam 8 window saes; poured found desagn, etc. 1 s@e survey for additions & decks TreePres Required Y _N i set of Energy CalculaGons Addfian - indicate if on•sfle sepfk system On-si[e Septic System _ Y_ N 3 copies of Tree Preservatbn Plan H lot plaUed afler 7l1193 Rim Joisl Defail Options selection sheel (buildings wilh 3 orless units) Date 30 / ~ a Construction Cost Site Address ~z,31t Unit/Ste # Description of Work bprj Cj Multi-Family Bldg _ Y N Fireplace(s) _ 0"X.1 _ 2 Property Owner Telephone # ( &Q) 48ljw3 Fireside Hearth&Home Contractor 14399 Huntington Avenue Address ~ Savage, MN 55378 City State 952 736.7761 Telephone st ( - License #205120 60 - ' . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Cafegory t Worksheet • New Energy Code Worksheel (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submifted . In the lasT 12 months, has the City of Eagan issued a permit for a similar plan based an a master planZ _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ~ Mechanical Contractor Telephone ~ Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the appr d pl 'n the cas f work which requires a review and approval of plans. , ~ Apphcant s Pnnted Name Appli t's Signature OFFICE USE ONLY - Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screenlgazebo) O 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage 0 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Altera5on ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/DOOrs ? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total i --_-7------__-_-I I Pertnit4: ~ City of EaiaIl ' 1_?6DO q ~ I 3830 Pilot Knob Road I aermn Fee: ~ ~ Eagan MN 55122 'dVL V a~~ I I Date Received: Phone:(651)675-5675 I Fax: (651) 675-5694 ~ StatF: ~ 2009 RESIDENTlAL PLUMBING PERMIT APPLICATION Date: ~ D_ Site Addresa: _ 1Q bh4 Wc s~-! `9 S'tc.l l.l ~ Tenant: Suite RESIDENT/QWNER Name: phone: lJLM 1J1.gI OjW3 Address / Ciry / Zip: _ OaI/y14 /.1 5 q10 6~E~ CONTRACTOR Name: ~ YR 1 a~ f-' 11A VYL~~i ?La License OC(l ,~ress:~ S' Ciry: ~ nd QJn State: _W~ZiP: Sc~351_=k Phone: (QlD~ 010g'q I ) !a CorrtactPerson: TYPE OF WORK New _ Replacemerrt _ Repair _ Rebuild _ Modiry Space _ Work in R.O.W. Cescrl ion ot wprk; ~ C, a PERMIT TYPE RESlOEM1AL Water Heater Wffier SofOener -4- Lawn Irtigation Add Plumbing Fodures RPZ pVB) Main _ Lawer Level) _ Septic Sys m _ Water Tumaround New Abandonmerrt RESIDENTiAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater g~n Softener (includes $50 State Surdharge) $30.50 Lawn Irtigation (includes $50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment. Water Tumaround' (inGudes $50 State Surcharge) 'Water Tumaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (indudes County fee and $50 State Suroharge) $90.50 Fire Repair (repiace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 1 hereby acknowledpe Mat thls information is complete and accuraoe; ihat ihe work will be in contormance with the ordinances and cades of the City ot Eagan; that I understand ihie ie not a parmit, but only an application irn a pertnit, and work~ nM to atart withou[ a pertnil; tliai Me vrotk NAII be in accordance with the approved Plan in the case of work which requires a revlew eM approval ans. X ..G~f!'ih x AppiicanPa Prirned Name II a Slgnature `tt~s s"i,..,~`~i~. "r''~`~y ~~a`h~ ~~,r~~y :xn^ } a "n,.„~ t s"q1~'' ~ •ts~,. ~5,~.€~ +ws s Q~nC ~~1~1~ I~S~CC[lOl"IS~r~ 71~~.iCE1UNtl ~ S~OII~EIfl ~.:E'i'^ f~..' Sft=*" " ~ 'd~ a:~°•~-#' nx PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA133480 Date Issued:10/15/2015 Permit Category:ePermit Site Address: 4284 Westchester Cir Lot:10 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-100 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 - Robert Iten 4284 Westchester Cir Eagan MN 55123 Dakota Water Treatment 17484 Goodland Path Lakeville MN 55044 (952) 953-4643 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143122 Date Issued:06/02/2017 Permit Category:ePermit Site Address: 4284 Westchester Cir Lot:10 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-100 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 - Robert Iten 4284 Westchester Cir Eagan MN 55123 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154453 Date Issued:03/25/2019 Permit Category:ePermit Site Address: 4284 Westchester Cir Lot:10 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert Iten 4284 Westchester Cir Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166118 Date Issued:12/14/2020 Permit Category:ePermit Site Address: 4284 Westchester Cir Lot:10 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Robert & Traci Iten 4284 Weschester Cir Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167748 Date Issued:03/29/2021 Permit Category:ePermit Site Address: 4284 Westchester Cir Lot:10 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Robert & Traci Iten 4284 Weschester Cir Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature