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