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4287 Westchester Cir . r_.~,.~...._: w5er#ilicate of Cccuepanc~ ~itV of Cfagatt ZcpartwcKt o f Vniibiug axoativn - TJtis Certificate issued pursuant to the requirements of the Uniform Building Code eenifyeng that at the time of essuance this srnecrure was in compliance with the various ordinances of the City regulaiing building construction or use. For the following: SF DWG/GAR 10865 Use Classificadon: Bidg. Permit No. n °`-°a°`Y Typ` G. igr °'Sa;" in . , LLE 55337 201 Owner of Building Address v , , 1 Building Ad Locality Date. Buildin ONicial POST IN A CONSPICUOUS PLACE 1 . INSPECTION RECQRa-----~-~ CITY OF EAGAN PERMIT TYPE: "l I 'x-' 3830 Pilot Knob Road Permit Number. ;1 A H Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: APPLICANT: i ~.ii li. . 1 f k C IR r•ir~'~; , ,~~~1~. 1 i ~I; ~,i r,~ ~ t„,I Ll~~~fl~ . , , i - . ~ ~~.s-, • . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A . , i . i i eiM++•~~, ; rj .iti I t 1-1J F I Nr~i II i.~ I OW t kAl 1 l; w:• I. VAN ~ - PermM No. Permit Holdtr Dste Telephone 9 S/W PLUMBING HVAC ELECTRIC ELECTRIC Inapsctlon Dab Insp. Comments Footings I F«uridatio, ~t193 Framing ~ Roofing Rough Plbg. Rough Htg. lr /h I5UL Fi?8Place Fnal Fltg. Orsat Test ' Fnal Plbg. Plbg. Iropector - NaRify Plumber Const. Meter Engr./Plan eldg. Final Dedc Ftg. DeCk FN181 Well Pr. Disp. 4S~ 'O r~! Addie55 4287 WESTCHESTER CIR Zip 5512_ IAi a BIIC 4 $Ub HAWTHORNE WOODS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: $ ~ 3 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) ? Permanent steps (main entry) Permanentdriveway Permanent gas Sod/Seeded grass TraiUcutb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside ]awn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righbof•way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN r~q 3830 PILOT KNOB RD, EAGAN MN 55722 ~V 651-689-4675 New Construetion Reauirements RemodeVReoair ReauiremaMs . 3 registered srfe surveys showing sq. fl. of lol, sq. ft. of house; and all roofed areas • 2 Copies of plan (20% maximum lot coverage allowed) . 7 set of Energy Calculations tor heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey far exterior additians 8 decks . 1 set of Energy Calculations . Indicate if home served 6y septic syslem for additions . 3 copies of Tree Preservation Plan rf lot platted ader 717193 • Rim Joist Delail Opdons selection sheel (bidgs with 3 or less unKs) DATE VALUATION 1 1 ~~e S _ SITEADDRESS CY~17_ , MULTI-FAMILYBLDG _Y )-N TYPE OF WORK 17k7e FIREPLACE(S) ~ 0_ 1_ 2 APPLICANT 'n\' Q STREET ADDRESS _1456:1 PAC'- S~ - 9D6-,_-tZ)CITY CV LVk STATE N( k_I6P -l I TELEPHONE # (0-~t -1?A~_:ZCELL PHONE # FAX # 1,02-4 2~0-CY2'-(9 PROPERTYOWNER~L~rt TELEPHONE#~~- (.9FC 2'-()L~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RLTLES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Pluinbing system includes: Water Soflener _ Lawn Sprinkler ree: $90.00 Water Heater No. of R.I. Batlis No. of Baths Mechanical Contractor: Phone # Mechairical system includcs: - Air Condirioning Fee: $70.00 _ Heat Recovery System Sewer/Water Coniractor: Phone # 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 Ordina . ~ Signature of Applica ~"CT~J20O2 OFFICE USE ONLY MAY 3 Certifi cates of Survey Received Tree Preservation Plan Received Requretl dated 4/02 By OFFICE USE ONLY ? 01 Foundation ? 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 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 OS-plex 0 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 ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demalition (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 Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Founda6on 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 _ Retaining 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 ~ PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUI L D I N Eagan, Minnesota 55123 Permit Number: 020865 (612) 681-4675 Datelssued: 05/07/93 SITE ADDRESS: 4287 WE5TCHESTER CIR LOT: 8 BLOCK: 4 HAWTHQRNE WOOD5 P.I.N.: 10-32150-080-04 DESCRIPTION: Brxiiding_ Permit Type SF DWG ,Buildiny Work Type NEW "UBG Occupaney., R-3 M-1 Construction Typ,e VN Zaning R-1 Building Length 76 ( Buflding Wid'th 49 • - t, r „ . . 'REMARKS: S&W CONTRACTOR - GENZ-RYAN PRV FEE SUMMARY: VALUATION $181,000 Base Fee $923.00 MISC FEES $1,744.50 Plan Review $599.95 Total Fee $4,107.95 5urcharge $90.50 SAC $75@.00 SAC $ 100 SAC Units 1 Subtatal $2,363.45 CONTRACTOR: - Applicant - 5T. I.ZC. QWNER: MAURER CONST INC, GEORGE 1$948904 0001315 MAURER CON57 GEQRGE C 201 W TRAVELERS TR 201 W TRAVELERS TR BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-8904 (612)894-8904 Y hereby acknowledge that I have read this app2ication and state th.at tha 3nformation is correct and agree to comply with all applicable Stet's o'f Mn, 5tatutes and City of Eagan Ordinances. ~ - APPLIC NTlPERMITEESIGNATUR 'ISSUED V: IGNAT RE ~ REACTIVATE C F ~~0~~~ y993 B~ A PERMIT ~ jLD NG ERMIT APPLICATION Y 03 1993 681-4675 0 7•~I ~ SIN6LE & MULTI-FAMILY E2s ts of plans, 3 registered site surveys, 1 copy of energy s. COMMERCIAL ts of architec tural S structural plans, 1 set of fications, 1 copy of energy calcs. Penalty applies: i) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date April 21, /93_ Yaluation of ?rork 225,000.00 Site Address: 42e7 westcnester circle STREET SUITE Y Tenant Name: (commercial only) LOT 8 I I BIACK 4 SUBD. HAWTHORNE WOODS P.I.D. 0 1 ADDITIO Descri t10t1 OF WOl"IC: SINGLE FAMILY RESIDENIAL The applicant is: 13 Owner Q Contractor ? Other coescr+ea> " Name Phone Property LAST FIRST Owner Address STREET STE ~ City State Zip Company GEORGE C. MAURER CONSTRUCTION. TivC_ Ph0110 aAa ttqna Contractor Address zol west Travelers mra;l_ License # nnm 3,~, Exp. -A /ea Clty BURNSVILLE $tdL2 MTtanT Z1P 55337 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber cFN7 Rvnn . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge th ave read this apPlication and state that the information is correct and agree to co y wi h all ap icable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY . BUILDING PERMIT TYPE ° ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 3F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Conren./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility ? 21 Miscellaneous ORK TYPE ja 1 New 13 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) %4-N Basement sq. ft. MWCC System YES (Allowable) V.N lst F1. sq. ft. City Water ~ UBC tlccupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler ' Length ~ On-site well Census Code ! D I Depth yg ~ On-site sewage SAC Code ~ APPROVALS (3415"s Wel~' &Wlt5 44,Ku Planning Building Assessments Engineering Variance REOUIRED INSPECTIONS ? Site O Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee v.iuncion: Surcharge GARAV~c' Pl an Revi ew ~ 32 X Zy c76 S License g X /2 S ~ZN) MWLC SAG City SAC K1? = y Water Conn. qgo X/b =/1i 480 IJater Meter ~y x f Z~ 16S Acct. Deposit 5/W Permit 14 K /g : 92 S/W Surcharge S X~~ = 33 Treatment Pl. 7 V. y ~(2 g) Road Unit 12Xly: 16$ Park Ded. Trails Ded. 'sd`a_ q° Copies ~L X2L: 4/4 Other e~ x3y; f5` Total: 34'°ISr ~b7 SAC % E~22AL, SAC Units ~ SSthT.r2,03 i 132 030 ~ . a Za3 -ij Page 1 . . ' ESTERIOR ENVFLOPE AVERACE "U" COlfPUTATION wner GFORGF. C. MADRER CONST Address 201 West Travelersnone 894 8904 6ega1 Descrip[ion oF Propercy: Lo[ 8 Black 4 qaaRCioa tAWT~ORNEL~nfOCA6~na 4/21/93 siee Address 4287 Westchester Circle AVEFtACE LINEAL FEE7 OP E.l'POSED w'ALL AREA ABOVE C.RADE PERHIT N0. 22.0 2- O 44. 0 1(ain level fg. 0 54,0 Lineal f[. of framed vall ai>ove gtade252.Oz heiRhc of vall 9-0 2ZC~8.C) Rim joisc area Lineal ft. of rim x heighc of rim . Lover level Lineal f[. of Eramed vall above Arade x heigh[ oE vall U1.1 Lineal ft. of masonry wa11 ahove grade r x heigh[ above grade P,fiG~~ 'Zgz„ ~j7 TOTAL wall area a6ove grade including vindows and doors gI O ~O LtLN004S; Area x "L"' value Nake S cype 5&T: GGA S)AIL sq. fc. I x"U" (ti)(A) IXS (Z sq. ft. (U)(A) ~1d4 2 sq. ft. . ~ x.U.. (l')(A) . " -5 x4 sq. ft. 21,51 X •'U.. (n) 5~,,,n sq. ft. 53, 3(o x~~U.. ([')(N „ qo ~ gSL sq. ft. IaD,O5 x.L. (U)(A) ° I"~i =L2: GGt ZSAO'I 3 sq. ft. 16.0 °U'r (li)(A) " Z4 l2'2 sq. ft. tS, Cc x "U° (L)(A) 2472-4 sq. ft. 31,2 x..u" (LI) (n) „ y.a sq. P" 4co. S xU.. (u)(n) -7A7 12. - I(3 sq. Ec. 2'1.9 x••u° (0)(A) TA711-S (Z1 sq. ft. x (U)(A) . sq.. fc.~x (L')(A) • 1fFSZ-2 2 sq. ft. ?Lo,(o~ x•'U" (P)(A) sq. f t. 18 , ~ x (L•) (A) Z2Lc0-2 sq. fc. IPi1 34 x~(L•)(A) " •74C10- I 2 sq. f[. ~5; Z[o x(A) •ICe:na: i.ae. 'no.c.~ s su. Ec. 9CO (Io (ti)(A) 5sq,15 ,41 ~ 22 DOORS: Aiea x "U" value Make S rype 1,.~. sq. fc. I-I•f51 x"U" Oq. ~ k &C3 (ll)(A) ..~.c F2CNT sq. fc. 7,0,01 xu„~oL~ (U)(A) sq. fc. 717.01 x ~U•~ ~S ~ G.C?CS (U)(A: sq. ft. x (0)(A) S~ ~-6 2, o OPAQUE 1fALL CONSTRIICTION; Area x"U" value FRAtED WALL (co[al area less opening, framing c.embers in Decail refer-wall, rim joisc area 6 masonry) ence from atcached sq. f[. x••V".OL{-'J - 1Q2. ~ (C)(A) sheets FramSnR members in uall sq, f[. X'.U" ~ (1!)(A) - Rim joisc area sq, fc. 252.CU x"U" .01 - ~0,332 (t`)(A) Hasonr.. ar a_abovPfradP sq. £t. 262; 3T x"LIna ~ Lq,3(do (li)(A) 31 °I 3, /-A Ccco, 5-7 TOTAL l:all Area IncludinR 2Q(O /_n ^ ^ lJindovs 6 Doors JU< <X~~ TOTAL (V)(A) qor,~lq TOtAL (U)(A) VALUES (yC. "II" . I(P DIVIDED BY TOiAL WALL AREA AVERACE "U" llinimum .11 or less fo[ 1 S? faniIy dweIlings :finimum .23 or less for all ocher buildings NOTE: If average "U" values as <alculaced above do not mee[ the EnerRv Code requirements, che "Alernace Envelope Desi¢n" as indicated on PaAe 5 may be used. ~ ' • GpLL SEC7I04S ' Page 2. " NOTEY bsc 10Z of opnqve ~all area ' for framing membecs . F-Value ' FRAHING ttEMBERS IN ttALLS Top Vte~ Exterior alr Film -ll Siding "P Sheaching 2 , C(--, r lr.-38~ sofc vocd ~ Y"..r!Ty va11 .45 IIn[erior air film •68 v TOTAL R - U = 1/R U ! FFA2!EI1 WALL Exterior air film .17 - Siding Sheathing 2-'~ A" bacc insula[ion ' . il" drv vall .45 . In[erior air film '68 , TQTA1 R = (/z~ IJ U- IIR U a , e43 I RIM JOIST ARE4 Ex[erior air Hlm 1,.-~ ~ Siding ~ 71, . ~n i Shea[hing >'C•," 1.88 1 sofc ood .68 \ Z c rlor air Film TC':AL R U _ I/R u HASONRY LfALL Ez[eriar air Eilm '17 12" concre[e block ~ Insula[ion Interior air film •68 I TOTAL R - I , L?) - , ' - - Page 3 . Y ' • ROOF CF.ILSNG , . ~ - Oucsideair film .61 ~ 'I / Insulation ~'i'_ 4" Oryvall .45 Interior air Hlm .61 20'LAL R u - i/x U _ .OZZ.. t • Outside air f11m .61 . Insulation ' . _ _ _ nsyvall .45 . - - Inter3or air film .61 • TOTAL R = u a 1'R U i Outside air film • •17 But1LUp •^ofinsz.- .33 Insuladon ` ~ ~ liood decking / ~ In[erior air film .61 - TOiAL R ~ i U-1/R U' ROOF/C@ILING: - 20TAL AFEA: 2i Sq. f[. necail reference GUa ^ I s'r ;-LR U" . 022 x sq. f[. L~J3~? ' (~J (U) (A) fram ahove. •'U':x sq. ft. (U) (A) Describe openings "U" x sq. ft. (U) -U~~ x sq. f[. N)(A) iu roof ~i~~ ~q~ l.U., x sq. fc. ~U)~A) U•' x sq. ft. (U)(A) .•U" x sq. Et. - TOTALS- 233Z _50 . fc. 5I,2~ (U) (A) TOiAL (U) (A) VALUES DI'1LOED BY TOTAL fi00F/ pVG. °U" CEILiNC: AftEA AvERAGE "U" .02bfor ventilaced roafs .073 for all ocher construc[ion YOTE: If average "U" values as calcula[ed above do no[ mee[ Che EnPergy Code requixemen[s, the "A1CernaCe EnveLope Design" as indicaced on Page 5 may be used. . ~ RPR 29 193,09:50 TO 8948891 FROM PROBE ENGINEERING T-998 P.03 AOliC PLpNNE A CQNSUITIND !NOfryEiOf N432-3000 11ND fU11YEYO.dENGINEEAIN(3 COMPt~NY, INC. .68 .g~ 1000 EAST 1161h BtREET, BURNSVILLE, MINNESOTA 553' CERTIFICIATE OF SURVEY Legal Description: LOTB~ 10411~4-el'W'~"op9_i,s^rAOViri~zr/ cou,v2Z M-IaIAIEsvr,~ ('3~J..:f ) D[NUTES EXIS7lNQ ELEVATION ( 95/, 7) DEN07ES PROPOSEU ELEVATION r.-- INDICATES UIRECTIOPi OF SURFACE DRA1NAGfl R52,a0 = FINISHEU GARAQE FLOOH ELEVATION 943.62 = BASEMENT FLOOFi ELEVA710N ~ 'IEZ, 33 = TOP OF FOUNDATION ELEVATION BCALE t 1• d ao• B~NCHM9RK : TN.N 0 11WXivloRV t,' H/ltvTHOZV~ ELEV. ~ 932.77 N 89°32'S5'E 50.961 D.E9/NA6E AA/D Uric/rY EASrNIFrvr I By 0 I \ , ffiAC~Xt+i ~N I ERING DBPT . < , q~d'Itl~l \ I / ~ \p~' ~ ,go F7: F~ONT B~/LO/N6 .9E'71NCK L /NE / j~° C,r~pi/ qo o° ~ ~2.. r. a3 o I~ y 8 0 0 ~ . 51. . v ryi .2~ ~ v ~j,, ` ~ ~ tl-~'{~S[ ~ v~ ~ h~ ~ / ~O I l~~1v~ ~~B~O ~ EE°o L 0~ r i.y1j1 ~9/5°~ 5 ~ i 7 • 2e,~ ~ nh ~¢3 b~ ~ ; CIkCLE \ Jo " c y/,7 tfl J ak~y M /50.Z9 t9ti,8o f505~ t~ . ' N~°949•43 ~ w , L~ I hereby certify that tliis is a true and correet representation of a tract of land as ehown and described hereon, Ae prepared by ma this Z9 7H day of APRI~ , 19~. ' 19inn. Reg. No. 00 ~ . LOT SIIRVEY CHECRLIST FOR RE3IDENTIAL . ¢ . J w' BUILDING ERMIT P ICA ION m N a > m J ¢ PROPERTY LEGAL: d Q w U o N Date of Survey: a Z 2 DOCUMENT STANDARDS B~ • Registered Land Surveyor signature and company ? • Building Permit Applicant Q~?~~ • Legal description ? LT ? • Address ~0 ? • North arrow and bar scale ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ~0 ? • Directional drainage arrows with slope/gradient ? l~ ? • Proposed/existing sewer and water services ? • Street name v0 • Driveway ELEVATIONS Existina ? Q~ ? • Sewer service C~ 0 ? • Lot corners • Top of curb at the driveway B~ • Elevations of any existing adjacent homes Proeosed , go" ? ? • Garage floor 0' ? ? • First floor ? ? • Lowest exposed elevation (walkout/window) • Property corners C3~D ? • Front and rear of home at the foundation PONDING AREAS (if aD»licable) ? LrT ? • Easement line ? L'J ? • NWL ? 9r 0 • HWL 0 e ? • Pond # designation ? td~? • Emergency Overflow Elevation DIMENSZONS ~1 ? ? • Lot lines L~ • Right-of-way and street width (to back of curb) Pr • 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 ? • Setbacks of proposed structure and setback of adjacent existing homes ? ? • Retaining r i ents, if any Reviewed• ~ •Na e / 45aVe OCtober 1992 ~ ~ . . . . . . a~»~ % . , . . ..r.: ~ ' . : . , . a.. 2.' , xA." ..•.y.raa>..~'ow " ' ~`a:oL.`zSY&'~"'J. . PLUMBING PERMIT (REgIDIIVTIAI,) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTI'S ARE .REQUII2ED FOR EACH UNTf. NO. FIX1'[JRES EACH TOTAL I SHOWER 3.00 ~ WATER CLOSET 3.00 ln• /3~ ~ BATH TUB 3.00 / /y LAVATORY 3,00 ~ KTTCHEN SINK 3.00 ~J/? LALINDRY TRAY 3.00 ~F6)1f1 HOT TUB/SPA 3,00 I WAT'ER HEATER 3.00 w 1 FLOOR DRAIN 3,00 _L GAS PIPING OUTLET •miniroum - i 3.00 L ROUGH OPENINGS 1.50 /7-510 • WATER SOFTENER 5.00 PRNATE DISP. • DeLay. iim 15.00 U.G. SPRINHI.ER • home unda comt 3.00 ALTERATIONS • w muing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: 6. OD srrE ADDxESS: 1/,V~ G~)eSfr_-hejkr t""i re.lr., OWNERNAME:_ APnYCrP /Y1C7urPr &-vruofmn INSTALL.ER: GENZ-RYAN PLUMBING & HEATING C0. ADDRESS• 14745 South Robert Trail CTT'y; Rosemount STAT'E: M ZIP CODE: 55068 PHONE (612 ) 423-1144 0-&j /L" • SIGNATW OF PERMITTEE ~kE ~.Sv "3 i~ ~ x e ~ y Kx ca„ ~a, a 9~S,za Ls ^e,tg'~ ,i ~n ~ C~sq• k~y y. E. i 1993 MECHANICAL PERMIT (RESIDENTTAL) CITY OF EAGAN 3830 PII.OT 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 UNTf. - - - - - - - X NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE June 3, 1993 FEES HVAC: ~DTTIONAL 50 M BTU 115.0 $ Z6.00 GAS OUTLETS (MINIMUM 1@$3.00 EACH) $ 3. 0 0 ADD-ON/REMODEL (ExisTiNG CoNSTRUCI7oN) $ 15.00 STATE SURCHARGE .50 TOTA. $ 3 3. 5 0 SITE ADDRESS• 42e7 Westchester Circle OWNER NAME: George C. Maurer Construction 'j'ELEPHONE 894-8904 INSTALL.ER: xleve Heatina & Air Conditioninq, Inc. ADDRESS: 13075 Pioneer Trail CITY. Eden Prairie STATE: MN ZIP CODE: 55347 TELEPHONE 941-421i SIGNATURE OF PERMITTEE ~ < - ~e e.a r x~. .'Y 33'~43•S e~ 3~y4~'~''bc a~£},1~'~pac 3 a E. >.r i>.L}P..^ .7 c........5.. YS,th?2.~,x..~..,.:L ~ 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTEER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNiT. - DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: - FEES 1% OF CC~I~1'I'RA,G'1' FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF f'ERII~TI' FEE. TOTAL $ SIT'E ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENT'S ONLI) INSTALLER: ADDRESS: CI`I'1': STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CTI'Y INSPECTOR LOT ~ BLOCK SUBD. RECEIPT# 11491N DATE 715~q5 1995 CITY OF EAGAN . IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: bZ,l4, Commercial GPM Residential (boulevards) GPM %~c Existing residential ^ Area/address to be irrigated~ 2 6e-)G1&4&P`~ °CCo^QCZ.- Installer: Xe07 Owner ? Plumber 00 Street address• City, state & zip code: Phone ~6 Owner Name• , 49h h Street address• Lf2,P7 C~/cdP' cfcJ~r~ ~r~~f~ City, state & zip code: ,;f/d- 7 Phone . Irrigation contractor, if different than installer: Telephone I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to comply with all appllcable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City. during its normal operational and maintenance activities to the facilities constructed under'this permit within City pro perty/right-of-way/easement. Ap icanYs signature Title Approved by: Date: ' PRV ? Yes ? No New service ? Yes ? No Meter Size & Cost 11-.8 Fees due: Calculated by: PROCEDURE FOR IRRIGATION SYSTEMS • 1995 An irrigation permit is required - please contact Protective Inspections at 681-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee onlv if new service is installed. $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $750.00 per connection - WAC. $372.00 per connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(noi required if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost or $170.00. If gallons per minute are more than 25, a 2" turbo with strainer wili be required at a cost of $800.00. This information is to be supplied by the designer of the system. - - - - No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not repuired, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for wa:er turn-on and sec and seal of the meter. inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. (09 ~ 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION , CG CITY OF EAGAN ~ I-'-j -~U 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date/0 /i/z) el Site Street Address !m Unit # Property Owner Y J. Telephone # Contractor ~/_y v"' Y'"~-(Telephone# Address City State }'Ylh, ZiptL~ The Applicant is: _ Owner ontractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 518" meter is required) Other: Water So ener ? Water Heater $ 15.00 _ _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 1-5, 561 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. 9 i \'A pv o_ Applicant's Printed Name ApplicanYs gnature OCT 13 2004 By $/5. SD i 1 � City otBaRau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Athi 2012 Use BLUE or BLACK Ink For Office Use _ Permit #: /() Permit Fee: 1-7g 3, Date Received: t1 t / Z_ Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Name: -rpwkw1 /t1 ov1KC�` L Address / City / Zip: l `f / u7 U { ekt4,1- Applicant is: Owner X Contractor Phone: ` 4— ✓%L l %"i77) /- Description of work: ff eat i / (dr `y` S l � Construction Cost: 44000 Multi -Family Building: (Yes / No ) O7Vt)/ Company: w•o.r tL It1 L✓s t 4C. Contact: „�. O' - Address: 122-a>? lArkrz S City: PmVA. SV't1�It State: tLkh( Zip: Sc 331 Phone: CVL ' 80a –890 4 License #: Lead Certificate #: I��i�T b2 -'W I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 12)1A -M— ttk 1915 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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.qopherstateonecall.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 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. Exterior work authorized by a building permit issued in accordance with the Minnesota S : to Building Code must be completed within 180 Ilidays of permit issuance. x CS t th 1411.>wG. S Applicant's Printed Name x Appl nature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Piex Accessory Building WORK TYPES New Addition �( Alteratio Replace Retaining Wall DESCRIPTION Valuation Pian Review DO NOT WRITE BELOW THIS LINE 10(035-) T Fireplace Garage Deck Lower Level Zia&%- _ Porch (3 -Season) _ Storm Damage Porch (4-Season)r Exterior Alteration (Single Family) _ Porch (Screen/Gazebo/Pergola) ^ Exterior Alteration (Multi) Pool i Miscellaneous (7-0_._ Interior Improvement Move Building _ Fire Repair _ Repair (it 0 0 (25% 100%_Ys.) Census Code # of Units # of Buildings Type of Construction Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) x Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: ice & Water Final Framing Fireplace: _Rough in Air Test Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Pian Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL r - oon l7L Siding�l ' Nr`'� Demoeish ldir '11 Z Reroof Windows Demolish interior Demolish Foundation Egress Window Water Damage *Demolition of entire building — give PCA handout to applicant Oirsi ?` v.)1 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings — Backfill _ Final Radon Control Erosion Control Building Inspector rt,kor(oe. ofq Page 2 of 3 RPR 29 +1 n9:50 T'' 89482,91 FROM PROBE ENG I NEER I FIG T-998 P. 03 P'Rns d4oS;OBC 1UEo tAHHSURVEYORS ENGINEERING COMPANY, INC. game 4'94 ece 57/z,0/ /87 P6_68 1000 EAST 146Th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 CERTIFICATE OF SURVEY EY Legal Description: LOT 8, gLoc//4 #,Ip `-V e/E AvDo.pc9 /,S"T r`/2?2/7-7a D4 D° /2 ' 4-/ " Gt/ SCALE : 1" = 30' RR:V. /:n# 4 ciy 5) 0 DENOTES EXISTING ELEVATION (957, 7) DENOTES PROPOSED ELEVATION �---- INDICATES DIRECTION OF SURFACE DRAINAG 95-2, cb = FINISHED GARAGE FLOOR ELEVATION 943.62 - BASEMENT FLOOR ELEVATION 952. 33 = TOP OF FOUNDATION ELEVATION ,B VC//M4R < : 7W// //4cK440/PE y' /4/41v7h/O,eyE ELEV = 932.77 N 89 ° 32 ` 55 ' E So.9� n nv Cii/0 P/i/',7/7-# /063F EAGAN REVD:V ED \ D C 4/N ICE /IND VT/L./7Y EASE/V&-/V7- BY: ASEMEiVT BY: 0/` \ --- ICAGAlf IN I:.: E:RING DEPT 30 FT, F€oN7" 17v/LO/A, . T C/( L /it/C z hereby land as 4P,L IL .` /50,Z9 ©zi,80 )-1013=WAW 588°/8 147 ,,,� 05°, 7 WESTC1/IS"7-e, CIRCLE certify that this is a true and correct representation shown and described hereon. As prepared by me this 194/3 of a tract Z9 noldad .D.fi 9i,9„7,(j7::�(�1 Minn. Rau. Nn. 12,/„nn 'APR 29 '93,09:5© TO 8948891 FROM PROBE ENGINEERING ROBE E ENGINEERIIIG COMPANY, INC. L--�.-..-.... 1000 EAST 1461h STREET, qc • CONSULTING ENGINEERS PLANNERS and LAND SUfIVEYOAS BURNSVILLE, MINNESOTA 55337 T-998 P. 03 / 3y1 7 57,2,0/ ,st /87 e6-68 AUG PH 432-3000 CERTIFICATE OF SURVEY Legal Description: LoT 8,__gLocle ,lg& /pgvE Grro'P$ _/i7,4/77'c SCALE : 1` = 30' P.R.V. fr 2012 (3-L .) (95/,7) 952,09 943.62 952. 33 DENOTES EXISTING ELEVATION DENOTES PROPOSED ELEVATIO INDICATES DIRECTION OF SU ACE DRAINAGE = FINISHED GARAGE FLOOR EVATION = BASEMENT FLOOR ELEVA ON TOP OF FOUNDATION E VATION ,9E Nc/9M4,PK : 7NN // MORE 4' //4fv7W4'ev &E'V. = 93'. 77 N 89°32' 55'E 50.9& E A/11 E/19EN7 BY IAGAN IN I BRING DEPT • go FT, FRONT i y/LD/IVF `.%+E7"epele L /NE 4:V 2,, ca WEsTCHESTER CIRCLE px�t."g-,t,; ''/' ' /50,29 ,go Nut = 94. so 3 � /7 n! r � �' 88° % ' 24" pv C95o' � �/ /2 /2- I hereby certify that this is a true and correct representation land as shown and described hereon. As prepared by me this APRIL , 19 9 of a tract of 29774 day of a.p.04 MIgen. Nn. 121 -nn City of Eagan PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA138760 Date Issued: 09/20/2016 Permit Category: ePermit Site Address: 4287 Westchester Cir Lot: 8 Block: 4 Addition: Hawthorne Woods 1st PID: 10-32150-04-080 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary: ME - Permit Fee (Replacements) $59.00 Surcharge -Fixed $1.00 0801.4088 9001.2195 Total: $60.00 Contractor: Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 - Applicant - Owner: Thomas P Bonner 4287 Westchester Cir Eagan MN 55123--304 (651) 357-2278 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA143907 Date Issued: 07/03/2017 Permit Category: ePermit Site Address: 4287 Westchester Cir Lot: 8 Block: 4 Addition: Hawthorne Woods 1st PID: 10-32150-04-080 Use: Description: Sub Type: Reroof Work Type: Replace Description: Does not include skylight(s) Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: 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). Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Property Claim Solutions Lie 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 - Applicant - Owner: Thomas P Bonner 4287 Westchester Cir Eagan MN 55123--304 (651) 357-2278 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178104 Date Issued:08/01/2022 Permit Category:ePermit Site Address: 4287 Westchester Cir Lot:8 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-080 Use: Description: Sub Type:Fixtures Work Type:New Description:Kitchen 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - Thomas P & Deborah K Bonner 4287 Westchester Cir Saint Paul MN 55123--304 Hessian Plumbing Services Box 22172 Eagan MN 55122 (651) 681-8252 Applicant/Permitee: Signature Issued By: Signature