The URL can be used to link to this page

4291 Westchester CirCity of Eagan Eagan, PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA098614 Date Issued: 04/15/2011 Permit Category: ePermit Site Address: 4291 Westchester Cir Lot: 7 Block: 4 Addition: Hawthorne Woods 1st PID: 10-32150-04-070 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Mark Teiken 17985 Fullerton Ct. Lakeville, MN 55044 612-910-2453 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $55.00 Contractor: Mark Teiken Plumbing LLC 17985 Fullerton Court Lakeville MN 55044 (952) 953-4216 - Applicant - Owner: Patrick Kenney 4291 Westchester Cir Eagan MN 55123 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 ro ° 1~ ~e~t~~icate n~ ~ccu~anc~ ~i~ ~ ~ ~ Tliis Cenificate issued pursuant to the rrquirer»ents o,f the Uniform Building Code certifying that at the t~'vne of issrrance this structure was rn contpliar~ce with rhe varraus , ordinances of the City regulating buildutg eonstructioR or use. For the following: u~ c~~fiaa~: ew~. e~ r,~. 20310 ~r ~Yve R3/N1 I R 1 c~. ~N - o~~rs~aa~g R A I~T Ei~LS Il~ ~ 7Q01 UPPIIt HAI~ET ~'..T, APRE VALI~Y B. A~ 42~11 WESPLII~.SbR CIIZQE ~~,L7, B4, HAf~~)f~d.' F1170D6 J~ ~ ~ ~ ~ ~ 05/ 18/43 L ~ n,~ Buildias POST IN A CONSPICUOUS PLACE ~ ~ , - - . . „ , . . - INSPECTION RECORD ,~q CITY OF EAGAN PERMIT TYPE: ' 3830 Pilot Knob Road Permit Number: ~w-/ ~ Eagan, Minnes~ta 55122-1897 Date Issued: ~y~ {612) 681-4675 SITE ADDRESS: ~ , ~ , ~ ~ ~ , APPLICANT: ~ . „ .ri i; ~ t~, ~ , i , i;. 11~1~~~. f I i i t , ~ PERMIT SUBTYPE: TYPE OF WORK: , ~ , ~ i~~~, . „ . , , ~ , , ~ ~ ~ , . ~ rai~i pr,~y ~1 i ~•,hr1i1 I 1 I I~II i i'. I~~ ~f~lll,l f~!'~f'r' ~ I l~~,i~;~lt~ ~ 1;~ I~ tl AI t111fft. I ~ ~ J Permit No. Permft Holder Date Telephona i ELECTRIC ~ ~ 9 ~ PLUMBI ~ /b (p ~ HVAC Inapectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH ~l/ PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ~V~~/p GL 7 ~ GYP BOARD FlREPLACE FIREPLACE AIR TEST FINAL PLBG , FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. ~I ~ BSMT FINAL Z DECK FTG DECK FlNAL /V . / ~Y~J Lf~ . D •O~ / . 7 ~ ~ ~~/'if~9 7 ~ Qr9l-!~A ~ ~T i~'IESS~~ ?b sf~~rJe.~i s~ G n./v-?-~ . ' - . ~ INSPECTION RECORD ~ ~ ' C~~T~( OF EAGAN PERMIT TYPE: ~ ' ' ~ 3830 Pilot Knob Road Permit Number: •~~~~j ~ Eagan, Minnesota 55123 Date Issued: ' ~ + (612) 681-4675 SITE ADDRESS: i , F{ i~~, h ~Q?PPLICANT: + ~ i i f f; i 1 k r•~ i ,~c.n+ „ , I ~ t; ~ii~l-JI l I~~lii~~. i r.. 1. 1 ~ . w'( n , PERMIT SUBTYPE: ~ TYPE OF WORK: - . ~ ~ . . , ~ ~ ,<<~~ ' . , ~ ~r I i.}r~l , ~ , . i . , ~ , • ~ i l r~IN1;P . r+ I t?sl~ MF1 t 11lI I1 ~+;1N I f 1'. I'1 . . c ~ L_ ~ . ' - Psrmit No. PermR Holder Dats Telspho~e ~ ~ SNV PLUM8ING ~ 3'373 HVAC ? ~ / .i ~ ' ' " 3 I~ c~~14~' G{~D~: ELECTRIC 5 3 ~ °"D ELECTRIC ~~~D~ 3 ~ Inspactlon Date Inep. Comm~Ms ot/ Footings ~ ~L, 3 • Foundation Framing 3 S t Roofing ~ a~~gn Pi~. -30 ,;.i = ~ 7 - f3 -'(s Rough Htg. 7) Z y 3~ Isul. Freplace ~ ~ ~ s- - /7 ~~'Sl - Final Htg. ~T~ y/'~ Rnal Pibg. ys4 Plbg. I~spector - NWitg Plumber l Cor~st. A~eter EngrJPlan Bldg. Final 5 r Deck Ftg- Deck Final Well Pr. Disp. Address 4291 WEST~IESIER C~?t.,~'t~ Zip 5512 3 L.ot 7 Blk 4 Sub ~s THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 8 q Yes No Inspector: Final grade (6" from siding) ' Permanent steps (garage) ? Permanent steps (main entry) Permanent driveway v Permanent gas Sod/5eeded grass ~ TraiU~rb damage . Porch Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of warer supply to . the outside lawn faucet before freeze potential exists. Contaa engineering division at 681-4645 before working in rightof-way or installing underground sprinkler sysrem. ~ White - City Copy . Yellow - Resident Copy Pink - Contracror Copy ~ a o s3. ZZ .G. 3 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION " ~n F City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction ReauiremenLs RemodeUReoair Reoulremenls ~~'~~'j @~ 3 regislered site surveys shaxing sq. R af b4 sq• ft of house; and all roofed areas 2 apies of plan C~i+"~~~~`}!R9c~~,~'"' Y','~ (20%ma~cimumbtcoverageallowed) lsetofEne~gyCalculatlonsiorh~tedadditions TreaP'~iesAlan"Reod=~= Y _H 2 copies of plan shaxi~ beam 8 wuWow stres; poured found design, etc. 1 stte survey for addNOre & dedcs ,iTrae~'res~e9~7ked;~ Y_ 1 set of Energy CalalaHana AddNon - ind~icete ifon-site septic system bli~Se{Nc $ygfe~s~~;,? „.Y 3 copies of Tree Preservation Plan if lot plaHed ailer 7/1193 Rim Jo'~st Defail Opfbns selection sheet (bldgs wiUi 3 or less unils Date V / ~ / ~ , Construction Cost ~ ~r~ ~ ~ Site Address L~j ~ (~~2 ~•/Z C 1~~ ~-P UniUSte k Description of Work ~f aCC/~1 [Mq Multi-Family Bldg _ Y ? N Fireplace(s) 1 _ 2 Property Owner ~ S ~n Telephone # ((i~~) ^ U C7 ~ Y ` ~ ~ r~ Contractor ~ Address ~(O'! 7 ~ ~ City U' i State ~f1/]A~ Zip Telephone #((pS )~Fz 3~-0 3 Z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25~ plan review fee applies. Licensed Plumber Telephone J Mechanical Contractor Telephone ) Sewer/Water Contractor Telepho ~ ~ ~ JUN I hereby apply for a Residenrial Building Permit and aclmowledge that the ~ arion ' e d accurate; that the work will be in conformance with the ordinances and codes of the ~ of Eagan and the tate of MN Statutes; I understand this is not a permit, but only an application for a pe , without a permit; that work will be in accordance with the approved plan in the case of work which requires a review and approval o ans. ~ ~ G ~ f`-~~~. Ap cant's Printed Name Appl canYs Signature OFFICE USE ONLY ~ " - Sub Types a = ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~ 02 SF Dwelling ? D8 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ex[.AR-SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous WorkTypes 5iD""°~q2~/~/d'ST'l~U`0~ ~GfI~F2vV1'~~ ~'~'L~ZI+'l..~L~Ti~S't~uu/L~L ~ ? 31 New ~ ? 35 Int Improvement O 38 Demalish Interior ? 44 Siding 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors O 34 ReplaCement •DemoliGon (Entire Bldg) - Give PCA handout to applicant Valuation ~ Occupancy ?I.~ -~i1/L MCES System Census Code Zoning ~ City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaVC.O. ' Footings (deck) Y FinaVNo C.O. ~ Footings (addition) Tc Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Tests Final ~ Framing _ Siding _ Stucco _ Stone _ Brick Fiteplace _ R.I. _ Air Test _ Final _ Windows ~ Insulation _ Retaining Wall Approved By: I Z , Building Inspector - - p--- y~ - - Base Fee l J~`2 " ~ U X--- t-_-- /n OY Y Surcharge Iq-?1Q ~"~',~,-~J r/ ~/~p Q~2 Plan Review f~P T l~' T~ MClES SAC ~ I!v'L ~~n X ~ p' ~ S~~ Cit SAC v 2F~r~rs p X 5~1 a Utility Connection Charge ~ n ' S&W Permit & Surcharge Treatment Plant ~ I Q1 ~ ~J.~ ~ License Search Copies ~ !a a Other n Total 1~ 1 y~~' ~ aw.,,,-.,,ua iu:cc r~n uizoa~uouu~~~r~uuuvo & Ke117Bt1RE IQJUU'L ~U~tVEYOR~S ~E~T'~FICA I E ~•A. KOT HOMES , _ ~-'NOO°12'41" W (~,~~.y~ - ~ ~ ` ~ ~ • s g DRAINAC'aE S UTll IlY ~ I ~ ~r-FJ~SEMEN7 PER PIAT ~ k ~ . ~ ~~,,.c~ ~ : ~ ~~~~,~o~ ~ asr~ N ~ ~ r ~~T '8. V ~ '~"f i~ L_v I / ~ I L..~J 1 I / ~ a9 \ p~ 94@.5 ~hiAZ ~`15G 1 kWi~3 ~ 41 i9oN . _'T 996. n~ 'i 3~• I ~ 9aas u s a ~ ~ e~ p ' o ~ ~ ~ e ~-1C . ~ ' / t N I PROV06ED r- y N ~ fV$wJ ~°~~~IOM . ~ Q MOUS i A I 01 ~ ' AR. LJl ro ~ w a ~33.0 w O~ / ~a ~ ~ 1 15.34% ~ PROPOS~~ ~ Y' ''9ENCH MARK TOP OF BENCH dICRK TOPOi'-^ ' ' 952.8; pRIVEWPY I PIPE ELEV.=951.01 PIPE ELEV.=953.89 ~ ~ ~S~T.S) , . ( 552.1~ 5 , i . 1 , ( I ' ;l(9`-0_4~ 8533 ~ W ~ / / ~.9QQ_ I , ~ ~ I / ,~,~~y2~.r-- . M I / 944, 9~i' r0~ ~ _ . . . N l _ _ / ~ g6O _ NOLE: _BU0.0fNG pMlMSIQNS SMOMIl1 AFk. _ p . P ~ FON iQRIZON~AL 9 V~lTCAL lDC- I / a AT10N OF STR1~7YNi O1~]: S[E ~ l~ " ~ 1~ ~1 iRCi11'f'EGTWL ~l~ Id1 lUILDING ~ ~ ~ ~0 B FOIMNA710H PM~IE~ONS. i~r5~o~~~` c `L5` ~80.0 2"r.~5~p ~44~~ NOTE~ NO SPE~~ SOIS ~HVE571GATION , 1~I ftAS BEEN fmAPIE~ED ON TWS ~jO P LOT ~BY TH! SUIIVEYOR. 7NE ff ~.~'~s•C N`~ SU17ABILITY pF SOILS i0 ~1~ `u~ C`RC n+e sr+~cwc Nous! raor~osEo afr {S NDT 7NE RE9FONSIBLRY OF • - DENOTES PROPOSED SUAFACE DRAINAG~ TME sUrtvt~'op. O DEi~IOTES IRON MONUMENT SET SCAI.E: 1 INCH - 30 FEET S pENOTES IRqN ivIONUMENT FOUND PROPOSED GARAGE KLOOR - V53. j FEET X000.0 DENOTES EXISTING ELEVAFION PROPOSEP LOWEST FLOOR ~`j44•11 FEET (p00.0) pENOTES PROPOSL•D EL~VATION PROPOSEO TOP OF BIOCK a 553.6 FEE7 WE HEREBY CER7IFY TO R A KO7 MOMES T„AT TNIS IS A THUE AND CORRECT f~ REPRESEN7ATION OF A SURVE:Y OF THE BOUNDARI~S OF: ~ Loi 7, Block4~ HaW7HORN WOODS IST AODiTION , ncca~inq.to tbe rococ~ad plo~ , 1BMre}, W(Mhlnqlan Camly, Mlmuola. IT DOES NOT PURPORT TO SNOW IMPROVEMENTS OF ENCROACHMFNTS, EXCEPT AS SHOWN. AS SURVEYED 8Y ME OR IiNDER MY DIRECT SUPERVISION THtS 25 DAY OF JAN. . , 1893. SIGNED~E i~. HiLL, INC. PROpOlLO ONAOt! 1140'M1 Wr111 TIIfCN . fNOM ~HR 0lIAOfNO O dtVELO?YrHT c, rLAN PIbY~OlP 9Y McCOMlS ~KONK ROOS BY ' ?SSOClA7S. INC. IPST OATED~ 6-1!3-92 ,r,~~~~ r. ~ wnenit,~ i nr.in CIIRVF. • L ~ ~ ~lcheck COMPLIANCE REPORT ~ ~ Minnesota Energy Code ~ Permit 1t ~ Mdcheck Software Version 3.0 ~ ~ I i ~ Checked by/Date ~ ' I I COIIMY: Dakota STATE: Minnesota ZCNE: 2 ~NS7RUCfION TYPE: Single Family DATE: 6-2A-2004 ~ ~ DATE OF PLANS: 5 Sept. 2002 TITLE: Drenttel Remodel and Additon. COMPANY INFORMATION: R.A KOT HOMES. INC. .7694 W. 128th Street . Appla Valley. IM1. 55129 . ' NOTES: Lic. #D001506 COt~LIANCE: PASSES Required UA = 226 YouL Home = 153 32.3% Better Than Code ~ Area or Cavity Cont. GlazingiDOOr ~ Perimeter R-Value R-Value U-Va1ue UA CEILINGS: Raised~Truss 297 44.0 0.0 5 ' WALLS: Wood Frama, 16" O.C. 893 19.0 0.0 53 WALLS: Concrete. Interior Insulation 262 15.0 0.0 21 GTa~T*m:. Windows o=. DQQ=s. Above Grada 35 0.39D L4 DODRS 79 0.320 25 OOORS~ 19 0.190 3 PLOORS: Over Unconditioned Space 179 38.0 0.0 5 SLAB EL0~8S~. Heated. 72.0" insul.. 49 LO.o 27 HVAC EQUIPMEM': FUI'nace. 92.0 AFl7E HVAC EQUIPMENT: Air Conditioner. 13.D SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of tha Minnesota Energy Code. auilderiDesigner K• O/hES ~.L~C. Date 1 adu .LQ~ . _ ` ~ PERMIT C~'~.:;6;~ 6 ~ / CITY bF €AGAN ~ 3830 Pilot Knob Road PERMIT TYPE: ~ u C n i: r~~~+.~ ti~ Eagan, Minnesota 55123 Permit Number: ca Z c7 31 ~i~ (612) 681-4675 Date Issued: ~ 2/ 1(~ J 3 SITE ADDRESS: az~i ~,d~src,i~~~T~~ r.:~~~ LOT: ;r Ll_OCI<; ~ li l~ I,J-T" I-i 0~C i~l E l~i 0 0 iJ S P.I.i~i.a 1~i--~,~1,;8-L~7P~--~iA DESCRIPTION: ; ~u21dI,~~.W Permit 'P'vp:a SF bW6 ~ E~tt~4lrli~'r.q :4.iork 1"yW~ M1IEW 11~G fJwGUpanL-a:~ R._' Mi--1. ~'t~nsi:ru~~:t.ic~n ~i~~yj:'~c V--I~I .~'~pn.ipt4t f3-1. ~ Eiui~.lCYin~ Length B~aa].ding t~l9dth } 43 ~ . - t, 3. , ~ r~ _ ,~_~,~r ~,r~r~~-~~~;~i=?; ~ , , ; ~r :~.~~%~f ~ , . ~ ~ i =c:~. `.r _ _ c , . REMARKS: ~ 9 F~ W PI_o'R - i~i~TTHEW DNIVT;:LS 1-`Li~t, i7ttV FEE SUMMARY: v~a~uH~rrov E:1.~~~u~a~ i;a~.e: Fe~~ $~~S:i.,'iG1 i%:[:iC~.LL.AiVE~17US '1. `''A4~5'i} _ ._2,_,•r_._... I'l.sn i(6V'1zW :~5%9.4i ~Ot.a7. Feg $A,~''i1.Q'G' 9ur°cFie~r~~~: y~86.G7G9 SIIC °H~i'o~A,4JG9 5RC :L~+r^ SAC Uri.it:s i u b I: c~ P: ri]. ...~.__.._._.~5 w~._3 G~ S. S d ~`1 ~`d ~ CONTRACTOR: ~',;~;~7.ic~r,~t - s~ . ~,~rOWNER: KU7 HOhiES R t~i 1.6w79F,1;~ ~DfO~.l.5~i6 17 l~d K.UT FIOMES TNC yot~'l. tJPF`FFt iifilrfLET f:T 79~1 UPP~R WAML.E1~ CT AFP~~ Vfil_1_EY NPd 5612A APP1.E VRLLEY i~IiV 56:L14 `ET1'2) t;81-..J~13 (:,1~')[;8?--9`~:1.3 I her~b_y a~hnawledge iha~ I have r+?,~d tMi,s applica~ic~r~ ~in~ ~tate ~tiat tha inl=orm~~ican z~ rarrPr.t c~nd ~qree r~rr r.~ainpl~/ w9.th ~13. a~pl.i:cab.ic~ ~tatiA of Mn. St~.tiaG~t~ arrd Gi~y oF EaBrsn C~r•c#ar~~r3cze~.. I~ - ~ ~n~i, ~.~,~~,.11~~ APPLICANT/PERMITEE 5~ URE ISSUED : GNAYU~E ~ PEr~IT ~r ~ CITY OF EAGAN ~~~.d~~ ~ 1~BUILDING PERMIT APPLICATION O 1493 681-4675 FE~ fl.; 'f~ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, i copy of eriergy calcs. Penalty applies when typin~ of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Valuatioo- of work a3~o Site Address:~Z~l Id1Ps`~c-~.eS`f-eac.- ~I~~-~~Q _ STREET STE 1~ Tenant Name: ~or e~oa sueo. ~c~io~t~ ~i°~S r.~.o. t. Descri tion of work: ~ ~ r.~_ The applicant is: L~7Owner ? Contractor ? Other (Describe) Name ~~-t~ c s P3P~~ Phone Property ~~ST FIRST Owner Address STREET ~ ~ STE ~ City State Zip Company •~a u.z e Phone g 7-`J 3 Contractor Address 74e ! ~2 /7 C~ License N~/SZ"6 Exp.~ City /Q~ ~ State /yln~ Zip ~/Z" Company • • G ~ ~P,ri9h Phone 6 7 -1`-r/~ Architect/ I~ Engineer Name ~a ~-f/~ ~~Ta.t~ Registration N Address ~ 7$ /Ce ~!B ~ I City el~9Q~~t State ~lil Zip Sewer & water licensed plumber ~~i~ ~~sriC l-s . Processing time for `sewer & water permits 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 Minnesata Statutes and City of Eagan Ordinances. Signature of Appl icant: //~/•2~~ • BUILDING PERMIT TYPE , ? Ol Foundation O 05 Apt. Bldg ~ 09 Basement Finish ~3~u c~~c~ ~ 02 SF Owg. ? 06 6arage/Accessory ? 10 Swim Pool ? 4 g ltural ? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch 0•:15~iSr~e.lt~~' ? 04 Multi-fam. T.H. ? 08 Ueck ~ 12 Comm./Ind. WORK TYPE ~31 New ? 34 Repair ? 37 Demolish ? 32 Additioo ? 35 Tenant Finish ? 99 Undefined ? 33 Alterations ? 36 Move - GENERAL INFORMATION Const. (Actual) v- N Basement sq. ft. MWCC System Y~s (A1lowable) V- N lst F1. sq. ft. City Water ~S tlBC Occupancy R-3 M-i 2nd F1. sq. ft. PRV Required Y~s Zoning R--~ Sq. Ft. total Booster Pump # af Stories Footprint Sq. ft. Fire Sprinkler Length -T On-site well Census Code /a~ Depth ~ On-site sewage SAC Code ~.,L APPROVALS ~ ~ = ~ Planning Building Assessments Engineering Variance RE~UIRED INSPECTIONS ' ? Site ? Foating ? Framing ? Insulation ? Wallbaard ? Final ? Draintile ? Fireplace Permit Fee wi~c;a,: s ~h2~DO~ Surcharge • Plan Review GaRAGe; a4 ~ 34 = 8~~ License ' MWCC SAC ry x 2, 6 g e~ 3~~ City SAC Nater Conn. gs~'`~T; ~"jg yc s~ Zyy~ Water Meter 3 Z X 34 = ~°8g Acct. Deposit S/w Permi t 3 K I 2; 3~ S/W Surcharge 7 X H; ~~8~ Treatment P1. Road Unit x l~~Z; Park Ded. Trails Ded. IuX)~} -26G Copies ~ 1 2 d Othsr l d o 8~/s` = , 1 Total.: f sT ~'~ooR; sac x ~ ~sza sw ~.53 = ~u~ ~G c, SAC Units 2ND FwoR~, _ " 1a~~ S~rr,xs3 ~ 5~2~?'3 , ~'7/ 4 21 ? - - R.A. KOT HOMES ~I~I~VEYUR'S C~~'1"IFICATE ~ N 00° 12' 41 " W (`~~i-s~ 0,~_~_'~j I N ` . , / . ~ - 1 u ~ \ I I ~ I° ' ~ 5 oc+nu~naE s unu~v~ `r^EA5EMEN7 PER PLAT I ~ ~ ~ i q~~.y~ cn O I 937.~M jV ~ ~ ~ LOT ~ ~ ~_~~-r s~ o I x943B .941.Ix O O ^ x9453K994~1_--~~\~~ x942.9 9ae.s _~i6oz (_t44 . ~ tn ; -5ac.~ ~ ~ ~ 00 3; ~ ~ 9aa5 x o,i.5 ~ , Oo O I 9422xi I ~ ~ M ' ~ ~ N ~ _ ~ 20.o N PROPOSEp f~ ~ 01 a I I10US 1 y - N I `v~ AR. w V I ~ ~9,33.Ox _ ~7 t" /O ~ ~ J ~ II6341 _ - - ~ _ -p"~pppS~~ BEtJCH MARK TOP O~ ~ BENCII MARK TOP UF 952.8x 6RIVEWAV o I ' ~ P L~. ~9 .O PIPE ELEV.=953.58 ~ ~ (`i`,1~9) (y52.1~ 9 I I ' o _ I J / 33 V ato ~ I ~ ~ I~TdGIR1~~RIRTG D~F ~ ~ I ~ ~O~y,Z~ M / 949.4~x ~r0~ O~ N I / ~.bO NOTE: BUIGDING DIMENSIONS SNOWN ARE g / ~ ~ ~ FOR FIORIZOHfAL 9 VERTCAL lAC- ATION OF STRUC7URE ONIY. SEE L-^- . ~j ARCNITECfUAL PU~HS FCR oU1LDIN1 ~ ~ ~0 g FOUIOATION OMIENSIOHS. a ~ ~ ~2 6 (`,so.o . -1~5•~(°~` o 50.0 Q'S~ !y hO NOTE~ NO SPECIFlC SOIS INVESTiGAT10N 3O~ ~J D~t~ NAS BEEN COMPLETED ON THIS -l N11~ ~Q~ S~(`~~f SU TABILITYE F SOILS RlU TS71~X~ x-q'~g_ ••~%C C Rt/~` ISINOT~TSIECRESPONSIBLITY OF ~ DENOTES PRV OSED SUHFACE DRAINAGE rtie su~YOp. O DENOTES IRON MONUMENi SET SCALE: 1 INCH = 3~ FEET ~ DENOTES IRON MUNUMENT FOUND PROPOSED GARAGE FLOOR - 4~53• Z FEET X000.0 DENC)fES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 44 ~~1 (000.0) DENOTES PHOPOSED ELEVATION PNC)POSED TOP OF BI.OCK~ 4r 3r b r EET O O ~~p/ ~ (l `l '1 ~ . , , ~o~o Vo (1 uu ~~J U WE IiEREBY CERTIFY TO R. A. KOT HOME5 iHAT THIS IS A TFUE AND CUHRECT REPRESENTATIO~i OF A SURVEY OF lHE BOUNUARIES OF: ~ot T, Block4, HAWT110RN WOODS I5T AbDITION , accordin9 to Ilie reconled plol ,g CouMy, Mlmuofa. ~ IT DOES N T P R O~iT TQ St 101^J 14APROVEMEN?S C~R ENCROACHMFNTS, EXCEPT AS SHOWN. AS SURVEYED 8Y ME QR UNC)EN MY DIRECT SUPEFVISION fH15 25 DAY OF JAN. , 1993. SIGNEC~ E •R. F111_L, INC. ~ PNOPOfEp ORAp[S llldJlll WrA~ TANlN ' ?qOM Tllt 011AOIN0 S btVll01'1AtN7 c P1.A11 PIbV10[U 9Y McCOM05 FRANK RoOS ~Y associnrs, INC. LAS? OATED~ 6-19-92 ~p~{N C. LARSON, LAND SURVEYOH MINNESOTA LICENSE Nl1MBER 19628 s ~ ~ ~ D ~~m~s R. I-lill, inc. ~-n „ cu o o p i r~ _ rmp m ~ vi cNi+~n c~~ m Z~~ ~ m" Z PLANNERS / ENGINEERS / SURVEYORS p 0 O~ Q O m N W m 2500 W. CTY. RD. 42 • BURNSVILIE, MN. 55337 • 612-890-6044 _ . . : LOT 8IIR7EY CSECICLIBT tOR flLSZDLIiTI~?L 'IIILDI1iG PERIiIT ~8?LIC71TI01i pROPLRTY .~er_~t.~ 00 ~ / ~Zr ~ . ~ ~ Dit~ O! i1ilt/~f i ~GCIIKENT ST~+~ 4 8 8~ D 0 • Registered Land Surveyor siqnature and company B' 0 0 • Buildinq Permit ]lpplicnnt - ~0 0 • • Legal aescription D B~ 0 • 7lddress @' 0 0 • North arrow and bar scale • 0' 0 0 • House type (rambler, walkout, split v/o, split antry, lookout, ~tc.) ~ D~ 0 D • Directional draiaaqe arrows rith slope/qradient f. D 0'~0 • Proposed/existinq sever and vater services @~~' 0 • Street name II 0 0 • Driveway LLEOATION9 ~xiatina D 0" ~ • 5ewer service ~Q 0 ~ • Lot corners ~ 0 • Top of eurb at the driveway 0 0 • Elevntions of any existinq edjacent Aomes IIrooosed 0~ D D • Garage floor Q~ D ? • First floor 01~ 0 D • Lowest exposed elevation (walkout/window) D D ? • Property corners ~ 0 ? • Front and zear of home at the foundation BOHDSNG ~REAB (if aofllicabl~) D d D • Easement line D .8' 0 • rtwL o ~r o . xwL 0 {ri0 • pond desiqriation D 0 0 • Emerqency Overtlov Elevation DIlSEN6I ONS ' ~ 0 D • Lot lines ir D D • Right-of-vay and street vidth (to back ot curb) ~ 0 0 • Proposed home dimensions iacludinq any proposed aecks, overhanqs greater than 2', porches, etc. (i.~. all struetures requiring permanent lootings) ~D D • Show all easements oP record and any City utilitiea within those easements ~0 0 • Setbacks of proposed str~cture and aetback of adjacent existing homes ~ n LI~ D • Retaining va ir ents, if any - Reviewed• s Nam / Da e Cctober 1992 FXTERInR ENVELDPE ~VERA6E "U" C~MPUTATI~N OWNER Ed and Sandy Drentt~l P!AN NO._9-1119-2 BITE AnI~RESS Lo~T r] ~~Loctc 41 , ~Jq~~oisNC Weoe3 CON7RAGTOR DATE 0~l0~/S'~ PHONE 687-9513 DETERMIME WORk:I14G SGILIARE FDOTA~E &285.65~ 7.. Total e;:posed ~nali ar•ea4?,67.17<^ ~q.ft. .11 48U.;~88? Tata1 ruof/ceiling area 1B56 sq.ft :~]~b 48.~5b l"otaJ. flaor cant. area 275 sq.ft. U__6 ~t`~ (over unhe~ted Pnclosed areas) , d 5 4. Total •flnar cant, area 53 sq.ft. ~ 4~~'- (ov~r ~inheated expr.nsed areasl r p2S~ 5. Tota1 ~:;posed u~all area a6ove the fl.oor. :~9~9.99~ a. 'Tutal wall window area ....................454.6~b? t~. TnCal d~or ar•e~ 37.6189 c. Tot-al slidiny ylass du~r area 84.44?'~ d. Tota1 fireplace area c:~ e. Tutal wall framing area Cave. 10'l.?........~R,?,.999" f. Tatal net wa11 area above the flcror.......29b9.096 g. T~tal rim aoist <area ~45.66 1'0'fAL EXf'CISED FOUNDF~TIpN AREA 81.5189 n. -rotai -Foundati.on windot~i area O i.. Toi:al net foundaL'ion area 81.5~g9 Determine "U" vaiue of each wall segment. a. 454.6:;67 "U" ~7.~6 = 163.669; L. 37.8iE39 "U" U.~~6/ = ~.Zb91~4 c. E44.44'.:'2 "U" U.30 ~ JU~J9919 .Je Ii1111 - VJ LI ti9:,.499~! i: ~IU" ii.i?9q~:~4 = ~5.59163 f. 29b9,ci^>6 "U" 0.{J4~~15 = 1~8. ;1~71 w. 3~+5.66 "U° ~f.04~"1b83 = 14.i~6~6S h. U,. n.?~6 = 0 i. ~i1.51E3S" x ~~U~~ U.n7f~161 = 6.2i~g544 be ....................................T~tal ~SU.5105 l:i item #6 is the same as or less than itE~m #1 vau ha , e current eneryy codes. 2 h1CAR 1.ib~?UE3 A AND 0. TOTAL EXP05f_D ROOF/CETLTIUC~ F~REA 1856 j. 'Total sk:yliyht area ii 4::. Tota3 flat r•oof/ceil.i~q framiny area,..... 185.b l. 7"otal nPt flat ronFlcezlzng arEa.,........ 1670.4 Determine °U" valix~ for each roof/clg. seyment ,i. „ ~~U~~ _ i~ k. 185.6 x~~lJ~~ n.p~b925 = 4~. Q97^n? l. 167~i.4 ~~U~~ i~.C~22795 = ~,E3.c7761~: ...................................Tntal 4~.i~7U4~ if item #7 is the same as or less than item #2 y~~i have met thP enerqy code~. 2 MCRR 1. ib0~:i8 A AhdD O. 70TA~ FI.OCJR CA~IT. AREi-1 Cenclosed). ~75 o. 7'e~tal floor cant. firaminy area teve, 10%Y. 27.5 p. Total net insulate~i floor/can~. a~ea...„.. 247,5 D~termine "U" val.~ie far~ each flnor/cant. seGment, o. 2?.5 x "U" ~:t.t743879 = i.^Obb7 p. ~47.5 ~~U~~ t7.i~24y54 = 6.~7V~9].i. 8.,,........w........, ................Tata1 7.<i~F5E3 ]:fi i.{:em #~3 i.s the same 3s or less tha~ item #b3 vou have met the en~rgy cor~e. : MCAR i.il~00E3 A AND O. TCITAL FLOORICANT. AREf~ (e.:pased) 53 q. Total fl~~nric~nt. framing area tave. iC~'f.). S.a r. Tntal n~t in~i.tlated fl.oor/cant. area...... 47.7 D~t~rmine "U" valu.e for each floor/carit. seyment. q. i~.~14434b = 0.:?~5i~'.;3 r. 47.7 "lJ" V.U<4:.96 = 1.1636913 S' ...................................T~tal i.3487~~' I'F itPm #~9 is the 5ame as nr less than item #4 you have met the eanergy cnde. ~ MCAR 1. i60i?8 A AND . I HERESY CERTIFY THAT I HFlVE CE,YLCLJL~ITF_D THE "U" FACT'(~RS AND "R" VAL.UES NEREIN AND THAT THE BUI~LI7IlVG HERE Df~ C:HIBEL7 MEETS OR F" ED5 THE STATE QF MIIVIVESCITfl ENERGY CONSEI~~!~S'TTOPd' CT. _ ~ _ ~ ` \ ~isiG'nat e) ~ ~._.._,G-~ L__._____ (dat-e) I7ETERMItJE "U" V~lUES" THRJ STLJU WITH STP.ING S.R. Interior l~ir....,. 0.6E Thermn-Br~eak:....,. 0 Stt,id . . . . . . . . . . . . 6.4:: . • Sheathing..,...... ~.Cib ~3irii.ng............ U.?8 E;:~eraar Air...... {>.17 Tota1 ~~R,~ Valu~............ 1]..07 1/R ~ Ualt.ie............s~.q9q~:;4 THRU ShJ5L1LATI0N WITH SIDING S.R. In+,era.or F~ir....., ~?.68 Sheei: Ruc4_........ q.~5 Thermo-BreaL:...... ~i Inst.~7.ation........ 19 Sheathing....,.... ~.~?6 5idi.ny............ is.7E3 Eo-:terior Air,..... i~.i'7 1'ot~l "R" Va1ue............ 23.1.4 1/R = ~~L1~~ Ve1ue............G.O~~,1'15 THRU CE I L ING MEMEtEFt Ini:eriar Air...... 0.68 '3hePt Rc~cF~........ 4.5£3 Cailincj Ihember.... 4.35 Insulai:ion........ ~0.92 Still flir........, c7.b1 ~ Tc~tal "R" Valia~............ ~,7.7.4 11R _ "'lJ" Value..,.........~~.Ca<'_6925 THftU CEl:LSNG INSULATION Interior Rir...... ir.6~ .~'ihP~t Rock:........ ~?.58 Insulation........ 42 Still Ai.r......e.. c1.6]. Tvtal "R~~ Val~.ie....,.,..... ~~,8? 1/R : Value............~i.f~~'~7U5 TFIRIJ CONCRETE PLOCfC Interiar Air,..... C}.68 eonc. E~lk:,........ i.2~ - T.nS~.ilatinn........ 11 Sheet R4;. (opt.). Ci E::terior Air. . , . C~. i.7 Tntal "R" V~lue.........,.. 1:,.1'~ iJft - "U" ..................U.i~761bi THRU RTM S~IST Interior Air...... U.bE3 Insulation.o...... 19 ftim 7oi.st......... 1.84 Si.diny............ {i.78 E;:teriar Air...... ~).1'7 'I'otal "F"t" Value............ ~4.58 1/R _ i~.i~4i~ti8~ U" value for uiindow........ 0.~6 l1" value for doars..._..... O.U6 l!" va7.~.te #or Patio Ars...., 0.36 THRIJ CAN'T. [ I`1EMFER (enclased) Interior ai.r,..... U.68 Fini=ah FloorinG... 1.2~ ShPatfii.ng......... 7.r Plyi.~ond........... c;.9;; Joiat 11.56 Sheet Roc1:: ~ . . . . . . . ii.SE3 S'ti11 Air......... 0.67. Total "R" Value............ ~~.79 ]./R = ..................~~.~~4:;879 THRl1 CAN7. C INStJI.A'TION tenclos~d) Tnterior Air...... O.bB Finish Flooring... 1.2~ Sheathing......... 7.:? P 1 yi.iood . . . . . . . . . . . 0 . 9;~ Insulatinn........ :;i~ ShEet RocE::,....... ~7.5E3 SL-i11 Ai.r......... t?.61 Total "R" Value....,....... 41.~;: 1.;R "U" ..................ii.c]2~1~54 T'HRU CANT. C MEMEER (e;•;posed) Interior Air...... U.bf3 Fini.sh Floor•iny... 1.2"~ UnGerlayment.e.... 0 Plya~ood......,..., c:~.9~ Soi.st 11..56 5he~thiny.......~. 7.'~' Scaffit............ 0.78 E::terior Air...... ~~.17 TotaJ. 'R" Value............ ~r.°i5 1/R : ~~U" ..............~...(i.p44~~46 THRU CFaNT. Cd IhI5UL.ATIC]N (e;:~a~ed7 Interiar Air...... G.68 Finish Fl.oori.ng... 1..2: LJnderl3ymenl;. . . , . . P l yiac~od , . . . . . . . . . . O . 93 Insulai;ion........ Sheakhiny......,.. 7.:_' Soffit............ U.78 E:<terinr Ai.r...... 6.17 T,-~4~1 "L)" U.-,i~~a p.~i ' : . . PERMIT ~,a ~9oa9 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u r ~ o z N e Eagan, Minnesota 55122-1897 Permit Number: 9 2 6 a 9 9 (612) 681-4675 Date Issued: 10 / 10 J 9 5 SITE ADDRESS: 9291 WESTCHESTCR CTR LO7: 7 BLOCK: 4 HAWTHORNE WOODS 1ST p.I.N.: 10-32150-~70-04 DESCRIPTION: ~ xt E£i, l~i~ti~,.~ Permit Type BASEMEN7 hINISH ~iui:ld.irr~ W`~.b,r.k Type ALTERATION ~ ~ ~ ~ ~ p'~ ~ _ ~ . - - r.' ~ . ~ - . p i i_' ~ . _ _ .3+e.~ *y U 5 , ` . (n ~ PEAu'%. * ' ? vt ~ae%`-:,. Y i s.r , s'± v aF.a~"~~~ r S ~'~.dpva?2. _ Cf E .y.-' f C~ ~y + : dd v S ~ r a^~ s A 4~ i t ~r p~ ~ a i~x '~"y r~ ti~ ~ . ~ ~-s ~ ~...~yx ~ h1 `ti~ t$ u:i s>. . ti..,> v ~ '~.'d ...,m~?`,. ~s= ,x REMARKS: W SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING QR ELEC7RICAL WOf2K FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Tota1 Pee $35.50 CONTRACTOR: - Applicant - s~r. ~zco OWNER: KOT HOMES, R A 16879513 0@m15~D6 DRENTELL ED 7901 UPPER HAMLET CT A291 WESTCHESTER CIFi APPLE VALLEY MN 55124 ~RGflN MN 55123 (612) 687-9513 (612)454-Y7025 - . . . . . , . . . . . . . ~ F~~rett3' ac~~crs~~.~vc~~ that ~~iave read ~his aR:~~ic~~.3~n a~d s~~te ~traC ~ irt'~crrvmati~n i~ ~~rrec~ and agres tc~ ~a~;ply ~,~~h ~ll ~Ppia~,~bie S~at~ ra~ Mn« ~ , ~ ~ta~ut~~~~ ~ns~ ~~~y o~ E~c~ar€~ ordina~~~~~:_ ~ f . _ ~ . _ _ . ~ APPLICANT/P RMITEE SIGNATURE ~ ISS~ D BY:~IGNATUR~ + ~ CITY OF EAGAN o ~ 3830 PILOT KNOB RD - 55722 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) r1~ ~~Q,+t, l~'~ 681 ~L675 New Construction Reouirements RemodeUReoair Reouirements ~f ? 3 regiatered ade wrveys ? 2 copies oi plan ? 2 eopies of plans (inGude 6eam 8 window sizes; poured fitl. tlesign; etc.) ? 2 sRe surveys (exteriw edditions 8 decks) ? 7 energy celculations ? 1 energy calwlatfons Tor heated addkions ? 3 copies ot tree preservation plen H bt platled after 711193 requir~i: _ Yes _ No DATE: ( f~~ CONSTRUCTION COST: DESCRIPTION OF WORK: ~E1~'~ ~n~1s4f~ STREET ADDRESS: ' ~2~ I v~lafGy~ds~2- Ct~ LOT ~ BLOCK ~ SUBb./P.I.D. I ~ PR~PERTY Name:~~~ ~ T S~r~ Phone#: _t~~~~z~ OWNER w• StreetAddress~ City: ~ (~A~ State: ~ Zip: SSt2 ~ CONTRACTOR Company: 4_ I.~ i.f-ow~~ s, ~r~!= Phone ~ 8~ Street Address: "1°~~7~~x 4-(a~aM.~~- c~~ License City: l~DOc,~ Va~~~l State: Zip• ~S ~z g ARCHITECTI Company: ~~V i~Si~r~ Phone 3 ENGINEER / ~ Name: ( s~,~ r' Registration 5treet Address• City: State: Zip: Sewer & water.licensed plumher: ~(1Tf11~ KMl t~~, s ~vW~6(~ Penalty applies when address change and lot change are requested once pertnit is is ue~ I hereby acknowledge that I have read this application and state that rmation is ct and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY ~ ~ O ~ ~ Certificates of Survey Received Yes _ No 0 C T ~ 2 1995 Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY . ~.`r e~'_ ~ . ~Z ~ r: . BUILDING PERMIT TYPE ~ ~ ? Oi Foundation ? 06 Duplex o 11 Apt./Lodging ~'16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 2D Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 1p =plex o 15 Deck WORK TYPE 0 31 New ~33 Akerations o 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATfON ~ Const. (Actual} 8asement sq. ft. MGWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~Y Depth Footprint sq. ft. SAC Code a/ Census Bldg Census Unit a APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License . MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units ~~'~'v CITY USE ONLY 9~ L BL ~ RECEIPT ~'o ~ SUB~. W . ~ DATE: 1995 PLUMBING PERMIT (RE5IDENTIAL) CITY OF EAGAN 383D PILOT KNOB RD EAGAN, MN 55122 (672)681-4675 PVease compfete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FI)C3URES Ew~H fri~. ZOTaL Shower 3.00 x / _ ~~b Water Closet 3.0o x / = 3. Ub Bath Tub 3.00 x = Lavatory 3.00 x / _ ~ Bdv~ Kitchen Sink 3.OQ x _L_ = 3. UO Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum - ~ 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal " Dakota Cty. license 20.00 = U.G. Sprinkler' home under const. 3.04 - Alterations ` ta existing 20.00 j{1q ~ ti~~{,u,M = 20.C~ ) Water Turn Around 20.00 ( ~ STATE SURCHARGE .50 TOTAL ~ SITE ADDRESS: y~~ ~ ~E STc~ ~''T~tC." CI "2C(~ OWNER NAME: ~ • A ~ ~N'~'ES INSTALLER NAME: ' ~A'~ ~ C~s =~L. STREET ADDRESS: ~ SZ30 ut20U.s~,~ (,(~k`{ CITY: `-~~~T STATE: ZIP: ~b~8 PHONE ( (p(~ '~IZ3-3?~iU , J~n , f ~ (/uiu U~L OFFICE USE ONLY L _ BL _ RECEIPT SUBD. DATE~ 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612)687-4675 Please complete for: ~ all commerciaUindusfial buildings. ~ mufti-family buildings when separate permits are ~ required for each dwelling unit. DATE: CONTRACT PRICE: ~ WORK TYPE: _ NEW CONSTRUCTION , ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of ~S fee due on aIl permits. C4NTRACT PRiCE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: QATE: INSPECTOR: IAT ~I BLOCK ~ SUBD.,~~~~c~ L~`° RECEIPT ga5/~~` /030~ CITY Ok EAGAN UNDERGROUND SPRINKLER SYSTEM PERMTf 1!a93 Date: ~~a 5/~ 3 _ Commercial project _ Residential project ~ Eacisting residence Area/address to be sprinklered: yo2 Q"/ ~~~c. ~dy`~ r C~~~~(;, . • Installer: ~<o~ ~~~a ~~a m b~c~v~r «r Sireet address: /7 ~ ~o. i(/~. City, state & zip: ~,~1,~C,-: /~1~ty _ Ss3y 3 Telephone ,~6 ~ G Owner name: c~s~~ y ry T7`e / Street addmss:._~o2Q~/ ~VC~/yrG~'Ci/F~ Crv~~ City, state & zip: ~ , ~ y., . ~S ~ Phone - Do~S ~ ~ Irrigation contractor, if difFerent: ~d t[cf/~ /~~y s~~~ cs-r%-., Phone //.3,~ I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan ordinances. Zs-~~ ~,~r~, ~ a o- r-? P ~r~ Signat of Permitte j~ New service required ~ S~ Fee due: $_,J~ Calculated b~ r~n--~ CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PROCIDURE 1993 1. Plans must be submitted to the City's engineering department for approval before installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit may be required 2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing of the meter. _ 3. Jerry Wobschall, Finance Depanment, will calculate permit fees as follows: a. Commercial proiect: $ 25.50 plumbing permit. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. Please consult with engineering depanment regarding feasbiliry of City installation (Ciry will only install taps up to 1"). b. Residential proiect: $ 15.50 plumbing permit. $ ~0.50 water permit fee if new service is instalied. $695.00 per connection - WAC. $324.00. per connection - water treatment plant. c. Existinp residence: $15.50 plumbing pemilt -(not required if backtlow preventor previously installed) however plan must still be presented for apprrnal and an application must be filled out. 4. Once meter size is determined, building inspections clerk typist will contact utility billing clerk for cost and notify instal]rr of all costs associated with project. If new service lines are not reguired, one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are rnmplete on a new service--(engineering department will advise utility billing clerk when meter can be sold). Receipt will be coded to 2U-3716 (meter portion only) with pink capy forwarded to utility billing clerk. 5. The installer is to contact building inspections division at 681-4675 for inspection of the inside water line and backflow preventor. The public work& department may be reached at 681-4300 for water tum-on and set and seal of ineter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requesu for PM inspections will be accepted unti] 12:00 noon that day. CITY OF EAGAN Yage 1 of 5 PERMIT j TO S~ORR iIITHIN CITY YROPERTY/RICHT-OF-NAY/EASEMENTS 1. ' Location aZ~~ (x1 ?`G`t~s~`rr CIr (,L 1 ' A 2. Nature of Work ~ ~,O«7 K ~v ~ ~ ~.G~ y , - , J-~G , 3. Indicate below items to be affected and include a sketch or plan of work to be done. Curb & Gutter S'treet Surface Trail/Sidewalk Trees: Pond/Wetlands Public Traffic Control Devices/Signs Privat~ Drainage Utilities Structures/Buildings Other 4. Method of Installation or Construction 5. Work Yo stArt on or after: a'tj` J and shall be completed by: ~/~6f~3 uniess an extension granted to: by: DATE STAFF/DATE 6. Will d~touring of traffic be necessary7 . If neceasary to detour traffic, describe suggested route: DETOURS: The Director of Pu61ic Works shall be notified in writing at. least 72 our in advance of any detour being established, changed or diacontinusd. NAME OF APPLICANT AO~lci ~~9~4QCF vs PHONE 6 Y~`~/c~~" L PL PRINT 7L ADDRESS C474s G-~~f-~ ~il~Cw~o a~ry ~!/s3 i~r~~ ~C(9 y~iS_? r S~ STREET / G.ITY TATE 2IP ~ ' NAME OF PARTY OR ORGANIZATION PERFORMING WORK ~~G1c~ CONTACT PERSON: ~Jto~7 IYdI de~' E~ME GENCY (24 HR. ) PHONE ' ADDRESS ri473" ....i/n.. t ~ /~ib..i l~sd ~ iri3k~( DAY YHONE - -~L~EET CITY STATE ZIP . The undersigned herewith accepts the terms and conditions of this permit by Ehe City of Esgan as herein contained and ag'ree to fully comply therewith to the satisfaction of thb CSty of ' Eagan. Signed: Title: DATE: FOR CITY IJSE ONLY AUTHORIZATION OF PERMIT £INANCIAL SECURITY: AMOUNT: TYPE: ~ (Cash,bond,lAC,etc:) Fee: Receipt No. Permit No. In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said City of Eagan; permission is hereby granted for the work to be done as described in the above application, said mork to be done in accordance with special provisions as hereby 'stated: AP ~'PT. OF PUBLIC WORKS 7 /D E ALL LEGAL REQUIREMENTS SNOWN ON ItE~/ERSE SIDE AND 0 "SPECIAL PROVISIONS" TO SE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REP ED TO TNE EAGAN CITY ENGINEER. 4~:' ~ ; Permit No. Page 2 of 5 . I4.`.f 1 f, PERTINENT REGUlATIONS ~ . . I. Safety ~ . . . Traffic shall be allowed to pass and to be pro~:ected "at all timea. If .it is not possible to allov traffic to pass, a suitable detour must be provided and plana ~L,' aubmitted to the Director of Public Works 72 hours in advance. ijtit' , . ~ r~ Sarricades shall be erected in a manner which wil'1 provide suitable visibility in all . directions. All barricades shall be in good condf.tion, and all aigns shall be of auch size and legibility to provide adequate warning to oncoming traffic. At least two 7" flashing amber lights shall be mounted on each end barricade with one.on an advance warning'sign. 3: Excavations must be shored or sheeted when ner.essary to prevent under-minitig of roadway, trailways, utilities, or for safety reanons. 4. Guys or stays shall not be attached to trees on right-of-way or private property without written permission. ~~.5: Flagmen shali be furnished hy the party or organization performing the iaork whenever the work being done creates a hazard either to the traffic using said road or the personnel engaged in the construction, or when directed to do so by the City: " OPERATIONS Permit on Job--Permita or copies shall be kept on the aite of the work while it is in progress in the custody of the individual in charge, end ahall be exhibited upon a" request made by any City official. `;~i 2, Provisions and Specifications--These general provisions, specifications and Std. Plate ~ P-1 sh~ll be conaidered as forming an integral part of each and every permit isaued for operations within Eagan. The work authorized by this permit shall be done at such time and in such manner as shall be consistent with the safety of the public and ahall conform to all requirementa and atandards of the City. If at any time it shall be found by the City that the work is not being ox has not been properly performed, tha permittee, upon being notified by the City, shall i~ediately take the necessary stepa, , at his own expense, to place the work in condition to conform to said requirements or standards. 3. Execution-=The parmittee shall uae diligence in the execution of the work authorized under Ehis permit in order not to endanger or unnecessarily obstruct travel along any road ot trailway. Operations shall be so conducted at all times as to permit safe and reasonable free travel over the roads and trailways within the limits of the aork herein prescribed. All safety measures for the free movement of traffic shall be provided by the permittee at his own cost. 4. Conformity to I.aws--The installation shall be made in conformity with all applicabie laws, regulations and codes covering said installations. All installations.shall be . made in conformity with regulations of governmental agenciea for the protection of the public. a, The applicant shall furnish a bond or financial guarantee in the amount to be determined by the City which is required to ensure adequate ~ timely compleEion of repair. This bond or financial guarantee shall remain in effect for 2 yeara Subsequent to completion of street repair to protect the City from defect's Sn material; workmanship or non-compliance with City Standards or apeciHcations: Permit No. Page 3 of 5 1 - ' b. The applicant shall furnish evidence of public liability insurance of not less than $100,000/300,000 and property damage of not less than $25;000 issued by an ~ insurance company authorized to do business in the State of Minnesota on which the City is named as an additional insured party. c. Except for the negligent acts of the City, its agents and its amployees, the parmittee shall assume all liability for, and save the City, ita agenta and ita employees, harmless and defend same at its sole cost and expense from any and all claims for damages, actions or causes of action arising out of the worlc to be done herein and the continuing usea by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining, protecting and use of said facility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not intexfere with any existing utility facility on the City's right-of-way or easements. It is the responsibility of the applicant to call for necessary locations of existing utilities. (Gopher One 454-0002) 6. Private Yroperty--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road or trallway upon completion of work shall be at least equal to or better than apecifications of originally provided road or trailway in accordance with City Standard Specificationa. ,~u*face shall be finished within 48 houra unon comoletion of backfill 8. Cu[ting Treea--The permission herein granted does not confer upon the peYmittee the right to cut, remove or destroy trees or shrubbery within the legal limits af the right-of-way, easements that are not specifically identified on the plan attached to this permit or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and linea of drainage shall remain operative. 10. Pole Anchors--Fole anchors, anchora, bracea or other construction will be permitted within right-of-may or easements and mill be approved on a case by case basis. 11. Driving Limitations. a. Driving or parking on City trails or sidewalks shall only be permitted for those opeiations requiring direct access to the boulevard area. b. Vehiclea operating or parked within the right-of-way area shall utilize their warning flashers at all timea. c. Vehicles driving on trails or sidewalks slhall not operate iri excess of 5 miles per hour. Vehicles shall operate at alower speeds when weather conditions; trail conditions, poor visibility, obstructed aightlines or other conditiotis require special precautions to ensure the safety uf trail usera attd the general public. d. Driving shall not be permitted within those boulevard areas where demage to turf trailways or other infrastructure may occur. e. Vehicles shall not be parked on trails or sidewalks in such a manne~ a"s to unnecessarily impede the safe and efficient uae of trailways by the general public. ,~Y ~;a a . . . ,~fyt,~. Permit No. Page 4 of 5 :u~ f~-~ ~ i ~~~~tlcl~6 br ~quipment traversing roads or trailway surfaces sh911 not utilize studded ~~t'dr eli~ined tires; caterpillar traction, or any other form of tractlon which will result ~~'F`~il d~mage to the surface, ~ , c:~^~ i4= ,~~~C1~hn=Up--§Ereet, tYailways and affected right-of-way shall be scraped clean at the end ~'!.a~ bach work d8y and swept clean after construction is completed and lePt in a heat and t;jt '"~fte~entabla condition. a~ ~,°4T~eetl and Vegetation-Burning or disking operations and/ot the use of chemicals to , as„~,.bbntxol or destroy trees, brush and other vegetation is prohibited without prior "`~`•~tlppioval from the City. t*.~ s;~ s ~ y~;;~~' . y~ ~t~pldeement of Sod--Wherever top-soil and sod are disturbed, they ahall be replaced and ~Saintained satisfactorily until the turf is established. ~n~;_Tlie undeYSigned hereby declares he/she has read and will comply with all the PERTINENT ~~s='NR661JIATIDNS as stated abova and relevant City Ordinances. .~3'.~-i~4''~ . `K~. y^I' ii % 1~, ; SIGNED: ,21'.k~. ; u' ~ ~:-i , ~ .r~~...,. . ,+~fi:~}~. " ' `P~~.»S~. . u' ~ „ t~.,;: ~~i : : ,r r e~4~4 4~: ~.I '9~i.; . , . . ~ A'd"., Revised 5/93 LTS~1-PERMIT.FM ` 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN ~-7~ 3830 PILOT KNOB ROAD, EAGAN MN 55122 v ~ ~ ~ ~ ~ 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ ! o'~o _ I O~ . Site Street Address ~q~ .~ia~,L ~ k ti nl ~ Unit # ~ - Property Owner 3 Telephone OOa.~' Cootractor < < ~,Q,c2 • Telephone # ) ~3 -3730 ` Address O City~~i .,t~~i' State~Y.~ Zip o~ r The Applicant is: _ Owner ~ Contractor _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 5/8" meter is required) _otne~: ~ v-e. ~f~ b~ -C~+-~s~ Lau.~~~~ Water Softener _ Water Heater $ ~5.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge ~ ~ ~ ~ $ .50 Totat SEP 2 2 2004 I hereby apply for a Residential Plumbing Permit and ackno e a t e 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. ` E la n~ M~ 1.u1co~.ulcz ~l . Applican's Printed Name ApplicanY Signature Date: CIty of Eaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use � Perjmit #: J (� l0 ( 3 C r Permit Fee: ; Date Received: 3-13 Staff: tlitni J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 12131 l 12 Site Address: 1 "t I w ('g t� ch e tr _. C. V CJ e Unit #: Resident/ Owner Name: Truri K c tin (4-- Phone: `1 2. 21 (-1 ci Y 1 Address / City / Zip: 42 I (a� I W e9 r aeg f ce Q,d\ 0 to Applicant is: Owner ty Contractor Type of Work Y Description of work: 04 pl6 ()W1f)(1()4 tncrl) ei 3 (� f (r)9, --- L Construction Costs 3' 7. (0 Multi -Family Building: (Yes L / NoX ) Contractor Company: Qil it yam(/ 1L 5 1-(I 9 gemtr 1Lgcontact: V & a, (( - Address: q0 1( EL - `J City: ) t -1d-1'anct7� l lkL, State: m N Zip: "51 13 • Phone: !,i 51 M' -1 10 V License #: 60 (02 1 21-3 . Lead Certificate #: M A- I r 5 2 -I I- 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) fir 014A--0- - 4 I9!, In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: 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-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.00pherstateonecall.orq 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 pennit, 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 State Building Code must be completed within 180 days of permit issuance. X 6.If.Yi a__ ifta.rn x awlt1 tai O 6 Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink 1 For Office Use I Cit Permit y of EaWan I - I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: if~l' 1 Phone: (651) 675-5675 1 Fax: (651) 675-5694 Staff: I j I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit -~y Resident/ Name: Phone: ka SI 3% \-_Owner Address /City /Zip: Applicant is: Owner Contractor Type of Work Description of work: 0 Construction Cost: x> 3 Z_. 3 Multi-Family Building: (Yes / No ) ~ S C) Company: Gram C J~ Contact: Contractor Address: 3 , 4-1WD N C~ \ cl ~ City: , rf1~ State: f% Zip: Phone: ::2 o' License 0 Lead Certificate #:V)' 5-) - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.gopherstateonecall.oro 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 State Building Code must be completed within 180 days of permit issuance. Applicant's Print d Name Applican Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA124525 Date Issued:07/03/2014 Permit Category:ePermit Site Address: 4291 Westchester Cir Lot:7 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-070 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. Andrea Preusse 4145 Sibley Memorial Hwy 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 - Patrick Kenney 4291 Westchester Cir Eagan MN 55123 (952) 853-5739 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA137250 Date Issued:06/24/2016 Permit Category:ePermit Site Address: 4291 Westchester Cir Lot:7 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-070 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 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: 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 - Patrick Kenney 4291 Westchester Cir Eagan MN 55123 (952) 217-1911 Clean Lving 10500 Ideal Ave S Cottage Grove MN 55016 (651) 388-6211 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144168 Date Issued:07/17/2017 Permit Category:ePermit Site Address: 4291 Westchester Cir Lot:7 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-070 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 - Patrick Kenney 4291 Westchester Cir Eagan MN 55123 (612) 643-1611 Advantage Construction Inc 18563 Vermillion St Wyoming MN 55092 (763) 354-8441 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149013 Date Issued:05/02/2018 Permit Category:ePermit Site Address: 4291 Westchester Cir Lot:7 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 - Patrick Kenney 4291 Westchester Cir Eagan MN 55123 (952) 217-1911 Advantage Construction Inc 18563 Vermillion St Wyoming MN 55092 (763) 354-8441 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167622 Date Issued:03/23/2021 Permit Category:ePermit Site Address: 4291 Westchester Cir Lot:7 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Patrick & Trudy Kenney 4291 Westchester Cir Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170806 Date Issued:07/19/2021 Permit Category:ePermit Site Address: 4291 Westchester Cir Lot:7 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Patrick & Trudy Kenney 4291 Westchester Cir Eagan MN 55123 (651) 452-9699 Built Strong Exteriors Llc 2215 Quebec Ave S Lakeland MN 55043 (651) 702-1300 Applicant/Permitee: Signature Issued By: Signature