4295 Westchester Cir • }w =~w. _ . . : y.,.,_~+~m~ws:~-_.. . - _
~
r a ~ff?~'A1 _ . . '
- ~
t . ~ '
~e~ti~icate n~ ~ccu~anc~
~e~art~ent a~ ~a~Ib~ag ~~pectto~ .
This Certificate issued pursuant to the requirements oJ ihe Uniform Building Code
ti
certifying that at the time of issuance this structure was in compliance with tlee various
ardinances of the City regulating building constructian or use. For the following:
~
use class;fwAcion: SF DWG Bldg. eamW no. 21293
Occupancy Type Zooing Dislrict TVDC Const.
R A ET -r-T-,
Owner of Building Addres.c
441ding Addre.a Localin, f s
i
1 I/ 15/43
Date:
Building W.cial
POST IN A CONSPICUOUS PLACE
i
~
, _ . INSPECTION RECURD
` CttY30F EAGAN PERMIT TYPE: i~ t r~~~ ~
3830 Pilot Knob Road Permit Number. - N•' ~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SlTE ADDRESS: APPLICANT:
I I!I i lil `,:~1#'p I I R
;ini i~t~~~ 1~: i k~rtil~'~ ~ r, 1 „ q!~ 1.~ •
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION •
I
~<<Aw~
~
o r~•,i~~ ~ ~ ~~r! ~ i ~ar~~
I t i "I ! F1i .
+
E<~ ItSnl,~'. ~ I-1 1•I f~1r1r, i f ti' , J ~~r,{~~ i I i I 1 I:~t i~`-
~ ~
I
Permit No. Pernnft Holder Oate Telephor?a #
r SNV
. PLUMBING
kiVAC ~ f 7~ 4~`f~~DV U S
EIECTRIC
ELECTRIC
inspection Dete Insp. Comments
Foatings I
<
Foundation
Framing -2 2 f 3 S, 3/'~ Jcf~/
Roofing
Rough Plhg. 9~6
~,?~s vc. - wL
Rough Htg.
IsuL Q C~ aeW- - °r 2 16 G 7`0 e-c
Firepiace
~o.q.
Final Htg. ~s42 II
Orsat Tast /!S /lf~
/ ~
Final Pibg. or ify Plu r
Const. Meter
EngrJPlan
Bidg. Final
l cv
Deck Ftg.
Deck Final
Well
Pr. Disp.
~ ~ ~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 3
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675
SITE ADDRESS: ts t ilr r APPLICANT:
t>.. I I S 14KAi1F ~?RI?
IfF,LI l fllficiVl IIf~~~l~•~• I ~ r 1 f !I' , ,•~;F. ~
PERMIT SUBTYPE: TYPE OF WORK:
tI: , t Ni Ii
INSPECTION .
F
~
L
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Date inep. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPIACE
AIR TEST
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I. '
BSMT FINAL
- ~
DECK FTG
"-Z-i--i1 PY1'? ~i 1.W 4E71V1PXR51>
DECK FINAI P
Address 4295 taESrcxEsrEt ~IRaE 6k~_ Z,1'_ Zip 5512_3
L•.oE ~ 6 Blk 4 Sub _ HAwixoxrj woovs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: ,j 9,11- Yes No Inspector.
Fina1 grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ~
Permanent driveway ?
Petmanent gas
Sod/Seeded grass
TraiUwrb damage
Porch
Basement finish ~
Deck I/
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-oH of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division af 681-4645 before working in righbof•way or installing underground sprinkler system. ~
White - City Copy. Yellow - Resident Copy Pink - Contracror Copy
490.00 90. 0-b
?o 06 13 2007 RESIDENTIAL BUILDING rERMiT nrrLicnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conswction Reouirements RemodeUReoair Reauirements Otfice Use Oniv
3 registered site surveys showinq sq. fl. of lot, sq, ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd Y_ N
(20°b maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report Y; _ N
1 Shcs Report if proposed building is l0 6e placed on dislurbed soil 1 site survey for additions 8 decks Tree Res Plan Recd _ Y_ N,
2 capies of plan showing beam 8 windav sizes; poured found design, etc. Add'Rion - indicafe ifon-site sepb'c sysfem Tree Pres Required _ Y_ N
1 set of Energy CalculaHons On-SiteSeptic System _ Y_ N
3 copies of Tree Preservation Plan if lot platted aNer 711I93
Rim Jdst Dehail Options selecfion sheet (buildings with 3 or less unils)
Minnegasco mechanical ventilation lortn
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date 10 / ) I / 0-7 ^ Cons[ruction Cost F(01) ~
SiteAddress ~-tn~9- W eS~Gne,$1 Tf `c l.~`~'Uf UniUSte #
Description of Work Taar cW
Multi-Family Bldg _ YX N Fireplace(s) _ 0 _ I _ 2
Property Owner `Brud 'Y-U ~Q, Telephone # (65 1) 4Sa -9 453
Contractor \~Q.1 \
Address CQ CitY ST . Pa~~
state ziP 55 I Telephone #(1pS( ) o2S I- 09 ~ Z)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Aules 7670 Cateeorv I _ Minnesota Rules 7672
Energy COde Category , Residential Venlilalion Category 1 Worksheet • New Energy Code Worksheel
(4 submission type) Submitted Su6mitted
• Energy Envelope Calculations Submitted
In }he last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of masier plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone )
1 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 5tate 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 approved plan in the case of work which requires a review and
approval of plans.
M*,'(,~h0.ei` ~P11St" l,@ eaQ -
Applicant's Printed Name ApplicanPs Signature
PERMIT ~ '96
~ CITY OF 9AGAN PERMIT TYPE: I p~N~
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: 021293
(612) 681-4675 Date Issued: 0 7/ 0 8 J 9 3
SITE ADDRESS:
4295 WESTCHESTER CIR
LOT: 6 BLOCK: 4
HAWHORNE WOODS
P.I.N.: 10-32150-060-04
DESCRIPTION:
B,ei ding`ermit Type SF OWG
Ruilding W`o~rk Type NEW
~U6C Occupancy~ R-3 M-1
Construction T}rp -e V-N
2oning R-1
Btr3lding Length 74
Building Width Q--) 42
~
,f ~
REMARKS:
S& W PLBR - MATTHEW DANIELS PLBG PRV
FEE SUMMARY:
VALUATION $179,000
Base Fee $916.00 MISCELLANEOUS $1.744.50
Plan Review $595.40 Total Fee $4.095.40
Surcharge $89.50
SAC $750.00
SAC % 100
SAC Units 1
Subtptal $2,350.90
CONTRACTOR: - APPlicant - s7. LIC. pWNER:
KOT HOMES, R A 16879513 0001506 R A KOT HOMES INC
7901 UPPER HAMLET CT 7901 UPPER HAMIET CT
APPLE VALLEY MN 55124 APPLE VAILEY MN 65124
(612) 687-9513 (612)687-9513
I hereby acknowYedge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
e '
APPLIC T/PERMITE SIGNAT RE &iLISSUED Y: SIG URE
RF LTIVATE _RE(~(E~~//EDD CITY OF EAGAN
pr~i.!r;.# , , . 1993 BUILDING PERMITAPPLICATION $COGS.40
_
as~~ ' JUN 2 2 1993_ 681-4675
SINGLE.& MULTI-fM1ILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) 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 h / 1-2 / 93 Yaluation of work 19.Spo95
Site Address: U-1CS"_cQ,(L C'i"l2
SiREET SUIiE t
Tenant Name: (commercial only)
IAT ~ SIAC& -IL SUSD. P.I.D. M
Descri tion of work:
The applicant is: C9'Owner O'Contractor ? Other <o..«tbe>
Name ~/~•11~-r 1-7vNej Phone 10~37-9s'/3
Property LAST FIRST _
Owner Address 7901 ~ T 7L ~H+le sre r
City ~ a~ State /YA? Zip /L
Company Sa~e 4s a gve- Phone
Contractor Address License #~ISVb Exp. p~
City State Zip
Company ~ ~G APSan Phone /A 7- 9s213
Architect/
Engineer Name Registration #
Address
City 1' State Zip
Sewer & water licensed plumber 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 infarmation is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O l~,,B. ase~t~jjp i.sh
Er-02 SF Dwg.. ? 07 4-Plex ? 12 Multi. Misc. 0 17 Swim Poot
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
V 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Canst. (Actual) V- hl Basement sq. ft. MWCL System Vs5
(Allowable) V-ri lst Fl. sq. ft. City Mater _
.UBC Occupancy R.3 N,_~ 2nd F1. sq. ft. PRV Required S
Zoning R_1 Sq. Ft. total Booster PumP
~ of 5tories Footprint Sq. ft. Fire Sprinkler
Length ~n On-site well Census Code I61
Depth ~ On-site sewage . SAC Code
APPROVALS ~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing ? Framin9 O Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee Yrluetim:
Surcharge
?lan Review ("sARr A! / Z ~ ^ 1 eo
License
MWCC SAC X 12 ; 9(,
c;ty sac ('4
2 ~
Water Conn.
Water Meter 834 x l(, ~+334 y
Acct. Deposit r~
S/W Permit /ylbK 15 = zi 240 .
3/W Surcharge i
Treatment Pl. JSr
Road Unit `~7220
Park Ded. 1Ll a~ X 5'4;
Trails Ded.
Copies ZNp Ft-o't =
Other
Total : 0o
$AC % I0~ UwF~r~is~V~ St~.4cE'
SAC Units
`d10~ ~t 34 =
1r78 004
07i07i93 16:09 091
e e
I SURVF.YOR'S CfRT1FICATE R.A, KoT HOMES
D~te
.,~p~r~
b
p~
NOTE: NO SPEGIFlC: SPil:B INVESTI6ATION
NOTE: BVILDIM6 OIMENSIONS SNpWN ARk NAS BEBN COMPLETfA ON TH19
FOR HORIZO Al d VOiifCAl ~pC lOT 8Y TNE SUqVEYOR. THE
ATION OK SRUCrtI1R~ ONIY. SEH SUIYABILiTY OF 80IIS 70 SUPPORT
ARCHITECTUAI PlAPl6 inft 6UtLDfN6 TME gpECI~IC NOU6E PROPOSED
8 pOUNDATION DlMENSiONS. iS NOT 7NE RESPONBIBILITY OF
THE SUFNEVOR.
- DENOTES PROPOSED SURFACE DRAINAGE
p OENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
4i bENOTES IRON MONUMENT FOUNb PROPOSED C3ARAGE FIOOR - 9 s 3, o FEET
X000.0 bEN07E5 EXISTING EIEVATION PROPOSED LOWES7 FLOOR - qqG.O FEET
(000.0) pENUTE-S PROPOSED ELEVRTION PROPOSED TOP OF BLOCFt = yF,q .•d FEET
WE HEfiEBY CEflT1FY 7a R.A. KOT HOMES THAT 7HIS IS A TRUE ANQ CORRECT
fiEPNESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Loi 6i Btock4' HAWTWORNE WOODB 1ST ADDITiON, accordinq tp Yho recorded
pidt lhereoi, Dakota Caunfy, Mlnneaofa.
IT bbES NOT PUNPORT T(7 SHOW IMPROVF-MENtS dR ENCROACHMEIVTS, EXCr-PT A5 SHOWN. AS
SUHVEYED BY ME OR UNUEN MY DIRECT SUPERVISION TH15 215T DAY OF APFiIL , 1993.
SiGNED JA ES HILL, INC.
FRqPOSktl GflAOES SNO1'!N WERE ~?1(EN
M TNH qqAD1NG d DEVELOPMENT PLAN ~
r pp
F'p .NAWTN011lUi. W 09 18T ADbIfION 0 ..._..r-~.
p pgp, SY MiCOlVb3 F'tiANK ROOS ASSOC., BY: •
I1JC". LASt oAfif~u tl-z3-$2 QNN C. LARSON, LAND SUAVEYbFi
J
MINNE3dTA LiCENSE tdUM$ER 19828
'Oio
70z o~rr~es R Hiinc.
~ J ~ ,~7
m PLANNERS ENQINEERS SURVEYORS
~
ci w m 2500 W. CTY. RD. 42 9 BURNSVILLE, MN. 55337 6 812-090-6044
l_tg~
„ 07; 07i93 15: 10
. r ~ ,
. ~
,~.1~V~~~~'$ CCR1`IFIG~T~ a.n,. Ko~r IiornEs
C--~ RCU
J_.~
494
a7 Q ( ~ a -A.
1 ~
D 1VE81A~
( "75 2.7
g Alqp{f - - ~
Tp&POFpI , ~ ~~15Q .^O , ~ '
ELEV.-9pfi9~7
` 955,7 ~
I x fA QAR, N ~ 949.3. ~,XIS4~
14f I
o C~ ~ - -
v qp
JAP
7 ~ p H~ CD O
L ~
935.s OD I ~ ( 954 _ I)
N
949.7
9A9.7 I 1
, I 1 934.5
r
o ~ l_OT 6' 4
N I cq
? ~ _...r__
( 93o.a ( ~ 3 o
~ N0~18fd 41"VJ
I
I
~ .
5CA4.~~ IINCH`-30 tttT.
a
HII~IG
a+o 0 1James
Z~ mpL.ANNEas r ENGiNEEas i suRV~Rs
~ O m N { 2500 W~ CtY. db, 42 ~ AUkN9vILLE, MN, 55337 0 812~89a g~~~
.
, . .
. , _
LOT BURVEY CHECRLIST FOR REBIDENTIAL
( ..LLI~• . . ,
~ BUILDING P IT APPLICATION ~
3
m ~ pROPERTY LE4AL: ~
f
Date of Burvey:
D9CUMENT BTANDARD6
2'10 ? • Registered Land Surveyor signature and company
B"'? ? • Building Permit Applicant
0' 0 0 - Legal description
0 Q` ? • Address
B' 0? • North arrow and bar scale
9"- • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
Q-'0 0 • Directional drainage arrows with slope/gradient
? B' ? • Proposed/existing sewer and water services
6~ 0 0 • Street name
0- 0 ? • Driveway
ELEVATIONB
Existina
? 0' ? • Sewer service
@' 0 ? • Lot corners
0 • Top of cuzb at the driveway
Cfi 00 • Elevations of any existing adjacent homes
Frocosed
E~ ? ? • Garage floor
0" ? • First floor
Q` ? ? • Lowest exposed elevation (walkout/window)
Q' 0 0 • Property corners
0' • Front and rear of home at the foundation
BONDINf3 AREAB (if aoolicable)
? ? • Easement line
? C~ 0 • NWL
? [r 0 • HWL
0 [3' 0 • Pond # designation
? 0~l0 • Emerqency Overflow Elevation
pSMENBIONB
,0' ? ? • Lot lines
0 0 • Right-of-way and street width (to back of curb)
L7,~ ? 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e.. all
structures requiring permanent footinqs)
fY 0 Q • Show all easements of record and any City utilities within
those easements
H?? • Setbacks of proposed structure and setback of adjacent
existing homes
D D~10 • Retainin equ ements, if any
Reviewed:
ame, / Date
October 1992
EXTERIDR ENVELOPE AVERA6E "U" COMPUTATION
OWNER HRAD & ALLISON LEE PLAN N0. 9-0218-3
SITE ADDRESS LOT LOCKeI. 4lts/rMOIlldE'sjooLyC,
CpNThACTOR R.A. F:p HOME5 rINC. DATE -36/18/93 PHONE 687-9513
DETEFtMIME WORhh;IN6 SGlUARE FOOTA6E
4646.935
1. 7ot-al e;;posed wall area 4748.75 sq.ft. .11 521.8125
2. Total roof/ceiliny area 1896 sq.ft .025 49.296
3. Total floor cant. area 380 =;q.ft. 0.05 19
(aver unheated enc_losed areas)
4. Total filoor cant, area 37 sq.ft. 0.025 0.925
tover unheated e>cposed areas7
S. Total e>:posed uial.l area above thP fl.oor._____,4141.9:;5
a. Total wall window area.......e............550.OSi6
h. Total door area 37.8189
c. Total sliding ylass door area 35.5511
d. Total fireplace area D
e. Total wall framzng area (ave. 10%) 4i9.1935
t. Total net uiali area above the filoor....... 3149.32
g. Total rim ,ioist area 455
1"OTAI. EXPOSED FOUfJDA?'ION AREA 46.815
h. Total foundation windoui area o
i. Total net ioundati.on area 96.915
Uetermine "U" value nf each wall segment.
a. 550.0516 "U° 0.36 = 148.0186
b. 37.8189 "U" 0.06 - 2.269134
c. 35.5511 „ "U" 0.36 = 1<"'.79E34
d. 0 „ ..U1. D = 0
e. 419.1935 "U" 0,090314 = 37.86752
f. 1144.32 x"U" 0.043215 = 136.0485
9. 455 °U° 0,040683 = 18.51098
h. U .~U,~ 0.36 = U
i. 96.815 "U" 0.076161 = 7.373572
b ............................e........Total 412.93J
If i.tem #6 i: l;he same as or le!ss than item #1 you have met e current
energy codes. 2 MCAR 1.16008 A AND 0.
TOTAL EXPOSED RDDF/CE.ILINCi FaREA 1896
j. Total s4::ylighi; area b
4::. Total f7.at rooficei.linq framing area...... 189.6
1. Total net flat rnnf/r_ezliny area.......... 1700.4
Determine "U" val.ue fnr each roof/c1G. segment
j. 6 U,1 0 = O
F::. 189.6 "U" 0.025544 = 4.844149
1. 1700.4 x "U° 0.021801 37.06498
7................................... Tota1 4t- 97.hi~~
If itgm #l is the same as or less than itPm #2 you have met the
' energy qnde. 2 MCAR 1.16008 fl AiVD U.
TOTAI FIOOR CAN'T. AREA (L-'I'iCLOSBd). 38C)
a. Total floor cant. tr,aminr.~ area (ave. 10'!.). 38
p. 7o1:a1 net insulated iloor/cant, area...... 342
Determi.ne "U" va1ue for each filonrfcant, seqment.
o, 38 x"U" 0.04387R = 1.66739F3
p. 342 ''U~' 0.024254 - 8.294931
8......,....e.e.e ...................Tota1 9.962329
}:f ai:em 08 is the same as nr leSS than item you have met the
energf code. 2 I`1CAR 1.16Oo8 A AND 0.
TCITAL f=LOOR!CANT. AREA (e::posed) 37
q. Tatal floor,'cant. framii7g area (ave. 10•l.). 3.7
r. Total net insu).ated f7.oorfcant. area...... 33.3
Determine "U" valua fior each floor/cant. segment.
y . 1.7 "U" 0.044346 = 0.16406
r^. W31 .3 " U " O.n24396 = 0.812393
9e..,.......e .......................Total 0.976473
I'f item #9 i.s the same as Qr les°s than item #4 you have met the
eneryy code. 2 MCAR 1.1600B fl ANI7 Cl.
T HEREflY CERTIFY 'FHAT 't HAVE ALCUI.ATED 1"!-IE "U" FAGTtIFtS AhID "
VAt.UES HEftEI1V 41ND THAT THE ILDING HEF£'D~ 'RSEsED MEETS C'=DS
T'HE STATE OF MIIVNESEITA ENE 6Y L"UNSER~VATION' A T,
~(Saynat re ~
/
DETERMiNE "L1" VALUES"
l`WFtU STIJD WITH SIDING £c S.R.
Interior Air...... 0.68
Sheet Roc:k:........ 0.45
Thermo-breaS:...... C)
Stud.............. 5.93
Sheathing......,.. 2.06
:ai.ding 0.78
E>:terior fla.r...... 0.17
Totacl "R" Value.... e 11.07
I/R _ "U" V3:Lua............ ti.09paa4E
~ TY OF EAGAN PERMIT
CI
3830 PilOt Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028133
(612) 681-4675 Date Issued: 0 7/ 0 2/ 9 6
SITE ADDRESS:
4295 WESTCWESTER CIR
LOT: 6 BLOCK: 4
HAWTHORNE WOODS 1ST
P.I.N.: 10-32150-060-04
DESCRIPTION:
; .
ffuil-ding,Permit Type DECK
f'Building 14ork 7ype NEW '
Gensus Code 434 ALT. RESIDENTIAL
F-~
_ Ap ;1
} ~ 5 t
1t ~t 15 i d€;
t,.`"~t,-Y•~.,.~~u`.~.,? . _
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $45.50
CONTRACTOR: OWNER: - Hpplicant -
LEE BRADFORD
4295 WESTCHESTER CIR
EAGAN MN 55123
(612)452-2453
` I hereby dcsknoWledge thaZ I have read this application and state that the
` informetion is correct and agree to comply' with alt applicable Stete of M'n.
Statutes and City ot Eagan 6rdinances.
AN R ITEE SIGN~ ~ED BV'SI ~ tTURE
~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 N'
~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
33 68,4675
New ConsWclion Reauiremants RemodeVReoair Reqyiremenla
? 3 registered sife surveys ? 2 eopies of plan
? 2 copies of plans (inGude beam 8 xrindow sizes; poured ind. design; elc.) ? 2 site surveys (exterior additions & decks)
? 1 energy catculations ? 1 energy caleulations tor heated additions
? 3 copias of tree preservatlon plan if lol platted aRer 7/1/93
required: _ Yes No DATE: Cr! ZA /9r CONSTRUCTION COST: a~Ea ~
DESCRIPTION OF WORK: .0e
STREETADDRESS: 57C,ffFS7~~
LOT ~ BLOCK ~ SUBD./P.I.D. Am'l mL ~wL I
/S/L/SOiaRO
PROPERTY Name:T ~ Phone
OWNER
5treet Address.~~9S W~s7~~S7~ ~4eCLE
Ciry: ~ C~~? state: A r? zip:
CONTRACTOR Company: Phone
Street Address: License M
City: State: Zip'
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
:R~'~~~~D StreetAddress•
26 i~~~ City; State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of Applicant
OFFICE USE ONLY -
Certificates of Survey Received _ Yes ~ No ~
~ No ~
Tree Preserva6on Plan Received _ Yes _
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
? 02 5F Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 5F Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ~5 Deck
WORK TYPE
,r31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. . MC/W5 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. 6/3~
Depth Footprint sq. ft. SAC Code o/
Census Bldg ~
Census Unit 0
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: . $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other Copies
ToWI:
°k SAC
SAC Units
0'7; E1'i.' 93 1C: 10
' . . - ~
GERT1FICATE. R.a.Woi 14oMEs
' CIRCL
w ~ ~To-
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ELEV.
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(930,0) (939.0
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SCAI,$: IINCN=SO rEkT
~ ~ o I~.~~'r'if'S II~C,
"I b- c. o i N o ~ J
'mW
F
°z pLANN~.p51 ENGINEERS I SuRvEYar~s
00 b 0 m ~~N W { 2500 W. CIY. Fid. 42 ? 8UftN9V11,I.F, N114 . 55337 $ 812 890 eDnn
CITY USE ONLY
LOT BL RECEIPT
SUBD / RECEIPT DATE:
1998 MECHANICAL PERMIT (RESIDENTIAL) /3J9,/
cxxY oF sacax
3830 PILOT IINOH RD
EAGAN bA7 55122
(612) 681-4675
Date:
Complete this section onfv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDiTIOIvAL, 50 Ivi BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
_ Install furnace ~ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge
Total: 20.50
SITE ADDRESS: /7W~tr- GU/S /~Tez ~ 816. -
OWrR NAME: 4LUS9/rJ Ce'C PHONE it:
INSTALLER.N.4ME: PHONE
STREETADDRESS: /7Dd t IO/~ ~C-
CITY: STA : ZIP: JJr.371)
gidNATURE OF PERMITI'EE
JS/FORMS BLD/MECH PERMIT (RES) - 1998
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
1998 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT RNOB RD
EAGAN, bIId 55122
(612) 681-4675
Please complete for all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYFE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,oW of aermit fce due on all permiu.)
TOTAL
5IT'E ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS oxL7):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
L ~ BL RECEIPT#: ~ I
SUBD. T U~~ 1~ V V1/ VYI~I ~V~~S RECEIPT DATE: -
PERMIT# ~/1~/'"/o
1999 PLi1MBINfi PEiiMiT (RESIDENTIAL)
CPfY OF f.AfiAN
3830 Pu oT KNoa Rn
gAflAN, bIN 55] EE
(651)6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - i 3.00 x = $
Hot tub/s a 100 x = $
Kitchen sink 3.00 x = $
Launtl tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
PrivaYe Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
$
RPZ new installation/re air 30.00 x R
enin 1.50 x $
Rou h o
Shower 3.00 x $
Under round s rinkler if dwellin is under construction 3.00 x $
Under round s rinkler if existin dwellin 30.00 x $ a U
Water closet 3.00 x $
Water heater 3.00 x $
Water softener If dwelling under construcGOn 5.00 x = K$j Water softener if existin dwellin 30.00 x = Water turnaround 30.00 x _ State Surchar e .50 50
Total 50
Reminder: Call for inspections of alteretions, i.e. water heaters, water softeners, etc.
1 hereby acknowledge that I have read this appliptlon, stale that lhe information is correct, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicant's responsibility to nolify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities COnstructed under ihis pertnit within City property/right-of-way/easement.
SITE ADDRESS: -t S Lfl ~i
OWtVER NAME: : TELEPHONE `IS 3
(AREA CODE)
WSTALLER NAME: TELEPHONE 61-I-q13'11il8 3
(AREA CODE)
STREETADDRESS: 1 `~Ie~,C/L•_-~0•~ ~
CITY: STATE: 'h ZIP: 5 5 0/(
SlGNATURE OF PERMITTEE
~~"~TSE ~Q~S..'X
'y`~.'~ s . . a s
1R , ....949:x?n?~ItfAp.,.~$.f.Awr.c..~.~i':M!. . . 3.s.s.v.«.._ sw..,...,.r.:.•.
1993 PLUMBING PERNIIT (RESIDEN'ITAI.)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - -
NO: FIXTURES EACH TO
, SHOWER 3•00 3 ~
'.'IA?'ER CLQSET 3.00 o °
~ BATH TUB 3•00 ~ ° °
S LAVATORY 3•00 IS - ° °
t KITCHEN SINK 3.00 3. ° o
I LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
t WATER HEATER 3•00
~ FLOOR DRAIN 3.00
3 GAS PIPING OUTLET • minimum - t 3.00 o°
L4_ ROUGH OPENINGS 1.50
WATER SOFI'ENER 5.00
PRIVATE DISP. • DeILcry. uc. 15.00
U.G. SPRINKLER • nome u~eer const. 3.00 ,
ALTERATIONS ' ro aristing 15.00
WATER TURN AROUND 15.00
STATE 3URCHARGE .SO
TOTAL: `o • S'~
SITE ADDRESS: 4 ~-q
nWWEg n1aMF. S}
WSTALLER:
ADDRESS:
CIT'Y: STATE: ZIP CODE:-- Z 3
PHOIv'E
SIGNATURE OF PERMITTEE
. ~L ;
w.
~F.... 1 ..f.. ...~i i. -VA~~$.....:...~...~.4
1993 PLUMBING PERMTf (COMMERCIAL)
CTfY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COIvMERCIAL/INDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUP:DWGS WNEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH
DWELLING U:, ;T.
_ NEW CONSTRUCfION
ADD ON
REPAIR
WORK DESCRIPTION: ~ CONTRACT PRICE: $
FEE: 19c OF COA"fRACT FEE. STATE SURCFIARGE 5.50 FOR FACH S1,000 OF pER14fFEE,
MIhIMUM FEE: $ 25.00 "
CONTRACI' PRICE X 1% $
STAfiE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NA11'IE:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
~ ~t`~s~ ~+7va~,~
[ s
1993 MECHAHICAL PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
M_...
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 2.00
ADDITIONAL 50 M BTU ~6.~
GAS OUTLETS (MINIMUM 1 C' $3.00 EACH) ~90
ADD-ON/REMODEL (Ex1sTING CONSTRUCI7oN) $ 15.00
STATE SURCHARGE .
TOTAL
/
SITE ADDRESS:
OWNER NAME: <:?LA~f-~ TELEPHONE 60 f-
-Bumsvi e Heating & A/C; ; :
WSTALLER: 12481 Rhode Island kve:
avage, 553; 8! i 1z
ADDRESS: 894-000''
CTI'Y: STATE: ZIP CODE:
TELEPHONE
I /QNATI.0kE OF PERM EE
1993 MECHANICAL PERMIT (COb'MRCIAL)
CT1Y OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMIIv1ERCIAI4/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WI-IEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UN1T.
DATE: CONTRACf PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONT}ZAC.T FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMTt FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENT'S ONL7)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECI'OR
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155559
Date Issued:05/21/2019
Permit Category:ePermit
Site Address: 4295 Westchester Cir
Lot:6 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-060
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Allison Mccormack Lee
4295 Westchester Cir
Eagan MN 55123--304
(612) 840-0105
Tri County Water Conditioning Inc
325 Third Ave NW
P O Box 65
Huchinson MN 55350
(320) 587-2950
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160073
Date Issued:02/11/2020
Permit Category:ePermit
Site Address: 4295 Westchester Cir
Lot:6 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Allison Mccormack Lee
4295 Westchester Cir
Eagan MN 55123--304
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:EA163914
Date Issued:09/15/2020
Permit Category:ePermit
Site Address: 4295 Westchester Cir
Lot:6 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-060
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: 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 -
Allison Mccormack Lee
4295 Westchester Cir
Eagan MN 55123--304
(651) 233-6677
Patriot Homes Llc
14003Tulip Street
Andover MN 55304
(763) 477-1904
Applicant/Permitee: Signature Issued By: Signature