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4296 Westchester CirCity of Ea�afl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: % (/ I Permit Fee: 9(3. Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I6 10 Site Address: '71 q, tho-/r:: eirek J Tenant: Suite #: RESIDENT / OWNER Name: S + Pd4% ? 2.- /s Lr/e./h Phone: Address / City l Zip: 1/Z (p Wed t ire ' 611/14-) / 6:571-3 Applicant is: Owner Contractor V TYPE OF WORK Description of work. IAA - ice' 1 Z a i S & J • Construction Cost:/5; Odv, 00 Multi -Family Building: (Yes / No X ) CONTRACTOR Name: •--11-1-t5-/ k -'/e C License #: ZO 5-2'' Address: 39&26 eci,e'Y J". ' ►i/`e • City: 1- — Phone: & 7— " o '�/�ZO1 L State: 'fl� A Zip: .c 5 -1-7.e __//) Contac:/V2UK 64g ---/-7(4y Email: a S -6 le„44 awl . Gi!'h% 1 COMPLETE In the last 12 months, has Yes If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit aro considered to;be pu iiic info m ion ,ins of the information may be classified as no public if you provide spec c reasons t ou id p+i iii +City: ttai 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.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 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. x /vI CAo/ `I , 6‘4..(2,72t6.r/ x / � Applicant's Printed Name tWi# Applicant's Signa Page 1 of 2 • • W ei.dficate of cccuvanc4 Wtt4 nf c~ag~ ~ ~~ilbing a«oedim This Certificate issued pursuant to the requirements of the Urtiform Buildireg Cade certifying rhat at rhe time of issuance this structune was in compliance welh the various , ordenances of the City regulating building corutruction or use. For the following: use aassircat;on: SF D,1G . awg. Pen-nic nb. 21464 oc-pancy.;rype zon;,g nisrn« Type cousL o.wrof Buiiai,g Bol.Wm HkF.S Addrm 1322 H?[I~D AVE N, QAEMAIE i ~CME L 13, B4, HAid? WOODS IST ~ BaiWing Addcess ~;~y Building Official POST IN A CONSPICUOUS PLACE , INSPECTION REC()RD ~ , ' CITf OF EAGAN PERMIT TYPE: I r4 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: i, I r. APPLICANT: PERIUIIT SUBTYPE: TYPE OF WORK: • i~: INSPECTION rA . ( I f; ! I i': ~ ~ J Permit No. Permit Holder Date Telephone # SM! PLUMBING S/ew.~~ ~ HVAC ~ 9~(r ELECTRI 9r~ 93 Uov ELECTRIC tnspection Date InBp. Comments Footings I ~,z z~3 D~ Foundation Framing Roofing Rough Pibg. ~ d- Rough Htg. -2 Isul_ Fireplace Final Htg. Orsat Test ~ Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final "f 93 Deck Ftg. Deck Final I Well Pr. Disp. I! I i INSPECTIQN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date lssued: (612) 681-4675 SITE ADDRESS: APPUCANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A . .A ~ H lt~l~~ I H I I I,~; 1 1fJr'~I F'I f'llia•.F'~ ~I I f~1tAil r111'~ !:'i!lslllt, Ili; li.lI I il F ~ L Permit No. PermR Holder Oate Telephone f? SNV PLUMBING i HVAC ELECTRIC ElECTR1C Inspectfon Dete insp. Comments Footings I Foundation Framing f/L~,9S fl1~ Roofing Rough Pibg. Rough Htg. Isul. //Z Fireplace ~ ~ "2 S• ~S ~'~5 Finat Htg. Orsat Test Fnal Plbg. Plbg. inspector- Notify Plumber Const. Meter Engr./Plan Bidg. Final Deck Ftg. Deck Final Well Pr. Disp. Address . 4296 WESPaMTE!t cI-RaE Zip 5512 3 L.o't 13 Blk 4 Sub HawnioIM woons Isr THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: 5 Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Petmanent gas 3od/Seeded grass TraiUwrb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and ihe shut-off of water supply to the outside lawn fauc8t before freeze potential exists. . Contact engineering division at 681-4645 6cfore working in righ[-of-way or inslalling underground sprinklet sys[em. ~ White - Ciry Copy Yellow - Resident Copy Pink - Conlractor Copy RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Naw ConatruMion Reauiremants RemodeUReoair Reauiremenb • 3 registered sNe surveys showing sq. M. of lol, sq. R. of house; and all rooted areas • 2 copies of plan (20% masimum lot cove2ge allowed) . i sel of Energy Calculations for heated add'Aions • 2 copies of Dlan showing beam 8 window s¢es; poured fouM desyn. etc.) • 1 sfle survey for ezlerior additions & decks • 1 set of Energy Calculafiore . Indicate if home served by septic system for addNOns • 3 copies ot Tree Preservatbn Plan if lot platted after 711/93 • Rim Jaist Detail Optlons selection sheel (bldgs with 3 or less units) ' DATE ~I - zO -O Z VALUATION ~ ~z SITEADDRESS `7 2~~0 ~ j1aS~_C,I~~s4e, Ct?cC.Q_ MULTI-FAMILYBLDG _Y _N TYPE OF WORK ki(e.p6g- CfA ~ FIREPLACE(S) _ 0_ 1_ 2 SELA ROOFING & REMODELING. !t,•~~ ^ ~ APPLICANT eim FXCELSIOR BLVD. STREET ADDRESS _ ST. LOUIS PARK, MN 55416 CITY STATE ZIP Iv-i'~'3•••ncn _ TELEPHONE # ~~7-g23~SoyG~ CELL PHONE # PAX # PROPERTYOWNER &2# TELEPHONE# &$S- ZI 7SS COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY ~51 a 3 75 ~ Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MIMaLESOTA-ItIJL-F-S 7672;- I (1 (J submissian type) . Residential Ventilation Category 1 Worksheet Submitted • New;'8r~W9Yotle Worksheet SuCmitted • Energy Envelope Calcutations SubmiKed Sc P 2 0 2001_ ~ i 11 Plumbtng Contractor: Phone # Plumbing system includes: _ Water Softener _ Iawn Sprinkler r~--Fee:= -$90:OG- ~ _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor. Phone # Mechanical system includes: Air Conclitioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contraetor. Phone # I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 5lgnatureofApplicant _ZZZ&~ OFFICE USE ONLY~~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Damage ? 06 04plex O 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 AddiNon ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) • Give PCA handout to appliwnt 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 Sprinktered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas 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 CLAIM VOUCHER-REFUND REQUEST ~ CITY OF EAGAN MAKE CHECK PAYABLE TO: CEDAR VALLEY EXTERIORS INC 9920 ZILLA ST COON RAPIDS MN 55433 LOCATION: 4296 WESTCHESTER CIR RECEIPT #/DATE: 31911 7/31/02 REASON FOR REFUND: NOT AWARDED JOB PERMIT 53770 VALUATION: $5,000 TYPE OF REFUND: Plumbing Pernut 9001.4087 $ Mechanical Permit 9001.4088 $ Building Permit Fee 9001.4085 $ 11125 Plan Review Fee 9001.4222 $ SAC (MC/WS) 9220.2275 $ SAC (City) 9379.4681 $ SAC (Admin) 9001.4246 $ WaterConnection 92203865 $ Sewer Pernut 9220.4532 $ Water Permit 9220.4507 $ Account Deposit 92202252 $ WaterMeter 9220.4509 $ WaterTreatment 9220.4685 $ Surcharge 9001.2195 $ Oveipayment 9001.2250 $ Curb Box Deposit Refund 9220.2253 $ Construction Meter Dep Refund 9220.2254 $ Other $ TOTAL $ 11125 I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. 7tiL. 9/26/02 SIGNATURE DATE city oF eagcin ['ATRICW E. AWADA Vfavor PAUL BAICICEN PeccvcuusoN II September 25, 2002 CYNDEE F(ELDS I MEG TILLEY Cowul Members CEDAR VALLEY EXTERIORS INC." . 9920 ZII.I.A .ST I COON RAPIDS MN 55433 THOMAS HEDGFS I CiryAdminiscraror RE: REFUND OF BUILDING PERMIT #53770 I TO WHOM IT MAY CONCERN: mtun;ctPai ceacrr: i On July 31, 2002, permit #53770 to re-side 4296 Westchester Circle was issued to your company. It has come to our attention that you are not doing this work and we aze, therefore, refunding 3830 Pilot ttiob 2oad under separate cover, the base permit fee of $111.25. The State Surcharge of $2.50 is non- Eagar,, NtN 55122,1897 refundable. Phone! 651.651.4600 This letter is also meant to advise you that effective January 1, 2001, the City of Eagan's Fee Fax:651.csi.46iz Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a 7"DD: 651.454.8535 courtesy, we are informing contractors of this policy and issuing a full refund, minus the state surcharge, for a cancelled permit on a"one tima only" basis. Ma;nten,,,ce p,oa;cy: If you have any questions, please feel free to give me a call at 651-681-4695. 3501 Coachman Point ncerely, ~ i Eagan, MN 55122 ~ Phone: 651.681.4300 Fvc:651.G81.4360 ~ Severson Office Supervisor TDD: 651.454.8535 . cc: Dale Schoeppner, Chief Building Official www.cityofeagan.com I THELONEOAKTREE The symlwl af saeng[h - and growdi in our communicv , C1'/a .r A-~.t,~~ -d.lL. RESIDENTIAL 43UILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 NewConsWelionReauiremeMS R modeilRe airRe uiremanb • 3 registered site surveys shaxing sq. . of lot, sq. H. of house; and all roofed areas • opies of plan (20 % maximum lot coverage allowed) 1 • 1 sel of Ene~gy CalcWatlore kr heated additions 2 copies of plan showing beam 8 window es; poured found tlesgn, etc.) ...(N 1 site survey for ezlerior additions & decks . 1 set ol Eneryy Calculalians Indicate if home served by septic system for additions • 3 copies of Tree P2servatian Plan if lot platt after 711/93 • Rim Joist Detail Options selection sheet (bldgs ith 3 or less unAS) DATE _U~ ' ewo y VALUATION ~ SITEADDRESS `T O Y f1 MULTI-FAMILY BLDG _Y _N TYPE OF WORK . PIREPLACE(S) _ 0_ 1_ 2 APPLICANT Csdar Valle E S h'IC. i a treet $TREET ADDRESS Cnnn Ra CITY $TATE_ZIP TELEPHONE #IC&CELL P v FAX #a~_ 75~?J PROPERTYOWNER C- TELEPHONE#1 LL - COMPLETE THIS SECTI N F R"NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVNESO' A RiJ[.LS '70 CATEGORY 1 ~IINNESO'CA RULES 7672 (J submission type) • Residenti Ventilation Cat ory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy nvelope Calculatio 5ubmitted Plumbing Contractor: Phone # Plumbing system includes: _ Watcr SoRene _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. oF R.I. Baths No. of Bachs Mechanical Confracfor: Phone # Mechanical system includ s: Air Conditioning Fcr. $70.00 _ Heal Recovery System Sewer/Water Contracto . Phone # I hereby acknowled e that I have read this application, state that t information's c rect, and agree to comply with all applicable S ate of Minnesota Statutes and City of Eagan r inances. Signafure af Applicant ~ i I - ~ OFFICE USE ONLY u~I JUI 3 0 2002 Certificates of Survey Received _ Tree Preservation Plan Received _ Not R uired - ' / - -uPe~e. 102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory81dg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Oeck ? 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 El 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 (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Vaiuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Piumbing _ Foundation 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 c41JOU ~ CITY OF EAGAN ~~~~'l 3830 Pilot Knob Road PERMIT TYPE: B I L D I M G Eagan, Minnesota 55123 Permit Number: 0 2 5 0 2 4 (612) 681-4675 Date Issued: 01 / 0 6/ 9 5 SITE ADDRESS: 4296 WESTCHESTER CSR LOT: 13 BLOCK: 4 HAWTHORNE WOOD3 1ST P.I.N.: 10-32150-136-04 DESCRIPTION: , B0"ilding%,,Permit Type BASEMENT FINISH Building Wo,rk 7ype ALTERATION ~ l . ~~111/~~ ~ r~ ~ ; ~ REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - flpplicant - BEISWENGER SCOTT 4296 WESTCHESTER CIR EAGAN MN 55123 (612)451-4907 I hereby acknowledge t'hat 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 ofi Eagan Ordinances. IL ~ ~~u ~,L 1 rn.~ APPLICANT/PERMITEE SIGNATUFqE ISSU B SIG URE 19-024 CITY OF EAGAN 1995 BUILDING PERMIT APPUCATION (RESIDENTIAL) 681-4675 New Construdion Reouirements Remodel/Renair Reouirements ? 3 registered site surveys ? 2 wpies of plan ? 2 copies of plans (include beam 8 window sizes; poured fid. design; etc.) ? 2 sfle surveys (exterior additions 8 decks) ? 1 energy wlculations ? 1 energy Celculations for heated addRions ? 7 tree presenation pian if lot platted efler 7/1l93 requited: _ Yes _ No DATE: Ja,.Q.Y 31 t 9 4 s CONSTRUCTION COST: eJ*s,,,4r.e 'zB,s~ DESCRIPTION OF WORK: STREET ADDRESS: ? C, ~ ~e Ha..ra,.,. LOT j3 BLOCK SUBD. p,I.D.# /~-3z~so-13>•~~~- . lo~ Yr/.'/ 9c7 PROPERTY NamB: stnie"i`~ ;-r`•"` r` 'A""1Phone r"~co,6 -sr P3 owNeR ,.a. 11a5. Street Address- 4`Z 4 `^'erf``","'°~ c,: C Ir City: 'E"j State: t'"' Zip: ssf 2a CONTRACTOR Company: Phone Street Address: License City: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address, City: State: Zip: Sewer & water licensed plumber: . Penatty applies if address change or 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. . Signature of Applicant: r ~ ~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ,I a N U 5 1995 Tree Preservation Plan Received _ Yes _ No + CITY OF EAGAN y , ~ 3830 PILOT KNOB ROAD EAGAN, MN 55122 . - - ° s: OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ~X 16 Basement Finish 0 02 5F Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 Multi (additional) ? 15 Deck WORK TYPE ? 31 New .2(-33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code 11~3 # of Stories sq. ft. SAC Code ~ Length sq, ft. Census Bldg. i Depth Footprint sq. ft. Census Unit o APPROVALS Planning Building Engineering Variance s Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units quU~~ 'C~kYIFYCDU ~ItY SICaMi4 , SURVEYINQ SERViCES INC. f9Tl Senec3ftadd•5~.~4c E- TE 1 O~D ~rtwn'.~ieix~f1B'O~+sz- o'n H O M E S, • I N C. OIIAu1A0[ ANO YTILITT [Af[M(NTf Ml LIOMM TMYt, Y ~p Q L_J L_L WO <t[0.ANONAO.qWM6 LOT lIM[f ~NOnL 10I[[f NI NIpTM AND ADlWNINO STI1[(i I L NI[f , Ai {MOMN ON TX[ ?MT. 1 '1 25 9s~ y~b ~r~'a~~ x~'` 1 ~ E °3a'o8" 16.0 Z*.o xqs~.5 , ~ ~ 3a~ io_~ ~ qy`.~ Y\~~\~yy ~x45 y~ ~I ~ti $ -1~-' A ~ _ \'y.q~ 2 I J I 14 ~ ` LbT 1 I J ny ~I p I O ~ = I W , \ ~ i n O I~ q"t.5 x U) 5'\ ~ lN~ C3 ~ N HI ~ M I~ ~ x N n I :.o a- k a3q'~' ~ C~ Up oC k~~~ Aa' k e ~ ~ W q~m ~ l0 9k ~ \\\ao L ~ o ( U { 56.6-S' I ~_II.S K94b~' 15 co ZS ~ x 4 qT $NGI KERII~Ca DEPT . S~ale : I "=30' -LEGEND- [u°ooMo ra~QM~L~C~DD ,k Denotes Iron ent ro-d PROPOSED GARAGE FLOOR ELEVATION= 951, 0 o Denotes Wood Hub Set PROPOSED TOP OF BLOCK ELEVATION= `~5 Z,O x4s1.s Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= (x451•0) Denotes Proposed Spot Elevation Denotes Drainage Direction *NOTE: Uerify all Bldg. Dimensions and Floor Heights with Final House P1ans. -PROPERTY DESCRIPTION- ~ -SURVEYORS CERTIFICATION- I hereby certify that this survey, plan or report was prepared by me or under my Lot 13, Block 4, HAWTHORNE WOODS direct supervision and that I am a duly 1ST ADDITION, according heRegistered Land Surveyor under the laws of recorded plat thereof, DakoCa the tate of Minneso a. County, Minnesota. ~ (o/3o 14 J~ Date: r3 Wayne D. Cordes, Minn. Reg. No. 14675 LOT SURVEY CHECRLIST FOR RESIDENTTA'~ ~ ` BUILDINQ ERMIT APPLICATION m c ~ PROPERTY LEQAL: < F Date of Survey: DOCUM£NT BTANDARDB cr 0? • Registered Land Surveyor signature and company 9`1 0 ? • Building Permit Applicant Er40 0 • Legal description ? Ci° D • Address C-1~' • North arrow and bar scale fY • House type (rambler, walkout, split wyo, split entry, lookout, etc.) D~ D? • Directional drainage arrows with slope/gradient t. fY'? ? • Proposed/existinq sewer and water services 0' Q D • Street name B~ 0 ? • Driveway ELEVATIONB Existina p e? • Sewer service 0~ 0 ? • Lot corners D'~ • Top of curb at the driveway 0[d U • Elevations of any existing adjacent homes Proooaed Q~0 0 • 6arage floor @' ? 11 • First floor @~ 0 0 • Lowest exposed elevation (walkoutJwindow) 0'x 0 : Property corners e' 0? Front and rear of home at the foundation pONDINa AREAS (if aDDlicable) 0 C~ ? • Easement line O O' O • NWL O Q' ? • HWL 0 D_'/ ? • Pond # designation D f3 ? • Emergency Overflow Elevation DIMEN8ION8 Q 0 ? • Lot lines 13' • Right-of-way and street width (to back of curb) 9" 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e., all structures requiring permanent footings) 8~ 0 0 • Show all easements of record and any City utilities within those easements la- ? 0 • Setbacks of proposed structure and setback of adjacent existing homes ? CJ/0 • Retaining wa re e s, if any Reviewed: Z~lely'T Name / D te October 1992 PERMIT ~ CITY OF EAGAN 3830 Pilo't Knoh Road PERMIT TYPE: eUZ ~D G Eagan, Minnesota 55123 Permit Number: 021469 (612) 681-4675 Date Issued: 0 7/ 21 / 9 3 SITE ADDRESS: 9296 WESTCHESTER CIR LQT: 13 BLOCK: 4 HAWATHORNE WOODS 1ST P.T.N.: 10-32150-190-04 DESCRIPTION: 15c(ildi.rtg.Permit Type SF DWO ;Builziin.g Wqrk Type NEW U9C [lccupancyti R-3 M-1 CqnStru•ction Tq;ke V-N Z4ftisi9 R-1 t ~ Bu1ld4ng Length 76 8uirtdiag Width , 94 :`;A' ~ •L`_-a J~~ ~ s'73 ovu 6-- REMARKS: S& W PLBR - VALLEY PLBG pRV FEE SUMMARY: VALUATION $256,000 8ase Fee $1,185.59 MISCELLANEOUS $1,744.50 Plan Review $770.58 7ota1 Fee $4,578.58 Surcharge $128.00 SAC $750.00 SAC % 100 SAC Units 1 Subtotal $2,834.08 CONTRACTOR: - ppPlicant - sT. LIC. OWNER: BRENTWOOD HOMES 17301000 0001519 BRENTWOOp HOMES 1322 HELMO AVE N 1322 HELMO AVE M OAKOALE MN 65128 OAKDALE MN 55128 (612) 730-1D00 (612)730-1000 I fteredy ackrt-owledge tttat I have read this app],3,eation and state that the informat3on i,s correct and agree Co comply with a11 appliGable State of Mn. Sf:atutss and C3ty of Eag•an Ordirsances. ~~AP9LICANT/PERMITEE SIGNATURE SSUED`qY:SIGNATU IE CITY USE ONLY L gL RECEIPT SUBD. /A)" ( ~ DATE:L 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x l = Water Closet 3.00 x _ Bath Tub 3.00 x = Lavatory 3.00 x I = Kitchen 5ink 3.00 x Laundry Tray 3.00 x = Hot Tub/Spa x' 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet " minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. $prinkler * hame under const. 3.00 - Alterations " to existiny 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: 1':?a OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: STATE:ZIP: S,~li2 S` PHONE ~U CITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55112 (612) 681-4675 Piease complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are n-W required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1% of contrect price, whichever is greater. State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT CITY OF EAGAN REAGIIYATE VI I T Vr Cfi%ia?n P,ERMJT•# ~ 1993 BUILDlNG PERMITAPPLICATION 11A L 0 9 1993 681-4675 111V SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy cales. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, l 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. ~v Date L;^c / 20_ Yal uation of work Site Address: ~Z96 Wcs4c~,slcv- 6'Y E4har SiREET SUIiE M Tenant Name: (commercial only) IAT 13 BIACK ~ SUBD.jS~4DD, W"S P.I.D. k Descri tion of work: The applicant is: M Owner Cantractor ? Other (9eccribe) Name ffYrn-} 'LJood t-L»-cS Phone 730 "lUocJ Property LAST fIRSi Owner Address ,QUC Al Qak CL lt_ STREET SiE M City k (k<< State 1lv~ Zip SS 1z8 Company Su v-e- Phone Contractor Address License # oo~,/Si9 Exp. 5 9 City State Zip Architect/ Gompany Phone Engineer Name Registration # Address City 5tate Zip Sewer & water licensed plumber 1l4Ll-L'Y P, "n& 1w6 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 carrect and agree to comply with all applicable 5tate of Minnesota u es nd City of Eagan Ordinances. , 5ignature of Applicant: ' OFFICE USE ONLY . . BUILDING PERMIT TYPE ? OI Foundation ? 06 Duplex ? 11 Apt./Lodging ? lt6 Basemeflt Finish Ar 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool. ? 03 SF Addition ? 08 8-P1ex ? 13 Garage/Accessory ? 18 Cortm./Ind. 0 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE P 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition O 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) v-N -Basement sq. ft. MWCC System YE$ (Allowable) v-,v lst F1. sq. ft. City Water UBC OCCUpancy _3 yl2nd F1. sq. ft. PRV Required ~ Zoning k-t Sq. Ft. total Booster Pump M of Stories Footprint 5q. ft. Fire Sprinkler Length ~S On-site well Census Code /or Depth ~cL On-site sewage SAC Code oi r APPROVALS ~ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? 5ite ? Footing ? Framing ? Insulation O Wallboard p Final ? Draintile ? Fireplace Permit Fee wcuat;a,: g Z25-6 OJJ ~ Surchar e G' Plan Review y X3o~ 720 2"'b License CYy~ Mwcc sac 3`~~~FU 3g lq)S 3 x ~l = 33 ~J ~2 = WaterSConn. ~ x 7 e 709 x 16= II344>?-xY~iL~ 17 Water Meter Acct. ~~'1T: 4o k 53)1Z =,?J yo l:SIUK b'N S/W Surcharge S' k 15'Z = ISb Treatment Pl. 2K13Y2_ Road Urit ) Par. TraklDeDed. ~X 1S~lZ ~ y6 Z s5~/l ~j Copies R x 2= I -e ~otal: MA) a L~VZ; 2333x?S'" SAC % 011 3SmT= 2 333 SAC Units $'/2r2 - ! 7 { 2'~' o-3W~ x s4% ` 1 ! T A Y c E s E"H,A" NL .s~~..A'~,s Fx~Ta.'Cy£ a~E~e ~.c.u'i~: 1993 PLU113BING PERMT (RESIDIIVITAL) CITY OF EAGAN 3830 PILOT 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. FIXTTJRES EACH TOTAL ~ SHOWER 3.00 3 ~ ~ WATER CLOSET 3•00 2 BATH TUB 3.00 t, , z LAVATORY 3•00 ti KITCHEN SINK 3.00 3i LALJNDRY TftAY 3.00 3- HOT TUB/SPA 3•00 ~ WATER I-IEATER 3,00 FLOOR DRAIN 3.00 ' - ~ GAS PIPING OLTTLET • minimum -1 3.00 _~2s ROUGH OPENINGS i•SQ WATER SOFTENER 5•00 PRIVATE DISP. • neLcry. iic. 15.00 U.G. SPRINKLER • dome uneer mnsi. 3•00 ALTERATIONS • io aosiing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 . TOTAL: y, SITE ADDRESS: C~<_ OWNER NAME: WSTALLER: . ~S ADDRESS: (9( CTTY: ~Ur ~l a.i STATE: l(~- ZIP CODE: SS3 PHONE SIGNATURE OF PERMITTEE . Y a ~liL~ . . . . , ~ . ..Y . ` y'!s,' 1993 PLUMBING PERMIT (COMIIVIERCIAL) C1TY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 682-4675 PLEASE COMPLETE FOR ALL COMAERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MCJLTI- FAMILY BUP DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACI-I DWELLING Ui:;T. _ NF.'R' CONSTRUCTION ApD nN ~ REPAIR WORK DESCRIP7'ION: CONTRACT PRICE: $ FEE: 1% OF CONTRACf FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF pERMTi' FEE MINIMUM FEE: S 25.00 CONTRAGT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NA114E: STE. # OWNER NAME: INSTALLER: ADDRESS: CI11': STAT'E: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT ~ Ys ray "~'+`rv »p£E a ~ys. ' ~ ~S. uae S~: .'••.$d..fit.ms.2a:ati MECHANlCAL PIItMIT (RESIDEIV'1TAL) CITY OF EAGAN 3830 PILOT HNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWF.LLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN pERMTI'S ARE REQUIRED FOR EACH UNTT. X NEW CONSTRUCTION ADD-ON A/C .:DD-02i1 FUR?vTACE DATE 9/(0/93 FEES xvAC: aioo Nr BTv $ 24.00 ADDITIONAL 50 M BTU 6.00 _AS OUTLETS (MINIMUM 1@ 53.00 EACH) .3. cQ ADD-ON/RE1410DEL (ExISTING CoNSTRUCTtON) $ 15.00 STATE SURCHARGE .50 TOTAL 33,SO SITE ADDRESS: OWNER NAME: bKl'1fUapf'~d I-JCprYlPS TELEPHONE -1 30- IMD INSTALL,ER: GENZ-RYAN PLiIMBING & HEATING C0. ADD:ZESS: 14745 South Robert Trail CITy; Rosemoimt $'I'ATE: MN ZIP CODE: 55068 TELEPHONE (612) 423-1144 awhan.'u -innia!hL SIG ATURE OF PERMITTEE ~ . . : ,•T . , ' EXTERIOR ENVELAPE AVERAGE "U"'COMPVTATION. oWNER Ndm.s ~ . SITE ADDRESSIZy6 Wt'~tGhCS'~~1" C~Y. i~la.v~'Tkd/vh WOOJS E~f4lr1 wrrrzv,rroR Br--v% 4 waoc~ 1-1 oaMes DATE -3a-q3PHONE 730-1000 Determine working squaze footage of each. • ~ 1. Total exposed wall area 9104 sq. ft. X- -I -_451.4 2. Total roof/ceiling area _-03-0_sa. ft. X~ U01O - 51.7 A. Total wall window area . . . . . . . . . . . . . . . . . . . . . . . . . . 390 B. Total door area C. Total sliding glass door area D. Total fireplace wall area....................... qI0 E. Total aall framing area (average l0a)........... 3 . F. 1bta1 Rim joist area............................ G'. Total Net wall area above floor----------------- = 795~ ~ Total exposed foundation area - 26 7 H_ 'fotal foundation window area - ~ 1. Total net foundation area above qrade..__....... Z 6 7 Determine "U" value of each wa?i segm=nt. a. 390 x••o„ , 38 = 14$.Z b. 5x ..U.. ,06-7 = 3,q C. 90 X,.u.. , So = zo - a. - x „U.. = 99.Z e. ql0 X.,U.,. . 17- f. 349 X-,,.. , oq = i 3. 9 e. Z 857 x°o° .04 = I 1L.3 n. ~ X ,.U,. , $4 = _ . i. 267 x ..U., .13 = 34. 7 3 82- 3 TOtal = If item N3 is the same as, or lcss than item 91, you have :net the intent of SBC 6006(c)2. ~tl~MISaP" Y011 ~ 1'M ? R'S N' t h'C~'' t 5 ~y' . . . y '~i~.'.~t ~M~~.~f f Y' ¢ ~ " F}'b~• . . . . . . r _ Total exposed roof/cezling area q9Q ' . Total skylight area.-••---•-----•--...----'•-------•• - k. lbtal zoof/ceiling framing area (avezage 10e)...... ~q - ' l. Total net insulated roof/ceiling area Determine "U" value fo= each roof/cezlinq segment. j, . x U « ~ 6 k. I 99 x"u° 103 I. . f.7 9 I x~v- . oz 4 ....................'-'........'--...2btal = . If total of 9 9 is the same as, or less than #2, you ha met the intent of SBC 6006(c)l. - Alternate Huilding Envelope Design To utilize the total envelope system method, tlie values established by.the svm of items #3 and #4 shall not be greater than the'sum of items #1 and #2_ • 1. 951.4 + Z- Sl .7 = 503, I . s. 38z. Z + 4. 91, 8 = 4 z4 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmdion Reauiremenls RemodellReoeir Requiremenis l7(fice Use OnR1 3 registered sile surveys showing sq. fl. of bf, sq. fl. of house; and all roofed areas 2 wpies of plan CeN oF5twey Recd „_;Y N (20%maximum lot coverage allaxed) 1 sef of Energy Calculations for heated additions Ft6eF'r0S PI9n R¢Ctl ,~Y _M; 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile survey for additions & decks Tree Pres ReigPred isetofEoergy Calculalions Additbn - indicafeifortsitesepticsystem Oresite3eptieSystEa1 ,..~Y _N! 3 copies of Tree Preservation Plan N bt platled afler 711193 Rim Joist DeWil Optbns selection sheet (buildings wiih 3 or less units) Date S / 7 Construction Cost / 2, Iro ° SiteAddress y;~5'i 'S f~~~£ L"/ ~ o UniUSte # Deacription of Work &442;~~ eri 11A.Y.4 1&1&~ ~ 59" r- AL Multi-Family Bldg _ Y~N N F'reglerefej _ 9 /yb.nc 6 s/ , G 8g - 8'/g Property Owner 5-Jf c~ Telephone ) G S-/- 3 SC'- 7 Contractor 4 9 U£'r2 o wS Address City ryl~ ~ 5tate Zip Telephone # (,41t;-2 ) gQ/ ~ 2 9~ ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Warksheet (V submission type) Su6mitted Su6mitted • Energy Envelope Calculations Suhmitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name A icant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-pleac ? 20 Pool ? 30 Accessory Bldg 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) Ar 33 Ext.Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Plbg_v or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement 0' 38 Demolish Irrterior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair A 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation /,;l, av, Occupancy h' -3 MCES System - Plan Review 100% or _ 25% CensusCode Zoning CityWater SAC Units Stories - Booster Pump _ # of Units - Sq. Ft. - PRV # of Bldgs - Length Fire Sprinklered Type of Const Width - REQIIIl2ED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings(addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ~ Framing S'µZq7-#;.I ~ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Air Test _ Final Windows ~ Insulation _ Retaining Wall Approved By: , Building Inspector ----r--- Base Fee Vo g Surcharge Plan Review /I/_ MC/ES SAC City SAC Utility Connection Charge S&W Permit & Suroharge Treatment Plant License Search Capies Other Total 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan I 5(t? 3830 Pilot Knob Road, Eagan MN 55122 V Telephone # 651-675-5675 FAX # 651-675-5694 New Constmclion Reauirements RemodeVReoair Reauiremenfs Office kke.Onlv 3 registered sile surveys showing sq. fl. of lol, sq. fl. of house; and all roofed areas 2 copies of plan CeH af Swvey Rectl :Y ~N (20% maximum bt coverage allowecil 1 set of Energy Calculations for heated additions TCCe Pres PWn ReCtl 2 copies of plan showing beam & window sizes; poured found design, etc. t site survey for addtions & decks T'ee PreS Rcqmted N lsetofEnergyCalculations Addifion -ibdicateifonsifasepficsystem On~sileSeplie:System , _Y ,...,N3 copies of Tree Preservalion Plan it lot platted after 711f93 Rim Joist Detail Optians selection sheel (buildings wilh 3 or less units) ..y Date /,,S- / o *7 Construction Cost ]slo Site Address V~~ UniUSte # i6l ssiz Description of Work ~o oe N't._ ~ ti- FRCd!eo ;V('/- .s~ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner 5Co/7 • ~~/SLdEN4Piv~ Telephone#((p$~/) (o , , Contractor / A ~ ~ c ~ ~'/l^0/ Address ~/'30 9 ~44p- sT7 City State /rli? Zip s`S ?•d Telephone # ( %ft) 2-9 O 7 ~/A ~ yOs COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 CatepOry 1 Mumesota Rules 7672 Enefgy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Worksheet (Jsubmissiontype) Su6mitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a masier plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) ' Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( J I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Rt/ l/d Z- Applicant's Printed Name App kant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Dernolition (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review _ 100%or _ 25°k Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIItED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Foolings (addi[ion) Plumbing _ Foundation HVAC _ Drein Tile - ptheC Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final - FraminS Siding Stucco Stone Brick _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Fee Base Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Suroharge Treatment Plant License Search Copies - - , Other Total Date: C!ty of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Fir'{ f ce iJse Permit#: /00 (3-./ Permit Fee: Date Received: Staff: 2011 MECHANICAL PERMITAPPLICATION g j252OII 1Site Address: `42' /2 W er+C l ex Ord Tenant: ` i o Bei wen or Suite #: Name: JJ &ISWen C Phone: 161-10g8-81 h� Address / City / Zip: q2(, WeJ heStCr- circ) & RESIDENT / OWNER CONTRACTOR Name: one +or 1 Ia 1 t n g r License #:}� D C' j Address: 1104 VC MIII t rCe±City: iS I i f 0 z State: mn Zip: 50O3 Phone: (0S1--,-1-31-4-1-1 Contact: \JQ Me herrylc 1 Email: cialtherillan on ou-1 W Ir . lJ�-�' TYPE OF WORK PERMIT TYPE New Replacement Additional Alteration Demolition Description of work: NOTA Roof mounted and igroUnd mounted echar ease contact the Mechanical Inspector for in mina 10 RESIDENTIAL K, Furnace "Y -Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank (_ Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x 1% $55.00 Minimum (includes State Surcharge) _ $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One CaII 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.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 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. x AMC, Y1ain Applicant's Prin ed Name Appl ^: nt's Signature tRxCFFICE USE Required lisped xt or HVAC'Sereenirtg ins lion City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2012 RESIDENTIAL�%PLUMBINGrPERMIT APPLICATION / Dater 01/. Site Address: L,•q(Q \I teS Chtete Ci I CIe Tenant: RESIDENT / OWNER'' u f J Suite #: Address / City / Zip: Address: State: License #: <J City: HtS'Ii Phone: 116 V431+ ql 1 Contact: TYPE OF WORK'. New XReplacement Repair' Rebuild _ Modi Space _ Work in R.O.W. Description of work: 1Z-0{/14 Ct Vy\ O W RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water. Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CO • 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.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 permit, air! o is not to start without a permit; that the work will be in aocoa with the approv d pian• the case of work which requires a review and appfnv , ., p ns. Apjilidaitt's Printe f Name FOR OFFICE USE Required Inspection s Un+ x Ap e Final _--Use BLUE or BLACK Ink I For Office Use l My of Eap I Permit Fee: 3830 Pilot Knob Road I 1 . Eagan MN 55122 j Date Received: Phone: (651)675-5675 Fax:(651)675-5694 1 Staff- I MAY --------------- 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ` Unit#: Name: Br e_l c�1 01®(-Ai rba_ Phone: t/o `15764 " ,q A RQSIt:IentJ Owner Address 1 City!Zip: q10 �'��-��C� d r Applicant is: Owner Contractor I Type of Work Description of work: Construction Cost: ��r d�8 Multi-Family Building:(Yes 1 No Company:(c Lt`� 1 l� _'3'YG?C.;cr_L1�C-O_N Contact: N.i k1? L61-24 9 -66LZ Contractor Address: 202(e 1.2.bl% -51- I A - City: 653r=Myc n �- State: ®UV Zip: Phone: / la 5? to Z License#: 6 cls&. o Lead Certificate#: 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 in#or natinn. Portions of the information may be classified as non-public#you provkle specific reasons that would permit the City to conclude that Mey are trade secrets. CALL BEFORE YOU DIG. Cali Gopher State One Cali 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.got)herstateonecall.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 State B 'ding Code must be co within 180 days of permit issuance. Applicant's Printed Na plicant's Signature rrte � � t)Fic-nsr>7 Page 1 of 3 v DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fire lace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family ge _ Porch(4-Season) _ Exterior Alteration(Multi) _ ra Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace — Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition ,` SAC Units (25%a_100%a } Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final I No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls m` Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge , Plan Review �} MCES SAC Ci ty SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 w�vv— �®wa►oo o�wpw alwf /��7 SS ,.4 SIGMA rRE SURVEYING SERVICES INC. M11 se�ac.ROM-Su t E. SOD x:'81 -o'n HOMES, INC. DRAUTAA[AND UTILITY[Af[MIENTS AIII! • fNOttlN TNUf f_j Q .*,,A /.Ah IN Mti "NA,V t,tfs OTHLgMRfti ' MEMO ,ANO AD.g9/t1i4 LOT iiNtf AND ? �� ,1*,TEfT IN WIDTH AND AD.IDININO fT1I[tT Ntf,AS%MOWN DN Ttt[DLAT. (�CJ i °3d o8 E -„ xq 10" 1 \ �� zA LOT o ZS / i� 53 I f�t1 1 s 1 N bx DT S � � ti • �fi1 lN C 4 DEPT q� saa • I I t Z apt --LEGEND-- Uab dOWn i l �S�� lac Denotes Iron Monument F6,d PROPOSED GARAGE FLOOR ELEVATION- Denotes Wood Nub Set PROPOSED TOP OF BLOCK ELEVATION= 957 x4sI.5 Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= 9 `3.3 wit NI-5 0 Denotes Proposed Spot Elevation ------"-- Denotes Drainage Direction *NOTE: Verify all Bldg. Dimensions and Floor Heights with Final House Plans. -PROPERTY DESCRIPTION- -SURVEYORS CERTIFICATION - I hereby certify that this survey, plan or Lot 13, Block 4, NAWTtiORNE WOODS report was prepared by me or under my direct supervision and that I am a duly 1ST ADDITION, according to:�ii'e ° ' �:,. Registered-Land Surveyor under the laws of recorded plat thereof,;:Dakoira` r;,: the T' tat a. 01so D (/3e of Minne County, Minnesota. 43 =• Wayne D. Cordes, Minn. Reg. No. 14675 PERMIT City of Eagan Permit Type:Building Permit Number:EA168198 Date Issued:04/13/2021 Permit Category:ePermit Site Address: 4296 Westchester Cir Lot:13 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-130 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Chris M & Belinda J Cordina 4296 Westchester Cir Eagan MN 55123 (630) 337-2122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170534 Date Issued:07/08/2021 Permit Category:ePermit Site Address: 4296 Westchester Cir Lot:13 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-130 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Chris M & Belinda J Cordina 4296 Westchester Cir Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature