4299 Westchester Cir
~ ~
.
? c . , _
C3'? ~.~~icate nf cccuvano
of Cfagan
~cp~rtwcKt oF ~9xi[ii~,g ~x~tivx
~
This Cert{frcate issued pursuant to the requirernents af the Uniform Building Code -
certifying that at the time of issuance this structum was in compliance with the various
ordinances of tlte City regulating building construction or use. For the foUowing:
Use C]asaificabon: SF DWG Bldg. Ptmiit No. 20495
0-M-CY Type R3 U Zoning pistrid R 1 er4ma. VN
ow.a of Buddiog HEMOAOD HMFS Addmu A ~
1 s s IRIAW
77,
~
• Bmldmg Official ~
POST IN A CONSPICUOUS PLACE
r'
, ~
. . INSPECTION RECORD
' 'CfTV`=0F EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
~ Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ t i ii+~i t3i t.~if~ii~ . ~ ~ , - ~ ~ . ~
PERIIAIT SUBTYPE: TYPE OF WORK:
, ~i:
INSPECTION . DA
i1 ra~, f P a1M 1 rdi.
f I, ~ 1• i,~. + 7
i Mr,i
F
L
-
PertnB Mo. PsrmR Holder Data Tilephone #
. S/W
PLUMBING
HvAC
ELECTRIC
ELECTRI y~3qa,
Inspectlon Dete Msp. Commerria
Foofings 1 3_ Z-3 g~S
`~•3
Foundetion
Framing
Roofing
Rough Plbg. /4tV
Rough Hig. ~
Isul.
Fmplace a 9L 93
AAJ
3 .o
Rnal Htg.
Orsat Test lc
Flnal Plbg. Ptbg. Inspector - Notify Plumbet
Const. Meter
EngrJPlan
Bldg. Final 1 ~ 7~2
a~
Deac Ftg. ~ ~Pj (~Q/~ •J
. ^
Dedc Final
Well
Pr. Disp.
s- y 93 r~,~
INSPECTION RECORD
CITY OF EAGAN ~ PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 11 W. 3
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675
SITE QDDRESS: APPLICANT:
t~i i~ 1(<< k
•;Y'i'HF`•:l'f F? r'TV
. i i'!,~: ~f . ~~.i i ~ ~ ~ . , ~ •
PERIIAIT SUBTYPE: TYPE OF WORK:
INSPECTION .
f , . . - : .
. . . . . . . , . i{~~~ . . J
Permit No. Permit Holder Date 7alephone #
ELECTRIC
PLUMBING
NVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PlBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE wUd ) TiJ c~S Io w
FIREPLACE
AIR TEST 0k'~ /vrr~
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
I RESIDENTIAL ~ ~O, 6b
BUILDING PERMIT APPLICATION
CITY OF EAGAN I I- cj I
I 3830 PILOT KNOB RD - 55122
~ 657-681-4675
I. NewConstructionReauirementa RemodeVRepalrReauirements
• 3 registered site surveys showing sq. ft. of kt, sq. ft of house; andll roofed areas • 2 copies of plan
, . (20%maximumlotcoverageal6wed) . 7setofEnergyCalala6onsforheatedaddiM1Ons
I• 2 coDies of plan showing beam & window sizes; poured (ound desgn, etc.) • 1 site survey tor eztenor addilions & decks
I. 1 set of Energy Calculations • Indipte if home served by septic system for additions
• 3 wpies of Tree Preservatlon Plan if bt platted after 717/93
~I . Rim Joist DeplOptlons seleclion sheet (bldgs with 3 or less units)
I~ DATE I~ o7O - OZ YALUG[ION *~;?i 4?or7
~ JOB SITE ADDRESS ~/~99 wSfi_'LeS~e~- Cp
! IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
~ PROPERTY OWNER cS~fo c~c+e!"o~
, TYPE OF WORK z< F iv+dP f,~,~ .,4,.~ ~A-a FIREPLACE(S) _ 0~1 _ 2
~ APPLICANT cS~~r/..~,e~(a 6C, PHONE#
ADDRESS -~b/ cJ- ZIPCODE 53-,PP7
j PAGER # Qd ' ~3~'-161<? CELL PHONE # G/d -a7o -oa`f6 FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Eneryy Code Category _ MINNESOTA RUL.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RUI.ES 7672
- New Energy Code Worksheet Submilted
Plumbing Contractor. Phone
Plumbing System Includes: _ Water 5oftener _ Lawn Sprinkler Fec: $90.00
Water Heater No. of R.I. Baths
-
No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: _ Air Conditioning ree: $70.00
_ Heak Recovery System
Sewer/Water Contractor. Phone #
I All above information must be submitted Prior to Processin9 of aPPlication.
i I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all ppplicable State of Minnesota Sfatutes and City of Eagan Ordinances.
Signature of Applicant ~
li Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
i Updated 1/01
OFF{CE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt- SF
? 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 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 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
Valuation Occupancy MC(ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. pRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundafion HVAC
Drain Tile
Roof Ice & Water Final Other
_ Franung _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insularion _ Windows (newheplacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC1ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Totai
Address 42Q9 wss=sMt ciRr[.E Zip 5512 3
I.ot' S• Blk 4 Sub xnwnmRE WOons
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Dat Yes No Inspecror.
Final grade ( from siding) ~
Permanent steps (garage) ~
Permanent steps (main entry) tll
Pecmanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch ~
Basement finish
2 y
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way. or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT K65 B~D~EAS AN MN 55122
New Conatructbn Heauhementa pemadeVReoalr ReauhemeMe
• 3 repistered ske suneys gwwing sq. R ol lot, sq. ft. of house; and al roofed areas • 2 copies of plan
(20°k madmum lot cnverege albwed) . 1 set o1 Energy Calculations br heatetl addtlbns
. 2 cnpies o1 plen showmg 6eam 8 window sizes; pouretl fauntl Aesgn, etc.) . 1 sfte survey tor exlerbr adOiCans & decks
• 1 set of Energy Calculalions . Indirate If home sene0 by septk shtem for atltlmons
• 3 coples of Tree Preservatbn Plan If bt planed aRer 711193
• Rim Joist Detall Optbns selectbn sneet (bMgs wMh 3 or less unfis)
DATE VALUATION
SITE ADDRESS ~Q~''/j MULTI-FAMILY BLDG _Y N
TYPE OF WORK "':i 4- S`[ol FIREPLACE(S) _ 0_ 1_ 2
APPLICANT e_~7-e r i or ~
STREET ADDRESS 1&0 7 v N; vKVs3tV A- cirv P,/ / STATE,&ZIP /6
TELEPHONE ~rZN'4`/-fa7~7CELL PHONE # FAX #
PROPERTYOWNER 77a.mr-e9my TELEPHONE#
COMPLETE THIS SECTION FOR %NEW, RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Workaheet Submitted
• Energy Envelope Calculationa Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhacfor. Phone * ~ [ I ~n ~ ~ ~1
Mechanical system includes: _ Air Conditioning Fee• $70.Od~
_ Heat Recovery System (ul l AUG 1 62002
u
LJ~
Sewer/Water Contractor. Phone # Ev
° -
~
I hereby acknowledge that I have read ihis applicatlon, state that The informatlon is correct, and a r e to comply
with all applicable STate of Minnesota Statutes and Ctty of Eagan Ordl 2e,.
Signature of Apptlcant _
OFFICE USE ONLY
CertiBcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation 0 07 05-plex O 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex 13 09 07-plex O 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Aft - SF
13 04 02-plex O 10 DB-plex ? 18 Deck O 23 Porch(screened) O 36 Multl
? OS 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
0 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicaM
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Ffre Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roo£ _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
-
Base Fee
Surcharge
Plan Review
MGES SAC
Ciry SAc
Water Suppiy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
. PERMIT .CITIf OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031053
(612) 681-4675 Date Issued: 10/31 ( 9 7
SITE ADDRESS:
4299 WE5TCHESTER CIR
LOT: 5 BLOCK: 9
HAWTHORNE WOtlDS 15T
P.T.N.: 10-32150-050-04
DESCRIPTION:
(Gns LzNe) B~tli~ihc~:~~ermit Type FIREPLACE
TYPB NEW
G.;Brtsrj~ GC434 ALT. RESIDENTIAL
fi. +.Poif9$.
V' $
~TN,
I
~
3~ R t ~
. 1w ~ ` . iY&•'a
eM^'
e ;
. . ~ ~ ~ - „ ' . 31
.
REMARKS:
FEE SUMMARY:
Base Fee $50.00
5urcharge $.50
7ota1 Fee $50.50
r
CONTRACTOR: _ qpplicant - OWNER:
WAITER CQNTRAC7TNG 18615013 7HOMAS CHERYL
7420 COLUMBUS AVE S 4299 WES7CHESTER CTR
RICHFIEI.D MN 55423 EFlGIiN MN
(612) 861-8013 (612)405-0739
e~~~ ~~'~,~4~i~~~#•~ ~`w~9~e~ ~h~t'G~~be
~$c t ano 0"$x`eV„~9" ,~p~mr~,~ ~nd -CI ty ~bL1' Ea40~
"$N4~ vd k ~ ~~F 7 k .t
-
TUREI
APPLICANT/PERMITEE SIGNATURE - I~ D, ~81 SIGFR r~ ~
CITY OF EAGAN
3830 PILOT KNOB RD - SS122
31053 1997 FIREPLACE PERMIT APPLICATION
681-4675
DATE: Z04/ f ;2 PERMIT FEE: $50.50
DESCRIPTION OF WORK: _ CONSTRUCT N W FIREPLACE _ ALTERATIONS TO EXISTING
_ INSTALL GAS INSERT ONLY
~ INSTALL GAS LINE ONLY r _
_ OTI-IER: ~ /I _S ~~.'•GC-C~-'V
STREETADDRESS: 6~2&
LOT L BLOCK ~ SUBD./P.I.D.
APPLICANT: (circle one only) OWNER C NTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with
all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: Phone Z) 71319
OWNER ^ w* Fl~
Signature:
Street Address: ~~2 zi
City: ~ State: ~ Zip:
FIREPLACE Company: ' Gf Phone
INSTALLER
Signature:
Street Address: ?~o/`` ~~lag; ~z~a, f: License
City: iS"LState: ~ Zip: ~ -V.;? 3
GAS LINE Company: Phone
INSTALLER
Name:
Signature:
Street Address:
City: State: Zip:
~
v. r.
l • y
• •M! .''~y"Y'' ~ .ir.
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
0 32 Addition o 34 Repair
GENERAL WFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
,
PERMIT # , CITY OF EAGAN ~3,0. 14
,n9
REACTiviiTE _ J.M BUILDING PERMIT APPLICATION kipg g2
; , i~
~ 4gq3 681-4675
Gi_F?1~~~_4-
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
speclfications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 3 Yal uat i on of work L'SD_ 000 .01V
Site Address: 4Z 9'9 Wc-cTle P,Ac'~L Y kAG,q,kJ
STREET SUfTE R
Tenant Name: (commercial only)
IAT BIACK ~ SUan. HqwTAp[,Ue Wanp3 P.I.D. 0
Descri tion of work: 61-e- - Fq c' LL~ N' C>
The appl icant i s: Q'Owner td Contractar ? Other (oesortbe)
Name B2Fn)r1&'0"5n Horn2- S Phone ~4G --~SZ }
Property LA:T FIR57
Owner qddress l)rw1~ ~,,g-,es i~ T' Aue:
SiREET STE M
City S;t. State 1~ ZiP S$~o~
Company S4122 i Phone _
COntf8Ct0r Address License M Exp.
City State Zip
Company Phone
Archttect/
Engineer Name Registration #
Address
City State Zip
Sewer 3 water licensed plumber 'yp'L [.E~ P1 i,-M rt~.e G, . Processing time for
sewer & water permits is two days once area as been approve .
I hereby acknowledge that I have read this application and state that the information is
correct and agree ta comply with all applicable State.of Minnesota Statutes and City of
Eagan Ordinances.
Stgnature of Applicant: i•~~~ ~ ~
OFFICE USE ONLY '
BUILDING PERMIT TYPE ft
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 l~Iaffem nt fi~'ni'/sh
M~02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE 19 31 New ? 33 Alterations O 35 Tenant finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System E5
SAllowable) v-nl lst F1. sq. ft. City Water
UBC ccupancy 9-3 M_k 2nd F1. sq. ft. PRY Required
2on1ng R-I Sq. ft. total Booster Pump
# of Stories footprint Sq. ft. Fire Sprinkler
Length 64'/i On-site well Census Code ipi
Depth 4' On-site sewage SAC Code oi
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site ? Footing 11 Framing ? Insulation
O Hallboard 'E-Final O Draintile ? Fireplace
Permit Fee roiwcid,: po 0
Surcharge
Pl GnqqvE, 30
an R eview ' X 23 = ~qo ZNp {-LOO(Zo
MWCCnSAC
City SAC zsk33 = gZ--
~So =$gp i.~ = zo
Water Conn. P~SMT; x ;/6
, ,
Mater Meter x 33 = 8 Z S" iLx~u'i~. 3~ y
Acct. Deposit ~12) 2 2k y:
S%W Surcharge
Treatment Pl.
Road Unit
Park Ded. ~ Iq 3 X 15 - I T7, `39
Trails Ded. is-r FLoott,
Copies
f ~
Other r3sn+ 7'= 1193
Total: l11x2= Z-~
SAC % 100
5AC Units = ~ ZZaX 5N'
. na::a;ss tt:.14 a o,< as^< 3a77 - S.Gna sanVEr:nG r.a;
~ agt; cttI?IClli Mi
SIQMA
SURVEYINQ
SERVICES INC. -
,qt, Q~ FAa.*.j+e E.
EOW .WYM,.55,n BRE OOD
Mix..(6+2) •50-W7 x o MEs, • i N c.
Yqwll ~yllLrtYl~SSIKIfT~ Yl
K`- O
L:,S
V21
.
~ g
~y ~'"T'~~` 'Z~~ i• ~s 3'Id.r
E Z5
'ws.s =16,7 `
N s! B' ~ ~ x 7 ~ 91 4t
~ I~N K
~ ~ V. x946.0 4 N / 10 p
f YT~^ rY~~CO Yt~ I~ 9 Qh} ~
~ ,7T ~ T" ;~y4~.1 x J"i Yv• ry'~`.,~ N ~7' .
~ i_ I „ w ,u.o z 0 Q
. 9'itYx t
£ ~-J.z l
s
~ ~ ' /°~rt 1 1 Ip ~ r
w K ~i r
~ (U
1 ~
a~cf:~ ~~„~~~fy fU
3
/Aj
~ ~Ty t}c..
!
\e.`~ S~f q~v,~i"a aao 0
.
/v.4 U
Scate.: t"=3o' .r.<. R[z24 s! ~,.3`~• / i__ J ~ C~' P~
~
~R\~g~ I~a~~g`~.
• I 3s` ~TC
\0~~ •+Y a ~ ~
-LEGEND- . EAC"
1~iGYN~
wmnwmdw~ ~
EPT
o Denates Iron Monument PROPOSEO GRRAGE FLOOR ELEYATtON=
a D81ioL85 1`1Dod NUb SCL PROPOSED TOP OF BLOCK ELEYATION=
„aw•t iTenotes Existing Spot Elevation PRi1PiJSED BASEMENF FLflOR ELEVATIOM= 24 z'U
(x4y9.'I) Denotes Proposed Spot ETevation ---~.----Y-----~.---ti---v'-~-------.~-- Denotes Drainage Direction *NOTE: Verify aii Bid~J. Dtmensions and
floor HefghLs rtiih Flna1 Nouse Plans,
-PFitJi>ERZY DE8CRiPT1OA0. 1-------~-----`-"-SURV1ffY0?96 i`.iffriYi?1GJMTiE3N-
i hereby certlfy that this survey. plan or
~ report was prepared Dy me or under my
Lot Block w, HAW7HORNE WOODS dtrect supervision and ti~ai I am a duTy
IST ADOITION, accerd(ng +_o tbe Registered Land Surveyor under the iaWS of
recar~d plat thereof, Uakota ttre Stata tf€ MfnnesoLa. f
sousst,y, 14snnesote. @ata:
T9143
4~t,t
Wayne D. CordeS. Minn. Neg> t4o> 14675
LOT SIIRaLY CBECIILIQT ?08 ALSZDLNTI7IL
~ 21VILDING PERlIIT APPLIC71 Oli
pROPLRTY .*G=•._
~ Dtte O! i1ilveyi ~
p9CIIKENT 8T unA4na
@~i0 D • Reqistered I.nnd 8urveyor siqnature ana eompany
1 0 • Suildinq permit Appiicant -
~Ir • Legal description
O 0 • 1?ddress
~ 0 • North anow and bar scale
I~ 0 0 • 8ouse type (rambler, raikout, spiit w/o, split sntry,
lookout, atc.) O 0 • Disecticnal drainaqe arrows vith slope/qradient
g:0 0 • proposed/existiaq aewez and vater sszvieos
D • Street name
a D 0 • Driveway
aLavATZOxs
Bxist;nv
D ~D • Sewer service
0 0t3 ~ Lot corners
Top of curb at the driveway
HD • Elevations of any existing adjacent homes
Proposed
~ D D • Garage tlooz
~ 0 0 • First floor
~ D ~ ~ Lowest exposed elevation (walkout/wiadow)
Property cornezs
0 0 • Front and rear of home at the toundation
p0NDZNG AREAB (if aofllic bl.)
fl G~ 0 • Easement line
0 • KwL
0 D • xwL D ~p , Pond f desiqnation
Emergency Overilov Elevation
DIKEN6ION8 '
~ D • Lot lines
f13 0 • Riqht-of-vay and street vidth. (to back oi cuzb)
0 0 • Frcposed home dimensions including any proposea aecks,
' overhangs greater than 21, porehes, etc. (i.e. all
~ n ~ structures zequising permanent tootings)
Show all oasement6 of record and any City utilities vithin
~0 p those easements
- Setbacks of proposed structure and setback of adjacent
existing h
• Reta' ' irementc, if any
• Revieved:
me / Date
OGteha~ •ee~ .
' EXTERTOR ENVEIAp£ AVERAGE °U""COMPUTATION .
OWNER ~CZE-IL1 TWUOr•l Mt~
S ITE n.DOaess42 97 1nlb S r el4cs 7`t"'YL= C, i R~- L6;
OONTRACPOR ~k~E-NTL? O[)?J S DATE .3 CI .~PHONE G 7~0 ~~SLCf .
Determine working sqnare footage of each_
- 1_ Total exposed wall area . . _ • . _ 0U sq. ft_ X 307
2. Total roof/ceiling area J 2 sa. ft. X~ UlN~ - 3~, 5
A. Total wall window area . . . . . . . . . . . . . . . . . 3~6
B. Total door area........ SG
C. TotaZ slidinq glass door area 2p
D. Total fireplace wall arza....................... ro 0
.
E. Total wall framing area (average lOB)...........
F. 7bta1 Rim joist area-•-••-..._ 2 6 O
G'. Total Net wall area above floor.•--•••--•-•-•-•-
Total exposed foundation area
H. Total foundation window area rr_-
I. Total net foundation area above grade----------- ~ 7 O
Determine "U" value of each wa!i segcacnt.
24 6- x jo- .36 = ) 35
tJ..56_ Y. ..U- 3,6
,
(r,
c. Z L7 x..U.. 'y
d-6 L) x ..U.. .2-7_
e. l 9 / X „U.. , / Z - ~ ~
-s. ~ -
f- 260 x°U° , O = l0
g. )71 X..~.. , o4
fl. ~ f x U.. '
i.~z,v X••U., _.~13
! 5. L
3----------------------------------- TOtal = 5havIf item 83 is the same as, or lc-ss than item H1, t the intent of .
SBC 6006(c)2.
s
. Total ;exposed roof/ceili.nq -area = / Z j-3 . .
j. Total skylight area-•--•----'----•....-----._.......
k. 1bta1 roof/ceilinq framing area (average 10%)_____.
1. Total net insulated roof/ceiling area /Qzz .
Determine "o" value for each roof/ceiling segment.
j X U. ~
k. X ..U- .03
= 3, ~
X -v° 4Z l.
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1993 PLUMBING PERMIT (RESIDE1V17AL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLIINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOT~
~ SHOWER 3,00 3-
3 WATER CLOSET 3•00 3'
BATH TUB 3.00
LAVATORY 3.00 ~ a•
KITCHEN SINK 3.00 3--
LAUNDRY TRAY 3•00
HOT TUB/SPA 3•00
WATER HEATER 3.00 3 -
~ FLOOR DRAIN 3•00 3 -
GAS PIPING OiTTLET •mini=- -1 3•00
ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • Dak.ccy. lic. 15.00
U.G. SPRINKLER • nome uneer consi. 3•00
ALTERATIONS • to oosung 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
.'3
TOTAL: So_
SITE ADDRESS: `f ~9~i L.) e 5~- G..l~ca k~ C. ' rol e
OWNER NAME:
INSTALLER: V f~' t c'p T- ° '
ADDRESS: 4(f) C c
CITY: J Df j A'' STAT'E: ~M ZIP CODE: ~ S S) ~
PHONE (~p 1~ ) `~~l'~ - d I 1-`
SIGNATUF~E OF PERMITTEE
x~t~~`~*y~,~ir,, ~ y t ar~ F
ME
mamill d~ ~ i },'k,h:~ ^ac.. . >'~H.`.K....1993 PLUMBING PERMIT (COMMERCIAL)
CI
TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMbERCIALJINDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIFtED FOR EACH
DWELLING UNTT.
_ NEW CONSTRUCT'fON
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACI' PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCFIARGE $.50 FOR EACH $1,000 OF FEE
MINIMUM FEE: $ 25.00 , . .
CONTRACl' PRICE X 1% $
STATE SURCHARGE $
TOTAL $
STI'E ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
S
>k .
:d.~.
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ri x ~s i< c 30 <<y ~~~r t # i` a• s s.
•.o r ';~t.~........., £ m~ Y, ,w:#.:' ^°:~8~.~tr.'~We'io:.'~~''~ Y ~ ~T .:'R N~~~a ~`x {s ~ 3¢; 2Y.3~...,a: r'H.i~
MECHANICAL PIItMIT (RESIDENTIAL)
CTfY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIIZED FOR EACH UNIT.
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTI'IONAL 50 M BT'U 6.00
WAS OUTLETS (MINIMUM 1 @ $3.00 EACH) (0.00
ADD-ON/REMODEL (ExtsTtNG coNSTxUCrioN) $ 15.00
STATE SURCHARGE .50
TOTAL
srrE .~DxESS: ~/~99
owrrEx rraME: ~'~a~rl-GcIODd ~DlY~S TELEPxorrE ~~30 • IODr~
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
ADDRESS: 14745 South Robert Trail
CTTy; Rosemount STATE: MN ZIP CODE: 55068
TELEPHONE (612) 423-1144
S NAT E OF PERMITTEE
Lf D-
zoo6 RESIDENTIAL MECHANICAL rEiuvuT nrrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single Family dwellings & townhomes/condos when pecmits are required for each unit Date p Gk
SiteAddress y~-~~~~~ Uv-i f,1 CYvStY~- C1f Unitq
Property Owuer j j0.N'-.(60V-% Telephooe#( ((i9 ) ~11~5 -~~Ir
Contractor bvck A,r ~Y\7 -('ix
sheee naaress `~~ic, (Lr i-'ck01pY-' Ja'_'-~_ cicy S"Ci~tv l
State n'\A Zip 551m Telephone# ( lCS\
Bondlf: ILj1 Expires: C. 2~~:
The Applicant is _ Owner ~ Conhactor Other -
Add-on or alteration to existing dwelling unit $ 30.00
_ fumace _Additional )L-Replacement _ New
~ air exchanger
air conditioner
_ heatpump ~UJ ,~S lln~
. ~
_ other
N 2 3 006
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical Permit and acimowledge that the information is complete and accurate; that the work will
be in conforniance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pernilt, 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 rev ires a review and approval of plans.
LtY`a\1~~ tQAC,lV~~ ~ "\L'_ l°
Apphcant's Printed Name ApplicanPs Signature
2006 RESIDENTIAL PLUMBING RERMIT APPLICATION I S
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ~ f 45 /oy_
Site Street Address 42G0% W4 S-}CKP". unit#
Property Owner SC4i* cTla nnp ~C~n Telephone #((4T) V-q5-qD410
Contractor _Vkn~.~s 'pWrvnLokrA^1'ol`u Telephone# 46)`L7-QrcfDlf
AddSess '5C5 11~1 /JW - ftcA4._ City J;Z~J1 State_JOLN_ Zip 0~-
The Applicant is: _ Owner ~ Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-buiit $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water -
heater at the same time. If you are insialling onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required) ~ QUG 1 1 006
Other:
_ Water Softener 4 Water Heater $ 15.00
_ new ~ replacement
_ Lawn Irrigation _RPZ _PV8 _new _repair _rehuild $ 30.00
State Surcharge $ .50
' Total $ ~,S•1~
I hereby appiy for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but oniy an application for a permit, work is not to start without a permit and work will tie in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
lu:4 ull Ord ~ o~6_Q. W Q 4 Qka-cQ
ApplicanYs Printed Name ApanYs Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4299 Westchester Cir
Lot: 5 Block: 4 Addition: Hawthorne Woods 1st
PID:10- 32150- 050 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Total: $90.00
Owner:
$88.50
$1.50
Scott R Jameson
4299 Westchester Cir
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
0801.4085
9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA089567
06/08/2009
ePermit
RESIDENT OWNER
Name: --0 T CYA.Mit, Phone: L.6I"` LM—"ill(
Address City Zip: 2W\ W tit e•
CONTRACTOR
Name: V 1WS Li en Or
Address: 5t5 b Y
k
.City: `J 1 (./LO\ State: l r l Zip: i S1
Phone: 't Contact Person: ttt 1 111X C�il��U
TYPE OF WORK
New Replacement Additional Alteration Demolition
Descripdon of work: t C M ..tom n 1$)D q u
i
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by CJty Code. Please contact the Mechanical Inspector or one of the
Planners for infomration on perMitted screening methods.
PERMIT
Y Furnace
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Air Conditioner
Gas Exterior HVAC Unit,
Exchanger
Under Above ground Tank Install Remove)
Air
Pump
When installing/removing tank(s), call tor inspection by Fire
Marshal and Plumbing Inspector
Heat
Other
RESIDENTIAL FEES:
550.50 Minimum Add-on or
alteration to an existing unit (includes
out appliances, ductwork, etc.) (includes
$.50 State Surcharge)
$.50 State Surcharge)
7 TOTAL FEE
$90.50 Fire repair (replace burned
COMMERCIAL FEES:
$70.50 Underground tank installation/rern
$50.50 Minimum (includes.$tate
oval OR
Surcharge)
surcharge is $.50.
increases by $.50 for each
$2,000 Permit Fee requires a $1.00 surcharge).
Contract Val x 1%
Permit Fee
If Permit Fie is less thaws $1,000,
State Surcharge
If Permit m is $1,000, surcharge
$1,000 Permit Fee i.e. a $1,001-
TOTAL FEE
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicants Printed Name
City of Eagan
1 1 OL 0 9 2009 i2)
Tenant:
x
Applicant's Signature
For Office Use'
Permit It:
Permit c,
Dale Received:
Stan:
2009 MECHANICAL PERMIT APPLICATION
1 De Site Address: L i s L
91-5i5
Suite a:
I hereby acknowledge that ins intortnaaon is complete and accurate: 'Mime work iv l be in conformance with the ordinances and codes of the City of Eagan: that
1 understand fns is rot a permit. but only an application Ior a permit, and work is not to start without a permit; that the work will be in accordance with the approved
plan the case of work which requ irr a(eview and apf1roval of pis.
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough In Air Test Gas Service Test In-floor Heat Final
Extenor HVAC Screening Inspection
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129268
Date Issued:01/26/2015
Permit Category:ePermit
Site Address: 4299 Westchester Cir
Lot:5 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Scott R Jameson
4299 Westchester Cir
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144054
Date Issued:07/11/2017
Permit Category:ePermit
Site Address: 4299 Westchester Cir
Lot:5 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-050
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Ryan A Erdman
4299 Westchester Cir
Eagan MN 55123
(920) 562-7139
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature