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4721 Westminster Cir44111 City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 IA!.f —. A. ')(11 Use BLUEorBLACK Ink riCatrikVA Permit #: 76 Permit Fee: v Date Received: Staff: J INFLOW ,& INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: / 70,. I lit.)e,S 4im 1 N S4P�N j >" Tenant: Suite #: RESIDENT / OWNER Name: "K -i f L . te,4 °�_ Phone: 7 i— ft''S.? —qt Address / City / Zip: 724 e'j rh i h,,Lty- C C' J e-ie.eic c -., 5 ! i7 CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the Sump Pump Repair Repair. building envelope) Other: Other: DESCRIPTIONkA; Description of work: p (...0 e_. dt. 5 2 c -1r d--, m .4 [ ` `, ,1); 19 `P - 4-t-, Q V G_. FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a 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 g . hich requires a r iew and approval of plans. X crr L.0 Applicant's Prted Name FOR OFFICE USE licant's Signature Required Inspections: _Under Ground _Rough-ln ~r s• ~trtt#ira#e uf (Orxupaury (Litp of (tagan Erpwrhsnd n# Wuilbitcg jWrrtiimt 77ris CeWfuate i.sued pwsuan[ to the requironents of Serlioa 306 of the Uniform Buelding CalcQUYijying that at the time of issuance 11ris strucxwe ww in conpliance with the y+arious ordiKanaes ojlhe Ciry regurcAircg buildrirg cnruYrrodion or use 14vr the fallowing: uK akmime". SP 01+ ',,CM eW& Pau: w. J 8= p-p-7Tj,a R3/M 1 z,.igpw,;m R I 7ywri.... VN ~d Badiet AW JCFN" Ad6m 142513KEDAR AVE. APP1E VALi.EY Bu5crm Add= 4721 WGSI1CNSIM CIlRaEL-aq I3, B 1, ffiiITTAiM I OTi TAN[tARY 18 $ 1991 POST W A CONSPICUOUS PLACE . .F mr. . PLUMBING PERMIT For Office Use Only CITY OF EAGAN PERMIT # Z' S2,),/ CONTRACT 3830 pILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# PRICE PHONE 4548100 DATE: Site Address ? ' BLDG. TYPE WORK OESCRIPTION 17 Lot Block / Sec/Sub Res. ~ New ~ Muk. Add-on Comm. ' Repair Name e - Other ~ Addr r1' ' c City~s /nT Phon61 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FIXTURES TOTAL Name Water Closet - $3.00 $ ~ ~ ~ Bath Tubs - $3.00 ~ Addres ~ x Lavatory - $3.00 ~ ~ Cityf AkE l51 L L C 1/ Phone -I Shower -$3.00 ~ I Kitchen Sink - $3.00 UrinaVBidet - $3.00 FEES Z Laundry Tray - $3.00 COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 TOWNHi3lJSE 8 GOlUF3U= FiES. RA7€ RRLt!€S 1(fbirlpool- $3.00 _ " MINIMUM - RESIDENTIAL FEE $12.00 1_ Gas Piping Outlets -$1.50 V ~i~~ MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERM17) STATE SURCHARGE PER PERMIT .50 SoRener_- $5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00 Private Disp. - $10.00 Rough Openings - $1 _50 , • ~ ~si ATURE OF PERMfTT E PERMIT FEE: STATES S/C: FOR: CITY OF EAGAN GRAND TOTAL: ! S U . . . y, . . u ;R• ; ar^/ii.~S T T,r~ r . . r.T ' ' MECHANICAL PERMIT For City Use Only . ' . • CITY OF EAGAN PERMIT # T ~ . 3830 PILOT KNOB ROAQ, EAGAN, MN 55122 RECEIPT # DATE PHONE 4548100 DATE: Site Address \,-BLDG. TYPE WORK DESCRIP710N Re Lot Bbck /SeGSub 5' x New Const. ~ Mult. Add-on - Comm, Repair ~ Name pther ~ Address ~ City Phon FEES :4 RES. HVAC 0-100 M BTU -$24.00 Name ~ ADOITIONAL 50 M BTU 6.00 c Addr ss Jt=SA (RES. HVAC INCLUDES A/C ON NEW 3 CONSTRUC110N) O City Phone TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIAAUM RESIDENTIAL FEE - ALL ADD-ON & TYPE OF WORK REMODELS (INCLUDES GAS PIPING) - 72.00 • GAS OUTLETS (MINIIiAUM -1 PER PERMIT- Forced Air BTU NEW CaNST.j . _ 1.54EA. Boiler ' M BTU $ COMMAND FEE -1% OF CONTRACT FEE Unit Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES 4+ MINIMUM COMMERCIAL FEE - 20.00 Air Cond. M BTU $ STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) Gas Piping Outlets # $ `z Other ~ CommJlnd. Contract Price x 1% $ ~ sl PERMITTEE PERMIT FEE: S/C: `F R: TY OF EAGAN ~ TOTAL: ou SEWER &WAl'ER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # '44 11 PERMIT OATE 3830 Pilot Knob Rd. o' Eagan, MN 55122-1897 CHIP # 4 a D/ D~~O PERMIT # 116 METER SIZE B.P. RECEIPT # D14Tf AISSUE DATE B.P. RECEIPT DATE -'8 2`.} 9r~ ' uc;i;~.'i 29, 1~~~~c~ I._ PRV - BOOSTER PUMP SITE ADDRESS 11: 21 PERMIT REGIUESTED LOT " BLOCK -I SEC/SUB ~ SEWER ~ WATER - TAPS APPLICANT: - COMM/IND X RESIDENTIAL ADDRESS: CITY, STATE ZIP X NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 1L745 S P,rRFRT TP. Credit WILL NOT be given for Deduct Meters. CITY, STATE ' i ZIP 5~~6t'~, 11 PHONE: " ~ . ki 1 1 AGREE TO CO PLY WITH CITY OF OWNER: m w .10BusnN EAG_AV ORD G S ADDRESS: 14151 CLUAR AVL CITY, STATE AP?L 11Ai.I.RYT r;;;; ZIP - 5S~?~ PHONE: 63'-IGNATURE N METER ISSUED PLEASE ALLOW 'fW0 WdRKING bAYS4OR PROCESSING. CALL 454-5220 FOR iNSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: • ~ Eagan, Minnesota 55122-1897 Date Issued: -04 ~ ii+ (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . D• F L Permk No. Permft Holder DaU Telephone 9 ELECTRIC PLUMBING HVAC Inapectlon Dab Insp. Commenb FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBC3 AIF TEST ROUGH HEATING dAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BLDG FlNAL BSMT R.I. BSMT FlNAL DECK FfG I Q~ ~ ~ DECK FlNAL IUO ~ I v~~.52. ~rusPA, . o,R~~~~~~. -,.,~„fi.~,+~~:!F~,w~:}3.. ..~:ac:y1„ ~::.,s:.•R:e711vra.t~7'~"`„".... ,..~„~.'r._--r: >:ra+~~ CITY OF EAGAN ` J 18307 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for S~ ~~/GAR Est. value $148,000 Date *uG 29 19 90 Site Addr ss 4721 WLS'[?lINSTER CIR OFFICE USE ONLY Lot Block 1 Sec/Sub. sRin~ 'OTH R_3 M-1 PBfCeI NO. Qccupancy FEFS Zoning R-1 W Name M W JOHNSON (Actuai) Consl Bldg. Permit ~8' ~ o Address 14251 CEDAR ANLr (Albwable) V=N Surcnarge 74•00 Ciry "PLE VALLEY Phone 838 ,r of stories S2S.00 Length ~i Plan Review ~ =o Name s~ Depth - SAC, City 1~•~ , 0¢ Addr'esS S.F. Total - 600.00 SAC, MCWCC ~ Clty Phone - S.F. Foot~~nts - 625•00 On Site Sewage _ Water Conn r- ¢ yVj W Name On Sde Well Waler Meter s= Addr@SS - MWCC System x 30~(~ u= Acct. Deposit < W City PhOne City Water PRV Required -r- S/W Permit 3o'oo I hereby acknowiege that I have read ihis application and state that the Booster Pump - SNV Surcharge information is correct and agree to comply with all applicable State of 252.00 Minnesota Statutes and City ot Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 355.00 A Building Permit is issued t0: m w JmpsoN Ptanner - Park Ded. on the express condition that all work shall be done in accordance with all Counal applicable State of Minnesota Statutes and City ol Eagan Ordinances. Bldg. O(f. _ Copies Building Official Variance ~ o~9 b TOTAI 3~~9. Permit No. Permit Holder Date Telephone AF 1NATER Y, ~ SEWER PLUMBING o H.V.A.C, p?d-- r l!, , l~ ELECTRIC Inspeciion Date Insp. Comments footings I Q- L bS Foundation framin9 Rooling ~ r Rough Plbg. ~ Rough Htg. Isul. Fueplace Z Final Hig. 741 Fnal Plbg. A Const. Meter Plbg. Inspector - Notily Plumber EngrJPlan Bldg. Final ~ ~1- Deck Ftg. Detk Final weli Pr. Disp. CITY OF EAGAN NO ' $$O7 " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~Y ~ BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $148, 000 Date AUG 29 ,1920 Site Address 4721 WESTMINSTER CIR Lot 3 Block 1 SeGSub. BRITTANY lOTH OFFICE USE ONLV Parcel No. aapancy R-3 M_1 pEFs Zoning R-1 w Name M W JOHNSON (Aclual) Consl V-N Bldg. Permit $08.00 o AddreSS 14251 CEDAR AVE (Allowable) V=N_ 74.00 Sumharge City APPLE VALLEY phone 432-6838 x oi siofies Lengih ~FO' Plan Review 525.00 ~o Name SAME Depth 5?' sac,ciry 100.00 0a Address S.F.Total - SAC,MCWCC 600.00 ~ City Phone S.F. Foowrmts - OnSitBSewage _ WaterConn 625.00 ~ W uai Name On Sila Well - Water Meter 90.00 w Address MWCCSyslem X- Amt Deposil 30.00 a W City PhOn2 Cily Warer X PRV Required X S/YV Permil 30.00 I hereby acknowlege thal I have read Ihis application and slate that the Booster Pump - SiW Sumharge .50 information is correct antl agree to comply with all applicable Slale of Minnesota Statules and Cily I Eagan Ordina ces~.. Treatmenl PI 252.00 Signaiure of Permitee APPROyALs Road Unil S- n0 A Building Permit is issue to: M W.IOHNSON Pianner - park Ded. on ihe express condilion that all work shall be done in accortlance with all Councii applicable State ol Minnasota Statutesf and Ciryu of Eagan Ordinances. gidg, pff, _ Copies . Variance ~n ~~0 TOTAL -1.489.50 Building Onicial Address: 4721 WESIlIINSTEP, CIH..rE Lot 3 Blk 1 Sec/Sub BRIITANY 101H These items were/were not complate at the time of the final inspection. DATE: JAN[JARY 18 1991 Yes No yNSpgr_iprt; S_ Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Pexmanent dxiveway ~ Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish ~ Deck Please verify vith the builder the removal of rooE test caps from the plumbing system and the shut-oFf of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy RESIDENTIAL BUILDING Permit Application . a ,0 . City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauire meMS RemodeVRepair Reauirements Office Use Onlv 3 registered site surveys showirg sq. ft of lof, sq. k. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20%maximum lotcoverage allaxed) 1 setof Energy Calculations for heated additions _Tree Pres Plan Recd 2 copies o( plan showing beam & window sizes; powed found design, etc. 1 site survey tor additions & dedcs Tree Pres Not Reqd isetofEnergyCalculations Addition-indicateilon-silesepticsystem _On-siteSepticSystem 3 copies of Tree Preservation Plan'rf bt plaited after 717/93 Rim Joist Detail Optlons selection sheet (Gldgs wAh 3 or less unifs Date Construction Cost G, (_ofo. UU SiteAddress t(72! -C UniUSte# Description of Work ~a5 e vN r.-~ 2oo,, 14 u,c, l't' Multi-Family Bldg _ Y~,,,N Fireplace(s) _ 0 1 _ 2 Property Owner r ~ _ ~~qS 2 Telephone # (&5I ) Ll52- S'~S !5 Contractor Address Ci State VI \1_1~ eleph # - 9 , `3 - 3 COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet . (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( J Pl~ - - II+ Mechanical Contractor ~i 'hl n 9 7!'P.' Telephone ) Sewer/Water Contractor ~ 11' 1 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. (Cerf` L. Ci~P Applic t's Printed Name *plicV'ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_vorXN ? 25 Miscellaneous Work Types ? 31 New ~ 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant 4w- Valuation Occupancy R `.J MClES System - Census Code /r Zoning City Water SAC Units ' Stories Booster Pump - Nbr. of Units ' Sq. Ft. - PRV ~ Nbr. of Bldgs - Length ~ Fire Sprinklered Type of Const TR-2) Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings(deck) ~ FinaUNo C.O. _ Footings (addition) Plumbing _ 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 Utility Connection Charge S&W Permit 8 Surcharge TreaVnent Plant License Search Copies ~ Other Total RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 a U-~ ~ 651-681-4675 New Conetructlon ReauiremeMe NemotleNieoair Beaulrementa a + 3 registeretl sHe surveys showing sq. fl. of bt, sq. k. ol house; antl JI roofetl areas • 2 caples of plan ~ (20%maxenumbtcoveregealbwed) . isetofEnergyCakutatlonsforheatedaddlGOns • 2 coplesoiplen showing beam & window slzes; poured tound design, etc.) • 1 sMe surveyfareMerbradtlitbns 8 decks . 1 set of Energy Cabuletbns . Intlicate'rf home served by seDtic sYstem iar adtlitbns • 3 coples ot Tree Preservetbn Plan If IM platled afler 711/99 • Rim Joist Detail Options seledion sheet (bklgs wflh 3 or leu units) DATE VALUATION ~ / 0.,;bo Gc SIiE ADDRESS y7a 1 ~''eS~ 7n;~r~N Sfzr C~?' . MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK,A c 5~1 %Y4k .T~ ~ 5 5; b, ti~ FIREPLACE(S) 1_ 2 APPLICANT M('bwt.gf )qu;/Drau ~ 44e.~--'s STREETADDRESS SyS VtiN55 P-0 qN dwA-(~aAN9- STATE ttlAl ZIP 57S-r-6d TELEPHONE # 3'67-016 CELL PHONE # So7 -025~ ',/0 7a FAX # PROPERTYOWNER (!~A ?)"3 C/QSe TELEPHONE# COMPLETE THIS SECTION FOR uNEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 ~'I'~ 2 (J submission type) • Reaidential Ventilation Category t Worksheet Submitted D E}~rg4~ C e o et Submitted . Energy Envelope Calculations Submitted MAY 1 7 2002 Plumbing Contractor: Phone # gy Plumbing system includes: _ Water Softener _ Lawn Spri er Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # I hereby acknowledge that I have read this applicaTion, state that The informatlon is correct, and agree to comply wlth all applicable State of Minnesota Statutes and City of Eagan Ordinanc Signalure ofApplicant ~ .....r. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY O 01 Foundatan ? 07 OSplex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - MuRi 13 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ect. 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 ? 08 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. 0 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicaM Valuatlon 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 Typa of Const W idth REQUIRED INSPECTIONS _ Footings (new bidg) _ FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By , Buflding Inspectar Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5&W Pertnit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 11301 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MACE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FDR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ~yfJada To Be Used For: Se/ ~~al- Valuation: Date: /GeIV6 Site Address OFFICE USE ONLY Lot -3- Block / FEES Occupancy R-3 / 2~/ Zoning Parcel/Sub .~)J'iTC`QNi Actual Const V// Bldg. Permit C~V? ~ Allowable Surcharge 04/ Oc•rner elOS`C ` /'I''l/ t/1V15 # of stories Plan Review .S'Z ` 1Length y0 SAC, City /oD Address Depth S2 SAC, MWCC 640 S.F. Total Water Conn 47-s City/Zip Code Footprint S.F. Water Meter SO Acct. Deposit 30 Phone On site sewage_ S/W Permit 30 \ I On site well S/W Surcharge ,3'p Contractor 1p\YI5SY13 MWCC System ? Treatment P1. 2S2 City water ? Road Unit 355- Address (ya5~/ C..e[fQ/' !~Ll/=( ~ PRV -Z Park Ded. 'I Booster Pump Copies City/Zip Code fijo~ at/'v 1 V. S,j SUBTOTAL y3a ~p~ ~ ~j APPROVALS Penalty Phone ~ Planner TOTAL 4.F11 Council Arch./Engr. Bldg. Off. !~024 Variance In"Z -gp Address City/Zip Code Phone # ~ 36~ Za : ~20 ~ ~ t - . . s /S~GB`o J zo 2o,~zo yoo Z ~ l%k~~ k yo = 7~ 5-a J U e~r ~`/,~yo Xs~ S"~P~ o coo~ (~Ooo ~ %~oz8 CERTI FICATE OF SURV E Y o~~~~-rot•i LAt~IE G Elevations shrnrn are exist- c u~ 93` 04 ~ 34 inR grades and ara city da[um 4b za'1o E i~ 93~ S 3 4Z, l4 m ~ Arrows denote prnposed 0 S ? oAQx ~ direction of eurface vater -7`~ runoff. 1Y'o1'~y~ 0 b r ~o 3 n' - -J I 1 S o ~ - ~y Suilder and or contractor in W to verify all proposed a"„ 4Y s J grades and grade the lo[ 0 c Li so that the surface vater vill not pond nr creati> '",;j, r I Y N drainage problems for thic lot or adjofning lots. ~ 1 p. y~ Uo po e~ I y"[r Proposed top nf 1~ .~y~• ~ Zo.4, p I fnundation = 940.2 ~ ~~1 ~~h d) i lu Propnsed Raratic o Q o o~ ~ 0 ~ ~I (Q f 1,,or = 938.5 ~ p 3~ T Z e>l a Prnposed basement .11 5 qyv.o i Z fluor = 932.1 t~ ~ ~ W ~ r ~ ~ ' r~' ~ ~oT 3 i s ~ - _ r f,. . Lo c It t j? By EAGART EIVG NEERIIVG DTk"T o - - - - tYl vi . ~ S 46° Z6 lO E- 60. C p R.V. REr(`irJ.MED I hereby certify that this fs a correct represen[ation of a survcy <+f: - Lot 3, Block 1, BRITTANY lOTH ADDITId[d, Daknia County, Ninnesota, eccording to the recorded plac thereof. and that [his survey and certificate was prepared by me or under my direct supervision and that I am a duly reRistered land surveyor under t lavs of t e Stat-e of Ninnesnta. Dated: Auguet 16, 1990 Gene L. Jaeobson, Reg. No. 7734 HR BY GL.i SCALE 1" = 30 O DSNOTES IRON HQ:IJMENT BEARINGS ARE ASSUMED DATUM lrepared for: JACOBSQV SURVEYORS ,lohnson Cnns[ruc[ion 8472 195TH ST. WES9' P.O. Box 24389 1AKEVILLE, !Ir 55044 Apple Valley, AIIi 55124 SEP 12 I9 Q PHONe. 469 - 4328 gy c~~,,,,~.« 9~nv.-.~ • • . ~ EXTERI(1R ENVELOPE kVERAGE "U" COMPUTATION " • OWNER - - - ,~i-yw ' . SITE ADDRESS • ' CONTRACTOR DATE PHONE Determine working square footage of each. , 1, Total exposed wall area sq. ft. x 2. Total roof/ceiling area ~I 9 a sq, fL. x •02 V Total exposed wall area above floor = Z S 3Z- ':a. Total wall windaw area Z g3.Z 'b. Total door area S Lo ' c. Total sliding glass door area . Lo y ' d: Total fireplace wall area......................... yg e. Total wall framing area (average 10%).......... 20 g,G R , f. Total net wall area above floor C) Z"7Z g. Total rim joist area Z.bCoIS Total exposed foundation area h. Total foundation window area..................... i. Toal net foundation area abpve grade ~D Determine "U" value of each wall segment. • . a• Z8`'~,Z x lluii 131- _ 90,IoZ n. 510 Xiful, c. loq x liUpi d• U8 X"U„ ' e•_ 2.Os,DB X 11u,3~~ = 14,9'7 f. ianz,r?Z X„u„ , 6q3 = o,5z 9. ztIO to .S X„u„ , oy 10,97, h. ~ x „u„ Zo4 x°ull 061, = 3........ ~OQZ 5...... Totai = 2~i If item 03 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. ' ~ i , . ,,.r.. , Total exposed roof/ceiling area = I lr! 8. ~ Total gross roof/ce9ling area = Ilq Total skylight area , Z k. Tatal root'/ceiling framing area 1. Total net insulated roof/ceiling area..... . Determine "U" value for each roof/ceiling segment. ~9'.Z x „u„ ; 37- _ LP k. I Irl~ $8 X"U" ~ OZ%I = 2, 97- . 1. Io&o.4Z x"u" ~ nZ;Z = Z3,3 4............... ....~~:1~.......... rotal ' [ ZT If totaT of #4 is the same as, or less tfian #2, you have met the intent.of 5BC G006(01. To utilized the total envelope system method, the values.established 6y the sum of items #3 and p4 shall not be greater thae the sum of itens 91 and #2. . 1. + z, 31,1 _ 3el ;41 3. Z.n5~a1 + 4. 3Z 3 = 30$~ I~ ]dAATERIALS Therm. Besistance "R'" • Ezt erior Air .I r! Siding ?Iat erial , q5 Ic_ . Sheathing 260 Insulation I Cf_ Sheetrock . 4 5 Interior 6ir ~ Stads Rint Conc. Blks. ' . . ~ . , SUB,TEGT: VARIANCE APPLICANT: M WILLIAM JOHNSON CONSTRUCriON INC LOCATION: (LW 3, BLOCK 1, BRITTANY lOTH ISTING ZONIIVG: R-1 (SINGLE FAMII.I) ~1° EX ~ y yy~ DATE OF PUBLIC HEARING: OC1'OBER 2, 1990 DATE OF REPORT: SEP1'EM13ER 21, 1990 COMPII.ED BY: COMMUNITY DEVELOPMENT DEPARTMIIVT APPLICAT'ION SUMMARY: An application has been submitted by M. William Johnson Construction Inc. requesting a 10' Variance to the required 30' setback along public right- of-way to construct a single family home at 4721 Westminster Circle. The applicant believes that due to the steep grade in the rear portion of the lot a Variance of 10' is necessary to avoid the construction of an expensive retaining wall. Information on the exact slope was not provided by the applicant. All other setback and lot coverage requirements meet Code requirements. If approved, this Variance shall be subject to all applicable City Codes. , u,~~•, ~u "I Jt7 ~ ~ i C`• twox ° i\...J( i. ' I~ l~~ ~ f ~,g k'~~~ ~ • WAUXDV ~ { o~ .a NW ~ Y v~1111'NE ;L l{I ~J~ j~ v~''~i• ^ i 'T • ~I~rrn,±4t~:r,.~~.tr+~""`.Lo ~ z 8E - 'I\_c__J--- . oq 04 - - Street Map Zoning Map 14 . , „ +'~~•t; ~ ~ t' ' I ~ • e ~ , i ' ~ t ~ ~ , ,e ? t.• I 14 ~ ~j • + '"e" 6 , P ~ ~ f , ~r~ _ .Ir. • , r~ Zt,y t iTON ;o ~ . t~ , ; ~ • ? i ~1:. .•ri~ M~ fa" y,•• ~ ' . Y a • • , " : °y ~ o . ~ ~ 4 t~ w . ~ j• ' a , ~ . i~. 4~ ..e, Loution ~(+y r\ ~AT ` ~1 p L ~y ~i { ~ . ~•p'Yp 1 Z Y dy~~•. 't . uo'rt . ~ ~~.;r~L p~ ~ t Y ¢j:[ia[[t ii'% ~ ewy ~ ~ e M ~ a 4~JC~~ s CD ~ It ~ Y •~,~F~ ~ ~V ~ ~p, ~ e 4 ir~. ty 1 L ~.'?J r 4`~ n "o's u ~ ~ ¦ t't~'~ : o ° ~td . ~e . j 4 ~ . g * s » • r ~~'P , r~ f. _J . • , ~ c.:~ - • ~ 1 ' e 44 a ~ ~i ~ . ~ ' oR ~ , .1 „ .7~:•1 ~ ? ~~21e `~r ~~L ` ~ 04LNt I ~ ~ • ' ~J"~ pN ~ n w ° 1 r io 9 tr w h'i ~ ' n \ a :y ~ {V i • f' e4 N n ~ ,,~k` : ' E _ ~Q~'(~ ~ ~ ~ ' r m aj A .-r . O : - O ~ ae ~ ~ /WAY \_~,~Q'~ r e fn • ~ d~ ~ ir:F ~ } -•ne w-. ~ ^F , ' CERTIFICATE OF SURVEY L-ANE G Elevations shown are exist- J 93 ~ 04 9E4 e ing grades and are city datum 54B°ZO' lo E 93 4~• 14 ~ ~ Arrows denote proposed ,{ry9 Rs ,y%p O s o a„A direction of surface vater ,14. 40 ^ de runoff. 9y w•o~' ~v' ~ o.~ F' W Builder and or contractor 'O I f ~tj to verify all proposed 5` ~ r grades and grade the lot Oor L) so tha[ the eurCace water \ QO°-rv`AEE vill not pond or create dzainage prohlems for this ~o r 7 ~ lot or adjoining lots. 0 ''s" ~ Proposed [op nf ~ q,~1•O • ~ y ,o 20.4 p I~ foundation = 940.2 I'y) ~~,s .•'o J) ~ L ~ 2`~ ~ Q ~ r' Proposed RaraKc '7 fl:,or = 938.5 ~ P 3> . 2 Z Pr<iposed basemen[ 0 ti ~a @~ ` N ~ floor = 932.1 J qyM.o ~ i Z~~q PRoPo~GO y~ ~ 4 SEAS6A1 poRG.H ~ q~~ ~ 04 _ ~ ~1 `1 Lo-t- 3 I 1 BLOC Ic l i ~ d . o-~ - - a ~yt a ~ R 5 4B° Lo tti E- Bb.Oo 4r I hereby certify [hat this is a correct representatinn of a survey nf: Lot 3, Block 1, BRITTANY IOTH AUDITI(kI, DekMa County, Minneso[a, according to the recnrded plat thereof. and that this survey and certificate was prepared by me or under my direct supervision and thet I am a duly registered land surveyor under t lavs of t e Staae of Hinnesota. _ Dated: August 16, 1990 Gene L. Jacobson, Beg. No. 7734 4 BR BY GL.7 SCALE 1" = 30 O D?NOTES IRaN MONUHENT BEAAINGS ARE ASSUMED DATUM . Prepared for: . JACOBSQd SURVEYORS ' Johnson Cons[ruction 8472 195TH ST. WEST P.O. Box 24389 LAKEVILLE, !6d 55044 . Apple Valley, IRJ 55124 SEP 12 140 PHONP. 469 - 4328 - PERMIT c,o. s~11 CITY OF EAGAN PERMIT TYPE: 4IiQIo 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 3 7 4 (612) 681-4675 Date Issued: 0 4/ 18 J 9 5 SITE ADDRESS: 4721 WES7MINSTER CIR LOT: 3 BLOCK: 1 BRITTANY 10TH P.I.N.: 10-15009-030-01 DESCRIPTION: B'ui:lding`Fermit Type DECK $uilding Work,Type NEW ? , . . _ . - . . REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: _ Applicant - CL05E KERRY 4721 WESTMINSTER CIR EAGAN MN 55122 (612)452-5959 I here,by aoknowledge that I have read this application and state that the intormation is correct and agree to comply with all applicable Stat'e of Mn. L Statut'es arrd CitY ofi Ea9an Drdinances. _ 1 APPLICANT/PERMITEE SIGNATURE TSSUED BYlSIGN4TURE E T~ r~ CITY OF EAGAN FQ m141995 3830 PILOT KNOB RD - 55122 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construetion Reeufrements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copies W pian ? 2 copies of plana (inGude beam 8 window saes; pouretl fid. design; etc.) ? 2 atte surveys (exterior addiGons 8 dedcs) ? 1 energy ealaletlons ? 1 energy calcuWtions for heated atld'Rfona ? 3 copies of tree proservatlon plan if lat pletted after 7Hl93 required: _ Yes _ No DATE: Ra'_ CONSTRUCTION COST: ~Uoc)' cv DESCRIPTION OF WORK: STREET ADDRESS: ' ~o-z~ LOT BLOCK SUBD.IP.I.D.#: PROPERTY Name: ~ ~oS ~ KErr y Phone y SZ-: '~j 5-1 OWNER Street Address4 s4 Pr Ct r~ City: State: ?h h Zip: 5 5 ~ z z CONTRACTOR Company: Phone Street Address: License City: State: Zip• ARCHITECTI Company: Phone #ENGINEER Name: Registration #Street Address* City: State: Zip: Sewer 8 water licensed plumber: Penalty epplies 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 infortnation is eorrect and agree to comply with all applipble State of Minnesota Statutes and City of Eagan Ordinances. 6 44 Signature of Applicant: ' OPFICE USE ONLY RECEWED Certificates of Survey Received _ Yes _ No APR 0 6 1994 Tree Preserva6on Plan Received _ Yes _ No W OFFICE USE ONLY g ~1 . ..o:.. a BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dweiling o 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace a 21 Miscellaneous n 05 SF Misc. 0 10 = plex Am' 15 Deck WORK TYPE ,~W-31 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowabie) Main levei 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. Y3 y Depth Footprint sq. ft. SAC Code ai Census Bldg ~ Census Unit ~ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units J . L.aM F_ C-p Eleva[ions shwn are exist- 9% oa 4 e ing gcades and are city datum c.~ustP 54A 20 lo"E 939 g,.~~+ ~3 4Z. l4 v ~ Arrows denote proposed 0$ e a„A direction of surface vater runof. E. :Y3 l9~01 ~4' Q aCy^ io __t r _J J 1 Butfder and or cnntraUer S o - p i~ 'm U~ to verify atl pruQosed ~ Id 'A ~ Rrades and grade the ln[ Q oso that Che surPace water Lil. aiil rto[ pned nr create drainage prohlems For this ` ~ ro . - h S ` " lut nr adjoLniaK Lots. j ~ I ~ ` ~ ~i~• ~ . ~ . :.-.I ~3 ~ ~ YraQnsed [op of ec, 20.4 f.,unSation = 440.2 / • ' ,C~ ~y~ (~p~ 4 o ~ ~ 2 Q Q. ~ f Ptopose3 Garage ~I :wr ~ 938.5 ~ 9c` ~'~'~n ?c ~~0 0 0"o A i L 'fi oG > Pruposed b+tsement avv.o ( L El.nor = 932.1 s i~ t~toP~xo 5~ I~ J . Lo-r 3 ~ Z P~ ; BLoctc i j ~ 2 , ~ si~.- - - ~ ~o ~ p N N 9vt ~ ~ 'S 4g°ZO lo E- 60.00 ;r ~ I heceby cectify [ha[ thii ie a correct representa[ion oF a survcy of: Lot 3, Block 1. BRLTTaNY LOTFi ADDITION, llaknta County, >Einne+ota, xecurdinG to the recordeJ plat thereuf. aad that this survey and certificate was prepared by me or under my direct supervisioa and tha[ I am a duly rekiytered LanJ surveyur und~r t lavs uf [ State af :finnesnta. DateJ: Augus[ 16, 1940 (:,:ne t.. .farobsnn, : eg. ro. 7734 pR BY GLJ SCALF. 1° = 30' O Dt3:VOTBS IRON ri(XiUItEVT BF.ARI?ICS AM AStiUMEU TY+TCM Prepated for: Xpe:cissua suRvsyops . Johnson Cnnstruction 3472 195TH Si. WF:tiT P.O. 8ox 24184 LAKSVILLE, :'IN 55044 App1e Vailcy, `PI 55124 I ' 5Ep 1 N 41 PHCINR 469 - 4328 , i . 1,°' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAY 232012 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: a 6 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: Ke -c/ L C-104 I/ Address /City /Zip: 1---C721 �e +�'� hoz F e �� rc i P net —57 Z- Z- Phone:��7 l-45 2- (595", Applicant is: )(Owner Contractor Description of work: cc/ Ae Icy 1o, Construction Cost: / r c0• 0O Multi -Family Building: (Yes / No ( ) Company: � LF Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Saul ,'.t'i /95v 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: Sewer & Water Contractor: Phone: 'Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x l(elf LC047' Applicant's Pr' ted Name Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) .)iG Porch (Screen/Gazebo/Pergola) Pool WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction y3g1 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final tFraming Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window 010(i 4--/72-1 we_ ( ste,_ c, - Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 so CERTIFICATE OF SURVEY 10'0'1 GQ•riN rc LA►�,1E~ Rs oto 'T G. 4Q D• i4001't4. • to e'._ ,1-3(.. 04 .. 3'4 e 9 5 48C Zo' to E 3 4z, t4 J1O Q S n 0 — b — n iO r Io 0 I) of S 4-b—'z c tt3 E BLcDc ►c l Q i lG 414 - In In r 4- 0 3 BY: 3 ATE? BLD! 7zI .1,des40,14Sc r Elevations shown are exist- ing grades and are city datum Arrows denote proposed direction of surface water runoff. Builder and or contractor to verify all proposed grades and grade the lot so that the surface water will not pond or create drainage problems for this lot or adjoining lots. Proposed top of foundation = 940.2 Proposed garage 0 floor = 938.5 2 Proposed basement floor = 932.1 tf W REVIEWED r'L:CTIONS DIVISION I hereby certify that this is a correct representation of a survey of: Lot 3, Block 1, BRITTANY 10TH ADDITION, Dakota County, Minnesota, according to the recorded plat thereof. and that this survey and certificate was prepared by me or under my direct supervision and that I am a duly registered land surveyor under to,.- laws of a State of Minnesota. Dated: August 16, 1990 L . �4111-4 Gene L. Jacobson, >f Reg. No. 7734 .13R BY GL.] SCALE 1" = 30' 0 DENOTES IRO] MONUMENT BEARINGS ARE ASSUMED DATUM Prepared for: Johnson Construction P.O. Box 24389 Apple Valley, MN 55124 SEP . 2 1930 JACOBSON SURVEYORS 8472 195TH ST. WEST LAKEVILLE, M3 55044 PHONE 469 - 4328 PERMIT City of Eagan Permit Type:Building Permit Number:EA148847 Date Issued:04/25/2018 Permit Category:ePermit Site Address: 4721 Westminster Cir Lot:3 Block: 1 Addition: Brittany 10th PID:10-15009-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael Pierquet 4721 Westminster Cir Eagan MN 55122 All Around Roofing & Renovations 701 Decatur Ave N Suite 201 Golden Valley MN 55427 (763) 447-3944 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150732 Date Issued:07/20/2018 Permit Category:ePermit Site Address: 4721 Westminster Cir Lot:3 Block: 1 Addition: Brittany 10th PID:10-15009-01-030 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 - Michael Pierquet 4721 Westminster Cir Eagan MN 55122 (920) 309-0127 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165858 Date Issued:11/24/2020 Permit Category:ePermit Site Address: 4721 Westminster Cir Lot:3 Block: 1 Addition: Brittany 10th PID:10-15009-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Benjamin Rouner 4721 Westminster Cir Eagan MN 55122 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169617 Date Issued:06/03/2021 Permit Category:ePermit Site Address: 4721 Westminster Cir Lot:3 Block: 1 Addition: Brittany 10th PID:10-15009-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Benjamin Rouner 4721 Westminster Cir Eagan MN 55122 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169618 Date Issued:06/03/2021 Permit Category:ePermit Site Address: 4721 Westminster Cir Lot:3 Block: 1 Addition: Brittany 10th PID:10-15009-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Benjamin Rouner 4721 Westminster Cir Eagan MN 55122 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature