4737 Westminster Cir ..._....,r. . .~.nrrww.~,..x~['F~+^:w~~• . : .~,.r . . . . . ~ r~+~~.v-..-.-.. r~,~r. ~;V
~ CITY OF EAGAN
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 2 ol
PHONE: 6$1-4675
BUILDING PERMIT Receipt #
To be used for ~F DWG/(;AR Est. Value $148,000 Date lSAR 4 , 1912
Site Address 4737 V8$TMIt1S7ER CIR
Lot 5 BloCk I SeGSut~i~A~ - OFFICE USE ONLY FEES
Parcel No. IOTH oocuPancy R'-3 ~ ~7. ~
2oning
Name Alt1.I!(GTGN DUILDIHG CORP (nctual) const V"N s,,mr,aV 74.00
wAddress 13774 YSINCSTWI C'f (Albwable) V~N Plan Revim 524.101,
~
~~y SAVAGE HN Z'jp 55378 M Len ol gth Stories 68 uceree
Phone 432-9725 DePth 35, SAC,City 100000
S.F. Total
~ Name - SAC, MCWCC 00-00
S.F. Faotprints
~Addrew On 5ite Sewage _ Water Conn 675.00
CRy Zp a+ sice weli ~ wacer nneter 95.00
MwCC system 3a,~
Phone
City Water x Acct. Deposit
8Lkem #WQ~200 PRV Required x S/W Pertnit 30.00
I hereby acknawlege that I have read this applicalion and state thal.ike Booster PumV - S/W 5urcharge •30
information is correct and agreq to comply with ail applicable Stete ol 3~~~
Minnesota Statutes and City of Eagan Ordinanoes, ' Treatmem PI
Signatureof Permitee -_.--t - APPiiOVAIS Road Unit 380•00
A Building Permit is issued to: AR04MOw BUILDING COR Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry, _ Copfes
Variance - TOTAL 3.716.88
Building Olficial
' Permit No. Permit Holder Dab Tekphone #
slw
-PLl7MBING
HvAC 'l 1~0~-- ~GD -lmOoZ:~•
ELEcTRi ~09 9 3- °O
ELEcTRIc
Mspection Date Insp. Commsnts
Footings I l ~ •
Foundation
Framing
Roofing
Rough Plbg-
Rough Htg.
Isul.
Freplace y U
Final Htg.
Orsat Test ~
Final Plbg. l ~l Plbg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
eidg. Finai - -pz
Dedc FUg.
Dedc Final
Well
Pr. Disp.
~
SEWER & WATER PERMIT ; OFFICE USE ONLY
CSTY OF EAGaN MErER #q(l/ 7 a 7/3 PERMIT DATE 03 f DS j92
3830 Pilot Knob Rd.
3 PERMIT # 12 '90
Eagan, MN 55122-1897 CHIP # d / a
METER SIZE h SPNS k S B.P. RECEIPT # ~ 1740 0
DATE 1~R 4. 1992 ISSUE DATE B.P. RECEIPT DATE 03/05/92
X PRV _ BOOSTER PUMP
SITE ADDRESS 4737 WESTMINSTER CIR PERMIT REQUESTED
LOT 5 BLOCK 1 SEC/SUB BRITTANY 10TH
x SEWER X WATER - TAPS
APPLICANT:
- COMM/IND X RESIDENTIAL
ADDAESS:
y
CITY, STATE ZIP X NEW _ EXISTiNG
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: RICHIES PLBG Ahead of bomestic Meters on Water Line.
ADDRESS:. 7676 JASMINE AVE S Credit WILL NOT be given or Deduct Met
CITY, STATE CO AGE GROVE MN - ZIP 55016
PHONE: 459-0506
I AGREE TO G MPLY WITH CITY OF
OWNER: ARLINGTON BUILDING CORP EAGAN ORD ANCES
AODRESS: 13774 PRINCETON CT r
C1TY, STATE SAVAGE Mri Zlp 55378
PHO : 432-9725 G TURE WHEN ETE SUED
3 ~ c z
L
PL A~~LLOWO~WORI~ING DAYS F~P~iOCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
WrT
SEWER PERMITS, CONTACT ENGINEERING DEPT.
,
INSPECTION RECORD
CITY OF EAGAN - PERMIT TYPE:
3830 Pilot KnOb Road Permit Number: o
Eagan, Minnesota 55122-1897 Date Issued: ~
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF 1NORK:
. ~
INSPECTION .
,
~.~i P( ",~~N • ,l { l,i• ~i i ! 1 f ~'f : ~ ~1 , r I ~ e i i~ ~ !'i i'~f'~ i . i . ~ ~ . ~ ~.1 ! }i~,.!
#'1 AM RFVY!='WF(? f1Y A! f F'e NAltf'K
' r
. . ~ . ~
Permit No. Permit Holder Date Telephona #
ELECTRIC
PLUMBING
NVAC
Inspection Date insp. Comments
FOOTINGS
FOUND
~J
FRAMING
!
FiODF1NG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
tEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
QRSAT
TEST
BLDG FINAL ~
SSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL ~
, , . . ~
INSPECTION RECORD
CiTY OF EAGAN PERMIT TYPE;
3830 Pilot Knob Road Permit Number: ~ ~ ' • ' ~ ~ ~
Eagan, Minnesota 55122-1897 Date Issued: ~
(612) 681-4675
SITE QDDRESS: ' APPLICANT:
If>
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . D.
,;,1 ~ • :t i riir~ i'i I S:t i. l.l It11 1~ 1~!; ttld ~ I i'lIl;, 1 10~ Iii. i I{~ I i 1~ ;41 I.~~{l~•.
,
~
. . "1 ~
~ . . w . . ti
PermR No. Permft Holder Date Telephone #
ELECTRIC
PLUMBI
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING ~
ROOFING
ROUGH T
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIF TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAI
• •
. . ~ *
(5rrtt#iratt uf Mrrupariry .
titp of Cagari
~r~rt~etcx o# ~td'atg ~n~~imc
M Certi'ficatc issued pursuant lo Jhe reyuirelneRts ojSec#on 306 of the Unijorm Butldkg
Code cern; fying that at tlre ii»ie of issuance lhis mucrure wns iR conrpliance with the wrious
ordinances oJ!!re C+IY re8u1akn8 buildin8 consoucdon or tese For the following.
tle aurifiaoo. SF DWGTGAR Bwt. tt~it xo. 20189
O-We-7TW R3M1 Zodeg DiaicY LR I 7ype Cwm VN
p..a(&.ww ARLIlNnM BiIIIDING tWP A&,a 13774 PRIAL^E'ICN !'RT. , SAV"
ami.gAd6,aa 4737 WM-DMMM CME L.SyLS. B I. WIITANY IOM
D1,- 6/11/92
OuBdingOfficial
PO3T IN A CONSPICUOUS PLACE
CITY OF EAGAN No20189
' 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55721
BUILDING PERMIT PHONE:681-4675 Receipt # C O I7~~IM
To be used (or SF DWG/GAR Est. Value $148, 000 Date MAR 4 , 1992
Site Address 4737 WESTMINSTER CIR
LOi 5 BIOCk 1 SeGSU~RITTANP OFFICE USE ONLY
FEES
ParCBI N0. lOTH Occupancy R-3 -M-1
Zoning g_1 Bldg. Pertnit 807.50
N8010 ARLINGTON BUILDING CORP (Actual) Const V-N Surcharge 74.00
Z Address 13774 PRINCETON CT (Allowable) y~ pyn Reviey 524.88.
~ # ol Stories
Q C.II)/ SAVAGE MN ZIP 55378 Length 68' Lice^se .
Phone 439-9725 Depth _35' SAC,City 100.00
p~ Name SAME S.F. roui - sac. Mcwcc 700. o0
0 S.F. Fooiprinis _
~ Address On Site Sewaga _ Water Conn h 75 _ 00
~ Cj{y Zjp OnSiteWeO - WaterMeter 9-00
MWCC System X
o Phone Acct.Deposit 30-00
City
V LICBfISe # 0003200 wa~er X
PRVRaquired X SNJPertnit 30-00
I hereby acknowlege thal I have read this applicalion and 51ate tha Booster Pump - SM1 Surcharge - Sn
inlormalion is correct and agree to comply with al applicable St e o
Minnesota Statutes and Ci gan Ordinance Treatmem PI 300_ nn
Signature of Permitee APPROVALS Road Unit 380.00
A 8uilding Permit is issued to: L NGTON BUILDING COR Planner - park Ded.
on the express condition that all work 96all be done in accordance with all Council
applicable State of Minnesota Siatute antl City of Eaqan Ordinances. gldy, pry, _ CoPles
Building Official A p Variance _ TOTAL 3,716.88
~Q((l11]p+ ~ I yn µ~l ~
I F
C
'Address: 4737 WESIIMIlNSIE.R CIR.,r'LE Lot 5 Blk ~ Sen/Sub
These items were/were not complete at the time of the final inspection.
D t: 6/11/92 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded gxass
Trail/curb damage
Porch
Basement finish
Deck cSl'F~ -h0¢ co/~+-
varify with the builder the removal of roof test caps from tha plumbing
system and the shut-off of water supply to the outside lavn faucet before
freeze potential exists. ~
uc~aEOwr~n
White - City copy Yellow - Resident copy Pink - Contractor copy
SoJ~ RESIDENTIAL
,3BUILDING PERMIT APPLICATION
1Q ~j , CITY OF EAGAN
D3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConstruMiGn Raauirements RemodeVReoair RenufremeMs
. 3 registered sBe surveys showing sq, ft of lol, sq. ft. ot house; and all roofed areas • 2 copies of plan
(20%mauimum lot coverege allowed) • t set of Energy Calculations far heated additlons ,
• 2 copies of plan showirg beam 8 wlndow s¢es; poured found design, etc.) . 1 sRe survey for extenor additions & decks
• 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservati0n Plan if lot plaHed after 717193
• Rim Joist Detail Options seleclion sheet (61dgs with 3 or less units) -
DATE VALUATION
SITE ADDRESS MULTI-fAMILY BLDG _ Y _ N
TYPE OF WO&1C FIREPLACE(S) _ 0_ 1_ 2
~
APPLICANT Ceder UeIWTExkftmfMIC
STREET ADDRESS 9920 ZiliB street CITY STATE_ZIP
TELEPHONE CELL PHONE # FAX #-763` V
a~
PROPERTYOWNER TELEPHONE#( /JSI ~S"a
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLZES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Catculations Su6mitted
Plumbing Contractor: Phone #
Plumbing systcm includes: _ Water 5ohener _ Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning ree: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
° °
I hereby acknowledge that I have read this application, state that t e information i orrect, and agree to comply
with ail applicable State of Minnesota Statutes and City of Eagan dinances.
Signature of Applicant
°
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updffied 4/02
OFFICE USE ONLY
? 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 Ot 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(screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Cl 32 Addition ? 36 Mova Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Uemolition (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) FinallC.O.
_ Foorings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framiug _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Siorage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
BUILDINC PERMIT APPLICATION
lJ-2, CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canstructian Raauiremente RemodeilReoair Reauiraments
. 3 registerea site surveys showing sq. ft. of !ot sq. ft. of house: and all ioofed areas • 2 copies of pWn
(20% maximum bt coverage allowed) . t sef of Energy Calculatwns for heated additions
• 2wpies of plan showing beam 6 window ;izes; poured found desgn, etc.) . t site survey far extenor addNons 8 decks
• 1 sel of Energy CalcWations . Indicate if home served by seDtic system for addi6ons
• 3 copies of Tree PreservaGon Plan if bt platted afler 711193
. Rim Joist Detail Options selection sheet (61dgs with 3 or less units)
DATE VALUATION ~~.~iY~
SITEADDRESS Q'?7l VUfY'F/YIIf)- r .I(Ljf/ MULTI-FAMILYBLDG Y/ ~1
TYPE OF WORK G C FI:EFL.4CE(S) _ 0 2
FIRESIDE CORNER
APPLICANT 9 p r p~ WHwy ig
:STREETADDRESS BURNS4ILLE MN 55337 CITY STATE_ZIP
c~E~IgBli~lt,~# FAX#~~7 ~
TELEPHONE # Iunxc a 7'
PROPERTYOWNER 10Yln 4K/Y1G(/yl TELEPHONE#IAl5I'4SZ"ZL673
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NfIN"NESO"I':1 RL'LP:S 7670 C:\'I'LGORI' 1 MIN\`ESO"f:\ RL'LES 7672
(J submission type) • ResidenGal VenGlaGOn Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contraetor. Phone #
Pluntbing system includes _ Wa[er SoEtener _ Iawn Sprinkler ^Fee 890.00
4Vater Heater No. oF R.I. 13aths
_ No. of Baths
Mechanical Contractor: Phone # ~Icch:uiic.il ,ystcin includes: :\ir Conditioning , Fcc:'`_S'70.00
HcsLL Rccovcry Systcai '
~ ~
Sewer/Water Conhactor: Phone #
ond agree to comply
,
I hereby acknowledge that I have read this application, stote that t information is 7it
with all applicable State of Minnesota Statutes and City of Eaga Or inonces.
Signature of Appltcan 1411
,__..W-------------------°--------'---°....°----°._....___.._...__-------~• •
OFFICE USE ON Y
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updaled 4/02
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plax ? 13 16-plex ? 20 Pool ? 30 Accessary Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ect. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Mulfi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellanaous
? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteratlon E3 37 Demolish (Bldg)• ? 43 Remof ? 46 Windows/DOOrs
? 34 Replacement 'Demolitfon (Entire Bldg oniy) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciiy 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) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ AirTest _ Final _ Windows (new/replacement)
_ Insulation _ Retauting Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumhing Permit
Mechanical Permit
License Search
Copies
Other
Total
GITY OF EAGAN .
1992 BUILDING PERMIT APPLICATION
0161 14 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month i which re uest is made or lot chan e is re uested o ce ermit is issued.
Date /(:;;I if' 2-_ Valuation of work d
Site Location: Y 73 7 ld E37-m/nl5 7-z-?? C irZ~ L_L-~
STREET STE /
Tenant Name:
LOT BLOCK ~ SUBD. 13~ i 77-?~N P.I.D. #
FST E:_S
Descri tion of work:
The applicant is: ? Owner 16 Contractor ? OLN@P (Describe)
Name S`4m F- RS C" 7'oe rAc7'a2 Phone
Property LAST F1RST
Owner qadress
STREET STE # City State Zip
Company74 (n t a Phone 5~.3 517 z
Contractor Address 1377LII~ Y'2rnCE ~ ct • License # P003z0ev-
City 54 44!~ e-_ f State rOI Zip
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber ?7~s`rEn .~xcsf~~J-~~wnS ~irh,e•. Processing time for
sewer & water permits is two days once area has been approve .
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:
OFFICE USE ONLY
3 e , .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural
002 Single Family ? 07 Fireplace O 12 Comm./Ind. New ? 17 Building Move
? 03 Two-family ? 08 Deck ? 13 Comm./Ind. Add ? 18 Demolition
11 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous
? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac.
WORK TYPE
pf 90 New ? 93 Remodel ? 96 Mave
? 91 Addition ? 94 Repair ? 97 Demalish
? 92 Alterations ? 95 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy R-3 M-1 Basement sq. ft. MWCC System YE S
Zoning R-1 lst F1. sq. ft. City Water Y E S
Const. (Actual) V_ N 2nd F1. sq. ft. PRY Required YES
(Allowable) v_N Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code ?oi
Depth On-site sewage SAC Code ~i
APPROVALS
Planning Building Ds 3-z9z Assessments
Engineering Variance
REGIUIRED INSPECTIONS
0 Site ~ Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
vetuat~~: g 14$, Ooo -
Permi t Fee 8007,50 G AR,a~E
Surcharge ~y,oo Sc.i2~ Pb~cN.:
Plan Review Zgxre=Soy
~yx12= ~68~t2o= 3360
License ~ xrz > G2)
MWCC SAC -too,oo
Clty $AC 1 b0 . oo ND ~LOOFL ;
Water Conn. (,r) S,(,_~J ~-}1?x~5= bzs,f
Water Meter qs, ao ggM's' . k 36 =/D o 9
Road Unit 38b,a., I2X14 -168 3X~ y=_? .
Treatment Pl. 3vo, a o
R02,d-1Jn1-tAcc-t Dep. 3t>, o0 31 Y 36 = I ~ 1~ f o.St) X53.l5'S&Sv
ParJc-Ded.qLdQe.»,,t--Xc-)
,>o 3
So r
CoPies j2lSX1y~I'7b5Z ~TAL: ~!~`1t82S'
Other
Isr IZ.~R•.
7ota1: 9 Ili,A Bsn~r= ~i~a
SAC % Zn9= f8
SAC Units 12-x53=655os
P i oneer Engi n?.=r i n? 6819483 P. 02
* ~QN~EA 2422 Bnterprise Drive
_ J Mendota Heights, MN 55120
*en9!* eering.. ~ (612) 681-1914
* .~C *
I p~
Certificate of Survey for:._ Ah1..~ RC7TO1V
~ ~,z~ 56~>
~ • o + 2
N N , ~ Z. p
e ..37 S!
~ yl 31.33 0 ~ ~"7 N$,5
'
y ~
70 _1 ='E f ~
i r;i
L~ 2B.33
! o
C7 DEpT
~ /45, 4¢ 5 87°p0 00 "E ~~s I v, ~
. 900.0 Denofes exisfir, £leval%an ~ Ponon sizr-i Iotirc EI/A-rro N
i,to.o pettofes proped Qevafion Lowes Flonr E eva ron 946,b2
D2nofes Drair,a~~e ~ Ufrliy Ecrsemenf Top ot 8/ock FJevafion 9sq, r3
Denotes DraincYie F/ow ,4rraws Gcrrcr e Slab E/evation s3. s
o Denofes rrtonumenf a Deno`'es O~t sef l/ub
Bearins 5hown are assumed Su~ied to Easements of RPcord
L47"5 , BLOC1,1 1 , 80TT,qN"9T-l~-QDD1T10~V -
DRKaTA COUNtyi MINN~'Sp7A ~~Q u
i hereby ceni(y thet thiz survey, vlan or rcvort w~as yvpreparsd by ms or under my dvecl uperYlilon end the, I em duly RegistbPd Land SorvEyor
vnder the laws of tAe State of Minnesota. Deted chls~l7dJy of. 'N°r A.D. 79
5eale: 1±26 °?Oaee~ - ~r«
q ?-Qbb ROREFT . 5IKICH l.S. REr,. NO. I4q91
29s
s
EXTERIOR ENVELOPE AVERAGE " U" COMPUTATION
Owner:
Site Address: l-oT 5 LOc j~ /I Fr)TTAu., 77l 0 N -
Contractor: ~''~.l_I NC~-fbt t -HUMIE~S Date: 2~Phone:
~ ----E}etermine working square footage of each.
1. Total exposed wall area 3 I~O ~7 Sq. Ft. x.11 = 34 8, S
2. Totai roof/ceiling area 12AC) Sq. Ft. x.026 = 3 2. Z
a. Total wall window area....................... ~
b. Total door area
c. Total sliding glass door area ilz^!/o~
d. Total fireplace wall 40
e. Total wall framing area (average 10%) 1"7
f. Tptal net wall area above floor ~
g. Total rim joist area
Total exposed foundation area = I O
h. Total foundation window area 3,Ce
' i. Total net foundation area above grade '
Determine " U" Value of each wall segment.
a. z4°i X„ u „ , 3G, = d7, Z
b. Q.z X„u„ '12-5 = 513
c. ? Z(o Xu ,4-I = 51 ~-7
d. 4- c) X u ~ ~ d = 4
e. 317 xu~~ ~ O~ I = Z8,8
f. IXu~~ . 043 = 85•C~
9. z9S x„u„
n. 3.~ Xu,, ,35 = I:3
~04,4 X „ u „ ,o-7 _ ~•3
3. 2 b 3. 3 TOTAL
. _ . . . _ . , . . ?t._. :...+n~t nf ~or rn(16
Tota7 exposed.roof / ceiling area
j. Total skylight area .
k. Total roof / ceiling framing area 10% I Z
1. Total net insulated roof / ceiling area I CO
Determine " U" value for each roof / ceiling segment.
J. ~ X u
K. 12- x"u"
L. IIICv xu~~ Dlq = ZI,Z
a. z4 , e) TOTAL
I.f total of 4 is the same as, or less than #2, you have met the intent of SBC 6006 V~
(c) 1. To utilize the total envelope system method, the values established by the
sum of lines #3 and #4 shall not be greater than the sum of lines #1 and #2.
1. +2. 3Z. Z = 80,7
3. Z83. 3 +a. Z4,8 = '.~-og, f
~ ~ 2422 E~~tr.tprise brive
Ar ~I~~N~ER Me~x~ora licights, MN 55l20
. . .
* ~ngi~n~ermg (612) 681 1814
COtti(ICBtE Of Sllrvey fOf:._(A~= !K1l""'IRY + ~1.\_....._.1. ~,v ~.•_~y_.-.!. .._.."r f--.-.-
,
~
N qry ~
1 oM n /
T
~ 37'a7'i?
q h~ 0 w 3~'`/~ `~os 46.5 9Y7,b"~
ry~ v
~ ~
I 9,S(~ 6 9s-8s J
,L \U f
~ x r o ,
~
i 951 ,4f.
N ~n
o ~3 I>
t.+ X~ R56 a - - -
~
a 9bi. B o 9s8 .
36.59 ~ 1 4o.o`I _ N Q .
~1 e~ v
I1;3~13~ a~t•~' 165 qb4.4N~ hy6 5(9s
/45.44 S87op~o'E yas. q~~' ~ ps v, i
~ goo.a Denofes exlsfin Elevaf%an sF f~~u.s~'.. vArIoN
r90 0.p penoles proped Flevati'ort LuwesnFbo~ Eleva 'rdn a46,o2
- envfes Urar'npief Utrlr y E'asemen~' Top o+8/ock FJevalron ~s~,i3_
CJ
Denafes Orclir7c~ie Flow Qrrows Garae S/ab E/evatron s,, s
a benofes monumenf o Deno es Ot't~srf Nub.
'Bearfn~s shown are assumed Su JeCI fo EaSe1T7err1s oi'' ~eco~-~d
LoTS ;BLoc41l, BPIrrQNy lo T9 QODITioN
DAKOTA COVNTY, MlNNFSdjA ~
I herrbV r,ertllV that fhfe surv=v, nlnn or r;oort was prsparrtA by me pr under my direcl Sjqrmvision jnrl thil 1 nm rluiy rep.qisl-rnd I.and Surveynr
under ihe Iowe of thn Stete ol Minnesnte. DateA this? AaY of
,
'Add:Ex~s~ Fi.,,< 7 •
e ~n~q
pta Sl./`~.l~yl4 : 1 1~"- 1iSF ^e`^~`~ t~{I~R1 $IKICfI l.<. YlC.(: N~). 11R01
. . . . . ~ .
'04
• PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031907
(612) 681-4675 Date Issued: 05 J04 /98
SITE ADDRESS:
4737 WESTMINSTER CIR
LOT: 5 BLOCK: 1
BRITTANY 10TH
P.I.N.: 10-15009-050-01
DESCRIPTION:
(DECK INCLUDED)
gUildinq-.Permit Type SF PORCH
;Buil.ding 4J%x,~ Type NEW
' Census Gade 434 ALT. RESIDENTIAL
~
c
. i: . . . . . .
~
a° f . ~
! '~S '
REMARKS:
A SEPARATE PERMIT IS REQUIREO FOR ANY ELECTRICAL WORK
pLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
` VALUA7ION $8,009
~ Base Fee $137.25
Surcharge _ $4.00
Total Fee $141.25
' CONTRACTOR: - Applicant - sT. Lrc.OWNER:
MILLER CONS7, JOSEPH R 18925105 2013038 BENTFIELD KEN
17171 IPANA AVE 4737 WESTMINSTER CIR
LAKEVILLE MN 55044 EAGAN MN 55122
(612) 892-5105 (612)683-0558
, S hereby acktlowlgdge that I hat+e read -Chio a{aFiication aT3d sCat'e, thOt the >
intormation is aorrect and agree to camply.wi.th aIl applicable State of Mn.
~ Statutea antl CiCy Qf .Eagan Ordxnartces=_
AP LIC NT/PERMITEE SIGNATURE -rT55UE BY: I N Ufl
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
514of cizR oF Enaax
3830 PII.OT KNOB RD - 65122
681-4675
New Construction Requirements RemadeVRepair Reauirements
? 3 registered site surveys ? 2 eopies of plan
• 2 copies of plans (inGUde beam & window sizes; poured fid. design; etc.) ? 2 sita surveys (exterior additrons & dedcs)
? 1 energy piculations • 1 energy wleulations kr heated additions
• 3 wpies of tree preservation plan H lot platted after 711193
requirad: Yes _ No
DATE: ~CONSTRUCTION COST; I 5r k)0411
/ f
DESCRIPTION OF WORK: oe~4 ~dUh
STREET ADDRESS: '173 7 Cr rG,)
LOT: ~ BLOCK: SUBD./P.I.D.
a ~
Name: Phone
PROPERTY Lazt First
OWNER Street Address: l(~ j ~Y S,Y /-L4o+,-1 ~.~E ~City (~ln~CM State: Zip: r7~ lZ`7 ,
~
Company: (G),rI Phone Z
CONTRACTOR ~~dr- 3131199
Street Address: I212 y'/` Af- License # 7 ro, 30 3 V1
City y~,kC V1,A State: Zip:
~
ARCHITECT/
ENGINEER Company: Phone k:
Name: Registration
Street Address:
Ciry State: Zip:
Sewer 8 water licensed plumber (new construction ony): Penalty applies when address chang
and lot change is 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 applicabl
State of Minnesota Statutes and City of Eagan Ordinances. /
Signature of Applicant: ' 1 e~'"'~°`(
77-
D GC~G~NI
OFFICE USE ONLY
211998
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No _ Not Required
R
OFFICE USE ONLY A BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
~91. 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _ piex ?,15 Deck
WORKTYPE 3 SGrrSV^~ ~Q~H S 7~,EGr--
0 31 New ? 33 Alterations ? 36 Move
32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Consi. (Actual) Basement sq. ft. MC/WS 5ystem ~
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire 5prinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 4f 3
Depth Footprint sq. ft. SAC Code o r
Census Bldg ~
Census Unit 0
APPROVALS
Planning Building /4$_ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License izu~l = i~8 D~4yor-
MC/WS SAC '
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°k_SAC
SAC Units'
.
* ~ * 2d2? E~~ICr~»isP I7ri~e
PlC1NEER Mendnre tlciqhts, MN 551211 ~-~=.v_=.=..____.. . . _.._.:._-,..-:~:>....-....~F ~ aa
* eryg * eering (612) 681 1914
CertiFicate ot Survey
; -
'-t-
~
v Q~ ~ 23 n ~ 3 Qq / Z
h} E,`~-' 0^7 0 O .
o .T tiN aa~ 9 , ~ 4
~ ssa°s7'a7':? I1~ / 93°' "t-~ ~ 4`~ "n` . 30
33 3 YS.s RYr'e~
I.I1 I ~ u ] 951'ac33 al ' / v
~ ~ ~,35 ~ i,`~ 1 hIT, ~
~eM r
I 9SC.6 9s8j
QN<
~ n ~ 30:2
M J4~, `
~Q 9$92& 33 p QCL~ i 45h4a_ j
I / ~ x'3 45eA 1
~ _ L 6~ ~ Nr
N
.900.0 Denofes exisfin.~ Elevaf~ort sE ~USE VA7'10
..~o.C Denales proptd,~ed Elevati'ort Lnwes Floor Eteva 'ron ~v~~.o2
- Uhnofes UrarnpeQ~ L'ti(rY Easernenf T`op <81ack Elevafion '754, f3
Deriof£5 Droin F7'ori/ Arraws Garae .5lab Elevcxtrori s 7, s
~ Dertofes monumenf o 4eno es Ort sef Kub
Bedrin~s shown are asSuRled Su~'ec'[ fo Easeirrer)fs olf' 'RPcord
LoTS ,BLoci-,%l I , BP17-7-,4NY 10 rU QDDIr10N
DAKOTA Cou,vrr, MrHNESpT[t
ynr
t hceebY cerUly ttmr thie eurvRv, plan rn rpnnrt wxs praparr!1 6y me Cr unArr my Aiicf.t S~q~nevi:ie:~.y+rl thi1 I am rluly rl~nini'rnd I,and Survl
undar the Iowf of Ihe SteIA ol Mlnnoenta. Dated this? AaY ol F° ~Y•~n~.._, A.O. 1S
' .
G~P~.. 3-'~-~z • Mo...
rnc CeT 3-5- 9Z ~ Ro ~Ee J~_~~ n~ ?~~y( r~ r-~- _
~
q ~~a 4• y~Se~hPW`~ 1111Hf'nl 4Y,1!"III.~. .
~f(CVS-
_ . _ . . . . .
InC ~
" GITYOF EAGAN PERMIT a-Wv
3830 Pilot Knob Road PERMIT TYPE: B u z Lo x NG
Eagan, Minnesota 55122-1897 Permit Number: 025933
(612) 681-4675 Date Issued: 0 6/ 3 0/ 9 5
SITE ADDRESS:
4737 WESTMINSTER CIR
10T: 5 BLOCK: 1
BRITTANY 10TH
P.I.N.: 10-15009-050-01
DESCRIPTION:
6ui1ding`-Rermit Type 6ASEMENT FINISH
Buildihg Wa,ek. 7ype AL7ERFlTION
t
< .i
Ft
' t . ' ~ '
REMARKS:
A SEPARATE PERMIT IS REQUTRED FOR ANY PLUMBTNG OR El.EC7RICAL WpRK
FEE SUMMARY:
Base Fee $35.00 ~
Surcharge $.50
Total Fee $35.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
ARIINGTON HOMES 14329725 0003200 BENTFIELD KEN
14551 COUNTY ROAD 11 4737 WESTMINSTER CIR
BURNSVTLLE MN 55337 EAGAN MN
(612) 432-9725
I hereby acknowledge that I have read this applicatiort and sCate that the
intormation is correct and agree to comply with all applicable State of Mn.
Statutes and &aty ofi Eagan Ordinances.
J R ojA1
APPLI NT/PERMITEE SIGNATUFE ISSUED B: IG URE
CITY OF EAGAN 4y ~ O
3830 PILOT KNOB RD - 55122
16q"1995 BUILDING PERMIT APPUCATION (RESIDENTIAL)
681-4675 C40_~M~~ U - ~
New ConatruGion Reauiremants
? 3 registeroA sds wrvsys ? 2 copies of plan
? 2 eopiea ot plans (u+dude beam 8 window s¢es; poured fid. desipn: etc.) ? 2 site survoys (exterlor additiona 8 decka)
? 1 enerpy ealeulations ? 1 energy cekuladons for heeted additions
? 3 copfea of bee Proservatlon plan ff lof pleried aRer 711/93 ~
roquired: _ Yes No
DATE: 9°;L' CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS: 7 23 7
LOT ~ BLOCK I SUBD./P.I.D. A h' A0m lj ~Ojk
PROPERTY Name: r`~ ~ Phone
OWNER
Street Address- ~(73 7
City : State: '04'y" ' Zip:
CoNTw4C7oR Company: ~ Phone 3 2-~ 7 2,'5
Street Address: ~7 5~~~ (iW KrX License 3 Z o O
City: State: 44" - Zip. 53-33 7
aRCt?irecTr Company: Phone
ENGINEER
Name: Registration
Street Address,
City: State: Zip:
Sewer & water licensed plumber. Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is corred and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECENE ~
Certifiqtes of Survey Received _ Yes _ No J U N 2 2 1995
Tree Preservation Plan Received _ Yes _ No _ _ _ _ _ _ _ _
OFFICE USE ONLY
wv
.n ~
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging -EF'-16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
a 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
0 31 New -~33 ARerations o 36 Move
n 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowabie) Main level sq. ft. City Water
UBC Oecupancy sq. ft. Fire Sprinklered
2oning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~
Depth Footprint sq. ft. SAC Code o i
Census Bldg i
Census Unit ~
APPROVALS
Planning Building Engineering Variance
4
Permit Fee Valuation: $ /S'ev ~
Surcharge
Plan Review
License
MC/WS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SNV Suroharge
TreatmeM PI.
Road Unit
Park Ded.
Traifs Ded.
Other
Copies
Total:
% SAC
SAC Units
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # Q S Si
~~.~H2NG` PET?l~~T DATE : ~-17 ~ 9('p
It~~~D~2~TxAI;;; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
.
TOWNHOMES/CONDOS WHEN YERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ~ ADD-ON MINIMUM 15.00
ADD ON ~ SHOWER 3.00 3,~)0
REPAIR 3 WATER CIASET 3.00 `7.60
BATH TUB 3.00 GDJ
LAVATORY 3.00 I2.0 0
OWNER NAME: KITCHEN SINK 3.00 300
LAUNDRY TRAY 3.00 -C 0 O
SITE ADDRESS: HOT TUB/SPA 3.00
WATER HEATER 3.00 •.Oi7
LOT: ~ BLOCK ~ SUBD. FLAOR DRAIN 3.00 3.00
GAS PIPING OUT.
INSTALLER: (MINIMiJM - 1) 3.00 '3.00
~1 , ( 3 ROUGH OPENINGS 1.50 41,50
ADDRESS : 1 01 ~ D~ 0.,1`S~~-~~ L~ S• _ OTHER _
1 WATER SOFTENER 5.00
CITy;C ZIp; PRIVATE DISP. 15.00
l _ U.G. SPRINKLER 3.00
PHONE
SUBTOTAL S SS •S~
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE /
TOTAL: S SC, ~ O
OOMMERCIf+f.jiND[TSTRI*PLEASE COMPLETE THIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
°
CONTRACT PRICE: _ FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY OSE ONLY
. , . ' 3830 PILOT KNOB ROAD
EAGAN MN 55122 PERMIT #
PHONE: (612) 454 8100 RECEIPT G
9 ~
EGH"X$AT:,"M DATE: 7
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ~ ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M STU 24.00
REPAIR ADDITIONAL 50 M ETU 6.00
GAS OUTLETS - MINIMUM 1 3.00
OWNER NAME: OF 1 PER PERMIT
SUBTOTAL: $ 9~
SITE ADDRESS: STATESURCHARGE: ~SOV
LOT:~ /B~LOCK I SUBD TOTAL: S17'5D
INSTALLER:
ADDRESS: LJ - \ O`~ GNATURE OF PERMITTEE
CITY: ZIP:
PHONE
COMI4ERCIAT.f~NDU5TlLIAL::; PLEASE COMPLETE THZS PORTION FOR ALL CODQSERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
_ ° -
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
LC;: BLCCK _ SUSD. $25.00 MININPJM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR: CITY OF EAGAN
,/5-~ ~
L BL CITY USE ONLY RECEIPT#: ~~v
/ ' !0 9
SUBD !D° DATE: 7/ / 5
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x
Water Closet 3.00 x I _
Bath Tub x~ 3.00 x =
Lavatory S 3.00 x 2 _
Kitchen Sink . 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal " Dakota cty. iicense 20.00 =
U.G. Sprinkler * home under const. 3.00
Alterations * to existing 20.00 = d
Water Tum Around 20.00
STATE SURCHARGE .50
0
TOTAL ao
SITEADDRESS: y737 AJ6 ST'mi^'Srf2
OWNER NAME:
INSTALLER NAME: N'/~'~ Te R s o~/ R r
STREET ADDRESS: ~Ga G ~ ~ ~60r~~ ST
CITY: (4 /fd5rF2 STATE: /lJAv _ ZIP:
PHONE ( )461
I I hh
OFFICE USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ~ all commercialfindustrial buildings.
~ mufti-family buildings when separate permits are aQt required for each dwelfing
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of gffmit 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
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4737 Westminster Cir
Lot: 5 Block: 1 Addition: Brittany 10th
PID:10- 15009- 050 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Getz Construction
16138 Goodview Cir
Lakeville MN 55044
(952) 891 -4208
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
John D Herman
4737 Westminster Cir
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA085401
08/19/2008
ePermit
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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA123805
Date Issued:06/16/2014
Permit Category:ePermit
Site Address: 4737 Westminster Cir
Lot:5 Block: 1 Addition: Brittany 10th
PID:10-15009-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Wade Sedgwick
7588 Washington Ave S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeremy A Meier
4737 Westminster Cir
Eagan MN 55122
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
!"
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