4747 Westminster Cir
• CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value ~'~•Date ,19
Site Address k OFFICE USE ONLY
Lot Block i Sec/Sub. ~ i -iY 1,''1 N On Sfte Sewape Occupancy "
MWCC System Zoning -
Parcel No. On Slte well (Actual) Conat -
a Name City Water (Altowable) '
W PRV Required # of Stories
3 Address
~ City Phone Booster Pump Length
Depth
, p Name S.F. Total
~ d Address Footprint S.F.
~ City Phone APPROVALS FEES
Engr./ASSess. Permit ~ i1l!
W
w Name • 3 . ii'?
W
~ Planner Surcharge
~ g Address :
¢ Z City PhOne Council Plan Review
.C W Bldg. Off. SAC. City
~
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued ta _ Treatment P1
on the express condition that all work shal I be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Official TOTAL
Permit No. Parmit Holder Dete TNephone ~F
77-
P.lumbing
~
H.V.A.C. C (a 3
v
Electric
Softener
lnspaction Dsts Insp. Comments
Footings I ~ S, •
Footings II A oT wT
Foundation y~s ~ t~,~~
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. Firepiace a) ~
Final Htg.
~
Final Plbg.
Bldg. Final
Cert Occ. w-
Temp. LP
Deck Ftg.
Deck Final
Weli
Pr. Disp.
• `vn.
e Trrfiftrate af COrrupanry
titp of (eagan
arpirbnraf of suildfing itto}?rrtimT
This Certificate issued pursuant to the requiremenu ojSecdon 306 of the Unifonn Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordrnances of the City regulating buiJding rnnrtruction or use. For the jollowing:
11, 1
Ux Classifinrioa Bidg. Aermit No.
OccuP-Y TYPC Zoniug Distcict 1 Type Coan VR
!~h?i ~'~IA~t n1~":,
oWmcradimng it'~I3.F.FS(I4 Bi~:!~= Aadrm
~q Addrm /,71+7 t';X::g L'acafity L6, El, ERlTTA141: )C?;~
Da,c AMST 18, etuang offirial
POST IN A CONSPICUOUS PLACE
INSPECTI4N RECURD
CITY OF EAGAN PERMIT TYPE: F'
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS• APPLICANT•
• ~a i: c. t~ t c?~. e. . ~ •
rar1 ra..,ir.f; fTft
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .A •
~ra
. . . r. . . -:~.~a^%€ a~c~@"s'~
f
Permit No. Permft Holder Date Telephone N
ELECTRIC
PLUM8ING
NVAC
Inspectian Date Insp. Comments
FOOTlNGS
FOUND
FFtAMING
RpOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSt1l
GYPBOARD
FIREPLACE b_
FIREPLACE
AIR TEST (P
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG '
DECK FINAL
CITY OF EAGAN (vo 14 7 2 0
3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
BUILDING PERMIT PHONE:454•8100 Receipt # g "ZZ--'5
Tobeusedfor SF/GAR Est.Value $166,000 Date MARCH 25 ,19 88
Site Address 4747 WESTMINSTER CR OPFICE USE ONLY
Lot 6 Block 1 Sec/Sub.BRITTANY lOTH onsrtesewage - occupency R-3
MWCC System X Zoning R-1
Parcel No. On Site Well _ (Actual) Const V-N
c Name TOLLEFSON BUILDERS, INC Cirywater X (Allowable) V-N
W Address 12617 FAIRGREEN AVE PRVRequired xofStories
3 Booster Pump Length 641 -0"
o CityAPPLF. VAi.L.F.Yphone 431-1100 - Depth 43' -4"
, p Name S.F. Total
oa Address FootprintS.F.
m
P CityPhone APPROVALS FEES
w Engr./Assess. Permil 788.00
W ~w Name Planner Surcharge 83.00
~v Address Council PlanReview 394-00
a z City Phone
a W BIdg.OfL SAQ City JJQO 100
I hereby acknowledge that 1 have read this application and state that Ihe Variance SAC, MWCC S ..0Q
informetion is correct and agree to comply with all ap icable Stale of Water Conn. 550_.00
_
Minnesota Stetutes and City f Eagan Ortlinance^.
WaterMeter --61_00
Signatureof Permittee qoad Uni[ _325_._00-
A Building Permit is issued to: TOLL •~ON BUIIDERS_ Treatment P1 204.00
ontheezpressconditionthatallworkshall edoneinaccortlancewithall
applicable State of Minnesota Statutes and City oF Eagan Ordinances. Parks
n mAT.;~.~ f~rn c. TO7AL 3, 061. 00
Building OffiCial
~ a~of / RESIDENTIAL BUILDING o-,
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslruction Reauirements RamodellReoair Reauiremenls Offu:e Use Onlv
3 2gistered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% mauimum lol coverage allowed) 7 set of Energy CalculaUons (or heeted additions Tree Pres Plan Recd _ Y_ N
2 copies af plan showing beam & window sizes; poured found design, etc. 1 site suney for add'Aions & decks Tree Pres Reqd _ Y_ N
lsetofEnergyCalculaGons Addttlon-indiceteilon•sdesepticsystem On-slteSepticSyslem _ Y _N
3 copies af Tree Preservatbn Plan if lat platted aNer 711193
Rim Joist Delail Options selec6on shaet (bldgs with 3 or less uni45
Date ~L //o /o 3 Consntruction Cost ~2 7 10
J
Site Address y 7L! 7 6 CIc~C,Ct Unit/Ste #
L U )J
Description of Work %A),5%,~6 (~?v7
Multi-Family Bldg _ Y_ N Fireplace(s) _ 02
Property Owner 43JW1U U/ -pQA&)Telephone # ( [ ~ ) (o 0 / - (3 /o
Contractor Et,2(>S~L bL 6 F 1;}
Address 3Ef3S~ ~ ~J7 /j City ~jv~~
State_x'lV Zip 5-6-3d7 Telephone#(qil) 9F0-073_9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Cetegory , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Suhmitled
• Energy Envelope Calculations Submitted
Have you previously construc!ed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone DLP
Sewer/Water Contractor Telephone
D DE II II
I hereby apply for a Residential Building Permit and acknowledge that the inform b4is complete and ac urate;
that the work will be in conformance with the ordinances and codes of the City ~=the~t.~{~ f MN
Statutes; I understand this is not a permit, but only an application for a perm't, and work is not to start without a
permit; that the work will be in accordance with the approved plan j*the VcXork which requires a review and
approval of plans. ~
`101~ ifto r-~
Applicant's Printed Name Applic t's Signature
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 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OB-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 Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
C] 34 i2eplaCement 'Demolition (Entire Bldg) - 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tesu Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
6ase Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN "
3830 PILOT KNOB RD, EAGAN MN 55122 p,''I S
657-681•4675
New Conahuctlon NeaulremeMS RemotlaVlieoalr Heouhemente
• 3 registered stte surveys showhg sq. R. of bt, sq. fl. of house; entl Lil roofed areas • 2 coples of plan
(20 % mexrcnum bt coverdge albwed) . 1 set of Energy Cakulatlons tor heated additions
. 2 coplas of plen shaving beam & win0ow sizes; paureA found design, etc.) • 1 stte survey tor aderbr atldnlons 8 decks
• 1 set ol Enerpy Calculetbns . Indicate M hane servetl by septic system ror additbns -
• 3 coples of Tree Preservatbn Plan il bt platled aker 711/93
• Rim Joist Detail Optbns selectbn shaet (bhps wMh 3 or less units)
DATE I~ Z~o ~ VALUATION XIo. l S~
SITEADDRESS 47`'r-7 t,()estm,osf~ C({-- MULTI-FAMILYBLDG _Y `SN
TYPE OF WORK ?~00~ FIREPLACE(S) _ 0_ 1_ 2
~
APPLJCANT ~ u h~X f~~ i ~ r S
STREET ADDRESS 7LI Io(p I~UR~GI,t.vta }DV~ ;/7V-c. dNC en f v STATE/~ZIP 5~3
TELEPHONE # CELL PHONE # FAX #
PROPERTYOWNER 6V-h/e- CCIMQJI.~Dki TELEPHONE#
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residentlal Vantllation Category 7 Worksheat Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechankal ConTractor. Phone #
Mechanical system includes: _ Air Conditioning Fee: 70.00
_ Heat Recovery System D~
Sewer/Water Conhactor: Pho
I hereby acknowledge ihat t have read this applicatlon, state ihat the informati corr comply
wiTh all applicable State of Minnesota Statutes and City of Eagan-0 - na
Signafure of Applic
-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AK- Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage O 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Muiti
O OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 48 WindowslDoors
? 34 Replacement •Demolkion (Entlre 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ 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 Inspactor
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storege
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Searoh
Copies
Other
Total
^ t _
1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN ~
SINGLE FAMILY DWELLINGS „
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS. OF PLANS,. CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.j-
1 SET OF ENERGY CALIIULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY`CALCULATIONS
To Be UsedFor:, Valuation: ~ Date: 3'",2 o?
Site Address y7 OFFICE USE ONLY °
/ 166,
oao- 3
Lot (p Block On site sewage Occupancy R
MWCC system ~r Zoning ~
Parcel/Sub On site well Actual Const V-N
City water ? Allowable v- N
Owner PRV required Ik of stories
. Booster Pump ~ Length..
Address `Depth 43_4"
S.F. Total
City/Zip Code Footprint S.F.
Phone 'y,3 I- ~ I O D APPROVALS FEES
Contractor dlA,,.,15_g~ Engr/Assess Permit
Planner Surcharge $3,00
Address Council Plan Review ,,00
Bldg. Off. /-/~Z¢ SAC, City 100,00
City/Zip Code Variance SAC, MWCC 0, O
Water Conn - ,pp
Phone Water Meter• GI),
Road Unit ,DD
Arch./Engr. Treatment P1 20W,
00
Parks
Address Copies ~
I TOTAL
City/Zip Code
Phone I!
-VA LlAATl0 t4
.
GA RAbE
Z'1 X 3z =~1 ~ e
~ X I 3 = ?__r.
877, x i4= ~ 22og
g ASEn~~NT
yo x 30 = iz~nx~3= ls6oo
I5: F
BSrr~T = 12ou
ZXg= ~G
s`
1 Z 34 X ~/c~ c Gb 4166
2Na Fi.ra
gSMT = 1 Z.7 u
2xg = r~
zK~~ = a~
z x rq = 3sr
~
~2'1~ xti9= GZSty
ll9ovLksM csp
z2x3L = e7ut-I
~X ~y =
r65 y3~ ~
c LLEFSnN
nO ~ ` COHSUL7IH6 EHoINEEAS g~~~~RS
ENGINEERING PIANHEAS cnd IAHD 3Uf1VEYOQS T~ 124~.OI
COMPANV, 1NC.
L 1000 EA57 1461h STREET, BUAHSVILLE, YIHHE:07A SS337 PIf 4:2-j000
Ce Z~Z C Lz z,e O~ S~'~"Ye y
1~~ al -I~e-~cr'~ ~p ZorL: `LI~T h. Bt_(lrK J, BRITiA['IY IOTI-1 ADDMON,
DAI;OTA Cni_irn-,(, Mif\lr'•rE°rr?"A ,
( 9591 ) DtW'?'t!: EXIZTIf 1G 10' I
(959,0 ) UEt ItTT[:`_ F•4C_'p•'1c~F1~ I=1.I:`G?71~?l !
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30.0
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0
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ORAlHA,l;E: AND tI11L17Y
i EASEMt-7`,17-
5~S
SCALC: I~=
(94~.5)
I heriby cartify that thia in n t:ue and correct repreeentition of a tract of
l+nd aa shoxn'and deacribed heraon,• Ae prepnrad by mn on thia day ot
.
/Jy}h2"~ , 1917.
REVism 3-24-88 /~lo~EO NodsE ia' ~Joa.r+l
Ninn. ltes. No./GuF~.f'
.
CITY OF BIJILDINa DEPARTIIENT
EXTERIOR ENVII.OPE AVERAaE "U" COWIPUTATION
(To ba eubmitted with building permit appli:atian)
one cr Two Family Dwelling Owner~Q?1P,~5~V1 I'71Ai~(,lC'L
All Other Site Addreen J.02 (n RIG ~
4
Contractor Date Phone f
LIIIEAL FPET OF /
EXF'OSED V'JALL ft, above grade = /~f ^
1Y]TAL EXPOSED V~ FT.
0?AQUE Wl:LL CUP'STRU^.TIO1T: "U° Value x Area
Detail fluff 3 x S2. FT.=~~~(U)(A)
reference ilU° x SR. FT. 9•4(U) (4)
from JiIM °pn .040 x 3Q. FT. 75h SU) (A)
attached ifU° z SQ. FT. _ (U)($)
sheets nUu x Sq. FT. _ (11) (A)
"11" x SQ. FT. - (U) (A)
712NDp'NS: l'U" Value x Area
Pinlce & Type ituio
.48 _x sQ. Fr. .s/ z
= 4.UA (u)(n)
° n °Ult x SQ. FT. _ (U)(A)
n n nUrr % sQ. FT. _ (U)(A)
n n n~n _
x SQ. FT. (U)(A)
DOORS: "Ull Value x Area
Ha;ce & Tyoe IIUII x 3Q. FT. 4q,00 (ll)(A)
n u npu , -x SQ. FT. 42./~ ~(U)(A)
n n trUa B SQ. A"P. = (U)(A)
n n _ nUn x SQ. FT. _ (U)(A)
ToTni,s 2,44~.&h sQ. r•T. (o) (a)
AITERAaE IOU11
TOTAL (U)(A) VALUES ¢q3 =
G~
DIVIDPD BY TOTAL 17ALL AREA
AVERAaE "U" ,115 or leea for 1&2 family dwellinge
RoOF/CEILINd:
ToTAL AREA: Detail reference IIUII 07,1 x 3Q. FT.-= ?(ll)(A)
from x SQ. FT. . (U) (A)
attac2ted atieete. IOUto X $Q. FT. = (U)(A)
Deacribe oneninga flUff x SQ. FT. _ (U)(A)
3n roof. 3Q. (U)(A)
TOTlLL (U) (A) VALUES DIVIDED BY a~~~~~ • AQ•fr C11~>
TOTAL ROOc/CEILIN(3 AREA GI 3O ~ O7i
AVERA6E "Ut' ,025 for ventilated roofa.
ii
i V~Io~SH~-T
i
~ ED inl~LL
9f~0 X ~6-~.36+~5+~~) = /VD&.Dd
883 X (ZI! 431 +00 +.90 ) _ t 040-66 _
z,~4~•G~ ~
CoNC •
X (38 t3p f-3*t34) = 9~ - ~ -~E
~
9LM J-O-/
~
• 83 x (~o a-sz ~~1-f5z) = 187. gg
~
24 x420 X 3 = 30• O
~ zo x 36 = 5 O )1
24X36 = 6•0 X, I = ti.O
3 ° 5TL VtI/sL
Z0 ~"L G?~L = Z(• Dv
. '
~
~~o.ss ~llall . Z14~.66
Le~ 6 Coic . q6. zl8
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n oJl~WaGf6 4Zlo• D(~
r `
DXPS 9/.00 '
.
Ra?~ , . ~
+ 01 x 30 = 930 ~
.
. , _
. ,
, . . ~ ~ .
, _ .
PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: BuILQiNG
Eagan, Minne50ta 55122-1897 Permit Numbec , 0 2 9 2 7 9
(612) 681-4675 Date Issued: 11 / 2 5/ 9 6
SITE ADDRESS:
4747 WESTMINSTER CIR
LOT: S BLOCK: 1
BRITTANY 107M
p.I.N.: 10-15009-060-01
DESCRIPTION:
(GAS LINE)
~
lainq~perm3t Type FIREPIACE
lYlang rk Type RL7ERRTION
434 ALT. RESTDENTIflL
'r
-vk,
Z r b
~
~ „jv~
~,„st.n"_}:-,Fx2.~~
t~`~f.S ~ P""
'}~"i~k ~ s . ~ ~j ~r`' ~ 2
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
~
CONTRACTOR: - Applicant - OWNER:
GAVIC & SONS PLBG 17556468 EDMONSON BONNIE
12725 NIGHTENGALE 5T NW 4747 WESTMINSTER CSR
COON RAPSDS MN 55448 EAGAN MN
(612) 755-6468 . (612)681-9310
T herel~y :ack~~+wlesl.g's ,~ppl,a~~~ian an°~ `~'tate; `that' the`
3.nfcirmati6=n'.i.s, cra-r`rec'C 6'rfd e~;; 4-f Mn. '
~~atu~es an. ..G~.~y o~ E~garY 4lydkn~nces'-
~
~
APPLICANT/PERMITEE IGNATUPE ~IUE B~ SI~G~1 TURIE
3830 P[LOT KNOB RD 55122
1996 FIREPLACE PERMIT APPLICATION
68t-4675
DATE:,
DESCRIPTION OF WORK: _ CONSTRUCT NEW FIREPLACE: _ WOOD BURNING ~ GAS
_ INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
~ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTFER: 42
ROOM TO BE INSTALLED IN-./ ~lL' STREET ADDRESS: 74 r ~1J
LOT L BLOCK SUBD./P.I.D.
~
APPLICANT: (circle one only) OWNER ~C'6A~RAC'1'OR
I hereby acknowledge that I have read tYris application and state that the information is correct and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: A) ,n J\ Phone#:-6
ii /r, o~•j D'~
OWNER
Signature:
Street Address:
City: State: Zip:
FIREPLACE Company: Phone
INSTALLER
Signahtre:
Street Address: License
City: 3tate: Zip:
, Gas LIIVE Company: Phone
IN5TALLER "
Name: v~~ ~vz.
Signature:z_'~ ~
StreetAddress:
City; aq~ State: Zip: ~
~ ~ •~1
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Firepface '
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repav
GENERAL INFORMATION
Census Code.
SAC Code
REMARK.S
Chimney/flue must be inspected before concealing.
CI'fY OF 116%GAN Permit No: Date:
, 3830 Pilot Knob Road B/P No: `1?7 5 Date:
P.O: Box 21199
Eagan, MN 55121 ,
Owner. t:_ x _ . ;3rer Circle 7,6 N 3ritrar?y 10t`:
Site Address:
, T :r:-:.1;3~•
Plumber.
,
MWCC: 5 r' • ~0Pd Zoning_ -
Ciry Chg: ~d No. of Units:
Acct. Dep: ~Opd I agree to comply with the Cfty d Eagan
Permit Fee: Ordinancea.
Surcharge: • 'nP'~ .
Misc.: By
SEWEP. SERVICE PERMIT
CIT~f OF EAGAN Permit Na 9 Date: 6-14-8$
3830. P11ot Knob Road Meter No: DO /02 D Q SiZe; ~ c
P.O. Boz 21199 Reader No: Date:
Lagan, MN 55121
Owner. iL ` son L<ui~iters
SiteAddress: •'1747 Glestminister Circle L6 ?il Brit*any 10th '
Plumber. 5tar Flumbir.e
r,
Conn. Chg: • Zoning:
Acct Dep: 1. 5•00ud No. ot Units: ~
Permit Fee: 10 . 0{)pc?
SurcMarge: • S0pd I agree to compiy with ihe City ol Eegan
Tr. Plant • OOpC Ordlnancea.
Meter. - 0'2}::
Misc.: By
WATER SERVICE PERMIT
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4747 Westminster Cir
Lot: 6 Block: 1 Addition: Brittany 10th
PID:10- 15009- 060 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: Replace
Description: Furnace
Comments: Permit closed without required inspection(s). Letter sent to applicant on 2/11/09. (pf)
Fee Summary:
Contractor:
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Quesetions regarding electrical permit requ
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Orvan Edmonson
4747 Westminster Cir
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA080671
10/24/2007
ePermit
ements should be directed to Mark Anderson, State Electrical Inspector,
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
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4747 Westminster Cir
Lot: 6 Block: 1 Addition: Brittany 10th
PID:10- 15009- 060 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments: Permit closed
Fee Summary:
Contractor:
Preferred Plumbing
6400 High Point Trail
Prior Lake MN 55372
(952) 447 -5761
e - Water Heater
Replace
Water Heater
Dan Clough
3880 Willowwood St
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Manufacturer
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
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Serial Number Remote Number
$15.00 0801.4087
$0.50 9001.2195
$15.50
Owner:
Orvan Edmonson
4747 Westminster Cir
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Plumbing
EA080732
10/26/2007
ePermit
Line Size
hout required inspection(s). Letter & correction notice sent to applicant on 2/13/09. (pf)
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4747 Westminster Cir
Lot: 6 Block: 1 Addition: Brittany 10th
PID:10- 15009- 060 -01
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Gates Roofing
3500 Vicksburg Lane North
Plymouth MN 55447
(763) 550 -0043
Permit closed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
thout required inspection(s). Letter sent to applicant on 3/23/09. (pf)
When installing ventilated soffit material, remove existing soffit material (i.e. debris that could block vent openings) and
take steps to ensure maximum ventilation into attic space.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Orvan Edmonson
4747 Westminster Cir
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA085834
09/05/2008
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
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4747 Westminster Cir
Lot: 6 Block: 1 Addition: Brittany 10th
PID:10- 15009- 060 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Gates Roofing
3500 Vicksburg Lane North
Plymouth MN 55447
(763) 550 -0043
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Orvan Edmonson
4747 Westminster Cir
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA088045
01/26/2009
ePermit
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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
To: 6516755699
r
From: 7637108061
EAGAN
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810
(651) 675-56751 TDD: (651) 454-85351 FAX: (651) 675-5694
bu i l d i n g i ns o ectio n s (arc i tvofea oa n. com
_ 10-11-19 6:26pm p 1 of 2
For Office Use
Permit #: /` ' C� / 7 d' I
Permit Fee: e
Date Received:
Staff:
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 4747 Westminster Cir, Eagan
Date: 10/11/19
Unit #:
Resident/
Owner
d
Name: Orvan Edmonson
Phone: 651-681-9310
Address /city /Zip; 4747 Westminster Cir, Eagan MN 55122
Applicant is: Owner ✓ Contractor
Type of Work
1 Contractor
License #: Lead Certificate #: NAT 671642
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I 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:
1 Licensed Plumber: Phone:
Mechanical Contractor: Phone:
1 Sewer & Water Contractor. Phone:
Fire Suppression Contractor: ne-
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
Pho
classified as non-public if you provide specific reasons that would permit the City to conclude that they are (rade secrets.
You may subscribe to receive an electronlc notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.comisubscribe.
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.
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. w w:.aop,"erstateana^_l'.o-^
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 ap of plans.
Deborah Nyasende . (n /1
x�
Applicant's Printed Name Applicant's Signature
Description of work: Replace existing overhead garage door on an attached garage.
Construction Cost: 2000.00
Multi -Family Building: (Yes / No ✓ )
Company: AA Garage Door
Contact: Dave Sands
Address: 562 Lundy Lane
City: Hudson
State: WI Zip: 54016 Phone: 651-702-1420 Email: dave@aagaragedoor.com