The URL can be used to link to this page

512 Weston Hills Ct*City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JUN 21 2011 Use BLUE or BLACK Ink For Office _U `e Permit #: 9F4 Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION d Date: Site Address: Unit #: /1 RESIDENT / OWNER Name: SIC v 4 ii',°`"m.� ,,S)'1 Phone: r a Address / City / Zip: 1'14'-544)," 1-I . j) S C 0 f I -- Applicant is: Owner Contractor TYPE OF WORK Description of work: L Or°''t !' v , -1 vi , s (.— 5 ` ) _--- Construction Cost: C9 1/4- - Multi -Family Building: (Yes / No ) CONTRACTOR Company: (.—v)Jcl.c., t.. •rTy 11S., -/ :P Contact: D", lc IZ CSS .3d, i3 Address: . (),U 6--. l4 ,(L 61 J City: 4 i� Stater l y Zip: $$ L i'. Phone: �� 46'1 V (3 4.1/ y +,,5 License #: Wit 3) 7 / 3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p1jis. Applicant's Printed Name Applicant's Signature Page 1 of 3 5►/� Wosr )i5 Ct DO T WRITE BE OW T IS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition 'Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck S. Lower Level Interior Improvement Move Building Fire Repair Repair (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final 'C Framing Fireplace: Rough In _Air Test )(a Insulation Sheathing Sheetrock Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window crciEaer 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 I No C.O. Required X.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 14,44' ;511) -of Page 2 of 3 Frih 2 o Date: City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 CI(Va JUN 2 F Use BLUE or BLACK Ink Permit #: 3's` Permit Fee: $55 -C J Datefeceived: L-0)-1-11 2011 MECHANICAL PERMIT�jAPPLICATION Site Address: 51 D �� 1 t Us le Tenant: Suite #: 1 RESIDENT / OWNER Name: S\ -Ne- .--ra Phone: �-(� Address / City / Zip: 1 av `'C u s Coad r Cv 551a CONTRACTOR Name: ITh License #: ()0500, P it/\-- Address:5CJ(JU) 1?) W City: AU ► `J1trkle, State: t\ Zip: Phone: q f `) Contact: A L . I ►f: 1 taiail: )fQ✓\U��C� f r TYPE OF WORK New Replacement Additional�`Alteration Demolition Description of work: fi 11151 ` V� Ulkk ._ a ..... �.. 3x'::: «.. A R�+. Wim' PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New_Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Nap Under / Above ground Tank ( Install / _ Remove) _ Other v \ I v� �' 's _ ** When installing/removing tank(s), call for insffection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ 5-.3 . TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit _ $ TOTAL FEE 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.aooherstateonecall.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 wit e approved plan in the case of work which requires a review and approval of pl Applicant's Prin ed Name íü ë þýýüûúú ÿ ùüüýýôÿ ïý÷ý ù íã í þý ÿþýüû ù÷àúÿýüû ùýüûù÷à ø÷àêûõ ûÿ úÿúîî äÿûü Þ ôÿë õûæõóóõôÿõþõè å÷÷ûååõ ý ûèúååûåè úþõçôÿþü÷åõüóõè ëéâéííè í èî í öù ÿó Ýÿéâéè ð èð Ýÿ è õó òñ ûû õûõ æ æê ááòóæèøùú ÜÝüòøîãòø ñãáïî ííá óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ r~ ~I 4 7 w t' ~ r 1 Wertificate of Cccupanc~ ` Wi#4 of Cpagan 2towrtment of I.~~* an$peedon This Certifrcate issued pursuant to the requiren?ents of the Uniform Building Code certifying that at rhe tiine of issuance lhes structure was in corrzpliance with the various ordinances of the City regu[a`Ying building construction or use. For the following: Use C{assification: CR i1,Y: Bldg. Permit No. ? 15) 1 00-w-y Tyve gI,a`i l zon;ag oistrxl $ t rype const. VN Urecr of Bu;ldiog FYWS RY C}ASF. wadas 95M L? r-T,Y-TM 42, R'VR 7 F. Building wddms 517 41R'= FTIi7 S{X3JRT localiry 1.IS. R j? SdRSiCN HTTJ S ~ ~ nae: nAI-r! n193 euiwiiig oftof POST IN A CONSPICIlOUS PLACE 3 M. ~-i 'cate n~ ~ccu~anc~ This Cerlificate issued pursuant to the requirements of the Uniform Building Code cenifying that at tlu time of issuurece this structwe was in compliance with the variorrs otdinances of t/re City ngulating building construction or use. For the following: SF m 21511 u~ cl.me~ awg. ~ No. VN o-upa-r'rya ZAm6na nd~ %c.~~c. owar of Bail~na Aadmss e f i B. . Addrras 512 WESICK HIP.$ OM t-MlitY LIU, f Y~- i: ' ~¦E ~ ~ DafC i POST IN A CXANSPICUOUS PLACE . INSPECTI4N RECORD CITV OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I.. , , PERMIT SUBTYPE: TYPE OF WORK: • iri i ~ INSPECTION iIi r+r,+ ~!'~i ~ ;t i~iii l: f~i ~~i ~'~t I: , ! 1!'•~. ~ I ~ L~ ~ PermR No. Permft Holder Data Telephone 11 • S/W ~ PLUMBING I 9 4-90.-1111 HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Comments Footings I w Foundation Framing Rooting Raugh Plbg. Rough Hn9. ---3-93 isui. Freplace g-3143 Flnal Htg- 7//# /f j ~ o«t rest 9//s /3 P.tt/ Fnal Plbg. Plbg. Inspector - Notiiy Plumber Const. Meter Engr.lPlan Bidg. Final i Deck Ftg. Dedc Flnal Well Pr. Disp. Address 512 wESZOiv HU z.s carar Zip 55123 Ldt IS Blk 1 Sub wESmN [m.ts THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: Final grade (6" from siding) f Pennanent steps (gazage) Permanent steps (main entry) ~ Permanent driveway j/ Permanent gas Sod/Seeded grass v TraiUcurb damage Porch Basement finish ~ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Con[ac[ engineering division at 651-4645 before working in rightof-way or installing underground sprinkler system. ~ . White - City Copy Yellow - Resident Copy Pink - Contrector Copy . RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 NaWConstructionReuuirements RemodeURepairRenuiremenfs • 3 regislered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas . 2 copies of plan ~ (O (20%maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & windax sizes: poured fountl desgn, etc.) . 1 sile survey for exterior additions 8 decks • 1 set of Eneryy Calculatans . Indicate i(home served by sep[ic system for additions • 3 copies of Tree Preservation Plan if lot platted afler 7/1193 • Rim Joist Detail Options seleclion sheet (61dgs with 3 or less units) DATE IY" b2 VALUATION '?;.SLY> • °o SITE ADDRESS MULTI-FAMILY BLDG Y ~ZN TYPE OF WORK ~iGF~nR FIREPLACE(S) _ 0_ 1_ 2 APPUCANT /YI~krL1 ~s~ r SiREETADDRESS S/y AJlS~m _CITY~_STATF/YJVI/ ZIP6572---3_ TELEPHONE #1051 4b'7 4771 CELL PHONE #657 Z35 bDv'7 FAX # PROPERTY OWNER TELEPHONE #(p5/ Gk7 977/ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Cate9orY _ MI.VtiLSO"C:\ RliLISS 7670 C;\'1'I;G0RY I NII (J su6mission type) • Residential Venfilatlon Category 1 Worksheet Su6mitted • *rjC~e h t mitted • Energy Envelope Calculations Submitted JUN 14 2002 Plumbing Contractor. Phone # Plumbing system includes: _ 4Vater Softener _ Lawn Spninl.ler BY . Watcr Hca[cr No. oC R.I. 13aths N'o. of [3aths ~ Mechanical Contractor: Phone # Vlcch.mical systcm includcs: Air Conditioning rcc: S70.00 Heat Rccovcry Syslcm Sewer/Water Contractor: Phone # I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply with all applicable Stote of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant 7%~~, OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Upda[ed 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 Ot of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4•sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish (Bldg)* O 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement `Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const 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 S[uceo Stone _ Fireplace _ R.I. _ Air Test _ Fina] _ Windows (newlreplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/E3 SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total - • PERMIT . (f'o< CITY OF EAGAN ~ 3830 Pilot Knob Road PERMIT TYPE: e u L D 2 N Eagan, Minnesota 55123 Permit Number: 021511 (612) 681-4675 Date Issued: 0 7/ Z 1/ 9 3 SITE ADDRESS: 512 WESTON HILLS CT LOT: 18 BLOCK: 1 WESTON HILLS DESCRIPTION: BU"ildingL,Permit Type SF DWG Building Work Type NEW /'UBC Occupancy\ R-3 M-1 ~ Construction Type VN / Zoning R-1 ~ Building Length ~ 60 ~ Building Width 50 \ ' l. / J ,.~'y r_-~~ REMARKS: 3&W CONTRACTOR - VALLEY PLB6. PRV FEE SUMMARY: VALUATION $127,000 ~ 8ase Fee ;734.00 MI3C FEES $1,744.50 Plan Review $477.10 COPY $.50 Surcharge $63.50 Total Fee $3,769.60 SAC $750.00 SAC % 100 SAC Units 1 Subtotal $2,024.60 CONTRACTOR: - Applicant - sT. Lic. OWNER: HOMES BY CHASE 18955337 0001619 HOMES BY CHASE 2590 W COUNTY ROAD 42 260 2500 W CTY RD 42 8URN5VIlLE MN 55337 BURNSVILLE MN 55337 (612) 895-5337 (612)895-5337 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applica6le State of Mn. Stetute nd City of Eagan Ordinances. L J .41 ~e,n fi~~r~ I med A PLI A T IG A ISSUED B': SI NAN E REACTIVATE CITY OF EAGAN pEwMrt # 1993 BUILDING PERMIT APPLICATION ~ l 6$1-4675 s 'u:•r~- SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site su 40 pl~ rgy CalCS. . dUL I ~ ISb3 . COMMERCIAL 2 sets of architectural & structurat lans, 1 set of specifications, 1 capy of en~rgy ca1 Penalty applies: 1) when permit is typed, but not picked uq,.6y-T-ast working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date , -7 Yaluation of work I~/~ 2 a o Site Address: -S ~2` L~...~~ .~ay, SiREEi SUITE 0 Tenant Name: (commercial only) IAT BIACK ~ SIIBD. W-~!~? ~ P. I. D. M ~ Descri tion of work: The appl i cant i s: ? Ow r ? Contractor 0 Other (Deserlbe) Name ~ Phone Property L ST FIRST Owner Address ~szq 0 tt,~.~ STREET STE / City State Zip Company Phone Contractor Address, Litense #Zj;~/!E Exp. City State Zip Architect/ Company 117 Phone Engineer Name _ Registration # Address City State ZiP Sewer 8 water licensed plumber . Processing time for sewer & water permits is two days once are ha been appr d. I hereby acknowledge that I have read this aPplication and state that the information is carrect and agree to comply with all a able State of Minnesota Statutes and City of Eagan Ordinances. ~ - Signature of Applicant: > 1 OFFICE USE ONLY • . BUILDING PERMIT TYPE ` • . ? 01 Foundation O 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish ~ 02 Sf Dwg. ? 07 4-Plex O 12 Multi. Misc. O 17 Swim Pool 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory D 18 Comn./Ind. ? 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous woRK rYaE ~ 31 New O 33 Alterations O 35 Tenant Finish 037 Demolish 32 Addition 0 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V"N Basement sq. ft. MWCC System Y65 (Allawable} u- N lst F1. sq. ft. City Water ~ U8C Occupancy R. ~_1 2nd F1, sq, ft. PRY Required Zoning tL -I Sq. Ft. total Booster PumP # of Stories Footprint Sq. ft. Fire 5prinkler Length ~ On-site well Census Code Depth ~50 V4' On-site sewage SAC Code o~ ~ APPROVALS i Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing ? Framing O Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permi t Fee wiuat;a,: g12'7, o Surcharge Vlan Reuiew GAnA"' 37- xz2- ~csy License 1k~_ MWCC SAC city sac ~9a xrc~= ~~rlb~ Water Conn. f35 h1T; Water Meter - ~ZS= SSU y~ /S, ~.ZS~ Acct. Deposit , S/W Permit L~wer ~e„~~~ , S/W 5urcharge r~sm7 Treatment P1. Road Unit ZKX= Park Ded. Y= c! Trails Ded. ~y x ag,f2 ~ Copies Other Jy12~ fL Total: SAC % SAC Units ~pr)a2 Lev~--c.,: I .24 x K /z = /2 . ~20 XSN ?2b, 4s-7 ~ _ _ , SURVLYOR'S GERTIFICAi'E iioMEs gY cwasE ,--.--WEsT4N MILLS CCURT - - ~ 104.52 , '20" (9~-~.z>~o~pq7 ° r~RROPOS ~ Y 30 qs . J _ I~ N/GAR. N I ~ I ~ ~ ~ ~ 1Cf ~ o ~ $ I 9 PHWSEEp ~ t_~.iT 17 "~-~/N I ` ~ 9 53.0~ l 9 53.7) ~ ~ 4ti I ` ~ l `C957.5>~. (a~S3_a> I il1 ~ O ~ ~ ` o 0 ;~7' 100.00 N65°30'25"W . ~q rv'~.1`~a~o RIPVC DE NOiE9 Ot1 7~118 60T g~Y~TF16 BUrRVEYOR. T#8 i~ B_~l.1T-Y OF' NOTE: BWLVING FJl8l4N4 SHDWN ARE solLa TO 81lPPORT THB SPOCiRIC HOl1S6 P~ED f$ FOa taGRltO g1tFJiY~? L NOT TN& RBBpONS161LITY pF 7HE SURVB R ATIOM tYl'~TpU~8gE~N6Y. 5~. 9 P~tNlN ION D~ IA~'~NSIQNS~.JIEbIHG bENOTES PROPOSED SURFACE OHAINAGE 0 DENa7E3 IRON MONUMENT 5ET SCALE: 1 INCH - 30 FEE7 r DENOTE3 IADN MONUMENT FOUNU PROPt75ED QARAGE FLOOR =7 53.3 FEE'T XOOOA OENOTF3 EXl3TWQ ELEVATION PROPOSED LOWEST FLOOR = ry4(,,3 FEET (000.0) DENOTES PROPd3EQ EIEVATION PROPOSED TOP OF BLOCK - 75¢.+ FEET WE HEREBY CERTIFY TO IiOMES BY GHASE THA7 THIS 15 A TRUE AND CORRECT REPRESEIVTATION pF A SURVEY OF THE BOUNdAtiIES OF: LoT IB, Bbck I, WESTON HiLLS occordinq to the recordeQ plat thereot,.Dokota Coumy, Mthneeota. ' I IT DOES NO7 PURPORT TO 5HOW IMPRUVEMENTS OR ENCRdACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME QR UNDER MY DIREC7 SUPERVISION THIS 8TH DAY OF JUL.Y , 1893, PROPD9RP 6RAOS4 SHDWN -WfiRa SIGNED; JA R. HILL, INC. TAKEN PROM THE GqACxNO PIAN' FCR WBBTON Mjk~ PR6RARBD BY ~ LYMAN p&V6tArmsNT, C0. BY• JpHN C. LARSON, IANU SURVEYOR MINNESqTA LICEN5E #VUMB£R 19628 ~ oF~~ 0 ~1- )ames R. Hil I, inc. PLANNERS ENGINEERS 1 SURVE`?rC7RS M ~ W < 2600 W. CTY, Rb. 42 e BURNSVILLE, MN. 66337 9 612-880•8044 LOT BIIRVEY CHECKLZ6T FOR RESID't:`I'iAL I ~ u SUILDING ERMIT APP ICATION m w ~ pROPERTY LEGAL• ~ w w Date of 8urvey: ~ pOCUMENT BTANDARDS H- 0 0 • Registered Land Surveyor signature and company B`-D ? • Building Permit Applicant ? • Legal description ~C~' 0 • Address B-0? • North arrow and bar scale B' ? 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0'~?13 • Directional drainage arrows with slope/gradient 0 0' ? • Proposed/existing sewer and water services $"_0 0 : Street name lr ? ? Driveway ELEVATIONB ,Existinq 0 0"~0 • Sewer service 8r o 0 • Lot corners 0[1~ 0 • Top of curb at the driveway 0 v? • Elevations of any existing adjacent homes Procosed 0 ? • Garage floor 6 0 0 • First floor 0' 011 • Lowest exposed elevation (walkout/window) Er 0 0 • Property corners C~ • Front and rear of home at the foundation PONDINa AREAB (if aoDlicable) ? ~ ? • Easement line ? 0 • NWL 0 ~ 0 • HWL ~ • Pond # designation 0 U • Emergency Overflow Elevation DIMENSIONB K~ ? ? • Lot lines 0 • Right-of-way and street width (to back of curb) B~? ? • Proposed home dimensions including any propased decks, overhangs greater than 21, porches, etc. (i.e., all 1 structures requiring permanent footings) • Show all easements.of record and any City utilities within those easements c0 ? • Setbacks of proposed structure and setback of adjacent existing hom 0Rr'D • Retaining 1 ' ements, if any Reviewed• ~ Na / a e October 1992 uinirn~M_ rn-r5 ~.~c~ ~~~~r• sfr[ nuunESS: conr« ncTOn: unrE DETEn14111e. tironr,mc SUUARE FOOiAG6 Of EACII, t.. iotnL Exi'osEo tintL nuEn...,.... _&P Jy/sn rt x~,u,,, ~ 2.. YoTnl nooF/cEILltic nn[n,,,,,,,.'/ g~~ . sn rt x ~ u"~ 7ornl ExrosKn ,11nLl nnen cnleUlnrlonsi • ~ • , . , . 7otal exposed wall , • , ' area ebove floor' f . • . t , . o) Total wall wlndow oreat ' " ~ glazed....._~~~ sq ft x nUn - a-. '7'~+ ° ,~~/•d ,rylazeJ...... sq Ft x "U" d . 6) lotnl (looY aYCn ~a Sq ft x"U"' C) .~~9` c) •1"otnl slldln4l glass'dovr 'areat''•' ' • . , ' . . ~ , . . , . • . -/2~ glazed.:.... sq ft xnUn qlrzed.'..... s4, Fc x 'lull . „ . d) Total flrcrylace wall area Sry ft x"U" e c) Total wall fYt+inlstg area . ' . . (n~~~~age 10~.)........... ' sq rc x"U" ~ P~~i ~ D(oC) ' f) Total net Wa11 area ebove • floor (Insuloted)....... sq Ft x"U" ~69 ~3 q) Total rim )ofst.area....,. f!2,~,?, sq Ft x"U'! , Q~{~ Total fovndatlon area (Exposed)......... Sq.ft h) Total foundatlon wlndow area...... 49 ft x "U" „ I) Totai net foundaClon' ' ' ' • . • • area above_hr'aJc+......... ig sq Ft x"U'l 'f01A1 a) tiiru 1) e ~ o , (F'Item p) Is the same as,• or less tlian Itr.m AI, you hove met the Intcnt of • `.I~.C. Sectlon 6006 (c) 2. ':~rust:u nour/c:lll.lnr. r:nLCUlnrluns: ' 'rat~l cxposed . • . , . ~ roof/cclling area.....,., Sq ft " . . 7ota) Skyl loht. arca.'...... ( . , • sq ft x "U" ° • ,''.!~.i , . ~ •~t . k) 7otal roof/cclilnn rraming . . • . . area (Avcragc 107,)...... ft x I) lbtfll net 1nsvletcd . . . roof/celllnq urea...,,,,-f Sh ft x 4-Ut, ~ - L- , • , TOTAI J) thru totill'of Nh Is tllc same as, or Icss thon 02, you havc met the Intent S.C. Sectlon 6606 (c) 1. ' . • . . . . . •.r.. . . . :;4G.,,.•...• ' ' • ' ' . ' . • ' • ..'`,:~:..i. , . . • : • . . . . . ALTEIUTATC bUIlbII111 EIIVELOPE bC51r,N • . • utilizc tho tota) envelopc sysEem method, tlie valltes,estobllshed by the sum r Itcins N3 vild !ih shall not bc qreater thnn the sum of Items pl and .1/2. , 1. + I, ' ' , . . , . , . • , , . r. E R 7 I F.i r. n r I n u • , I hereby certlfytha t ( have calculuted the "II" Cactors ond "R" values hereln ,ind that thc hulldinn hcrc descrlbcd meets or excceds the Stnte • oF 1{Innesota Encrny f.onscrvatlon Act. ` . ` ' , , • ~--.(~~L , c«~. ' . . . . ! S~t48tUY@ . . • ~ CON;,fRULTION R VAtUC CEILIHG SECTION (1175ULATEU): ' . I Interlor air film n,Al 2 Ff~~ ~ oo 3 4 4 Exterlor aif f(lm stl{11 n.rt TOTAL R - .ZQ ' U~ 1/R- ~ ~ ( Z 5 CE161NG FRAHIN6 SECTION: 1 Interlor air ftlm • •~.f,l 2 l9-'an vr AIR • VENTED 4 I~t r0ior ~~T m~ st 1 n~fi' FLOW 5 Inches so t woocl y~3~r TOTAL R ~ ,3 u ~ t/a ~ ,O,z , • CEILI!.r `,Ef,TION (111SULATED): I ' I nt e r I o r a i r f i l m 61 2 3 4 Fxterlnr air ilm st 1 (1. ! TOTA R a U~ l/it« , ~ 2 3 CEILINri FRAHINC SECTION: • , 1 Interior air film vENTEo 2 3 . 4 F.xtcr or air film still n. 1 5 inches soft wood TOTAL R - U Q 1/R ° 3 4 5 , InsldB itl.'.. n./+I : : '.;'";r • ~ 3 - - • ~ 4 5 Outslde alr fii. ^•7 , ~ ! TOTAI R ~ . . . , , COtJSTRUCTION R VAIUE ' klALL FRAHING SECTION: ~ 1 Interlor air fllm p.bq C3n~ 3~c es .s"F oTt wood 4 25/as 8rsi/~w-~ J. O S 5 42so.r, 7'e- 16 6 Exterlor film n, 7 TOTAL.R ~ lJ u i/R - ,091 ; MALL SEC710H (INSULATEU) , fntertor.air fiim D.f,H 3 R-Lf ,?T7`1' ~9.00 4 ~.oo, Exterior atr fllm 0.1] TDTA R e ,p U - 1/R RIM J015T SECTIOtI; 1 Interlar air illm 11.f+R --(2 , oa 3 ' 4 a~ i Q 5 i.s~sv,~. f< ~ , 6 Exterior a r t)m ,1).17 T07AL R ~ ~ . . . , V ~ I/R ° r/7V/:' . ,p' p . . a• ~ FOUNDATION SECTION: ' e: 1 Interior alr.film Q.68 ' •P . • 2 f3.}-T7`S . 68 ' ~ . 3 / ~ oa~, A/o~lr , ~'.aY 4 Exterlor air film Q.17 pQ 4' :4 ? (6 TQTAL R ~ 10,13 u~ t/R SIAA ON GRADE • . a ; • 4' , 1 V' , ,Q ;a, , , ~ ~ ,Q . • ~ ~ . ,p.q,;'t/~. Fi • ~q ~ ..d ~ „ • „ A ~ d ~ : d• . \.4 . ~J.4,•, . ~ •i 'a ~'d` ,.4•.,~ .d :Q, • )9, . Q. : 4 . . Q . ~ . ~ Q•~•4 ~a 4'a : 4:' ~ • ' ' . ~ . t , . . -r ` rr ~ T ~ T a Fr si ; i£ ~ r 3 r "ec 4,x„~, ~ ~.u a~ ~ ~ z y t££ d hgfatsg?=,z~,3'''3x ~tr -axp9 ya`'3 Cxw jY'g~ ~ ,z..y yr t 1993 PLUMBING PERMIT (RESIDENI7AL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTT• - - - 10, FIXTLTRES . EACH TOT~ 1 SHOvVFR 3.00 3 _ ~ WATE12 CLUSET 3.00 a BATH TiJB 3.00 t._ - LAVATORY 3•00 KITCHEN SINK 3•00 LAUNDRY TRAY 3.00 3 - ~ HOT TUB/SPA 3.00 WATER HEATER 3.00 ~ FLOOR DRAIN 3•00 ~ GAS PIPING OUTLET • minimum - 1 3•00 ROUGH OPENINGS 1.50 WATER SOFTENER 5•00 PRIVATE DISP. • DaLCry.lic. 15.00 U.G. SPRINKI.ER • eome under conct. 3•00 ALTERATIONS • to edsting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: a. ~ u SITE ADDRESS: S~a Ln1 cs~d.~ N`~! ~ C,, OWNER NAME: I\R R - INSTALLER: V411c t ~ ADDRESS: CTI'Y: STATE: lM ZIP CODE: SJ 3 i~- PHONE ( ) L4rt2-ao ~ SIGNATURE OF PERMITTEE 1993 PLUMBING PERMIT (COMII4IERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMAERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP_DINGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH DWELLING Ui;'.'T. _ NEW CONSTRUCfION Ann ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCFIARGE $.50 FOR FACH $1,000 OF FEE MINIMUM FEE $ 25.00 " CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: WSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHOA'E FOR: CITY OF EAGAN APPLICANT ....a _ .:E' . * i L~S 9h uwf¢ S?t < .aSF 'fk . f f'i T 1993 MECHANICAL PIItMIT (RESIDElV17AL) CTIY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. X NEW CONSTRUCCION ADD-ON A/C ADD-ON FURNACE DATE GCT3 FEES NVAC: 0.100 M BTU $ 24•00 ADDITIONAL 50 M BTU 6•00 GAS OLTTLETS (MINIMUM 1@ 53.00 EACH) 9 oci ADD-Olv/REMODEL (Ex1sTiNG CONSTRUCnoN) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: 5 1A ~ 11S ~ - OWNERN E: \J\A a~.~L°~ TELEPHONE#: WSTALLER• `pd I 1 ADDR SS: C~y: C~ n~ ~r1 ZIP CODE: TELEPHON~.~STATE_ , IG ATURE F PERMITTEE ~ y s u x4£x.. s£'7 sx k~ : i1LJRMb#L~ 5k.cac ~`oy i o. J~YL :~`4~''C'x~ w r~Y„~ .a~' x• je ~b;° ~"3S¢. &~a x~:~_A SLwe'"fi3n ' : 1993 MECHANICAL PERMTT (COMMERCIAL) CTIY OF EAGAN 3830 PII.OT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL CONAERCIAI/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTBER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: $ NEW BUILDING INT'ERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CON!'FLAC'!' FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF MR MTF FEE. TOTAL $ STfE ADDRESS: ~ OWNER NAME: TELEPNONE TENANT NAME: (IMPROVEMENTS ONL1) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR. . , _ ~ . 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 (p 1~5 New Construclion Reauirements RemodeVReoair Reouirements x. 3 registered site surveys showing sq. ft. of lot, sq. ft. of hause; and all roofed areas 2 copies of plan showing foofings, 6eams, joists C9t(pf Xey ~ 1""'_N (20%maximumlotcaveregeallowed) lsetofEnergyCalculationsiorheatedaddifions 3`t@;4lPrg~OI*'~bCd Y'_N. 2copiesolplanshowiigbeam8windowsizes;pourediounddesign,elc. lsitesurveyforadditions&decks Tre6 ~Ci9Q~"~~_N. lsetofEnergyCalculations Addition - indicafeifon-sifesepficsysfem OnsltCa„C~tlc$PSIBen 3 copies of Trce Preservafion Plan if lot platted aRer 711193 Rim Jdst Detail Opfions selection sheet (buildings vrirh 3 w less units) Minnegasco mechanical ventilation form Date ~5 / Z 5 / O(p Construction Cost Site Address r'J 12 Wif S+00 'Hl t (S Ct ' UniUSte # Description of Work bw , s fire p(ac~ Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 ~ 1~ 2 Property Owner ~U~i~ r1 • S' ~a-YY1 al~a L• 8e~0_r)0hTelephone #((Or'J1 421 S EAddress actor ~.I~ Ci~ tate Zip Telep6one # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING 2 Minnesota Rules 7670 Cateeorv t Minnesota Rules 767 Enefgy Code Category , Residential Ventilafion Calegory 1 Worksheet • New Energy Code Worksheel (d su6mission type) Submitted Su6miried . Energy Envelope Calcula6ons Submitted In the last 12 monihs, has the City of Eagan issued a permiT for a similar plan based on a master plan? _ Y N If yes, daTe and address of master plan: Licensed Plumber Telephone D Mechanical Contractor Telephone Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is comlplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan arid the State of MN Statutes; 1 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. -Tayn Q ra L. 8f.s~s o v~ ~ ICf ~C~^ S~M Applicant's Printed Name A licant's SigRatuLe- DO NOT WIF1T'E 13IELOW THIS LINE , Sub Tvpes ? Ot 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 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 OB-plex r 18 Deck ? 23 Porch (screen/gaze6o) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work T es 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WndowslOoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant D@SCflptlOn: WaterUamage_Yes Valuation ~ ~ ~001 0 0 Occupancy MCES System Plan Review 100% or _ 25% Census Code '139 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const ~ r Width -2 -7- REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock ~ Footings (deck) _ Final/C.O. FooYings (addition) FinaUNo C.O. Foundation _ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ~ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace _ R.I. _ Air Test _ Final _ W indows Insulation c _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 1 ~ r ,rEYORIS GERTIFICATE 110MES $Y CMASr WEST4N HILLS CWRT - - - - 0 ~ .52 ~r1~r y' Q ~ ~y1y0 ~ O gR~~ wAV° 1o 8' s° w J 9s3.0 ' rA . - -a = J ~ r----~ ,.,v-=~ 0 I ~ N /OAR, IL9 .e (y53.7 ~ ° a~ N L o ~i (!i ~ ~ p` I R, I / ~ r T ' 1 ik, <<J (9 53 u) ; 9 53.7) 'q~, j~ED qS3.o~ ~ o ~W , J~ ~ 0 M 0~'i O `~y ~/3 IOO.Od N65030'25"W REQUiR!A~ WINE RIAFG DE. NOLCI NO 3P9GFIG 30168 INV667qAT10N %AS 4Wfi QDM~Lh~ ~ ON THIS 40T 9Y THH SURVEYOR. TFE S0 i7~ NOTE: BUILDINO DI ENS~OHS HHDWk ARE BOIl3 TO SUPIqpT THE SPECIFIC MOUBB PRVPGSED IS POft HOR1Z0 L 9 NF~T AL NOT Th16 RBBPONSt81LITY Of~ 7HB SURVBYOh. ATION G~P' $ ARCNI7~UAl. PL BUIIbIMG r+---- bENOTES PROPOSED SURFAGE biiA1NAGE a ~UNDATlON 0 NSIGN9. O DENOTE3 IRON MONUMENT SET 5CAGE; 1 INCH - 80 FEE7 • pENOTE8 IRON MONUMENT FOUNU PRaPO5ED QARAGE FLOQR ='753.3 FEE'f X000.0 DENOTES EXMSTWCi ELEVATION PROP05Ei] LOWE37 PLOOR = 94t~.3 FEET (000.0) DENOTES PROPd8E0 ELEVATION PRQPOSEP TOP OF BLOCKm 754.4 PEE1' WE HEREBY CER7IFY TO IiOMES BY CHASE THA7 TMIS IS A TRUE AND CORRECT REPRE3ENTA710N OF A BURVEY OF TME BOUNpAIiIES OF: Lot 18, Bbck l1 WESTON WiLL3 occordinq to ihe recordeA plat ttteraot,.Dokota COuMy, Mlnneaota. ' IT ODES NO7 PURPORT TO 5HOW IMPROVtME1VTS OR ENGROACMMENTS, EXCEPT AS SHOWN. AS BURVEYED BY ME OR UNDER MY DIREC7 SUPERVISION THIS 8TH DAY OF JULY 11993, PROPD9$C BRAOHS $HOWN- WBRB SIC3NED: JA R. N1LL, 1NC. TAKEN FROM~~THW~ff~~,g6RADINO PIAN' LYMANfp~V61APMENTR~ fiED BY BY• JOHN C. LARSON, LANp SURVEYOR MINNESQTA UCEN5E NUMBER 18828 James R. HIll, InC. _r- FW~ ;~g PLANNERS / ENGlNEERS ! SURVEY(7RS m W 2600 W. CTY. kD. 42 9 BUpNSVILLE, MN. 55337 0 812-880•6044 - ' Page 1 of 1 Craig Novaczyk ~ From: Craig Novacryk Sent: Wednesday, June 20, 2007 6:56 AM To: 'Steve_Benson@bluecrossmn.com' Subject: RE: 512 Weston Hilis Ct , Steve, Thank you for the verification. Our records show that the inspection in question was for the framing of the deck. The final inspection has yet to be performed. Please call for a final inspection. Thanks again, Craig Novaczyk Senior Building Inspector Office 651-675-5683 ~ Fax 651-675-5694 cn ovaczv k@ cityofeag a n, com Prom: Steve_Benson@hluecrossmn.com [mailto:Steve_Benson@bluecrossmn.comj Sent: Tuesday, ]une 19, 2007 721 PM To: Craig Novaczyk Cc: tbenson@amplatzer.com I Subject: 512 Weston Hilis Ct i Craig, Last summer you inspected the structure of our deck and advised that you had concems about the flashing we used between the ledger boards and the house. I believe your concem was whether it was appropriate material for freated wood, which nur frame was constructed from. I found some left over flashing (purchased from Home Depot - who designed the deck) and snapped the attached picture last Fall. You will see that the sticker advises that it is designed to work with 4reated wood. , I was hoping to get your comments/approval based on this new information. Please advise. If you'd like to call me you can reach me at my work number (651-662-7754). I will be out of the office on Wednesday, returning on Thursday. Thanks, Steve Benson ~ 512 Weston Hills Ct. Eagan, MN 55123 ~ [mportant news about emaii communications: If our business rules identlfy sensitlve infoirnarion, you wi? receive a ZirzMai] Secure Messege with a link to view your message. First-time recipients vnll be asked to create a password hefore they are granted access. To learn more about ZixMail, ZixCorp Secure Emaii Message Center, and other ZizCorp offerings, please go to http://userawareness.zixwry.comJsecure4/index.php . The informa[ion contained in this communication may 6e confidential, and is intended ortly for the use of [he recipient(s) named above. If [he reader of this message is not [he intended recipien[, you are heroby notified that any disseminatlon, distribulion, or copying of this communication, or any of its contents, is s[ric[ty prohibited. If you itave received this communicadon in erzor, please retum it ro ihe sender immediately and delete the original message and any copy of it from your computer system. If you have any queseons conceming ittis message, please wntact the sender. Unencrypted, unauthenficated Intemet e-mail is inherently insecare. Intemet messages may be corrupted or incomplete, or may inwttec[ly identify the sender. 06/20/2007 DECK LEDGER CAP L~/. STEEL FoRALL PRESuR~ GA PAINTEE, , ~ APPROVED FOR USr- VIITIi TREATED LUMBER, TREA 'SE ASP~#a~.T T~-~ LUM ~ER. I~ ACO - ~ I~~C ~ T' ~ FELT /h~ ,~'~'`~r ~ D ~~T1NE E N W~ PAPER - . , TAPON DEL LARGU.;.:,Ro T RATADAA~R~.IO~J P ARA ~ DO TIPO DE MADERA f . l 1 . - .1f .CER0 PINTADO APROC~i~ , Y GALVANIZADO A ~r S,U USO CON MADERA TRATADA CONAC0. ~ . A T f ELPAPEL DEA`-FA~. :~DEL FIELTRO ..A 3 - . ~ ~ City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or,BLACK<Ink For Office Use ,+ Permit #: 1 C'S `/ ge Permit Fee: Date Receive:: / -) Staff: N'71, c 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: _51.2 W `tc,4 1' I ),S ( Ccs CT Unit #: Name: s * E L (c 4_sd Address / City / Zip: 6" Phone: i .2iL/ -g2Hj" Applicant is: Owner iS Contractor Description of work: 1)1 t p l'C <t C X is Construction Cost: * J E cod �cciw,�. Multi -Family Building: (Yes / No ) Company: (6 r (` D E 4 r y i 4, I I Contact: Address: '7 c)/0 t4) V e z.. (G7c--( City: State: Zip: .5— L6 Lf Phone: License #:'3 G 71 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Yeti\ ( 199. 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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. eq(),-. Pc( Applicant's Printed Name x Applicant's Signature Page 1 of 3 Ri R,v) f % 7 108 8(0 1020 International Drive Fergus Falls, MN 56537 PH: 800-739-9899 VECTOR _ FX:y{888-739-9799 WNawvt NNC6btt http://vectorwindows.com/: ORDER ACKNOWLEDGEMENT INVOICE INFORMATION Arrow Building Center, Hastings 808 North 4th St Stillwater, MN 55082 PH: 651-437-8555 FX: 651-439-9756 ORDER I ORDER DATE I PO NUMBER 138571 NO 11/19/2012 DESCRIPTION 460727 DIPLOMAT TWO WIDE SH SLOPE SILL WINDOW - DPH2-SS EXACT SIZE, WHITE, WHITE VINYL JAMB, 6 13/16" WALL THICKNESS, APPLIED JAMB, JAMBS NOT WRAPPED / POLY TUBING, DRIP CAP ACCESSORY=[CONT], FACTORY MULL 1.1 DIPLOMAT SINGLE HUNG SLOPE SILL WINDOW - DPH1-SS EXACT SIZE, WHITE, LOW E, LOE 272, EGRESS UNIT, HALF SCREEN, SCREEN SHIPPED IN UNIT, FIBER MESH, FIBER GLASS STANDARD VIEW, DP -35 RATING 1.2 DIPLOMAT SINGLE HUNG SLOPE SILL WINDOW - DPH! -SS EXACT SIZE, WHITE, LOW E, LOE 272, EGRESS UNIT, HALF SCREEN, SCREEN SHIPPED IN UNIT, FIBER MESH, FIBER GLASS STANDARD VIEW, DP -35 RATING 1.3 MULLING CHARGES DIPLOMAT WINDOWS EXACT SIZE, WHITE QTY RECEIVED FEB 2 6 7013 ORDER: 138571 ORDER DATE: 11/19/2012 DELIVERY DATE: 12/3/2012 ORDER CONTACT: STEVE SHIPPING INFORMATION Arrow Building Center, Hastings 755E 31st St Hastings, MN 55033 PH: 651-437-8555 FX: 651-437-8824 SHIP VIA: VECTOR 51 2. A.s.i - 11 its e CUSTOMER REF. TERMS COLLEGE CITY SIZE 1 71 1/2 W X 63 1/2 H 1 35 1/2 W X 63 1/2 H 1 35 1/2W X63 1/2H 1 1/2W X63 1/2H DIPLOMAT TWO WIDE SH SLOPE SILL WINDOW - DPH2-SS EXACT SIZE, WHITE, WHITE VINYL JAMB, 6 13/16" WALL THICKNESS, APPLIED JAMB, JAMBS NOT WRAPPED / POLY TUBING, DRIP CAP ACCESSORY=[CONT], FACTORY MULL 2.1 DIPLOMAT SINGLE HUNG SLOPE SILL WINDOW - DPH1-SS EXACT SIZE, CUSTOM SIZE ORDERED - NON CATALOG SIZE, WHITE, OBSCURE / LOW E TEMPERED, HALF SCREEN, SCREEN SHIPPED IN UNIT, FIBER MESH, FIBER GLASS STANDARD VIEW, DP -35 RATING **Rain Glass** 2/1/2013 1:23:00 P 1 46 3/4 W X 48 1 23 1/8 W X 48 H 10112 VECTOR: Builders KnQw The Difference PRICE TOTAL Wf* awl j masier 730+41 ORDER: 138571 ORDER I ORDER DATE PO NUMBER I CUSTOMER REF. I TERMS NO 11/19/2012 DESCRIPTION .2 DI WINDOW - DPH1-SS EXACT SIZE, CUSTOM SIZE ORDERED - NON CATALOG SIZE, WHITE, OBSCURE / LOW E TEMPERED, HALF SCREEN, SCREEN SHIPPED IN UNIT, FIBER MESH, FIBER GLASS STANDARD VIEW, DP -35 RATING "Rain Glass" QTY COLLEGE CITY SIZE 2.3 M L MAT WINDOWS 1 1/2 W X 48 H EXACT SIZE, WHITE 3 DIPLOMAT TWO WIDE SH SLOPE SILL 2 55 W X 48 H WINDOW - DPH2-SS EXACT SIZE, WHITE, WHITE VINYL JAMB, 6 13/16" WALL THICKNESS, APPLIED JAMB, JAMBS NOT WRAPPED / POLY TUBING, DRIP CAP ACCESSORY=[CONT], FACTORY MULL 3.1 DIPLOMAT SINGLE HUNG SLOPE SILL 2 27 1/4 W X 48 H WINDOW - DPH1-SS EXACT SIZE, CUSTOM SIZE ORDERED - NON CATALOG SIZE, WHITE, LOW E, LOE 272, HALF SCREEN, SCREEN SHIPPED IN UNIT, FIBER MESH, FIBER GLASS STANDARD. VIEW, DP -35 RATING 4 3.2 DIPLOMAT SINGLE HUNG SLOPE SILL 2 27 1/4 W X 48 H WINDOW - DPH1-SS EXACT SIZE, CUSTOM SIZE ORDERED NON CATALOG SIZE, WHITE, LOW E, LOE 272, HALF SCREEN, SCREEN SHIPPED IN UNIT, FIBER MESH, FIBER GLASS STANDARD VIEW, DP -35 RATING 3.3 MULLING CHARGES DIPLOMAT WINDOWS 2 1/2 W X 481-I EXACT SIZE, WHITE 4 DIPLOMAT TWO WIDE SH SLOPE SILL WINDOW - DPH2-SS EXACT SIZE, WHITE, WHITE VINYL JAMB, 6 13/16" WALL THICKNESS, APPLIED JAMB, JAMBS NOT WRAPPED / POLY TUBING, DRIP CAP ACCESSORY=[CONT], FACTORY MULL 4.1 DIPLOMAT SINGLE HUNG SLOPE SILL WINDOW - DPH1-SS EXACT SIZE, WHITE, LOW E, LOE 272, EGRESS UNIT, HALF SCREEN, SCREEN SHIPPED IN UNIT, FIBER MESH, FIBER GLASS STANDARD VIEW, DP -35 RATING 4.2 DIPLOMAT SINGLE HUNG SLOPE SILL WINDOW - DPH1-SS EXACT SIZE, WHITE, LOW E, LOE 272, EGRESS UNIT, HALF SCREEN, SCREEN SHIPPED IN UNIT, FIBER MESH, FIBER GLASS STANDARD VIEW, DP -35 RATING 4.3 MULLING CHARGES DIPLOMAT WINDOWS EXACT SIZE, WHITE 2 71 1/2W X63 1/2H 2 35 1/2 W X 63 1/2 H 2 35 1/2 W X 63 1/2 H 2 1/2 W X 63 1/2 H PRICE TOTAL 2/1/2013 1:23:00 PM 2 of 12 VECTOR: Builders Know Th_gpifference ORDER: 138571 5/4,Sio..41 Ni�c� c i L,.y/T .# %'fr'G Precautions, Care and Maintenance Improper installation and care may void warranty. Manufacturer assumes no responsibility for failure or Injury from improper installation, care or use. The weatherability and integrity of this Vector product incorporated into your unique wall system is the sole responsibility of the purchaser, • Transport & Store in a ventilated, dry, shaded trailer or building. Stack as straight as possible. Do not lay unit flat, • When Moving Windows, use extreme caution to protect nail flange, Carry unit to avoid impact and breakage, • To Clean Glass 5 Vinyl, use only warm water and mild detergent with a clean cloth. Rinse with clean water and squeegee glass dry, • DO NOT USE solvents or cleaning fluids containing petroleum products, acids or corrosive materials. Alkalis and concentrated solutions of vinegar or ammonia can damage glass seals, Protect vinyl and glass from plaster, mortar, concrete, and paint, 'DECEIVED- MAR 06 7013 • Avoid Use of toots that could scratch glass or vinyl such as razorblades, sharp tools or dirty cloths. Before the Window, remove all construction debris from the sill track. Keep sill clean at all times,DO NOT BLOCK WEEP HOLES. • CAUTION! Safety glass is required try law in some locations. Safety glass may be identified by an etched mark, • WARNING! Insect screens are for insect control only and are not intended to provide a safety or security barrier. • WARNING! Limited sash stops (also known as 'night stops") are for convenience only and are not intended to provide security. General Installation Instructions 1, BEFORE INSTALLATION Window must be installed plumb, level, and square. Frame members must be in plane and not twisted. Check window dimension with the rough opening dimension, Window dimension should be at least W Tess than rough opening. Close and lock window vents (sash) during installation , 2. Apply a continuous bead of high quality sealant to the back of the nailing fin around the perimeter of the unit on both jambs and the head. Do not apply caulk to the sill nailing flange. The bead of sealant must line up with the existing holes of the fin. 3. Set the window or door into the rough opening that has pan flashing already installed, Adjust frame to provide a uniform margin around the sash. Shim as needed to maintain margin. 4. FOR WINDOWS To level the window. use shims at the sill directly unde the jambs and under any vertical mullions or meeting rails. FOR DOORS If sill plate is level, door can be placed directly on required pan flashing system* if sill plate is not level, place shims evenly to level the sill, Apply a bead of high quality weatherproof sealant along the junction of the sill and the flooring on the interior surface. 5, After ensuring the sill is level, fasten the window or door at the bottom with the equivalent of 6d galvanized fasteners, 6, Measure the diagonal of the window to make sure the unit is square. Diagonal measurements should be within V. of each other. For proper operation of the unit, ensure the jambs and head are straight and true in the opening before fastening. Do riot fasten directly in the corners. 7. Complete the anchoring of the window with the equivalent of 6d galvanized fasteners through every other hole on the nailing nange, The fastener should be snug, but not tight. 8. MAINTAIN a 34' to W gap between siding or trim and vinyl frame to allow for expansion. Fill gaps with a high quality sealant. 9. Caulk unused holes and caulk any gaps between the window or door and the rough opening on the jambs and head only, Incorporate the nailing flange into the wall flashing system to meet current building code requirements. 10, Fill voids with insutation,D0 NOT over pack or use expanding foam to fill around windows, as this can cause frame distortion, Use loosely packed insulation or low expansion foam. Use extreme care not to distort or bow jambs, head and sills, which will severely affect the performance of the window. Maintenance and replacement parts may be ordered through your dealer. Find them at VectorWindows,com 1 800.739,98 /i 4//z,r7-0,4, c -r p /08 ,a4 To whom it my concern: Vector Windows drip cap that is supplied with the windows and doors meets specification when incorporated into the window flashing. Drip cap is not needed on single units, due to the fact that it has an integral nailing flange. This product will meet building codes and ASTM Standards. Sincerely, Mike Fitzgerald, Engineering T7EIT,PIVED MAR 06 7013 VECTOR WINDOWS SINCE 1925 Builders Know The Difference. Vector Windows, LLC 1020 International Dr, Fergus Falls, MN 56537 OFFICE 800.730L9899 FAX 888.739,g7g0 Vec torWindows.com City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA118658 Date Issued: 11/05/2013 Permit Category: ePermit Site Address: 512 Weston Hills Ct Lot: 018 Block: 001 Addition: Weston Hills PID: 10-83750-01-180 Use: Description: Sub Type: Reroof Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes. Jeff Pelant Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 - Applicant - Owner: Steven R Benson 512 Weston Hills Ct Eagan MN 55123 (651) 662-7754 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. Applicant/Permitee: Signature Issued By: Signature The Home Depot # 2813 73g40 ' v 3220 DENMARK AVE, EAGAN, MN 55121 (651) 452-2323 Tue May 09 11:53:18 2006 This Project cannot be priced because not all materials are carried in stock. See Store Associate for prices on non -stock items shown in Bill -of -Materials. STEVEN BENSON DECK RTS 171493 3D View I J e� ala �1a Ill i n i noo S P'-ce I9 m ; n, Merv) g ens 4-14p • RBv�wM BY: 7)1 DATE 6I !qk 6 BUILDING INSPECTION. ONNINN The Home Depot # 2813 3220 DENMARK AVE, EAGAN, MN 55121 (651) 452-2323 5/9/2006 STEVEN BENSON DECK RTS 171493 Materials for Deck: Qty UOM SKU Use Description 101 2 8 4 1 50 8 3 13 1 1 1 8 2 2 1 2 8 EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA 430400 255781 167929 159091 168768 168793 168768 255781 255957 255957 255781 256276 256276 255781 255957 255988 168768 168768 Standard Materials: NOSKU, 36 EA 865889 5 EA 209715 5 EA 206450 10 EA 544208 10 EA 538892 10 EA 538981 25 EA 169765 3 EA 439432 3 PK 462810 1 EA 454141 19 EA 538981 19 EA 928607 32 EA 544208 32 EA 538892 32 EA 538981 Decking: OPTMAT, Default 14 EA 734920 Balusters: OPTMAT, Default 1 EA 734998 Balusters Beam Bottom Rail Decking Decking Decking H Top Rail Joist Joist Ledger Ledger Post Railing Post Rim Joist Rim Joist Stair Stringer Step Tread Vert Top Rail Standard Deck Materials 2x10 Joist Hanger 4x4 Post Foot Brkt AnchorBoltw/NW Beam Bolt 4x4 Beam Nut Beam Washer ConcPierin-Ground Flashing Hanger Nails 2x10 Joist Framing Nails Lag Bolt Washer Ledger -Bolt Rail Post -Bolt Rail Post -Nut Rail Post -Washer Deck/Rail Scrw Grn BalusterScrewGreen 3240 BALUSTER - 2X2-42IN. B1 E PT 2X10-12 #2 PT 2X4-8FT. NO.2 PRIME PT SYP 5/4X6-16 PREMIUM THOMPSONIZED PT 5/4 X6-8FT THOMPSONIZED DECK PT 5/4 X6-12FT THOMPSONIZED DECK PT 5/4 X6-8FT THOMPSONIZED DECK PT 2X10-12 #2 PT 2X10-16 #2 PT 2X10-16 #2 PT 2X10-12 #2 PT 4X4-8 #2 PT 4X4-8 #2 PT 2X10-12 #2 PT 2X10-16 #2 PT 2X12X10 PRESSURE TREATED 5/4 X6-8FT THOMPSONIZED DECK PT 5/4 X6-8FT THOMPSONIZED DECK PT ZMAX 2X10 JOIST HANGER-JLQ 100PCS POST BASE 4X4 Z -MAX 1/2INX8IN ANCHOR BOLT,NUT W/WASHER CARRIAGE BOLT-GALV. 1/2 X 8 HEX NUT GALV 1/2 FLAT CUT WASHER GALV 1/2 80LB. QUIKRETE CONCRETE MIX DECK LEDGER FLASHING BRN GALV 8FT 10D JOIST HANGER NAILS 16D 3-1/2" HOT GALV BOX 5 LB FLAT CUT WASHER GALV 1/2 LAG SCREW GALV 1/2 X 6 CARRIAGE BOLT-GALV. 1/2 X 8 HEX NUT GALV 1/2 FLAT CUT WASHER GALV 1/2 GREEN 1 LB 3 IN DECKMATE DECK SCREW GREEN 5LB 2 IN DECKMATE DECK SCRW The total cost of in stock materials is $1817.31 plus tax. This Price does not include any Special Order Items. Please see Store Associate to adjust the design or to price and order items. This estimate was created on 5/9/2006 and is valid for 3 business days. Parameters from UBC.cod parameter file. Parameters used for Deck 1: 40 psf live load, 48 inch footing depth. WARNING: THIS IS NOT A FINAL DESIGN PLAN. VARIATIONS IN BUILDING CODES, SPECIFIC ARCHITECTURAL CONSIDERATIONS, OR SITE CONDITIONS MAY REQUIRE CHANGES TO THIS DESIGN. YOU ARE RESPONSIBLE FOR THE FINAL STRUCTURE, CODE VERIFICATION, MATERIAL USAGE, AND STRUCTURAL SAFETY OF THIS DESIGN. BE SURE TO CHECK AND VERIFY THE DESIGN WITH YOUR LOCAL ARCHITECT AND BUILDING INSPECTOR. THE COMPANY ASSUMES ABSOLUTELY NO RESPONSIBILITY FOR THE CORRECT USE OF THIS PROGRAM. ALL OUTPUT SHOULD BE EXAMINED BY A QUALIFIED PROFESSIONAL TO DETERMINE IF THEY ARE REASONABLE AND ACCURATE. The Home Depot # 2813 3220 DENMARK AVE, EAGAN, MN 55121 (651) 452-2323 Tue May 09 11:53:18 2006 This Project cannot be priced because not all materials are carried in stock. See Store Associate for prices on non -stock items shown in Bill -of -Materials. STEVEN BENSON DECK RTS 171493 Deck Layout T3fO • The Home Depot # 2813 3220 DENMARK AVE, EAGAN, MN 55121 (651) 452-2323 Tue May 09 11:53:18 2006 This Project cannot be priced because not all materials are carried in stock. See Store Associate for prices on non -stock items shown in Bill -of -Materials. STEVEN BENSON DECK RTS 171493 Post Layout for Deck 1 O N N N CO BasePoint 14' 12' 9cfo rhe Home Depot # 2813 3224 DENMARK AVE, EAGAN, MN 55121 651) 452-2323 rue May 09 11:53:18 2006 rhis Project cannot be priced because not all materials are carried in stock. See Store Associate for prices on non -stock items shown in Bill -of -Materials. STEVEN BENSON )ECK RTS 171493 )eck Dimensions for Deck 1 TREATED WOOD MAY REQUIRE SPECIAL (,=ASTENERS, HANGERS, AND FLASH:NC). CONTACT YOUR /000 SUPPLIER FOR MORE INFORMATION. riEDGER MUST BE ATTACHED WITH MINIMUM (2) 3/8" X 4" LAG SCREWS, WITH WASHERS EVERY 18" r DECKS SHALL NOT BE SUPPORTED BYE .. CANTILEVERED I -JOIST HOUSE FRAMING WITHOUT SPECIFIC ENGINEERING. 22' Joist Spacing = 16 in. o.c.C-e-X/0) Baluster Spacing = 3 3/4" Toe Spacing = 3 3/4" Railing Height = 36" j3' 1' 6' Fo7s Mfty 3e Bel) e on Pe 77"'` The Home Depot # 2813 3220 DENMARK AVE, EAGAN, MN 55121 (651) 452-2323 Tue May 09 11:53:36 2006 STEVEN BENSON DECK RTS 171493 Construction Specifications deck 1: Construction Method = Beam Flush With Joist Footing Type = Pier In -Ground Live Load = 40 Dead Load = 10 Decking Spacing = 0 1/4" Joist Spacing = 16" Beam Spacing = 168" Post Spacing = 64 5/8" Decking = 5/4X6 Thompsonized Southern Pine No. 2 Beams = 2X10 Treated Southern Pine No. 2 Joists = 2X10 Treated Southern Pine No. 2 Posts = 4X4 Treated Southern Pine No. 2 Deck Height = 18" Diagonal Bracing = No Deck Skirt = No Joist Overhang = 0" Beam Overhang = 0" Decking Deflection Factor = 360 Joist Deflection Factor = 360 Beam Deflection Factor = 360 Pref Decking Size = ML5/4x6x10 Pref Joist Size = 2x10 Pref Beam Size = 2x10 Pref Post Size = 4x4 Railing 1: Railing Height = 36" Baluster Spacing = 3 3/4" Toe Space = 3 3/4" Railing 2: Railing Height = 36" Baluster Spacing = 3 3/4" Toe Space = 3 3/4" Stair 1: Step Width = 48" Step Height = 12" Step Rise = 6" Step Run = 11" Stringers = 2X12 Treated Southern Pine No. 2 Risers = 5/4X6 Thick Deck Ponderosa Pine Select Treads = 5/4X6 Thompsonized Southern Pine No. 2 Railing 5: Railing Height = 36" Baluster Spacing = 3 3/4" Toe Space = 3 3/4" Railing 6: Railing Height = 36" Baluster Spacing = 3 3/4" Toe Space = 3 3/4" Railing 4: Railing Height = 36" Baluster Spacing = 3 3/4" Toe Space = 3 3/4" Railing 3: Railing Height = 36" Baluster Spacing = 3 3/4" Toe Space = 3 3/4" PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA131191 Date Issued:06/05/2015 Permit Category:ePermit Site Address: 512 Weston Hills Ct Lot:018 Block: 001 Addition: Weston Hills PID:10-83750-01-180 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description: 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087 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 - Steven R Benson 512 Weston Hills Ct Eagan MN 55123 (651) 214-5239 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146346 Date Issued:10/20/2017 Permit Category:ePermit Site Address: 512 Weston Hills Ct Lot:018 Block: 001 Addition: Weston Hills PID:10-83750-01-180 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 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 - Steven R Benson 512 Weston Hills Ct Eagan MN 55123 (651) 214-5239 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147637 Date Issued:01/22/2018 Permit Category:ePermit Site Address: 512 Weston Hills Ct Lot:018 Block: 001 Addition: Weston Hills PID:10-83750-01-180 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 - Steven R Benson 512 Weston Hills Ct Eagan MN 55123 (651) 662-7754 Croix Crystal 3440 Yoerg Dr Hudson WI 54016 (715) 386-8667 Applicant/Permitee: Signature Issued By: Signature