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4279 Dartmouth Ct--t 7' ClTI( OF EAGAIV 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMITsSUBTYPE: ON RECO1W PERMIT TYPE: Permit Number: Date Issued: H1 APPLICANT: -ro.ti y TYPE OF WdRK: ?----- -'2 INSPECTION .. .. sh U r;i s414 ol rt) ?',ril co W';r Permit No. Permit Holder Oate Telephone # SNV 451 PLUMBING HVAC ELECT ov ELECTRIC Hrspeci'wn Date lnsp. CommerKs Footings I 2 Foundation , Framing Z, -rA d o(-)t- Roofing c- T Rough Plbg. Rougn Hc9. Isul. Freplace Finat Ntg. cGOS Orsai Test ?G'P? /. ?"? Go'?"'??' l/? ryl9 ?-? Final Plbg. ? Pibg. Inspector- Notity Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Weli Pr. Disp. -- ?w Ol I i OIl' ? INSPECTION RECQRI) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: FlAt1 ? i;?•? rti 1)UtiUS : Nli - ; ?? ? .' i ??, , 1 ?+ ? 1 PERMIT SUBTYPE: TYPE OF WORK: ?to t I w67-. i i Ntii I ,I i r i ii I N; .i ;,•?? 04 Ji t;!<?4 -1 Permit No. Permit Holder Date Talaphone N S/W PLUMBING HVAC ELECTRIC ELECTRIC InspecUon Date Insp. Commer?ts Footings I I Foundation Framing Roofing Rough Plbg. Hough Htg. Isul. Fireplace Final Htg. Orsat Test Fnal Plbg. Plbg. Inspector - NoUfy Plumber Const. Meter Engr./Plan Bldg. Final , Deck Ftg. ? .i Deck Final Well Pr. Disp. U LOT BIIRVEY CHECRLIST FOR RESIDENTIAL ? m BIIILDIN PERMIT APPLICATI m < m J ? PROPERTY LEGAL: W<IM Date of Burvey: ? z ? DOCIIMENT STANDARDS ? • Registered Land Surveyor signature and company VM? • Building Permit Applicant 0 ? • Legal description 0 EK ? • Address 2-#000 ? • North arrow and bar scale G-` 0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ?? • Directional drainage arrows with slope/gradient t. D CY ? • Proposed/existing sewer and water services tr 0 0 • Street name ?r? 0 • Driveway Existina •?-/ Boo"? • Sewer service [??? ? • Lot corners 13' ? ? • Top of curb at the driveway ?@oo"C • Elevations of any existing adjacent homes Proposed ? ? ? • Garage floor ? ? ? • First floor Q? ? ? • Lowest exposed elevation (walkout/windaw) ??/? ? • Property corners [? ?? • Frant and rear of home at the foundation PONDING AREAS (if avvlicable) ? ?0 • Easement line . ? D? ? • NWL ? ?0 • HwL 0 ? • Pond # designation ? ? ? • Emergency Overflow Elevation DIMENSIONS p ? ? • Lat lines ? 0 3 • Right-of-way and street width (to back of curb) ? 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all ? structures requiring permanent footings) Q ? 0 • Show all easements of record and any City utilities within those easements ? ?? • Setbacks of proposed structure and setback of adjacent - existing homes 09-10 • Retaining jvAart:?.*p-n; re,ents, if any October 1992 • - ---- ---?------, -- ?-. -- - - -? , . _ _ .2_. - - - -- - - : . -- -- . C'e'tiftCQte Of cCC1tpQ1iC? Wit4 of ?agan ze0arbutut of 13xifthas This Certificate issued pursuant to the requirements of the URiform Building Code i certifying ihat at the time of issuance this structur+e was in compliance with the various I oridinances of the City negulating buiCding constncction or use. For the following: ux c,ass;rcat;orc SF nWG eleg. Pernut Wo. 22.g30 Oc-p-Y 1)'P? W-1.41 I Zoning District JR- I Type Const. ? oWwr of euaaing AR.r.Tt,r:rrrt wtW wmress 14551 r F b, Buiwing nmm, 4279 I]ARM??IRap, tocAityj / naze: ??? Building Official,? POST IN A COIdSPICUOUS PLACE ?b 45--n / , -7 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? qQ. 8? flt J?1? 5Iro(03 New Construdian Reouiremenl5 RemodellReoair Reuuiremems Oifice Use Oniv 3 registered site surveys showing sq. ft. of l06 sq, ft. W house; and all roofed areas 2 copies of plan CeA of Survey Recd (20°k maximum lotcoverege allowed) 1 set of Energy CaiculaGons for heated addifions Tree Pres Plan Recd 2 copies of plan showing beam & window srzes; poured found desgn, etc. 1 site suNey for addNOns & decks _ Tree Pres Not Reqd isetofEnergyCalculations Addi6on-indirataifon-sitesepNcsysfem _On-sBeSepticSystem 3 copies oi Tree PreservaGon Plan if lot plaHed after 7H193 Rim Joist Detail OpGons selecGon shcet (bldgs wiN 3 or less untls Date S / 2?j / (D -3 Site Address Construction Cost 50 V- Unit(Ste # Description of Work ? Ux",f e Lrv,- L finrrSty Multi-Family Bldg _ Y'N Fireplace(s) _ 0 -?r _ 2 Property Owner 1-LVuF- ?- , F'4'-) ??55'V ? LL Telephone # ((S ? Contractor C7fS7- 1-4!91t92 S Z-A-)<:?- Address ?(j. -1,? d?< ? 3 Co State Zip3-$3??2 City r6lz ?C? Telephone#((0I:4 ILI COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber l-l, ,=, r, n nn r; '?Telephone #( ) 11 CIiI' 'IIIJt?fI Mechanical Contractor J ',,,,, I Il?elephone #( ) I Sewer/Water Contractor ILJI! '-' Telephone #( I hereby apply for a Residenfial Building Pennit and aclnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Cit of Eagan and the State of MN Statutes; I understand this is not a permit, but only an applicati o a pe ?, d wor ' not to start without a permit; that the work will be in accordance with the approved an in e c e wo whi requires a review and approval of plans. C-4?1S I -Y.4A,1GU< <" ApplicanYs Printed Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ?'^, 19 Lower Level v ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_vor _N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? '38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 X 33 Alteration ? 37 Demolish (Bldg) ? 43 Reroof ? 46 ? 34 Replacement *Demolition (Entire Bidg) - G ive PCA handout to applicant Valuation j& 62 6fl'O Occupancy LPe MC/ES System _ Census Code 4ff 5y Zoning City Water _ SAC Units Stories Booster Pump _ Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const yj?) Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final ? Framing ? Fueplace I( R.I. -X Air Test X Final Insulation O 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. Plumbing HVAC Other _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ 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 5--'7 ? gy PLU111BING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellmgs Townhomes and Condos when pernuts are required for each unit Date W / 4- / r) --? Site Address u? Unit # N? I ?GrrSf HO^?tS Property Owner [)( A b h; /) Il Telep6one lt ( ) - Contractor LAKQSI'GPE' ICrn Address 64 G/Y1 /`C[n 6-rl C City S/}/c ?-e State ?'J1 N Zipj-537j Telephone #( The Applicant is _ Owner Contractor Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Altera ions To Existing Dwelli uding Adding fxtures to er levels o'r oom additions, excluding water softener and water heater $ 50.00 _ A6andonment of septic sys em (+ 5 ` _ Water turnaround /8" meter ff needed -$121.00) ` - ?-C?-?" L"-L-Q Other. _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system ? _ Water softener _ Water hea[er `l I $ 15 00 r l t dditi n l . _ ep acemen _ a ona u? . State Surc6arge $ .50 Total ? $ S(?? I hereby apply for a Residential Plumbing Pemut and acknowledge that the information is wmplete and accurate; that the work will be in conformauce wiffi the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understaud this is not a pemnt, but only an applicarion for a pernut, and work is not to start without a pernut; that the work will be in accoidance with the approved plan in the case of woxk which cequues a ieview and approval of pJans. L AC.t ( , -c S vi /?'1 eS Applicant's Printed Name ApplicanYs Signature PERMIT CITY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-32151-190-02 DESCRIPTION: PERMIT TYPE: Permit Number: Date Issued: 4279 OHRTMOUTH -G+ft-C"r LOT: 19 BIQCK: 2 HAWTHORNE WOODS 2N? B,tr! ltiinrmit 7ype SF DW6 qu3ldIng t?rk 7ype NEW p UBC OCCU{sancp\ R-9 M-1 \ ConstructAan Type v-N Zortin.g R-1 $uildin9 Length r' 68 Rui].ding Wid"r,h 40 _ , • ? t ., r,4-- /%d-"f- e?-L,J? 022030 09J23J93 ?- ????? ? rm REMARKS: PRV FEE SUMMARY: 5& W PLBR - OLBERG CONST Base Fee Plan Review Surcharge SAC SAC & SAC Units Subtotal VALUATION $1e 007. 0 8 $654.55 $102.58 $750.00 100 $2s514.05 $205,000 MISCELLANEOUS $1.744.50 Total Fee $4,258.55 CONTRACTOR: - applicant - 57. I.IC. pWNER: ARLSNGTON HOMES 14329725 0003200 ARLINGTON MQMES 13774 PRINCE7QN CT 14551 COUNTY RpAD 11 SAVAGE MN 55378 BURNSVILLE MN 55337 (612) 432-9725 (612)432-9725 L I hereby arknowledga that I kaave read fihis,syxpli,catzvn iand stato that tFce information is, cflrraat and agres t? camply with aYl apPl:tcalale StaCe o'f Mrr. SCaCutes and Citp af Eagart Ordsna,rfaes.; , " APPLICAN PEFiMITEE SIGNATURE IuiA Ai.i.r,? 1 ? ?ISSUEfI B : SI NATUR \ ? REMCTcYA`TE.- ( RIE(?EWED CITY OF EAGAN sI' n 11 i'l PERMiT r 1993 BUILDING PERMIT APPLICATION S 1 5 1993 681-4675 ?? ' -------- f'?i SINGLE & MULTI-FMIILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural E structural plans, I set of specifications, 1 copy of energy celcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot thange is requested once permit is issued. DatQ y //"J- Yaluation of work 1a ?5p : ? - 1 7 Site Address STREEi iU1TE 0 Tenant Name: (commercial only) IAT 1? SLOCK SUBD.?'??'x?101 P.I.D. M Descri tion of work: The applicant is: ? Owner gContractor 0 Other coe.«lbe> Phone??'??y?7_s? Name Property LAsT FIRST Owner pddress STREET fTE M City State /At) Zip .S-fy7 Company Phone Contractor Address ?-? License # Exp. City State ZiP Company 4_/? Phone fl/YL/?49?93 AfChitECt/ Name Registration # Engineer Address ?lo/v? C;ty State I-1zX J Zi ? Sewer 6 water licensed plumber Processing time for sewer 8 water permits is two days once edfea has been approved. I hereby acknowledge that I have read this application and state that the lnformation is with all applicable State of Minnesota Statutes and City of l ree to com t and a p y g correc Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY . . .??,. BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ' b?' % Ba5tmen'? ?ini sh 0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. •`0 1I=Sw4m'Po$1 [1 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind. ? 04 SF Porch 13 09 12-Plex ? 14 Fireplace O 19 Comn./Ind. Misc. ? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE A 31 New 0 33 Alterations ? 35 Tenant Finish ? 37 Demolish O 32 Addition O 34 Repair E3 _36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System `/ES (Allowable) v-m Ist F1, sq. ft. City blater YG5 UBC Occupancy R_3 M_I 2nd F1. sq. ft. PRV Required 22L: Zoning R-i Sq. Ft. total Booster Pump i' of Stories Footprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code /0/ Depth uo, On-site sewage SAC Code ? APPROVALS ? 1 Planning Building Assessments Engineering Yariance REDUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final 0 Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review license MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC X I b o SAC Units I r.iu.t;on: s?a 5 f 00 D 3 GAfLAC?F; z x?z ? (24) /11n i2; /6$ --- ? y X?y ?. B ? lo ,/Ut ft h Y-(3 z u x! 2= 4 g _.-?-- 3 X 3 X,fL = (y) 136 ,c45 =?-1-2-? 836 x f ? = 3,_3?1 ?? 3 y X,3.u = >'?xZyZ? I 1 Sf? I a Z? q?t?ac?+.. ---- ? .--N 1U?2 KSy 564,' 3X3x'?2 = y ? ?_ :22nrz = % 21? 1 - 146bK?5 IST FL0a0- . B3rn7c14b6 aYzr.x. za Z7?L1 = 42 .._.,.. . rti e g Z S`? OWNER: SI'CE A ? C:()N'CRAC:'C()R:ffI•IIVIL'{UN, DA'CE: ?2-93 Pil()NE: DL•"CERM7Nr WQRKING SOUARG P'p(YrAcr (lF t'AC'H: i. ToTAr, r•,xroseD waLa, naEA sp. r-'r. x(p_ z. -rO'CAI, ROOP'/CTII,ING Aar•.n ??$U :;Q. r,r. x 1'0Z6, . 3. '.Cq'.CAI', GXPOSED WA1.,1., AREA CAT,C'UI,A'CIONS: '.Cotal exposed wall area above floor a) :Cota1 wall wi.ndow area lSJ/? b) 'Cotal door ar.ea SQ.F'C. X"U" (L)l =?L& c) :Cotal sli.di.ng qlass door ! area 1(0i? SQ.F'C. n X"U" c? -7 d) '.CoL-a1 fi.i:eplace tiaall ai-ea ? >Q.P'C. X"U" e) `.Cotal "all fr.ami.ng airea SQ.F'C. X"U" 101 = % tZ-? ( averacfe 10/) f) :Cotal net wall area above ?riZ, SQ.F'C. X"U° ??l f .leor (i.nsulateC) c;) '.:ccal ri.m joi.st ai-ea SQ.C'C. X"U"r 0+= 1243 ;COtal foundaL-i.on area 4,D >Q.F`C. (exposed) h) 'Cotal foundati.on wi.ndow area ? SQ.F'C. X"U" "- - 0 i) 'Cotal net Eoundati.on ai:ea SQ.F'.C. X"U" lt? above grade . 'CO'CAI., a ) through i. ) If i.tem Yr3 i.s the same as, oi: less than i.tem ;kl, you have met the i.ntent of 2 MCAR 1.16008 A and O. PAGE 1 r 3 0 9 ?2 / ? Fequest Date /?' a,-C9? Rr No Rough-in Inspechon Feqwr ? NOTICE: Vou Mus[ Gall ElecMCal Inspector If A Hough-In Inspechon m ? ? No O Is Requned IL?4rcensed contractor ? owner hereby request inspection bove elecirical wor Job Ad esa (Siree; Box or oule No J G City ? • ? ? Sechon No Township Name or No Range No Coun OccupaN (PRINn L+L/ /?[-L?{Z C I?/ f N/W4./ Phone No Pawer Sup?lier ?l? ?C1G Atldress YG? GZ/ Elecln al Conirec?or (COmpany N me) ? Contrector's Lcense No ? MaAu?q Atltlrass (ConVact or Ownar Making Inafallabon) 073902 e??-C?.t..e. Author¢etl Signat ntrac[ dOwnerMakm stallallon) Phone Number minncsviw sFqTF 60AqD OF ELECTqICRV GriggaMitlway 61tlg. - qoom S4]3 1821 Onrversky Ave., SL Paul, MN 55104 Phone (612) 642-0600 THIS INSPECTION REOUEST WILI NOT 8E ACCEPTED BV THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED I ?OG95'/?'?, REQUEST FOR ELECTRICAC INSPECTION ?.r?_. , See msVUdions for complellng Ihis toriry on back of yellow mpy M,.2 3 09 4 _'X" Be")w Work Covered by This Request NewA q¢p TypeoBUtlding qpplianwsWiretl Home Range Ouplex Tempai A ^ Water Heater Electnc Farm other (spgoiy) Compute lnspection Fee Below.# Other Fee eooms I, the Electrical Inspector, hereby certify that the above inspection has been made. 1FFICE USE ONLY his request void 18 months hom ? ee-00001-08 13,erpgs.7- t?.,me• ConUactorg Remarks /S?cf ' s /? 0 to 100 Amps ? r,NSSsTALLAT,ON irance5ize Fee # CircUits/Feeders Fee Amps 6ave 700 _ qmps TOTAt ?rYr.r? -3 ? qTION MAV B ERED DISCONNECTf?F NOT COMPLETED WITHIN 18 MONTHS. _ 0 3 4. 'PO'CA1, TXPOSP,D R00F/(7F11 TNG CAI CUT A'CI(NS: 'f'otal exposed rooL/ I iOiQ. P'C. ceili.ng area j ) '['oLal skyliqht acca !c) 'CoCal irooL/cei,li.ng Peami.ng area (average 10%) 1) 'CoL•a1 neL i.nsulated rooP/ceilincJ ai:ea -D ;q. c•r. x „U., --- _ ? iL1-C'C. X "U„ t?Z 1046 SQ.F'C. X "W IDZZ _ ?J?? 9. 'CO'CAI:, j) thr.ough 1) ;:;;;)? IL total of #4 is the same as, or less than #2, you have met the :.ntent of 2 MCAR 1.16008 A and (). O ?1 J? G- 44 .D A1;'.i`ERNA'CE BUII.,DING ENVELOPE DEiIGN 'Co uti.li.ze l;he total envelope system method, the values establi.shed by the sum of ; 3 and #k9 shall not be qreatei- than the sum of items #kl and #2. 1. 3. +2. +S. CERTI FIC'A'CION I her.eby certi,fy that I have calcuJ.ated the "U" factoi:s and "R" values herei,n and that the bui.ldi.nq her.e descri.bed meets oc exceeds the State oP Mi.nnesota Enetigy Conservati.on Act. 9-a-9,3 cDate) ? PAGC 2 1) v 6 $Cud8 kISTR11f.TI0H AMING S£CTIDN: lnterlor air fllw rio MALL SECTION (INSULATED) -{1 A m R YALUE ? .?_.0.:"/ U,? 1/It di 111M J015T SECTI011: --{I Interlor alr fllm It.611 ? WOML ? 4 _---in Ex!crlor air ?Ilm 0.17 • FOUHDATION IHSULATION REQU1RED: • Min. R-5 on entire Nall OR t/it ?_04 pp•;•,pMin. R-10 doxn to frost Uepth FOUHDATION SECTION: , p A 1 Interior alr filro I D.ISA j,Wood S 33 Insul ti.on 1:00 I -A r 4 Exter or a r film - E'a. • G a4.4 J.4 T07AL R ? 12.96 SLAR ON GMDE :'4 a. ?•?.pr.v,. ;,?„ ? A ,.: ??,,; „ ' a• Heeted 51abs: Minimun R • 85 , :?••Q; Urheated Slabs: ?•? •'. Mlnimum R = 6,2 . 4 ?•4 ,. ? . ?Q i'?? ? 4? ? , ?..•o' ?' '?p • •. M°xxWSii"m?vo. p . . ' . ?,?.•..?c{?? :'a?.?`F•••4'a(? ?. 4 ;.¢ ? ? ??Q ?.' • '' '•? ? •.4•,•...4•, ?,.... , . •. .., ' . q? .. .,• . ?,? ?; .. . ? i .• ? ? ' ' •;Qi ?,? .??.• •?;?i , , ? . . • ? ? . , : % q,?.?,Q,.. _ 4 . . : . ,o Pase 9 U a 1/R - .Q43 U[ ? cEiLit,n secrHnN (iri;uia'Qh)j - • . `, 1 In[erlor alr fllm 2 i/A - - i .56 3 ; 4 Exterlor slr 1 m stilt n.Fl TOTAL k +4?.78 U '..1/R ¦ • ??r ^2 . ? VENTED CEILIHG FRAlIING SECTIfNI: 1 2 3 TnRulation. b 5 CEILING SEf.T10N (INSULATED): - 1' Intcrlor atr f11m n.(+) T 9 Exter ar a r fllm (stlll) 0, Uw 1/R ? CEI:INr,,FRANINr, SECTIOH: 1• Interior alr;ftim ff.Fl z- 1 3 ? Exterior e r m st i n.61 5 nchef so [ aooA ; TOTAL R - { U- 1/R- I f .Fi . ?^ ' 1 \ 1 Ins1Ae alr.f#1m 2 l • i 5 uts de a n m n. 7 TOTAt R ? ? i u - t/a - -? 1? ? 1/R • `?26 ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: cR 225qz q-I?-G4 BUILDING @23325 04/18J94 SITE ADDRESS: P.I.N.: 10-32151-190-02 DESCRIPTION: 4279 DARTMOUTH CT LOT: 19 BLQCK: 2 HAW7HORNE WOODS 2ND B,uilding Permi t Type DECK Building Wo,rk Type NEW f 't ? ? ' REMARKS: FEE SUMMARY: 8ase Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - JUBBINK DOUG 4279 DAR7MOUTH CT EAGAN MN 55123 (612)683-1091 I hereby acknowledge that I have read this appl3cation and state that the information is correct end agree to comply with all appl3cable State afi Mn. Statutes and City of Eagan Ordinances. L , w APPLICANT/PERIGIITEE SIGNATURE IS ED BY. IGNAT? I ?.. - ?.33 ? CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 4.j'o • ?? o ,?. 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: 1) when permit is typed, 6ut not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work llf'(°K Site Address: qZ1q L.ynf' +YYl.4f1tivl lt'Wlt . GodlQh f l' M Ss12-3 STREET SUITE # Tenant Name: (commercial only) LOT ? BLOCK SUBD. ? P.I.D. # Descri tion of work: 1?^ The applicant is: )1 Owner 0 Contractor ? Other (Descri6e) Name dd? ?_ Yl Phone Property LAST F Owner cb N? ? vt Address I w Su n STREET STE # City G ?V\ State M Zip Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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 BU(LDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? il Apt./Lodging ? 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 03 SF Addition 11 08 8-Plex ? 13 Garage/Accessory 13 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. 10 15 Deck WORK TYPE [,U 31 New 13 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint 5q. ft. On-site we71 On-site sewage Building Variance Pd Footing P Final ? Framing ? Draintile 213 Y ? / -? ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: valtmtim: $ ?,;,??,?• ?.,?.. `'?.,..,?? ? 16 Basement Finish O 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 851-681-4675 •New Canfhuctlon Rewirementa Rertwtlet/Reoair Reaulremnls > S repldered site wrvays ahowinp tq. R of bl, fq. B. of house 2 eopfes of Plan and garooleC areas (2Q6 rtwWmtmn lot coveraae albwedl 1 fet M en6rpy ocACUlaMOns Iw healetl addlMOns D 4 coplea of piau (slww beam & wlntlow alzes; paued Ind. defipn; efc.) 1 tite wrvey for e77 R decks D 1set d enerfly colalatlona ? 3 ooples of hae preaervallan plan H bt plalletl aHer 7/1/93 ? rv DATE: t-:l `o?, ` (`/ V CONSTRUCTION COST: DESCRIPTION Of WORK: SiREET ADDRESS: ar? C? LOT: ? I BLOCK: ? SUBD./P.I.D. M: Name: ' r d Pnone t: 3;XV ' 0? PROPERTY taa flM OWNER ? Sheet Address: dy Sfate: Zlp: Company: Phone M: ?L/2 - ? l ?D? (area code) CONfRACTOR Sheet Address: r?? UV N LJcense • Exp. City /' C 1/ V vr Stafe:/ "/v Lp: ARCHRECT/ Name: ENGINEER Compuny: Telephone M: ( Sheet Address: Regishction !t: citY State: Sewerlwater licensed plumber pf instailina sewer/watar): Phone #: 21p: I hereby racknowledpe that I hava read this apPlk:albn, date thaF Ihe InfortrwHon is cort and agree e mPH wNh oA apPOooble State of Minnlaia Stalutes and Clly of Eagan Ordinances. Signolure of Appl'icanY. f'? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Yes _ No Yes _ No - Not Required FS - 2 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation O 07 05-plex ? 02 SF Dweiling p pg 06-plex 0 03 01 of _ plex ? 09 07-plex 0 04 02-Plex ? 10 08-piex ? 05 03-piex O 11 10-plex O 06 04-plex p 12 12-plex WORK TYPE 0 31 New O 32 Addition O 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? ? 18 Deck p 23 Porch (screened) ? 13 19 Lower Level O 24 Stortn Damage Plbp _Y or _ N ? 25 MiSC6118n60uS ? 20 Pool ? 30 Accessory Bldg. O 36 Move Bldg. O 43 Reroof ? 37 Demolish (Bidg)• ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair iv 13 42 Demolish (Foundation) ? 46 WindowslDoors ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main tevel sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS O Stucco/Stone sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ? r_ITV IlF EFI",AP! (:;A3HTEI+:: 1S 7E:RMINpI_ NO: 676 PermitFee V81U °firE- 02i02i00 TT.ME: 14332a55 Suroharge Plan Review IL" License 4AhiFg HIESTURN CE:DFlFi SUF'PLY I...I..LF' MC/ES SAC CitySAC 32i.o ?0oi ¢279 z??,F,Trsrw cr 223.25 WaterConn. 21.3: 9001. a2?°3 DAFT?iThl CT r?.s0 Water Meter Acct. Deposit • S/W Permit . S/W Surcharge , Treatment PI. Park Ded. Trails Ded. Other TOk.].I. Rk?OBlpt amour,t a 229.75 Copies Cfi:1.23015 t!OI:::R ID: .?Ak Total: yJ yyy /M1I?ryTTTTM(TTITTMT)f /??yl/?MMMM TTMmTT TTMMMTT,Y SAC Units % SAC 31 Ext. Alt - Mutti 33 Ext AR - SF 36 Mufti PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN FERMITS ARE REQUIRED FOR EACH UNTT. ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE NVAC: 0.100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1@ $3.00 EACH) ? ADD-ON(REMODEL (ExISTING CoNSTRUCifoN) STATE SURCHARGE TOTAL SITE ADDRESS:? OWNER NAME:_? INSTALLER: 0-ta ADDRESS:C) - CITY: rC? ? FEES $ 24.00 6.00 ? co $ 15.00 .50 TELBPHONE #: q-'? q " CI-7 O S- STATE: M ', n n ZIP CODE: SSO • TELEPHONE #: ? ? o " (c? o '-_?) ? 1993 MECHANICAL PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 . ? 7/;?C ::>?? ; . . . , . . . :.. ...., ti ;..?.. :?...ex?: :.. .... , t.. : . .:r.Y? .E,f?` L .: . . ? ;...° ::::. .. :......f•?•.i.,i:,.:`¢iJ:¢:?^:e?.,.:p.?,.s a...<,.:.:.e a.31:F.. !i1.qf.i:Y:..i?r.f'.. ...... - ? ?_ . .... ..:... ..........[ <.:.. .. :::... <::'n ..:<.<. ??.,35'W i:t8,'.. iY".?'k5" ....b,_•,?05.4:x??. ,At?,? , .. .. ....? ...:<.n::...::.e.S.:':3gA:::':,.., t?9•.. . . ...:...? .:•».::. >?rx:,,;;N,r;:e°c' .> ..... . ;?. : . . ' ; ? ? ... ::'. . ..... .:. .k..,,:?... . :.?. .,- . ' .`?.. . .:?.. . . . . , .. ,. ? .. ......... . ?...,. , .:.,:. ,.. ?., ... . : .... . >'>'? V..; .. ^>,.n' ?.• .'. . ?•;:?:?';;- . ?. . .. .. . . .. ? ? - . 9: . . . ?, .. <? : . ..:... ,,.,:, D. . ... ... .. . .:..,::?. . ... •,::: ; ...... ? i u ??:??a .. .... ..........,,.:.. ?.... >,.?,a?... . :.., . .:............:....:t, PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UN1T. FIX'fURES EACH TOT!? ? SHOWER 3.00 1?3 WATER CLOSET 3,00 Q. BATH TUB 3.00 ? LAVATORY 3.00 I 2 <) I KITCHEN SINK 3.00 ,a LAtJNDRY TRAY 3.00 1•. - c1?7 _ I-iOT TCJB/SPA 3.00 -'? WATER HEATER 3•00 1 FLOOR DRAIN 3•00 GAS PIPING OUTLET • minimum • t 3.00 ? ROUGH OPENINGS 1.50 C-1 ? S fl --? WATER 50FTENER 5•00 PRIVATE DISP. - pek.ay. i,c. 15.00 U.G. SPRINKLER • nome uno« camt. 3.00 ALTERATIONS • to atisting 1$•00 WATER TURN AROUND 15.00 , 75 51 _?3 STATE SURCHARGE .50 TOTAL: S t? - () l STTE ADDRESS: H 2-?1 Z_A? - OWIs II3ST ADDRESS: `? \ 01 l n L? C?? ?`l-j 0 `-) - s? nn n-v4 STATE: YM `(? ZIP CODE: CITY:C? ? 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S`f 9 (o ?k RESIDENTIAL ? ? acJ BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PlLQ7 KNOB RQ, EAGAN MN 55122 651-681-4675 New Canstruction Reouirements RemodellReoair Reauiremants • J registered stte surveys snowmg sq. ft. of'o[, sq, ft of house, and all roofe0 areas • 2 copies of plan (20%maxunum lot coveraqe allowetl) • i set of Eneyy Calculabons (or neated adaitions . 2 copies of plan showirg beam & wmCOw;izes: pouree fowe design, elc.) • 1 srte survey for extenor additrons 8 decks . 1 set of Energy Calculations . Indicate d home served by se06c system `or adtlihons • 3 copies of Tree Preservation Plan if lot DlaYed aNer 7l1193 . Rim Jmst DetaA OOtions selec[ron sheetl,hltlgs wdh J or less units) DATE 31 aa - Cj?k VALUATION ? f?7 ? SITE ADDRESS L/ a7? CJa?,? d"? MULTI-FAMIL7 6LDG _Y v N TYPE OF WORK AQ?opP- fIREPIACE(5) _ 0_ 1_ 2 APPLICANT STREET ADDRE55 "( / C/( J 1.5 /"lLA[' TELEPHONE # 76 3 *_5/1'030(ICELL PHONE # Phone # PROPERTYOWNER C/?'?-IGdM-`? D'4OlN TELEPHONE# ?5?-C?3-lOFf/ COMPLETE fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ?(1?;\LSO"L'.\ R[ L1:S 7670 CiVI'EGURY f NIINNtiS0'1':1 RIiLI;S 7672 (d submission type) • Residential VenhlaGon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _____ Plumbing system includcs: Mechanical Contractor: Mcch<mic.il svslcm induclcs: Sewer/Water Conhactor. _ Air Condiuoning _ I Icat Rccovcry Scslcm I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statuies and City of Eagan Orc Signature of Applicanf OFFICE L3SE 0NLY NVatcr SoC[encr ?Vatcr Heatcr No, of 13aths PllO11L' 4 _ L1wn Sprinl:lcr No. oF R.I. Baths FAX # Pcc: :570.00 AUG 2 8 2002 , h is correctiand ogneib to comply ?y? ziP SSW Fee: $90.00 Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated Ji02 . 'M„ cansvLtifio 00 ??6inz .(?Q(?e PlnriN6ns and [nHU 3unmont ENGIN+?f-R1NC3 comPnNY, ttVC. IOUO CA91 14511, BTREF.T, flVRN9VILl.F, MIf7HC401A 6653T ------ -----_--------- /IIZUNC?7-aV H0I7,L;9 as'? ?S9BG?,oI hH 472'30b0 &++e- )12 rr ro Ci?RTIrIcKI°? OF SuHvLY Leyal DeScriptiota: (_9o?!?r) I)Lt•lO"i'E5 ?XIS'1"INC? [:l_?VAtION ( 9e4,S" ) UFNOIFS PIIOr05F1) CI.r-VA"r10N ?-- (NUICA7E:S 0I11ECTI(7N t)r SUlll'nCIII DIiA1NAt I'INISIIC?l7 0Ah110IE FLCIOFt F.1_RVl1't'IC)N ESASCMEN-(' 1'1_0011 V.1_PV11'i'I0?11 ^c*G+a3 - -ioia OF f°pUNt)AfICIP! CLF-VAI1DN ? 7,7.3 ? R?.•?? ( D941AIA(5E' /lMD ? ? V77!_!7Y F-ASr-i}1FIV7, r; ? ? vn l .:- ? ?c t?NC ?'X d?. (I JF10 Y,IEJ\ 007m . _ ._,\ _ s ° \ ? 9z? ;+ ni-?. 1 3$ao a p pRoPOSFi? o +?cUSE r; tj ?fo3,44 ?? / i ? r 3a r-7: ,r?z4v7' ,gviZOi1Veq c;- (Sw _ la^ oK C.t3 q) Su, <..,q ? l.vT 19 1 ?? S'o ?.ie ? C-43 pAP-7M0U7N (?OVJ,7' / 65• ? f N Q? i R1N )?. `.1 V a, f ?It?s VtV, 9a4,Le Y.; G e I h,'(-f, va rt; X he"reby Cerriiy L-4iat tiitlc+ l.s a true siid aor.r?olt: repr??a?lita?l.on ot t+ 4:" lnnd an nliowi% anct c1eno r.l.Uacl lia rp.oii. AFs pkap ri Xnd by ma l:tfLo _1'470 d ____._?.?l?iCin17?'C-?..._..... , l.v..`L'?.• ' -____ lat? ldfQbl bUlkiv11< .?.--- ?? ? A rac. 63 ? LOT '?. ? ? ?-- i i?r i --- J IZ.oc? GAP,A69 N ZZ?Oo $ 12• -Ch-r-' hl ?-- - `)ol.:OO 1 ;- v .b ? , • << ? 03 V 4-4 '-vuM4a«:,tNS,tia3:a CoNSV1.TIHO eHOiNeens AWNC?Tcu/ N0?,4 110(3E aLnNNEns pnd LnNn ivnve+rons ;., ?59?•0l ENGINEEAING • B?+C- ''o COMPAN4', INC. 19S PP ? 1000 EABi 1461h BiqELT, gURN9VtLLE, MINNESOTA 6533T PH 432-3040 CEFiTIFICATE UF SURVEY Leyal Description: GaT_i9,,?4a" z_?.kv?o/ ..,.,?.yp?.p,s zruo???iria?v ??DTA /NN?SDY.4. DC?J01'ES EXIS'1'INq ELEVATION ( Rad ,S ) pENOI'ES pROPOSED EI.EVATIC7N ..+----- INDICA7E8 DIRECTIt7N OF SUFiFACE DFiAINAGE W.,oo m FINI$MLD GAqAGE FLOpR ELBVATION 897•(-7- - BASEMEN'f FI.QON ELEVATION -"' at#33 = TOP OF F4UNUA710N ELEVATI4N • y? ------ r`? N 77°d scnLe : r - ao' /77,? --- ^.? _?• : ?° V? ,? ~' ?_ N S80 ?a 30 .4? )V,uM66 ANti v7707Y 64SEMEN7 -l ? " r.cv q0'}19 A- 3° cr AWh%' BU/LD/NQ ,SE'T6tACK L/.VE ---? ? PVA _ 7he oF e 43 (T) Sw If .,q ' l.uT 19 t 8tat. xr EtC,/ 4o',.xo ? 1ai.6j ° 2Z.Do ? 12•Gt7 ?a 1V _ 90a.oa 1 G15 MET c m LIJ LDV . , ? ? `??^-"/ I?oG°oMo G??QM??ED ?te .G.?-.s? ---- T liereUy CeYtiify tliat t}iis J.s a true and carrdl?,Crr**eMQWf'?t-t?rW--na ?fRcTt 1anc1 as r41iown ancl cleqr.r.lbed Iiareon. 71s pzepared bx ma t}?1a i4*d day S?iCmd£c ., , l.v_??.• . f --.?.--_--- t_OT )9 / ? \ FP,wo a?,?e .. _._ ? ?_ a^ ?• ? i CyAR.Arog ? ?? 34.tl0 e o 9 403 b5•? , ta.l7' ? 0 , .? . \? " E%C4. 9WW PERMIT City of Eagan Permit Type:Building Permit Number:EA122331 Date Issued:05/05/2014 Permit Category:ePermit Site Address: 4279 Dartmouth Ct Lot:19 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-190 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . John Miller 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 - Douglas A Dubbink 4279 Dartmouth Ct Eagan MN 55123 James Barton Design Build Inc. 5920 - 148th St W #100 Apple Valley MN 55124 (952) 431-1670 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink k , For Office Use 441,1111 Cityof Eaali Permit#: (430 ?-- Permit Fee: Ago?..&y UV/ I 3830 Pilot Knob Road 3 _I Eagan MN 55122 Date Received: b Phone:(651)675-5675° Fax:(651)675-5694 Staff: ��7 114 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: Dcyu) 4- jinn (�u ,7�(; Phone:�o�� ��> - 1��� Resident/ 112-7 P kr 1-'N "' Nl C/ Owner„ Address I City!Zip: 'N "' o� Applicant is: Owner 7` Contractor Description of work: C d€4 AAd ck,, Type of Work Construction Cost: /51,c") Multi-Family Building:(Yes /No )(; ) Company: /4 4 d L /3✓t'l tC oVtr, Contact: 6A(1 'Opts'ks ContractorAddress: 3)-((/ ".e/ 14k Pr' City: Stater Al Zip: 0121 Phone: -3�7 �— Email: j f r r' `�4-41 '`et License#: a- Zl? Lead Certificate#: 4)4 If the project is exempt from lead certification, please explain why: 05 ". // 7F 3o/67- /A 9 3 Ff -"1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the information may classified as non.public if you provide specific reasons that would permit the City to conclude that they are trade;s+ rets 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.stopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x 6'40"9 fro 5 x /21Applicant's Printed Name Applicdnt's Signature Page 1 of 3 'd 1 g ,aa.rtvno-J 0, Ck j 3C� �- DO NOT WRITE BELOW THIS LINE SUB TYPES • Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi it Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace O" Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION 2-. Valuation 0.ii Occupancy ^,A6.•/ MCES System Plan Review / Code Edition ,2O,( SAC Units _ (25%_ 100% 4/') Zoning ?--4 City Water — Census Code 17 Pt Stories Booster Pump — #of Units I Square Feet PRV #of Buildings 1 Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final /C.O. Required Footings (Addition) Aft Final / No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick EFIS Insulation _ Windows Sheathing Retaining Wall: _ Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower PanOther: Reviewed By: , Building Inspector RESIDENTIAL F S Base Fee 73 i Surcharge Plan Review y 7 (141- MCES -%MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies G Q .Z.a'¢{ TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA148826 Date Issued:04/24/2018 Permit Category:ePermit Site Address: 4279 Dartmouth Ct Lot:19 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-190 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Douglas A Dubbink 4279 Dartmouth Ct Eagan MN 55123 James Barton Design/Build Inc. 5920 - 148th St W #100 Apple Valley MN 55124 (952) 431-1670 Applicant/Permitee: Signature Issued By: Signature