4280 Dartmouth CtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Plumbing
EA076351
01/05/2007
ePermit
Site Address: 4280 Dartmouth Ct
Lot: 20 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-200-02
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Basement Fixtures
Meter Size Meter Type
Manufacturer
Serial Number Remote Number
Line Size
Comments: Jenny Hanson 1710 Alexander Road Eagan , MN 55121 651-452-1565 wenzelpa ndh@yahoo.com
Fee Summary:
Surcharge -Fixed
PL - Permit Fee (miscellaneous)
$0.50 9001.2195
$50.00 0801.4087
Total:
$50.50
Contractor:
Wenzel Plumbing & Heating
1710 Alexander Rd
Eagan MN 55121
(651) 452-1565
- Applicant -
Owner:
Daniel P Dorgan
4280 Dartmouth Ct
Eagan MN 55123
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
?f i'lr? OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
I: :
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
t V i t
I ,
Mill , CT-
4:1t NAk[1 ?ICIMr,?, _ M?r?? f
1fi1 '? /iJ.f)Ht;t
TYPE OF WORK:
,rA
INSPECTION .. . ..
i
1 14
11 I
! rr L ra A a? r. '-1 " 1• I,
w rlt. lit: - CuKIk. v 111146
F ?
?L
---- -- ?
.
r?
?
Permk No. Permft Holder Date Telephone •
S/V11
PLUMBING
HVAC
ELECTRI
ELECTRIC
Inspection Oate Insp. Comments
Footings I
Foundation AL
Framing ?3 y 4Qk
Roofing ?
Rough Plbg. /iGL
Rough Htg.
isui. ?? i'? c ? C? - •??L - ?l ?1.? - fi U?
Firepiace
/
r?w
Final Htg. ? cJ-
Orsat Test
Rnal Pibg.
N Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlen
Bldg. Final
?y
peck Ftg. Q
Deck Final
weli
Pr. Disp.
J?
U
17 9 5?1 '/O,9
Redues Date
? ^
v Ke No. Rough•In Inpsectron Requved
(Vpu must all inspettor when ree0y) Inspec6on Other Tha ugh-ln
? Ready Nowill NoOily InspeClor
? ea ? No Oate Read
I i nsed contractor El owner hereby request inspection of above electrical work at:
Job
rss j(Sreal. Box or N.) t
' GN
D ?
? ?
Sectlon No Township Name or No. Range No. Co Clk?,V_kylll
Occu a IP?T? ` \•
\??\, T
V ? v ? 1 ?,
?1? ? ?
r• Phone No.
wer Suppiier Address S<_03ztf
y
C
Elecp?tor i mpany Name
Mntr ? Gororaaor5 Ucense No
.
.
zZ7Z-
Mail no re?Co ctor or Owner n.taK?n in stan tw?i
? ?
Ai S'? /'?
ruthor¢ea Signawre iComrano?r7Owner Making instanauon)
? T 7Y1 / .. /I O _ Pho99,N??( ?
MINNESOTA ATE BOARD OF ELECTRICITY
Grigga-Mldway Bldg. - Room S-173
1821 Unlvenity Ave.. St. Vaul. MN 55704
Phane J612) 642-0800
,
THIS INSPECTIQN REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSEO-
REQUEST FOR ELECTRICAL INSPECTION
? See insirudions lor completing ihis torm on back of yelbw copy.
"X" 8elow Work Covered by This Request
-- - Cr - --_
EB-00001 .0e
?
??7
'iMf.yy.?
r; Rep. lypeofBwlding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater ElectriC Heating
Apt. Building Dryer Load Management
Comm./lndustrial Furnace Other (SpeCity)
Farm Air Conditioner
Other IsVecifyi Cpntractor's Remark5:
Compute lnspecfion Fee Below:
# Other Fee # Service Entrance Size Fee # slFeeders Fee
Swimmmg Pool 0 to 200 Amps .?
Transformers Above 200 Amps Above 190 Amps
SignS inspecror's Use Only -? T
Irrigation Booms /G ?j ?; ? 9' .5?
Special Inspection ?
Alarm/Communication THIS INSTALLATI MAY B O ED DISCONNECTED IF NOT
Other Fee COMPLETED 18
I, the Electrical Inspector. hereby R°"9n-,n ? oaie
certify that the above inspection has
been made. F;,,ai ,
OFFICE USE ONLY
This request voitl 18 months from
?
?5 3 2 J 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenis
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all rooted areas
(20°h maximum lot cove2ge allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes, poured tound design, etc.
1 set of Energy CalculaLons
3 copies oi Tree Preservation Plan if lof platted after 711193
Rim Joist Detail Oplions selection sheet (buiklings with 3 or less unils)
Minnegasco mechanical venlilation form
RemodeVReoair Reauirements
2 copies of plan showing footlngs, beams, joisLs
1 set of Eneqy Calalations for heated additbns
7 site survey for additions & decks
Adddion - indicafe ff on-sde saptic system
07-0. ao
Ca,Uw
OHice Use bnN
CBif ot;S1 nT1- ;ReCdr';?f=%'1,41,;: Y' -'=N
Shcs Repo?l±?-`ai:=v" i':,'-? F Yn s:`N
TneeP.iesPlanRerd°=;">
J7ee Pres Required..i'rF
04°gif?SePGC SYFtemtF??,; _?' F?-"",N
Date,/ / ,;2q!
Site Address 4Ia60 lI/¢,4]"/Y]?tT,s' Construction Cost
0 t, ig= T UniUSte #
Description oF Work Lo yr/F Q G-FlJE L- Y-I /?!S/f
Multi-Family Bldg _ Y_ N Fireplace(s) 4 0 2
Property Owner Telephone
Contractar ??-L?_(.1 -Liv'll,?S? YY)? ?
itl T$ ??/? J?! •
Address ?{ ( 57S? 9o
State / { ! N City Ac?,qlJ
Zips`? Telephone #
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
(J submission type) Submitted Submitted
. Ener9y Envelope Calculations 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 #(
Mechanical Contractor ern n o Teiephone #(
n zouo
Sewer/WaterContractor Telephone#(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans. I ,
N?c,4i,62_
ApplicanYs Printed Name ApplicanYs Sigiature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex W 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
`?33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - GWe PCA handout to applicant
D05GriptlOtl: WaterDamage_Yes
Valuation L) n Occupancy MCES System
Plan Review 100% or 25%
Census Code q3 4?/ Zoning City Water
SAC Units ? Stories Booster Pump
# of Units ? Sq. Ft. PRV
# of Bldgs ? Length Fire Sprinklered
Type of Const Width -, =
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
't? Framing
_ Fireplace _ R.I. _ Air Test _ Final
? Insularion
REQUIRED INSPECTIONS
_ Sheetrock
FinallC.O.
? FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ 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
' PERMIT
CI
TI?
OF
EAGAN ?/
,
-.?
3830
Pilot
Knob Road PERMIT TYPE:
UILiNG
Eagan, Minnesota 55123 Permit Number: 0 2 3 0 5 5
(612) 681-4675 Date Issued: 0 3/ 0 8/ 9 4
SITE ADDRESS;
4280 DARTMOUTH CIR
LOT: 20 BLOCK: 2
HAWTMORNE WOOpS 2Np
P.I.N.: 10-32151-200-02
DESCRIPTION:
r ? --
.
B
Wi.tdl.rig;?,Permit 7ype
5F DWG
r
Bullding ETt?rk Type NEW
r-bgC Qccupan8jf?, R-3 M-1
j'CanstPttoLio-n 7YAs V-N
f
r Z o•n i n g ?ri-•, R-1
? Building l.engt.h. ? 73
j
.
? 8ui.lding Wttl:tJa 40
`..
9uiltting f>toriee
t'' 2
?
.y
Y ?.
???? ?- (TI (a gua' RT-
REMARKS:
PRV
S& W PLBR - COKLEY PLBC,
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
5AC %
SAC Units
Subtotal
$919.50
$597.68
$90.00
$$00.00
106
$2,407.18
$180,000
MZSCELLANEOUS $1.828.50
Total Fee $4,235.68
CONTRACTOR: - Applicant - sT. LIC. OWNER:
GIRARD MOMES, MONTY 17770883 0001184 MONTY GIRARD
4100 IRVIN CIR N 4160 IRVIN CIR N
LAKE ELMO MN 55042 LAKE ELMO MN 55642
(612) 777-0883 (612)777-0883
L
I hereby ackn,owYedge 'ChaC I•haue read tFtis appifcatian arTd stater that the,
intorrttatian 3s correct and agrs'e Ca pomply iwitkr akl appl:tCablg State ofi Ptn:
Statutes and City of Eagan Ord;inances.',
APPLICA T fi EE SIGNATURLIL
&41164J 1 m.11
-S? EW. SSIGNATURE
?
13-lom
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675 e 9 8
; ? . ---
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.
en alty applies: 1) when permit is typed, but not picked up by last working day of month
n which request is made, 2) address is changed or 3) lot change is requested once permit
r
s issued.
i
Date Valuation of work ,C?,
Site Address:
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK ? SUBD. P.I.D. #
Descri tion of work:
The appl i cant i s: ? Owner ? Contractor ? Other (Deecribe)
Name C7.1\yl?.F.? Phone
Property LAST FIRST 0
Owner qddress '-\1G 0
STREET STE #
City State X"r\v'\ Zip
Company 5???me. c?.s r?N-)0ve Phone
3?? yS
Ex
Li
Add
Contractor p.
cense
ress
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 alga has been app oved.
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
Ea9an Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex O 11 Apt./Lodging
C!t" 02 SF Dwg. 13 07 4-Plex ? 12 Mult1. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? OS SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
V.luatton: $ o oo e
?3s.v?e?/rt
30 GD ---
1 S-f- lG : ZYo
iyy ?3= 93sbo Z -ri9,G? ? 39.ay
2 ? ?Q
UT 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) 41 Basement sq. ft. l?yd MWCC System
(Allowable) lst F1. sq. ft. / yY0 City Water X
UBC Occupancy e3Al-I 2nd F1, sq. ft. izr?S PRV Required ?
Zoning -? Sq. Ft. total Booster Pump
# of Stories ? Footprin t Sq. ft. Fire Sprinkl er
LePgth
De th On-site
O
i well Census Code ?
?j n-s
te sewa9e SAC Code
Census Bldg /
APPROVALS Census Unit ?
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .s;te
? Wallboard
0 Footing
M Final
12(oS?S? ? ?a83/0
Framing
? Draintile
Permit Fee
Surcharge
Plan Review
license
MWCC SAC
c; ty sac
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
, w
.?.••.
? 16 Basement Finish
? 11 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
0 Insulation
? Fireplace
/2/23 2j'
c
f 9 9 1.)y9 av
SAC %
SAC Units
LOT lIIRVLY CBECICL28T pOR RLBIDENTIAL
? SDILDINO pLRMIT APPLICIITI N -
BROPERTY LEGI?LS
? Dat• e! buzvsp:
DOCIII3ENT BTAND 1i g
? D • Registered Lnnd Surveyor siqnatus-e and company
?0 • Building Permit Applicant '
H' O 0 • Leqal descziption
0 0 0 • I?ddress
D 0 • North arrow and.ba+r scale H''0 0 • House type (rambler, wnikout, split w/o, split entry,
lookoat, etc.)
@'10 0 • Directional drainege hrrows vith siope/gradient =.
8' 0 0 • Froposed/existing sewer and water services
D • Street nnme
v0 • Driveway
ELEVAT20N8
zximtiaa
L1?0 0 • Sewer service
0 0 • Lot cozners
95 0,? • Top of curb at the dziveway
8' ? ?r' 0 • Elevations of any existing adjaeent homes
Proposed
0?0 0 • Gnrage floor •
B? 0 0 • First floor
8l) 0 • Lowest exposed elevation (walkout/window)
H'? 0 • Property corners
0'0 0 • Front and rear cf bome at the foundetion
PONDiNG f?REl19 tii Spp11e0161
D ? 0 • Easement line
0 0 . NwL
n o • xwL
0 0 • Pond t designation
0 Q? • E7nergency overflow Elevetion
DZ1iENBION6
D'D 0 •
??0 D •
D? 0 0 •
tr'l) o •
8-10 ? •
G 0' 0 •
Lot lines
Right-of-wny and street aidth (to beck of cusb)
Proposed home dimensions inclvdiag any proposed aecks,
overhnngs greeter than 21, posches, stc. (i.e. all
structures sequiriag permanent footings) •
show all ensements oi secord and any City utilities within
those easements
Setbacks of proposed structuse aad setbnck of adjncent
existing homes,
Revie,
OCtobez 2992
4
15
23
SEE SHEEf N0.9
16 17
? ECI7?0FE ? s?RlDO?RI?`?GUAR?,
k E ACCUR y 0F UTld6Fy LOCATdC)
M.H.19 ; L ??R ?oNS. ?is DATA aS Fi
?. Po.r a . Oftl PURPOSF.S
0?1L? q(
3+23 ?s S USING eT $HOULD yERIFy Ti
NNAT(O(V ON7'hIESITE.
v'
? 19
i+z
?
6"- I/16 ? I/32
BENDS
`-6"GA1'E VALVE
\ 24 ?
,
\,\
....................... .
..........................
...................
..........................
?
sa
22
-HYDRANT
C.O.
20
r
,,
EX:GitIOR FNVEIAPC AVC1t11CE 'U° COHPlf1T20N
OaNCR M Nl-t-ce
SI.Z AODRE55 -
CONTRAC:OR
DA2E '. .' . , PHONE
Determine vorking square footage of each.
? ?sq. fz. x
'1. Total expased vall 'area ......
m sq. ft. x .025
2. Total rooE.eeiliag area ....... ??
?
Total ex?osed vall area above floar - 1t%71
a. Total vall window asea ....................................
,
= .
d I?••
c oca
't doar aina.......-----»-?-M?«??•""
lidi q 41ass
a 11
G
.
d.
Total ..
fireplace vall azea .............................. .
.
It?,
e. Total ..
vall f=a+ning area (avezaqe 10%) .......... L
2
f. f.
Total ...
net wall area above floor ........................
. . . .
.....
. 1
-
•
n
q. Total _
:
r:sa joist area .......................... ?
. Total exposed foundation area
?
h. Total foundation windov area .............................: ?
L. Total net foundation area above grade............... - .•• ?-
Deterzine "U" value of each vall seqment.
a_ '/O?O X 'U^
. D. x -u-
\ c ? X mv-
\
a. IIJ G , x -u.
e, drI 1 x "U"
X v"
9, '2,`lC"?) % -u"
. h'?---- x U.
x -u.
- ? -Y
- -----
, OCl • ? -?D-I? ?r
inrp
_?
3 .......................................rocai = 97~1 ;;71 4-
If itcan 13 is tlic same as, or less [han item 11, you havc met Ghe inCent
of SSC 6006(c)2.
.TOt31 expased soof/ceiling area ? ??????? •
J. Toeal skylight area..................... . r
k. Toea1 zoof/ceiling 2raminq area(averaqel0%)............. I
l. Total nee iasulated roof/ceiling atea ..................... 16 00,
Deteraine "U" value for each =oaf/eeiling aegment.
% U.
?- . ?-
7•
?
k. x -u-
,a ? - 1rtb,l
1. 1doo,a x U.
a ..................................... TOZa1
St towl of M4 is the same as, or less than 12, you have met the intent of
S8G 6006 (c) 1.
Aliernate Buildinq Envelope Desiqn
,
To ut4li=e the total eavelope system meChod, the values established by the
sun of items 13 and 14 shall not be greater than the sum af items 11 and 12.
1. 4V? (Q. !.0 + 2. ';`??i'.'.? 1r2.-?
3. '?)15i, 4 . a._ ?)1,°0 - ? n'1,F1 -
,
,
,
,. a
PLAN -Jr4r-
? LrtiFAL
LD G4C I °d
.
'
J.O? ?
?ULL ? ? ?`blo
?VI..L.Z ? .. .
t 2.??L.ALE ; ? N?,
.
zIM'
&L
,
kM E-E
y
w.o. ;
i: vL L
Pu LL 2 ? i ?n2
.
. P, < <N? .
R. ,H : ;?
FT, EXposEp WALL
SKPosED wALL.. r4ZEA
K S = ",
X S = -- *
x ?,??
x
x = _ ?
X. I = m0
TorA L. _?- I r? i?
SCLFt. ExaosED C?Er[,lu4
? WDw5 ? DooQ.s ?3
PATi o DRS ,
07:;) L-0 t#
. SSH4 UUrfS
?
6-
L '?,l BL ? CITY USE ONLY
?- II(AVJ]-?A - o?(v?eI1?IUr)G! ( h w
suao. ?t"rt"1 . V v S p? ?
RECEIPT#: / q`f" _
RECEIPT DATE: L? ?C13 7
PERMIT# 2?95 0p
1999 PLUMHINfl PEtMiT (fiESIDENTIAL)
CITY OF EAfiAN
3$30 P[LO'f KNOS RD
EAflAN. MN 55] 22
(651) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
% backflow preventer for underground sprinkler system
FIXTURES
EACH ft
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - 1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $ ?
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
W3t0f Softenef If dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
TOtal --> --> ----> .__.> $ ?
Reminder: Call for inspections of aiterations, i.e. water heaters, water softeners, etc.
--------------------------------------"---- -------------------------------------...-- ------------------------ -------- -
I hereby acknowledge that I have read this application, siate that the informahon is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanPs responsibility to noGfy the property owner that the City of Eagan assumes no liability for any damages caused by Ne City during its
normal operational and maintenance activities to the facilities wnstructed under this permit within Ciry property/right-of-way/easement.
SITE ADDRESS: `7 ? ?? :?? imn )t?n
OWNER NAME: : ??,n ?X7S?rGC.?? TELEPHONE #:
, (AREA CODE)
INSTALLER NAME: Z eL-C'- Lxt? r\ R) TELEPHONE #:
IS 7CLC t---1,??ez-5-1:> J)r- (AREACODE)
STREET ADDRESS: 23LD
CITY: ?11tV\S 0 ( 11 'e STATE: ? ZIP: ?533 ?
?
SIGNATURE OF P RMITTEE
PLEASE COMPLETE FOR SINGLE FAMILY DWELLWGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
V NEW CONS'IRliCI'lUN
ADD-ON A/C
ADD-ON FURNACE
FIRE LACE INSERT
DATE -? .? v
FEES
HVAC: 0-100 M BTU 7-IL&,, / qo) Bc-o $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) J' &o
ADD-ON/REMODEL (DUSTtrrG coNSTttucTtON) $ 20.00
STATE SURCHARGE .50
ToTEu, 33- sa
srrE
OWNER NAME: lVI QA)TPI UUl tLI aY +4'IfYYI.gO TELEPHONE #:
CIT'Y:1". ,CLI - 'k-rCCC" STATE:
TELEPHONE #: 'V57- J 7cr-,
ZIP CODO?S?s
'1& ?
SIGN E OF PERMITTEE
1994 MECHAIVICAL PERMIT (RESIDENTTAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMFS AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UN1T.
NO. FIXT[JRES EACH TOTAL
X SHOWER 3.00 3
t:i WATER CLOSET 3.00 5y nv
_ca BATH TUB 3.00 ?•>.frv. -
S LAVATORY 3.00
_L KTTCHEN SINK 3.00
/ LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
? FLOOR DRAIN 3.40 3aoc
GAS PIPING OUTLET • minimum - i 3.00
3 ROUGH OPENINGS 1.50 L/?s'a
WATER SOFTENER 5.00
PRNA'TE DISP. • oeray. uc. 20.00
U.G. SPRINKLER • nome unaer oousL 3.00
ALTERATIONS • w edsune 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL: 53 . E)P
SITE ADDRESS: ga $'v DA%4?l,?'iC
OWNER NAME: ?ve;r?
w
CTI'Y: Ae?rr-??v' STATE: mn-t- ZIP CODE:
PHONE #: (6!a ) lfflf-I 4blp
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SIGNATURE OF PERNiITTEE Q
1994 PLUMBING PERMIT (RESIDENI7AL)
C'ITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
f
MAR 03 '94 07:54pM MCCOMBS FRRNK ROOS P.1i1
/
"/?o? of 6 Va 27','14cU
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'?L- OR9TNfl6E b.
; UTIlI1Y EBSEMENT `.?
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. ?
L as zo:N
.
, ',, a
.:c896.Q1
.,
? I? s ,Q• sq? 3-?
\ . _ .
(898.0) , . /
\f I R 6Q,00 Q`)
j BM kYliAllNi "?S?y•, ? p ?ti '?, ?
/ ? `v0? !,? .(y' •rJ. 1
,r•?'' .? ,?- ---`.;,
? ??A?/y? ?J? •s,., oo ? .. ce ? ,. • .........
---ry'•?,------
SRN MH 5
! .4834.- E14,
60 4?
I S'_ ? ?A g'r EAGA }1, ?
{ / ? l REVI€'WED
1 ? a N / BY ?
OeBTiE
Po r°- No
0 penotas Iron Mvnument
0 Oenotes Nood Stak¢
1l000,0 Oenotes Existing Elevation
(0+_0) Oenotes Propose7 Elevatian
penolea pirectfon of Surfaca Oralnege
EAGA.v Enr?9MN? DM.
Proposed Top of foundation Evevatfon= 907.83
Prnposed Garage Flaor Eleralion= 907.5
Proposed Lowest Floor ElevaSlon- 899.17
BENCH NFlRK = TOP NUt OF HYDRRN7 RT SN Cof2 I.OT 20, 6LOCK 2 ELEVRTTON = 9[}8.85
Ne hereby certlfy thnt this Is a true and aorrect representetlon of q survey of the baundarles of:
LOT c^0, BLOCK 2, HRN7HORNE W0005 2N0 FIUDIiIIQN, DRKOTN COIJNTY, MTNNESOTfl
Fnd the lacatton af all butldtngs ff any, therenn, and ail vistble encreachmen ts, if any, From or
an aefd land. It AI8D shows the ?ocaLlan of the stakes as aet for a proposed buflding, Ps surveyed
hy me or under my d+rect aupervislon this 3rd day of March 1994,
qr-Cm{s Frank.Foos Rssociates, Inc.
BY???'e(ct??? snn
p?'??Z? ------------
Paul R. So
rns-....?...y..a.e..wex,m?o?.uRT.u?xa L7nd 5Urv y0r, Minn. Ltc. Ntl. 10938
McCoekra irank kocs flsxocintes. Tnc. sofle1„-qp,
15050 23rd CERTIFICRTE OF 5UF2VEY
? Rve. N. Book r.o.
Plymouth, MN. 55447 Engineera f o r
612/476-6010 PlannCrs
fax 612i476-B532 Surveyors ,dssz MONTY GIRF#f2D Ht?l1E5
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA115358
Date Issued: 09/25/2013
Permit Category: ePermit
Site Address: 4280 Dartmouth Ct
Lot: 20 Block: 2 Addition: Hawthorne Woods 2nd
PID: 10-32151-02-200
Use:
Description:
Sub Type: Reroof
Work Type: Replace
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Laura Gillespie
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:
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
- Applicant -
Owner:
Daniel P Dorgan
4280 Dartmouth Ct
Eagan MN 55123
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