4283 Dartmouth CtINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: '`+' I I.'+ 1144.' -i
3830 Pilot Knob Road Permit Number: 1`; a y ?
I Eagan, Minnesota 55122-1897 Date Issued: ''f "'-
(612) 681-4675
SITE ADDRESS: APPL{CANT:
M t., i?Al; i pt?ftll ii ? 1 ?? Rt??if i•r ?
f 31:?1y i id??t ur l???rsl?°: :?IV€? i? i? :,«,,• i??:cr i
PERMIT SUBTYPE:
?() () t'ihtt,
TYPE OF WORK:
I iwAe
III I I
?
?
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection oeta Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FlREPLACE
FIREPLACE
Alfl TEST
FINAL PLBG
FtNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
C / f {?
DECK FINAL 7
ly'?
?
I
-.CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
I SITE ADDRESS:
' , r.t1! t G@uRT?
; Ili14J I F{11f? Nt L1UilU ;,'hl?,
? PERMIT SUBTYPE:
oN REcoRn
PERMIT TYPE:
Perrnit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
INSPECTION .. . ..
i
i'I/r
,,fil,,ii t « I I i,i.
;• ??,.i ? ? r,?, t ti ra.,I
! P4 ta I'< h: '.- N V V
?IF
!- W I' 1 fi k F 1Vt :', r H tt N t ft t;
1L
Pe?mit No. PermR Holder Date Telsphone N
S/W
PLUMBING 9 ?f Sq- ?? g0
HVAC
ELECTRI 5'3(O i9 • /8' ?
ELECTRIC
Inspection Date Inap. Comments
Footings I jQ y . , /
Y/
Foundation FGooit, ^?•r
Framing ?
Roofing ?r7 ? iv'dt.?.? G??Pf J???+??'
Fough Plbg.
Fough Htg. d/? -/ - ? g' O ss c
Isul. ?,Z 9 4
FreplaCe ?
Final Htg. ?
Orsat Test ?
Final Pibg.
% Plbg. Inspecior - Notify Plumber
Const. Meter
Engr.lPlan
Bidg. Final ,'
Dedc Ftg.
K?I. ILo/ a a/ fo/S -
Dedc Finel
Well
Pr. Disp.
41
>h
1?_
" CITY OF EAGAN
? 3830 Pilot Knob Road
f Eagan, Minnesota 55122-1897
? (651) 681-4675
' SITE ADDRESS:
I ?,,:;, ? 1qt?,r ? ar ? ?
PERMIT SUBTYPE:
,. i .i1
PERMIT TYPE: r; "I I??
Permit Number: 14 +y
Date Issued: i J 0 H ;-Ofi
,L r_I 1'"' J(' N... Y,7 •"
1.8 f; ? OCk , APPLICANT:
,?,i . , ?,?•?i?
TYPE OF WORK:
,1: ,1 i,11 i t<11.1
111 7 I" 1ZA 1 1 U ly
TNr I E1Iit C, t"f FcF'f''[ At
INSPECTION .. .
? .A
i;
MRRKti• J?I AN RVV1FbJF=11 FtY 44A`!NI` MI1.I.ER.
;f('VRA1t PPRNtT RVEptf[F:(.14 t`(:sR ANY PitIh4tirlMi, WOitt''_
C!1 I I ( Er 1 2) 4 4 S ri 4 N P fA A#t 1) ) tV C? t' I F G 1 Il 1" I'. A 1. I) f Fs !1 X T A Itl i) T M St' f I',.
E
;
_
x ? ??
r ,
?
?n °
L? D a =
0 -
td' D
? D 0 ?
0
H •
0r D 0 •
G 0 •
D 0 D ?
Z+OT BDR9EY CBZCtLSBT 1^GA XZBZDZN'!'ZAL
Asqfstered Iand Survsyor siqnatur* arsd eompany
Building permit 1?pplicant '
Leqal dsscription
Address
North as-row and bar seale
HouQe typa (ramblsr, waikont, split v/o, spiit
lookout, atc.)
Directional drafnsqe arrows witb slope/qradisnt 9.
Proposea/existing sewsz atzd wator ssrviees
8treet name Driveway
?. a • sewat servf cs
t7
0
0 D
0 •
• Lot eorners
T
D" 0
D
• op of curb at the driveway
Elevationr of any existinq adjacent bomsr
pzo___???
? D D • Garege floor
D 13 • First Sloor
? Q a ? Lowest oxposed elevation (valkout,/vindow)
t? D D . property eorners
Front and rsar of boms •t the faundation
PONDSNG AS tii asnifeibiel
fl ?
13
• -?
Easemsnt lins
D ? 0 • Nw=,
0
0 0
0 - HwL
9/ • Pond i desiqr?ation
n 13 + Emsrqancy overflov Zlevatlon
?a a ?D 0 -
rf a o -
?0 D •
? 0 •
D D •
Octohcr 2992
azmzxsioNs
Lot lines
Aiqht-cf-way and strset vi
Froposad hom• dimensions
overhangs qreater ttian
structures requiring perma;
Show alx easements of reeo:
those sasements
sntry,
proposed docks,
itc. (i.a. •li
utilities vithin
structure and setback ot adjacent
if any
nat• ot Surveys ':5
DOCUMENT
?
-,
-?2/e 089?
ftj
M 619 kls 3a &4VV6 12'
Fequest Dete
^ Fu No Rough-in Inspection
Reqmretl? NOTICE Vou Must Call Eleclncal Inspedor
I( A Faugh-In Inspecvon
3 f?/ -
?
l ? Ves Is Requvetl
Y411ensed contractor ? owner hereby request inspection of above elecirical work at:
Job Address (5[reet, Bwc ar RaNe N. )
Y 83 . ,K
6.? Cry
151,9 G ?9 ??
Secimn N. Township Name or No iiange No County
`7 ,--?x-oT?
Occupan RINT)
? tT Phone Poo
Y?47-803 z
Power Supplier PAtlress
t?
Elec/lny??)I Contrador (Gompeny Name)
/
? /Y ?y+ Cont?mec?tor5/ License(N,?o /
(?
?'JC
tcs
? 1/ fI?AN (J F C.3 1NC: V
/ ??
Mailing Address (CoMrado? or Owner Making Installafion)
? ?
e
/? lh?./ S'1'o 3 fS
•
?-e
•? o re :
o ,
,,
ANhonzetl Signat (Cont?a oriOwner Making Instalis Phone Number
`dZ ?Y e-I
MINNESOTA STATE 60AHD OF ELECTPICITY THIS INSPEGTION REOt1E5T WILL NOT
Gngga-Mltlway Bltlg. - Room 5493 BE ACCEPTED BV THE STATE 60ARD
1821 University Ave., 51. Paul. MN 55100 UNLE55 PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED
g/9? ??:. Ee.oooa,.oA
REQUEST FOR ELECTRICAL INSPECTION
lp pp See inflruohans for complehng IDis farm an hack ol yellow copy /W-
M 53619 "X' Below Work Covered by This Request
Uilding ApphancesWiretl EqwpmentWired
Range Temporary Sernce
Wa[er Heater Electric Heanng
Dryer Load Managemem
stnal
W Fumace Other (Specdy)
Air Conditioner
specify) CanirecYOr9 Rsmerka
/iy-
/ , Q ?V ! Cr -t-
/?
Co a ?
?
mpufe lnspection Fee Below, ?
# Other Fee # ServiceEnlranceSrze Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ P. A6ove 100 - Amps
Signs E
Inspedar§ use Only
?,0 ?yq °'?
TAI
Irrigation Booms 0
Speaal Inspection
AIarMCommunicati THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
Rougn-m
oate
certify that the above inspection has
been made. F,,,ai °aae
OFFICE USE ONIY
This reques[ void 18 momhs hom
SEE SHEET N0.9 . .
DODS DRIVE 17 18
=T N0.6
16 M.H.IS
15 14 ?VI:H.20 M
7 Lr. Po, .H.19 2 3 LT. P.O.T
1 1+23' ?L P.O.T ? 3+88?
3+23,
` -
. 19
o v ??
'
??6??-I/16
BENDS
6" GATE VALVE
I/32
22 YHE ?^ S NOT GUARAN'f `3'O
? ILI7Y LOCATIONS
rHE ACCURA @g. T IS DATA 13 FOR
k?l /OR EIEVP?TION • O;,LY Af?D
!?y RAAATION21 PURPOS? :J ;7'-Y T+'=
PPlFQR ATIOi? 01? TN ?HO? ?
HYORANT
?
?ma???637/rs' Ca M6-02?
Inspedor
I Rough-in Inspec?ion NOTICE: Yau Must C -In all lnspecElectr¢alLOn
4equest ?ate ire No
Peqwretl'+ H A Fou9h
] N. s P¢qwred
IJA-NCensed contractor ? owner hereby request inspection of above electrical work at
aty ii
Job Adtlress (Sheet, Bae or AaNe No ) C/? 6 ?
? Q T?ownship Na n r7' 1'h n.? i? T
Range No County
g¢c[ion No ?
m e or No ? ?
r Supplier
?,n .C •?-g
rmal Gomraaor (OOmpeny Neme) G
R `vi9rl? LIQ
ng Address (Gonhaotor r }Ojner Making Inspllation)
O?'7 o / G43, L"e ST ?
ul'g a?
Pnone P!o
0o a, ? sr w
Contrnctork License No
THIS INSPECTION REQUEST WILL NOT
MINNESOTA 5TATE BOARD OF ELECTRICITY gE ACCEP7ED BV THE STATE BOARD
Griggs-Midway Bltlg. - AooM 5-173 UNLESS PROPER INSPECTION FEE IS
1821 Universlly Ave, SL Paul, MN 55104 ENCLOSED
Phone (612) 642-0800
REQUEST FOR ELECTRICAL INSPECTION ???•? E8-0i
ll? See insirucfions ior complevng ihis form on back of yellow copy O
-"X° 8e(ow Work Covered by This Request
?M 9?5 3 6 3 7
Apt Budding Dryer Load Managemem
CommJtndusinal 2( Furnace }j Othes (Specify
Parm Air Condinoner °
Olhar (specity) Gonvac?or5 Remarks
a??
Compute /nspection Fee Be7ow
#
eeders
c
Fee
g Other Fee # ServiceEntrenceS¢e Fe? A 7
240 Am
s ato ?
mps
Swimming Pool / p
0 to AmPs
b
TransSormers
Ahove 204 _ Amps
eclor's Use Only
Ins
ove -
A
'
TOTAL
-,
Signs p j
?
? ?
Irrigation 8ooms ? ?
•
?
Special Inspectlon
D 18CONNECTED IF NOT
n
i THIS INSTALLATION MAY BE OR
o
AlarmlCommunicat HS
.
COMPLETED WITHIN 18 MONT
Other Fee ?
Rough-in Date
the Electncal Inspector, hereby
I
,
cerfrfy thatthe above iospection has F,,,ai a1e •-? 7! ?
been made
pFFICE USE ONLV
Tnis reQUesl voitl 18 monihs irOm
3
THE
THE
2
13 ?
GRADE
rM.H. 11
25'ESM'T '
- -I ? ? 17
! 1
exi -r . 0)1 m
? ??
rR es - pa ??d?.H COURT
a?? Ai?p s?sodan? ?aa-? ?
i u0i SI wAVa SIHA 'SNOI1VA313 M10/Q?V?
? SwOIAvooli Allll.l? ip Amafloob lHl
I 33ANWHY11t) lOft4 S30Q WJn jO A.I.a? 3Hl
FfLL ITO MIN. 5.0' COVER OVER ,M.H. IS
SEW?R LiNE PER I (',RAqING
PLrS? SHEET N0. 117
LDTS l0 a I l I
i
R E. 904 5
LOT 18
???OOTING 8L. 1 ? I I
??
>ED 6 VVM. iLOT 17
I _
FOOTING EL. - i
i ? - -
?
350L.?-8"P.V.C.=SDR 35?0.40%
1i 0
CT)
i I
? L -I,- -j-_
T
CD
m
HAWKSBURY CIRCLE ? I
f? .Ia1t?qy yyq!y., eJ .. p_ . t?. ?
?, r? 1:
;L: ?... ??F ???1 LO.,,y.l;':._... J i
'd5e YH4S ATA ! ,. ? . . i : i
I i? . ?r???.?? ? HAWf?SBURY GIRC?E
" I TSH0UL t=:..,
x ?
I ;"NESWEu I
M I--1 I -A I
? 9(?i1
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?
New ConsWClion Reauirements RemodeUReoair Reouirementa INfice Use OnN
3 registeretl sile surveys showing sq. ft of lot, sq. it. of house; and all roofed a2as 2 copm of plan CeR of Survey Reoi
(20% mazimum tot cvve2ge allowed) 1 set of Eneqy Cakulations for heated add'N'ons Tree Pres Plan Reoi
2 copm of plan showing beam & wintlow sizes, pouretl found desigq etc 1 sile sunrey for additions & dedcs Tree Pres Not Reqd
1 set of Energy Calculations AddiNon - inMicate don-sife septic sysfem _ On-sRe Sephc System
3 copie.s of Trce Preservation Plan d lot platfed after7M193
Rim Joist Detail Options setection sheet (bldgs wAh 3 or less units
Date ? / ? 3
Constructiou Cost 31 , q 7.? 9
Site Address a,- fj?,a-V, C/ Unit/Ste #
Description of Work 7?
Abik
Multi-Family Bldg _ Y z? N Fireplace(s) _ 0_ 1 _ 2
Property Owner
? Telephone #(?SJ
Contractor Q25 n/'r-, f
;q? fl /tGl
Address ,
71 /
City
State Zip Telephone #(?6 j) S`/?- d30?/
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
Residential Ventilation Category 1 Works
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
UCtT?NG?/? NE1AI,ILDING
r
j? J(!N ? Il) ?
? n ,?j a esn 'Rules 7672
• ?New Un?ergy Code Worksheet
Su6mit?d
- ::? -`J
Telephone #( )
Telephone #(
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 wark will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed? am /
/
Applicant's Signature
SCS9 lio's RESiDENT1AL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conadvcdon ReauiremeMs
• 3 regislered site wneys showirg sq. ft. of IoL sq. R. of house; and all roofed areas
(20°k maximum tot coverage allowed)
• 2 copies of plan showing beam 8 windax sizes; poureA fouM design, etcJ
• 1 sel of Energy CalcWations
. 3 co0ias of Tree Preservation Plan'rf bt pWtted aRer 111l93
. Rim Joist Detai Optlans selepion sheet (61dgs wifh 3 or lass units)
DATE x2
SITE ADC
TYPE OF
WORK-
APPLICANT
STREET ADDRESS
TELEPHONE #
LTI-FAMILY BLDG _Y ?
°IREPLACE(S) _ 0 _ 1 _ 2
? /.3??/???'? CITY?STATE6`l+?ZIP
CELL PHONE # 6??oZ`c?'??S FAX #
? ?a-55 TELEPHONE#
PROPERTY OWNER
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(d su6missioa type) • Residential VentilaUOn Category 1 W orksheat Submitted • New Energy Code W orksheet Submiried
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumhing system includes:
Mechanical Conhactor.
Mechanicai system includes:
Sewer/Water Contractor.
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state thaT the information is corr , agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature ot Appllcant
OFFTCE USE ONLY
_ Water SoRener
_ Water Heater
_ No. of Baths
C? /Y a?
RemodellReaair Reauirementa
• 2 copies of plan
• 1 sel of Energy Cakulalions far heated additions
• 1 site survey ior extarior addiUOns 8 decks
. Irdicate i( home sewed by septit sYstem for adddiore
?
VALUATION 1113m
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
a ..?. ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number.
Date Issued:
?k55549
BUILDIN6
027330
04J22/96
SITE ADDRESS:
P.I.N.: 10-32151-189-02
DESCRIPTION:
.?.:;;'-_ -
, -- _- -- '`?E
ea??a:3!3;`V?P 1'?'.
?
??.m
4283 DARTMOUTM CT
LOT: 18 BLOCK: 2
HRWTNORNE W0005 2ND
Permit Type
4qrk Typs
DECK
NEW
434 RLT. RE5LDENTIAL
?ii`c+?. swff -A*,?xt_?'$°,"-i?+.si,?
G
5+`?
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $45.50
COMTRACTOR:
OWNER: - Appiicant -
CASS ROBERT
4283 DAR7MQUTM CT
EAGAN MN
(612)452-1637
? • ? ' -? . ' ? ? ? ' n ? t, ` k - ' . ?,, 1
" and s??? t*?t:.Ghe
: T her?etry a,ck,rr`acrl&dje "t??,? u4 he??t t?his 0at,ion
`agr?s tv, ,??rmply.?r?tkr aY7 -?ppli?cable..,;?t??e.a1` ?f --
infa"rmat? ri °is e0r6t a?c( n
.? S?ata?ts? antf`' ?s?Cy tif ??c??r?a Orddceances ?; ` ` ; ? ?
I p Cj
L.? .? . ...?...R tk ....n?5.. _ ......,..aei T?...'- ........._.. Se-. . t_.. .,.m_. , .J
?
APPLICANT/PERMIT SIGNATURE ISSI.Y BY. SIGNATURE
CITY OF EAGAN ?
3830 PILOT KNOB RD - 55122 ?? ??
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ,„ ?A__Q 4_zz
681-4675 ???'?'??'
New ConsWclion Reoufrements RemodeUReoair Reauirements
? 3 regisMred site surveys
? 2 copies of plans (include beam 8 window s¢es; poured tnd. design; etc.)
? 1 energy cakuleliona
? 3 copies ol tree preservetion plan H bt platted afler 7M/93
requlred:, _ Yes _ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT f 2r J%L-OCK
PROPERTY
OWNER
CONTRACTOR
? 2 copies oi plan
? 2 sRe surveys (exterior addRions & dedcs)
? t energy eakulationa for heated additans
CONSTRUCTION COST:
00
551
.D. #:
?
Name: C PTSS °F66e-jr-+-
UgT iMBi
Street
Li-
City: , CL?? State: rnY--, Zip: SS ? a`21
Company: Phone #:
Street Address:
S-e-e- a6ov-e-- License #•
City: State: Zip:
?
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
t hereby acknowledge that I have read this application and state that the informa bn is correct and agree to comply with all
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFiCE USE ONLY
Certificates of Survey Recsived
_ Yes _ No
Tree Preservation Pian Received - Yes - No
???????ID) I
APR ; 7 9996 I
Phone#: 4??-1 b3Q
,r
. ,?,.
.. ??
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 = plex ?-15 Deck
WORK TYPE
,?;d31 New
0 32 Addition
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
? 33 Alterations ? 36 Move
0 34 Repair ? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft,
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
OFFICE lJSE ONLY
APPROVALS
Planning
Building
MC/W5 System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census tJnit
Engineering Variance
?191,
?L
Permit Fee
Surcharge
Plan Review
License
MClWS SAC
City SAC
Water Gonn.
Water Meter
Acct. Deposit
SIW Pertnit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE: c u ? Ln.i
Permit Number: @ :, 4 d [
Date Issued: H 3/ 0 8/ 9 y
SITE ADDRESS:
4 2 as oA Rrriou rH cr
?0 1'c 18 E;LOCK: 2
HAWTHORNt? WOOC15 2Pdf]
Fel:.N.: 10-32151-180--02
DESCRIPTION:
TIVCLUpES F.TRtPLACF
, .?
Pu.v',teln' a 7nez-ini t. 'fvpP I';0 5EMEIVT F71V751i
Fl,L,I !dinLl lJ?,)-?k Type F1LfERA'1'SON
,F:cnsus Coda 4 4 (lT. RES1"DENITff1L
,
?
?
: i
\\ o ?/
I
?'? i-- =; r i . . ?',- ' ' • - . - , .
REMARKS:
P??ar; firvl? ?J i? ??,•? ?PY:. .;,. .
Stl-`r_I:a?e ??dfi: RLUU?I.. u fi??, nWv' r` uMllt?ar„ ,.?uHK.
L FtLI (612 ) 4a'.? i40 tii°r,11R(aC17;, t Itt.Ft?lr,:^,L i PR147?1? AN 1) In'SPECT[0 N3. --
FEE SUMMARY:
Ba?e Fce ;.u?.t7m
lotal Fee t;y,SG)
CONTRACTOR: -A?)pl i can s r. i ti c. OWNER:
IIIpMFlS WOOi7 SPEC7.flLl]E& i"I :''j 8%60 20 06'<b!'ivl CR'?5 R0BL'ftf
:0 9 W. i41 N STREEI UARTM1IOl1iFl C1
IQ1?lh1EA1'U'.LS MN S;40 8 cAGAN hIN 55123
(ti1.21 3 212 -375C?, (6'i914521_637
I L?
.t hr.reoy , cknowludqe T.hac 1 Viavc, i-e ad tFiis a Rp7.rc.7tlon .ri o 4.tei.t l.h.ic thz?,
inlo- maCi.on ig correct and aqreo ta cqinpJV tditi. c- IL ?i»l.t,•ih1?? ,. ?ur I•iri
SLai.ut,as ?ind Cj.LV at Ea9zn brdinances,
LiJ Qzl'
APPLICANT/P I E SIGNATl7RE ? I SUED BY: SIGNAT FE
ccTV nF EaGar!
CASN:f.E.R: S ik"RMINAL. NIL c 6II6
DA'fF:, 03/08/99 1'TMFa 1.5:35a47
IL? ?
tJAME: THOt1AS WOOL, SPCC7AI..TIFS
321.0 4?83 UAfiTM0U7H E10.00
z1.55 3001 4283 I.iAf;TMOUTH 0.50
I I
iot,al fteceiFrt Amoun+,: Es1.50
LYi i. (13i24
LISF'fi TD: NANCY
M?t X? ?F # X? N? Xt :k ?C ?# ? k# k? ?% X? %? X? ?F h? ?k ?k ?t ?%?M X? ? K?%W. X cYF # X? ? k ? k?k ?k X? *
? CITYrOF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number.
Date Issued:
BUILDING
023115
03/28/94
51TE ADDRESS:
4283 OARTMOUTM -EE-R-- G(-`
LOT: 18 BLOCK: 2
HAWTHORNE WpODS 2ND
P.I.N.: 10-32151-180-02
DESCRIPTION:
Btrildingc,permit 7ype
4 ?t?ildint? 4Ja.rk Typs
r'{JBC nccupmncy?;
f` CarisCrue•tiQn Ty'o,e
Zoning ?-,.-
BuiSd3nq iength ?
( B.uildimg Wldth ;
BiyiYrting s.tpries -'
•---'
iJ
SF bWG
NEW
R-3 M-1
V-N
R-1
89
44
2
oil
?.a in- ??)K' ?a`J!] ?! tE4
t:??
REMARKS:
aRv
FEE SUMMARY:
S& W PLBR - FIVE STAR PLBG
Base Fee
plan Review
Surcherge
SAC
5flC %
5AC Units
Lic. 9earch Fee
5ubtotal
$2,493.75
$193,00@
MSSCEI.LANEpUS $1.828.50
Total Fee $4,322.25
CONTRACTOR: - Applicant - ST. I.]CG. pWNER:
pRAT7 HtlMES 14298032 0000001 PRATT HOMES
4225 WMI7E BEAR PKWY 1001 4225 WHI7E BEAGt PKWY 100
ST PAUL MN 55110 ST PAUL MN 55110
(612) 429-8092 (612)429-8032
I hereby acknowledgKIEE hat T av?e read tha?a a,P,p],icr*ti't?h c?ri8 sks?t?a t(tat th?
i,nformatfon 3s, .rr a d gre tn oor?ply witit all appiicab?.e $ta`C?.ctf Mn.
Statute•? an tq an Or° a.noes.L . - - - ?
; -- ---- -
NIn ft4j?
APPLICANT/PERMITEE SIG ATURE SSUED EIY'. SI NATU
VALl1ATI0N
$965.00
$627.25
$96.60
$800.00
100
1
$5.00
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
? 681-4675
6
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date -3 lLf Valuation of work Z00? Oc)C-D
rd
Site Address:=Lzt?? 21 4^fcD?-A `1r1-=-,:?-
STREET SUITE R
Tenant Name: (commercial only)
?-`
LOT SLOC$ Z SUSD./'+_)2!-"_r4???
n I P.I.D. /A
? S
Descri tion of work: D WCA,
The applicant is:1?aOwner Contractor ? Other (Describe)
Name H<3 r? GS Phone ¢Z?-ba3Z
Property LAST FIRST
Owner qddress 4zz 5 c-j «"'T'E
l?P r2 (c??? 1
STREET STE #
City W_?"TT- gFPg,- State r_-1 '-J Zip SS 1( G
Company rnE S Phone
Contractor /
Address License #?CvUGGI Exp?/?'1 7S
??
City State Zip
Company ?Iz-P,'T'T }-??v--cCS 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 heen approved.
I hereby acknowledge that I have rea hi app ic i and state that the information is
t
d
t
l
f Mi
d Cit
f
S
correc
an
agree
o comp
nnesota
tatutes an
y o
y wit app 'cab o
Eagan Ordinances.
?
5ignature of Applicant•
OFFICE USE ONLY
"
BUILDING PERMIT TYPE ??
;
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
p 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comn./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
P1 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) VAI Basement sq. ft. 4/2 MWCC System
6AIlowable) V/!! lst F1. sq. ft. 41,17 City Water -?
UBC ccupancy 2nd F1. sq. ft. )2-9/ PRV Required ?
Zoning Sq. Ft. total Booster Pump
# of Stories 2 Footprint Sq. ft. Fire SprinkTer
Length 7T- On-site well Census Code
Depth Y51, On-site sewage SAC Code p/
nd
APPROVALS t
eensus U i
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Si te
? Wallboard
P Footing
0 Final
0 Framing
? Draintile
131 Insulation
? Fireplace
Permi t Fee S ' 9 3 00 6 ?
?
Surcharge
Plan Review
y4X 3! -?
_ 30,?-z y. 220
?'? zo
r Z 1/0
license
MWCC SAC ,
z ?
City SAC r?,?. zs =/?S 3-t-5
Water Conn.
water Meter 5 - ?Zs
Acct. Oeposit
S/W Permit ?pX z = Z 0 ??2
5/W Surcharge
Treatment Pl. ?,?-3 = 2/
Road Unit BskS ?z ? 2/ -2 5
Park Ded. ` ?-
Trails Ded. & ??
s 2 ?
1 p ?936
•
Otier .
Total : Z..,Q
yak ?3 ? g zo
SAC % ?-?Sx/°" IS-f
SAC Units Is.sx/o ° 1ss
?,? 3 = ? _ J = 12 914- sy 3 61
\ \
7 21 \ -
7tiE G'iY Or EAGAN DOES NOv GUl?Hrasm I FG
ANDIOR ELEVA7IONS. THIS DATA I iFOR
iwoRmATION PURPOSES O:'LY A?JD
PERS0NS USAiVG IT SHOI!' D
IIVFORMATION OfV TH E w1TE.
NOTE: AI,I, SEHgR AND wATEfl SERVICSS ?O BE P.%TENDID
15' 0" INSIDE LOT LINS PER CITY STANDARD DET.
pLATE PO'S 300 AND 310.
/
C. B. 24
LOC. (L ON 45'R.
f FACE OF CURBI
?
?
.?
3:
7
902.5 OVERFLOW
L. AT BLDG. S.B.L.
?
8
± 25 S.Y. SQQ
AROUND C.B.
? C. B. 23
L}OC.ON CDS 45'R.
ST.M.H. 22
`.?,r
/ -?
I 9
12 LF. - 15"R
? CL5-4.0%
?
?
.
CONSTRUCT EAF
DOWNGRADE FR(
AT 2.0' A80VE
? CONSTRUCT EARTHEN DAM
?DOWNGRADE FROM C.B. ?
AT 1.5' ABOVE GRATE E i
?
?
S? .?.N. ?G' ; c
C.B.Z
f 1 RIF/-RAP \ 6.8.25
INVI= 883.0 \? \ 905.0 OVERFLOW EL.
? AT BLDG. S.B.L.
15" FE. S. ?
WITH 18
TRASH GUARD ?
YHE CIT1' OF EA N DOES i?01' GU RAt? fEE ?
I YHE c?GCURAC?OF UTILIYY LC?CATIOP,S
;AND/O,R ELElIATIONS. THIS DaT 13 F0R
INFORRf1AT{0N PURPOSES 0: LY 'D
PERSOWS USING IT SHOULD e;_7.'y,.
!!l THE GlTr- <
-C.6.26
LOC. ON C
? -
45'R.
?3
i ?
? ? -. ?.. .
-
C. 26
.
_
A:H.18 C .B. 25
ST. M.H.20
C. . M.H.6 R.E.B97. 0 R.E.9R3.
PROP SED GRADE
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.I?.... ::::: :::"::::::::::= ::: ..'. ...... .............
:::::::::::::::::::::::::::::::::?::: ......... .....................
::::::::::::::::: ?::: ::::::::::
,D, CITY USE ONLY
L ? Bl
SUB0. ?? LL?,J'? CTZ VL2 \J3G-0 lx/D
EACH #
Please complete for:
1999 PLUMSINF i'EitMTP (fiESIDENTIAL)
CITY OF EAfiAN
S$SO PILOT KNOB itD
EAfiAN, biN 55122
(651) 681-4675
? single family dwellings
? townhomes and condos when permits are required for each unit
D backFlow preventer for underground sprinkler system
FIXTURES
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Ga5 i in outlet * minimum -1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavaro 3.00 x $
Minimum fee alterations to existin dwellin 30.00 x = $ d-°
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal 5 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 = $
Watef SOft@tlBr if dwelling under construc6on 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e ----> ----> $ .50
Total --> --> ----> ----> $ ?5-6
Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc.
---------------------------------------------------------- • ------------------------------------------------------
I hereby acknowledge that I have read fhis appliration, state [hat the informatlon is conect, and agree to comply with all applipble Ciry of Eagan ordinances.
It is the applipnl's responsibiliry to notify the property owner that the City of Eagan assumes no liabiliry for any damages pused by ihe City during its nortnal
operafional and maintenance ac6vities to the facilihes wnstructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: 0 d DR.V4Gy'Z O K-f ' \ 6o ti h?
OWNER NAME: G q ce" ",A"4 ` i P-L « ?
INSTALLER NAME: v 4vl ,0-
STREETADDRESS: IZ U
CITY: gm n• 1.7">
/Dl b ? ?0 C'-
4f ac p f eA C -C-
RECEIPT #: /O ?S X
RECEIPT DATE:
TELEPHONE #:l
STATE: ? ZIP: S's(11'0
SIGNATURE
CD/PERMIT FORMS/RPI.BG PERMIT (RES) - 1999
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
+ I 3830 PILOT IiNOB RD - 65122 ?
(651) 681-4675 c
Z
New Construction Requirements RemodeVReoair Reauirements
? 3 registered site surveys
? 2 copies of plans (inclutle beam 6 window sizes; poured fnd. design; etc.)
? t energy calculations
? 3 copies of tree presenation plan if lot platted after 711193
required, _Yes _ No
DATE: 3 -8 `R Cf
? 2 copies of plan
? 1 site aurvays (exterior add'Rions & deGcs)
? 1 energy calculations for heated additions
CONSTRUCTION COST:Z9'?j?coo?
DESCRIPTION OF WORK: &=<ErDE,'1T V=1 rJXSi-Fl 0C-2l
STREET ADDRESS:
z
LOT: BLOCK: SUBD./P.I.D.#: NXV?"\-Qv? L?,)Q3012
Name: CpSS P106e1>-T Phone #: bS l ?SZ? ?b3?J
PROPERTY 1-ast First
OWNER
StreetAddress: ?'I'Z8? DptQT?(?[5u1'h1i CJT
City CState: mN Zip: aSJT) z 3
132aa??- Trton,?s - ?t? R ?
BzZ."8 6r)
Company: T Pt S u-t?h ?lAl.liFS Phone #: Z' //
CONTRACTOR 3(3t Q0'
Street Address: f7m 39 License#t-'Q0f36SO Exp. y1"?p
?7
City ?P4-S State: ? 1V Zip: z-?C)s
ARCHITECT/
ENGINEER Company: NT/-7 Phone #:
Name: Registration #:
Street Address:
- CIIy
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
State:
Zip:
Penalry applies when address
I hereby acknowledge that I have 2ad this application, 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
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No - Not Required
r OFFICE USE ONLY
BUILD ING PERMIT TY PE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRe ? 17
? 03 SF Addition ? 08 8-plex ? 13 GaragelAccessory ? 20
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement Finish
Swim Pool
Public Facility
Misceilaneous
?Basementsq. ft. Census Code
Main level sq. ft. SAC Code
.? sq. ft. Census Units
sq. ft. Census Bldg
sq. ft. MC/ES System
sq. ft. Ciry Water
Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
Building ?'_-?Engineering Variance
Valuation: $ S?r
?3N
D/
?
% SAC
SAC Units
July 17, 2006
Ms. Katherine Cass
4283 Dartmouth Ct.
Eagan, MN 55123
Re: 5ight issues on Hawthorne Woods Drive
Dear Ms. Cass,
Thank you for bringing your concerns regarding the sight issues on Hawthorne
Woods Drive to us. The City of Eagan is committed to maintaining safe streets
for the public's use throughout the City. City Code as well as established indushy
traffic standazds are used to determine safe sight distances in situations like this.
City staff reviewed your complaint but found no violation of exis6ng standards.
While the tree located roughly mid block between Dartmouth Ct. and Hawksbury
Circle has branches that are getting close to the street, it does not interfere with
intersection sight distances at this time.
If you have any questions please feel free to contact me at 651-675-5641 or email
at dwestermayergcitvofeagan.com.
Sincerely,
Dave Westermayer
Engineering Technician
EXTERIOR ENYELOPE AYERAGE "U" COMPUTATION
_. ?j
'NNER_ I g/?T_T' }4'c? 1-/i sS
SITE ADDRESS
CONTRACTOR
DATF PHONE 4Z°I "FJD5-L
Determine working square footage of each
1. Total exposed wall area ....
3012 sq.n.x.,y
144; o
= 33 } ?32
3-1'I
2. Total rool/ceiling are .... sq. tt. x.026 =
Total ezposed wall area ahove floor =
Z4?U
a. Total wall window area .......................................................... 303
b. Total door area .................................................................. 42
c. Total sllding glass door area ..................................................... 84
5fne Clqe
d. Totallireplace wall area ......................................................... ?7
e. Total wall framing area (average 10%)........: ................ Z4' 1.
...................
f. Total net wall area above }loor . . ... ... . . . . .. .. . . .. ..... ... ... . .. . .. ....... ... ... ..
g. Totalrim joist area .............................................................. 3?? ...
Total exposed foundalion area = ZS 5
h. Total toundaUon window area ....... .................. .. ...... ..................-?
i. Total net loundation area above grade ............................................
Determine "U" value ot each wall segment,
e. 303 x -u., .3-7 = i 12 A I
b. 'fZ X°u- , I 4 = 15.138
C. X-u.. , 49
= U,7?
a. I? X"U,. , I 8
e. Z t} ? x~u"
f. ZI(01 X,.U.,
9. 34 4 x,-u-. , 040 = I 3,7 G
n
" x °u^
Z? g X ??.? , O? I'? - 8• 1?!
3 . ....................................................... Total = Z-I ?7.--? Z
If item N3 is ihe same as, or less ihan item #1, you have met the Intent o1 SBC 6006(c02.
Total exposed roof/ceiling area 14*0
1. Total skylighl area ............................................................... ?
k. Total Yoof/ceiling Iraming area (average 10%) .. .. .. ... ... ... ... ... ... .. . ... ... ... ? 4-S
1. Total netinsulated rooi/celling area .............................................. 1154S
Determine "U" value of each roof/ceiling segment,
i• x ~u" _
k. I 45 X "U.. , o I`? - Z.'7 SS
1. X.U,.
a . ...........:........................................... Total = .?7, C?A
total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)1.
-? At ?.`, w Alternate Buildfng Envelope Design
1. ry +2. 31•"1 =-
3. +4. Z -2". e04
FORM K-YD-204 (Rev. 5/84)
MRR 17 '94 04?31PM MOCOMBS FRRr6C ROOS ?
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8? ti ?p ?a
CH 0 '•ti., 5't'
?sr•.y? .
sH..,,? cH_,.?.•-e `?'•-.,Fa
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FES ,•• " ^ `• ?
.
gC arw•a• `•,
? 18 N 1 ? N
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?
Ir ? ?• ?
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4 q ?ve:?e• ?, , ?
g .. 1 ? .r
s
10
4283 6RRSMOUTH COURT
t st
.$
?
?. ?m ?.?-?.?
?A G A -N
i:r VtE1NED
(805.0) ENER6ENtY OYE4flON
.
?=e- °'S'-----"5 8B'SB" p...............
?
W - - ---- -?:
]EAGA1V E1VGiNEERYNG DEPT.
? R E2 ?J ^? U.? ri s..? r` sm F:?,•,
?? ? ?il ?
:l li u
i
?
\
?
/
?
IY?ppNi
?
t
t A, ?!
N a ?
lo `?
"'
? ,,-
/ /
• Denotes Iron Monument I
p oanotes
1[000.0 Oenntes
(
l ?enotea ood 5tek
xtstlng evatlon
v tlon
ro
oseA
l
praposed
Proposed
io? of ?punde
c?a age aor
ll
on Evevat ? 907.63
evatlon. ??.
5
??
Uenotes Q
p
iviiction ai ?rfacs Oral?napa
Propased
Lourest iloar ?
?
evation-
BEHLH MHRK = TOp NtIT OF HYDRflNi flT SN COR lOT 20, BI.OtK 2 ELEVfiTTON e S06•85
Na Meraby cartlfy thet thla Is e irue and carreet tepresentaLfon of a survey af tha boundarles ofs
LOT 18, BLOC9( 2, HNWTHtiRNE NDCO$ 2HR AqC2TYI0N, DHKOTB COUNiY, MINNE60TA
pnd the locatlo of ali buildings if any, thereon and all vtsshle encroachmenta if eny, from or
pn s?id Iqnd.?L qlso shows the ?aealtan af th4 a?.aka ea spt for e propased bui?ding. ?Is surveyed
try mr ar undar My tllrect supervlslan thfs 16th tlay o4 ?arch 199q.
McComjl& Frank Roox Hssaclates, Inc.
BY ° ..?„L!-Ld?i;il1`-- ---------
F'
091"` ?°i° "0°t9 W. 101°?' "0°R°°' ?' °uv' aui R. loh n
Lend Surve or , Mi nn. L f c. No. 10938
rnc - .?..?.. NtulUW.l010MGiNT.mLiO
McCoubs Frank Roor Rseaeialoo, 'rw. 161 ".40' CERTIFICRTE OF SURVEY
? 170M 89rd flre. N. a 'FOI"
PI ?oukh, Nil. 55447 Engin??re 288 70
F??'812/tiy8p8392 Su?iyara ? e10672 PRRTt HOMES.._____ _
g-971/? `'612 4468532 03-17-94 04:31FM P001 N24
I'AR 17 '94 04:31PM MCCOMBS FRANK ROOS
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4283 DRR?M6UTH COIIRT
SIX
?
E A A.N
REVfEWEO
?k
10
BY-a„?-.:......ce..
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?
, "•?;;?.?$.Q
(99.0) EXERGENtY OVERRLON
?{ A y\
.
rc u Af
EAGAN E1V'3INE?RIN((DEPT.
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Denotaa
Oanotas
Denotee
Qenoies Iron Menunent
Naod 5take
gxlstfn Elevation
Propase? Elevptiqn
01rOCtIOn pf Surfacr Oratnage
Proposed
Praposed
Praposed %
Top oP Foundetlon Evavation- 907.93
Garage Floar E+evatlon? 9QZ,?
Lowest F1oar E evation? 89y. 7
HENCH MNRK = TOP IVl1T OF HYDRflNT RT SW COR LOT 20, 9l.OCK 2 ELEVRTION = $06.93
Ne heraby certtfr that thls Is e 2rue end correet representatton of a aurvey of the boundarlea of:
LOT 18, BLOCK 2, HApTXORWE WOOp$ 2Nq IipDYTIION, OHKOTR COUNTY, MIMNE50TR
And the locatton of a11 buildings if eny, theteon and all vtetble encroachments if eny from ar
said Iand. xS lso showa tha ?aoatlon oP the e?.ak•s as se! for e proposed build'+ng. ?is surveyed
gy ma or undar my ?trect auperviston thts 16th day of March 1994.
McCom Frenk Rovs Rssoclatas, Inc.
BY°-?? ? -- --- ----------
au) F. rohn
v°?s?.c :??? e?anroa?.toiovmn':?m?i?o°' Land Surveyor , Mi nn. L ic. Na. 10938
NcCao6s Frenk flaor flssoefoteo, Ina. °°'''V'•4o11
CERTIFICRTE OF 5lIRVEY
13030 ZBrd flre. N. so-* hpe
Plyeouth, MN, 55447 Fnglns?re H96 70 f0 r
812/478-6010 Plann?rs , a PR?T1' FfAM?S
fax 832?47B-8S92 Surve ars ?ag7p
R?9?% 612 4768532 03-17-94 04:31PM P001 #24
? Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I
1 For Office Use u
Permit 4~ ! ~C
City of Ea110H
,Ilk
Permit a.-
Fee.
3830 Pilot Knob Road I P
Eagan MN 55122 RECEIVED Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 APR 7 2 2014 I Staff: 1
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ( /✓L ~ ~--6~. Unit
Name: Phone:
+
Resident/
Owner Address / City / Zip:
f ,
Applicant is: Owner . Contractor
- t l ~ t ( k7
'Um TA- - ` 57` ` '1it.r Gd ~11 ~
Type of Work Descriptio of work: ►
"1 . C8uh7`~ Ali cep a~►C~ YernaIh: 1111 ov 15
i~
Construction Cost: - Multi-Family Building: (Yes / No O t~ ®
( Company: i 'ntact:
li b-
i
Contractor Address: Q.- A City: r
State: Zip: SL5 V Phone: _ 4-31
License Lead Certificate I ~Q
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
t-,N, 01
/1' 7Y
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:
NOTE: Plans and supporting documents that you submit are considered 4o be public information. Portions of
[,_fhe information may be classified as non-public if you provide specific reasons that would permit the City to s
conclude that the 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.org
f
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 is ance.
" x 2
App icant' Printed Name p ant' ignature
zl.Ci/~ Page 1 of 3
yaele C14-
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 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 _ Repair Egress Window Water Damage
Retaining Wall "Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation f ~Zo Occupancy -T t6- MCES System -
Plan Review Code Edition 6b? SAC Units
(25%_ 100%-O~ Zoning City Water
Census Code k3y Stories Booster Pump
# of Units / Square Feet PRV
# of Buildings ) Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: -Ice & Water Final Pool: Footings _Air/Gas Tests -Final
AV Framing Drain Tile
Fireplace: -Rough In _Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick
Insulation Windows
Sheathing Retaining Wall: _ Footings _ Backfill _ Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES 31~y jf a20 7- G g oo
Base Fee
Surcharge (,✓I V,00W f yvoa
Plan Review / 3lf ~~J----
MCES SAC a0'
1 p ~ o0
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
9529331869 2151:07 05-06-2014 212
Use BLUE or BLACK Ink
For Office Use I
'a
-
T1(~ Eapn I Permit
City of I
~ Permit Fee: omUJ
~
3830 Pilot Knob Road -7
Eagan MN 55122 Date Received: !
Phone: (651) 675-5675 I 1
Fax. (651) 675-5694 1 Staff: I
I~Lc~ - -------J
r 2014 RESIDENTIAL _:RMIT APPLICATION
Date: Site Address: 1V Unit
Name: Phone: G I _ t(r, - j C
Resident/
a
5 C'
Owner Address / City I Zip: Y cS \_J c') tv~n .'~"l t:. '
Applicant is: Owner ✓6ontractor
Description of work: V it `C+ ('_'FV1,, r«It c=~2c: l c=nr:?h
Type of Work`
Construction Cost: C._ Multi-Family Building: (Yes No I_)
- -Company: _ PRACTICAL SYSTEMS -Yf Contact: C t
43428 SHADY OAK RD
Address: HOPKINS, MN 55343 City:
Contractor /
State: Zip: Phone: Q5 Email: V\.(' <6Lk, 1,
License#: 1 O Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
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.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. /
\C(VA -x X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131079
Date Issued:06/01/2015
Permit Category:ePermit
Site Address: 4283 Dartmouth Ct
Lot:18 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Katherine E Cass
4283 Dartmouth Ct
Eagan MN 55123
(651) 402-1106
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA133387
Date Issued:10/09/2015
Permit Category:ePermit
Site Address: 4283 Dartmouth Ct
Lot:18 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Katherine E Cass
4283 Dartmouth Ct
Eagan MN 55123
(651) 402-1106
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
DEPARTMENT OF SAFETY AND INSPECTIONS
Ricardo X. Cervantes, Director
CITY OF SAINT PAUL
Christopher B. Coleman, Mayor
ADDRESS: Katy cassql-Q'3
375 Jackson Street, Suite 220
St Paul, Minnesota 55101-1806
FUEL BURNING EQUIPMENT TEST RECORD
(Use separate form for each appliance)
lJ �nr� n ®v . r'
OWNER:
Type of Heat:
❑ Gravity Air
❑ Steam
Type of Fuel:
'AO ')1)
l Forced Air
❑ Unit Heater
❑x Gas ❑ Oil ❑ Other:
AT : Oct 9, 2015
Telephone:
Facsimile:
Web:
651-266-8989
651-266-9124
WWW. stpaul. pov/dsi
❑ Gravity Hot Water ❑ Forced Hot Water
❑ Space Heater
❑ Other:
Gas Design
Conversion
Make of Burner: Goodman
No
Serial:
Model: Gmec961004cn
°F/Net
Fuel Piping System - Okay?
Model:
Serial: 1509186322
Oxygen
12
Max BTU Rating:
Input:
✓
Make of Furnace:
Equipment Venting Type:
❑ Atmospheric
CI Induced Fan ❑ Other:
Total BTU input of all vented gas appliances per chimney: Na
Type of Chimney: ❑ Masonry
Type of Liner: p None
Vent Connector or Exhaust Material:
Combustion Air Supply Required?
Safety & Operating Control Tests:
❑ Type -C
O Class B
❑ Metal
❑ Type -B
❑Yes El No
Yes
No
❑ Other:
❑ Clay Tile
Plastic
Installed? 1 Yes ❑ No
Pilot/Flame Safeguard Operating Properly
Limit(s) Operating Properly
Operator(s) Operating Properly
Low Water Cut-off Operating Properly
All Controls Operating Properly
Fuel Analysis/Flue Gas Analysis:
Vents properly without spillage
Flame stays inside/Doesn't roll out
Burner lights smoothly
Yes
No
Combustion Analysis
Visual Inspection
Yes
No
Stack Temperature
231
°F/Net
Fuel Piping System - Okay?
✓
Oxygen
12
%
Vent Systems: Drafthood,
✓
Carbon Dioxide
7
%
Connector, Vent Chimney - Okay?
✓
Carbon Monoxide
14
PPM
Heating Unit - Okay?
✓
Look At The Total Heating System Before You Leave:
Yes
No
Does the system operate safely and properly?
✓
COMMENTS:
Name of Licensed Contractor:
Address: Katy cass
Phone:
Person Doing the Test (Print): Luke powell
Signature:
City of Saint Paul Certificate of Competency Number:
Use BLUE or BLACK Ink
For Office Use
Permit:ee
City of EaalPermit : /
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
buildinginspectionsAcityofeagan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: koe4r+ 01-ktl Cgs_s Phone: 65(- 75c,.� (E37
;..1.
Resident/ �{ Q (�
Owner Address/City/Zip: l a V bcf r �'1aoti" C
Applicant is: Owner Contractor
Description of work: ''e lot P--
Type of Work S
Construction Cost: 5_D 0 Multi-Family Building: (Yes /No ')
hT�� SCom
Company: !i r aNal CFl �(bc ontact:
UO
I L •
Address: [ ?5l 3 FO 6v/d' C. City: Far .' leo
Contractor x 75-01-
y ,�
State: /'?N Zip: 5-50d-15-50d-1 Phone: `S�`) � �email:
License#: C /7006 ei Lead Certificate#: N`u i g 3 76
If the project is exempt from lead certification, please explain why:
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 be classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. 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'fans.
x $ -eb evi Prvi-ta h v( x �C t�
Applicant's Printed Name Ap•Iicant s Sig :ture
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168068
Date Issued:04/08/2021
Permit Category:ePermit
Site Address: 4283 Dartmouth Ct
Lot:18 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-180
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 - Permit Fee (miscellaneous)$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 -
Katherine E Cass
4283 Dartmouth Ct
Saint Paul MN 55123--306
Master Pro Plumbing
3313 Wildwood Trail
Prior Lake MN 55372
(612) 290-4654
Applicant/Permitee: Signature Issued By: Signature