4288 Dartmouth Ct. . . ? INSPECTION RECORD
CITY'--`OF EAGAN PERMITTYPE:
3$30 Pilot Knob Road Permit Number.
Eagan, Minnesata 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
ii t i:i ll . ?Ili;': i?
,,? p{?,?:Ea? ,.,c,c????, ,?t?r? ? ,. t . ? , i ; , ? ;
F` .,4s1?, r1 Erm
TYPE OF WORK:
;,; I I. iG . , r+
. µ
wt 1.1
r Iti ? h 1 N? 1 ??i?l It y. .
INSPECTION rA . D•
.? .
Y I_'
hiY f I k I fV l+ R1 t:1di 42!
; ?;
Permk No. Permit Holder Date Telephone
ELECTRIC ?81y g? .S/Q
PLUMBING
HVAC ? ? e? 4 ? Q 95 ?? -Dzb 5
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
?
BSMT R.I.
BSMT FINAL fik azrnT ?r is
DECK FTG kPP1e0IrAL- Or- Tl'W ` BLD6.
DECK FINAL
?
`r .
, . .
CITY OF EAGAN
3830 Pilat Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION
•
`Ir,I I I fliil r?? : ii?t???'? 'P?li?
. _ . - ,:?.?:.:•-,:•?,;.,+r.rr.
PERMIT SUBTYPE: ?
?,?. _ • ,
R? . . _., . ..
s
_ - ? . -- - - - -. o.?.-- . .
icaRn
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
TI
N •
O
INSPEC DA • D
? t,nH? r!?,
I ??lih°•+ ?'F'+! `i & tJ E'LHR - PlF11 111t4A IjAN11 I.', f i tlii
?
Permit No. Permit Holder Date Telephone ri
S/W
PLUMBING 91C?? ?,73 j7'f,v
_
HVAC f
ELECTR 9 j(?
ELECTRIC
InspeCtion Date Insp. Comments
Footings ! ? f (l
! 14A
Foundation ' - G
Framing ?
Roofing
Rough Pibg.
( 22-T?1 ?G
Rough Htg.
Y
I5ul. ?0 3
Fireplace
Final Htg. O?,/
T
Orsat Test
Final Pibg.
Y P16g. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final !!
Deck Ftg.
Deck Final
Well
Pr. Disp.
U
? CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: g 2 4 4 8 7
(612) 681-4675 Date Issued: 0 9/ 0 2/ 9 4
SITE
4288 DARTMOUTH CT
LO7: 22 BLOCK: 2
HAW7HURNE 4JDOClS 2ND
P.I.
: 10--32151--220-02
t 7ype
Type
c'tV oF cagan
REMARKS:
PRV S& W PLBR - MA7THEW DANIEL5 PLBG ?
FEE SUMMARY
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$821.50
$533.98
$76.@0
$800.00
10@
1
2,231.48
SF DWG
NEW
F2-3 M-1
V-N
R-1
63
51
2
3,570
$152,000
MISGELLANEOUS $1,828.50
Total Fee $4,059.98
C:VIV I IiA[:IUH: -
MI7TELSTAED7 BROTHERS
785 SUfVSET DR
EAGAN MN
(612) 456--9125
Applicant - 5T. LIC
14569125 0003443
55123
owwER:
MITTELS7'AEDT 9RqS
785 SUNSET
ERGAN
(612)466-9125
CONS7
DR
MN 55123
? --
T hereby acknowledge that I have read this
information is correct and agree ta comply
Statutes and City nf Eagan Ordinances.
?
APPLICANT/PER GNATURE
applicatian and state that the
with all applicable State of Mn.
/azo ?
ISSUED Y: SIG E
_j I
Constructi,on Typ
Zaning
Building l.sngth
07 ?Ifi??31 ?
94 ? ??lt?D°"
Request ate
vr,..?) Fve No Rough-n Inspection Reqwred
(iou m
, call irispector wh eatly) Inspect iher Than Rough-In
eatly Now ? Will NoUty I spec
r(
u Vas No Date Reatly -
I licensed contractor ?owner hereby request inspection of above electrical work at.
No ) Qty
=No Towt
or No Range No Co t
PM1N
? 9- 17o
PowerSUpplier Address
EI ical Contrac[or (COmpariy Neme)
? Con ? cf fs ioens? NN
) l
Mailiiiin A tl s(COntra ar Ow r Making Inst Ilon)
Author¢e ig ature (Gonirec r/Ow er Making InstallaLO Pryo M
! 1J
1,s4??J
N TA STATE OAflD O ELE RICITY
II
II THIS INSPECTION REQUEST WILL NOT
G gs-M,dway Bld -Room 5-028 I? ?? I I I) II I I II I I I I I I BE ACCEPTED 8V THE STATE BOARD
1821 Unrvereity Av , SL Paul, MN 5104 UNlESS PROPEF INSPECTION FEE IS
Phone 4612) 692-0600 .
N ? FNn ncFn
REQUEST FOR ELECTRICAL INSPECTION
10- Sae mslmcnons for complevng this form on back ot yellow copy
"X" Below Work Covered by This Reques[
New A4Jdj Rep.j Type of Budding " Rppliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electnc Heatmg
Apt. Building Dryer Load Management
Comm /Industnal Furnace Other (Specity)
Farm Air Conddioner
Othcrp,pemiy) n actor's Remerks
Compute lnspechon Fee Below.
# Other Fee # Service Entrance Size Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transformers A6ove 200 Amps Above 700 -Amps
SIgf15 Inspecmr's Use ONy ?i TOTAL
Irngation Booms
ry
C?/ ' ?"
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY 13121014DERED DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby R°°gn-'" oa?e
cenify thai the above inspection has
been made. Final f Da[e ?/ ?
OFFICE USE ONLV 1
This requesl voitl 18 months fmm
i
L Fr.C??--??b
MZNNESOTA ENERGY CODF -A TERNATrvF rnMVrrnrrCFm
This form is only ,applicable to detached one-and-two_family dwellings. The
requirements herein are basel on amended Section 502.2.1.7 in lieu of the
criteria'specified iri Sections 502.2.1.1, .2 and .3.
Suilding Addzess:
Contractor or Oqmer:
"R" Valups
Ceilings
Design-YYRequired 38
Walls* (exterior)
Floors*
(overheated spaces)
Windows**
Foundation Walls
Slab-on-grade
floors
Doors
Footnotes-
Design-2-2Required 20
Area fsQ ftl
(without foundation)
Design_Required 20
Design3L!Required 2
DesignJ3.bRequired 5
(when insulatirig full depth of foundation wall)
Design_Required 10
(when insulating only to frost depth & footings
extend bqlow)
Desiqnj0 Required 8.83 "
Design-L?-Required 3
* For the insulated cauity of dgaque walls, floors, and rim joists.
** Maximum window area must not exceed 12 percent of the area of
exterior walls, not including fotndation walls.
C$RTZFTCATTON
I hereby certify that I have completed the above information and that it
complies with t Minnesota State Energy Code.
Signature __? Date: ?
L J ,1 3 O
cf? 9LO
?
Repuest Oate
Q_?
rte No
Raugn-In Inpsec0an Reqwretl
rou us all inspedor whan reatly)
Inspection Ofier Than Rough-
? Reatly Now ? Will NoM1ty Inspector
? Ves ? Nv ?ate Read
Ix licensed contractor ? owner hereby request inspection ot above electncal work at:
Job Adtlress (SVeet 6ax or Rw[e No ?
ft?7-90 lIZX Ca ?.,?T Ciry
ILq G.a
Sedion No TownsMp Name or No Range No Counry
Occupam (PqINT)
Phone No.
Power SoDPlier Aatl?ess
J7 f-4°E. ? f7 ?
Eiecmcal Convador iCOmpeny Nama) Conlractor4 License No
PU5'oN EG,c?7' i ?,.Uc G;.?Jpp(?
Matling Atlcress IGOnhactor ar Owner Making Installetion)
i AU?' iPio,P??9,F'? 53 3
Amhor tl&gnaNre iLoovadoNOwner Makmg Installation) Phone NumOer
MINNESOTA STATE BOAqO OF ELECTRIpTY THIS INSPECTION REQUEST W IlL NOT
Gnggs-Mitlway 61tlq - Foom 5473 9E ACCEPTED BV THE STATE BOARO
1821 Unrversity Ave . SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-01 ENCLOSEO
REDUEST FOR ELECTRICAL INSPECTION xela-aoCaai-oa
ow See instmcooos for complevng fiis larm an bfleK ai yellaw aopY W ?
? '?" ?yi'?•,?,?aT d' i?J ?
0 "X" 8elow Work Covered by rhis Request
ew Adu Rep Typeof6uiltling AppliancesWiretl EquipmentWired
Home Range Tempofery ServiCe
Dupiex
Apt Bwidmg
Comm.llndusirial Water Heater
Dryer
Fumace Electric Heating
Loed Menagement
Other (Specify)
Farm Air Conditioner
Other(speorfy) Convacmrs Remarks
Compute Inspechon Fee Below'
? Other
Swimmmg Pool Fee # SeroiceEntrance5rze Fee
0 ro 200 Amps ? # CircwtslPeetlers
0 to 100 Amps Fee
Q?
Transformers Above 200 _ Amps Above SBBy- Amps
SIynS Inspecmr's Use Only tN DTAL
Irngahon Booms
Special Inspecllon
Alarm/Communica6on THIS INSTALLATION MAV BE OROE ?11SC?NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, here by RougRin ? Da
?
certify that the above mspection has
been made. F,nai oa1e
nFoicE use OuLr
Thrs request voitl IB months Yrom
?% i1" r r.. ...i .. u, % , Y L.
SEE SW?ET N0.6
. 1
?
.
7
15
14 M.H. 20
V7 LT. P0.?y
1+23?
?6.1-I/16 8i I/32
BENDS
6" GATE VALVE
24 ?
`\ \
23
. ?
16
.?
M.H.19 ?
I[. P. 0. T
,. 3+23? /
J \ / 1?
?
., -
22
... .
:
?
.
a
27886
?
Requast Date
?
?/- ?-7
I i e No Rough-in inspection
e mretl'+
?
? Reatly Now ?/1M1??hen Nobfy Ready9e?.
?
- 1
05 C NO
? licensed contractor ? owner hereby request mspection oF above electrical work at.
Job Aatlrass ISireet Bax ar RoWe No )
9,1 w7VKokT1L ? u. CM
E W ?-R
Senion N. Township Name or No Range N. CounTy
Occupant PRINT?
/
Phone No ?"_j ?`177!
/ /
? EL?A?DP Bas
Power Supplier Atldress
Erechmal ConVacror ICompany Namel
c
7'
uE
F
T
f
3 `
/ Contraclor's Lioense No
z
CA 00 6
-
iv
oN E
-c
I
-
-1
- ,,,
Matlng Atltlress fCOnVador o, Owner MeMmg Installauon?
r.fsf3""l?A+nvs? n? p? a2LqK mw ss
Auti SgnaN IGoniractor/Owner Makmg Installa?ionr Phone Numher
R.r..?,..-. `fLlo Y7 o 0
MINNESOTA $TATE BOAHp OF ELECTPICITY THIS INSPECTION REQUEST WtLL NOT
Gdggs-Midway BIEg. - Hoom 5493 BE ACCEPTED BV THE STATE BOARD
1821 Unlverspy Ave.. SL Paul, MN 55104 ?, UNLESS PROPER INSPECTION FEE IS
Phone(611)6C2-0800 ENCLOSED
Sey/95 REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oe
S?g}? fz? Q ?
n ?? See msVUCtions iw compleling Ihis brm on Oack of yellow ropy E
? L?88'- X" Below Work Covered by This Request d?•?•?
ew Add Rep TypeolBuilding AppliancesWired EqmpmentWiretl
Home (7ange Temporary Service
Duplea Water Heater Elecirw Healing
Apt. Buildinq Dryer Olheo-(Specify)
CommJlndustnal Fumace
Farm Air Conditioner
'2 152?itfi po p.?
Over (sUeciy) Conlractor5 Remarks iE ?
w ? F-^
Compute lnspechan Fee Below
# Other Fee # ServiceEmrance5ize Fee # Circuns/Peeders Fee
Swimming Paol 0 to 200 Amps 0 to 100 Amps
Transformers Ahove 200 _ Amps ? Abov 100 _ Amps
SIJns Inspector5 Use Oniy ? T (1
Irriqation Booms
.1 Q '
Y
U
Special Inspechon ?
Alarm/Communication THIS INSTALLATION MAY BE ERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, the Electncal Inspector, hereby
Rou9h-in /
Date
certity that ihe above inspection has
been made. Date /a Z
OFFICE USE ONLY `
This request voitl 18 months imm
?. ,
?
W.
0
0 0
?D 0
57?I 0
¦? a
0
0 0
LOT BIIRVEY CSECRLIST FOR RESIDENTIAL
BIIIL
PROPERTY LEGAL•
Date of surveye ???
DOCIIMENT STANDARDB
• Registered Land Surveyor siqnature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and.bat scale
• House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
• Directional drainage arrows with slope/gradient 8.
• Proposed/existing eewer and water services
• Street name
• Driveway
ELEVATIONB
Existina
0 • Sewer service
U 0 • Lot corners
_
ff? ?' • Top of curb at the driveway
?
0 B- ? • Elevations of any existinq adjacent homes
PlOD09lQ
[? ?
? 0 • Garage floor
0
? ? • First floor
? 0 • Lowest exposed elevation (walkout/window)
0
0-10 0 ?
0 Property corners
• Front and rear of home at the foundation
PONDING AREAS (if aoalicable)
D H?? • Easement line
0 C? ? • NwL
? ? 0 • Hwi,
13 ?/? • Pond # desiqnation
D L7 O • Emergency Overflow Elevation
Cf? D • Lot lines
Pf D 0 • Riqht-of-way and street width (to back of curb)
?D 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
?D 0 • Show all easements of record and any City util3ties within
f those easements
i? 0 II • Setbacks of proposed structure and setback of a8jacent
-' existing homes
0? D • Retaining w?ai'r?eTairements, if any
Octobei 1992 Na-1% "' / ? / / Da
i4qqy
4 ?, an, 11
,?' `°;
,? ''
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site rveys,,,l opy of e ergy
?
calcs. ?' ?
1994 '
COMMERCIAL 2 sets of architectural & structural
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 Valuation of work J(p6 9f.Z2
Site Address: y2gv ha?T/?GtY7f ???/s2T
STREET SU1TE #
Tenant Name: (commercial only)
LOT 1.Z BLOCK ? SUBD. ?249- P.I.D. #
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
qddress
STREET STE #
City State Zip
Company PZrv2rg_yTl?f /?5L, CAW--`.Pr. Phone 'rz?SG9/2?
Contractor Address -7e,5 .Uii2, License #34IV3 Exp.
City State ?14?, Zip 1<31??
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber /?61z? sev_S 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: - ?
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
14 02 SF Dwg.
? 03 SF Addition
O 04 5F Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
tlr,? '? 4? s r? ?
?
? 11 Apt./Lodging
? 12 Multi. Misc.
O 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
WORK TYPE
f9 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMA71C1N
? 35 Tenant Finish
? 36 Move
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
11 20 Public Facility
0 21 Miscellaneous
? 37 Demolish
Const. (Actual) J?_-N Basement sq. ft. /,T/s MWCC System
k
(Allowable) ,_r- Al lst F1. sG. ft. 3sz _
City Water ?
UBC Occupancy 2-3 /m_i 2nd Fl. sq. ft. 9°3 PRY Required
Zoning /z-i Sq. Ft. total 3,5- 7o Booster Pump
# of Stories z Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ?
Depth ?L On-site sewage SAC Code o,
e
Uni
APPROVALS ensus
t ?
Planning Building Assessments
Engineerinq Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
0 Footing
10 Final
IE Framing
? Draintile
M Insulation
? Fireplace
Permit Fee g /,sz,?o =
Surcharge
Plan Review
License
MWCC SAC -
City 5AC yyK??.r • sa?
Water Conn.
Water Meter zzx Ii° 7°9
Acct. Deposit ,y X B , „z
S/W Permit
S/W Surcharge
i? F/O.L7 2o2 7
` J
Treatment Pl.
Road Unit -?--- -
Park Ded. ? i a,s r?S' /5 7Lf
Trails Ded.
-
Copie$
Other ?
TOtdl:
5AC %
SAC Units
r.s K 9-
?ss _
?i 1sa„ sY, ?3,,,6
z N?i
r
1y?.33 . 79Z
,sy=ya.7tq
6qrcAgl
Zo.SSX30 ` 6,041.5'
2 K !a = 20
------------
LJa f /?a' /oa15o
PERMIT# ??`] D--
RECEIPT DATE. b ' S-Q (
RESIDENTiAL PLUM$INfi PEtMIT APPI1CATION
crrYoFEa?sm
3$30 PILOT KAOB RD
PASAN, MlY 55122
651-6$1-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITYZ
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repairlrebuild of RPZ
• Iawn irrigation system
• water tumaround
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC ticense
?,? ? ?
State Surcharge IUI n ? ??? (? r '
$ .50
?
Total JUN QPQOI l? c?
?
$
_-) --
-
1
Reminder. Be sure to schedule inspections of alterations, i.e.i"ter heaters,_water_sofFeners, etc.
I hereby acknowtedge lhat I have read this applicaGon, state ihalthe mformaUOn is correct, antl agree lo comply wdh all applicable Ciryof Eagan ordmances. It
is the appiicanfs responsibility to noFify the property owner that the City of Eagan assumes'rrtrli dity for any damages caused by the Gty during ils normal
operahonal and maintenance activi6es [o the faci6hes constructed under this permit within City p perty/righbof•wa amen
SIGNATURE OF PERMITTEE
? single family dwellings
• townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
TELEPHONE #:
(AREA CODE)
Updated 1101
Place a check mark next to the permit work type
, PERMIT CR 3 4 G19
C9TY OF EAGAN
3830PilotKnX Road PERMITTYPE: guiLozNG
Eagan, Minnesota 55122-1897 Permit Number: 02S422
(612) 681-4675 Date Issued: 04/20 J95
SITE ADDRESS:
4288 DARTMOUTH CT
LOT: 22 BLOCK: 2
HAWTHpRNE WOODS 2ND
P.I.N.: 10-32151-220-02
DESCRIPTION:
(DECK INCLUDED)
B,uslding?-?Permit Type SF ADDS7ION
PUk=ldirtg W14k. Type NEW
?
?,? _ .. ..,
x
' ... -??,
y `
y +",".?:w_
"a
x
_ is •;¢'d us ;s':`s` ;' ,Y,ab aut? ?
`? . i?.etw?-"a '"?'( c"$.'E.°°-n' a?:.;????•''t'?.a
i a ? .x 4r x
i$ ?{?.m ?-?.-?'i?m`
REMARKS:
A SEPARA7E pERMIT IS REQUIRED FOR ANY ELECTRICflL WORK
FEE SUMMARY:
VALUATION $11,000
Base Fee $126,00
Plan Review $81.90
Surcharge $5>50
Lic. Search Fee $5.00
Tota1 Fee $218.40
CONTRACTOR: _ qpplicant - sT. LzC. OWNER:
MI77ELS7AEDT BR05 CONS7 15521771 0003443 MOODY JOE
2425 96TH ST E 4288 DARTMOUTH CT
INVER GROVE HTS MN 55075 EAGAN MN
(612) 552-1771 (612)688-3170
.
1, heretty aeknoWledge thrat _I tiause?r e.a? Chis=apPl=3:c,atiort an.d? sta°t$ th?i,t tYte = . .
-.3n f rrYmatiqn is -c or-i-:eat and, agr`e2? to ctsinp,?yn+.i,i?fit appl=ie?b1q 'S't.?'t?: ?df ?1n,
' wtaCUtes, and City'of Eaiyam 0rdsn?anc,es,`? ;.• r' ` ar'=,
' • ?? ? ' - Jw?i,i _?.?
_
APPLICANT.?PERMITEESIGNATURE ISSUED I TUR?
M41dl
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675 ? ? ? ENED
° ?•sa ' 3 <?,n?
4M.40
SINGLE & MULTI-FAMILY 2 sets of plans, 3 register d„Sjte_sw^.veys,..l opy 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 Valuation of work
Site Address:_. `?2 ? lL?i2rrr?/u7X ?2T
STREET SUtTE #
Tenant Name: (commercial only)
LOT BIACK SUSD
- p.I.D. #
,,,
"
Descri tion of work: G? 9? .-
The applicant is: ? Owner Ef Contractor ? Other (Uescribe)
Name c19AJ L/ ?T E Phone
Property LAST FIRST
Owner qddress 424C D;?,2??r? Cr
STREET STE #
City State Zip
Company 773;Z? Phone
Contractor Address _ 2?25 `??"LSr. License #__34/z/-3 Exp.9&
City 5tate Zip ?+So??
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 r
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
P103 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. -4245 Deck ? 20 Public Facility
? 21 Miscellaneous
woRK nrPE
PL31 New ? 33 Altewationa ? 35 Tenant Finish ? 37 Demolish
? 32 Addition p 34 Repair ? 36 1Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
?.Site
? Wallboard
Basement sq. ft.
Ist F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
? Framing
? Draintile
zm
o/
1-
0
? Insulation
? Fireplace
Permi t Fee veiuacio,: g O a o '
Surcharge
! Plan Review
License
MWCC SAC
City SAC
' JYK /L =/(ofSx SY= ? 07Z
Water Conn.
Water Meter ? ?C V_ 267-0
Acct. Deposit f--
S/W Permit
S/W Surcharge /?, 2 7 z
Treatment P7.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
sac %
SAC Units
?*ri Le '95 ii:ie M[rTELsnamr aao
, ? .
5529072 T0: 612 681 4360 P0L
This gat•m ie only applicable to detaChed one-and-two lamily dxellings. The
raquirsmrnta herola ara based on amanded 5eotlon 502.2.1.7 in 11eu of the
crlteri.a spealiied in Seation6 502.2.1.1, .2 and .s.
euilding address: y-Aw A'02rrXa.,er"N
Contractor or Ovner:
"R" Valuee brea Ls3.t a= Bat.Kalls
Csilings Deaign-JbLttequired 38
Wa11s+ ( oxtarior) deeign V-Required 2Q 36ng
(without toundation)
Plooxs+ Dasiqn- Required 14
(overheated spacsa)
windows*• Design-LIRequizad -Z ,?c?? . ??• ;7d' ?
Faundatioo Walls Desiqnl.URsquired 5
(whet? insulatfng full depth of foundation wall)
Desiqr.,,,?ltequired ?b,
(whQn insulating only to lrost depth & footings
extend below)
slab-on-graae Design=Requlrea 8.83
Ploora
Doors
Faatnotes• . Design-LY-Required 3
• Fvx the insulatad cavity of Gpdque walls, #loora, and Fim joists.
** Maximum Wihdow are8 mu6t not exceed 12 percent af the area of
extericr walls; not Snaludinq foundation walle.
CEHTIFICATION
T hereby certity that I havo completed the aDOVe infoYmaElon aftd triat it
cnmplies vith t e Minnesota State Energy Code.
.
Si.gnatu;s Odtet. ?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUII2ED FOR EACH UNTT.
X NEW CON5TRUCTION
ADD-ON AJC
ADD-ON FURNACE
FIREPLACE INSERT
DATE % -/J- 94
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU . 6.00
GAS OU'TLETS (MINIMUM 1@$3.00 EACH) - 60
ADD-ON/REMODEL (EXISTIrrG CoNSTRUCr[oN) $ 20.00
STATE SURCHARGE .50
TOTAL J6. ?p
SrrE ADDRESS:42RR a? ,
OVVNER NAME: WARtLLLt??, JLML.,/MO[)CIT TELEPHONE #: q2y-g4?c.5
N "-,tA) Q-)
SIG ATURE OF E E
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
CITY: Oo STATE: kkf?_ ZIP CODE: 6W 72
TELEPHONE#: C\`7 '?o0ab
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO; FQR TOWN?I30MES AND "
CONDOS WHEN PERMITS ARE REQUII2ED FOR E:ACH UNTf. ,
NO. FIXT[IRES EACH TQTAL.
a SHOWER 3.00 C? . o G >
`t WATER CLOSET 3.00 I a- oc--
a BATH TUB 3:00
S LAVATORY 3.00 ? 5• a? ;''
? KTTCHEN SINK 3.00 '?• ? ?..
_t LAUNDRY TRAY 3.00 ?• °?
HOT TUB/SPA 3.00
? WATER HEATER 3:00
FLOOR DRAIN 3.00
?
? GAS PIPING OUTLET • ?m - i 3.00
ROUGH OPENINGS 1.50
WATER SQFTENER 5.00
PRIVAT'E DISP. • nai.cty. ua 20.00 ,
U.G. SPRTNK7.RR • noroe una« ?. 3.00
ALTERATIONS • m cxktmg 20.00
WATER TURN AROUND 20.00 '
STAT'E SURC'HARGE .Stl ,
TOTAL:
SITE ADDRFSS: L{ C%_r? c+
OWNER NAME:
INSTALLER: T?4<'t?_1,--_r
ADDRESS: 1 S Z3 c? C-Jc&-?,-.sz \?S't?-
CITY: STATE: V-1 ZIF CODE: S S v?`?
PHONE #: (?)
V),
SIGNATURE OF PE TI'I'EE
1994 PLUMBING PERMIT (RESIDENI7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122 .
(612) 6814675
?k
CITY USE ONL`?+ ??-
L ? BL ? RECEIPT #:
SUBD. DATE: ? ? 9S
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
? PAdd-o,p air conditioning Fireplace conversion (to existing firepiace)
Date: f'9(0-C)q 'q,??)
? Minimum Fee: Add-on/Remodel (existing residence only) $ 2Q.00
? HVAC: 0-100 M BTU
Additionai 50 M BTU
24.00
6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State 5urcharge
TOTAL
.50
60• ??
SITE
OWNER
PHONE #: ov? 1 v
INSTALLER NAME: IC ` 0
STREET ADDRESS:
CITY: r/Tn1STATE: MnZIP: ? r()
PHONE#: (?I?) R*- ??
??`? ?J
-?cj?yo 2007 RESIDENTIAL BUILDING PERmuT ArPLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcfion Requirements
3 regislered site surveys showing sq. tl. of lol, sq ft. of hause; and all roofed areas
(20% marimum lot coverage allowed)
i Sails Reporl'rf praposed building is to he placed on distur6ed soil
2 mpies of plan showing 6eam & windovr sizes; poured found design, elc.
1 sel of Energy CalculaUons
3 copies of Tree Preservalion Plan If lot plalted afler 7/1193
Rim Joist Detail Options seleclion sheet (buildings with 3 or less unils)
Minnegasco mechanical venlilalion form
RemadeVReoaii Reauirements
2 copfes of plan showing foodngs, 6eams, joisfs
1 se1 M Energy CakulaGons for heafed additioiu
1 site survey for additions & decks
Addifion - indicafelJon-sffe septic system
Plans are considered nuhlir_ infnrma+in., nnlnce .,..i. .,.,, a__A
90.00
Office Use Onlv
CeA of Survey Recd _Y _ N
SoilsReport _Y _N
Tree Pres Plan Recd _ Y_ N,
TreePresRequired _Y _N
Onwile5eptlc5yslem _Y _N
Date _ei / _0-'7
Site Address ,,...,6...` .,,W a1 V .l auC zmcrez ana tne reason.
Construction Cost _ l Z ?l ? 3 0,
4- UniUSte #
DescripHon of Work Re rn n'Y'
Mu1H-Family Bldg _ Y r N Fireplace(s) _ 0 _ 1 _ 2
Property Owner /<e ,/ ? ?..? 1r a Telephone # (EiS( ) g c(!
Contractor ?QN1'IOC?P/
Address 51?7?e? ?-1
State /0w
Zip e?' Z Ly?, -
Telephone # ( j??7)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cate orv 1 _ Minnesota Rules 7672
(J submission type) • Residentlal Ventilation Category 1 Worksheet . New Energy Code Workaheel
Submitted Submitted
. Energy Envelope Calculatlons Submilfed
In the last 12 months, has }he City of Eagan issued a permit for a similar plan bpsed on a master plan?
_ Y _ N if yes, date and address of master plan: _
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
apply for a Residential Building Permit and
Telephone #( )
Telephone #( ).
Telephone #( ).
that the information
comnlete
ulaL cne wonc wui oe m contormance 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
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of pians.
. L& e/lil ef 4o l/
Applicant's Printed Name AppJ cant's Signature
Estoblished in 1962 38357
LOT SURYEYS CONePANY, INCr F B. NO• Ca7-60- ,
LAND SURVEYORS
REGISTERED UNDER LAWS OF STATE OF MINNE90T
7601 - 73xd Avenue Norfh 660-3093
MinneapolG, Minnesotx 56428
?ruuynro dif?
MITTELSTAEDT BROS. CONSTRUCTION
Property located in Section
25, Toxnship 27, Range 23,
Dakota County, Minnesota
Property Address - 4288 Dartmouth Court
SCALE I" =
o Denotea Iron Monument
? Denotea Wood Hub Set
For Excavatfon Only
x000.0 Denotea Exlttinq Elevntion
roo,? Denotea Proposed Elevqtion
¢ Denotes Surface Drainaqe
Proposed Top oi Block
//kProposed Garaqe Floor
D3, A
proposed Loweaf Floor
Type ot Buildinq -
4 l,--.ve,j
? r
? ?ip
7
Q \ ` ?
_.??p ~J eC, / ?Am ?`-
,
\\ ,/ ? N 1/Or p,?0?0 \ 7?
?0
??r ?? \ ??QQ7 9105 SQq -
? N ? ?8pr? ? ? II o? ? ?? ??? ?8
a ? VRq/N,OG
J ? iz,
e
fi Q' ?4
h
?
? c
?
• - .'_
?
lot 22, Block 2, HAIdTHOP.NE WOODS 2ND AUDITION
Proposed building information must 6e checked with approved building
plan before excavation and constructlon.
TM pnly 9*NNnentt shown tre from plata o( record a infortnetlon provldad by
cilen4
yyr hersby pAly tlwt thls 4 a trw and cotrect repreaentatlon of a aunrey ot tM
poundarlw of tM abow descrlbad land and the location of all bulidinqe and via-
Jbk encro+ctwnenb, It+nX from a on safd IuM.
Surveyed by us this 29th day of August 19 94
Signed
ond A. Prasch Minn. Req. No. 6743
i
,
'
Established in 1962 38357
LOT SURVEYS COIIAPANY9 lNC. F 9?NO. N cai-60
LAND S[lR'VEYORS SCALE Y' = 2n REGISTERED UNDER LAPIS OF STATB OF MiNNE$dfA
7601- 73cd Arcnue Not?h 680-3083
Mianempotis, MlanaoCt 66428
*trttpvuro Q7.etffkth°
MITTEL57AED7 BROS. C611STRUCTIDN
Property located in Section
25, Tormship 27, Range 23,
Dalcota Gounty, Minnesota
Property Address - 4288 Dartmouth Court
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?Q , ` ?N
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?v, f ' ;-
'yy_. W .?/--?`-° " _ ` . ?..-•
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.
?
ry,,
o pqnotss Iron Monumenl-
0 04notes Wood Hub Set
- Fqt Excwation OMy
¦000.0 penolss Exietlnq Etevaiion
O Dpnotea Propoaed Elevalia?
E-+ Deootea Surface Drainaqe
a P?oposed Top of Block
P?oposed Garape Floor 9°3 q Propoaed Lowset Floor
i
7ype of Buildinp -
I , • I
?
?
/
? -?
?
Lot 22, Block 2, NAF((MOP.t7E NOOAS 2ND ADDITFON
/
!
.?
EIVGIIVEERIIVG DEFT. -
pp?o V o
Proposed bubduny in(ormalion muol be eheckcd with opproved building
pim before oxcovallon and conatruction.
71r only NNrrnnri slwwn am hnm Qlots of Acad or Inlotmallon pro+fdoA by
d{mic.
Nb hwybY wrtly Md tlds b a vw and oortect ropresentatlon ot a surwy ot tne
powdwlw a( qw apwe dNalbed W W and Ma focatlon ol atl Gultdlnps arxi vis-
IbN w1anoGwMnts, If?rtrom or on s?W Irid.
g?rveyWpyus thts Z91.h dayof August 19 94
- r , --.. - -
+. ?. . f
i?.. _ . _. ..
3iped I 5d=-
R mond A. Prasih Mim. Req. No. 6743
?
.
Use BLUE or BLACK Ink
For Office use I
I !
Permit
4p~
My of Eajan SEP 3 0 Q
( Pennit Fee:
3830 Pilot Knob Road
Eagan MN 55122 r v ; Date Received:
Phone: (651) 675-5675 C' !
Fax: (651) 675-5694 i staffI
2011 MECHANICAL PERMIT APPLICATION
Date: Site Adore' 11-137
PAUL DAVIS RESTORATION
Tenant 4288 DARTMOUTH CT 11~'
Name: EAGAN, MN 55123
RESIDENT I OWNER RON 612-968-5240
Address I Ci,_
i Name: MIDLAND HEATING AND AIR icense
Address: 413 WEST 60TH ST
CONTRACTOR MINNEAPOLIS, MN ty
State: 612-869-3213
Contact.
New a- Replacement Additional Alteration Demolition KK
Y
TYPE OF WORK Description of work:
hIdTE. Roof mounted and grc no unte mechanical eq pn►e6 is requipip s .ed~ tf
-Code. Please contact the Wiii tanicar for information on s
P ;
RESIDENTIAL { COMMERCIAL
T Furnace New Construction Interior Improvement'
Air Conditioner Install Piping Processed
PERMIT TYPE -
_ Air Exchanger Gas Exterior HVAC Unit
_ Heat Phsrhp Under 1 Above ground Tank Install 1 _ Remove)
Other
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (wcludes $5.00 State Surcharge)
$95.00 Fire repair (replace burre=d out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES:
t
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge) = $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 far each $1,000 Permit Fee - $ Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE
CALL BEFORE YOU DIG. Calf Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before
you intend to dig to receive locates of underground utilities. wwwr.uordherstateonecalf.em
I hereby acknowledge that this information is complete and accurate; that the work w9N 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 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_
Applicant's PrInte me Applicant's gignaMb
FOR OFFICE USE.
Required Inspections: Reviewed By: Date:
Underground Rough art Air Test Chas Service Test Ira-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type: Plumbing
Permit Number: EA105436
Date Issued: 0711612012
itj of 0n Permit Category: ePermit
R
Site Address: 4288 Dartmouth Ct
Lot: 22 Block: 2 Addition: Hawthorne Woods 2nd
PID: 10-32151-02-220
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary: PL - Permit Fee (WS &/or WI) $55.00 0801.4087
Valuation: 848.00 Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: -Applicant - Owner:
Champion Plumbing Kevin K May
3670 Dodd Rd., #100 4288 Dartmouth Ct
Eagan MN 55123 Eagan MN 55123
(651) 365-1340
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118486
Date Issued:11/01/2013
Permit Category:ePermit
Site Address: 4288 Dartmouth Ct
Lot:22 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-220
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Kevin K May
4288 Dartmouth Ct
Eagan MN 55123
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA119951
Date Issued:01/06/2014
Permit Category:ePermit
Site Address: 4288 Dartmouth Ct
Lot:22 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin K May
4288 Dartmouth Ct
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143590
Date Issued:06/20/2017
Permit Category:ePermit
Site Address: 4288 Dartmouth Ct
Lot:22 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-220
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Kevin K May
4288 Dartmouth Ct
Eagan MN 55123
(651) 443-2241
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157061
Date Issued:08/01/2019
Permit Category:ePermit
Site Address: 4288 Dartmouth Ct
Lot:22 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin K May
4288 Dartmouth Ct
Eagan MN 55123
(651) 905-1554
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature