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4295 Dartmouth CtCITY-OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55 1 22-1 897 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: ?a? •?#r PERMIT TYPE: Permit Number. Date Issued: TYPE OF WORK: INSPECTION D. . D• . . ?..,.? i I J i i 1 Permk No. Permk Holder Date Talephono • ELECTRIC PLUMBING HVAC Inspectlon D iikt In . Commen FOOTINGS FOUND ?119? /?loL FFiAMING .4 RODFING ROUGH PLUMBING ?d PLBG AIR TEST - ?tr ROUGH HEATING GAS SVC TEST ? INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG U FINAL HTG f C? ORSAT TEST ? BLDG FINAL 7 BSMT R.I. BSMT FINAL DECK FfG DECK FINAL , 'x ciTV o _ i 3836 Pilot ot Eagan, Minnesc (612) 681-4675 PERMIT TYPE: Permit Number. Date Issued: cRo? ?? (e/g% BUILDING 025936 06/29/95 SITE ADDRESS: P.I.N.: 10-32151-150-02 S F DW6 NEW R-3 U-1 V-N R-1 66 51 2 2,460 FEE itu FCalagan 4295 DARTMOUTH CT I.QT: 15 BLOCK: 2 HAWTHORNE WOODS 2ND S& W PLBF2 - R C PLBG oN $180,000 Base Fee Plan Review Surcharge SAC SAC % SAC Units Lic. Search Fee Subtotal lding Permit Type lding Work Type Occupancy struction Type ing lding Length lding Width - ldinq staries $1,287.25 $450.54 $90.00 $850.00 100 1 $5.00 $2.682.79 MISCELLANEOUS $1,892.50 COPY $.5@ Tatal Fee $4,575.79 - CONTRACTOR: - Applicant - ST. LIC.?, OWNER: LEONARD HQMES, SGOT1" 14547992 20004369 SCOTT LEONARD HOMES 12084 GANTRY LN 12084 6ANTRY LN APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 454-7992 (612)454-7992 .4 I hereby acknowledge that I have read this application and state that the ? intormation is correct and agree to comply with all applicabl.e State of Mn. ? Statutes and City of Eagan Ordinances. ? APPLICANT;PERMITEE 51GNATURE' ISSUED B SIG ATUR 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651)675-5694 ?----------------i ? For Qff,cCUsg ? Pertnit I Permit Fee. l v ? ? Date Received: (P o2? ? I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: qZ ?/S Gz Tenant: Suite #: RESIDENT I OWNER Name: S;?ltcreste ? Phone: Address/Ciry/Zip: ?e''`afC SS?23 Applicant is: _ Owner '_'(?Contractor TYPE OF WORK Description of work: Construction Cost: g L> 34, Multi-Family Building. (Yes _/ No ? CONTRACTOR Name: License#: Address: -!'i7G 2°` fm p'?? fiz?? City: State: Zip: Phone: 30Contact Person: ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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 docuroents thatyouu;sutimit are c'onsideied to be public intormation. Poifions of the information may be classified as non-public if you provide speciric reasons thai would permit the City to : conclude that the y are trade secrets. .. I hereby acknowledge that this intormation 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 pertnit, but only an application for a permit, and work is not to start without a permil; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. G? x ? x ApplicanYs Printed Name ApplicanPs Signature Page 1 of 3 PERMIT # Hf ?7 ` RECEIPT DATE: USIDENTIlkL PLUMBINfl PFfiMIT APPLICATION crrY oF FrtsAv 3830 Paor xxos [tn swsa?x, Mx ssi aE 651-691-4675 Please complete for: SITE ADDRESS: OWNER NAME: : ? TELEPHONE#: 640 "/;P' 7S"3`r (AREA CODE) INSTALLER NAME: 4?V°eJ7_drt 1116GN TELEPHONE #: ?? '/S6 ? (AREA CODE) STREET ADDRESS: 190 501W•A9r,15 RQ CITY: of AGldrJ STATE: Mn/ zIP: PI h k mark next to the ermit work t e ace a c ec 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 installationlrepaiNrebuild of RPZ • lawn irrigation system • water turnaround Nature of work: Septic System, newlrefurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC hcense State Surcharge $ 50 I 001 t T $ o a B Reminder. Be sure to schedule inspections ot aiteratractfl-+.,?eJnracer neacers, wo«isc- ......., -. I hereby acknowledge thal I have read this application, slate that Ihe information is correct, and agree to wmply with all applicable City of Eagan ordinances. It is the applicanPS responsibihty to notify the property owner that the Cily of Eagan assumes no liability for a4dama caused by the C iry during its normal operational and maintenance ac6vifies to the facilities constmcted under this permit within City propert lrisement. SIGNA E OF EE Updated 1/Ot ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system ,/???.r/ L ? BL CITY USE ONLY RECEIPT #: ?` ? SUBD. 10d DATE: ?? 9S 1895 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? single family dwellings ? townhomes and condos when permits are required for each unit / New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: g ) 3 / 1.f FFFC ? Minimum Fee: Add-on/Remodei (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24. Additional 50 M BTU izal-I ? Gas Outiets (minimum of 1 required @$3.00 each) 3140 ? State Surcharge .50 TOTAL 3. YG SITE ADDRESS: y°t 9 S? 919 f !/h 0?? OWNER NAME: Le'A110/Ld //D}a-tL l PHONE #: r92" INSTALLER NAME: GR? ??S /?T`/ ?/?I?2 C or?jJ ?N t. STREET ADDRESS: 3 ,?SS? ?3 ?S? ?-? cinr: X a st m 1 u? r STATE: /?'7N ziP: S`tG/a 5;? PHONE #: 23 -551 a 7- T? Sf _ 7T • CITY USE ONLY L ? BL RECEIPT #: SUBD.?..p.urix'Y}rin.?_ -?r DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? singie family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x 3• - Water Closet 3.00 x = ?= Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x = 3: - Laundry Tray 3.00 x = 3-" Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x Gas Piping Outlet ' minimum - 1 3.00 x Rough Openings 1.50 x 3 =,?-F. Sb Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTA! tA-eD SITE ADDRESS: 4295 Darthmouth Court - OWNER NAME: Scott Leonard Homes INSTALLER NAME: R C Plumbing STREET ADDRESS: 5910 Chester Ave CITY: Northfield STATE: Mn ZIP: F??57 PHONE #: ( 612) 461-2096 ? MITTEF- LOT L BLOCK,.& SUBD,9du? &IkW6 j ? RECEIPT# SS'Y"w5 DATE ??v/9(P 1996 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMEFtCIAL INSTALLATIONS: PORM MUST BE COMPLETED BY LICENSED PLUMBER Date: Commercial GPM Residential (boulevards) GPM ? Existing residential , Area/address to be irrigated: Z? .S 11 c;t, Y7m Installer: 4?A I I?- ? IL, m b i= Owner ? Plumber Street address: S^ Z0 3-6 rv v-Q City, state & zip code: Y?l iJ Phone #: 7 Owner N Street adc Ciry, state & zip code: Snzz? K\ 0 Phone #: I-? ? Irrigation contrector, if different than installer: Telephone #: I hereby acknowledge that I have read this application, state that the informairid-Wis correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the propeMy owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. App icl ant's signature Approved by: Date: PRV ? Yes ? No New service ? Yes ? No Meter Size & Cost Title Fees due: ? Calculated-F.:? ? p ?L7 6-// /'• /aff,. 0 k PROCEDURE FOR IRRIGATION SYSTEMS - 1996 An irrigation permit jg required - please contact Protective Inspections at 681-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee only if new service is instailed. $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $760.00 oer connection - WAC. $396.00 per connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not required if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $182.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $822.00. This information is to be supplied by the designer of !he systsm. No meter will be sold before all sewer and water inspections are compiete on a new service. lf new service lines are not r q?i? red, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. CITY USE ONLY d L ?? BL ? RECEIPT #: SUBD. Z??J'.U?? Gt/" c?2_? DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681-4675 Please compiete for: ? singie family dweliings ? townhomes and condos when permits are required for each unit New construction Add-on fumace ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: za- -/`? - )??? EM ? Minimum Fee: Add-on/Remodet (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additionai 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL SITE G OWNER NAME',4?? :%?? /T?/lC{?? PHONE ???2 2_ INSTALLER NAME: STREET ADDRESS: CITY: STATE: ZIP: PHONE #: ( ) y?o1^ ???? ? ? ?- a/? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPUCATION (RESIDENTIAL) 681 -4675 ? S ropisteied site swveys ? 2 copies or plen ? 2 wpies of plans (fndude beam & window eizes; poured fid. tleslpn; etc.) ? 2 si[e surveys (sxterbr addiGons 8 decks) * 1 lMIgy CBIWW0II9 ? I BMIgY CBkUl8b0I15 fOf hBBtld 8dtll[10118 • a cowas auee weserauon Pian n mt aeaed arter 7/1re3 mquired: _ Yes _ No DATE: J-.2C"- 9S CONSTRUCTION COST: DESCRIPTION OF WORK STREETADDRESS: LOT 1,5 BLOCK v2 SUBD./P.I.D. #: ff*4?z*? L'l/C?S a?f.d) Q_ PROPERTY Name: 0GS?U SCeYT Phone#: -41,5y-799aZ OWNER `"'* - k7 &Q-t l Street Address - y Ciry: I? State: 14la-I Zip: s?g!!?f coN7RAC7oR Company: Phone #: 455'-"9a? Street Address: 1o208`1 «f_y t..t/ License #: Q??y3? City: State: 1`l°1G() Zip• SS/? ARCHITECT! Company: V_?AuCo Phone #- ENGINEER Name: Registration #• Street Address ?3't 3s 'DP- City: E&4A) State: YpkJ Zip: Sewer & water licensed plumber. R. C Penatty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. n , ? n Signature of Appliqnt: OFFICE USE ONLY Certficates of Survey Received V Yes No Tree Preservation Pian Received _ Yes _No J U rd 2 0 1995 BUILDING PERMIT TYPE Basement sq. ft. l, ?ry,5 MC/WS System ? Main level sq. ft. i,svs City Water 2f-`= sq. ft. Fire Sprinklered R-/ sq. ft. PRV sq. ft. Booster Pump ?v sq. ft. Census Code. -47 Footprint sq. ft. Z, y(o0 SAC Code e -- Census Bldg , 44-11, t y s? Census Unit ?o ? , Building Engineering Variance •, Jr .. , , w' 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish olir- 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 _ plex ? 15 Deck WORK TYPE 0-31 New o 33 Alterations o 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNY Permit S/W Surcharge Treatment PI. Road Unit Park Oed. Trails Ded. Other Copies Total: % SAC SAC Units OFFICE USE ONLY Valuation: $ rsL,,K Lt?t? 135?,T 3x8 = Zy ?s? 3x i/ = 3? irz Ue = 7 zo /Bx3Y = GIL ?? Zxz3. s- = N? E-K /?/ = Uz y'/z 3L ' l,syfsx?y= ,tx /? ? S9z zx 20 ; ?3 ? , 3x Zy 3? iysXZL = y?? = 171, 1 zo.rx 30 = lots z? z? : y ,o? xfy - ss ysy I <<=,n s ?>> , = < ? Z ?.fYxRi? e S? ?4 7 > 1 t ; ? Jo K . . ?E /o / 0L ? l, S'/ P x 1 r' \ 7 6 `8 9 yo _ £5/7 r13? o?z ? V G t ti, IL LOT 87RVEY CHECRLIST FOR RESIDENTIAL ' • BIIZLDING PERMST aPPLICATION pROPERTY LEGAS ,D 0 • Registered Land Surveyor signature and company I?,L7 0 • Buildinq permit Applicant r ? • Leqal descriptian - S ? ? ? ? 0 • • Address North arrow and-ber-scale ? 18' ? 0 • House type (rambler, walkout, split v/o, split lookout, etc.) ?? 0 • Directional drninage arrcWS with slope/gradient t. B' D I ? ? 0 • Proposed/exictinq aswsr and water services ? • Street name ? D' D Q • Drivavay ELEVATSONS • Exietina Sewer service GY?I D • Lot corners D • Top of curb at the driveway H' D 0 • Elevations of any existing adjacent homes Proposed 19-13 0 • Garaqe floor B-?? 0 • First floor F?,D ' ? • Lowest exposed elevation (walkout/window) gJ ?D D • Property corners E? D D • Front and rear of home at the foundation PONDSNG 7?REAS (if aflol3cable) Easement line C! ? C? L] ? • liwL HWL ? ?/b " • Pond t designation D LL? n • Emerqency overflow Elavation entry, DzMEN82o118 D ?D ? Lot lines Right-of-way and street vidth (to back ot curb) FD • Proposed home dimensions including any propoeed decks, overhangs gzeater than 21, porches, etc. (i.e. all structures requirinq permanent footings) ?D 0 • Show all easements of record nnd any City utilities within those easements B?D p • Setbacks of proposed structure and setback of adjacent existing hom ? D • Retaininq e rements, if any Raviewed: ?/ z C' / 95? Z- Oetober 1992 Dat• o! 8urvty: /I f_ / ?z / ,r-. *? µ ,. O_ r L V Requ I Date Fre No R gN:. Inspectain Reqwred Inspec0on Other Than Rough-In 7/28/95 (VOU musl call inspeclor when ready) 0 E3Ready Now Wtll NoWy Inspector kj Yes ? N. DateReady 1 9 licensed contractor ?owner hereby request inspection of above electrical work at Jab Atltlress (5[reet, Box or Route No ) Cpy 4295 Dartmouth Ct. Ea an Secimn No Township Name or No I qanqe No Covnty Dakota Occupanl(PRINT) Phone No Scott Leonard Homes 454-7992 Powar Supplier Adtlress Dakota Electric Co. 4300 W. 220th. St. Farmin ton Electncal ConVaclo, (COmpany Name) ConVactols Lir,ense No Joos Electric Co. CA 00961 MaAmg Atlaress (COnhador or owner Meking InstallaUOn) 3980 Beau D' Rue D Ea a MN 55122 Amhoneed SigwWre (CantmctodOwner Makmg I allalm Phone Number 688-6180 MINNESOTA STATE BOARD OF ELECTPICITV THIS INSPECTION REQUEST WILL NOT Grigga-MlUway BIOg. - Poom 5-128 1821 Umversrty Ave, SL Paul, MN 55100 I I I? I BE ACCEPTED BV THE STATE BOARO UNLESS PROPER MSPECTION FEE IS Phone (612) 642-OB00 cnin nern ? ` .? REQUEST FOR-ELECTHICAL INSPECTION l? y p17 0? ? See insVUdians for complehng ttlis farm on back o( yellow copy / / S "X" Be/ow Work Covered by This Request ` EB-0000/1-09 N Type of Building Appliances Wired Equipment Wired ome Range Temporary Service uplex Water Heater Electric Heating Building Dryer L ad Managem ent omm /Industrial Furnace arm m Air Conditioner Omer (speciTy) Conhaclor's Remarks Compute Inspection Fee Below # Other Fee # Service Entrance Size Fee # Cvcuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps A e 100 -Amps Si nS inspector s use Only TOTAL Irrigation Booms $93 50 O . Alarm/Communication THIS INSTALLATION MAY 8E IF NOT DISCIONNECTED Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, hereby certify that ihe above inspection has , been matle. Rough-in ? ? Date o OFFICE USE ONLY This request void 18 monNS irom S&W 1+65 S&W 0+90 S&WOf15 ? 5421 ,w5/? s43;w5/' S???N,?? SEE SHEETNO,? pq11V S&W3t23 sos.s 15 904.2 899.0 1 ZO s43,w68' a.o, ?M.H.20 ?s 17 18 esa.? i n` 32.on Zso' sso, M.H.19? M.H.18 /sap ? 100.0? ? 25.0? s 75 670? 34.0? _ 89 v ? 52.5 ? v' 19 < E 611-I/16 8?1/32 ?- 915 BENDS ? . n 6?? ? HYDRANT ATE VALVE 570? 41.0 ? 35.0? l C.O. 24 23 i „ sawI+ss sew/+oo 22 a2s l 20 551`w41' s40',W30, S?WO?I-l8 79.5' _C.O. 74.0, S9W0+C 911.6 904.9 s 4/', w3/' s 107 ; w 6 899.2 21 \ 894.9 S&W Otl/ s /06', w 7/ ' ........... ... . . t?? S NOT GUARANT'.?? .......... _ . .. _ . . , „ ?+ ..... - .......... ....... V ................. 4?r 1 11 ;?;?Y? F::::.L1TftIT. ...? .?e?......?.?-. .... _.... . ` . AIC .. ? ,_ ?....{........rn' : ......... ......... ....._.. . ... . ? .. ..... . . .... .... ... ...... .........._?...'ii.... .n...:... ... .._.::- vP .?j ............................ . .. .H:..G?...9' 0:.? ................................ ?.4v°: ?.,:..? .. ... ........... ? ? ?u:....... .. :? .... .,... . n ? • ,? . 4 t. ? R.E. . . .................... r?; ?,? ?j ::. ..... . ? , ! ... .. ......... ... .__ .........._ ?.:'v,?i?_..?...?!.1.6/.?'±..., ' ? ....:... -. ?.. ?",.:: ? ............_. ....... ._. ? . ? ...................... ...... . ................:.... • ? , - ............ .. I.i.. . ........... ...... ? ............ u .? ? ,.....- . ................... ... ..?? -- .. _ .................. .. ... M" ... ? ... . ....... ? .. ... .. , .. ? ... . ...... . ... .... .. ....... . ... iv ? .. AD'E :: ... .... .. ... ... _ . ....o. ? .................:: ::.°;... . ::.. ................................... ...... ........... . _. ... ... . . ............... . . ... 7.S..MIl?4:........ ..... .:::. : .............. . .. ... ....... . ... .. ....... ................ .. .. ... . ..... ... . . ?. ..'. . . ... .. ..... .. . covER ... ..... . .... ...... .. . .. ... ... .. ...... ::..:::::::. . . ... M .....::::.. ...... .. :H. . I :.:-:::- ..:.:...... .. . ::........ _ .. .:..::. ........ . . ,,. ..... . ... .. ... ........... ...... . . :.... .. so .:T _ .......... . ........... .... .. _: . . . .. . ... . . . _ ............ ..........................:... .. ? _+r.,. . MIHHESoTASTET"IIERGY?4?R"BI MI+ATIotia BASED oN CIIAPTGR 5 oF TIfCs _{t? w Mof2E"tlEH4Y-c-ffic - 1261-EI)IT.IoN Adoption Effectlve Site contraa Building C14seificatlont Type A1 (Single Family & Duplex Type I12 (Residential, 3 stories or less) (aver 3 atorles) (other) NaTEiCQmRlSt"a9ea-"nd 4 f.i =$t. fiFdEaBIa-ItlE9SMaTIQti ? u 1. 8uilding Perimeter ? ft. 2. Wall hal ht ?? g (ground to eave) ft. 3. 1. X 2. (above) grose wall area. -2i&(?0 4 sq.ft. 4. BUllding dimenaions ([,) -- X(f9) sq.ft.roof 6 floor area 5. Sq. foot area of rim joist - Floor joist ize ?2 R i--- ._L? X (per meter) _ )325::eg.Et, 6, poors - area 12 Thickn ss in U. factor? Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft. e. Windowst Manufacturer??UL State approved u tactor_ 13?0 , TYPE SIZE AREA (Sq.Ft. ) NUMBER OF ' TOTT,I. MWOP.KSN??T ? EACII UtiI'P9 SQ FEET 9. Totfll sq.ft. Gla5s 450 10, Fireplace area: Width X Ileight = X = sg.ft. 11. Exposed foundatlon: Ileiqht X PerimeterZ(Q_:7__X?_= 104V sq.ft. COI1pLETIOH OF TIII9 FURM IS REQIIIREn FOR 71LI, HEW CONSTRUCTI011, PIAJOR REIfOpEGItic3 Atlp BUILDING3 BEING MOVBD WIICi2E Et1ERGYl OTIIE:R 7'11At1 'PIIE FIIIIIt1A1. CODE ALIAWAHCL, I3 USBb. -1- . ti 12. Framing aret? = lot oE grose wall aren• 4 71- 7?6_7 1?. (irnea wall area 3(D(p4 gq.pt. Window area A 5-0 . sry. ft. 11 wlndowe = ) '? (10 Rim joist area A_?TT sq.et. U rlm Jolst= , 041 poor area A 5 1 sq, tt. U door area=___iL4" other doors area n?eq, ft, ll other doore= ,41/ Tsxpoeed Pndn Aeq,[t, U foundetion= td &P Framing area A 36xot 4 eq.ft. II Eraming area= •[/ IS Net wqll area A ZZ 5S, (A_q, ft. u wall= , ??3 (1911) TOTAI. . . . . . . . . . UXA = I (p Z UxA ° 11xA = UxA = Z? UxA = ?_, UxA UxA = 27 UxA 14. Gross wall area x 0.11 (A-1 aingle family 6 duplex) = allowable UxA/Coda (13. above) x 0.23 (A-2 oklior residentlal) x .27 (okher Uulldinge) x .28 (OVar a ptoCiea) ? Z]? ?? D7 BTUfi muet he larger than or eame x U Code + A % °F. as 13H allove 15. CellJng framing aroa (Af) oqun]e 101 of celling area 15A. Groas celling area =(I.) ? x(W) 15 4 3 sq.ft. 1511. Joiat area (Af) d 10$ celllnq area A(5`T. 7 sq,pt, 150, 1iet ae111ng area (Aj (15A - 15T1) _eq.ft. ' U oe111nq x ac _ lw,-7 x .ozZ U framing x A f A f 59, 3 yc ,to2. 3 `t 15D. ToTAT,t1 x A ......................o ..... J S 16, Celling aren (15A) x 0.026 (A-1 alitgle famlly 6 diiplex) . = allowaUle UxA/Vnde x 0.077 (A-2 otlier residentlal) x 0.06 lotlier) , QTU11 muet be larger than or same A(15A)1-1 ?/ x U Cade aF. ae 15[) above' NOTLi Use U anti A values oUtalneci from pages l, 3 and 4. GI+RTIFICBTI!?tl: I hereby certi[y tliat I liave oalculal-ecf tlte letv, factore anci °RII valuas heKeln ond that tho bullding hore desarlbed meeta or exceode the SL-ate oC H?nnesuL•a Lnorgy Coneervetlon Act, Data elgnature -z-. h ci c? ?X ?,D In/ LL 46pf?? ?° - ??,aulz?t/stiZ)s° s ?v,??x?Zs ??-r4a-t z?>?oe S?g3k?4lot?lot??,s? 30)??L ? _)S43 ? ? o -%? -- Z44 3(048 r = I x l = l?- __ II Z412 = ISk2 872 ?xZ . v x g l -IU?I' I?? _--24C•D . =. (2? Sk B 1? ?c.o = ISkz F+xE;D = z ? PL,20t"2 3° Y??o ?? ? 3° TL D? w1 Z 5(, z z ?STC SZ- K- X- - 490 (2 ?sS2 -T- Z 3ZZP =jlD - ?2 = 3b Z? _ ?30 s z4 TI-5?3 40 ?a > l 14 gY- ?& 7 ------------------ ? For Qffice Use ? j Permit #: 'X?6`f ,?zo ? i Permit Fee?? ? ? Oate Received I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6126 4e Site Address: Tenant: Suite #: RESIDENTlOWNER Name: Phone. ? Address / CRy / Zip: 422`%S Applicant is: _ Owner X Contractor TYPE DF WORK Description of work: ? ,?? ?taL Construction Cost: . i lo OC"J Multi-Family Building: (Yes _ I No CONTRACTOR Name: &vcr9?-ze_n ?c7:1%f. License#: 20S'?7.?ton Address: 4' ^0 10?u1ma n cl City: .Sf Siata: /n,A) Zip: Phone: /(a S? 1 ?c G 4- ,?l'30 Contact Person COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . ResidenLal Venlilation Category 1 Worksheet • New Energy Code Worksheet C8t0gOry Submitted Submitted (4 Submission type) • Energy Envelope Calculations Su6mined In the last 72 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: 5ewer & Water Contractor: Phone: NOTE: Plans and supporting docirments that you submit are cansidered to be public information. Portions of the informatlon may be classified as non-publlc !f you provide specific reasons that wou/d permit the City to conclude thai the are trade secrets. I hereby acknowledge that this intormation is complete and accurate; ihat the work will 6e in contormance with ihe ordinances and codes of the Ciry of Eagan; tha[ I understand this is not a permit, but only an application tor a permit, and work is not to stah without a permit; that the work wdl be in accordance with the approved plan in the case of work which requires a review and approval of plans. % X ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 ??4:_1 * PIOI@A * ene neer * ** 4t 2422 Enterprise Drive Mendoto Heights, MN 55120 W,o SMWYOR5 . qNL ENGNffRS 11 (612) 681-1914 FAX:681-9488 wm °uu"°a. wrou"°E "RG^hcrs 625 Highway 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX:783-1883 Certiticate of Survey for: SCOTT LEONARD HOMES - 4295 DARlMOUTH CAURT ? 13 G ?,.el 909.8 908.6 . r ?h so 689'y X : 12 5? 909.?2 W o? ?sp?16 ap 0v 911.0 33 3 / \`?1•? p / 3 i ?1 15 c(°' ,aD I ?a ?/gr ° ? Y`\ ara ?2 ? ? _- - 11X4 u ta. p' ,?. 911.4 / ? oW 912.1 1 oo •' ? L L'? 917.1 .C-°. N F " h i _ 915.7 " 45.57 N87°O6'18"W 922.5 ? E A GA i\ ?4 ?{F krlFy?E? _-- fr NO7E: PROP05ED GRADES SHONN PER GRADING PUN BY: MF(t NOIE: BUILDING DIMENSIONS SHOYM ARE FOR HOPoZONTAL AND VERIICAL LOCA710N OF S7RUC7URE5 ONLY. SEE ARCHI7ECNAL PlANS FOR BUILDING AND FOUNOAiION DDAENSIONS. NOIE: NO SPEqFlC SOILS INVESTIGATIINJ HAS BEEN COMPLEIED ON 1F115 LOT BY 7HE SURVEYOFt. THE SVITABILI7Y OF SOILS TO SUPPORT THE SPEGflC XWSE PROPOSED IS NOT THE RESPONSIBIUTY Of' THE SURVEYOR. PROPOSED HOLSE ELEVATION LO'NEST FLOOR ELEVATION: TOP OF BLOCK ELEVATION: 42 2. 5 GARAGE SLAB EIEVATION: Z Z. NOIE: THIS CERTFlCA7E DOES NOT PURPORT TO SHOW EASEMENTS O7HER 7HAN X 000.00 DENOTES EXIS7ING ELEVATON THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) OEN07E5 PROPOSEO ELEVA710N NOTE: CONTRACTOR MU57 VERIh' DRIVfWAY DESICN. --- DEN07E5 DRNNAGE AND U1ILITY EASEMENT -? OENOlES DRAINAGE FLOW OIRECTON NOIE: BEARINGS SNOWN ARE BASED ON AN ASSUMED DA7UM --?-- DENOTES A10NUNENT $ OENOTES OFF'SET HUB WE HEREBY CERTIFY TO SCOTT LEONARD HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF 7}iE BOUNDARIES OF: LOT 15, BLOCK 2, HAWTHORNE WOODS 2ND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 13TH DAY OF JUNE, 1995. PIONEER Ep(GINEERING_/ P.A. ?GAN 16 ? ?? 2 ,--BENCH MARK 917.3 ? TOP OF PIPE 6,50 ELEV.= 917.10 977.3, ? r 350 .y> 915.5 vh?? hej 917.4 i ^ ---y 4b ? 7 ?S l0 917.0/ % 1200 ?F- /Zoo N 3p. _4Os ir INEV=909f5 m ^ i ? / . 1919. ?ro N / p i ? /"M? i N p? I g?2p,3I 921.0 0 10 i ? 21.4 Q 921.3 0•? 30.58 ? ,x\924.2 .bl 25 l?2? be iEG i4?' poG°3ova G?u+? SCALE : 1 INCH = 30 FEET QL. /,f! 11? îóó ÿ ÿþþ ýü îü ûû úþþó ñÿ í ëâ ÷øë óë ë ÿþö þýüûúùø÷öôýûúù øûúùø÷öæ÷öõù î ùâý ôýôóïýù ú ò þñý ð îùìîîñýî üîé ã ÷÷ù ÿ ãã î þ ùéô ãã ù ã é ô üîÜ ñýüú ÷ ã îúîé ðäóÚäêêé ê é ê õú þý å ý äóÚä éë å ý ÿ é ôò öðï ùù â îúâîõüøþù ë îýô ç ùçæ çæ ëó àóß ó üú ÷ ì ùù ãî îùú÷ ùù üþ ãç þ ý ôúã ï é ùù öîþ ý ýúþ ý PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA106956 Date Issued:09/18/2012 Permit Category:ePermit Site Address: 4295 Dartmouth Ct Lot:15 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-150 Use: Description: Sub Type:e - Furnace Work Type:New Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Andrea Preusse 4145 Sibley Memorial Hwy 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 - Robert W Splittstoesser 4295 Dartmouth Ct Eagan MN 55123 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA110681 Date Issued:05/22/2013 Permit Category:ePermit Site Address: 4295 Dartmouth Ct Lot:15 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-150 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. Andrea Preusse 4145 Sibley Memorial Hwy 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 - Robert W Splittstoesser 4295 Dartmouth Ct Eagan MN 55123 (651) 452-7535 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA127274 Date Issued:09/25/2014 Permit Category:ePermit Site Address: 4295 Dartmouth Ct Lot:15 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-150 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. Troy Good 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 - Robert W Splittstoesser 4295 Dartmouth Ct Eagan MN 55123 (651) 452-7535 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:EA129231 Date Issued:01/22/2015 Permit Category:ePermit Site Address: 4295 Dartmouth Ct Lot:15 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-150 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 or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert W Splittstoesser 4295 Dartmouth Ct Eagan MN 55123 Property Claim Solutions LLC 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129391 Date Issued:02/05/2015 Permit Category:ePermit Site Address: 4295 Dartmouth Ct Lot:15 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-150 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert W Splittstoesser 4295 Dartmouth Ct Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129484 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 4295 Dartmouth Ct Lot:15 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-150 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 or installing Bay or Bow windows, 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 - Robert W Splittstoesser 4295 Dartmouth Ct Eagan MN 55123 (651) 348-9637 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129484 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 4295 Dartmouth Ct Lot:15 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-150 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 or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert W Splittstoesser 4295 Dartmouth Ct Eagan MN 55123 (651) 348-9637 Property Claim Solutions LLC 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143305 Date Issued:06/12/2017 Permit Category:ePermit Site Address: 4295 Dartmouth Ct Lot:15 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-150 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert W Splittstoesser 4295 Dartmouth Ct Eagan MN 55123 (651) 452-7535 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144371 Date Issued:07/24/2017 Permit Category:ePermit Site Address: 4295 Dartmouth Ct Lot:15 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-150 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 or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert W Splittstoesser 4295 Dartmouth Ct Eagan MN 55123 (651) 452-7535 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature