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4321 Dorchester Ct Werti f ceate of cccuvancC Wit4 of Wagan ze0wi at of a xiibins aci?pecdsx This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use cuwr"ion: SF LAG Bldg. Permit No. 24635 occupancy Type R31MI_ Zoning District RI Type Const. VN Owner of Building E 113?W Address Building Address 4321 Locality L8, B3, RAWTHnFM WOOS Darr Building6ilk /Y POST IN A CONSPICUOUS PLACE CITY OF EAGAN 454-8100-DEPT OF BUILDING INSPECTIONS Correction Notice Located at I have this day inspected this structure and these premises and have found the following violations of city codes governing same: /' C C/ /// When corrections have been made, please call 45 G-for inspection. Date Inspector City of Eagan DO NOT REMOVE THIS TAG City of Eaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEVED SEP 01 2016 Use BLUE or BLACK Ink For Office Use Permit #: / 3rK , )/ Permit Fee: 60.0-b 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION w Date:}1, Site Address: 4 kb:4C r? Tenant: Suite #: Name: ft. L,CL Phone: 1 O. Address /City !Zip: olvA U _ c\'- -ER Nt D ;3 Name: Croix Crystal Water Treatment License #: 64997 Address: 3440 Yoerg Dr City: Hudson State: WI Zip: 54016 Phone: 715-386-8667 Contact: Jim Email: croixcrystal@att.net _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of vCIk: Install Water Softener RESIDENTIAL Water Heater Lawn Irrigation ( RPZ /_ PVB) _ Septic System Add Plumbing Fixtures ( Main /_ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes State Surcharge) *Water Tumaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) ) TOTAL FEES $ C- v Abandonment CALL BEFORE YOU DIG. Cali 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.gopherstateonecail_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. xJim Schober Applicant's Printed Name FOR t'FFICE USE R wired Insp n M Related It+r ms: x Applighnt's Signature CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: L II I I I IIOIt IN I W11111i PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: H 141 a 1, r APPLICANT: 1 ;,, l; S {1 1 000 TYPE OF WORK: IV INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. h1 ?rl P, I I rl;f ? 1 ,,? 1 fi.? i t l ?. f il:?l 14 f MANK'3 r PVV F 7? . N 1-1 1.1 111 MA f I fit W nri?! I i I `. 1 Permit No. Permit Holder Date Telephone R S/W PLUMBING /a lO ?0?3 HVAC ?? /'J ?jl a3- ESL ELECTRIC Q???? ?1a5 E Y? U ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing L? 24. Roofing Rough Plbg. Rough Htg. Isul. Fireplace /'t Final Htg. ! S f'S?- l -/il?i tv Co gy n.-?d•- vu T Orsat Test Co 44rc/7 a w P - / -M1- 'a-aT 12-- Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrlPlan Bldg. Final h7l Deck Fig" Deck Final Well Pr. Disp. Z-?o? 0 0 61 6 .. 1 4e as Request Dale Fire No. Roucjfi to Inspection Required Inspection Other Than oughdn o IYo call inspector when ready) O Ready New W01 Nolity Inspector / Vas ? No Date Ready I icensed contractor ? owner hereby request inspection of above electrical work at: Jch Address (Street, Be. or Route No A'^ City ) n ? O-Z tz? Section No. Township Name or No. Range No. County Occupa (PRINT) Phone No. Power a lie Atltlress Electric ntractor )Company N me) Contractors License Y Melling Address ( ontractor ar Ovrner Making Installation) r Authorized t (COrnractoring Instal ) Phone Numbar `? l ?J\/(ly??? 9`9o- BY THE STATE G699 University Avee.. S oPaul, N 55104 ELECTRICITY IIIN II N Illu IN4 UNLESSEPTED ER INSPECTION PEE DT Phone (612) 642-OSDO ENCLOSED, ??aJr/cJ? JEST FOR ELECTRICAL INSPECTION EB-00001-09 n cc ons for completing this form on back of yellow Copy. 4i0 AJ 6-1- 'It M "X" Below Work Covered by This Request) T Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps bqv 100 _Am s Signs Inspector's Use Only: UO TOTAL O Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD RED DISCONNECTED IF NOT Other Fee , COMPLETED WITI . MO S I, the Electrical Inspector, hereby tif th t th b Rough-In % ?t•is - Dal If Jam( cer y a e a ove inspection has been made. ._ Final oalefr 3ry OFFICE USE ONLY Thls request •mid 18 months from Address 4321 DORQESM COURT Zip 5512 3 Lot R Bik 3 Sub HAwiHmE "ps THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: o & Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway J Permanent gas Sod/Seeded grass y Trail/curb damage i vu l fact SYe_ Porch Basement finish Deck Please verify. with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 116V24z2006 14:26 EAWIN ENG+CDM DEU a 922992@1 4 20D6 RESIDED TIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. NO. 481 002 44 ?o. so Site Street Address 71 On r r 1e?Y?if r C [ Unit 9 Property Owner A a I4 U?+ Telephones (4.51) -Lai ?:Z*x } Contractor 5+ r I q' 1 I Telephone'g Ial) 2 c Address 'old' (i'!'r ?i1 City S p[1,t,._1 StateAAA?_ zip03 The Applicant is; _ Owner C ontractor -Other Y septlc System _ Naw _ Refurbished Submit 2 sets of plans and IMPC license Includes County fee $ 100.00 Peras-built S 10.00 Alterations to existing dwelling $ 50,00 Add plumbing fixtures. This fee Includes installation of a water softener and/or water heater at the same time. If you am inatolling gall e water softener and/or water heeler, do not complete this section; move to the next section and check the appliance(s) you are installing. Septic System Abandonment _'Naier Turnaround (add 5130.00 if a Wil" meter is required) _Other: Water Softener -Water Heater S 15.00 t4p)rii- • ?_ csplacement Lawn Irrigation ,JRPL ___,PV8 ,pew -repair ?rebuitd $ 30.00 I? P M:2zo vr State Sur ha c rge f 5 50 Total S '?10_So I hereby anniv for q Raa7r1Qnfl l Ph ,.nr.;.,.. P_ -;f ?...r ow...w,W.a_. .?... .?. i....?_a__ : ..?.,. . ., .?_ . work will b-2 in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this Is no! a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan Is required?a reviewed and a?f oved. Applicant's Pnnted Name Ap a 's Ig ure Z0 39Vd 10Z68ZZ199 G9:US 9002/4Z/0L ?,EDUCED PRESSURE BACK=LO'J'J RREVENTER TEST REPORT AN ID OG? TESTABLE DOUBLE CHECKS SAINT PAUL REGIONAL WATER SERVICES Service Name: Contact Person/ T ele 33j/_ n?yvv Address: ' .,i?/Dr^?hea?e? City: .` cg State: zfL- zip. _-- Device Location: p, c 3, d 2 /o? AC Serve what system: o Account Number: Type: Install Date: - :o =w_ ",,s T•=/7 Rebuild Date: d7-Z ?•• 7' z,-, c/ar A. Check Valve #2 Differential Pressure Relief Valve Annual Check Valve 1 Report Pressure Pressure Opened at psid reduced pressure. Did not open Serial Number' Make: W, ,Y r5 Model: `I7SXL- Size: Air Gap Installation Date Test Date: - ??? ?a E lrt2 ` , /r,n:JS d-?i•cSC+•i Lln- T c.J?, 1 n,oT '7%>» Cleaned Replaced R. _ Disc E _ Spring P Guide A Pin Retainer I Hinge Pn R Seat S Diaphragm Other, describe Cleaned Replaced Disc Spring Guide Pin Retainer 1 linge Pin Seat Diaphragm Other, describe Cleaned Replaced Disc. Doper Disc, Lower Spring Diaphragm, Large _ L ower _ upper Diaphragm, Small _ Lower Uppe Sea[: Lower Upper Spacer, Lower -!it Other, describe L] Sign and dale Tag The above is certified correct. Signed DateTested:- -.__---- Tested by (Print Name) =`%z•ah<? -Ce ification Numbers-•/J.?G% -e-- - Cornpany Name. S License Number Company Telephone Number ___GS /• w,7. 7?v J _____ All sections rt ihis repoii roust be completed. Relufn lo: Sa,nl Paid Regional Water Services 8 4'h St E Ste AGO Number of Dew ices _e_per D. -a vice First S 30 Devices 2-21 a 25 » arrl >, e f t'^Yt?l r`? ? y GS -3 ?? l3g 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. $/s sa Date / .Sr / /? Site Street Address <???/ C? ' Unit # PropertyOwner ? Azlq PGi/ Telephone # Z4 ?- Contractor //'? ??//r17c1j//V? Telephone# (/a602) 2E! /- I/,O Address 4L??4rle ?!/ r a Cityt5?'/5' glf? State,,?WL Zip_? The Applicant is: _ Owner Contractor . -Other Alterations to existing dwelling $ 50.00 S Add plumbing fixtures (excludes water softener and/or water heater-complete- section if installing these appliances). -Septic System Abandonment d .3 ft 5 -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: _ Water Softener Water Heater $ 15.00 - new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name AFj:rp ffffa`rffs gnat r,I ., tPERM1T# 0 ? RECEIPT DATE: 2008 itI:SIDENTIAL PLUMBING PEWIT APPLICATION CITY OF EAtGAN 3830 PILOT KNOB BD EAGAN, MN 55122 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: C TELEPHONE #: q?3 (AREA CODE) INSTALLER NAME: STREET ADDRESS: CITY: It (W 41 - STATE: MK) ZIP: zYT)(14- _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100 00 includes $40.00 County fee . Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: - Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 Abandonment of septic system. - Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: RPZ: new installation/repair/rebuild $ 30.00 - lawn irrigation system Replacement/additional: water softener _ water heater $ 15.00 State Surcharge $ .50 Total $ 16:5 D I hereby acknowledge that I have read this application, state that the information Is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicant's responsibility to notify the property 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/ri ht-of-w y/easement. SIGNATURE OF PERMITTEEE 1102 KGB C, I(?-Y\ TELEPHONE #: (Q_ ? 0(R) (AREA CODE) s3 g 2 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. fc of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan h lot platted after 7/1/93 • Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE - zl Y -d Z Water Softener Water Heater No. of Baths SITE ADDRESS '4_5Z(_ &,fcb_,s? Coz,s-t MULTI-FAMILY BLDG Y N TYPE OF WORK lAoldb46 M f67A- g>! 2L f- Q FIREPLACE(S) -0 _ 1 -2 SELA ROOFING & REMODELING APPLICANT 4100 EXCEI RIr1R Ri yn STREET ADDRESS ST. LOUIS PARK, MN 5541; CITY STATE ZIP l[3 #0061058 TELEPHONE #GA&j6Z3-0?(L CELL PHONE # FAX # PROPERTY OWNER 1 12 u C-7-TO e--V? TELEPHONE* (2S-(4Q - 6q 3_? COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: Sewer/Water Contractor: ---------------------------------------- Air Conditioning Heat Recovery System ? d a aJ_ Fee: $90.00 Phone #I 1111.2 9 2002 I hereby acknowledge that I have read this application, state that the information isfteZ , arf?agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 0 Signature ofApplicant ? A OFFICE USE ONLY Phone # VALUATION $ l1, 390 , lT0 Phone # Lawn Sprinkler No. of R.I. Baths RemodelfRegair Requirements • 2 copies of plan I set of Energy Calculations for heated additions • t she survey for exterior additions & decks Indicate if home served by septic system for additions Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco _ Stone - Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector XGITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: /-9 BUILDING 024635 10/11/94 SITE ADDRESS: 4321 DORCHESTER CT LOT: 8 BLOCK: 3 HAWTHORNE WOODS P.I.N.: 10-32150-080-03 DESCRIPTION: Building`? Permit Type SF DWG Building Work Type NEW r-6 BC Occupancy R-3 M-1 Construction Ty'p.e V-N Zoning R-1 Building Length 57 Building Width 52 Building stories 2 .,Square Feet 2,240 REMARKS PRV S & W PLBR - MATTHEW DANIELS PLBG FEE SUMMARY. VALUATION $160,000 Base Fee Plan Review Surcharge SAC SAC SAC Units Subtotal $849 $552 $80 $800 50 18 00 00 100 1 MISCELLANEOUS $1,828.50 Total Fee $4,110.18 $2,281.68 CONTRACTOR: BRENTWOOD HOMES 1322 HELMO OAKDALE (612) 730-1000 - Applicant - ST. LIC. 17301000 0001519 AVE N MN 55128 OWNER: BRENTWOOD HOMES 1322 HELMO AVE N OAKDALE MN 55128 (612)730-1000 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. L_ PPLICANTlPERMIT GNATURE '?G/?n? application and state that the with all applicable State of Mn. ISSU : SIG TUBE -? INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 4 6 3 5 Eagan, Minnesota 55123 Date Issued: 10/11/94 (612) 681-4675 SITE ADDRESS: LOT: s B L O C K : 3 APPLICANT: 4321 DORCHESTER CT BRENTWOOD HOMES HAWTHORNE WOODS (612) 730-1000 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE FOOTINGS DDATE INSPTR. INSPECTION FOUNDATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: PRV S & W PLBR - MATTHEW DANIELS PLBG F z4M CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 4 11-.-R r,o dtd 9-,3D SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit s , Y o energy calcs. COMMERCIAL 2 sets of architectural & structur 1 plans, 1 set of specifications, 1 copy of energy c --------- " 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. slate 9 Valuation of work Z16-0.°. Site Address: ??3Z!?Gf/?FJ72 CuUQ? STREET SUITE # Tenant Name: (commercial only) LOT :O BLOCK SUBD. ?WT?N?i OJJS 6% P I D. # l0 X150 - D?0 -D / ,,, Description of work: The applicant is: .9 Owner Contractor ? Other (Describe) Name >3?E1.1? WoDi7 'I--[Qmtf- Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company ?12?I?iTlnlUdl? ?'rtlvlit!?? Phone 1 30- IDOO Contra)-tor Address i5Z,---_ 45L_j`-A0 Avg-- l\J. License #15 107 Exp. ;5 City_ OAK' QALIf- State /l/ W zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two day's 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: -a?! S?C?J?7 OFFICE USE ONLY BUILDING PERMIT TYPE •w w .11-t ? 01 Foundation ? 06 Duplex ? 11 Apt./lodging )8( 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE ® 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. -7f 7 MWCC System (Allowable) UBC Occu anc v Q 3 1st F1. sq. ft. 2nd F1 s ft City Water PRV Re uired p y , . q. . 9Sg q Zoning ,¢-1 Sq. Ft. total Booster Pump 4 of Stories zs...er Footprint Sq. ft. Tz -va Fire Sprinkler Length -7 On-site well r '`,,+s Census Code Depth 5-2- On-site sewage d4 7 SAC Code e z1 Census Bldg APPROVALS ZY Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ?.Site ? Wallboard F3 Footing Final 0- Framing ? Draintile 0 Insulation ? Fireplace Permit Fee Vetust;m- g /&0,00. Surcharge Plan Review License MWCC SAC Zx ' ,y City SAC zx r s° Water Conn. /y f yv c vv Water Meter „ vb - szs Acct. Deposit y6 " S/W Permit aK z?•/l z„ S/W Surcharge 6 v Treatment Pl. °'b7 Road Unit / s7z x fY= uY, 80 s, Park Ded. 2 t? Trails Ded. Copies /C n 33.5- > ?o? Other -ass Total: - -- 5s$ xs / = S /, 75z SAC % SAC Units 1jRr r X10 /6,7 /Y. 75- )111.3s 757 7,r/S° l% 9sr r 4,q.,5 4 L G5Z tzf3 x 7/ Z2> [/ \Z F <.sa,?w> ° L 7 > 660./ JJ/p, Shp 7?iv ? = /S5; /3s CERTIFICATE OF SURVEY For BRENTWOOD HOME • DESIGN PROPERTY DESCRlPT10N: Lot So Block 3, HAWTHORNE WOODS 1ST ADDIT 21 Dakota I ngyj Minnesota. We hereby certify that this is a true and correct survey of the above described property and that it was performed by me or under my direct supervision and that I am a duly Licensed Surveyor under the laws of the State of Minnesota. This survey does not purport to show all improvements, easements or encroachments, to the property except as shown thereon. Signed this ?3.?el day .of {r?+6,.? B y. 19 ?cf Ja es R. Hill, Inc., Gary R. rri , Minnesota LS. No. 10943 Notes: U annWo 1. Building dimensions shown are for horizontal & vertical location of structure only. See architectural plans for building & foundation dimensions. 2. No specific soils investigation has been completed on this lot by James R. Hill, Inc. The suitability of soils to support the specific house proposed is not the responsibility of James R. Hill, Inc. or the surveyor. 3. Proposed grades shown were taken from the grading Wor development plan prepared by MOCOMBS FRANK ROOS ASSOCIATES IN.C. O Denotes set iron monument • Denotes found iron monument x 927.68 Denotes existing elevation (930.00) Denotes proposed elevation -4? Denotes proposed drainage Bench Mark, PAO. rao, rvy i0a ?ssr or oo:CCNEYT4n2 ../. of Proposed Garage Floor V4'sV X~O&MIE Proposed House Top Block= drz/. Proposed Garage Top Block= B+d'/. ¢ Proposed Lowest Floor- B3 Z, C.P Bearings are on assumed datum Scale: V= 3 0 ' r Page 1 of 2 :1v a 7 h Jame . 1 %0 1, inc. A D a L a 0 ° ° m b` z PLANNERS /ENGINEERS /SURVEYORS 0 m 0 co 2500 W. CTY. PD. 42 • BURNSVILLE. MN, 55337 • 612.890.6044 -i CERTIFICATE OF SURVEY For BRENTWOOD HOME • DESIGN d = 90? .. ? ?p.Y 938.4 BENCHMARX TOPO ELEV.. 9Q/.8¢ ` A J( r ?' two vl? 14 ? i 14j ?. k2 30 a DRAMAGE d U -IUTY EASEMENT PER pLAr o Q e?? i ?- r n a -? I? James R. Hill, Inc. Page 2 of 2 -0 _ _9,393 M ijeotbsEc GR/YENAr r? r i b¢ee ?/ "?l i 936 0 9,36. S ?9.LB. 7-J BENCHMARK ?y ? ELEV.. 93G. B7 y ..c i 3 f/ous?- i i -I GOTB X4.2. 8G LOT SURVEY CHECKLIST FOR entry, Sj0 C 0 0 Registered Land Surveyor signature and company i i 0 Bu ld ng Permit Applicant Legal description 0 Address Q-'D 0 North arrow and be, cale 0 House type (rambler split split w/o walkout , , , lookout, etc.) 0 Directional drainage arrows with slope/gradient $. 0 Proposed/existing sewer and water services 0 Street name 0 Driveway ELEVATIONS ?,0 0 Existing Sewer service B 0 Lot corners a Top of curb at the driveway 0 a Elevations of any existing adjacent homes Proposed 0'0 a Garage floor 11 0 First floor .8' 0 - a Lowest exposed elevation (walkout/window) 2? 0 a Property corners 2`13 0 Front and rear of home at the foundation PONDING AREAS (if applicable) Basement line D @- 0 a O - HWL P 0 Pond # designation 0 Emergency Overflow Elevation W''a 0 • Q` 13 13 - a' 0 a Lr'0 0 Ef'a 0 a 2' a Lot lines Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and setback of adjacent existing homes Retaining_y*l requirements, if any _ Reviewed October 1992 Data of surveys// DOCUMENT STANDARDS IV E U '\ C! M.H.4 ,94.0 8 S a W 0+86 s-42 11. w-53 1. f. 928.7 SCALE IN F--ti w-321.f. \ 20 25 50 10 923.5 SaW2+22 18 19 w -311 1f. 923.4 HOUSE 611-1/16 BENDS 6"-1/32 BENDS n 50.0' / 35 _ lo' \ 41.5' 80.0' _ EL. 2 C.O 36.0' 49.0 TEL. 29 42.5' 42.0' THE LOCATIONS NS OF EING TCONTRACTORROSHALLTIDETERMINE SHOWN WN EXACT N LOCATION OF ALI-13E FULLY BE OCCASIONED SBYOHIS FAILURE TO EXACTLY EXISTING ANDILALIESDAHAES COMMENHICHCMIGHING WORK. FE LOCATE AND PRESERvE ANY AND ALL UNDERGROUND UTILITIES. .... /awl nrv?I nPMENT •T EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER c. X "Li d. X "U" SITE ADDRESS '?E?j TC2 ( CX/?/ CONTRACTOROD/'7 /Me`?' DATE 9? ZS PHONE 7?0-/DOU Determine working Ysquare footage of each- 1. Total exposed wall area ...... 3'?17y.G sq. ft. X , IL- - _&{ L4,46 2. Total roof/ceiling area ..... -?9 `- sa. ft. X a U7i?p - 4(,0, 71L A. Total wall window area .......................... ?41 .di B. Total door area ................................. 4E. C. Total sliding glass door area ................... D- Total fireplace wall area ....................... ?? d E- Total wall framing area (average 10%)...... ..... er ?_tot. F. Total Rim joist area ............................ Zbt. . G. Total Net wall area above floor ----------------- Z Total exposed foundation area V . H. Total foundation window area .................... I. Total net foundation area above grade.--........ 7U gm Determine "U" value of each wall segment- a. 2?F1.`10% X ..U.. .34?- = f b. 4L. X ..U.. . 0(07 = Z . s e. ?AA 01, X "U... f- 'Lpfo , X -U.- g- Z,664.4- X --U.. X "U" = N A.- ,iZ = 31,3 •? = 8.z4 vsL = 9 ,1 17 6. x Z2. ? 07, .....Total = ". r9 If item #3 is the same as, or less than item #1, you have :net the intent of SBC 6006(c)2- % yy 1 ?? ?f 1 k ? .y? Total exposed roof/ceiling area j. Total skylight area ................................. q? Air k. Total roof/ceiling framing area (average 10%)._....107A1. Total net insulated roof/ceiling area -:_......... Determine "U" value for each roof/c?,ei//ling' segment. j. X "U" = ILL Fem. k. 1-79, 7 X ..u" O3 = 3 1. ? (w 17, -3 X "o" 02.E _ ?JZ. ?4 4 ............ ......................... Total = 37.7 :• If total of 94 is the same as, or less than #2, you have met the intent of SBC 6006(c)1- Alternate Building Envelope Design To utilize the total envelope system method, the values established by.the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2- 1.?yl?¢.43 + 2. 4(o,7Z = 411,15 3- VIPC- .910- + 4. X7.73 = 3oQ . (MI PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE IN ERT DATE II FEES HVAC: 0-100 M BTU qG /?? sfo $ 24.00 ADDITIONAL 50 M BTU ?/OA) 6.00 GAS OUTLETS (MINIMUM I Q S .00 CH) ?QO ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL, SITE ADDRESS: 1-1 OWNER NAME:_,,bYt TELEPHONE #: -7, 1) -IX-6 INSTALLER: GEVZ-RYAN pI,I]MBING & DATING COMPANY ADDRESS: 14745 South Robert Trail CITY: Rosemount STATE: MN ZIP CODE: 55068 TELEPHONE #:-423-1144 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOW-S ANDr CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL 1 SHOWER 3.00 3 , 0 0 WATER CLOSET 3.00 o cz BATH TUB 3.00 ?- 00- LAVATORY 3.00 o KITCHEN SINK 3.00 3 • st t LAUNDRY TRAY 3.00 3 . a HOT TUB/SPA 3.00 WATER HEATER 3.00 T -L FLOOR DRAIN 3.00 3 a t GAS PIPING OUTLET • minimum - t 3.00 _ ROUGH OPENINGS 1.50 L4 • SU WATER SOFTENER 5.00 PRIVATE DISP. • Da.ay. tic. 20.00 U.G. SPRINKLER • home under cone 3.00 ALTERATIONS • to =istfog 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: ! } 4 • dJ SITE ADDRESS: 3a \ ?dirC?v at ° C? OWNER NAME. INSTALLER: ADDRESS: ?S? 3 O C ra >_a- C ?-5 0, CITY: STATE: t, . ZIP CODE: PHONE #: (U-) '--f 2:?, - 3 3 0 SIGNATURE PERMITTEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-467S LOT sLnC'.•: j SUBD."o/lite, l R.-Ce1PT # L g1?Oz DATE 1'QC'?5 ff 1885 CITY OF EAGAN IRRIGATION PERMIT (FOR EACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: Commercial _ Residential (boulevards) _ Existing residential GPM GPM Arealaddress to be irrigated- 1921 L2 l2!'?Ffsim? i, ef?llnr _ A*T7W W-DAll)1a?j J:VC. - r •.-na? r ^hemhor {?7 Street address- f 5230 CAr?MS61-. WAq ' City, state & zip code: 440"T- MIJ 550bg Phone #:C1/1Z) 423-3730 Owner Name- A_uba W1 Lb Street address- q32( 70&?WSTF r. et City, state & zip code: IF-46AN MN Phone #: 01647/91 Irrigation contractor, if different than installer: Telephone #: I hereby acknowledge that l have read this application, state that the information is correct, and agree to compiy with all appilcaDle City of Eagan crd+nances. h is tirra applicant's responsibility to notify the property 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. , _ '"'"'. c Applicant's gnatu ?- Title - Approved by: Date: PRV ? Yes ? No New service ? Yes ? No Meter Size & Cost Fees due: - Calculated by: /1-l -7 PROCEDURE FOR IRRIGATION SYSTEMS - 1995 An Irrigation permit is 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 installed. $300.00 per tap if installed by City. 9'3 iwe.¢i •' a7iGEa: -P.7 5n _ ??-?•;?? ;?ar;nitr !`+ rnvor r•'aila?i;'•? nf.h?'flow nrw'son+?r_ $ 0 water permit fee if new service is installed. . $750.00 per connection - WAC. ' . `% $372.00 per connection - water treatment facility. Existing resilience: $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 ?5, a 1" meter will be required at a cost of $170.00. If gallons per minute tire more thbn 25, a 2" turbo with strainer will be. required at a cost of $800.00. This information is to be supplied by the de'signer of the system. No meter will be sold before all sewer and water Inspections are complete on anew service. If new service lines are not required, 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 birn-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. ? / 3®4 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ywi New Construction Requirements RemodellReoair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y _ N 7 set of Energy Calculations Addition- indicate if onsffe septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan If lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date! / /03 Construction Cost Site Address 1 3 2) D 0 y- c,dt ?sJe? C-4- Unit/Ste # ? ccn.? lM ? . z 3 , Description of Work ( ll e l In tnd F f yl (S V1 Multi-Family Bldg _ Y LC N Fireplace(s) x 0 - I - 2 Property Owner Kawe` (I r6e4, v- l r ae // f zr Mbet,) Telephone # ( 657 ) r' 26 -043 3 Contractor d t c-' ev -- Address W oz) j lavt.A Q I/ City `L"cw_ State E4 6LyL mpx, zip 55 1L3 Telephone # (65!) 6dff-07 SX (Idl G,12- FMS 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone Telephone #(llp? ) SEP 0 9 I hereby apply for a Residential Building Permit and acknowledge that the informati6n_is=cetnp'lg-e--and-accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. tju I YVI -0u +a1e,.(- Applicant's Printed Name Applicant's Signature N If so, 25% plan review OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation j0490 Occupancy MC/ES System Census Code 36 Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone Fireplace - R.I. - Air Test - Final _ Windows (new/replacement) 7K Insulation _ Retaining Wall Approved By T Z Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total _aS t r (?I J PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit DateQ,/ 03 Site Address 3 0 f C -N e./ +e Y- Unit # Property Owner Telephone # ( ) Contractor _ v --c Ae.r ?e r d d e )ef, HeSslan Plumbing ervices, nc. - Address P.O. Rnx 99179 city Eagan, MN 55122-0172 State Zip Telephone # ( ) The Applicant is Owner 11,- Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPG license $ 100.00 Includes County fee. Additional consultant fees may apply. Alteration xisting Dwelling Unit, Including $ 50.00 Adding fbdures to lower levels or room additions, excluding water softener and water heater Abandonment of septic system - Water turnaroun (+ 5/8" meter if needed - $121.00) Other: - RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ additional $ 50 State Surcharge I In?l l? $SQ SG Total r: I hereby apply for a Residential Plumbing 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 with the Plumbing Codes; 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. i A A 1" i V I-E. G N i? Applicant's Printed Name A icant's Signature 1 ?'6 Lo Co-, ? 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 30 a Date_tQ I ?` 1 V ? ) ( A A 1 22 Site Street Address Ll %?? VC)YGhPS r "i I.: f?fil?l?) N4IV ? ? nit # P i Property Owner Telephone #)3/?"?n/? Contractor X3 Telephone# ?Qj h /7ik ???) 1 ?C I? ?i1AIIIAIf) IVIG1 t I-Ie ?Ylr? r? { Address Ll) %- IJ ?12 (???i d city s? . A ('41 State[4/Q_ zipC515015 L The Applicant is: _ Owner Contractor -Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license ncludes County fee S 100.00 Per as-built $ 10.00 Alterations to existing dwelling S 50.00 Add plumbing fixtures. This fee includes installation of a water so ener andior water heater at the same time. If you are installing onlv a water softener and/or water heater, do not complete this section, move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $130 00 if a 5/8" meter is required) -Other: I - - I Water Softener Water Heater $ 15.00 _ new _ replacement _ Lawn Irrigation r RPZ _PVB -new -repair -rebuild 5 30,00 State Surcharge S .50 Total Sa' I hereby apply for a Residential Plumbing 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 plumbing codes. that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name Applicant's Signature JUL 0 3 2007 FMice Use City of Ealan Permit#: 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: Phone: (651) 675-5675 l I Fax: (651) 675-5694 staff: pp 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: L s 7 3 0 f Site Address: 1 e, r C e J° 4t r C Tenant: Suite RESIDENT I OWNER Name: Al C`) Ck 1\ 14 h bi e 4 Phone: to y 9 7 2 4-7o Address / City / Zip: Q a cQ T im, S S / Z '2 CONTRACTOR Name: A2S 3 } ea v~ P I r~ "''Lv e c r C-ei License O S S - _ Address: o a a / 7 City: state: .1/V Zip: SS / 2 3 Phone: (,S) (s g 1~ $ a S Contact Person: TYPE OF WORK _ New Replacement Repair - Rebuild Modify Space Work in R.O.W. of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn irrigatio Add Plumbing Fixtures C__._. RPZ / PVB) Main -Lower Level) Septa System Water Turnaround New Abandonment / RESIDENTIAL FEES: V v J r $50.50 Mg M Water Heater, Water Softener, or Water Heater A(ld Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $5050 Plumbing Fixtures, Septic System ndorrmerrL WOW Turnaround- (ftkKW $50 S" Surcharge) 06 Ater Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System hft ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes $.50 State Surcharge) TOTAL FEES $ t tweby ack this information is comp* and the work will be in conformance with the ordinances and codes of the City of that I understand this is not a p it, but only an apOootion for a permit, and work Is not to start without a permit; that the work will be in acx with the appmW plan in p» Case of work which r a review and i"taval of X Le . ~ I ) -)Z--. 1 14 - - Ak,4s Applicanre Printed Nance Appllicant's Signature FFOR OFFICE USE Reviewed By: Date: [Required Inspections: Ground ----Rough-in Air Test _Gas Test ---,Final PERMIT City of Eagan Permit Type:Building Permit Number:EA143843 Date Issued:06/28/2017 Permit Category:ePermit Site Address: 4321 Dorchester Ct Lot:8 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-080 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 - Randy Luc Le 4321 Dorchester Ct Eagan MN 55123 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147231 Date Issued:12/18/2017 Permit Category:ePermit Site Address: 4321 Dorchester Ct Lot:8 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-080 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Randy Luc Le 4321 Dorchester Ct Eagan MN 55123 (651) 413-0487 Assured Comfort Heating & Air Conditioning Llc PO Box 6 Roberts WI 54023 (612) 221-2663 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152109 Date Issued:09/28/2018 Permit Category:ePermit Site Address: 4321 Dorchester Ct Lot:8 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Randy Luc Le 4321 Dorchester Ct Eagan MN 55123 (651) 431-0487 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature