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4332 Dorchester Ct/rnn isa <1 16 U Z) 61"D Request - F e No. Rough-in Inspection Requirea? ? Ready Now ill Notify Inspector - s G No When Ready? licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress Street. Box or Route No.l 3 City )v Section No. Township Name or No. Range No. co /7`-/ Occu (PRINT) Phone No. //WJ Power Su pli Atltlress Electric I Contract., (Company amet <y10 Co ttraaccttor's Verde No. Mailing Addle (Contractor or Owner Making Installation) 5 rcln Aulhoroec 5 atu,e IContractorrOwner Making Inalallalm - Phone mbar - 136 <--1 ?2c ,y 1 MINNESOTA STATE BOARD OF ELECTRICITY V Griggs-Midway Bldg. - Room 5-173 1821 University Ave.. St. Paul. MN 55100 P"he (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. d UTH9 REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this torte on back of yellow copy X' Below Work Covered by This Request ifac'k EB-00001-08 ??'ti /Jro? Cv ew Add R ype of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specity) Comm./Industrial Furnace Farm Air Conditioner other lspeofyl Contractor's Remarks', Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fea # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps _ Amps Signs ? Inspectors Use Only Irrigation Booms 7 a ?- Special Inspection Alarm/Communication THIS INSTALLATION MAYBE O DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT S. I, the Electrical Inspector, hereby Rough-m Date J certify that the above inspection has been made. final Dat[q / OFFICE USE ONLY This request void 18 months from Address 4332 IIORCHESM Q= Zip 5512 Lot ,n 2(Z Blk 3 Sub HmHaRNE worms Isr THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 03/23/93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) r/ Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck I/ 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 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 0020 BLOCK: 0003 4332 DORCH ESTER CT BRENTWOOD 1*10I1IES I1A14TNORNE WOODS 1ST (.612) 646--6529 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW BUILDING 001920 12/17/9; INSPECTION TYPE FOOTING .DATE INSPTR. INSPECTION TYPE iRAMING DATE INSPTR. INSULATION FINAL FIREPLACE REMARKS: RECEIPT it PRV S & W CONTRACTOR - VALLEY PLUG n a (?ertt?cate v? ?ccu?anc? ?i#? o? pagan ?c?rt>Inent ? ?xit?ing ?>x>nThis Certificate issued pursuanA,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: SF DWG 1q210- Use Classification Bldg. Permit No. Occupancy Type Zonin Owner sof BRENTWOOD HOMES g District Address =VEERfeeAVE, ST PA- 1 4332 UNIUMMIK MUM > > Btrik1hig Address Locality / Dam: 03/23/43 Building Oft W POST IN A CONSPICUOUS PLACE 7- CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 f (612) 681-4675 SITE ADDRESS: IIAI•t1 H1?RNr t-tn??n•. PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: N1.tI INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. - 1 1 I Z I RIF MAFt KSm RFCF I'PI # IJ i (INIRAt.IOR • VAI I IF Pi Eili Permit No. Permit Holder Date Telephone M S/W PLUMBING HVAC ELECTRIC.,- ELECTRIC Inspection Date Insp. Comments Footings 1 7 l Foundation Framing Roofing Rough Pibg. , Rough Hig. 1 isul. .2 G _ e2 JE$ -AP Fireplace Final Htg. ?ot ?3 Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Corot. Meter ? - T J W EngrJPlan Bldg. Final /?[ 3 Deck Fig. Deck Final Well Pr. Dlsp. - 70 2-(? 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existina residential dwellings. Date 0 1/ 1 2/ 0 7 Site Street Address 4332 DORCHESTER COURT Unit# Property Owner SIKANDAR BASHIR Telephone # (612) 817-2949 Contractor GENZ-RYAN PLUMBING AND HEATING Telephone# (952 ) 767-1000 Address 2200W HWY 13 City BURNSVILLE State MN Zip 55337 The Applicant is: _ Owner & Occupant X Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee applies when extensive plumbing repairs are made to a building. Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener andlor water heater do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $136.00 if a 5/8" meter is required) Other: _ Water Softener X Water Heater $ 15.00 new X replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 15.50 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 (p be reviewed and approved. KIM RENVILLE Applicant's Printed Name Ap ca t' Sign ate \ CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: 3 J1 L. U 1 N G Permit Number: 001920 Date Issued: 12 / 1 7 / 9 2 4332 DORCHESTE=R CT LOT: 0020 BLOCK: 0003 HAWTHORINL bJ000S 15T DESCRIPTION: Building Permit Type Building'Work Type UBC Occupanc-y Consti-uction 1'_ypra Zoning Building Length Building Width SF DWG NEW R--3 i+1-1. V-N R-1. 66 33 i REMARKS: RECEIPT"--$ C?aDS? FEE SUMMARY: FRV VALUATION Base Fee I'I.arl rev:i.ew Surcharq-" SAC: SAC SAC Units Sub t o t a L $888.00 {577.20 $25.50 $700.00 1.00 '30,,7 _0 3 fd W CONTRACTOR - VALLEY P L 8 6 $1.71,000 MiTSCEL.L.ANE0US Ll vsI0.50 "Total Fee $'3,861.20 CONTRACTOR: - Applicant - s l' . L I COWNER: BRENTWOOD HOMES 16466529 0001519 BRENTWOOD HONES 1-564 UNIVERSITY AVE W 1564 UNIVERSI'T'Y AVE W ST PAUL MIN 55104 ST PAUL NN 56104 (612) 646-6529 (61.2)646-6';29 I hereby acknowledge that I have read this application and state that the information is correct and agree Co comply with all applicable State of Mn. Statutes and City of Eagan ordinances. A ICANT/PER I E SIGNATURE c4 ISSU Y: SIGNATURE PERMIT iY REACTIVATE'_ ?9ato CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 APPLICATION MAGI- `o 9-RECD nd /fI 1A 14 vv r/d I.L'? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy alts. CO ERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made r lot change is re uested once ermit is issued. Date /Z / 7 / 92 Valuation of work /53 r? 00 . Site Address: 4332 D 1Z Cc 4E5 -I-E R STREET SUITE S Tenant Name: (commercial only) ° LOT ZO BLOCR 3 1 SUBD HAWTHOrzlut= raooa_s P.I.D. M 1'r MD Description of work: 51n1GLE- r4mI? VW15-LL)rV6 The applicant is: Owner la Contractor 11 Other cces«ibe> Name aRCloTwoo' Nc y,r s Phone 6-4 G -4LZ9 Property LAST FIRST Owner Address 15( -? Lin; v -e ,q•u e. 0 . STREET STE N City _??• PA _ State /"//? Zip SSld? Company 6.4ol c Phone Contractor Address License M Exp. City State Zip Company Phone Architect/ Engineer Name Registration N Address City State Zip Sewer & water licensed plumber V t L -? PL u 6 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 A lica G t `/J?? pp n : Glo OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 11-03 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 JX 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) V _ N Basement sq. ft. (Allowable) i t4 1st Fl. sq. ft. _ UBC Occupancy R-S M -l 2nd F1. sq. ft. Zoning R_I Sq. Ft. total # of Stories Footprin t Sq. ft. Length On-site well Depth _a3'_ a On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? 35 Tenant Finish ? 36 Move ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Valuation: $ 1,31,Do 0 "'- Surcha Plan Review CAKA6 E: aq uzo = 14 x /4 = 7690 License 13 _ ?l02 k ?_ 121 k3 MWCC SAC City SAC x )Y=. Z46 Water Conn. 2 K Ao= Wo Water Meter 6 X 11 = 64 Acct. Deposit -- -" 1352 x/S= ZOZTSD /W Permit S ISTf: S/W Surcharge Treatment Pl. Treatment gam.,.,-r- 1852 Road Unit frK2- /I- Park Ded. lug= 9 Trails Ded. ies Co ?? ?r1Xy-3= X2°181 p Other e(NDF7Lp0PL ; 3ZXrt2 - 13`+ Total: „ a x'??r? F C 25? SAC % ?? 1 K r e l 4, SAC Units ?14 ?ry°(o7 1319X53= ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System Yes City Water %(91 PRV Required C, 5 Booster Pump Fire Sprinkler Census Code SAC Code -L Assessments a ) , T EXTERIOR ENVELOPE AVERAGE "U"' COMPUTATION OWNER C 1.JT W 00 c- SITE ADDRESS -4,332- Doe C H'F ST6'e C ?T L A C. '4 CONTRACTOR ?,?2ct?T?•? Cdr Tl? 1''1=S DATE_L_7?PHONE z 9 Determine working square footage of each. 1. Total exposed wall area .._.- 3 3 `TI sq. ft_ X I S:7 3 2. Total roof/ceiling area ...... 1379 so. ft. X U[,?, - 36 A. Total wall window area .......................... 371 B. Total door area ................................. 59 C. Total sliding glass door area ................... $ D. Total fireplace wall area ....................... All A E. Total wall framing area (average 10%) ........... 2 .4.1 F. Total Rim joist area ---------------------------Z 6 G'. Total Net wall area above floor -----------------Zl 9 3 Total exposed foundation area - /'So H- Total foundation window area .................... I. Total net foundation area above grade........... /;fo Determine "U" value of each wall segment. a. 379 X •'U" b.?Jr X "U" c.Q X "U" d.J _ X "U" e. 2444 X "U" f. 284 x ^U" c 3 X „U.. h. N A x .,u„ ,33 =)44 ne- 50 = 4o - rz = 2q ,off - $S i- In X ..U.. ??.3 = ZO 33 < 3?3 o K 3 ...................................Total = If item 43 is the same as, or less than item q1, you have :net the intent of SBC 6006(c)2. Total exposed roof/ceiling area = I3 7 8 j. Total skylight area ........................ ............... Total ... roof/ceiling framing area (average 10%)...... - 3 1. Total net insulated roof/ceiling area .............. )c' Determine "U" value for each roof/ceiling segment. j. p x "U" k. 7J 8 x "U" id3 = 4 1. LZ-40 x "o^ ryL '4 4 .....................................Total - Z < 3G nK If total of 94 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. 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. + 2- 3. + 4. PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 3- 3 WATER CLOSET 3.00 c? - '_ BATH TUB 3.00 (, - -A_ LAVATORY 3.00 t.a ' KITCHEN SINK 3.00 3 - LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 3- GAS PIPING OUTLET • minimum -1 3.00 J ROUGH OPENINGS 1.50 y - s WATER SOFTENER 5.00 PRIVATE DISP. • Dei.cty. ha 15.00 U.G. SPRINKLER • home under most. 3.00 ALTERATIONS • to costing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: S SITE ADDRESS:_ ?3a o c c c c e ?? OWNER NAME: )tQ'AL 13008 INST. C, , ADDRESS: I V C R ?e 1L_ l? CITY: 1 o cc c1 STATE: M ZIP CODE: 5 s"3 ' a PHONE #: ((,o- ) yea - a\ a? SIGNATURE OF PERMTTTEE PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681467S PLEASE COMPLETE FOR ALL COMMERCIAL INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCM`PTION: CONTRACT PRICE: FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF Von FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT .: PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. XX NF,W CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE January 19, 1993 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 WAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 6.00 ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL $36.50 SITE ADDRESS: 4332 Dorchester Court OWNER NAME: BRENIVOOD HOMES TELEPHONE #: 646-6529 INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. ADDRESS: 14745 South Robert Trail CITY: Rosemount STATE: MN ZIP CODE: 55068 TELEPHONE #: (612) 423-1144 0 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 96? D VD fi}??p 0 8' 00 D D'?0 D BB"" ,0 D IY D 0 ? 13 ff'-'10 D?0 0 LOT SURVEY CHECKLIST FOR RESIDENTIAL Bull PROPERTY LEGAL: D9CIIMENT STANDARDS Registered Land Surveyor signature and company • Building Permit Applicant Legal description • Address • North arrow and bar scale • House type (rambler, walkout, split w/o, split lookout, etc.) • Directional drainage arrows with slope/gradient is • Proposed/existing sewer and water services • Street name • Driveway ELEVATIONS Existing • Sewer service Lot corners • Top of curb at the driveway • Elevations of any existing adjacent homes entry, ProDOSed / ? 0 D , Garage floor [ D ? ? First floor 6 D D 0-D ? Lowest exposed elevation (walkout/window) 0 D Property corners Front and rear of home at the foundation PONDING AREAS (if a=icable) D D'D D 0' Easement line D 0 M 0 NwL D HwL Pond M designation D 0 Emergency Overflow Elevation DIMENSIONS 0:,0 13 Lot lines ' D D D'0 D Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 20, porches, etc. (i.e. all ? structures requiring permanent footings) D D Show all easements of record and any City utilities within A those easements D D ? Setbacks of proposed structure and setback of adjacent r existing home t3 D D Retaini equir ants, if any Reviewed: l2 Z? October 1992 Nam / Da e Date of Survey: -T Ti ?)` * DD City of Evan 363o Pilot Knob Road Eagan MN 55122 Phone, (651) 675.5675 Fax: (651) 675.5694 2008 RESIDENTIAL Date: O 2i Site ,5;2 ?/ ?79a- ----------------- l I permit#: ` 50 a ? Permit Fee: - i 1 1-7 Date Received: I1 I g I Staff: - i r J PERMIT APPLICATION suite #: RESIDENT I OWNER Name: (Cl Gt / G?ILG ?dk G Phone: Address / City I Zip: Applicant is: _Owner _ Contractor TYPE OF WORK Description of work: / Construction Cost: J ??•?? '-Family Building: (Yes_/ No I t ' ?RQ CONTRACTOR Name: ?? #' i Address: 1 city: S@1(mae ^^ State: 1 Zip: SS Phone: G61-L1?1 -L1&; J Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Oateaorv 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted submitted (J 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: Mechanical Contractor: sewer & Water Contractor: Phone: Phone: 1 hereby acknowledge that INS infonnailon Is complete and accurate; that the work win be in contonnanoe with the ordinances and codes of the Cily Of Eagan; that I un 1ttus is not a permit, but only an application for a permlt, and work is not to start without a permit: that the work win be in accordance ' f the ap ved plan in the ease of work which requires a review and approval of pi qrs. i x x Appl nfs Printed Name Applic s Signature page 1 of 3 M0981 CRRVIFIC1V9 FOR: SIGMA SURVEYING SERVICES INC. 19, l Seneca Poet •S.w+t E Eagan, MWWWGOW 55122 Phom: (612)152.3077 SO'IAIN TM Y390 OTILITT [AS[M[NTS ARE 43q0 a I q3,??o W C/I ?W W U W IL of s V v I 1 (}.I o 1 I T4N A3`t)8 1 [ »I a LS a M FEET IN WIDTH AND OdOI AD WTNW TINES NS[ OWES,W WORN •33NOWN ON tN[K4T. 4 STACEY ? L ? T n ?j **Y**yN.?• r?O `ai0 'h .W aS' y ?p? p oo\ t4'? ?i{?7?1 ?'y • Mq3 69 o D1i?*? iC V, f?.O 93 GA( I O0/ I o /1?I 1S ?S 2SeNiGa Co chi q1 b 4"L Scale: I"=30' o Denotes Iron Monument ) c Denotes Wood Hub Set x93a.1 Denotes Existing Spot Elevation (v 991.0) Denotes Proposed Spot Elevation --- Denotes Drainage Direction -PROPERTY DESCRIPTION- Lot 206 Block 3, HAWTHORNE WOODS 1ST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. 10 1 - 4 ,(e Ate. E ?' 0 10.0 . Cx9y1.0) 9355 xi I I tay44? Y I I ?a3H9x? ' AP ; Z ? t: r BRENTWOOD HOMES, - INC. q38 ?? LoT j? HovzE % a \\? g33.4) /,• .: ?? k43S.2 s?40e k k'i 33A) '/ 29.0' /, 93`I•Z ? I 310 ?v aA I A?A• 931 X I \ ell to \\i\ ??f In __ Js i ell DEPT I "11 1 r1 I35°yr'( , q3o e -LEGEND- I 0 °t ? 6" + ?T PROPOSED GARAGE FLOOR ELEVATION- PROPOSED TOP OF BLOCK ELEVATION= PROPOSED BASEMENT FLOOR ELEVATION= 4 33,3 ILVIO *NOTE: Verify all Bldg. Dimensions and Floor Heights with Final House Plans. -SURVEYORS CERTIFICATION- I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of t?tate of yM?}inn/e?sota. '°? t-'6 Date: tL?`i lRZ Wayne D. Cordes, Minn. Reg. No. 14675 ?q^ ?0 M l3,1 I M 35.3 ToeS?k E~ For Office Use,., ? a t~ iVAY 9; 2009 Permit # r, City of EaRd Permd Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I Fax: (651) 675-5694 staff: L----------------- u 2009 MECHANICAL PERMIT APPLICATION Date: a- 11UY C(~ - i Site Address: Tenant: Suite - yO3 SOS RESIDENT! OWNER Name: Phone: (P51 Address / City / Zip: J ` Fl I Y~ l\ CONTRACTOR Name: License Address; \ u ) 2) City: I,,,)t ~1 ~SVl j State: `Y1N) Zip: Contact Person: t-,t~t1 r eLC t, Phone: 0'5~ ~1 7" 1 T TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction Interior Improvement <Air Conditioner _ Install Piping - Processed _ Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install!- Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $L•~ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installationtremoval OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If P rmi Fee is less than $1,000, surcharge is $.50. If rmi ggg is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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. A0 AA_Q_~ x 1 t1 I Lan A I' ant's Printed Nam 7 Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough In Air Test _Gas Service Test -in-floor Heat -Final Exterior HVAC Screening Inspection ,0~0 Y1 PERMIT City of Eagan Permit Type:Building Permit Number:EA127946 Date Issued:10/20/2014 Permit Category:ePermit Site Address: 4332 Dorchester Ct Lot:20 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-200 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 - Sikandar Bashir 4332 Dorchester Ct Eagan MN 55123 (612) 817-2242 North Country Custom Homes 4828 Bald Eagle Ave White Bear Lake MN 55110 (651) 341-0920 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA133267 Date Issued:10/01/2015 Permit Category:ePermit Site Address: 4332 Dorchester Ct Lot:20 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-200 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sikandar Tstes Bashir 4332 Dorchester Ct Eagan MN 55123 (612) 817-2242 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature  !" #$%&'()'*+*, -./$%'"&0-123/4$,+ -./$%'53/4-.16789:8: <*%-'!==3->1?7@?M@B?7: -./$%'#*%-+(.&1--./$% C$%-'6>>.-==1''988B''<(.GN-=%-.'#%''  !"$%&' ((#*++,,- ((C2QMB-.(A+9(59 134 5"6#!57"6"#6!""( 89. <-=G.$0%$(,1 :;<(=>?. @.9,+.-,2% AB'(=>?. @.?%2&. 4.9&B,?,- A2.B(C.2.B D..B(:,E.D..B(=>?.D2-;F2&;B.B:.B,2%(G;H<.B@.H.(G;H<.B,-.(:,E. 1%.29.(&2%%($;,%+,-0(3-9?.&,-9(2(IJ75K(JL767JL7((9&M.+;%.(2(F,-2%(,-9?.&,-N #(//-,%=1 O2B<-(H-/,+.(+..&B9(2B.(B.P;,B.+(Q,M,-(5"(F..(F(2%%(9%..?,-0(BH(?.-,-09(,-(B.9,+.-,2%(MH.9(ID,--.92(:2.( $;,%+,-0(O+.KN 1(6(1.BH,(R..(IA:(STB(ACKU7VN""("W"5N)"WL H--'C3//*.&1 :;B&M2B0.6R,/.+U5N""(V""5N!5V7 "(%*21 I:?J??' #(,%.*G%(.1KL,-.1 6((*??%,&2-((6 OM2H?,-(1%;H<,-0:,'2-+2B(=9.9($29M,B #JL"(4++(@+N\\(\]5"")##!(4B&M.9.B(O Y202-(DG((775!#Y202-(DG((775!# IJ75K(#J765#)"IJ75K()"76V"7! 3(M.B.<>(2&'-Q%.+0.(M2(3(M2X.(B.2+(M,9(2??%,&2,-(2-+(92.(M2(M.(,-FBH2,-(,9(&BB.&(2-+(20B..((&H?%>(Q,M(2%%(2??%,&2<%.(:2.( F(D,--.92(:2;.9(2-+(O,>(F(Y202-(ZB+,-2-&.9N *??%,&2-T1.BH,.. (:,0-2;B.399;.+($> (:,0-2;B. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159341 Date Issued:12/10/2019 Permit Category:ePermit Site Address: 4332 Dorchester Ct Lot:20 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-200 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 - Megan Blake 4332 Dorchester Ct Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165398 Date Issued:10/29/2020 Permit Category:ePermit Site Address: 4332 Dorchester Ct Lot:20 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$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 - Megan Blake 4332 Dorchester Ct Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174143 Date Issued:12/29/2021 Permit Category:ePermit Site Address: 4332 Dorchester Ct Lot:20 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Megan Blake 4332 Dorchester Ct Eagan MN 55123 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature