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4333 Dorchester Ct            øû   þýýü ûûúùúøû     ÷üüýý öùùùþ ý åä òú ÷   åïå   þý   ÿþýü ûú  ùúø ú ÷úþýü ö   ûú  ùúø ú õ  ú  ú  ú ü úôú óú ô   òÿ ú  ñ ú ú      ú  ü úðïî  ý ííïí ñ  úôû ðì ü  ô ëïêêí ô÷  úò ú ûé ëïêêï  óõõò  ñð üü   ú Þ ô ûÞ   ïåö è íåååúò  úø ú è  ñöïïå ðïîáíâï ò ú ÿý   ò ò è ú ò  üü     ò ò çúô  úú   ú ôüýò  üü ÿ     çñ      øýç  æú  ê üü ã úô   ú   ý  ú Address 3 4333 DORGHRII SM CODST Zip 5512 3 Lot 11 Blk 3 Sub HAwt1ugw woms IsT THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Dat : Yes No Inspector: Final grade " from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass LI/ Trail/curb damage Porch too, S ye- 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 Lip 46 - D Request Dale / ?-3 FIr4NO.._!' pnugn-in Inspection Requi ? s G No G Ready Now T Re tnspactor When en Ready? Icensed contractor I] owner hereby request inspection of above electrical work at: Job Adtlr Slfaet. Bax oma No. 3 -3 City Section No. Township Name or No. Range No. Occupa RINT) ngn Phone No. Power Su ?r Address Electrical Conn r (Company Name) _ Contras, Licens/e U Meiling Add ass ICOm ctor or Owner Making Inslallatiom Authorizea gnatura lUontractonOwner Making Installation) Phone Number 2 //^ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED. fI?/ 32455 REQUEST FOR ELECTRICAL INSPECTION 11 Ee-o 1-0e ? See instructions for completing this form on pack of yellow copy. $ "X" Below knrk Covered by This Request 4c!L's i New Add Rep. , TypeofBuilding Appliances Wired Equipment Wired Home Range - Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Siza as Fee # Circuits/Feeders Fee Pool 0 to 200 Amps 10 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspector's Use Only: TOTAL S? Irrigation Booms 70 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee i` COMPLETED WITHIN 18 MONTHS. 1, the Electrical Inspector, hereby Rough-in Date Z1_>7 certify that the above inspection has been made. Final Data OFFICE USE ONLY This request void 18 months from INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date issued: (612) 681-4675 E ADDRESS: APPLICANT: HAWTHORN[-- WOODS JST (612) 646-6529 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. I EMARKS: S & W PLBR -- \AIAFY PLBG PRV WeTflf icate of ccmpanc? City of pagan Wtotut of 13sain, 3nopection 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: ? -'4. Use Classification: SE DWG Bldg. Permit No. 20556 R1 VN Occupancy Type Zoning District 6gM? . PAIJL Owner Building - Address , ! B . . 9 ASS ! ! f Date: Building dfficial POST IN A CONSPICUOUS PLACE INSPEC CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ON RECORD PERMIT TYPE: Permit Number: Date Issued: 0Uf1111fill H;'ser,•,n 04 /Of-,/ ?Yll SITE ADDRESS: I ()I I I fit II( N 11 OR I'M 1FIt Lf PERMIT SUBTYPE: 1,t ;.. NV TYPE OF WORK: [NsprCTION TYPE i I , i MARKS, & W f1l Tilt - VAI i FY I'l H6 PRV APPLICANT: I 1•; M l l i;lt-lr 111?1g1 `T Permit No. Permit Hokfsr Date Telephone # S/W PLUMBING HVAC p aJ-?? ELECTRIC c?j a f j -2V ob ELECTRIC Inspection Date Insp. Comments Footings I Y I Foundation Framing 5 ' S ?? ? v LAC JUr d H er ?- Roofing / LL Rough Plbg Rough Htg. laud. PO Fireplace ?. /- t ?4G?? Final Hug. ) ,'? g3 s ,/' /y. orsat Test -z Final Plbg. I/j1/93 &.C Pibg. Inspector- Notity Plumber Const. Meter EngrJPlan Bldg. Final ?. 2.) ,? 3 Ds- Deck Ftg. Deck Final Well Pr. Disp. p ?-1 i ? LOT SQRFLY CSZCELXBT POR SZSIDENTIAL BVILDIN nRXXT APPLICAT N FROPZAT ,,.. , Date of Surveys T/?T93 R2C?' NT tiTANDIL4nA SID 0 0 Registered Land Surveyor signature and company Building Permit Applicant D ' 0 Legal description 0 0 D Address D' D 0 0 0 North arrow and bar scale House type (rambler, walkout, split w/o, split entry, II'D ' 0 lookout, etc.) Directional drainage arrows with slope/gradient !. D D D D 0 0 Proposed/existing sewer and water services - E?0 0 Street name Driveway ELEOATTONS D D'?-0 Existinv Sewer service 0' D 0 - Lot corners r D D 0 0 Top of curb at the driveway Elevations of any existing adjacent homes Proposed D D 0 0 - Garage floor @' 0 0 First floor 2' D 0 Lowest exposed elevation (walkout/window) D? D 0 Property corners Front and rear of bone at the foundation PO)MING AREAS (if applic blel D 0 Easement line 0 Q' 0 NWL D D? 0 HWL 0 t5' 0 Pond # designation D V E) Emergency Overflow Elevation DTMrNS IONS Q' D 0 Lot lines Il' 0 0 Right-of-vay and street width (to back of curb) 0' 0 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) D D Show all easements of record and any City utilities within those easements fl 0 0 Setbacks of proposed structure and setback of adjacent D / 0 existing homes 0 Retainin v `em at if any Reviewed: .? OctoberIooZ ities Diizital Oualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT 7 7s? PERMIT TYPE: I: I i , I Permit Number: 01 "1. Date Issued: 7 If d? / " SITE ADDRESS: DESCRIPTION: i l + I c: + +l 1" ;j 1 1. , ; s r I S. UDC !!CC'l +a i'ilc}; t '.+ L't' 0 f I I.yio II 1? It tic, REMARKS: FEE SUMMARY: V/AI I. f117I.JpJ CONTRACTOR: OWNER: Cltl-IllIWf+U?J IIUI?i`., 1[?.. ,. `? (?a l-?i_.I ?' ,. !l.li'I C+n ,11, i"EC t.n,,•.. hr+vr rc=,.-d rh,.. It I t..-._ APPLICANT/PERMITEE SIGNATURE AfRI ISSUED A : "dRE ? I PERMIT # CITY OF EAGAN REACTIVATE -""BUILDING PERMIT APPLICATION 108IL 681-4675 MAR 2 3 RECD. u vw . U. SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in hi h w c request is made r lot Chan a is requested once ermit is issued. Date -3 J ZZ / ` Valuation of work ?5d uoo_ Site Address: F-)&rzeit's rEre Cov(a ; STREET SUITE i< Tenant Name: (commercial only). LOT BLOCK 3 SUBD.HAw7"?IO?kNE WOODS P.I.D. At IST ADi>rno l Description of work: SiovGGE- - ,¢M y wA:7Z_ Z_ q) The applicant is: EI-Owner 18 Contractor ? Other (Describe) Name 2ENTi i ?O ?{ ;,, 5 Phone ' s -4527 9 Property LAST FIRST . Owner Address /lr? S? l? 4 STREET STE N City 11'4 ZState Zip s`i 2_Z Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration.# Address City State Zip Sewer & water licensed plumber V,4 LL---/ ,,L) Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: i' OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plea ? 10 Multi. Add'l. WORK TYPE 13' , 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION vattation: Const. (Actual) v-k Basement sq. ft. MWCC System Yrs (Allowable) v•N 1st F1. sq. ft. City Water -yes UBC Occupancy Q_3 M"1 2nd F1. sq. ft. PRY Required Zoning R -L Sq. Ft. total Booster Pump # of Stories - Footprint Sq. ft. Fire Sprinkler Length T1 - _ On-site well Census Code /0/ Depth ? On-site sewage SAC Code ?L 6 / APPROVALS ?snsus k_nl , yr Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? Site ? Footi ng ? Framing ? Insul ation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 100 SAC Units 57;399, 12Kiyz I(?Bxy-5= '7S 60 , ?x?2= r2 15Xzo c 3aa 1 Xlq 114 16D6><sy? ?a 8 y ? 724 ai ?ua? GA(2AG E'. 9SMT $ Zl S ova '- ?`? J? 2 = 768 ?19D5LO oQ,' yoy 32= 12 $D 1 z.= (2N) ? 11 Apt./Lodging'' 'fil,16.Basement'Finish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish ? 36 Move 4o k 3L I><12?. 2Xb? 20 X t,? 15;r FLaoQ: 732 x lro = 111712 12 X60 12 Iz 3?J 1604 X 15s 2y, 060 3s?rc- 7(?oN 2x7= !y 3sE»tN PD?N: ?? x??t= r 'i y? T-' EXTERIOR ENVELOPE AVERAGE "U"' COMPUTATION OWNER V SITE ADDRESS CONTRACTOR PHONE GAG -G 9 Determine working square footage of each- ?f 1. Total exposed wall area 3737.3 sq. ft. x 2. Total roof/ceiling area ......_? sa. ft. X a0Z,(0 - A. Total wall window area .......................... 33 B. Total door area ................................. S 9 C. Total sliding glass door area ................... Ap D. Total fireplace wall area ....................... n/ 1A E. Total wall framing area (average 10%)......... F. total Rim joist area---------------------------- 3 8 O G: Total Net wall area above floor ------------ -.... 2^`0 5.9 Total exposed foundation area - 13 5 H. Total foundation window area .................... 8 1. Total net foundation area above grade........... 2 7 Determine "U" value of each wall segment. --10 129.8 b.- X ..U.. 7 = 4 c. 4o X ..U.. , 5a = Zo. d. N A x e.278,4 X f. 3'8 O X g-t>S.? x h._ X i. JZ x „U,. '04 _ l5. Z ..U„ 0 _ /Or, Z- 3 ...................................Total If item k3 is the same as, or less than item 01, SBC 6006(c)2. /"32 0 e met the intent of Y C y: d. ,p .y r t., ,u ?.r ?;x7 xnMa{x H rip _ . r x ?y ? r`+Y ?y?j w Total exposed roof/ceiling area j. Total skylight area --------------------------------- k. Total roof/ceiling framing area (average 10%)...... (o?j .6 1. Total net insulated roof/ceiling area .............. Determine "U" value for each roof/ceiling segment. --. . X U. _ k. I bo, &,6 x "v" . 03 4,18 1. )445. 85 x "D" i OZ. = 26.2 4 .....................................Total 3 3 < -4 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. 1- 3. + 4. _ s" PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES i SHOWER 3 WATER CLOSET a BATH TUB LAVATORY i KITCHEN SINK 1 LAUNDRY TRAY HOT TUB/SPA T WATER HEATER T FLOOR DRAIN GAS PIPING OUTLET • minimum . 3 ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • Da,i.ay. tie. U.G. SPRINKLER • home under cont. ALTERATIONS • to existing WATER TURN AROUND STATE SURCHARGE TOTAL: LAC*3 DOTAL 3.00 3- 3.00 9 - 3.00 6, 3.00 3.00 3 3.00 2 - 3.00 3.00 3.00 ?- 3.00 ?- 1.50 ?. 5.00 15.00 3.00 15.00 15.00 .50 SITE ADDRESS: OWNER NAME: ?eP c u 1 INSTALLER:- kt t a z ADDRESS: C Q ?-- CITY: c(a STATE: V" ? ZIP CODE: PHONE #:. ( ) L) C+') - a I) I SIGNATURE OF PERMITTEE 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 - IV 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681467S PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING Ui:;T. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACTYRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF ER713It FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CM: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT i 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 DATE /o? I / ?3 HVAC: 0-100 M BTU ADDITIONAL 50 M BTU OAS OUTLETS (MINIMUM 1 ea S3.oo EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL SITE FEES $ 24.00 6.00 l1 DD .50 OWNER NAME: Bw oed 1-knw",L-:) TELEPHONE #: JN2-ID/» INSTALLER: GENZ-RYAN PLUMBING & HEATING Co. ADDRESS: 14745 South Robert Trail CITY: Rosemount TELEPHONE #: (612) 423-1144 n U STATE: MN ZIP CODE: 55068 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681467S °. Noun SIGMA SURVEYING SERVICES INC. 1991 senaca Read •sw+e E EW. MkWMM 55122 Phorr: (812) 452.9077 DM SHOWN TNWSI L-L-- 51016 6 rely IN WIDTH 9ML966 OTMLNM46l INDICATED, AND 10.g—lJINDp1WTJ W[f AND L A6 fNOMN 0/1 iMt PLAT STRUT pWIS B RE H O M )OD INC. ( Nr ,.4 I :-. ti i ? t,J I V I ? Q 43 c?• N 88° l I `bp" E q?ti1 l6Z, 4'? ?a q33 _ ;?\ cQ"?,'? 430• z.o ' ZCell L J -s-- or,n sewe.- Pape _ e4 6' ' I-0, 1- ? 1o.a /'? ? (JZ 10 0 ay' g3ti o p;?Nn P? (3 so- i x Pr sed DIN /LT1 ea N HevSE Lo `xJ/' 1 ?] s •? q. 932.YIx W l,0 In I rear O_ N p a,;?B 2,, i :r LOT O 1 ?iarayegd / ?1d? V? 932.Yg X9+ b a- . N 4,s 3 ii?n,. \` g Z I A3~N ? 9?S6hb 'o.. 2i 0 < a. r ti? II X °.?' q'?ti / f < 010 X950.9 / / \y \ 1 /? . '?71 `ho aM1?cg35.6 i / Lti°?-• ?ara9e J -? -?? 1 tJ ' 30 Ddb Io ? s -LEA Staley, a 1 00 (? ln?n1? o ®q35, 7 o Denotes Iron Monument PROUP'SS?ARAGE FLtVP?TIO c Denotes Wood Hub Set PROPOSED TOP OF BLOCK ELEVATION= 93610 Cl n.() „932..`F Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= (x935.7) Denotes Proposed Spot Elevation -- Denotes Drainage Direction *NOTE: Verify all Bldg. Dimensions and Floor Heights with Final House Plans. -PROPERTY DESCRIPTION- -- - - - -SURVEYORS CERTIFICATION - I hereby certify that this survey, plan or Lot 11, Block 3 , HAWTHORNE WOODS report was prepared by me or under my 1ST ADDITION, according to the.. direct supervision and that I am a duly recorded plat thereof, Dakota Registered Land Surveyor under the laws of County, Minnesota. the State of ?Minnesota. IIBI fin) ?cf Date: Wayne D. Cordes, Minn. Reg. No. 14675 E S, Use BLUE or BLACK Ink I For office Use--,.....---_- I l I Q` I j Permit u I i I Z a~ I City of Eap i I Permit Fee: I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: j Phone: (651) 675-5675 j Staff: i Fax: (651) 675-5694 I i 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f / /3 Site Address: 33 D©r c_k e 4e_r CO U r ~ Unit Name: j0,,/1e3 t'. Te-nJ! n Phone: (aS_/ -,?d3 0/49 Resident! Address 1 City Zip: ! 333 ,©C3 r'C klPs-S r^T °t /YI ~°"S0,3 O1 Mt er / Lof Applicant is: Owner Contractor a Type of Work Description of work: b~ S Construction Cost: Multi-Family Building: (Yes /No Company: (2004 - +-4 1 c~,-54d c+ ontact: _ / 44e JC wA (.49 Contractor Address: b 3 I~ayee r gn a City: Yu C1*4 40 t✓y1/ State: MX" Zip: 5~3$g Phone: 9 9.2 -g VVV License 13G 6-35 3 9Y Lead Certificate* K-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: _ NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the inhormation maybe classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wrhnw.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate. that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Mark E wo, !J x nqr' Pf, ow". Applicant's Printed Name Applicant's Signature Page 1 of 3 Jun. 4 2014 11:58AM Date: City of EaaR 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (851) 675-5694 RECEIVED JUN 04 KM No 7395 P. 1/4 Use BLUE or BLACK Ink For Office Use Permit#: a-'3 Permit Fee: Dale Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 4,/6 DayktCAOr C . t o►'Y1 Unit* a Resident/ Owner Name: jinn L 1'( " Phone: 1061303 Address / City 1 Zip: 49) a r Cl►e ►V CT. - a 2 Applicant Is: Owner g Contractor Type of Work Description of work: IMirekbtiOVA 0f 1L4 POYYcFDiattb 417 S1 O ttu kOU Ick f'iah Construction Cost: 6 Li200 f Multi -Family Building: (Yes / No k ) Contractor Company: Ar1YNtl'arhYG baStfmnt Si*it',Irni-j_ Contact: 1 Ga Uh n Sc ✓1 Mt. Address: RDIcAtit'1 TlidYG %,16 City: Pint ON ,! 72024�n 99p� State: Zip: 660 16 Phone: 'Gvl4 0 Email:p4It:41111n0 V VC License#: S c I V is Lead Certificate #: RV `l3 L034 - t3 - O4 53 ) If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information) II1 r1q3 In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE; Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (681) 494.0002 for protacUon against underground uUllty damage. Call 48 hours before you Intend to dig to receive locales of underground uUllUes. www.aopherstateonecall,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 o Tans. Exterip w rk authorized by a 13-ni ding permit Issued in accordance with the Mtnne9ota State = ullding Code mu- be completed within 180 dayQ of pe it Issuance. e9 Applicant': Printed Name Applicant's ' ignature Page 1 of 3 Jun. 4. 2014 11:58AM DO NOT WRITE BELOW THIS LINE No. 7395 P. 2/4 SUB TYPES Foundation it Single Family Multi 01 of _ Plex Fireplace Garage Deck Lower Level WORK TYPES New _ Interior Improvement Addition _ Move Building Alteration _ Fire Repair Replace At Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% 1/ ) Census Code 4'34 # of Units # of Buildings Type of Construction 71124 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) jr Foundation Roof: Ice & Water Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: RESIDENTIAL FE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 1/rte Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant XPc- 42.427 lZ-1 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers r Meter Size; Final I C.O. Required Final I No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Erosion Control Other: Building Inspector Page 2 of 3 Use BLUE or BLACK Ink r----------------- For Office Use I I City of Ea an Permit#: I � I 3830 Pilot Knob Road Permit Fee: ol I I _ I Eagan MN 55122 I Date Received: Phone: (651)675-5675 4I Fax: (651)675-5694 I I Staff: 4 I MAR 242016 I 016 RESIDENTIAL BUILDING PERMIT APPLICATION �r Date: /" Site Address: Unit#: r V ReSIder1 Name: Phone: M1� (" 5' i Owner Address/City/Zip: ( Applicant is: Owner Contractor Type of work Description of work: Construction Cost��i �-�-- ��-� µ � Multi-Family Building: (Yes /N -, —! Company: r /- Contact: � Cointractor Address:-- City: State:A Zip; Phone: i ? License# Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: ) Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: the- Plans and swpportrngr documents that you rbrr�it are conaidered to be pc>blic Information. Portions of the- maybe classifietl as non-publ/c if you pravil�le specific reasons th;alt would permit the'C}ty, to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.gopherstateonecall orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x ` A App icant's Printed Name x r App cant's Signtftufd- Page 1 of 3 DO NOT WRITE BELOW THIS LINE ( SUB TYPES Foundation _ Fireplace Porch 3-Season ( ) _ Exterior Alteration (Single Family) — Single Family _ Garage _ Porch(4-Season) — Exterior Alteration (Multi) — Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous — 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES — New _ Interior Improvement _ Siding _ Demolish Building* — Addition _ Move Building _ Reroof _ Demolish Interior — Alteration Fire Repair— p _ Windows _ Demolish Foundation Replace — Repair Egress Window _ Water Damage — Retaining Wall Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Au o f7 Occupancy MCES System Plan Review Code Edition . SAC Units (25%— 100% ) Zoning V City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction _�(�? Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation HVAC—Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:—Footings —Air/Gas Tests _Final Framing Drain Tile Fireplace: Rough In —Air Test _Final Siding: Stucco Lath Stone Lath Brick Windows — — — Sheathing Retaining Wall:— Footings— Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In—Final Braced Walls Erosion Control — Shower Pan Other: Reviewed By: f°" , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review V MCES SAC ; City SAC ( * ( i Utility Connection Charge S&W Permit& Surcharge ( - Treatmen t Plant Copies r= TOTAL Page 2 of 3 s s PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149840 Date Issued:06/12/2018 Permit Category:ePermit Site Address: 4333 Dorchester Ct Lot:11 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-110 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - RPZ/PVB/Lawn Irrigation $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 - William R Klotzbuecher 4333 Dorchester Ct Eagan MN 55123 Jay's Plumbing 25 South Sutton Lake Blvd. Jordan MN 55352 (612) 868-4102 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161183 Date Issued:05/11/2020 Permit Category:ePermit Site Address: 4333 Dorchester Ct Lot:11 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Tankless Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William R Klotzbuecher 4333 Dorchester Ct Eagan MN 55123 (612) 219-2687 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