Loading...
4336 Dorchester Ct Use BLUE or BLACK Ink 1-----------------i t 1 I For Office Us ' 9 ( I ♦ 1 G~V City of Ea d~ 11 I Permit I 011 Permit Fee: V-' I 3830 Pilot Knob Road Eagan MN 55122 \ 1 Date Received: r Phone: (651) 675-5675 I Staff: j Fax: (651) 675-5694 2011 RESIDENTIAL/ PLUMBING PERMIT APPLICA ON Date: Site Address: ~ 33 6 bo rC/ Vtt~ a ELy4r4, .55j 2 3 Tenant:._ K 4A&r Suite RESIDENT / OWNER Name: 1 x~✓~ ~'y1 Phone: b✓ 1"~- 5 - 794 1 Address I City / Zip: 336 YV/ of .,,n , r i 1J/ 5-S- 3 CONTRACTOR Name: tT7)D~iGI✓1(,Q_f/j'►5 Q.+'S !)~'I/y License#: S~CIS/~,,"1' Address: 10 L5+. /4J E City: Pr State: IM N Zip: Phone: / SZ ! 6 2-19 YV Contact, l ' I V 0 Email: TYPE OF WORK _ New V Replacement _Repair -Rebuild _ Modify Space _ Work in R.O.W. Description of work: l~(.Q PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) _ Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 55700-1 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.goi)herstateonecall.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. Applicant's Printed Name Applican s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final r 'ds IVIC. Wertificate of cccuvmcc? Tq"rirat Of S." 3. 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 Classification: SF DWG BW Permit No 1554 R1 VN Occupancy TYM R3/M1 Zoning Owner of B District AddTess 1564 W UNiV TIY, ST PAUL L19, B3, HP,Wn WM IST Hmiding Address 4336 DORDESIER OM Locality 01/26/43 Date: Barldng Official POST IN A CONSPICUOUS PLACE INSPECTION RECORD Control No. 12,01 ` W r` OF EAGAN PERMIT TYPE: NO I 1 1) t me. 3830 Pilot Knob Road Permit Number: 0614S9 Eagan, Minnesota 55123 Date Issued: to/14/92 (612) 681-4675 SITE ADDRESS: I (, 1, 1 ?a ?, u c i APPLICANT: 4:1936 PORCHES-IfR r.r ? "14N11400n HOMIFS HAWT IdOWNF WOODS Vq T (612) 646-66Z9 ¦ PERMIT SUBTYPE: TYPE OF WORK: .I 1011f, Nf W INSPECTION TYPE .DATE INSPTR- INSPECTION TYPE DATE INSPTR. 1 UU 1 1 td?? I t<AM 1 Nei 1N3titAIION F1"Al. f I Itf V1. ACi •, i f RIFMAT 1. W CONTRACTOR - VAI (PY P1.110 r 0 -jar=. ?7IMMIIIIIIIIIIIIIIII RAW F ??--------------- - ----------------J? v v ao . m ,? ?, c r r m m v n n n 71 - '4 ?l ?\ ? Z C u d ? w v f ` 1 a N \ M Address 4336 DDRIE M rxntar Zip 5512 #3 Lilt 19 Blk 3 Sub HA MIME WOODS IST THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 01/26/93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas f Sod/Seeded grass Trail/curb damage 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 REQUEST FOR ELE;TRICAL INSPECTION 6 5218 ? See instructions I@ completing this form on back of yellow copy. "X" Below Work Covered by This Request EB-00001-08 New Add Rep. Type of Building 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 Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps _ Transformers Above 200 _ Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Q Irrigation Booms ? Special Inspection ( V Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN TH . P I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Final C/ P ,2 Date Da Z?J, 't OFFICE USE ONLY This request void 18 months from • - ia?ozs?o a 652 18 // 3 9? Q on Re est Date Fire No. Rough-in Inspection RegUnetl7 0 Ready Now ill Noddy Inspector 2 `- es ? No When Ready? I - licensed contractor O owner hereby request inspection of above electrical work at: Job Add re (Street. Box or Route No.l Ciry Section No. Township Name or No. Range No. County P,416 Z!!?e Occupant) T) GG Phone No. 00/77 C? Pow pher Atldress Elecmcal o ,actor (Company Na e) Contractor's License No. i Mail, g Atldress (Contractor or Owner Making Installation) LvI Author ed Ignawre ICOntradonOw ner ^Makin g Inst Ration Phone Number ? J G? MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwsy Bldg. - Room S-170 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED, --11 00 e?O 2007 RESIDENTIAL BUILDING PERMIT APPLICATION ` C/C City Of Eagan ? 701 U 7-1 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675. FAX # 651-675-5694 New Construction Requirements RemodellReoair Requirements Office Use Only 3 registered she surveys showing sq. ft of lot, sq, ft, of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cart of Surrey Real _ Y _ N (20% maximum lot coverage allowed) se1gLEwW Calculations for heated additions Soils Report _Y_N 1 Soils Report If proposed building is to be placed on disturbed soirffcT r? r additions & decks Tree Pros Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found desi (kk? I p a ddi1? i ate if on-site septic system Tree Pres Required _ Y _ N 1 set of Energy Calculations ltwrJ Onsite Septic System _Y _ N 3 copies of Tree Preservation Plan if lot platted after 711193 2007 Rim Joist Dehil Options selection sheet (buildings with 3 or less u0 5 Minnegasoo mechanical ventilation form Plans are considered public they are trade secret and the reason. Date -2 L 0-7 A, Construction Cost .7 y 6 6 Site Address b ol- ce" f, kt_ CO v 1-'1- Em a,,,. `s T 123 Unit/Ste # Description of Work / Qa- , L) i f ?hp V 1 Multi-Family Bldg _ ,,,,,,, [ Y Fireplace(s) _ 0 _ 1 - 2 Property Owner r J_ . 1 e jr- Telephone # (3) f() S!Y^ It rft' Contractor IL" o f A-14 P ) c a 0 a e o P- at. 4 Address 10'7 q_ Q L y? CI S s4=P E City R1 oo' i1 A-?? State M " ? V / zip 55,94W Telephone#(173-2- 9"-- ?0 COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Category 1 • Residential ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building 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 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. „ 6 e ,4r 6e C /Z.- /- C 1 ( Applicant's Printed Name Applicant's Signature C! 0, &P DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 13 16-plex ? 20 Pool ? ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? ? 11 10-plex ? 19, Lower Level ? 24 Storm Damage ? 12 12-plex ? 25 , Miscellaneous 30 Accessory Bldg 31 Ext. Alt - Multi 33 Ext. Alt - SF 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Code Edition Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) - Footings (deck) - Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. -Air Test -Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Sheetrock _ Final/C.O. _ Final/No C.O. _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath _ Stone Lath -Brick Windows Retaining Wall Building Inspector 'CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT PERMIT TYPE Permit Number: Date Issued: 4336 DORCHESTER CT LOT: 1.9 BLOCKS 3 HAWTHORNE WOODS 1ST Building Permit Type SF Buildin4`Work Type NEW UBG Occuparr`c.y R-3 Construction -type V--N Zoning R-1. Building Length Building Width DWG M-1 62 29 ai REMARKS: G OQ 13,2q S & W CONTRACTOR - VALLEY PLSG BUILDING 001559 10/19/92 FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC o SAC Unitas Subtotal $828.50 $5:38.53 $7/.00 $700.00 100 $2.144.03 $154.000 MISCELLANEOUS 1,610.50 Total Fee $3,754<53 CONTRACTOR: - Applicant - ST. 1-I.OWNER: BRENTWOOD HOMES 16466529 000151 13RENTWOOD HOMES 1564 UNIVERSITY AVE W 1564 W UNIVERSITY ST PAUL MN 55104 ST PAUL MN 55104 (612) 646-6529 (6:L2)646-E529 I hereby acknowledge that I have read this application and state t1nat the information is correct and agree to comply with all applicable Mate of Mrt. Statutes and City of Eagan ordinances. A11UCANT11ERMI E SIGNATURE ISSUED Y: SIGN RE Control No. 1201 PERMIT # ' WEEACT I ifATE 15-59 CITY OF EAGAN3 Z e3 1992 BUILDING PERMIT APPLICATION 681-4675 A0 S Q RECo SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 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 uest is made or lot than a is requested once permit is issued. Date 9 / 3 0 / 9 Z Valuation of work 13 , d 0 0 Site Address: 41149 DORcµESZFR Car EACA4 STREET SUITE N Tenant Name: (commercial only) LOT ?? ?_ BLACK 3 1 woo 1 (AW THORrJe LUBD. P.I.D. x Description of work: The applicant is: 0 Owner 12 Contractor ? Other (Describe) Name _BRE"-rv p 1-Enrn .s Phone e.44- - 6529 Property LAST FIRST Owner Address 1544 W, L)wiverRssT-Y STREET STE / City 'S4 . PAvL- State M N Zip 55104 Company S AM E Phone Contractor Address License J Exp.- City State Zip Architect/ Company Phone Engineer Name Registration A Address City State Zip Sewer & water licensed plumber V?LL?v I??uwl3it?ICy Processing time for sewer & water permits is two days once area as been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?- Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation V'02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. WORK TYPE )'31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move El liSTft**nt Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) V -NI Basement sq. ft. MWCC System Y ES (Allowable). \j_ N 1st F1. sq. ft. City Water UBC Occupancy i- M -1 2nd F1. sq. ft. PRY Required Zoning R-t Sq. Ft. total Booster Pump N of Stories _ Footprint Sq. ft. Fire Sprinkler Length 6 F_ On-site well Census Code ?dl Depth Z,q On-site sewage SAC Code O_ APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTION S ? Site ? Footing ? Framing ? Insul ation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee $ 154,000 - Surcharge Plan Review ?yA?g??; a4zay_ 576 License 2?zu6_ (f5? r MWCC SAC City SAC = 561 x 16 = 8976 = Water Conn. 1102 x IS 76s3Q Water Meter ?sT ?LOOft BShiT= /off Acct. Deposit 2'ZK6- S/W Permit S/W Surcharge 2x 6x Z = -?V Treatment Pl. ?z .2V Road Unit Park Ded. S?z? 7J?9y Trails Ded. 9 x z = Idam Copies ?--- Other I a-7_)? 53 6701 Total: 7FRL t- mix- i?oz SAC % 1 C>o -4y 8= SAC Units 5 3° D oqu X Y/c er?srs SEP 29 92 ii:os m MCc7MBs FRRIVK Roos J !9 U oo i'D rA /e A N O Y 7 11 wN pr I 0 ? K- h ? - „P (932. Hti N + +J b 596'41'10? 80.08 ?l93a.5? s S2 c''+ IN, Gr \ ?Y s°o X z04.79 ARM. HF(WHED 0 Denotes Iron Monument ° Denotes Wood Stake X 000,0 Denotes Existing Elevation Proposed Top of I (000.0) Denotes Proposed Elevation Proposed Garage -4-- Denotes Direction of Surface Drainage Proposed Lowest By I hereby certify that this is a true and correct representation of a survey of Lot 19, Block 3, HAWTHORNE WOODS 1ST ADDITION, Dakota Elevation- 936.33 7f' 2 y y; i f And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 28th day of Se [ 19,x M o s Frank Ro s --A//ssociates. Inc. By: ? Z Paul A. Joh Land Surveyor, Minn. Lic. No. 10938 RTIFICATE OF SURVEY CE McCombs Frank Roos Associates, Inc H for t SOW 23N Are. N Engvieen PiM??. MN Puy 8RENTWOOD HOMES 817/?00 $vnewn 10168 L c6 bl II PI „tlj v' 1? ?. N 1 v \ n 3) Ng4'08 03 '1= .?. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER ?RKNTWo-e. ?4 omEs SITE ADDRESS 433(v OR.C.,4ES-rErz C'..au2T A G?4nI CONTRACTOR E py T WOD y 14o nr DATE 8 /S42- PHONE ?} 6- G 5 2 Q Determine working square footage of each. 1. Total exposed wall area ..... '32. 1 () sq. ft. X . - _ 3 5 3. I,} 2. Total roof/ceiling area ..... 1 1 44 sq. ft. X + ()? - Z q , 74 A- Total wall window area .......................... 'f 79 D. Total door area ................................. 7 !A C. Total sliding glass door area..... .............. - D. Total fireplace wall area ....................... IN c??oE O IAJ E. Total wall framing area (average 10%) ........... 2 2 F. Total Rim joist area ---------------------------- 245 G: Total Net wall area above floor-- -------------- z o /!o Total exposed foundation area - I -70 H. Total foundation window area .................... I. Total net foundation area above grade........... 7 '7,n Determine "U" value of each wall segment. a.__,411 x ..U.. 3& = I gZ b. 7 (a x ^U" 06 7 = 5• j c. X "U.. d. - X ..U.. e. X ..U.. q f. 245 X "U" 04- = a. 8 9- Z D I (? X "U" 104 80. h- - X "U.. --- _ is 176 x I.0.. /3 = Z2 3.i 3---------- - ----------------------Total 2 (o s 35 If item 173 is the same as, or less than item k1, you have met the intent of SBC 6006(c)2. OK w.atl- ae? f ? (??4- 1?vRV- Total exposed roof/ceiling area = . )14+ j. Total skylight area.. k. Total roof/ceiling framing area (average 10%)...... 1. Total net insulated roof/ceiling area .............. /0'3 Determine "U" value for each roof/ceiling segment. j. ` X ..U.. I _ k._ //4 X ..U.. .03 = -?. 4 "U" 0Z ZO,(o 4 .....................................Total - .4 Z 74 •• d 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 42. 1. _ + 2 - 3. + 4. L / BL CITY OF EAGAN CITY USE ONLY _ PLUMBING PERMIT SUB .Z U t y 2 / (612) 681-4675 RECEIPT DS% _?- DATE 7 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 3- REPAIR WATER CLOSET 3.00 9 BATH TUB 3.00 L ' Q LAVATORY 3.00 F ? OWNER NAME: caVhc KITCHEN SINK 3.00 3 - . L LAUNDRY TRAY 3.00 t. , SITE ADDRESS: ?1 c oc^?ta?c? Lt HOT TUB/SPA 3.00 } WATER HEATER 3.00 FLOOR DRAIN 3.00 ` GAS PIPING OUT. INSTALLER: C,J (MINIMUM - 1) 3.00 S ROUGH OPENINGS 1.50 ADDRESS: ??\D C.eeel' OTHER _ WATER SOFTENER 5.00 \\ _ ?? CITY: ZIP: J3 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 f ' G PHONE Ll I o? W .. TURNAROUND 15.00 STATE SURCHARGE 50 ` SIGNATURE OF PERMITTEE TOTAL: $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN MECHANICAL PERMIT RECEIPT # /D8 SEE. ' R ac (612) 681467S DATE RESIDENTUL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER FEES SITE AD?D"SS: 3 (o ADD ON/REMODEL (MaSTING CONSTRUCTION ONLY) $ 15.00 INSTALLER: GENZ-RYAN HEATING HVAC: 0.100 M BTU 24.00 PHONE #: 423-1144 ADDITIONAL 50 M BTU 6.00 ADDRESS: 14745 South Robert Trail GAS OUTLETS - MINIMUM 1 Q $3 EA. <? j CITY. Rosemount zip: 55068 SURCHARGE: $ 50 SIGNATURE: TOTAL: COMMERCIAL v PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIP71ON: CONTRACT PRICE: FEES 1% OF CONTRACT FEE STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE $ PROCESSED PIPING - $25.00 $ MINIMUM FEE - $25.00 OWNER: TOTAL:- SITE ADDRESS: TENANT- SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE #: CITY SIGNATURE SIGNATURE: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT : 19 BLOCK : 3 APPLICANT: 4336 DORCHESTER CT BRENTWOOD HOMES HAWTHORNE WOODS 1ST (612) 646-6529 PERMIT SUBTYPE: SF OWG TYPE OF WORK: Control No. 1201 BUILDING 001559 10/19/92 NEW INSPECTION TYPE FOOTING .DATE INSPTR. INSPECTION FRAMING DATE INSPTR. INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - VALLEY PLBG City otEagau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 70"6 Use BLUE or BLACK 19k For Office Use }I / Permit #: 1-__-7e3-1 [ 1 Permit Fee: Date Receiv Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ©b 07 I C Site Address: '13 3 b 1)o( '.moi{ unit #: J Name: es" l< \<4. k\.tOc,,,.tr Address / City / Zip: 131 b Applicant is: lJX Owner b oc3-41\-tr Phone: C i} - - OC) "tl Contractor Description of work: me yk-te i�rc 'Y1 Construction Cost: 15, CIU r1L„f) Multi -Family Building: (Yes / No O( ) Company: k). � S ► j��-• Address: 11IU lAr 4-e L. City: T State: r \t`l Zip: SSNLA Phone: bSO-IfFie 0-I1lmail: IC4.644%.— . f c.1. (,a-• License #: �1a t:.31(91 o Contact: HA. &I'cC.ve--S 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: CALL BEFORE YOU DIG. Call Gopher State One Cali 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.00aherstateonecaliorq 1 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 bLA3 „ — .s Applicant's Printed Name Applicant's Signature Page 1 of 3 OGh 6 4 6,- o'2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition T \( Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% V ) Census Code # of Units # of Buildings Type of Construction Fireplace _ Garage Deck Lower Level Interior Improvement _ Move Building Fire Repair Repair 4a0(2. REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Roof: Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace. _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: _ 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 MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / 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 Fire Suppression: _Rough In _Final Erosion Control Other: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Date: C!tyofEaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: 13 Li 2,25 Permit Fee: �r O. (L v Date Received: - r 6 Staff: fL L 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION / 11/ C' Site Address: 133 -4" :D0 rc' e5 �� (1 --- Tenant: Litk/ -k�- Suite #: Owner. Name: Pftf K15-4,6-(7----- Phone: Address / City / Zip: ''33 Dor frit— 6-1- &/t tt) � r ( S�/z3 � Name: %i ont (1A DV 1" pZ-6 # / 7-6 License #: PP) ®145-52-'"/ Address: 11 c 9 % K.A/ 6--4 c] 5 t �j (,,`" City: P r) o ( Z-94 k -e--, �» 553'lz ‘)z -N1 .- *6hl State: Zip: Phone: �) )_ 6 - °� Email: Q.v (Vt 0o (l7p Ib t, , (, Contact: �� (��/ ! � P � �r� 0 . t,a e # Ofrk ., 1 New £replacement Repair Rebuild X Modify Space Work in R.O.W. — Description of work: 1)\0 UC'tTh le # i /Y\a-4,3 � &r iop— az310GLI day L�hl� RESIDENTIAL Water Heater 04.44\,,y QJ 3 0- -} Water Softener Lawn Irrigation (_ RPZ / PVB) Add Plumbing Fixtures (_ Main / Lower Level) _ Septic System Water Turnaround _New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ (includes State Surcharge) Fixtures, Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (includes County fee and State Surcharge) 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. �r %�' Applicant's Printed ame /sa j x Applidant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143718 Date Issued:06/26/2017 Permit Category:ePermit Site Address: 4336 Dorchester Ct Lot:19 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-190 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 - Daniel Tstes S Klekner 4336 Dorchester Ct Eagan MN 55123 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use411111. City of Eaiali Permit#: l —7 ) /Go—) Permit Fee: 3830 Pilot Knob Road 111 Eagan MN 55122 Date Received: Phone:(651)675-5675 buildinginspectionsacitvofeagan.com Staff: � J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10/2/2017 Site Address: 4336 Dorchester Ct. Unit#: Dan Klekner 612-462-0029 , J Name: Phone: Resident/ 4336 Dorchester Ct Eagan MN 55123 Qwner Address/City/Zip: Applicant is: Owner X Contractor Description of work: r Window and siding p replacement Type ork Construction Cost: 75,000'00 Multi-Family Building: (Yes /No X ) Great Northern Builders LLC Natalie Velez Company: Contact: Contractor Address: 3320 Terminal Dr City: Eagan State: MN Zip: 55121 Phone: 651-455-9371 Email: natalie@gnbmn.com License#: BC636785 Lead Certificate#: NAT-103199-2 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: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the Information maybe classified as non-public if you Provide specs is reasons that would permit the City to conclude that they trade secrets. ;'111'1' ' � � � ih �i ' � 1 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. 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. 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.000herstateonecall.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 or is not to sta 'thout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appr' y f plans. x aI-Z P cr , Applicant's Printed'Name Applicant Sig Mir Page 1 of 3 For Office Use A i i ::::: q� V: /72 .36 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Pyr' f (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: Ir►t- buildinginspections(a�cityofeagan.com FEB 2 3 2018 L ~ ce 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2I ZS I i 8 Site Address: 4 33(• Oo• 0.4,S 14.r C t • Unit#: Name: Dv. AAA tCo.r.cv% Phone: 412 y(o2-Of V, Resident/ Owner Address/City/Zip: if 356 foc cke.(44... C* LFa7Q* r1i.) S 1 z 3 Applicant is: Owner 1( Contractor I Type of Work Description of work: t)4-0,1-4^- g c.w1..v1.` Construction Cost:4'14 t 241,7 I Multi-Family Building: (Yes /6 ? ) Company: G(. wr ;IJ4.c$ L Gc Contact: M44..64— ¼) t- Contractor Address: 3.57-A0 Tc r a.1 w.% fir• City: Lra1 a.• State: MO Zip: S Sit t Phone: is S I- 46f• I3'71 Email:/latwlrc e',S cos-. License#: 3t 41`7 8 S Lead Certificate#: If the project is exempt from lead certification, please explain why: L.1 r &f.— '7 8 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: 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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 o o 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 x aut. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE c � �-� C J y 070 r SUB`"TYPES � 4..64-k _ 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 _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ,,, £/, uQ - a-- Occupancy 442-6---I MCES System Plan Review Code Edition Mil 2:el SAC Units (25%_100%? ) Zoning Z —J City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction --7.1./.":3— Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) >o Final/No C.O. Required Foundation Foundation Before Backfill )0 HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final 10 Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS p Insulation 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: 1-7—D 0/1 &. /C 17/3 , Building Inspector RESIDENTIAL FEES 2 0 p 59 . fl-- Base Fee Surcharge & s a e)' t>c:› Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA148277 Date Issued:03/19/2018 Permit Category:ePermit Site Address: 4336 Dorchester Ct Lot:19 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-190 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 - Permit Fee (miscellaneous)$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 - Daniel Tstes S Klekner 4336 Dorchester Ct Eagan MN 55123 Silver Tree Plumbing & Heating Llc 3185 Terminal Drive - Suite 200 Eagan MN 55121 (651) 319-4200 Applicant/Permitee: Signature Issued By: Signature ,17/33‘ Doac%Asr Lc fi RECEIVED r � thyo to JUL 0 5 7018 G Q1,, Airflow Control Technology(ACT) Some local codes limit the maximum amount of CFM a range hood can move. ACT allows you to control the maximum blower CFM of select Zephyr Ventilation range hoods withdut the need for expensive make up air kits. ACT enables the installer to easily set the maximum blower speed to one of two most commonly specified CFM levels;390 or 290 CFM.The usage of ACT may not be necessary for your installation.Please check your local codes for CFM restrictions. By default the maximum blower CFM is set to 600 for ZAN,ZRV and ZRO. By default the maximum blower CFM Is set to 685 for ZSA. dlik CAUTION: Hood must be disconnected from main power prior to performing the conversion instructions listed below. Failure to do so could result in personal Injury or damage to the product. To enable ACT 1.Before hood installation,gain access to PC board by following the steps shown in FIG.C. 2.Change plastic jumper positioning as shown in FIG.D to set the desired maximum blower CFM. 3.Re-install PC board&continue with hood installation. 4.Remove the appropriate foil CFM sticker included with the hood literature and place inside the hood body below the wiring diagram or in another clearly visible location. NOTE -After re-positioning the jumper and powering on the hood,the CFM cannot be changed again. To verify if your Installer enabled ACT With hood off,press and hold the,power button for three seconds,If 5 f. •s illuminate=defualt max.CFM,4 4 LEDs • illuminate=max. 390 CFM,and'f 3 LEDs illuminate=max.290 CFM. When ACT is enabled,the number of blower speeds will be reduced.390 CFM=max.4 speeds and 290 CFM= max.3 speeds. There should also be a foil label located inside the hood body near the wiring diagram that indicates the blower CFM. Models:ZAN,ZRO,ZRV w. 0 0 Jumper Pins -Locate PC board box on top of blower housing. ` Plastic -Remove 2 to 4 screws attaching PC board cover. I I =!: 7 • • APPPer , 5- e• 4 0 1 • • 2 mJumper 5-6 or 7-8 J - DEFAULT POSITION InnDefault Max.Blower._ LLJJI f � 7 • • 8 / 7 • • S 5 • • 6 / s • • a c:7 3 4 t 3 •• 4 LI 1 • • 2 1 2 Models:ZS* rm Jumper 3-4 Jumper 1-2 -Remove aluminum mesh filters. O Max.Blower CFM Max.Blower CFM -Remove 2 to 4 screws attaching PC board cover. 390 290 PC Board . • • FI .D FIG. C PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151433 Date Issued:08/24/2018 Permit Category:ePermit Site Address: 4336 Dorchester Ct Lot:19 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Daniel Tstes S Klekner 4336 Dorchester Ct Eagan MN 55123 Uptown Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature