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4340 Dorchester CtAddress 4340 DORCIE TER MET Zip 5512 Lot 18, Blk I Sub HALTHORNE VMS IST THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: G Yes No Inspector: Final grade (6" from siding) f/ Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas 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 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy d7 6 4 6 4- iiy? St ' a G S > 90 Regue t Dale Fire No. tough-in Inspection Required? 0 Ready Now YGWtlI Notify Inspector Q p - 14 - { 1 fQ yes ? No When Ready? I j? licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route N city 35?? OECt;E5 UO CT- A7AGA, Sectmn No. Township Name or No. Range No. County ^ieOTA Occupant(PRINT) ?/ ? Phone No. K.A. /<vr omE loss'?-S5i3 Power Su Ie' CC Address F - Aiif, f?T?4 1- LECT2 r /i i -I Elecvicall'.paracmr (Company Namel Contractors License No. ,rJJ..I cr c _ CA o 11432 Mailing AOtlress Cam ntract or Owner Making Installations R o. : Authonze gnature I ConhacionOwner Making Installatio Phone Number 53-49(.6 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55184 UNLESS PROPER INSPECTION FEE IS Phone (612) 6428808 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? EB 00 1-08 C ? see instructions for completing this form on back of yellow copy. ? 1 A,!. 7 ZG 5 4 X" BeloW Workovered by This Request 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 t I$ 0 to 100 Amps Transformers Above 200 _ Amps Above too -Amps Signs Inspector§ Use Only: TOTAL Irrigation Booms g ?a Special inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DIS ONNECTED IF NOT Other Fee , SG COMPLETED WITHIN 18 MO r I, the Electrical Inspector, hereby i Rough-in o os cert fy that the above inspection has been made. Final Date OFFICE USE ONLY (This request void 18 months from REQUEST FOR ELECTRICAL INSPECTION ji? Sea insbactaiin for completing this form on back of yellow copy. L .21925 °X" Below Work Covered by This Request 0'n E&00001-08 ?.,? ?e et?a Z s7x AS ew l dd Re Type of Buittling Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building d Dryer Other.(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks'. Compute Inspection Fee Below. # Other fi Fee # Service Entrance Size Fee # Circuits/Feeders Fee ?mming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs inspector's use only: TOTAL O S Irrigation Booms G 5 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby f Rough-in Date y that the above inspection has certi been made. Final - Daly hl ff OFFICE USE ONLY This request void to months fro. L 219251 j,<' I z az ?? Weq? 271 Request Date Fire No, Rough-in Inspection Required? Ready Now ')Will Notify Inspect y / AYes C No When Ready? I ? licensed contractor 0 owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route N City Section No. Township Name or No. Range No. Cou v Occupant (PRINT) Phone No. ry Power SupDlmr Address Dmcm j ?m FA Electrical Conaa Company Name) Contractor's License No. 7,' - CA r4 Marling Address ICd hector or Owner Making Installation) . L ? . 11.. r Authorized nature (contractovOwn Mating Installation) Phone Number 083 -033,Z MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mldway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSED. ? ?? ? 2171 Request Date re No. L2j! Rough-in Inspection Required? ? Yes ? No t4o °° NOTICE: You Must Call Electrical Inspector If A Rough-In Inspection Is Required. IXicensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box,,??^^??outeNa.) .5 YJo R ti z e_STJe 0 City ? A G A Al Section No. Township Name or No. Range No. Court A lC 0 r? Occupann(PRI T) kv K. 6T 0RC_S Phone No. (o' 7-g5i3 Powe uppiier PY,OT-A EL-c 2 tc Address rA-RMt rte o,v Elect ?yI Contractor (Company Name) E<rC'ro,C. SA,c Contracorls License No. R 1q3 Mailin Adtl ss (CO tractor or Owner Making Installation) (). 0n 2gCj 6 (y PP« II // Y ?LLt ? 5a;12 Authoe Signature out r caner Making Installation) Phone Number 4 s"3 -?G MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Aye., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION p? r?T See insVUSlions for completing this form on back of yellow copy M, ? 517 1 k Below Work Covered by This Request C R New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: / ,) 6 / C cU L C f/CZ W/.Q/IV. L /L Compute fnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 1 Amps Signs Inspectors Use Only: OTAL O Irrigation Booms / 6 J 7L Special Inspection Alarm/Communication THIS INSTALLATION It8f0 ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ON I, the Electrical Inspector, hereby Roughin W oatei fly certify that the above inspection has been made. F;nal Date ?1t OFFICE USE ONLY This request void 18 momhs from INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT: 18 BLOCK: 3 APPLICANT: 4340 DORCHESTER CT KOT HOMES, R A HAWTHORNE WOODS 1ST (612) 687-9513 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW BUILDING 020845 05/05/93 INSPECTION TYPE FOOTING .DATE INSPTR. INSPECTION TYPE FRAMING DATE INSPTPt. INSULATION FINAL FIREPLACE REMARKS: S & W PLBR - MATTHEW DANIELS PLBG PRV INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 023195 Eagan, Minnesota 55123 Date Issued: 04/01/94 (612) 681-4675 SITE ADDRESS: LOT* 18 BLOCK: 3 APPLICANT- 4340 DORCHESTER CT R A KOT HOMES HAWTHORNE WOODS (612) 687-9513 PERMIT SUBTYPE: SF (MISC.) TYPE OF WORK: ALTERATION DESCRIPTION (BSMT FINISH & DECK) INSPECTION TYPE FRAMING .DATE MSPTR. INSPECTION ROUGH IN PLBG DATE INSPTR. ROUGH IN HTG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK ?, . • r ti Wr • . - >s Wertrticate of cccupanC4 'Khv of Wasom W"t of **mug 3801ation 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: SE DWG 2(1645 Use Classification: Bldg. Pamirtlo R3/M] R1 -VN Occupy Type 7mmg Dimia 1 C -RA Owner,gf Building Address B3, B ng Address Locality Date. Building Official POST IN A CONSPICUOUS PLACE - 11'N?JrLL .CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I ?, ? I >, I. n. ? ,ti+t :itifit t1ifU,j)$ l `? I PERMIT SUBTYPE: . ON PERMIT TYPE: I : 1 1? I. c+ I nrt, Permit Number: `+ ' ' 00 !I Date Issued: APPLICANT: i i? 1 ill?l•I; ', is ? TYPE OF WORK: N I. 4I .s. V INSPECTION DATE INSPTR. • TYPE DATE INSPTR. t rd •, 111 F1 I f ttrl i i?r, i I I I I` I A A . ` MARKS. & W 14 HP MA1 IIII- IIJ DAN II I P1 t?Q VRV 7 Permit No. Permit Holder Date Telephone If SNV PLUMBING 3 HVAC J? ELECTRIC ?9a5 9j 40W ELECTRIC ?0' 0 Inspection Date map. comments. Footings I f,3 ii) Foundation Framing Roofing Rough PIbg. 71l 93 Rough Htg. 1r, [Sul. 71?2' Fireplace 7/ r q Final Htg. 7?Iv 3 k& X?? Orsat Test /101 Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final UY Deck Ftg. Q/ Deck Final l 3 k4 I Well Pr. Disp. l 13e 71.,L 3 CITY OF EAGAN ` 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: ON RECORD PERMIT TYPE: Permit Number: Date Issued: I? I It I 1 APPLICANT: TYPE OF WORK: 111- '7,1 le 1 I- I I 'IN Ii(I II1.)1Wi 0.131 ()&-. o4IAI /rye! A1.11•RAIION (N MV f INI' F/ b 1)11'h } INSPECTION DATE INSPTR • TYPE DATE INSPTR . . { ,I,1k I VARA I I I.1- 14M 1 1 ', A1{I I{I OII I I f 11 I (IP A 0 Y P 1 IJMI; 1 Nr's 1) I I I I I Ii I L Al 14 IiNI Permit No. Permit Holder Deft Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing p G Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Pibg. Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final s/ /f Deck Ftg. Deck Final S1,11fY Well Pr. Disp. RESIDENTIAL BUILDING ` r `J 9 2- Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construclion Requirements RemodeUReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. fL of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculatiohs.for heated addifions -Tree Press Plan Reoi 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pies Not Reqd 1 set of Energy Calculations Addition - indicate if onsife septic system _ on-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date a 7 O 3 Construction Cost 1-900, 00 Site Address 44?4 10 boArh2.s-rniia.64 Unit/Ste # J,A t1 fn N } Ts- I Description of Work ?d t Fr y rA/q be-r-k,6t/q aALA / Q ?1a y 1 ?9 000 AVtk? AAC4, 4AA C ,(( Aw-ciTvot/op Sr-A/ . Multi-Fandly Bldg _ Y R N Fireplace(s) _ 0 _ 1 X. 2 / f / Property Owner TAccb Vnsholtlptkr,t?t ICOSY16I L l i qs-a? 8fv- 8v58[? Telephone #(/mS() 1a86-8/57 Contractor Address City State Zip Telephone # ( ) &? n o COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code worksheet (J submission type) Submitted Submitted • „Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( in e? n n onnn III I hereby apply for a Residential Building Permit and acknowledge that the informatl>} is coanpleteand-accprate; that the work will be in conformance with the ordinances and codes of the City of agan 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. TRca b 2d s ho ft nm? L9 Applicant's Printed Name Ap i is Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 08-plex r 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext.Alt-Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45, Fire Repair 33 Alteration 13 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement / *Demolition (Entire Bldg) -Give PCA handout to applicant ValuationD Occupancy MC/ES System Census Code_ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Figs _ Air/Gas Tests _ Final Siding Stucco Stone Windows (new/replacement) Retaining Wall Approved By 2 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total r ®6e-o fl EYORTS CERTIFICATE N 1 If1-r IC` HXOVS L_v 1 t ._L x 935,6 eENa?L ? a-T9 954 ELEY.-303.T3 Z? ?3S.1 i 1r? ? r? ?V?O S O? O 6a ID F? 0gE 8 . /1° N i i i 9 J(a3P?a'S-q?? ? ' ?''?a`fµEµs pga 9 }1 1 0 9y ?I ` \ ?? V ° 32.6 934.0 93' \ ?'yq}O • y) 934.3 TOP OF I 9.3 J / 4 ?v 0 C `i ?Q g7'RF609 „93410 ?V R? 2 I I ? \r 1-7 a MIND DEPT O?!1/\=1rJ•? z? NOTE; NO SFECIFlC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS _. NOTE: BUILDING DIMENSIONS SHOWN Aft y FOn HIORITONTAL 9 VEATM LAC. LOT BY THE SURVEYOR. THE ATION OF STRUCTURE ONLY. SEE SUITABLITY OF SOILS TO SUrt C" ARCHITECTUAL PLANS Mn BUILDING THE SPECIFIC HOUSE PROPOSED . 9 FOUNDATION DIMENSIONS. 15 NOT THE RESPONSIBILITY OF +1 DENOTES PROPOSED SURFACE DRAINAGE THE SUR4YOR. O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 93G.S FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 9Zg. 4 FEET (060.0) DENOTES PROPOSED ELEVATION] PROPOSED TOP OF BLOCK - 937. 7 FEET r 01 F1 v t S n Y HOMES O A, K OT WE HEREBY CERTIF THAT THIS IS A TRUE AND CORRECT REPRESENTATIOKI OF A SURVEY OF THE BOUNDARIES OF: Lot IS, Block 3, HAWTHORNE WOODS IST ADDITION, according Ip the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR FNCROACHMEHTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRFC I SUPERVISION THIS IOTH DAY OF MARCH 1993. S (,zI S 3? ?/I <-?E ,TAco 4be_b&A r2OSholt 143tf0'Do2c ka6Te 2 (?+. EAGAeVj ?? S51a 3 /`51) l066-y157 i ?? I \ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN J - I lY 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Reoulremente • 3 registered she surveys showing sq. ft. of lot, sq. ft. of house; and &I( roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, atc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan it lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE ? (J Z0 SITE ADC TYPE OF AULTI-FAMILY BLDG -Y _N FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT & (? L. 11 ZIP 3S STREET ADDRESS l zL?l7 /T/i51ie¢y95 CITY ?tr?5v?1?e STATE /441 TELEPHONE #]G?--lv 1-51 CELL PHONE # 9$z-Z6z-06y('- FAX # PROPERTY OWNER . alCe 7<Pe6l-q / DSG01 o TELEPHONE # 9IS7 COMPLETE THIS SECTION FOR -NEW,, RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ b (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Phone # Phone # AUG 0 9 2002 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordlnar),ces. Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths - Air Conditioning Heat Recovery System RemodeVReoalr Reaulrements • 2 copies of plan • l set of Energy Calculations for heated addilions • l she survey for exterior additions & decks • Indicate h home served by septic system for adtlhlons VALUATION 0 , 5 b c) Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Plbg_Yor_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bkigs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs - Air/Gas Tests _ Final _ Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector I X CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE Permit Number: Date Issued: BUILDING 020845 05/05/93 SITE ADDRESS: P.I.N.: 10-32150-180-03 DESCRIPTION: PERMIT m 4340 DORCHESTER CT LOT: 18 BLOCK: 3 HAWTHORNE WOODS 1ST Building. Permit Type Building Work Type UBC Occupancy , Construction Type Zoning Building Length Building Width SF DWG NEW R-3 M-1 V-N R-1 74 49 REMARKS: S & W PLBR - MATTHEW DANIELS PLBG PRV FEE SUMMARY- VALUATION Base Fee Plan Review Surcharge SAC SAC SAC Units Subtotal $891.50 $579.48 $86.00 $750.00 100 $2,306.98 $172,000 MISCELLANEOUS $1,744.50 Total Fee $4,051.48 CONTRACTOR: - Applicant - ST. LIC. OWNER: KOT HOMES, R A 16879513 0001506 R A KOT HOMES 7901 UPPER HAMLET CT 7901 UPPER HAMLET CT APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 687-9513 (612)687-9513 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 Mn. Statutes and C' of Eagan Ordinances. L- PLICANT/PERM ITE IGN RE 'ISSUED Y: SIGNATURE I J REACTIVATE _ Urt'C?L?MC? CITY OF EAGAN PERMbl? # 993 BUILDING PERMIT APPLICATION s4 oafl 681-4675 i094 MAY 0 3 1993-- t? 94 ! -3 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date / 30 Valuation of work -2o0 01f) c) Site Address: Ul o I)bL-cLe -'44 tt"`f - STREET SUITE / Tenant Name: (commercial only) ?c? LOT BLOCK y3 SIIBD. ) < <LJ, r ?m?Qs P.I.D. S • v` L. SI 0 G Description of work: Qesi A The applicant is: O'6wner tractor ? Other (Describe) Name low c/C Phone ?7: 9 S 13 Property LAST FIRST _ Owner Address STREET STE # State Zip City ?I Company 1L, A A67- Phone Contractor Address 0 Wga b-1 67° License # 000/S216 Exp. City State 4?/ Zip Company p`Sioy, Phone Architect/ i Engineer _ Name h va Registration # Address City State i p I . Sewer & water licensed plumber a { /-:tA 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. Xw c2 z - Signature of Applicant: . OFFICE USE ONLY BUILDING PERMIT TYPE . ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck WORK TYPE W 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) y-N Basement sq. ft. (Allowable) V.N 1st F1. sq. ft. UBC Occupancy Ez tAI 2nd F1. sq. ft. Zoning R -I Sq. Ft. total # of stories Footprint Sq. ft. Length 7y' On-site well Depth yg1 On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile YES Y? o/ of ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 100 SAC Units Valmticn: $ 7 20 0 00 GARA6Q; z x l0_(2a) 3y x ??y_ 81G yK6= (?v) SSMT 8xw4s 112 768 x /(,R /2)288 b'A 7o_Ibo '9 x l zk37ul V4 Z" n, llo??'x 5y= 590632 ! 2 k (log) xR4 7K7xfz; Z5 Z)Z?Xyz? 14`fil xls? 21,615 IST -Flood, SSY47= Igy?x54= 77 3fu ? 16_84sement.Fintsh ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code b Assessments O W? Y ¢ o J W QI N Q 1 -J W CO J W < m Z g f?/? ? 30 ? 6' ? ? ? E' ? e D ? 2--'D ? eCJ' 0 ? ? ? ? LOT SURVEY CHECKLIST FOR PROPERTY LEG. DOCUMENT 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 ?. Proposed/existing sewer and water services • Street name • Driveway entry, Existing ? D/? Sewer service 0 ? ? Lot corners E" 0 ? Top of curb at the driveway P? ? ? Elevations of any existing adjacent homes Proposed 2""'D ? Garage floor 0' ? ? First floor H? ? ? Lowest exposed elevation (walkout/window) 0' 0 ? Property corners ? 0 Front and rear of home at the foundation PONDING AREAS (if applicable) ? 0/? Easement line ? C? ? NWL ? 2r- 0 HWL ? ? Pond # designation ? ? Emergency Overflow Elevation DIMENSIONS 0' 11 11 Lot lines r ? ? Right-of-way and street width (to back of curb) ,6 ? ? Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) 0? ? 0 Show all easements of record and any City utilities within / those easements 0 ? ? Setbacks of proposed structure and setback of adjacent ? ?/ ? existing homes Retaining,* i ments, if any Reviewed: October 1992 Date of Survey: i Lvr IF-, ULCCI< 3 . H,4t-JTHORHE RJooas 151- Anc"J• EXTERIOR. ENVELOPE AVERAGE "U" COMPUTATION OWNER R.A. KO'1' HOMES INC. PLAN NO. 9-021 7-3 , _ _____-___-_ . SITE ADDR ESS I-1AWTI-IORIVE 93 CONTRACTO R R.A. KOT HOMED INC. DATE 04/29/93 PHONE 687-9513 , DE=:TERMIME WORK ING SQUARE FOOTAGE 4335 . 051 1. Total exposed wall area 4406 .79 <_:sq.ft. ., .11 454.74513 ._. Total roof/ceiling area 1 555 sq.ft x .025 40.43 3, Total floor cant, area Is sq.ft. x 0.05 1.65 (over unheated enc losed areas) 4. Total floor cant, area 14 sq.ft. x 0.025 0.35 (over unheated exp osed area=_s) 5. Total exposed wall area above the floor, 3981,09 a. Total wall window area ....................531.997^2 b. Total door area ........................... 37.8189 c. Total sliding glass door area ............. 84.44^•_2 d. Total fireplac=e area ...................... 1:1 e. Total wall framing area (ave. 10%)........ 298.109 f. Total net wall area above the floor....... 2928.723 g. Total rim joist area ...................... 354 TOTAL EXPOSED FOUNDATION AREA ................ 71.69 h. Total foundation window area .............. 0 Total net foundation area ................. 71.69 Determine "U" value of each wall segment. a.. 531,9972 x "U" 0.36 - 191.519 h. 37.8189 x "U" 0,06 = 2.269134 84.4422 : "U" 0.36 = 30.39919 d. 0 .. "U" 0 = 0 e. 395.109 N "U" 0.090334 = 35,96287 f. 2928.723 •. "U" 0.043215 = 126.5654 9. 354 "U" 0.040683 = 14.40195 h. 0 „ "U" 0.36 = U i.. 71.69 x "U" 0.076161 = 5.460015 6........., ............................lota:.l. 406.5775 If item 46 is the same as or less than item ##1. you ha e met: current; energy codes. 2 MCAR 1.16008 A AND O. TOTAL EXPOSED ROOF/CEILING AREA 1555 j. Total skylight area ....................... 0 k. Total flat roof/ceiling framing area...... 155.5 I. Total net flat roof/ceiling area.......... 13990 Determine "U" value for each roof/cIg. segment j. i= x U. 0 _ Ca k. 155.5 •, "U" 0.02692 5 = 4.186861 1. 1399.5 „ "U" 0.022795 = 1.90107 ..................................Total T.6.0879-- If item #7 is the same as or less than item #2 you have met the 0 TOTAL FLOOR CANT. AREA ( r2nclu_,.... . a. Total tiout Ea. Total net insulated floorlcant. area...... 29.7 Determine "U" value for each floor/cant. segment. 0. 3.3 x, "U" 0.045459 = 0.143416 P. 29.7 x "U" 0.024125 = 0.716526 8 ...................................Tonal. (75 994._- If :item #8 is the same as or less than item #5 you have met the - / energy code. 2 MCAR 1.16008 A AND 0. TOTAL FLOOR/CANT. AREA (exposed) 14 q. Total floor/cant. framing area (ave. 10%). 1.4 r. Total net insulat ed floor/cant. area...... 12.6 Determine " U" value for e ach floor/cant. segment, q- 1.4 ;_ "U" 0.043917 = 0.061484 r. 12.6 „ "U" 0.024266 = 0.305751. 9 ...................................Total 1..4_L a5 If item V#9 is the same as or less than item #4 you have met the energy code.. 2 MCAR 1.16008 A AND O. I. HEREBY CERTIFY THAT I HAVE CAVULATED THE "U" FACTORS AND "R" VALUES HEREIN AND THAT THE alllVDING HERE-DESCRIaED MEETS OR E)F C ' THE ST'AT'E: OF MINNESOTA ENERGY /CONSERVATION ACT'. 1 ? / iv ? (signature) i (date DETERMINE "U" VALUES" THRU STUD WITH SIDING & S.R. Interior Ai.r...,... Sheet Rack........ Thermo-Streak...... Stud ......... .... Sheathing......... Sidi.ng............ Exterior Air...... Total. "R" Value... 1/R -= "U" Value... 0.68 0.45 i? 6.93 '.06 0.78 0.17 11.07 .........0.090334 Interi.or.Ai.r...... Sheet Rock........ Thermo-Break ...... Insulation........ Sheathing......... Sidinq............ 0.683 0.45 f1 19 2.06 0./8 Exterior A.ir...... 0.17 Total "R" Value_ ....... .. 23.14 1/R = "U" Value............ 0.043215 THRU CEILING MEMBER Interior Ai.r...... 0.68 Sheet Rock........ 0.58 Ceiling Member.... 4.35 Insulation........ 30.92 Still Ai.r......... 0.61 Total "R" Value............ 37.14 1/R = "U" Value ............ 0.026925 THRU CEILING INSULATION Interior Air...... 0.68 Sheet Rock:........ 0.583 Insulation........ 42 Still. Ai.r......... 0.61 Dotal "R" Valu.e.......... .. 43.87 1/R = "U" Value ............ 0.0 2795 THRU CONCRETE BLOCK Interior Ai.r...... 0.68 conc. Bik......... 1.283 Insulat-ion.,...... 11 Sheet Rk. (opt.). Exterior Ai.r...... 0.17 Total "R" Value......,..... 13.13 1/R. = "U" ..................0.076161. THR.U RIM JOIST Interior Air...... Insulation ..... Rim Joi.st..... .... Sheathing......... Siding............ Exterior Air...... 0.68 19 1.99 2.06 0.78 0.17 Total "R" Val.ue............ 24.58 I/R = "U"._ ............ 0.040681 U" value for wi.ndow........ 0.36 U" value for doors......... 0.06 FHRU 'CANT. @ MEMBER (enclosed) Interior ai.r...... Finish Flooring... Sheathi.ng......... Plywood...,........ Joist ............. Sheet Rock:.... Still. Air......... 0.68 1.45 7. 0.?7 11.56 0.58 0.61 Total "R" Value............ 23.01. I/R _.. "U. ..................0.O43459 THRU CANT. @ INSULATION (enclosed) Interior Ai.r..... Finish Flooring... Sheathing........ Plywood........... Insulati.on........ Sheet Rock......., Still Air......... 0.68 1.45 7.2 0.9a 3C) 0.5£3 0.61 Total "R" Value............ 41.45 I/R = "U' ..................0.024125 THR,U CANT, @ MEMBER (exposed) Interior Air„..... Finish Flooring... Underlayment,...... Plywood........... Joist ............. 0.68 1.45 0 0.9;; 11.56 Sheathing......... 7.2 Soffi.t.......... .. 0.78 Exterior Air...... 0.17 Total. "R" Vaali.e............ 22.77 I /R = "U. ..................0.04Z91 ' THRU CANT. @ INSULATION (exposed) Interior A:i.r...... 0.68 Finish Fl.oori.ng... 1.45 Underlayment...... 0 Plywood ........... 0.913 Insulation........ X- Sheathing ......... 7.2 Soffit.........,.. 0.7e Exterior Air...... 01,17 Total "R" Value............ 41.21 1/R = "U"-- .............0.024266 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT q/4 [9q PERMIT TYPE: Permit Number: Date Issued: CK(2)(,3o BUILDING 023195 04/01/94 SITE ADDRESS: P.I.N.: 10-32150-180-03 4340 DORCHESTER CT LOT: 18 BLOCK: 3 HAWTHORNE WOODS DESCRIPTION: _ (BSMT FINISH & DECK) Bu'1lding1_Permit Type SF (MISC.) Building Work Type ALTERATION Z \l. 44 REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY VALUATION $3,000 Base Fee $54.00 Surcharge $1,50 Total Fee $55.50 CONTRACTOR: OWNER: - Applicant - A KOT HOMES 901 UPPER HAMLET CT PPLE VALLEY MN 55124 612)687-9513 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 Mn. Statutes and City of Eagan Ordinances. APPLICANT/PER E SIGNATURE 'ISSUED Er. SIGNATURE l '9 681-4k75 I N l S h-X f C' ?,2M?.[,?/l I I L?r' SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 3? / cr Valuation of work 50 o (J Site Address: )0.,2 S- 762 Wit' ?FFfxw.? STREET SUITE # Tenant Name: (commercial only) LOT / BLOCK SUBD. N?3wN r1? LU??S P.I.D. Description of work: The applicant is: El Owner Z Contractor ? Other (Describe) Name 9C A? S Phone ( ,&9 Property LAST FIRST Owner Address `? 4D 1 Cil I?ie !,?L, (? f C`? r STREW' STE # City a State 14A) Zip SS/ 2- Company Phone Contractor Address License # ?k Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber 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: CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace JA 05 SF Misc. ? 10 Multi. Add'l. 2 15 Deck WORK TYPE ? 31 New ?3 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? .Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance Q Footing ® Final N ? ? R!''? .?C;1F 4316 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg i Census Unit 0 Assessments El Framing AZI Insulation ? Draintile ? Fireplace Permit Fee vatumtiae: Surcharge Plan Review ?Zop License MWCC SAC 5-0 0 3000 City SAC ?- )00 Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units j 1993 MECHANICAL PERMTf (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $50 FOR EACH $1,000 OF p MI FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: TELEPHONE #: STATE: ZIP CODE: SIGNATURE OF PERMTTTEE CITY INSPECTOR 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 2&/? FEES HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL SITE ADDRESS: 0 U kd? e_?_Z /'4 OWNER NAME: ?. 17t l` d b e-S INSTALLER: umsvi a F!eating & A/C, Inc. AT)T)RFSS• 12481 Rhnrl. Ichn'I n.... ?_ $? 6.00 $ 15.00 .50 O'eAe _?_ pry p TELEPHONE #: bD / - savage, 141N 55378.1122 CITY: 894.0005 STATE: ZIP CODE: TELEPHONE #: 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PELOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUI::DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U T. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE STATE SURCHARGE: $.50 FOR EACH $1,000 OF P,ERMTf FEE ................ MINIMUM FEE $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE #: FOR: CITY OF EAGAN APPLICANT 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 _00 WATER CLOSET 3.00 9.00 ;DL- BATH TUB 3.00 °U _ LAVATORY 3.00 I S • su I - KITCHEN SINK 3.00 3 • C )o 1 LAUNDRY TRAY 3.00 3 ou HOT TUB/SPA • 3.00 t WATER HEATER 3.00 as 1 FLOOR DRAIN 3.00 b? GAS PIPING OUTLET • minimum - 1 3.00 ROUGH OPENINGS 1.50 Lc <<? WATER SOFTENER 5.00 PRIVATE DISP. • DerCty. tie. 15.00 U.G. SPRINKLER • home under coast. 3.00 ALTERATIONS • to eristing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: 5 (? c)() SITE ADDRESS: W3 140 Do,-cS..,,1- , C. r c-k -c OWNER NAME: a • A • 1L'T INSTALLER: I -TN ?? w \S 1t-c_ADDRESS: l SI $ J C c> w?.?? GJo Y- CITY: STATE: I ^ ' ZIP CODE: S S-t?' PHONE #: (Ct2-) ?Z3 3 l 3 c, 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 '7 -7l q 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements Office Use On[ 2 copies of plan showing footings, beams, joists Cart of Survey Recd ` _Y. _ N 1 set of Energy Calculations for heated additions Soils Report - _Y, _ N 1 site survey for additions & decks Tree Pres:Plan Recd' _Y _ N. Addition - indicate if on-sde septic system Tree Pres Required _Y • _ N On-site Septic System -Y _N Plans are considered nuhlic information unless you state thev are trade secret and the reason. f Date / - ? do Construction Cost 3? , Site Address 4?3 / "70f ? G? °? ?? ? 4 7l' Unit/Ste # Description of Work v IV? Multi-Family Bldg _ Y ?-N Fireplace(s) _ 0 - 1 _ 2 Owner Pro ert Telephone # 49) CCi d? 67 421 p y Contractor ? ?? ?U/ 4T`U?L S , Address 31f1iffn City State Zip_, A? Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted 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 #( J 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 permit, and work is riot to start without a permit; that the work will be in accordance with the approved plan t case work which requires a review and approval lans. /"-.y Applicant's Printed Name A plicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? .05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration - ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water DamageYes 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 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 Copies Other Total SURVEYOR'S CERTIFICATE N l uuuc ELEY-9?3. T I <, NOVS l_,v 1 I ... x93.7,6 ?o v 0 8 OA N ' ? ?g 934:1 l ZOQ 5 r 931.s c - (l9 p/ 1 ?f ?34T. O ?'9,p -- r A t)QToA0 j? T? 934.0 BENCFI MAW 34.3 TOP Or rn r9 ELEV. -934.3 O ? d 112' 'Slur ,?-2 J O "?.IirC / i / rw 0 M / I \ 1 1- 1-' DEPT C//?1 1 ?? ?5" 646;09 x934.0 Ft=?5•00 NOTE: NO SPECIFlC SOILS INVESTIGATION NOTE: BVILOING DIMENSIONS SHOWN ARHAS BEEN COMPLETED ON THIS FOR HORIZONTAL 8 VERTICAL LOC- LOT BY THE SURVEYOR, THE ATION OF STRUCTURE ONLY. SEE SUITABILITY OF 90ILS TO SUTPOIU ARCHIT'ECTUAL PLANS rOR BUILDING THE SPECFTC HOUSE PIIOPOSEO B FOUNDATION DIMENSIONS, IS NOT TIE RESPONSIBILITY OF DENOTES PROPOSED SURFACE DRAINAGE THE SURVEYOR. O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR n `73(e.s FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR 6 9Zg. ¢ FEET (000.0)L1? DENOTES PROPO?SEE)D rELEVATION PROPOSED TOP OF BLOCK = 9 3 7. 7_ FEET n WE HEREBY CERTIFY TO F?z ?.A. KOT F10MES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF 11IE BOUNDARIES OF Lot 18, Block 3, HAWTHORNE WOODS IST ADDITION, according tp the recorded Plot thenot, Dakota County, Mlnnesoto. IT DOES NOT PURPORT 10 SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPI AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECI SUPERVISION THIS IOTH DAY OF MARCH , 1993. SIGNE I-J MES R. HILL, INC. TE: PROPOSED GRADES S"'N WERE TAKEN B FROM THE GRADING 81 DEVELOPMENT PLAN JOHN C. CARSON, LAND SURVEYOR FOR HIWYTHORNE WOODS IST ADDITION BY:. PREPARED BY MCCOMBS FRANK ROOS ASSOC., MINNES0IA LICENSE NUMBER 19828 IYr 1 ACT hATLh A_,i1_n9 N X m g r v W" m O < W r> r m m O N 0 D 0 O 0 2 O U) -? v p O In 0 2 to O m in fD .? - W James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 0 612-890-6044 it *I ,��D h✓2�1�R � Cl x MAY 2 4 ? 1 r i ' ' trtZyc��i L A.G h4 14 vp • NO to ` vW-Acl!' ccW4 TO �� ' y,aLt D A � li f� .'� cwt StC �Jr�Ztiv+v5 4 Ovum" ale- QD 3 r r I hereby certify that this plan,spoewcation or report was prepared by me or under myo L r Q direct supervision and that t On a duly licensed Professional Engineer under the D•sr t etrson 0181��yy Structures, c laws of state of nnegota. 184sout LAICSDrive tMeburg,Pt.34788 L Interns"Olneeringecomcast-W fnate _ - _- C. tMl __ I Comm.No. ��. � i DIVED MAY 2 4 2016 lT� T Z MA o AeQW It.AL •4 L)p4/ iP- V h-t l�J l•.l ll�t(� hereby certify that this plan,specplcation LL �s or was p by me or under „ �R dl su lslon mat that t on a duly Professional Engitr ur the Yo.rt wt Larson Stnkctures,Im taws f Of Idl nnesota. 184 south Drive' Leesburg,Fl.34788 no interneipenpsneerin��ao►ncast.net p �-zs?_. lG._ �_._ Comm.No.�o C!tyofEa�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEWED 241% Use BLUE or BLACK Ink �� For Office Use / I Permit#: / 6/ �t) Permit Fee: (( / / ` 6J Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11- /6) Site Address: /31)012414T?1 . C.41-7 Unit #: { W e Name: . j ♦ AAA Of PLCA s 0A4 I Phone: wZ. L 65-0B74. Address / City / Zip: 4340 Y-`9T"'s7 I cr e,¢ecold 55--/.. Applicant is: Owner Contractor Description of work: '. A i v , _ A. _. �� L �� +1:1 #! 4 Construction Cost: -Z2_ wf) o _. Multi -Family Building: (Yes / No ) } � t Company: 441 �� /he/. Contact: _%__ E '`1` ___ Address: 04+ g. 7/ ' ' `L.. City: A. /' 0/7.3 +- P4444411E ll State: /►41 Zip: 7r7I �Z Phone: %;,57 Email: j /L c . License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: ck Gd4_S lL..?' IIFig LY clo fi � In the last 12 months, Yes No 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? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: ®7 E P ans I s orting document at you s ® .s e class! e 1 s no 4 - . ublic if you provide spec cone de tha ot n S+ 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 Minne • a tate Building C days of permit issuance. A plant's Printed Name de must be completed within 180 Page 1 of 3 beg(116 C: - RITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of _ Plex Lower Level WORK TYPES New Interior Improvement 46 Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%A4 Census Code #of Units # of Buildings Type of Construction %C»tw �3W 1 REQUIRED INSPECTIONS Footings (New Building) A Footings (Deck) isk Footings (Addition) 4e Foundation I' Roof: 4.1ce & Water *Final Framing 30 Minutes A, 1 Hour Fireplace: _Rough In Air Test AL Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final 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 )1k Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: Reviewed By: 6 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL l0 06. 75- 3 1 `1 , Ats09;?f 2,.G1, 0ie&NQ liJA-A-61614 30 rQ / sT /44 ✓lt�ry®�t�. a "• 4 t� .1-M� M.41-0 71 x'° /l-ktAielit.@. /t? 33 694 3 Q!5 41'.-1- 40 4140 `° A76 6(i- 621 3 C `O Page2of3 3(.70 b C* SIJRYEYQR S CERTIFICATE 2 Ext S1 8Y: R.A. kw* HOMES JUN 0 3 'f DATE: V (Yr TOWING a:' (12.1 - vo,a, E933.73 1r-�1i17. ti 933.1 C7 M i 7 L. -1.J i I ( NOTE: SUILOING DIMENSIONS SHOWN ARC'I�/�.. FUR HORIZONTAL 0 VERTICAL LOC- ATION OF STRUCTURE ONLY. SEE ARCHITECTUAL PLANS 10R BUILDING B FOUNDATION DIMENSIONS. *► DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (060.0) DENOTES PROPOSED ELEVATION 15.`2, p,457 4609 net 00 x934.0 Ilia r�zNGI DIPT NOTE' NO SPECIFIC SOLS INVESTIGATION HAS BEEN COMPLETER ON TINS LOT 9Y THE SURVEYOR, THE SUITABILITY OF SOILS 11) sumo! TIE SPECIFIC HOUSE PROPOSED 13 NOT TIE RESPONSIRLfTY OF THE SURVEYOR. SCALE: 1 INCH — 30 FEET PROPOSED GARAGE FLOOR — 734 FEET PROPOSED LOWEST FLOOR — 9 z e . ¢ FEET PROPOSED TOP OF BLOCK 137, 2. FEET ta�o Va REQ� Vif L�i WE HEREBY CERT FY TO -FT.A. KO HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TI•IE BOUNDARIES OF: Lot IB , Block 3, HAWTHORNE WOODS IST ADDITION, according to the recorded plot thereof, Dakota County, Minnesota. IT DOES NOT PURPORT 10 SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS IOTH DAY OF MARCH . 1993. SIGNEMES R. HELL. INC. JOIE: PROPOSED GRADES SHOWN WERE TAKEN_13 FROM THE GRADING 0 DEVELOPMENT PLAN FOR HAWTHORNE WOODS 1ST ADDITION BY: . ,�,� JOHN C. CARSON, LAND SURVEYOR PREPARED RY *COWS FRANK ROOS Assoc.. MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS ! ENGINEERS ! SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE. MN. 55337 * 612-890-6044 4111 City of Eap Date: 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#: 1YS Dot Permit Fee: Date Received: Staff: L 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: %1 3 ?c ,Oo r Qh t'S/c-r Tenant: #<%� L,� �-z� S' Suite #: Name: /gk4 /sX 4-, c S Phone: Address/City/Zip: 43 co %r es4r.— G r Name: r: -""X , 7/c-, s- License #: %G��/Q Address: 2 ®,3 2 7 I‘.4Gr/i. A-c—c. City: Z --c_ Gt -c U, 7%r State 2—?I Zip: S 5- Phone: j 2 70 l T"0 7 Contact: �� /4-- Email: ?C YtUe"tadCI , � ��5 c New _ Replacement Repair Rebuild e< Modify Space _ Work in R.O.W. Description of work: 'fi- 4 J ,e 4-,� �r / £ RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment deSe Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) 'Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ 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 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. x ' /A - �. � � J, Applicant's Printed Name Applicant's Signature SURVEYOR'S CERTIFICATE LAGAN REVIEWE'P 2 N BY: trfril DATE- 6,/r// � r^�'1 �UILDING IP1.)& EONS DIVISION R.A. KOI" HOMES 2.19/ 7cD D rr EIVE0 JUN 0 3 7016 (12.1.z ?Mt joeog net .-933.73 933.1 � 321 s1/4/46 ks;,? • •1512 15 Rci5.00 NOTE: BUILDING DIMENSIONS SHOWN AR O'r-`.. "DR NORRQHTAL a VERTICAL. L.00- ATION OF STRUCTURE ONLY. SEE ARCHITtCTUAL PLANS FOR BUILDING a FOUNDATION OfMEFfSIONS. DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (060.0) DENOTES PROPOSED ELEVATION WE HER Y CERTIFY 10 rEq. A. KO `-uEtED COMES THAT 'THIS is A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 1e , Block 3, HAWTHORNE WOODS IST ADDITION, according to the recorded plat thereof, Dakotan County, Minnesota. p,,,57444O9 MI MMHG DEPT x934.0 NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR, THE SUITABILITY OF SOILS TO SUITVIi THE SPECIFIC HOVE£ PnOPOSEO IS NOT TIE RESPONSIBILITY OF THE SURVEYOR. SCALE: 1 INCH - 30 FEET PROPOSED GARAGE FLOOR •- 734,.gt FEET PROPOSED LOWEST FLOOR -- 9 Z. i . 4 FEET PROPOSED TOP OF BLOCK - 9 3 7 . Z FEET IT DOES NOT PURPORT 10 SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION -HIS R)TH DAY OF MARCH 1993. SIGNE(}- TAMES R. HILL. INC. IOTE: PROPOSED GRADES SKIWN WERE TAKEN i3�:` FROM THE GRADING a DEVELOPMENT PLAN •'011N C. CARSON, LAND SURVEYORFOR IUINTHORNE WOODS IST ADDITION BY:. PREPARED BY MccOtms FRANK ROOS Assoc., MINNESOTA LICENSE NUMBER 19825 James K. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. no. 42 • BURNSVILLE. MN. 55337 ® 612-990-6044 Cil? of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use r7 Permit #: 1�'i , 7 l 4 �U Permit Fee: l 0 Date Received: 3 ' )(1'-i(0 Staff: /YLL- 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: $ ti51 ®kf Site Address: poCA.- Tenant: V - Tenant: Suite #: Name: thp3l Tlk®N 6 Phone: Address / City / Zip: 4 'ko Elf t(m' Name: W.- 4VAN ,tkt%\RT11-1,61 fk Qtii•-• License #: VvA 006610 Address: V\-‘00 Eyti -$Ts P•If Phone: City: ilk f...w".\e rt 61a kr/Sl - ti 0515 New Replacement Additional X Alteration Demolition Description of work: Vitt/ 4(4 itSt-1r4( RESIDENTIAL FEES RESIDENTIAL Furnace Air Conditioner _ Air Exchanger Heat Pump )1 Other V1•5C NT\OISI C�RS COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge $ TOTAL FEE Contract Value $ x .01 _$ _$ =$ Permit Fee Surcharge TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformanc Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start w with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name the ordinances and codes of the City of ermit; that the work will be in accordance REVIEWED FOR CODE COMPLIANCE 03/07/2022 1:42:22 PM Terry Zelenka, Building Inspector BUILDING INSPECTIONS