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4344 Dorchester Ct          ÿ÷  ÿ ýüü   ûþûþúú     ùüü ï ïïýõðü ñôùë ú   ñæñ   ýüõ  þýüû  úù ø  ó ýüû  úýüû úù ø  ÷ ùøö û õ  ûô ó   ó òñòíûü ð  ï î  õûì õ  ë ëõ  ï  õ    þ õ ê é  ùùû  ÿééõ   ü  û êóéé û é  ê óþõè      ï þüù   éõüëõ ê  î åñäåêæêòæ ôù  ë  çåñäåêæêæ çñÿê  óò õ ñö ûû ö  ù  öë  óüöóú òñòò ë  ó ö ì ã÷ææñ ã÷ææñ àáæßáòò ë  þüù  ë ëì  ë ûû  ëë éõ    õûüùëûûþ   éã  óüé í ê ûûø õ    ü  Wertijicat¢ of cccupanc? I` CM4 of Wagan ?cpent of ??[b?n? ?x>?atisx 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 tlurfollowing: Use Classification: SF DWG Bldg. Permit No. 15 Q 7 -21 Occupancy Type Zoning District Type Const Owner of eniidingCo" RM Addn ss 15136 C?1T.AXIE AVE, APPLE VAU Y 14,74q L&tC27C. LZK to JKL L1/, W, tiMLMMWW ByiWiog Address Locality 01/14M Date: Building Ol5ctal POST IN A CONSPICUOUS PLACE INSPECTION RECORD Control No. 1164 1 1 CITY OF EAGAN PERMIT TYPE: eu r1,01 NN 3830 Pilot Knob Road Permit Number: 001597 Eagan, Minnesota 55123 Date Issued: 1010,9192 (612) 681-4675 SITE ADDRESS: t U 1: I/ BLOCK- J APPLICANT: 4 t44 UORC"NEStER cl OXMUN BLURS INC MAW1 INORNF' WbOnS J %t (612) 431-6000 PERMIT SUBTYPE: 1 j1W(, TYPE OF WORK: NEW 1 INSPECTION cwt' DATE INSPTR. INSPECTION TYPE EPAhIN(i DATE INSPTR. 1NaUkAr10N SINAI. FYPFPI Afr RE MARK S 1 PRV re(as.; 9 Z W CONTRACTOR - PE114F PI-an Permit No. Permit Holler Date Telephone N SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspection Dow Insp. Comments Footings 1 Q 3_ p Z S Foundation S Framing 69 Roofing IDS Rough Plbg. Rough Htg. `Z ! ; S ]Sul. Fireplace 'mil Yl9,z D S Final Htg. Orsat Test Final Plbg. !!! [ Plbg. Inspector - Notify Plumber Const. Meter EngrJPtan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. Address: 4344 DOM ESTER COURT Lot 17 Blk 3 Sec/Sub I These items were/were not complete at the time of the final inspection. Date: 01/14/93 Yes No Tnspector, Final grade (6" from siding) 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. •cntenw? White - City copy Yellow - Resident copy Pink.- Contractor copy b ?`J ?vu??`7° Request Date Fire No. Rough-in Inspection d? Re , ? Ready Now Will Nobly Inspector 11-19 - 9 2 V : C When Reatly? I ^, licensed contractor 0 owner hereby request inspection of above electrical work at: lob Address (Street. Box or Route No.) city 4344 Dorchester Ct. Eagan Section No. Township Name or No. Range No. County Dakota Occupant PRINT) Phone No. Ozmun Builders Inc. 431-5000 Power Supplier Adtlress Dakota Electric Farmin ton Eleoncal Contractor (Company Name) Contractor's License No. Approved Electric Co. CA00181 Mailing Address IComractor or Owner Making Installation) 12425 Danbury Way, Rosemount Mn. 55068 Author d lure 1 nlratldr wner Maki ns atrom Phone Number 423-4138 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GNgga-Midway Bldg, - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Unlverslty Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS More (612) 662-0500 ENCLOSED. CAL INSPECON Ee-00001-08 e-instruchons tor completing this form on baEk of yellow mpy. 1^ ?•, /Q g??(J? W 56 eZ ?1/J0'3/94?Below Work Covered by This Request ew Add_ _Rep. pe of Building AppliancesWiretl Equipment Wired H Temporary Service ter Electric Heating uilding n Other-(Specify) Comm./Industrial Farm AirConditioner Other (specify) Contractor's Remarks. Compute Inspection Fee Below: # Other Fee # Servic Entra e nce Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ($, p p 14 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps Signs Inspector's Use Only. TOTAL Irrigation Boom s - ? 5"13 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON . I, the Electrical Inspector, hereby c rtif th t h b Rough-In ` Date y e a t e a ove inspection has been made. Final r D OFFICE USE ONLY This request void 18 months from 64P 0&9 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 70 o0 New Construction Reauirements Remodel/Repair Requirements OfFrcelt9sel0itTv 3 registered she surveys showing sq. N. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cod oFSurvey?Rerd Y N (20% maximum lot coverage allowed) t set of Energy Calculations for heated additions '{tee,Pfes.PW.#tecd _:Y _N. 2 copies of plan showing beam &window sizes; poured found design, etc. I site survey for additions & decks Tree Aras ReSiU?red <Y _ N l set of Energy Calculations Addition- indicated onsite septic system On-site SOpttcSystom 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date C6 Site Address Lt 3`I 'CX) !-Ltie sFe 5F. Construction Cost (0,j00` ,XD Unit/Ste # Description of Work ?- S to c, Cr r otiT e N \ L? Multi-Family Bldg Y N Fireplace(s) _ 0_ 1- 2 Property Owner ?? Sam Telephone # (C51 ) 8 t y? (o O Contractor Kr-e- L t? ?-41,n ors ?' Zo 3 1°\ 1 3 5 Address ?SSYg 3?-K Sr z State N Pra??^ City -I-- V1, Zip $5 o-7 Telephone # (I&SI, to ®? 3 8 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category I Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _Y _N If so, 25% plan review fee applies. 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 pla a case o ork which requires a review and approval of plans. ?i I I, A .^, ??K C h T Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 06 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) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex [3 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_N ? 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 Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) - Final/No C.O. _ Footings (addition) - Plumbing Foundation _ HVAC _ Drain Tile Other _ Ice& Water Roof Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ _ Framing _ _ Siding _ Stucco - Stone - Brick RI. Fireplace AirTest Final _ Windows _ _ _ Insulation - _ Retaining Wall Approved By: , 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 PERMIT if '-A ??? RECEIPT DATE: ' 1 - ?? - V - rr?.??R? -qua 6O fO=SIDENTI?kLFLUli+i$INfi ?iMTf i4?PLICATtON MYof??s N 1,?,,LL i,i}y 3,830 PILOT KNOB RD EAGM. UN 55122 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit backflow preventer for irrigation system SITEADDRESS: )m-Ch2S f CA%k OWNERNAME:: Q"Cir Ec\ \cf torte TELEPHONE#:jolz? I(At - 9S-0) . (AREA CODE) INSTALLER NAME: STREET ADDRESS: CITY: Place a check mark next to the permit work tvoe STATE: ZIP: _ New residential dwelling unit under construction and not owner/occupied $ 90.00 I Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: ?pp\ncT pit 12a Vi-- ?prx -?c i(- _ Septic System, new/refurbished - $ 225.00 • includes County 8 Consulting Inspector fees. • requires MPC license State Surcharge $ .50 Total $_ Reminder. Be sure to schedule inspections'of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this perm ithin City r f-way/easement. I ATURE ERMI E Updated 1/01 SONS TELEPHONEM qSd ??I-4,-? e-smuth It- (AREA CODE) ACITY?OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4344 DORCHESTER CT LOT: 17 BLOCK: 3 HAWTHORNE WOODS 1ST Building Permit Type SF DWG Building-Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning R-1 Building Length 68 Building Width 41 r 7 __ "``.... L?(#?f jl?ll"1 REMARKS: /1 ?a a? l PRVI? S S W CONTRACTOR - PEINE PLBG BUILDING 001597 10/09/92 FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $846.00 $549.90 $79.50 $700.00 100 $2,175.40 $159,000 MISCELLANEOUS _, „:L„610.50 Total Fee $3,785.90 CONTRACTOR: - Applicant - ST. LI OWNER: OZMUN BL.DRS INC 14315000 000104 OZMUN BLURS 15136 GALAXIE AVE 15136 GALAXIE AVE APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-5000 (612)431-5000 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/PERMITE GNATURE 47?jev "t ISSUED : SIGNATURE Control No. 1164 _J PERMIT # REACTIYATF,_ CITY OF EAGAN $3 1N f. 1 9 1992 BUILDING PERMIT APPLICATION 681-4675 CcjS,j ! o 4 SEP 2 S RECD . 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 whi h c re uest is made or lot change is requested once permit is issued. Date Valuation of work 0 `CC' Site Address: V--'2* nor-`- STREET SUITE # Tenant Name: (commercial only) LOT BLOCK II SUBD ?n IN 'I ?y??? l f1 ?, P.Z.D. N 7 ? l?rt VW I Descri tion of work: ?? P L 1 h l 4r G w The applicant is: ? Owner ? Contractor ? Other (Describe) Name , Y i7r Phone ?c c C/ Property . LAST FIRST Owner II (/ Address )a{ EET STE City ??ITR State Zip 1 Company Phone Contractor Address ? I ?CP a Li cpnse # I Ex , _ p. City ki State Zip N Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two day once area as een approved. / I hereby acknowledge that I have read this/8pplic ioi and s e that the information is correct and agree to com l ith ll ' p y w a appl cable S at of Min esota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE Ilk A 1T ` y r ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging _? 16 Basement Finish g 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ,K31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V - N Basement sq. ft. MWCC System YES (Allowable) -7--N 1st Fl. sq. ft. City Water lees UBC Occupancy R -I 2nd Fl. sq. ft. PRV Required i-S Zoning R--t Sq. Ft, total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkl er Length On-site well Census Code T Depth On-site sewage SAC Code of APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % loo SAC Units ? Footing ? Final vat mtim: CaARAfa 86tAT' "0 ? Framing ? Draintile ? Insulation ? Fireplace 1Sq,v®6 r $ 3.2$_31it?a Iob$ ZNOF-Loaty, Slkx a2= `66) 76s, 14 x 11 `fi = 44,E I31/1.v zcm 337 ',x Oto) 11ozxs3. 8go X r? ?b? s"?anrc 36t^6= 93L 13 X ti = 52 4 X y2 = I? 122$ X 15= ass/ho /S? y2o? is Ic;? I'/t'A *yO.= 13 1266X53' X72 G F c -- t. ? J p p ? s- r Z s ? ?s r 70 G i 'm 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?l 3830 PILOT KNOB - 55122 651-681-4675 c ?9 ew Construction Requirements ? 3 registered site surveys showing sq. ft. of lot, sq. H. of house and cR roofed areas (20% maximum lot coverage allowed) D 2 copies of plans (show beam 6 window sizes; poured fnd. design; etc.) 1 set of energy calculations R 3 copies of free preservation plan R lot platted after 7/1/93 DATE: G If r 9 DESCRIPTION OF WORK: g J?' ( I V Y Y O COST: S 0 STREET ADDRESS: 7 &cl D 0 6 C kD 6+9 1 G? U LOT- 1? BLOCK: 1 SUBD./P.I.D. #: 1 I q 1« ?0 4' o J V\1? WO 0 AID PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: 2 'c ? So'i c iS Phone #: (PY 1 j 6 Last First Street Address: q3 (1V bai city tf'A h A ( State: AZ A( Zip: 5l a Company Z n/ - E4 be5, S h, -F Phone #: W Z Z . 9,Y9 (area code) Street Address: T L0 0 a hLJ f A ut C, # V( License # Zc( aG S6 `7 Exp, City C? C1 State: M A( Zip: S? y 3? Telephone #: area code Streel City Name: Registration #: ` State: Zip: Sewer i water licensed plumber (required for new construction onlyk Penalty applies when address change and lot change Is requested once permit is issued. I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ,r.?P'iv 6'/' OFFICE USE ONLY Remodel/Repair Reau6ements 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions & decks Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCiES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ SAC Units % SAC ` 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PLOT KNOB RD - 55122 (651) 681-4675 onstruction Requirements ? 3 registered site surveys • 2 copies of plans (include bream & window saes; poured fnd. design; etc.) • 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1183 required: _ Yes _ No DATE: DESCRIPTION OF WORK: 1t e It (V. Remodel/Repair Requirements ? 2 copies of plan ` 1O d ? 1 site surveys (exterior additions S decks) ? 1 energy calculations for heated additions CONSTRUCTION COST: kzr-? 9/ O STREET ADDRESS: 1-/3 Zf-/ aa2t''esr-ew LOT: I } BLOCK: 3 SUBD./P.I. D.#: 41 t,?/ PAW T NOAAe 0)J 60 1 (W' b/d - 5/ f- 9 G3 Name: ?21C6GSON cey-d -" Phone#: 0'j G ? Lb/- Ss G 0 PROPERTY Last First OWNER Street Address: _ /J Q/1el'e.riee ,r City State: &/j zip: • Company: ?{ Y) Phone #: CONTRACTOR Street Address: License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree t compi ith all applicable -State of Minnesota Statutes and City of Eagan Ordinances. 1 . Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received - Yes - No - Not Required IS OV L ? 2 5 1999 ,I BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE 11 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? 0 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building 4" ? Engineering . Valuation: Variance C:ASHIE".R% S TERMINAL NOt 764 DA'i'I';; 06/29/99 TIN::_, :15.30,37. zll NAME:: RICHARD ALAN E:,RICKSON 329.0 9007. 4344 DORCHESTER 60.00 21.55 9001. 4344 WNCHESTER 0,50 M Total. Rece7.pt Amount: 611.50 CRIANde, USER ID. NANCY ;40 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Census Code 113`4 SAC Code D/ Census Units Census Bldg MC/ES System City Water Booster Pump PRV Fire Sprinklered • i I ???,k??c?k??m???c?k>Ktc*? t<?c*a????z?Xtc>x?zc?r?sk?k*?cfcm>x 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL -3-3/ ?s CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 New Construction Reautremenh Remodel/Repair ReautremeMs 3 registered site surveys showing sq. it. of lot, sq. R. of house 2 copies of plan and SIM roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions D 2 copies of plans (show beam i window sizes; poured Ind. design; etc.) I site survey for exterior additions A decks I set of energy calculations D 3 copies of tree preservation plan R lot plaited after 7/1/93 DATE: S -7- CP CONSTRUCTION COST: ? ODO NJ?Ih 1 i= o7c i% ?a ???dC JurrNt /Jv DESCRIPTION OF WORK: STREET ADDRESS: -,/- 3 QnWP?e s? e/? GI- . LOT: 1-7 BLOCK. 3 SUBD./P.I.D.#: Navel u?? 6w,u I t;Ifl Name: ??'C/c swo k 'c(( t fzpe_ Phone #: (aS( -- W I - gJ7o y PROPERTY Last First OWNER Street Address: 1F3 `"rf ?AcGeJ?u C+' city ?a(kLr State: A/LJ Zip: ,CS/23 Company: ?"u? r Cucwjo.a AU( r o Phone #: &T/ . 377--IL 3 3 (area code) CONTRACTOR Street Address: g ZY Zi?c IN Buz License # Exp. City f4 -140 ( State: Zip: 'f-t- to C ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( Street Address: Registration #: City State: Sewer 3 water licensed plumber (required for new construction only): Penalty applies when address change and lot change Is requested once permit Is Issued. Zip: I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. r Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea,) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorcFVAddn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging X 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof • Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code Ja Z (Allowable) Main level sq. ft. SAC Code o UBC Occupancy sq. ft. No. of Units / Zoning sq. ft. No. of Bldgs a # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Bu ilding Engineering Variance Permit Fee $ 000 Valuation:- Surcharge _ ? -- Plan Review I rr.rri[:r,t, i•!c...;; r<:: License MC/ES SAC City SAC aI Water Conn. Water Meter • - Acct. Deposit _ ??.... .,? •. ,.,. :.. ,, ::! SNV Permit .. . . S/W Surcharge Treatment PI. Park Ded. > Trails Ded. ; Other Copies Total: T.:;h,::.I ,;.):;p1, ,"-ano.,; Ca 3; 1 'S SAC Units I % SAC I CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # DATE : / i ?- PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6, TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------- ------------------------ --- WORK DESCRIPTION 1 NEW CONST ADD ON REPAIR _ OWNER NAME: ? Z vN c vt ? I iv"5 SITE ADDRESS: 13?L oDre,4r.5 ?y (? LOT:L?? BLOCK _,j_ SSUBD.?c?? INSTALLER: NtCVV' f ?uotib 4 ADDRESS: /f?o l-GIo .5??v S??t nil-2 CITY: Q)est Jf` p0-j zip: Sf((9' PHONE #: n IFSlrSIGNATURE OF PERMITTEE COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 3 3 WATER CLOSET 3.00 9 BATH TUB 3.00 LAVATORY 3.00 L KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3.00 WATER HEATER 3.00 2' _L FLOOR DRAIN 3.00 3 GAS PIPING OUT. (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 _ OTHER _ _ WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 - U.G. SPRINKLER 3. 0 0 i ? SUBTOTAL l9 S ST. SURCHARGE .50 0 TOTAL: $ _ QQMMERCiALf3NDUSTRYAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS:- LOT: BLOCK INSTALLER: ADDRESS: CITY: PHONE #: FOR: ZIP: SUBD. FEES 18 OF CONTRACT FEE STATE SURCHARGE = $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $_ STATE SURCHARGE $_ TOTAL: $ (SIGNATURE) CITY OF EAGAN CITY OF EAGAN CITY USE ONLY L 17 B 3 SUBD Ca Gt ? ?o? ?' MECHANICAL PERMIT RECEIPT # . cu fe p (612) 681-4675 DATE /r?a/?o RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/COND WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. cR ? V O ADD-ON A/C ADD-ON FURNACE ? SITE ADDRESS- ADD ON/REMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER: HVAC: 0.100 M BTU 24.00 PHONE #: g S3 .Z ADDITIONAL 50 M BTU 6.00 ADDRESS: (j GAS OUTLETS - MINIMUM 1 @ $3 EA. CTI Y/,?if? ZIP SURCHARGE: $ .50 SIGNATURE: TOTAL $ COMMERCIAL Y! PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: 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: TOTAD $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE #: CITY SIGNATURE: SIGNATURE CITY OF EAGA9 CLAIMANT PEINES PLUMBING ADDRESS P. 0. BOX 23 VERMILLION, MN 55085 Location 4344 DORCHESTER CTRCLE L17, B3, HAWTHORNE WOODS IS T Receipt No./Date 0021504-11/2/92 CLAIM VOUCIIER - RErUND REQUEST Reason for Refund BUILDER HIRED ANOTHER PLUMBING CONTRA-r-TUR Type of Refund Electrical Permit 01-3211 $ 11 jz-7 /12 Plumbing Permit Tlechanical Permit Surclinrge Water Connection Permit Sewer Connection Permit Account Deposit Utility Account Over-Tnyment other, 01-3212 S 43.50 01-3213 S 01-2155 S 20-3713 S 20-3743 S 20-2252 S 20-2250 S S S TOTAL $ 43.50 I declare under the lennlties of law that this account, claim or demand is just and . that no part of it has been naid. ?J- 11/27/92 gnature Date L / BL CITY OF EAGAN PLUMBING PERMIT SUB? ? (612) 681-4675 RESIDENTIAL /INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY FOR EACH DWELLING UNIT. 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 BATH TUB 3.00 3" / LAVATORY 3.00 0 " OWNER NAME . - KITCHEN SINK 3.00 . Z LAUNDRY TRAY 3.00 SITE ADDRESS: HOT TUB/SPA 3.00 WATER HEATER 3.00 7 FLOOR DRAIN 3.00 `x° . GAS PIPING OUT. ?7 ev 9 INSTALLER: (MINIMUM - 1) 3.00 ^ _ ROUGH OPENINGS 1.50 X '- ADDRESS: OTHER _ CITY I may/ Ip: S d1l WATER SOFTENER PRIVATE DISP 5.00 15 00 - . . 7 10 // // / 3 - 5 U.G. SPRINKLER 3.00 PHONE Z> W. TURNAROUND 15.00 111111 ,?r3 .s? STATE SURCHARGE .50 SIGN WRE OF PE ITT TOTAL: S 'T"7 ' PLEASE COMPLETE THIS PORTION FOR I BUILDINGS.WHEN SEPARATE PERMITS ARE WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: _ TENANT NAME: SUITE: INSTALLER: ADDRESS: CITY: PHONE FOR: ZIP: 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: CITY USE ONLY RECEIPT # COd/S7_0 DATE (SIGNATURE) CITY OF EAGAN City of Ea?n ------------------ ? FarQffige Use I Permit #: ? Permit Fee: Date Received:: j I /? I Stott: (? I ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ("ZZter Ot Date: U Q aooy Site Address: 3?f 5Z lfo2?ft?sr P ? .- / /JGfFN. ? r Tenant: _2/e ?/C(<fG S ?N Suite #: RESIDENT/OWNER Name: tc(G ?Felck-Selj Phone: s-Gd Address / City / Zip: y2yy- Applicant is: -4 Owner Contractor TYPE OF WORK Description of work: -r r< e°o v ST'e rr Construction Cost: 16 K Multi-Family Building: (Yes ! No X-) CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: 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 information may be classified as non-public it you provide specific reasons that. would permit the City to conclude that the are trade secrets. 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 p rmit; i the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. g G ?L ??/G S Pr+7 Cl x-h2 Applicant's Printed Name D App' ant's Signature 5 2008 DO Page 1 of 3 AUG 1 c DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex PP Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES IQ New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: 3 , D ? Valuation fl • Occupancy MCES System Plan Review Code Edition SAC Units (25% 100°%? Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. _ Footings (addition) O Final/No C.O. Foundation HVAC Drain Tile Other: _ Roof: _Ice&Water -Final Pool:-Footings -Air/Gas Tests -Final _ Framing Siding: -Stucco Lath -Stone Lath Brick Fireplace:,_R.I. Air Test Final Windows Insulation Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total ,F- f1-7 fee Page 2 of 3 3 tJ? /' 9S`?1 17 \ n ?/ 9 J2? F J? ? i J , 1040 \ 41,.'k \ 7.tB' } ,.yn X87,\ i lip / 10.45 q3A i¢ ° A rye a M? a ? s4• ? ? 4,y O S2' 00 OB'vr" s, 4 34.'l O?CyF v 1^,?a STF? c I C'O? a it i ? ?7t7.7.1 ,4 V9 12.29_1 68h _? EAGAN 'Ic-, r,00 qA CrAu EI?su1 s >.. k6l .0/ od, REMEWED pe,?1<- 13v. 1l / DATE: ° 1 7 (D, o BUILDING INSPECTIONS DMSIOM . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION Denotes Proposed Elevation .. • - v .. '65 - - - Denotes Drainage & Utility Easement Lowest Floor Elevotion:928.- - Denotes Drainage Flow Direction Top of Block Elevation: 936.16 •-o-- Denotes Monument Garage Slab Elevation: 9.3.5_.8.3_ ?- Denotes Offset Hub Bearings shown are assumed ?r AONEEIR 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-1914•Fox 681-9488 625 Highway 10 Northeast Blaine, MN 55434 612) 783-1880•Fox 783-1083 Certificate of Survey for: OZmun Builders, Incorporated House Address: Dorchester Court.-Eagan.- MN .o^ ?fYa / 1^/ 10.45 V^/ 931. ? ?} 1 ? / / \\ SS / / \ \ I 0????8„ / \ \ R? F Lt.?V' 1 luie\ ??'. r'b - 111,4 J? S .? 'Qp 194 n o,? 0 461 it 481 `C` 1 ?_ ftir . k\ y,\ It ir'..j lilt o s g??, ? V h?S1 Q X 00 0(9 k?G ?3.51 4 4 A) O/?C o l . ,? yFST 7. 'i CO, 1 v 519' envi f^^e?s'"1 V' 1T, t? *0 R1i . 900.0 Denotes Existing Elevation PROPOSED.-HOUSE-ELEVATION •c9_? Denotes Proposed Elevation Lowest Floor Elevation: 928.05 Denotes Drainage do Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: 936.16 -a Denotes Monument Garage Slab Elevation:935.83 -a Denotes Offset Hub Bearings shown are assumed LOT 17, BLOCK 3 HAWTHORNE WOODS DAKOTA COUNTY, MINNESOTA 1ST ADDITION I hereby certify that this surrey, plan or report wet prepared by nne or under my direct supervision and that I am duly Re6btered Land Surveyor under the taws of the State of Minnesota. Doted this NV day of SP Pr A.D. 191 Rroseu 10111g2, AOOBO F4{rST?l?icr?hnt»ls ///?p 49'2.b 17 \ t? \ ?O ? \ h / I V 11 1 11 /J i i 12.29 rob 45 ?iv hRch_e ROSERT fN .S. REG. NO. 14691 LAND SURVEYORS 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-1914•Fox 681-9488 engineering LAND PLANNERS • LANDSCAPE AR0111ECTS 625 Highway 10 Northeast Blaine, MN 55434 ?It * * 1(812) 783-1880•Fax 783-1883 Certificate of Survey for: Ozmun Builders Incorporated House Address: Dorchester court. Eagan. MN \ r') 10.45 I? 994?f / C Imo: / \ // \ \ 170?2,?1Qa 3 / \ r / \ \ -cl 4]?a1 / / \ \ qs q9w" 17 \ h ?/ Jo 4• LI'S c?17.a 1 i 0? 9S 2 ry0? ?' 9 Jj?, i1 1 < S ?7 b _ \ b? i? Cb ?O40 b1 (yt?Y •S• ,?(l, / / N i s \ 44- 'o \ osa8 O? s ?° ' 1c 3:5 c*siT O? Eli 9 ?1 4? 1 P.2b S? r?? Ury S Jr.0? ttN. O C O R ® 6y tl tl . 900.0 Denotes Existing Elevation PROPOSED _HOUSE _ELEVATION sao. Denotes Proposed Elevation Lowest Floor Elevation: 928.05 Denotes Drainage & Utility Easement Top of Block Elevation: 936.16 - Denotes Drainage Flow Direction -o- Denotes Monument Garage Slab Elevation: 935.83 --a Denotes Offset Hub Bearings shown are assumed LOT 17, BLOCK 3 DAKOTA COUNTY, MINNESOTA I hereby certify that this survey, plan or report was prepared by me or under the laws of the State of Minnesata. Dated this ZZ>JD day of /{F?+5'0U )0111gR p00170 F4V1T,r3&JrCf-4ArOrtS a4 ? ? g9 As 912 .. HORNE ADD17 lirect supervision and A.D. 19? .L ?7/./ am duly Registered Land Surveyor Inch_ 5(I feet ROBERT IK}kl1L.S. REG. NO.1 OZMUN BUILDERS, INC. DESIGNERS AND BUILDERS MN Lic. 0001044 15136 GALAXIE AVENUE, APPLE VALLEY, MN 55124 (612) 431-5000 Average ""U,Cbmputation Job Site Address y lnd-?tI'r vf-, P;:--1% [A Y Legal Description: ' 1n ?,u Lot?_Block Addition. /,?l1Yii/Y??V1P V 1h Date ???? AVERAGE LINEAL FEET OF EXPOSED WALL AREA ABOVE GRADE Main Level ?f•10 i Lineal' ft of framed wall above grade IV x height of wall 4, a l? f I Second level Lineal ft of•framed wall above grade_J2 Lx height of wall Vaulted Area Lineal ft of framed wall above grade x height of wall Rim Joist Arta. 'Lineal ft of rim x height of rim Lower level nn Lineal ft of framed wall above grade p-7 xheight.of wall I ..Lineal ft of framed wall above grade x height of wall= Lineal ft of.masonry wall above gradep x hgt.;aboVe:grsde =1&,;4_ Total mall •area.above grade including windows and doors ?J WINDOWS: Brand and Type !?1(n ( C_jjA_ Area "U" value /.• 4V .0 2 ft .kHf' 91.n 8 . f t i t: x I? .ft fl ft. x t. x 01 .t. x t. x III .ft i }IdY . f t. x sq. ft. x sq. ft. x sq. ft. x sq.ft. x DOORS: A_ eP sq. f Area •x "U" value p ?? h iu i? Iy sq. ft?x sq. ft. /?L5t,3 x sq. ft. x OPAQUE WALL.CONSTRUCTION:,Area x"U" value Framing members sq.ft x Framed wall sq.ft x Rim Joist Area sq. ft S<? x Masonry wall sq.ft x Total wall area including Windows-and-Doors a. °j b glues t- a ,5 IIUII a uuu a It Utoo It U II = V I uUu = Hull a uUu tU IIT= Q I , Hull -1 uUu _ HUu a glut a HUII - lia 141 it Un I3 = Ip u HUu I 1 I HUu = r'S1'05 IUn a nUu = ? JJ u U u Total(U) Values b.'. = Avg."U" Divided by- tots wall area a. AVERAGE "U" Minimum .ll:or less.for 1 & 2 family dwellings b ?? y. R ? 1G R N T lip ? R L p p n K r N= ? g m F W ? ? C P O v F ? s ? 4% CP g CP `' ?-Ni- a n ? im 0 R Z v ? z p P U N r * PIONEER LAND SURVEY01 * engineering LAND PLANNERS ** ** 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-1914•Fox 681-9488 ARCHITECTS 625 Highway 10 Northeast Blaine, MN 55434 1(612) 783-1880•Fox 783-1883 Certificate of Survey for: OZmun Builders Incorporated House Address: Dorchester Court Eagan. MN :S 3 / / 10)2?2L~ AV / ` R2 F / f 17 \ y ?0 \ •?M119,4 L?J'1•e li B 9' ? S J c'?P?cf \ ?97 S'2 ?9o ko 9.'t7•IP / X04 ?d 2L` 6M1 11 k9( fB .v e ?0 9 .g. r \ i . o? / nk / 10.45 w?71 / / OAi G ?k 934.0 4} M1 \ i?? s3S \ S \ R` 6'j r. \ o ;% S soa o0806, 51) C tiF Z i 1 i ?RT l p5g9 16g15??e E 4 104 12.29 615 l? t 13Y BAGA14 .,J "jrt f•-'6rf cATcA D t?5t? s 1T, ,? OD ?h hr- { ;J 11? Ll D Ll LI a V a t) U L?? c4 U 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION • 900 Denotes Proposed Elevation Lowest Floor Elevation: 928.05 Denotes Drainage & Utility Easement Denotes Drainage Flaw Direction Top of Block Elevatlon:936.16 --0- Denotes Monument Garage Slab Elevation: 935.83 -9 Denotes Offset Hub Bearings shown are assumed LOT 17 , BLOCK 3 DAKOTA COUNTY, MINNESOTA I hereby certify that this survey, plan or report was prepared b1 under the laws of the State of Minnesota. Dated this 22,00 day of REV'S-'O 1012192. 4020 Fgi3TnlG itEdATonts 1 Inch= I ® 92440.00           û ú þýý  üûúûøú     ÷ýý  ò þõíý ÿñ óôüü ã ÿ ýü þýõ  ôóüòüðü ø÷ö ôø÷öôóüòüÞóòßö ê üöñ ü ðü í ö ÷ ï   êöìêüê üêü ùêüèë  óóö üú ëë ê   ý üöèð ëë üö ëü  è ð ùêü  ù÷ óü ë ê÷êüè  üîåäåþþè þèþ ô÷     üæ  åè âèãâ æ  úè  óñ õ ðï öö  ßó üß ûü âãð üð ßüìáÞ û áÞ ã é çãÿÿÿ ù÷ ó   ì ü öö  ü  ëê ü  êö÷ó  öö ù   ëáü    ü ð÷ëû í üè öö òê    üü ÷     410'" City of WI Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use rrs� Permit #: Ot 1 53 Permit Fee: 141/ Date Received: J' l i f 3 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 8 /b 7/J Site Address: L-7J7e/y Unit #: Name: E, ✓F7>t/r ! i2/C/4fe r J Phone: C 5`1. Z 7c. • /a 73 Address / City / Zip: /JY1/ X z/jCSiz - 6– / L4ifL ic/ f /1-/(/ ,V 53 / 27 Applicant is: Description of work: Owner Contractor Construction Cost: l01 Multi -Family Building: (Yes / No X ) Company: 14yar / 17/ r��G //VC, Contact:( Z4L z,14./ Lie? �rI r- Z -- city: �/s,7A✓/s Phone: 2,4 9 Z ZZ Lead Certificate #: 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: supporting documents that you submit are considered to be public information.t. NOTE: Plans and Portions of the information may be classified as non-public if you provide specific reasons that would permit the City 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.gopherstateonecali.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 StateBuildding Code mas completed within 180 days of permit issuance. X (A! /AA/ /72 Applicant's Printed Name X < $ Page 1 of 3 43 y % rclu k- 64 - DO NOT WRITE BELOW THIS LINE iVe/9 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition ti+ Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level _ Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Pool Miscellaneous MA40 ki 1P1‘6,1,Ptdc /4 -r -k Yfill. Interior Improvement Move Building Fire Repair Repair ?t°49 D V REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In X Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows _ Egress Window _ 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 Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 0 c9 1 Page 2 of 3 ' s � Use BWE or BLACK ink . r_'--------------- i For Office Use � 1 1 �l 0 / ; Pe�,�t#:�. ; �� � �Y��� ��r� "-.-� ..�, ( ' . ' �� � L� Perrrnt Fee� 3830 Pilot Knob Road � y� � Eagan MN 55122 ����� � �' ���� � Date Received: � Phone:(651)675-5675 I I Fax:(651 j 6755694 I Staff: � I �---------------- � � 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �-G�� "�� �e � ������� Date: ! Site Address: y`'�� �JC1 .c'`� ,�7—�'� � Unit#: � � � �� � � I , ' �'.� ,�� � , � �: � Name: ,(1'.�� �%�/GI�S�A� Phone: ��° ���f � � � �� , � � { � � Address/City/Zip: � � ��f,L/��ST�'2 �/ . �.�G/a-�. 5—�/��� � � � � � s� Applicant is: Owner Contractor � � � � ���� �,��� , � �� jU-��� �/�'� /�.�}'Tf}/�p�S ���� Description of work: � �'1 � � * ; � �' y� Construction Cost: ��� Multi-Family Building:(Yes /No � �� � } Company: Contact: � � �� � �. � � �} ��� k �-� Address: ��������L� C�� � � � � t State: Zip: Phone: Email: t� .a z �'k � �� ; �� License#: Lead Certificate#: � If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �3U/1r y /�✓ �j.t, 1Z�"/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ' In the last 12 mo�rths,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: li Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: ����1E �� # t . �#Y�� 1� .ti�M� P i Si` � _."3 . s �������#� '?����"'��' t "� d��; �`�.� � , � �. ' *z �' �;�; s,e ,� .. ,� �u, a,� e � �� � c�t �:. e�.� , � n h r� ,t�"* fi ?; �� � ',�'K� �`.,.x..b:�.�t, ,...,.�,.x . _e,.. :, ..,,s,.� ,-,..,� � .:-�....� .,..� ��v . ,�. .� . ,......, . , � `x'�``�� ,,,2c�;"�,.���.` �.z3..#�.,�t�.,� ���',`� s: �` L 5� �.. �.�, ,,,�. ,...�,...: �„., .f >., .,.,.s„r.. .ti .,. ..�. a..,. ......,,.,. .�' CALL.BEFORE YOU DIG. Catl Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.QOpherstateonecall.o�g 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 onty 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. Exterfor work authorized by a building permit issued in accoMance with the Minnesota State Building Code t be pleted ithin 180 days of permit issuance. x � � --�/��2� �� �',���0� X � Applicant's Printed Name icarrt's Signature '� Rage 1 of 3 : � J 3�� �������-�,� G�' l �� g� DO NOT W ITE BE H IN R LOW T IS L E SUB TYPES Foundation _ Fireplace Porch(3-Season) Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous _ 01 of_Plex , Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ interior Improvement � Siding _ �emollsh Building" I Addition Move Building Reroof Demolish Interior ' � Aiteration _ Fire Repair i Windows _ Demolish Foundation _ Replace � Repair _ Egress Window _ Water Damage _ Retaining Wall "Demolition of entire building-give PCA handout to applicant DESCRIPTION ,� Valuation A�~ Occupancy ,�G� MCES System -^ Plan Review Code Edition �7 SAC Units --- (25%_100%� Zoning n—t City Water ,... Census Code �j�3� Stories �-"' Booster Pump -- #of Units I Square Feet ' PRV "' #of Buildings �!_ L,ength "' Fire Sprinklers ''� Type of Construction �� Width �-- REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Finai/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:TRough In Air Test _Finai Siding:_Stucco Lath Stone Lath Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill�Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee '7,3''�� Surcharge Plan Review Lj►�� MCES SAC City SAC Utitity Connection Charge S&W Permit�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK ink r-----------------� I For Office Use � ' � � �d� I C�t� of ���aIl , Permit#: � , ��, i i I Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: I Phone: (651)675-5675 � i � Staff: Fa�c: (651)675-5694 �________________! 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:_�`Z� _���Site Address: `�`��S�`�`' dJ D �L',�l.�'S'Tr'/Z LrT ��S.A-N Tenant: Suite#: ' ���������, Name: /G k � /Z! L ���5 �/`� Phone: �s C—� �G— lc7�.� y � , Address/Ciry/Zip: `�"� �D�2e`H�S r-L-'lf �'� �•4 � �S/�,3 �� ' Name: License#: � F :���� Address: City: State: Zip: Phone: f Contact: EmaiL• New �Replacement _Repair _Rebuild _Modify Space Work in R.O.W. '�'���'�� — — ` Description of work: ���-o L �����M a w i2 ��� � N � ��, RESIDENTIAL �. Water Heater � � Water Softener ' = Lawn Irrigation�RPZ/_PVB) ����°��' �Add Plumbing Fixtures�Main/_Lower Level) Septic System _New Water Turnaround �_ u pP�/z �-e d e L Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) "Water Turnaround(add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as buitt)(includes County fee and$5.00 State Surcharge) TOTAL FEES$ 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in confortnance 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; th t the work will be in accordance with the approved plan in the case of work which requires a review and ap of plans. x �/C�'�9 �d ��A��-- �ie/G K�'a.�-� x �-t ApplicanYs Printed Name A �cant's Signature i��'������� F 'T5 �.- : -.�R�F����� � ��� 3 �• . ,�L . � � Y ;�x 4,�„ S+t � { � . �F�+b� ������st� �Sr�t' #�� ). ..A... ����� ���r��� s^�h�' �� 'i�,�F�r'��C � ���� �' �, ,. -��, ,.�.� �� ���5.��� ; t3 - `� . } � r ���E�� £y��r+^�� ' :_.,..>- ���,i �'h�.� °A�:4�� ��� �Y� �� �� � ,.�.,._r ..->>,: . .�.,.v ,. . �'.Y^rr.§'K^"�!w':�. . .,.,,.,e . -,n �""'C�d .4�, � �' t :� Use BLUE or BLACK Ink _ r For Office Use :::: /4231q - City of Eaaall : q.-7, J3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: Phone: (651)675-5675 RECEIVED Fax: (651)675-5694 Staff: -0.1, APR 282017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION C° Date: 44?F d o/ Site Address: ,19 1 ,14e-S /t D/2c),4h'e � / Unit#: -J Kl ✓Name:.. % k,.. , �Zfc �<< � ,__.w.. .iti Phone:��S-(-� ��M /©33I. Resident/ j r Owner Address/City/Zip: 42V / 4:)0 2 c$/ 4-.-_-s-rren.. e i_/ 2 r/q-v� MiU �M, 1"7...)..? 1 Applicant is: Owner Contractor I i Description of work: ,Pe/n C .$ /_' L /�/�a; 't.r,c ,1�iL7`H/2oOsvf Type of Work. 1 Construction Cost: /S.— er r0 Multi-Family Building: (Yes I No. ) Ii Company: 0 4u/tie2 Contact: ,,...... Contractor Address: City: 1 I I State: Zip: Phone: Email: t I 1 License#: Lead Certificate#: .................. ........ . If the project is exempt from lead certification, please explain why: //d& S e0/L 7 /N / y' a 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? i Yes No If yes, date and address of master plan: i Licensed Plumber: Phone: 1 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 ifyouprovide specific reasons that would Y P p permit the City to conclude that they 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.qopherstateonecall.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 iissuance.. /� x /P/mak %_ /?/G CCSt1td✓ x ^,/ -.. Applicants Printed Name Ap ' ants Signature Page 1 of 3 c DO NOT WRITE BELOW THIS LINE /1/2-31/. SUB TYPES Zf3LL c-I -SA- re C-'- Foundation Fireplace _ Porch(3-Season) Exterior Alteration (Single Family) 7(, 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 octet., New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior t Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation7-ij0_40_ 4_) Occupancy r `:4."" MCES System Plan Review Code Edition vor4„off SAC Units (25%_ 100% `t ) Zoning f,,. City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction , r/Z/J Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) 1(, Final/ No C.O. Required Foundation Foundation Before Backfill ,c HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: Footings Air/Gas Tests Final 1( Framing fit, 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS 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: it , Building Inspector RESIDENTIAL FEES Base Fee x Id Surchargel;, a a Plan Review x 4" 'I y q MCES SAC it City SAC yiN Utility Connection Charge (')^ 2 PI D S&W Permit& Surcharge \ \ I / Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink • I- . For Office Use 11/ City Ol EaaallPermit#: G) Permit Fee: . I / 3830 Pilot Knob Road Date Received: ■ . 2 ` Eagan MN 55122 RECEIVED Phone: (651)675-5675 Staff: I� Fax: (651) 675-5694 APR 2 8 2017 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: q/e�,//,--) / ite Address: V3 V el Ey/'-C/{�'..sr 2 L"r- )7/14,J/ Tenant: /` //— , / --2! .k S d iU Suite#: i ! Name: /C/�k nl C/�se.) Phone: �j $—/ ' — /o,..?,'' 1 , ResidentlOwner I S Address/City/Zip 4 3y� y00,�G# s re.e G°T / A-!, M^� S"c i _ .�.� ,a.. mm✓n.. w„��.n,.....�.�.�.��...�, _,.,..a I Name: d tJ/u 9, License#: I Address: City: I Contractor 3 s State: Zip: Phone: 1 Contact: Email: Type of Work —New —Replacement —Repair —Rebuild x Modify Space Work in R.O.W. , Description of work: I ` _:., ....�.. : ria..,. ....,,,. �. .._,.,_... .. ..r.._ . ,.......�.... .......... ._.w.... ,_. .,.:.. _. ' RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/—PVB) € Permit Type ,itzPlu br,ing Fixtures( Main/—Lower Level) Septic System t, i I New Water Turnaround iE i Abandonment 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) $115.00 Septic System New(includes County fee and State Surcharge) o TOTAL FEES$ 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.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 apermit; t e work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. , ":„ii /,,.._ x /f'_ k l�lz//kcO'� x // � G Applicant's Printed Name Ap 'c nt's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-in Air Test Gas Test Final Meter Related ItemsMeter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143009 Date Issued:05/30/2017 Permit Category:ePermit Site Address: 4344 Dorchester Ct Lot:17 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-170 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Richard A Erickson 4344 Dorchester Ct Eagan MN 55123 (651) 276-1033 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143852 Date Issued:06/29/2017 Permit Category:ePermit Site Address: 4344 Dorchester Ct Lot:17 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-170 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 - Richard A Erickson 4344 Dorchester Ct Eagan MN 55123 (651) 276-1033 Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154116 Date Issued:02/20/2019 Permit Category:ePermit Site Address: 4344 Dorchester Ct Lot:17 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-170 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Richard A Erickson 4344 Dorchester Ct Eagan MN 55123 (651) 276-1033 Twin City Fireplace & Stone Company 6521 Cecilia Cir Minneapolis MN 55439 (952) 232-1840 Applicant/Permitee: Signature Issued By: Signature