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4348 Dorchester Ct Use BLUE or BLACK Ink - I For Office Use Permit City of i p MAY. Z 6 REC'U I Permit Fee: 3830 Pilot Knob Road ~f Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I /111 Q,v Fax: (651) 675-5694 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 134? 4"' et . /2'0 Tenant: Suite RESIDENT / OWNER Name: A-e Phone: /moo Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: AIL-11 ~Q~Vt , .tom Pi1.u Construction Cost: q-7, S Multi-Family Building: (Yes / No CONTRACTOR Name: ('xicense C D -7 V (4_ Address: P(`) ke?'S City: (s (3 T State: ~f Zip: > 17 Phone: ,J _7 Contact: Nj y'h(A 2:- Email: : 9 a M COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the 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.gopherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in confo ante with the ordinance and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work i t to start without a pe that the work will be in accordance with the approved plan in the case of work which requires a review and approval ns. Applicant's Printed Name Applicant's Signature Page 1 of 2 • J 7 a7?'1rsr xlo 19V C? 2 447 3 - Request Date Fve No. Rough-ln Inpsection Required (You must call Inspeomr when ready) inspection Other Than Rough-in ? Ready Now [3 Will Notify Inspector GG i r/ [3 Yes ? No Date Ready I W licensed contractor ? owner hereby request inspection of above electrical work at: Job Atloress (Street. Box oO.ut. No.l /? City ' yj U PO?fa S7U,e, C r, A - // a ,I ••.? Section No. Township Name or No. Range No. Coun V r/, Occupant PRINT) Phone Na. Power Sufy??tier M1 Atloress 07W- roN Electnca onlractor Company Name) Contractor's License No. fNlsC E 0-77L',C- 1.NC _C11 /y,`2 Mailing A ress ICO/njJ;dctor or Owner Making Inslallatlon) Aut ignamre )Cora /Owner Making Installahon) Phone Number ) Fg;3 - MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Roam 5173 1821 University Ave.. St. Paul. MN 55104 Phone (612) 602-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. ??vr, / REQUEST FOR ELECTRICAL INSPECTION ?`- ? See instructions for completing this farm on back of yellow copy 1 2 9 4 7 7 , X' Below Work Covered by This Request ,,mr %? EB-00001-09 ew Adtl Rep. Typeofemliing Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management CommAndustrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks'. `.1/.f'?N 6 OF ?Olf/L.Q ?C7/G L Compute Inspection Fee Below: Illl # Other Fee # Service Entrance Size Fee # ClrCUIts/Feeders Fee Swimming Pool 0 [0 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 _ Amps Sig , Inspector's use only: TOTAL ?Q at Irrigation Booms I ? i/ V/I Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tif th th b i Rough-in F? cer y at ove e a nspection has been made. Final OFFICE USE ONLY Thia request void to months from REQUEST FORELECTRICAL INSPECTION Ee.ooooa iii? Seeinstrrictiors IoLcompleting this form on back of yellow copy. 7w' ? L 2 1 9 0 8 "X" Below Work Covered 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 P001 0 to 200 Amps LE 0 to 100 Amps I Transf0rmers Above 200 _ Amps A Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Special Inspection I Alarm/Communication THIS INSTALLATION MAY BE ORDERED 1SCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 THS E 1, the Electrical inspector, hereby certify that the above inspection has been made. Rough-in Final oate OFFICE USE ONLY IlThis reouest void to months from d ?16 08 0 8:. cdiarx Request Dale Fire No. Rough-in Inspection Re0uiretl? ? Ready Now „Will Notify Inspector ff^?? V 9? Yes D No When Ready? I 'A licensed contractor IJD owner hereby request inspection of above electrical work at: Job Address (Street. Box or go Ciry 34? c1SEs Section No. Township Name or No. Range No. C Occupant (PRINT) 1 Ph on e N o. L X91 • ? ' ` +?.?}r ? ^ ?'IJ?? /Ol?? Poway SU °I ° Aboress r ?` ? '?? 0 C ElecincgL ctor,Company Name) contractor's License No. P F4. Mailing Address (Contractor or caner Making Installation) / P1C? r --J ?r 4.4.?Z Authorized S ature (Contractor Owner mg Installa9ory Phone Number n +? ?z MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grlggs-Mldyo y Bldg, - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (512) 642-0800 ENCLOSED. Address, 4348 DoR RESTER court Zip 5512 3 Lot 16 BIk 3 Sub HAw>fME WOODS IST THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ??? y? Yes No Inspector: Se Final grade (6" from siding) r/ Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch I/ Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 16 BLOCK: 3 4348 DORCHESTER CT LIFESTYLE HOMES INC HAWTHORNE WOODS (612) 454-7866 PERMIT SUBTYPE: BASEMENT FINISH TYPE OF WORK: BUILDING 023743 06/01/94 ALTERATION INSPECTION TYPE FRAMING DDATE INSPTR. INSPECTION INSULATION DATE INSPTR. ROUGH IN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK F L CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS Correction Notice Located at 4 s s` r?Z, > r? iZ c r I have this day in these premises qed violations of (Ity this structure and )und the following governing same: T- -14 When corrections have been made, please call 454-8100 for inspection. Date Y1 •'", Inspector City of Eagan DO NOT REMOVE THIS TAG Wefti f icate of Ccc"anc? Wit4 of Wagan Meonrbnent of 13ni[bing 3nVpation 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: SF DWG 20504 Use Ctusi(auon: BWg_ Permit No. F"I R! Oceap-y Type 2W District 1M Type caost- 148q PAW EACM OW WW of BW WI% Address Gam' B Address434.5 Locality UT6;70 s Daw Building POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ::III 11? I tic, 3830 Pilot Knob Road Permit Number: 1/4-3 Eagan, Minnesota 55123 Date Issued: ! iy t i ,, 4 (612) 681-4675 SITE ADDRESS: I it I I1?+{a 1111, I, rat «,,.,1.•. PERMIT SUBTYPE: 111 APPLICANT: I :') 914 !relit, TYPE OF WORK: I I t. 1< A _f Iw-, INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. k1 hiARKai '. FPAI?AII I'1 h141 1', Aki. ki W111<111 fol, i%N'e' 11111MIIIN1i OR lilt (k31 A1. WORt Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECT Oa ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Q Roofing Rough Pibg. 7 poi Rough Htg. / G Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final /?. Deck Ftg. Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 w Date Issued: (612) 681-4675 SITE ADDRESS: ! PERMIT SUBTYPE: HI.II I .IN[n A? @tiA4 0:3/.1R /93 APPLICANT: t ? :' ? ! t!nr!f ? 1 11? (Iilr'1 464 It?ti?s _ TYPE OF WORK: NI LJ 1111 • DATE INSPTR. • TYPE DATE INSPTR. I f! :111 rl 1 1 li 1',MAVK5z '+ tti W PI-111F, i OMI".061 V1 Hij 1'x+4 Penn" No. Permit Holder Data Telephone i S/W PLUMBING HVAC ?5 •5?-?(p?0?0 ELECTRIC , g3. ELECTRIC Inspeetlon Date Insp. Comments Footings I 3.2y -73 Foundation (%L /? ? ?? Z 3 s' 6tp f e J Framing .04 Rooting C*7 G/f 41-r ! -.vS c.C- Rough Plbg. Y!? A(/ Rough Htg. 93 Q/7 iso. L Fireplace N o / Final Htg. Orsat Test Final Plbg. / Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deco Final Well Pr. Disp. Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. Mi,F 1 1 I F#LJ 1-5 _ -2 e. P. F' 2 Etah4 E T T 0 UTER100 ENVELOPE AWACE " ? ; a?lPl3'tAf3t?N ''r 1 VETEAiilht ?. TOTAL EXPOSED WPLL 2. TOTAL BOUNCE 1LING, lIRE,? >' f,...,....,rt r7 +.• ...... .026 A ash d 3.1- TOTAL ExFO?? A:iAE11" CALCULATIONS . w• si t'. f?'yJr „? bi?°,? Iota.r.rp.,K al area above flex t? T .... ? . .? ?-'?' ? . ?? s ? 'fit ? r "'+? a) Totbi well wirtoaw area! V ?-- - ._.... ... .. 3 0? l q ft x P ,U, t I , * 9 b rb d ?_.., .. tai ft x 0 1'e. b, Tc r vree .«..,.?.?•_r ?,.. aq: ft x }pu,! ,. fs OCbi SlIdimn g151 dons` 1 ? ? ?:n:{y t gx t{Ilt", qr t'4??':° .N'3'.:!!?I?r?a? f r R?.6tr ' ? r rl?r ?,wq.b} ? ? „y t`h , R ? '+, • ? ?? ? a?''+?? ! ??: t k' y' {?? .. ?•.•w... P Z 1 . • . JI 9 i y? } rf `S r •}.,f ??. S M ` ? n1, ,ik' 4 d) To orea, as ft ling, e + rr. 11ti 4F*A Total 'rt. "K, 1-to r.wve floor 5.1 ft u" Tate. tin '?-?•+?1..?..1.? it4 ft x !ILsr+ '? ? ( r , ` ? s, r?+.?!L......?. i-`w ' r h,3 ? I ? t'?? ?''{?(': T o t a l 101 been Tots x ' w1rip" wee NMI lp ft x "u" Tcit4 . Z. ?bt': :•w r+, .' ,, r ?, .kr4 ' J q$ -b' .t 't Q. f • 1.. ,.?{ ,?i ft x 9('elr 'rl ,,J''?7 ?" ` /• ? +? ?', I Ir°+ ti' ' Bi t. , . "?? t , i } : ., t° it ,? , ?, _?---•e a1r F? .,.' !+,' 3. c•., ?' r , . 4.1:3''t ? ? t:,': •,?, , t t : rr r'?t ?. rl ? ??,> ,a: Jiro ' P' 't OPAL thru { 'I? I ' I ti ?:tt.,f t ,' TCi k ?A ply I df item F3 I' tltw_ ,? 1 ?1'AR I.1so0a a or leaf than 1 teem 0 Y0 ha+ st?st t.te p ey,; t? r ntit'It of .. 's' 1 1 . r ,f , i - 1 ?I'SwG S•Srtif ? ,?'. age 1 ?.C NO +1 1a r?: 4 +9? r ` . ?+I h + ?.? 1? i k j e, t , ? I F".. 1 ? 4 t t '.?R 1 ?t ?-, f 5 ?? l r .I,! r rl,? 1'. ?..`, `oaf 1, i Y? ?.. • 7,•'???? ?'. tt kt?? !, idq'?j"`t'!?i'?'?(????r(?I?t,(+""t?'?c )',( r+.??' , Irk i ? }??4: ??? ?'? r? S^ a ??? r ,. r4 i:•rdtka .I•tl.,, j, +' ,t..,,?r t'??4t ?f? r + ' S x '?1 r? ?? 1 ??r?.? ?f- ?,, ?' ?'+. . ;o r 1+ ?4r Ili'iiS Mf-:-4 r*1 1 1 - -9 :3 THii 1 S : 2.7 EtEFaFaETT P 03 j(AL EXPOSED ROOF/CEILING CALCULATIOISs ? To(?411 ?ltpt?SCd ? ? `" E T'is roof/celllnq •rea.....,.. OQU sq ft j 1 Total skylight area. A .. z q f t x ' "U" ,Y •• ?.,,Y, k) Total roof/calilnq framing.' , 14 Z •rea (Averanaa Inr)...... ? 4 acq ft x 1) Totai net Insulated roof/ce! 1 lnq area.....,. `f O sq f t x 11V e,1 TOTAL )) thru 1); -- r , If total of 04 Is the same as 'or less,,than ?2, you have met the Intent of 2 MCAR 1.16008 A and 0. ''Fh, rfYr { ,, s?lr?'Y : . i .r ALTERNATE OUILDING E.NVELOM AES1rN o "o 1. To utilize the total envelope' system method, the values estabjIshed by the sum of Items 03 and 04 shall not be greater than the sum of Items 01 and 02." ' 1 r a Rn" - , - - - sot QxwN ?trMN 1.•.,.•rrrw 1 r. ro ? t - a a ' CER7iFICAY10N , 1 hereby certify that'1 have calculated the IVI factors and "R" values herein and that the building here described meats.or exceeds the State of Minnesota Energy Conservation Act. dil; • „ {'Q; qna taros h .? ,'s. ,, }{{4tt?+ ?' . ,, ' ,tY?' .lt '?•t;?il? ,traJl k4ie't'i i?? •+. li'?. q 4 ( (Date) .. Forge 2 ' I. ?, It 1, ,t ???I,.,kt, •?t'? _?, 4V?rix?"r'S; j, t1. • .. .. • . .. ,w'•iir't?. ..ly ' t+?,'t..,•k-0xl. Eeu-'1•L.Yw'1?6.Hw:..dM1?.1It?Lii,Y1,r.M11 ? J'[ MAP- 1 1 -9:s ? --r •a j, 13 C D 'WAl.1. SECTION (IHSULATED) i ---y{1 interior air f I Im n.FR -? tk. -?•--{F' Exteerrlor air film n-17 TOTAL R " 4,-r( ?!i Pr,• I U 1/R?! 0 1- AIM JOIST SECTION: , - -R •'°--?1 Interior air film n,FR (2 9D. I Se 36 -15 -^46 Exter or a r f m n, 7 FOUNDATION INSULATION REQUIRED. Min. R-5 On entire wall OR U 1/R ,-Min. R-10 down to frost,aepth FOUNDATION SECTION: , ---{I Interior air film ?----#P L ? n,fiA g _ r ? ?t? $1 o F- c(t? 1 boa I 1 e r i o r a i r . f i l m n.17 TATAL a M Z., CIA SLAM ON GRADE • •• ' , f f r ,o r + Heated Slabs: ry' .• Minimum R¦8.5 Unheated Slabs: a• Minimum R • 4' , 1..' i? 1.1.1 • • e •1 `H•` 1i THU 15:20 Pa"HaTT P.04 CONSTRUCTION RR VALUE WALL FRAMING SECTION: r 1 Interlor'Alr film n.l+R 3 =77 nc es #o t wood , err • -{ 5 xtar or air film 1,7 TQTJ L, R " q k+ P. 4 04 ?. do 4-0 0 41 • •••,v • • • }i r M?Fj.- 1 1 -'=ate • F• AIR FLOW THU 1 5 2•? DEt-4U4E:TT P _ 5 CONSTRICTION ?;. R VALUE '.` CCILINC SECTION (INSULATED): ,y 'M ,2 Interior Or film n,f+1 ' 3 4 Exterior air film stiff 671 TOTAL R r U .? U R R • VENTED ?S C• ?f D CEIL,IN4 FRMING SECTION: Interlor alr fil VENTED a Inter or air S ti fl so TOTAL R Ag . is U- 1IR-0 : CEILINC, SECTION (INSULATED): 1'`4 Interior al r f I lm ry,l?1 2 r- 3Ir t « s 4Fxter or a r i m stl I ?. i 1: 10TA1. R w a y,s ,r.; . U - Ita 0 0-L_ r: Y CEILINn FRAM!! SECTION- 1 1• r Interior air film n.61 a„•. xterlcif J 7Trin st 1 I n,61 ; Inches soft wood t , ''TOTAL R ji, U- 1/Ra 1 ?iiz •} r . •yy1y -'insI le air film n•n1 .fin 41 $ Outs dr a r m n" 7 TOTAL. R ....,,_ ;` u? 1/Rw Page 4 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 1 C7 3830 PILOT RD, N MN 55122 651-681-4675 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) • 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 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE & ` I I I t7 SITE ADDRESS TYPE OF WORK 1hG APPLICANT ? .`?Vtrc MULTI-FAMILY BLDG _Y 4N LI--S FIREPLACE(S) _ 0 - 1 _ 2 STREET ADDRESS 1410 So (gL D<Y CITY ? ?/ STATE'NZIP gs?C TELEPHONE # ( - 3W tit CELL PHONE # FAX # eISCZ -021 ' 149Z' PROPERTYOWNER MA-OAAft `(-30k 0?x_ JP? TELEPHONE#(,7Sj- W?b-4 Ib? ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 U: e o (J submission type) • Residential ventilation Category 1 Worksheet Submitted 7EU • Energy Envelope Calculations Submitted 13 2002 Plumbing Contractor: Phone # gy__ Plumbing system includes: Water Softener _ Lawn Sprinkler ee: _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # 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 Ordinances. Signature of Applicant OFFICE USE ONLY Remodel(Reoair Requirements • 2 copies of plan • 1 set of Energy calculations for heated additions • isite survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION 1k 1 -2--. STS Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 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-plex Plbg_Y or- 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. or 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 Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing Stucco _ Stone Siding - 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 PERMIT # RECEIPT DATE: ?o 2002 RnIDENTI*L PLUMBING PERMIT APPLICATION CITYOF i AGM 3950 PILOT KNOB RD KAGAN, )NN 5512E 651-691-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system q SITE ADDRESS: `, l -?q K r rv?\ PS 1e r- CA OWNER NAME:: INSTALLER NAME: YY1 STREET ADDRESS: TELEPHONE M 64s( ID<&% ? T o -+ (AREA CODE) TELEPHONE #: (AREA CODE) CITY: STATE: ZIP: SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: - Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 - Abandonment of septic system. - Water turnaround - existing dwelling unit (+ 518" meter if needed - $118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 lawn irrigation system Replacement/additional: _ water softener _ water heater $ 15.00 State Surcharge rn $ .50 Total MAY 0 2 2002 $30- I p hereby acknowledge that I have read this application, state that the information Is correct, and to com ity of Pagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assu no I for any' mages sed y the City during its normal operational and maintenance activities to the facilities constructed under this perms ithin Clty prop !r tof-way! same SIGNATURE OF PERMITTEE 1102 RESIDENTIAL BUILDING PERMIT APPLICATION , ?LA CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1-4 ciI 651-689-4675 New Construction Requirements RemodellReoalr Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & Window sizes; poured found design, etc.) • t site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home served by septic system far additions • 3 copies of Tree Preservation Plan If lot platted after 711193 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE 411,51 o7. VALUATION JOB SITE ADDRESS ?3 ` Do?r?.i ?r-?T C.? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ?OS?pu+ s 1?/lAV7 cork ?r? TYPE OF WORK_ Af _S I D E APPLICANT FIREPLACE(S) _ 0 _ t _ 2 PHONE# `)S2_-SR 1 -2, 4 Q,-) ADDRESS_ Iglu S-b &L,? ,JYYAc DYL . a ZIPCODE SSIa `1 PAGER # Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: - Air Conditioning - Heat Recovery System All above information must be submitted prior to processing of application. Fee: $90.00 Phone # Fee: $70.00 Phone # APR 1 9 2002 ?? I is corre,C{? cire to comply I hereby acknowledge that I have read this application, state that the inform with all applicable State of Minnesota Statutes and City of Eagan Ordinanc Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received FAX # 47-5-2--91 1 - yo"I-s-U NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY CELL PHONE # Water Softener Water Heater _ No. of Baths _ Phone #: Lawn Sprinkler No. of R.I. Baths Not Updated 2002 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. Aft - 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-plex Plbg_Y or - 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 WindowslDoors ? 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 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 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 CITY EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-32150-160-03 PERMIT cK acs s PERMIT TYPE: BUILDING Permit Number: 0 2 3 7 4 3 Date Issued: 06/01/94 4348 DORCHESTER CT LOT: 16 BLOCK: 3 HAWTHORNE WOODS DESCRIPTION: BASEMENT FINISH ALTERATION r Du'ilding' Permit Type Building " rh Type ft, '-z f ,Y ?1 r f' ?jj CIO ?1-1 4 L_. . ?ky REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: LIFESTYLE HOMES 1489 LAKE EAGAN (612) 454-7866 - Applicant - ST. LIC INC 14547866 0001288 PARK CIR MN 55122 OWNER: BUNTING DEAN 4348 DORCHESTER CT EAGAN MN 55123 (612)683-0289 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. VGN- APPLICANT/PERMIT SIGNATURE application and state that the with all applic.abls State of Min.. ISSUED BY. ATURE J iS4?3 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION _fe 681-4675 yXiff _ z n pot'? a? SINGLE & MULTI-FAMILY 2 sets of plans, 3 rijisteryed site urveys, 1 copy of energy + talcs. COMMERCIAL 2 sets of architectura elctyr 1 plans, 1 set of specifications, 1 copy of energ lcs. [Pen aty aplies: 1) when permit is typedbut not picked up by last working day of month which request is made, 2) address is changed or 3) lot change is requested once permit issued. Date 5 ? Valuation of work site Address:_ 1 Orch_ +er LL,wr STREET SUITE # Tenant Name: (commercial only) LOT 1K? BLOCK SUBD. 11L Ls? P.I.D. 1(00-08 1 ?v Description of work: The applicant is: ? Owner UContractor ? Other (Describe) Name 'Pil 0+1 1)G , ?Dpa'1 4 V,j n-) Phone Property LAST FIRST Owner q Q J- Address l - STREET STE # City State vrzn zip Company Phone 4'55 7BNi_ Contractor Address P-jjj = l tjrjj License #CTNAEA Exp.3195 City State Mn Zip A?qst02 Company C?Y?P ?'? clYrt' Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber N IT— 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. L 4 -Qs-?? 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. Add'l. ? 15 Deck WORK TYPE ? 31 New ,9 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 ? Footing Final 0 Framing ? Draintile n 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: Valuatim: 8 1. 11 Rr 16 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 3 SAC Code o/ Census Bldg / Census Unit o Assessments SAC % SAC Units CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE:, !? .? ! o z ,? Eagan, Minnesota 55123 Permit Number: 2,Cj 6 0 !1 (612) 681-4675 Date Issued: J 3 J 1 S 3 SITE ADDRESS: I.r,r r i",LOCK H ,I 13 /rah ?r? ros ! t; h.I-i,._ 11 ?'z1,', 180, -0 DESCRIPTION: E3uiJ dir:.a ' ermi '. .y f:; e.. ,? pll!3 (113c Oc:'Ll pat)LIV F. ! .._r Zonj.ng 6t;l ?. i„?li'Y Cj j..angth J. PuiJ,d.1ng width :fir f t REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: T harm:. c!cr. a.tnt1.C t 1. „a'd, r art 7.eai, r'aupI I,e a tun ar+?J c t au i' e ..ls cc? .'r•=> ld 3rr'=N i.ri ?zt iv w??. 1? 6;ppI;rahls t"aie O hfrr- :ti?`.c.yuf., r;y 0"dL ?,a xi f"w".a -? PP ICANT/PERMITE ATURE <' 'ISSUED W. SIGNATURE /' INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: ai,?Q i PERMIT SUBTYPE: APPLICANT: TYPE OF WORK: !; 01 t. F L REACTIVATE _ PERMIT'#?MD4 CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 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 / /'? / q -7 Valuation of work Site Address: 4348 DORCHESTER COURT STREET SUITE #F Tenant Name: (commercial only) LIFESTYLE HOMES INC. LOT 16 BLOCK 'I SUBD. HAWTHORNE WOODS 1ST P.I.D. Description of work: NEW CONSTRUCTION- The applicant is: ? Owner Q Contractor ? Other (Describe) Name LIFESTYLE. HOMES. INC_ Phone AsI-7sztih Property LAST FIRST Owner Address 1489 LAKE PARK CIRCLE STREET STE # City EAGAN State MN Zip 55122 Company LIFESTYLE HOMES, INC. Phone 454-7866 Contractor Address 1489 LAKE PARK CIRCLE License # 1288 Exp. 3/94 City EAGAN State MN Zip 55122 Company LIFESTYLE HOMES IN C_ Phone 454-7866 Architect/ Engineer Name SAME AS ABOVE Registration # Address City State Zip Sewer & water licensed plumber THOMPSON PLUMBING _. Processing time for sewer & water permits is two days once area has been approved.. I hereby acknowledge that I have read this a pplication and state that the information is correct and agree to comply with al a plic le State of Minnesota Statutes and City of O di ` Eagan r nances. ?- Signature of Applicant: 'e-.111 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation IV 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. WORK TYPE 0 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging Wami'!1Pt Finish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish ? 36 Move GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCC System YES (Allowable) y -N 1st Fl. sq. ft. City Water 74= S UBC Occupancy R_3 M_1 2nd F1. sq. ft. PRV Required Zoning R_t Sq. Ft. total Booster Pum p # of Stories Footprint Sq. ft. Fire Sprink ler Length On-site well Census Code Depth 9 On-site sewage SAC Code o1 _ C" '-"?-" APPROVALS ? Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? Site ? Footi ng ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % too SAC Units I Valuation: $ 16 C? i? 27 GAS e: '/i X2u = l5? x !2= 6v ?yC? 1'L BS MT. r1? X/ 6 1Z ociG 4s riZy _ logo i Z,67K 21 /vq2- K.53 =° Y-7 57G S?xyx,5 q l,oe +>d12'/?xzi= 13,1 rs?I°I`l? %X/2 = W9 ?) ? 67)x2_ aS 13t)4 x is-= 1945Go t5T I i «„4? 13 Smr 130H ri SK % 7C?,?1 /6 LOOT SURVEY MCKLItT FOR RESIDENTIAL WILDING PERMIT APPLICATION PROPERTY t.?n+• S _ ( I (P ?Lp4!/- l?bDS I Date of Surveys Dpcymz?;T eT vninfln D D D 0 Registered Land Surveyor signature and company Building Permit Applicant • D 0 Legal description D ¦ 0 Address D 0 North arrow and bar scale D D House type (rambler, walkout, split w/o, split sntry, lookout, etc.) 1 1 0 D '0 D Directional drainage arrows with slope/gradient 4. • D 0 Proposed/existing sewer and water services street name 0 D Driveway ELEVATIOxe Esci ti D ! 0 s na Sewer service • D D Lot corners D 0 Top of curb at the driveway / D 0 Elevations of any existing adjacent homes Proposed 1 D D Garage floor 3 0 0 First floor • 0 D Lowest exposed elevation (walkout/window) D ? Property corners 1 D D Front and rear of home at the foundation PCNDING AREAS (if applicable) 0 D Easement line 0 D NWL 0 0 HwL D 0 pond designation D 0 Emergency overflow Elevation s D D • DIMENSIONS Lot lines D 0 Right-of-way and street width (to back of curb) D 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all D structures requiring permanent footings) D ? Show all easements of record and any City utilities within 1 those easements 0 ? Setbacks of proposed structure and setback of adjacent existing homes D ® D Retaining wall r irements, if any Reviewed: r1?? - ? Name / Date Yt 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OVEAGAN 3830 PILOT' KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TO E ` HOMES AND CONDOS WHEN PERMITS ARE. REQUIRED FOR EACH UNIT, -------------- -- ---- NO. FIXTURES EACH TOTAL SHOWER 300 OD WATER CLOSET 3.00 610-0 BATH TUB 300 LAVATORY 3.00 - o KITCHEN SINK 3 00 r LAUNDRY TRAY . 3.00 > HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET .,minimum - 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dray. uc.. 20.00 U.G. SPRINKLER • noose wider covet. 3.00. ALTERATIONS • to miming 20.00 WATER TURN AROUND 20.00 - STATE SURCHARGE .50- - A?D. 5v TOTAL: SITE 5i Ftlal,KeA SIGNATURE OF PERM E CITY: S)_ i e??Ti,. tyI STATE: fx) ZIP CODE S' ,9_ '.PHONE:#: ((old} 9?'?-`7'71`7 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION ADD ON _ REPAIR WORK DESCRIPTION: CONTRACT PRICE FEE: 1% OF CONTRACT FEE. STATE SURCHARGE. $:50 FOR EACH $1;000 OF FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER. ADDRESS: CITY. PHONE #: STATE- ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1994 PLUMBING PERMIT (COMMERCIAL), CITY OF EAGAN' . 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681467S PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES 9 SHOWER - WATER CLOSET BATH TUB LAVATORY I KITCHEN SINK 1 LAUNDRY TRAY HOT TUB/SPA I WATER HEATER F- FLOOR DRAIN I GAS PIPING OUTLET minimum - I ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • DaLCty. tic. U.G. SPRINKLER • home under coast. ALTERATIONS • to existing ??.. LLWATER TUt•7?N, AROUI (?TGandio L ltk,-? bo-?c STATE SURCHARGE TOTAL: EACH TOTAL 3.00 3.00 `1 , 0c) 3.00 00 3.00 12,00 3.00 -7). oa 3.00 _5. 0o 3.00 3.00 _? .00 3.00 3.00 3.00 -'05 , 00 1.50 4.(:30 5.00 15.00 3.00 15.00 15.00 3.00 o0 .50 SITE ADDRESS: 4NV boy-clr, inc p n rf" OWNER INSTALLER: ADDRESS: ksW\ M, ar t Yr?? ? r Q CITY: M 5 n -"6XXA d STATE: ?1 fJ ZIP CODE:55:5 PHONE #: 93 as - TZ L'7 0 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL./INDUSTRIAL. BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF P XVII7! FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681467S 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 It 3 hl HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 On $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE FEES 6? $ 15.00 TOTAL SITE ADD] OWNER N INSTALLE 5 TELEPHONE #: `i! -zl 7,E" ADDRESS: 4-1 7 6 Jy i " t Cl / Lv,Ye? CITY: / STATEN ZIP CODE: ?S Z TELEPHONE SI NATURE OF PERMITT EE 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 5$122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES CONTRACT PRICE: 1% OF CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF P. IT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT PPLIC ION PROPERTY LEGAL Date of Survey: _O,? 04 ? DOCUMENT STANDARDS 21 0 Registered Land Surveyor signature and company ? Building Permit Applicant ? ? Legal description 0 6 ? Address CJ?0 ? North arrow and bar scale L1 ? ? House type (rambler, walkout, split w/o, split entry, lookout, etc.) C?0 ? Directional drainage arrows with slope/gradient $. C3? ? ? Proposed/existing sewer and water services D/?? ? Street name H ? 0 Driveway ELEVATIONS Existing CJ/? 0 Sewer service ?6 ? Lot corners [? ? Top of curb at the driveway ? ? Elevations of any existing adjacent homes Propose ?? ? Garage floor 0? ? ? First floor 6f? ? ? Lowest exposed elevation (walkout/window) U ? ? Property corners ?? ? Front and rear of home at the foundation PONDING AREAS o fPONDING AREAS o f applicable) ? ? Easement line ? [? ? NWL ? $ ? HWL ? ? Pond # designation ? ? Emergency overflow Elevation DIMENSIONS d? ? ? [7 ? Lot lines Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and setback of adjacent existing Ret Reviewed; October 1992 SURVEYORIS CERTIFICATE L-10% T- i--7 ,HHXIST a s3B, ry c9 Zo_ !4 / A. 0 /s LIFESTYLE HOME E / E z . u) LOT 16 Q ('z7.0) 1 l Fa 'In i W F f s/ '? (?'? 4'? (9347) 1, 91 ? ? 934A-I \ o C?oQS?? 934.2% 934. DORCHESTER COURT .2 Il 435-?? • (92 \ r O Cha ,2BOENCHMMr,wc L ??T i?? H EV . IN NOTE: BUILDING DIMENSIONS SHOWN ARE FOR IDH{ZONTAL 6 VERTICAL LOCATION OF STRUCTURE ONLY. SEE NOTE: AR01ITECTUAL PLANS FOR BUILDING 8 FOUNDATION DIMENSIONS. on DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION NO VWFIC SOILS INVESTGATION HAS BEEN COMPLETED ON YNIS LOT BY THE SUAVEYOR. THE SU11XVILRY OF SOILS TO SUPFORT THE SPECIFIC HOUSE PRDP09ED IS NOT THE RESPONSIBILITY OF THE SURVEYOR SCALE:IINCH - 30 FEET PROPOSED GARAGE FLOOR - 9 34. 7 FEET PROPOSED LOWEST FLOOR = 4 z 4.3 FEET PROPOSED TOP OF BLOCK - 137,1 FEET WE HEREBY CERTIFY TO LIFESTYLE, HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OFF THE BOUNDARIES OF: Lot 16, , Block 3 ,HAWTHORNEWOODS IST ADDITION, according to the recarded plot thereof, Dakota ODunry, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MV DIRECT SUPERVISION THIS I ITH DAY OF MARCH . 1993. PROPOSED GRADES *OWN WERE TAKEN FROM THE GRADING PLAN MpRS? HAAqEWE??THNNEMM WOODS IST ADDITION ABBOCIATESB INC!COMBS FRANK ROCS I? Om O M A w - of r W 0 W 0 o ~ - r s O r4n p '" y D Z M T A. G) M W 1 R. HILL, INC. t? JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 0 612-890.60" City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /01a31- Fee: ZZZ Permit #: Date Received: 2' - (3 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 1 t/j Date: sa — I9013 Site Address: l 3 1 - �/0-Doeche5A-€1,- C Name:(�5E' Resident/ Owner Type of Work Address / City / Zip: q kt5 'Aov- G\eV y c T Unit #: Phone: LSI - `3 3 5-I cw eiAcj i %) J 1 s3 S !23 Applicant is: _X_ Owner Contra or (Fiq .fin -tut) �/ 1 Description of work: -1) 1r r� P1 1Ge 1 Re - t c _ (jam l l 12gu.i wCk Construction Cost: + Multi -Family Building: (Yes / No Contractor Company: (\-V.toe ®W A e'( Contact: Address: \ A- lJOId e) City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1 I> c -tr � A.4 (9 t(\k 060 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secr ts. CALL BEFORE YOU DIG. Cali Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities.+ www.gopherstateonecall.oroI 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 S ding Code completed within 180 days of permit issuance. it if+' /I A. .i x T65A� r� Applicant's Printed Name Applicant' - ignature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 ofPlex Accessory Building _ Fireplace _ Garage Deck Lower Level _ Porch (3 -Season) — Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool WORK TYPES _ New — Interior Improvement _ Addition Move Building Alteration_ Fire Repair _ Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%r/ Census Code # of Units # of Buildings Type of Construction 67 / i REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace:X_Rough In JLAir Test ;)k Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Occupancy Code Edition Zoning Stories Square Feet Length Width Final TOTAL Siding Reroof Windows _ Egress Window _ Storm Damage _ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant J'7 c - - MCES System �GY�? SAC Units %Z -/ 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 Radon Control Erosion Control , Building Inspector /5006 0,40!,/47 (--/Axpt9 Final Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA120845 Date Issued:03/04/2014 Permit Category:ePermit Site Address: 4348 Dorchester Ct Lot:16 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-160 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. Ashley Orman 130 Plymouth Ave N Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Joseph V Jaeb 4348 Dorchester Ct Eagan MN 55123 (651) 688-6487 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature • EAGA 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 (651) 675-5675 l TDD: (651) 454-85351 FAX: (651) 675-5694 buiidinginspectionsl ?cityofeagan.com CSIV1D JUN 15 2020 Permit #: Permit Fee: For Office Use 3416- a� 4 Date Received: Staff: J 2020 RESIDENTIAL BUILDING PERMIT APPLICATION 06/12/2020 4348 Dorchester Ct, Eagan MN 55123 Date: Site Address: Unit #: Resident/ Owner Joseph and Marcia Jaeb 612-747-5510 Name: Phone: 4348 Dorchester Ct, Eagan MN 55123 Address / City / Zip: Applicant is: ✓ Owner Contractor Type of Work Install New Deck Description of work: 14,750 (Est.) Construction Cost: Multi -Family Building: (Yes / No ✓ ) Contractor None - Home Owner Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: Yes - Exterior Deck If..... \ 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 8 Water Contractor: Fire Suppression Contractor. Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www,citvofeaaan.com/subscrfbe. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (681) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 1 understand this is not a permit, but only an application for a permit, and work is not to start with it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl Joseph Jaeb x Applicant's Printed Name x Applicant's Suture Db NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family _ Multi 01 of _ Plex WORK TYPES New y Addition Alteration _ Replace _ Retaining Wall DESCRIPTION Valuation "' Occupancy Plan Review Code Edition (25%_ 100% V) Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction Width Fireplace Garage Deck Lower Level Lisqe Logche--1-(5R- _ Porch (3-Season) _ Porch (4-Season) _ Porch (Screen/Gazebo/Pergola) _ Pool Interior improvement _ Move Building _ Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) ?( Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL —P� _ Siding Reroof Windows Egress Window o.5 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 t.7 SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final I C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector 010 )TIPA-1/437/ w� 700 X -ua Page 2 of 3 SURVEYCERTIFICAT LIFESTYLE HOMES Tor OF PIPE a.Ev.•1 97 r T L 'v I I' r (t34 1 T) 1, 9~ 934.2x 934 DORCHESTER COURT (9 to_s o Il13s NOTE: BOLDING DIMENSIONS SHOWN ARE FOR HORIZONTAL & VERTICAL LOCATION OF STRUCTURE ONLY SEE AROlTECTUAL PANS FOR BUILDING B FOUNDATION DIMENSIONS. DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION ter.. S : 37,1811E 2. zo NOT °J l 2 _• O� 83445 IB 9004 54' p� ELEV. • 6$3i.04 E: NO SPECFIC SOILS 1NVESTGATION HAS BEEN COMPLETED ON MIS Ur BY h1E SURVEYOR. THE SuiTA01LITY OF SOILS TO SUPPORT TI M _SRQIFIC HOUSE PROPOSED 19 • NOT T11E RE3PONSIBILJTY OF THE SURVEYOR SCALE: 1 INCH — 30 FEET PROPOSED GARAGE FLOOR — 9 34.7 FEET PROPOSED LOWEST FLOOR = 9 2 V.3 FEET PROPOSED TOP OF BLOCK — 9 37,1 FEET WE HEREBY CERTIFY TO LI FESTYLE HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 16• , Block 3 ,HAWTHORN WOODS IST ADDITION, according to the recorded plot thereof, Dakota Cowry, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS I ITH DAY OF MARCH . 1993. PROFD CRAPES SHOWN WERE TAKEN FROM THE GRADING PLAN FOR HAWTHORNE WOODS IST ADDITION PREPARED BY INC.000MBS FRANK ROCS ANOCIATE SIGNE>,T)jMFgS R. HILL, INC. rn o _ . ogc— mow- �' x�ID o I I 1OOK/PAG E I o cn Wor$ 7 w CO JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-60044 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177434 Date Issued:06/30/2022 Permit Category:ePermit Site Address: 4348 Dorchester Ct Lot:16 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-160 Use: Description: Sub Type:Gas Line Work Type:Alteration Description: Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Joseph V & Marcia K Jaeb 4348 Dorchester Ct Saint Paul MN 55123--304 Applicant/Permitee: Signature Issued By: Signature