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.
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UTER100 ENVELOPE AWACE " ? ; a?lPl3'tAf3t?N
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2. TOTAL BOUNCE 1LING, lIRE,? >' f,...,....,rt r7
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ntit'It of
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;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
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ro ? t
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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
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(Date)
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13
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'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
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• • • }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
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R. HILL, INC.
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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$3i.04
E: NO SPECFIC SOILS 1NVESTGATION HAS BEEN COMPLETED
ON MIS Ur BY h1E SURVEYOR. THE SuiTA01LITY OF
SOILS TO SUPPORT TI M _SRQIFIC HOUSE PROPOSED 19
• NOT T11E RE3PONSIBILJTY OF THE SURVEYOR
SCALE: 1 INCH — 30 FEET
PROPOSED GARAGE FLOOR — 9 34.7 FEET
PROPOSED LOWEST FLOOR = 9 2 V.3 FEET
PROPOSED TOP OF BLOCK — 9 37,1 FEET
WE HEREBY CERTIFY TO LI FESTYLE HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 16• , Block 3 ,HAWTHORN WOODS IST ADDITION, according to the recorded
plot thereof, Dakota Cowry, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS I ITH DAY OF MARCH . 1993.
PROFD CRAPES SHOWN WERE
TAKEN FROM THE GRADING PLAN
FOR HAWTHORNE WOODS IST ADDITION
PREPARED BY INC.000MBS FRANK ROCS
ANOCIATE
SIGNE>,T)jMFgS R. HILL, INC.
rn
o
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ogc—
mow-
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x�ID
o
I
I 1OOK/PAG E I
o
cn
Wor$
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