4349 Dorchester CtAddress 4349 IDIRMSYER COURT Zip 5512 3
Lot . 15 Blk
Sub HMMORNE WOODS IST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiVcurb damage
Porch
$asement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
REQUEST FOR ELECTRICAL INSPECTION 6T`y EB-ODOOI-08
? See instructions for completing this form on back of yellow copy. 1 i // / ,05
fl -7nr+rn 1 i
Ll. - f C D D L X" below WorK UDVereo Dy I nls t-fequesr "r>1e+•"'
New Add Rep. Type of Building Appliances Wired EquipmenlWired
Home Range emporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Omer (special Contractor's Remarks:
Compute Inspection Fee Below:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL
Irrigation Booms ?J Dp IS
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in _ Date
certify that the above inspection has
been made. Final Dare
1 fe 14, ,.
OFFICE USE ONLY
This request void 18 months from
d 7 652 // 9 Fs
k 5
...-
Request Date Fire No. Rough-in Inspection
Repuired? ?ReeOy Now C Will Notify Inspector
Ryes ? No Whan Reatly4
I Alicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No City_
Z
Section No. Township Name or No. Range No. County
I)AICpTYq
Occupant (PRINT) Phone No.
A 67 O to 9'1-9513
Rawer Supplier
^^
E Adtlress
?
'
?Jq IC [ I rNZ rm f r
rCa
Electrical Contractor (Company Name) Contractor's License No.
CA
Mailing Address (Contractor or Owner Making Installation)
J /
t I?i1 Ss/a
Authorixeo S?gnat ( COntradorr0wner Maxi Instal anon) Phone Number
??
7 ?? ?! 5 3 -Y(o
MINNESOTA STATE Bldg, - BOARD o OF ELECTRICITY n THIS INSPECTION REQUEST WILL NOT
1821 University Room S ?AJINC?n BE PROPER INSPECTION FFEE S
Phone e (612) (Bt])6a 64 Ave.. St St. Paul. MN N 6 S10d IL' 1.
PhoY-0600 S ENCLOSED.
c REQUEST FOR ELECTRICAL INSPECTION /Ej1 o0.0e C
/O/? /? ? Sec:ASVUC?n>lor completing this form on back of yellow copy.
S 0
.5-957 "X" Below Work Covered by This Request
New Add Rep. Typeof 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 (speclty) Contractors Remarks:
Compute Inspection Fee Below.:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 -Amps
Signs Inspectors use Only: TOTAL
'
Irrigation Booms D ?
C
/0
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE 1SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Roughdn Dare ?lJ -
certify that the above inspection has
been made. Finat
III, of r Dare
OFFICE USE ONLY
This request void 18 months from
y °
dor
- -1 3
aa?
l o
Roque Date Fireo. Rough-in Inspection
Required,
Ss' Ready Now ? Will Notify Inspector
t
9 23 - 1
--S
XVes C: No
I
When Ready?
I X licensed contractor O owner hereby request inspection of above e lectrical work at:
Job Address (Street Box or Route NoJ
V9 i Es7uee
7
Section No. Township Name or No. Range No. Cdo
f Q
Occupant (PRINT(
A Phone No.
121x. m es; 68r7-o r
Power her Atltlress
a_
Electrical ?actor(Company Namej Contractor's License No.
N145? nc.. CA OI '
Mailing Admess (Contractor Owner Making Installs lonl
,C)- 9)( .Z 6 ? PPC ?cL 55J?
Amnonzed amre (Conva<ImrOwner Making Ins(aha,onl Phone Number
I, ps& 9S 3 _6
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN $5100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642.0800 ENCLOSED.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LOT: 15 BLOCK: 3 APPLICANT:
4349 DORCHESTER CT KOT HOMES, R A
HAWTHORNE WOODS 1ST (612) 687-9513
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
BUILDING
021537
07/21/93
INSPECTION TYPE
FOOTING DATE INSPTR. INSPECTION TYPE
FRAMING .
INSULATION FINAL
FIREPLACE
REMARKS: S & W PLBR - MATTHEW DANIELS PLBG PRV
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LOT: 15 BLOCK: 3 APPLICANT:
4349 DORCHESTER CT NEVILLE CONST, ROD
HAWTHORNE WOODS (612) 456-0260
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
BUILDING
023835
06/13/94
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
FOOTINGS FINAL
7
Wemficate of cccupanc4
"1 Of W9"
--- Iq losing"
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
use CbAMrxM ion: SE' UG B 21537
Wg Putne No.
OC-PUICY TYPE 7miva District Co+?u VN
0w=ofBuddiig A ,Lf e- ,
B g Address Locality •
Dab=
8WkWg016eial
POST IN A CONSPICUOUS PLACE
+ CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
'ON
PERMIT TYPE:
Permit Number: 1
Date Issued:
SITE ADDRESS: , „ t 1
t E k (A
PERMIT SUBTYPE:
Fit OC K ; APPLICANT-
( b1 .' 1 68i 1-) .1 .S
TYPE OF WORK:
INSPECTI
N TYPE
O ..
?l
I r?',ill fY 1 ? 111+1 I?•;
? F?1' M111:K•, .. I:i 1'i I;t< lNf? 1 ? t;l t; ,?i11i 1 t S •. f'i f':I, t 1:+.,
?i
- a - ?> -
Permit No. Permit Holder Date Telephone p
S/W
PLUMBING ?. 17-2 9v
HVAC 9 ! 9.3 ih•?Q?
ELECTRIC a(e l? Q Ia
ELECTRIC :5 J /c? Ota
Inspection Date Insp. Comments
Footings I
Foundation
Framing ,? ,C/?,G? qny c?
- r
Roofing
Rough Plbg.
Rough Htg. 9 93 Aii? U ?+ ??i? f y
Isul.
Fireplace 9 ' v
Final Htg. _ Q
Orsat Test
Final Pibg.
ILA
6 PIbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final Zk- O
Deck Ftg.
Deck Final
well
Pr. Disp.
3,0.;4y
?i 3ltiM
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
';3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
-4675
Illl I 1 It I NO
0.'.111 st,
Nt./1 .1 /104
SITE ADDRESS:
I lilt
I(F1WIli??r?Mi LI??UU'.
PERMIT SUBTYPE:
1111 1 1 Mls*,
IF
1, ItI APPLICANT:
? I ra; I i t ! u1•I
1, I i Vifi H
TYPE OF WORK:
I I rlit I
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Hig.
Orsat Test
Final Plbg. Plbg. Inspector- Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. 74
Deck Final `L LQ GPMl ?
Well
Pr. Disp.
I
L
J„ZZ? r RESIDENTIAL BUILDING dU
?`YY Permit Application ( ?0 ,
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 "Qt /}(, x r I//?/ ??
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVReoair Requirements Office Use Only
3 registered site surveys showing sq. k of lot sq. R of house; and all roofed areas - 2 copies of plan Cart of Survey Recd -Y -N
(20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tree Pres Plan Reod _Y _N
2 copies of plan showing beam & window sizes; poured found design. etc. 1 site survey for additions & decks Tree Pies Regd -Y -N
l set of Energy Calculations Addtion -indicatedon-site sepik system On-site Septic System _Y _N
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 (3 / 3l / O3 Construction Cost S t 000
Site Address - 4 31+ Q &JUC Unit/Ste #
E
3
AGW
Description of Work {?
?
S?
Multi-Family Bldg '
?
_ Y ? N Fireplace(s)
- 0 _ 1 - 2
Property Owner e o ??Srlax,-) Telephone # (6EI) 6&,043
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
DT 9 0TH
Licensed Plumber
Mechanical Contractor OCT 3 12003
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ans.
Applicant's Printed Name Applicant's Signa e
OFFICE USE ONLY
Sub Types
? 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 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 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 andout to applicant
A
h
*Demolition (Entire Bldg)) - Give PC
Valuation / `?n, Occupancy ?
t
?
`aiJ
C. ??v MC/ES System
Census Code Ll y y 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 Y HVAC
Drain Tile T Other
Roof
Ice & Water Final Air/Gas Tests
Figs
Pool _ Final
_
_
Framing _
_ _
_
Siding _ Stucco _ Stone
Fireplace X R.I. - kAir Test Final Windows (new/replacement)
Insulation = Retaining Wall
Approved By C , , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
.);,(o t-9 0
0-7 a
L0a320
RESIDENTIAL PLUMBING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
6 3
1
11
J/
/
Date -
1?
Site Address `c 3 ? q bCCi?? Qt- Unit #
Property Owner O? c5j V Telephone # (6 S 1) 6 G p' O?
Contractor
Address City
State Zip Telephone #
( )
The Applicant is Owner Contractor Other
Septic System _ New - Refurbished Submit 2 sets of plans and PAPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations to existing dwelling
? $ 50.00
Add fixtures to lower levels or room additions. excluding water softener and water heater
Abandonment of septic system
Water turnaround (+ 5/8"
if needed- $121
=
Other: r ltPt) Q.? C
LPN)
_ RPZ _ new _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener - Water heater $ 15.00
_ replacement _ additional
State Surcharge $ .50
T
l
ota
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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.
LEI
Applicant's rinted Name Applicants Signs e
City Of Eagan
5q '} (e 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New CoreWctat Reouirements RertadeYReoair Recuirements Office Use OnN
3 registered site surveys shoreg $q: R of lot sq. R of house; and gll roofed areas 2 copies of plan Cart of Survey Red
2 ( copie opies maximum lot coverage agomd) _
wino .. .. 1 set of Energy Cabiledons for heated additions -Tree Pres Plan Red
I set of Energy plan calculations beam & 8 window slzm; poured found design, elm 1 she survey foradhiora & deft -Tree Pres Not Regd
3 copies copies of Tree Tree Ptireservemstipr Plan ti lot plattsd after 7l1l93 .. 'Adddkn-inadeof ons&esepecsystem _OnaloesepticSystem
3
Rim Joist Dew Options selection sheet (tsdgs with 3 or less units
Date / 2-5
Site Address W / 0 3
?y 9 ®o C? Construction Cost ? a -4- 9 '
?? 6,T- unitiSte #
Description of Work
Multi-Family Bldg 6-612t c,?j e -
_ Y ?N Aa / o b
Fireplace(s) _ tJ? NJ-
0 _ 1 _ 2
Property Owner `E S k ? 1 A O 6,S 7-67 Telephone # (&S-) W'49 " 0 `{ 3 j
Contractor Great Lakes Skling
4411100 6kmda D&O
Address
State Apple Valley, It N 56154
Ir1 lie # 700R4t2T ' ' -
Zip " City
Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateaorv 1
(J s salon type) a Residential ventilation Category 1 Worksheet
Submitted
a Energy Envelope Caloulatforre Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
_ Minnesota Rules 7672
New Energy Code Worksheet
Submitted
Telephone #(
Telephone # ( )
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
RESIDENTIAL WULDING ( ? 1 ?j ? .
Permit Application
?1
K L-1
E 1714 /Z S / PJ/L ?
Applicant's Printed Name Applicant's ature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-piex O 13 16-piex O 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-piex ? 10 08-plex O 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-piex ? 11 10-piex ? 19 Lower Level O 24 Storm Damage
? 06 04-piex ? 12 12-piex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldc
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout to applicant
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
c.: .,.
Width
'n 'N?i lStr. 6r i?l?.i,f'.:i?t1. ?A. t:jl ,:.•
REQUIRED INSPECTION
iM•u t
_ Final/C.O.
Final/No C.O.
Plumbing
_ HVAC
Other
Pool _ Figs _ Air/Gas Tests _ Final
Siding _ Stucco _ Stone
Windows (new/replacement)
Retaining Wall
- Footings (new bldg)
- Footings (deck)
- Footings (addition)
_ Foundation
_ Drain Tile
Roof Ice & Water Final
Framing -
Fireplace _ R.I. _Air Test -Final
Insulation
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
CITY USE ONLY
PERMIT #: 5qU (.Q RECEIPT DATE:
Please complete for:
Date:
SITE ADDRESS:
#.?O'Sa
8008 RESIDENTIAL MECEANICAL PERMIT APPLICATION
CITY OF £AGm
S$SO PILOT KNOB RD
EAGM MN 551 EY
651-681-4695
? single family dwellings
townhomes and condos when permits are required for each unit
3
OWNER NAME: ?t?/ a ??Z erJ TELEPHONE #: L4 5
INSTALLERNAME: TELEPHONE #: 7G3-7Pf! 6 r00
STREET ADDRESS: Ja?6 yl cis Q e efZP l? ?U G-
-CITY: STATE: 100t- ZIP: SSJ3 Z-
Place a check mark next to the permit work type
Add-on, modification or alteration to existing dwelling unit
• furnace rep
lacement 30.00
• air exchanger diti
JANo
E
oner
Nature of workAA"'nk.-? kJ//''??? Lt)
1 U?/r^
State Surcharge $ .50
Total $ 3d
u : z IT
1/02
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2002 COMMERCIAL MECHANICAL PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD
EAHAN, MN 5518E
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
Specify Nature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: I% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: $ x 1 % = $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated I/02
CITY O0 EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
4349 DORCHESTER CT
LOT: 15 BLOCK: 3
HAWTHORNE WOODS
P.I.N.: 10-32150-150-03
U 113
DESCRIPTION:
r
Building-.Permit Type
'Building Work Type
i?
PERMIT TYPE:
Permit Number:
Date Issued:
DECK
NEW
L,J
REMARKS
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
Subtotal
$30.00
$.50
Fee $5.00
$35.50
COPY
Total Fee
$36.00
CONTRACTOR: -
NEVILLE CONST, ROD
3607 SUNWOOD TR
EAGAN MN
(612) 456-0260
Applicant - ST. LIC. OWNER:
14560260 0005424 ROOSTEIN JAY
4349 DORCHESTER CT
55123 EAGAN IN 55123
(612)686-0431
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
L_
APPLICA !PE ITEE SIGNATURE
application and state that the
with all applicable State of Mn.
nN.10 A mi _1 rlt 1?
SSD Y: G ATU E
BUILDING
023835
06/13/94
CITY OF EAGAN
23 W1994 BUILDING PERMIT APPLICATION
681-4675
ULIPfI L(fiAG_ f,-5`
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 Valuation of work
Site Address: &e
STREET SUITE #
Tenant Name: (commercial only) RECEIVED
LOT _
BLOCK
SUBD. 6 .- 0'tU ?, 7
jdUW I l? ;v
F.I.D. # ? 17 J I y
---------------
Description of work:
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name Phone ?lo ?CaY3?
Property LAST
,RST
Owner ' /
Address 7 3 2 d0i: ?,41.4
2?4 4?r
,
STREET STE #
City State Zip s??°23
Company Phone +? ??e - ?Zls()
Contractor c?
Address 3 02 License #5r'q,?-c( Exp.
3^ /S
City State - ' Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: A62'cle
`
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. 13 15 Deck
WORK TYPE
Q 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
Q Footing
P Final
? Framing
? Draintile
? 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:
..50-
vatuatim: $
Y i? ri yt I ?^"
? 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 y3y
SAC Code
Census Bldg _
Census Unit
Assessments
SAC %
SAC Units
CITY OF EAGAN.
\ 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
<VING
021537
07/21/93
SITE ADDRESS:
P.I.N.: 10-32150-150-03
4349 DORCHESTER CT
LOT: 15 BLOCK: 3
HAWTHORNE WOODS 1ST
DESCRIPTION:
B -ulding.-Permit Type SF DWG
Building Work Type NEW
?)UBC Occupancy-,, R-3 M-1
/ Construction Type V-N
j
Zoning R-1
Building Length 66
Building Width \ 54
? j
r n
j j C
1-71
C(?
si L
REMARKS
S & W PLBR - MATTHEW DANIELS PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
CONTRACTOR:
KOT HOMES, R A
7901 UPPER
APPLE VALLEY
(612) 687-9513
VALUATION
$874.00
$568.10
$83.50
$750.00
100
1
$2,275.60
PRV
$167,000
MISCELLANEOUS $1.744.50
Total Fee $4,020.10
- Applicant - ST. LIC
16879513 0001506
HAMLET CT
MN 55124
R A KOT HOMES INC
7901 UPPER HAMLET CT
APPLE VALLEY MN 55124
(612)687-9513
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordina-nces.
- 61
/Lk APPLICANT/PERMITEE SIGN TURE
application and state that the
with all applicable State of Mn.
-ISSUED B SIGNATURE
REACTIVATE _ ???? ITY OF EAGAN ?i
93 BUILDING PERMIT APPLICATION
PERMIT # ,
P
J U L 13 1993 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
talcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy talcs.
Penalty applies: 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 -7 / IN / Valuation of work
Site Address: X13`1 l?,vc ??rp ?uI/?T
STREET SUITE /
Tenant Name: (commercial only)
LOT BLOCK SUBD. { swu?°ND?+^C 1,00e.4.r P.I.D. M
k-(-
Description of work: Lx iI&1 .1
The applicant is: 4 Owner Contractor ? Other (Describe)
Name 9•l4-Kdr S _E,.,c Phone
Property LAST FIRST
Owner Address -7901 W? ?"+ ? f C'7L'
STREE STE N
City ,d 1" s State MOld Zip `L-
Company Phone
Contractor Address S 44e=`f- License # 000iSV%o Exp. %S?
City State Zip
Company L l + Phone 9 -q /3
Architect/ \
Engineer Name LJaAllC71 l C(..11x Registration #
Address
City State Zip
Sewer & water licensed plumber w (.S V,41tL` . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
%
Signature of Applicant: t
OFFICE USE ONLY
BUILDING PERMIT TYPE .,? . .. '
?
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16' pt"F~iroM
pase
02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi..Add'l. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
J9 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- ?1 Basement sq. ft. MWCC System ` c
(Allowable) y - ti 1st F1. sq. ft. City Water
UBC Occupancy pr?-I 2nd F1, sq. ft. PRV Required Y?T
Zoning 2-I Sq. Ft. total Booster Pump
# of stories Footprint Sq. ft. Fire Sprinkler
Length F0Z On-site well Census Code 101
_
Depth 514 On-site sewage SAC Code 01
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? 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 Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % loo
SAC Units I
Vat ation: s 1(3
-r
Ga?-nACe' 32,c z4
2X/o? Zo
`?? 12 (008
BSmT; 786 k 16
1Z x8=9?.
3 x.z2= yIf;
3?Ix !2 ? ?'ra8_
r.K ? a-= J12
k?C6= y8
IroK 19yz= 31Z
N%o ay- 3y8
I 68 x
1sT
,,v n, 36?
7_
3 ?s x 54 '7 D?-S
ZNG Fl.-a?R '
S
x 5Y = x 6n
is.= zoIsz°
LOT SURVEY. CHECKLIST FOR RESIDENTIAL
BUILDIN ERMIT APPL CATION
w
S; I.
PROPERTY LEGAL . -'T
Date of Survey:
DOCUMENT STANDARDS
Er 0 ? Registered Land Surveyor signature and company
0'•0 ? Building Permit Applicant
9' 0 0 Legal description
0 B-?? Address
0" 0
? ? North arrow and bar scale
C
? ? House type (rambler, walkout, split w/o, split
[? 0
? lookout, etc.)
i
i
t ?
D
en
.
rectional drainage arrows with slope/grad
0 Proposed/existing sewer and water services
0 0 Street name
R' 0 0 Driveway
ELEVATIONS
Existing
? C•]'? 0 Sewer service
B* 0 0 Lot corners
2 0? Top of curb at the driveway
g' 0 ? Elevations of any existing adjacent homes
Proposed
9''? 0 Garage floor
Q'?
- ? First floor
V 0 Lowest exposed elevation (walkout/window)
0 ? Property corners
D--? ? Front and rear of home at the foundation
PONDING AREAS (if acclicable)
0 H ? Easement line
? 0? 0 NWL
? 0' 0 HWL
0 ?"*?? Pond # designation
? 9'?? Emergency Overflow Elevation
entry,
DIMENSIONS
??] 0 Lot lines
r ? Right-of-way and street width (to back of curb)
0 ? 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
[
0 ? Setbacks of proposed structure and setback of adjacent
? @?0 existing homes
Reta
in?wall requirements, if any
/
Reviewed
October 1992
EXTERIOR. ENVELOPE AVERAGE "U" COMPUTATION
OWNER SAY &
SITE ADDRESS
49
CONTRACTOR: R.A.
ILQ, RODSTEIN
PLAN N0. 9-0510-3
HOMES, INC. DATE '7-7°93 PHONE_ _687-9513
DE.TF_RMIME WORKING SQUARE. FOOTAGE
4156.64
1. Total exposed wall area 4222.3 sq.ft. x .11 464.453
2. Total roof/ceiling area 1704 sq.ft x/.025 44.30A•
Total floor cant. area 364 sq.ft. 0.05 18.2
(over unheated enclosed areas)
4. Total floor cant. area 39 sq.ft. x 0.025 0.975
(over unheated exposed areas)
5. Total exposed wall area above the floor.
3787.64
a. Total wall window area .................... 557.2994
b. Total door area ............................ 55.6278
c. Total sliding glass door area ............. 71.1022
d. Total fireplace area ...................... 0
e. "total wall framing area (ave. 10%)........ 378.764
f. Total net wall area above the floor....... 2724.847
g. Total rim joist area., .................... 369
TOTAL EXPOSED FOUNDATION AREA ................ 65.66
h. Total foundation window area... ...........
!7
i.. Total net foundation area ................. 65.66
Determine "U" value of each wall segment„
a. 557.2994 x "U" 0.36 =
b. 55.6278 „ "U" 0.06 =
C. 71.1022 ; "U" 0.36 =
E. 378.764 "U" 0.090334
f. 2724.847 ;<. "U" 0.043215 --
9. 369 "U" 0.040683 =
h. 0 U" 0.36 =
i. 65.66 "U" 0.076161 =
6 .....................................Total
If item #6 is the same as or less than item #1
energy codes. 2 MCAR 1.16008 A AND O.
TOTAL EXPOSED ROOF/CEILING AREA
200.6278
.337668
25.59679
u
34.21`.536
117.7548
15.01221
5.000762
4i? 9 9
you have met the current,
1704
,i. Total skylight area ....................... 0
k. Total flat roof/ceiling framing area...... 170.4
1. Total net flat roof/ceiling area.......... 1533.6
Determine "U" value for each roof/clg. segment
j. 0 X "U., 0= 0
k. 170.4 x "U" 0.0259 = 4.413364
1. 1533.6 „ "U" 0.021801 = 33.43362
Total ,.:7.84698
'If item #7 is the same as or less than item #2 you have met the
ernergy' Lode. 2 MCAR 1.16008 A AND 0.
TOTAL FLOOR CANT. AREA (enclosed). 364
o. Total floor cant. framing area (ave. 10%), 36.4
p. Total net insulated floor/cant. area...... 327.6
Determine "U" value for each floor/cant. segment.
0. 36.4 x "U" 0.043879 = 1.597192
P. 327.6 r "U" 0.020646 = 6.764402
8 ...................................Total 8''61594
If item #8 is the same as or less than item #3 you have met the
energy code. 2 MCAR 1.16008 A AND 0.
TOTAL FLOOR/CANT. AREA (exposed) 39
q. Total floor/cant. framing area (ave. 10'/.). 3.9
r. Total net insulated floor/cant. area...... 35.1
Determine "U" value for e ach floor/ca nt. segment.
q. 3.9 x "U" 0.040634 = 0.158472
r. 35.1 x "U" 0,023229 = 0.915331.
9 ................ ..,..............,..Total 0.97'90_
If item #9 is the same as or less tha 3m #4 you have met the
energy code. 2 MCAR 1,16008 " 1ND 0.
I HEREBY CERTIFY THAT I HAVE AALCULATED
VALUES HEREIN AND THAT THE I ILDING HER
THE STATE. OF MINNESOTA ENERSY CONSERVK
(si
(date)
DETERMINE "U" VALUES"
THRU STUD WITH SIDING & S.R.
Interior Air...... 0.68
Sheet Rock:......., 0.45
Thermo-Break...... 0
Stud .............. 6.93
Sheathing......... 2.06
Sidi.ng............ 0.78
Exterior Air,..... 0.17
Total "R" Value............ 11.07
I/R = "U" Value....... .... 0-090334
" FACTORS AND "R'
C IBED MEET
C . S F
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
New Construction Requirements
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
> 3 registered site surveys showing sq. ft. of lot, sq. M. of house
and all roofed areas (20% maximum lot coverage allowed)
> 2 copies of plans (show beam & window sizes; poured fnd. design; etc.)
> 1 set of energy calculations
> 3 copies of tree preservation plan If lot platted after 7/1/93
DATE: S- -J/- 5115
DESCRIPTION OF WORK:
Remodel/Reoair Requirements
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions & decks
CONSTRUCTION COST:
f
STREET ADDRESS: 5/:YK (jofrti':o/e,- C-- p `, (? }
LOT: BLOCK: 2) SUBD./P.I.D. #: 11 V1-1 W670d'
Name:°2ok7'e'iL J4 44 Phone #:
PROPERTY Last First
OWNER /
Street Address: y3 y?J ,?o y- c4 P g1ei C--/
City f r g a State: Zip: 61/2
Company: ?1 e c! /SC2,4la h Phone #: PVz-"r)
(area code)
CONTRACTOR /? `
Street Address: ??C d '7 2 SO License# ?1Y366'P 7Exp.
City 13o+1/r r4n State: i2 ? lip: 5.3 3/
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City State: Zip:
Sewer & water licensed plumber (required for new construction anlv):
Penalty applies when address change and lot change Is requested once permit is Issued.
I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
//?/
Signature of Applicant: /%LG«A?rl
OFFICE USE ONLY j - _
Certificates of Survey Received Yes No L 1 f ! I"IaY
Tree Preservation Plan Received Yes No Not Required - --" "
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
` Give PCA handou t to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq, ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Valuation: $
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
% SAC
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
.SHOWER 3.00
-? WATER CLOSET 3.00
a BATH TUB 3.00 G
S LAVATORY 3.00
1 KITCHEN SINK 3.00 3 o c7
?- LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
t WATER HEATER 3.00 3 . 00
I FLOOR DRAIN 3.00 3
3 GAS PIPING OUTLET • minimum • t 3.00 ?I -
3 ROUGH OPENINGS 1.50 14 S
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry. tie. 15.00
U.G. SPRINKLER • home under wrist. 3.00
ALTERATIONS • to acisting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE
TOTAL:
.50
55.00
SITE ADDRESS: L A3 g 9 b(?, v- c
OWNER NAME: A ??T
INSTALLER:
ADDRESS: 5 3 O ?v y ?? I ?r
CITY: ??ri s STATE: ZIP CODE: S S L?
PHONE #: (L 0-) 'f 1-3 '? 3 v
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCL4LANDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUI'_ DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING U.T.
NEW CONSTRUCTION
_ ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH Sl,ODO OF PERMIT FEE
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT N AHn
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
S, !4
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
ls?? 31?k
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 U / V f-
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 C $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONs7RucnON)
STATE SURCHARGE
TOTAL
SITE ADDRESS: T%6-" 21? = l
FEES
$ 24.00
6.00
3 po
$ 15.00
ZD
OWNER NAME: A 60-6-
INST.
? TELEPHONE #: & L? 7 - ?--S-I-3
12481 Rhode Island Ave. So.
ADDRESS:Saufie,, mw 55378 1322
894-0005
CITY: STATE: ZIP CODE:
TELEPHONE #:
6IGNABIRE OF PERMITTEE
I
1993 MECHANICAL PERMIT (RESIDENTIAL)
ClW OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
1993 MECHANICAL PERMTf (CONBIERCIAL)
CM OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIALIINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FE MIT FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE #:
L SIGNATURE OF PERMITTEE CITY INSPECTOR
11
X933,8
L r1 T !h
I
10
? P
M I
?kw
d / - ERs
, 10
,
g / '0\
'0/
Mp??pp??( /
934.fb /
I •r r
L_Li I I ?Y
see
F 1 p ' 7L Iu ? H
NOTE: BUILDING DIMENSIONS SHOWN ARIt
FOR HNtIZ
ATION OF UY
AacHITE IU
A
NG
Z
P
J
.8 FOUNbA'f N (9z4-
NOTE: NO SPECIFIC DDLS INVESTIGATION
HAS BEEN COMPL$fPA ON THIS
LOT BY THE SUAZ R. THE
SUITABILITY of SOILS TO SUFPORr
THE SPECIFIC HOUSE PROPOSED
IS NOT THE gPPONSISLITY OF
THE BU YO .
so DENOTES PROPOSED SURFACE DRAINAGE
0 DENOTES IRON MONUMENT SET
r DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
i
w
r l
?Qo
1 a0
/
By
(9 Z.
N
^4
x
?(93'•3?
1211 W
SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - y3(a.7 FEET
PROPOSED LOWEST FLOOR - jqq, FEET
PROPOSED TOP OF BLOCK- 937.1 FEET
WE HEREBY CERTIFY TO R.A. KOT HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lotl5+ Block3, HAWTHORNS WOODS IST ADDMON, occording to the recorded
plat thereof' Dokofo County' Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENI S. EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 6TH DAY OF JULY ,1993.
HILL, INC.
N
O ? 0 to
m
BY
I
m
W
n
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 0 BURNSVILLE, MN. 65337 4 812-990-8044
12T. 2.0
x9338 934.4
^1
1646-
aI
IO 4? ? I
,0o& 0\ <
994.2 /O !!
\?b
O?7F
BUILDING OIM SIIOyNS SHOWN ARk 92,
RO
N0130UAL p G (9
AA 6TR 1K1?1 ION
9 FOUNDAtION 0
NOTE! NO SPECIFIC SOILS INVESTIGATION
HAS BEEN COMPLETED ON THIS
Lot BY THE SUAVEYOR. THE
SUITABILITY OF $OILS TO SUPPORT
THE SPECIFIC HOUSE PROPOSED
IS NOT T11E RESPONSISLIYY OF
THE BU YO
• DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVAI ION
i
k04.2
g0
20
1
/
By
NNN
'D
!8I
0
?? 9z? •?'j N5854071211W
933.3
SCALE: 1INCH - 3O FEET
PROPOSED GARAGE FLOOR - 936.7 FEET
PROPOSED LOWEST FLOOR - y?$.3 FEET
PROPOSED TOP OF BLOCK- 937.1 FEET
WE HEREBY CERTIFY TO R,A. KOT HOMES THAT TI 115 IS A I"RUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot15, Block3, HAWTHORNE WOODS IS? ADDff1lON, according tp the recorded
plat thereof, Dakota County, Mlnnt:sotd.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION IHIS 61N DAY OF JULY , 1993.
HILL, INC.
a
l
James R. Hill, inc.
PLANNERS / ENGINEERS l SURVEYORS
2600 W. CTY. RD. 42 • BURNSVILLE. MN. 55337 • 812-890-8044
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
%Ig
I r r 7
L_I i I i ?-r
i ?? I Ih
6911E
aPr,B / ?..
/
/
\?R
s?
Y:
PREPARED BY MCCOMBS FRANK R009 ASS(
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE orSLACK<Ink
For Office Use
Permit #: /0 af i
Permit Fee: /L 6,.25"
Date Received: /1-029-30
Staff:
C
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
CONTRACTOR`
Name: f A C) /.S / t'/
Address/City/Zip: `'3y% i7OiC/Z:eS . C� f aft i /5-5- /d3
Phone: 4 -
y
Applicant is: Owner X Contractor
Description of work: ./1eA-c
Construction Cost: i 000 Multi -Family Building: (Yes / NoA )
Company: flume 76.6o 1 �1Dr'Lz.�-t dh $-f A)
Contact: TO cid i1'tt,t. r' t t I
Address: G` (;C' 0 V i ktr 13 /kid A/ & City: Wt -t e,m°I r ✓tJ t Gt 1/ °f
State: ,/('/ Zip: ST° T;' Phone: 76 3 Y? V- qS
License #: 86' 3v S V Lead Certificate #: /✓f+ r - % (S-5''
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes �i_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 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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit iss nce.
x
Applicant's Printed Name
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Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146972
Date Issued:11/28/2017
Permit Category:ePermit
Site Address: 4349 Dorchester Ct
Lot:15 Block: 3 Addition: Hawthorne Woods 1st
PID:10-32150-03-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Raymond L Veith Iii
4349 Dorchester Ct
Eagan MN 55123
(414) 739-0343
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature