524 Eastwood CtCITY OF EAGAN
3834 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
I (t 1 L.1flltl t. I
!l?11! i lili'i!lJIIII{'I _j ft ll.
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
t, I-! ! fd c, I i t ! I r,
;'.i ri-i.i II i,i I:I
VA1 1.tY P1 Rki
PERMIT TYPE: (o i Nft
Permit Number: 4i tt ?t cw
Date Issued: ! +? 8 /cp!
kt1401., IAPPLICANT,
t41. (1!? h
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBIN ,
IA
HVAC pp
Inspection Date Ins . Comments
FOOTINGS 14
FOUND ?G
f
FRAMING .?, /
Y
ROOFING
ROUGH
PLUMBING
y Z - i y? J
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLAC E
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST C?
/5.
BLDG FINAL r
G IO
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
LL I
221-818 ® OFFl SE ONLY This request wadi 18 months from.uhdation date ported in thn box
Y /
PLEASE PRINT OR TYPE C/l/
9/d-o2
est Date
Requ Rough-m mspe n uved? ^Ye, ? No Inspection Other Thom Rough.ln ? Ready Now ? Will Call
y
O? /g Qfe (You must mll the mspedor when ready) Oate Ready
I, Ca licensed contractor ? owner hereby request inspection of the above electrical work at
Job Address (Street, Bo/x, or Route No) City
c Lp Code
SZ?/ G /%STL11000 C.%• i9G?N
L
5,dmn No. Township Nome or No Range No. Fire No Caunt?ys
,(? /9K0T17
Occupant
/Fe ??y?? ?maS Phone No.
y? y-la?ola
Power upplrer Address
e
-
?
/fK077? .L-L<C ?yC in.N6 ?N
/P
.
ny Name)
Elenffn??I CoMmdor (Comp Contactor Lcense No Mosier lic. No. (Plant Eled Only)
??
/'ffpt? CLECnC'. c 7N ? ? O!?/3 z
Mailing Address (Contractor or Owner Pedo ing Inaallanon)
D/ r s t. ?o. poro/v =Sy3/
Authadz gnature (Conta/d,or or Owner Performing Inshillohon)
?? (/ 4th ,-u a Phone No.
lff/-yioo
EB-OOOOIA-10 6/95 STATE BOARD COW- SEE INSTRUCTIONS ON BACK OF YELLOWCOPY
REQUEST FOR ELECTRICAL INSPECTION 6J
III I II I I IIN II 1821 University State Board of Electricity ;t
1821 University Ave., Rm. 5-128, St. Paul, MN 55704
* 2 2 L LL 8 8 * Phone (612) 642-0800 .. h/ ?40 71 -?
Home Duplex Apt. Bldg. Clkler. ` - -• New Addn
Commercial Industrial Farm Remod [ Renoir
Air Cond. Htg. Equip Water Htr. Load Mgmt. Other.
Dryer Range Elec. Heat Tem . Service
"X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
C*er Fee # Service Enhance Size Fee # Circuih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 24°° 0 to 100 Amps ?0 vO
Street Ltg./TraHic Sig. Above 200 Amps ove,10 Amps
Transformer/Generator INSPECTOR'S USE ONLY OTAL 56
Sign/Outline Ltg. Xfmr /?D( O0
Alarm/Remote Control
Swimming Pool daks s W
I he®b ceei that 1 m, the a ernim sk afion -,66A her f an the
Irrigation Boom
R.,h-In
?
a, 4
p
r? l 1!
ection
S
ecial Ins ` /
J
/ i
Y
p
p
Investigative Fee F?nai ' • ?6 9''?
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
231-186 ® OFFICE USE ONLY This request void 18 months from mhdaeon date print?n this box.
??gG oo,So
PLEASE PRINT OR TYPE fd u?
? O
Request Date
6-21-96 Raugbm mspedian required? ? Yes No
(You must call the inspector wi en ready) Inspeoion Other Than Rough ln: IN Ready Now [1 Will Call
Cast Ready
licensed contractor ? owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No) Gry Zip Code
524 Eastwood Ct. Eagan
Section No Township Name or No
Range No
Fre No.
County
I Dakota
Occupont
Mike Ohly Ph... No
452-3966
Power Supplier
Dakota Electric Address
Farmington
Elecmml Can dor (C Pe, Name)
TZIeEning Electric Contmcror 6wnse No
Ca0 1557 Master Lc No (Plant Elect. Only)
Mmhng Add... (Co o4ragogqr QwneEnognl Cott Way Apple Valley, Mn. 55124
1
i
S
l
l
Q
or Owner P
in, ( nsto non) ^
Auhonzed Sig0Tn`(
Cept
r
ad
or
\? Phone No.
423-4328
EB-00001A-10 6/95 STATE BOARD COPY - SNSTRUCTIONSON BACKOF YELLOW COPY
/.M TlI
IIIIIIIH
* D N REQUEST FOR ELECTRICAL INSPECTION ""' ?
. EIct8, St. Paul, MN 55104 ? -
I1111111111 821 Un versState ity Ave., Rmof city
PCr3 1 1 8 6 8 * Wone_(6r2) 542-0800 4
Home Duplex Apt Bldg. Other: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other.
Dyer Range Elec. Heat Temp. Service
"k' above the work covered by this request Enter remarks in this space and on the back of the white copy only.
Wire Air Cond.
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
CMher Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 1 01 o 100 Amps 20 . 0
Street Ltg./Traffic Sig Above 200 Amps Above I ( Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL
Sign/Outline Ltg. Xfmr. 20.50
Alarm/Remote Control 6
Swimming Pool I hereb cenr mot mx d the elc inml mxmllm?o on the dares v.m
Irrigation Boom Rough-In Dak
S
ecial Ins
ection -
p
p Final Date
Investigative Fee
THIS INSTALLATION MAYBE ORDERED DISCONNECTED IF T COMPLETED WITHIN 18 M NTHS.
Address 524 EASTW D MJRT Zip 5512-_
LOt 9 Blk 2 Sub RAWIMIM WOODS 3RD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 04/ 15/96 Yes No Inspector: Y?B
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/Curb damage ?
Porch V
Basement finish V
Deck LZ
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL /-/9( 03
BUILDING PERMIT APPLICATION
CITY OF EAGAN ??"
3830 PILOT KNOB RD, EAGAN 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 saes; poured found design, etc.)
• l set of Energy Calculations
• 3 copies of Tree Preservation plan Slot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE SITE ADDRESS
TYPE OF WORI
APPLICANT
,?; ,a 3
-MULTI-FAMILY BLDG TY
FIREPLACE(S) _
?N
-2
STREET ADDRESS loG CITY,
TELEPHONE # 9?? ziO -9-"2C L PHONE #
"i STATE ZPAiIPZS V
rcS g?S?,
FAX #
PROPERTYOWNER !' P / I TELEPHONE# l ? `?S -391o?i
?Ilj
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor. _
Mechanical system includes:
Sewer/Water Contractor.
Phone #
I$ q?eL ?.fllvlt,
AUG 3 C 2002
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 Ordin ces.
Signature of Applican(? 1 W2,z Q
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
- Air Conditioning
- Heat Recovery System
Remodel/Repair Reouirement
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• l site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION 16y O . 15 -S
Phone #
Lawn Sprinkler
No. of R.I. Batt
Phone
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required
Updated 4102
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: P.I.N.: 10-32152-090-02 APPLICANT:
LOT: 9 BLOCK: 2
524 EASTWOOD CT LIFESTYLE HOMES INC
HAWTHORNE WOODS 3RD (612) 454-7866
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
BUILDING
026840
12/20/95
INSPECTION TYPE
FOOTINGS DDATE INSPTR. INSPECTION
FOUNDATION DATE INSPTR.
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S & W PLBR - VALLEY PLBG
7
CITY OF EAGAN
3830-Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
524 EASTWOOD CT
LOT: 9 BLOCK: 2
HAWTHORNE WOODS 3RD
PERMIT TYPE:
Permit Number:
Date Issued:
C.2D,?IOIvo
BUILDING
026840
12/20/95
SITE ADDRESS:
P.I.N.: 10-32152-090-02
DESCRIPTION:
Building"Permit Type
"Building Woxk Type
UBC Occupancy`-..
Construction Type
Zoning
% Building Length
Building Width
Building stories
Sq_ua,re Feet
Census,: Qod'e
SF DWG
NEW
R-3 U-1
V-N
R-1
67
42
2
2,089
0101 1 - FAM. DETACH
r
'z
REMARKS:
S & W PLBR - VALLEY PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC
SAC Units
Subtotal
PERMIT
VALUATION
$1,132.25
$396.29
$74.50
$850.00
100
$2,453.04
$149,000
MISCELLANEOUS $1,892.50
Total Fee $4,345.54
CONTRACTOR: - Applicant - ST. LIC OWNER:
LIFESTYLE HOMES INC 14547866 0001288 LIFESTYLE HOMES INC
1489 LAKE PARK CIR 1489 LAKE PARK CIR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-7866 (612)454-7866
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
application and state that the
with 611 applicable State of Mn.
ISSUED .SIG E
CITY OF EAGAN ., , C .
3830 PILOT KNOB RD - 55122 440 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 C0 0"(!2°
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window saes; poured Ind. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 711/93
required: _ Yes _ No
DATE:
(A A V (a
DESCRIPTION OF WORK: ? J
?Zy ?,?,,,{?
STREET ADDRE S: E?e
?J.Y?L_
LOT q? BLOCK SUBD./P.I.D.
PROPERTY Name:_ ? r
OWNER u T
Street Address, ---
City:
CONTRACTOR
ARCHITECT/
ENGINEER
Company:
Street Address:
COST:
MIT
Phone #: ,1 J ^ X147
Phone #: t
al/
License #'
City: Stater Zip
12C-)
Company: • Phone # ? r -2
Name: Registration #: 0?'
Street Addressi KtV I L" L-L -T
City:
Sewer & water licensed plumber: J
change are requested once permit is issued.
State:v Elll- Zip:ey5l.. L
Penalty applies when address change and lot
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 Applic
OFFICE USE ONLY
Certificates of Survey Received
Yes
Preservation Plan Received - Yes
0
No
-:Y NO
State:
zIlls
BUILDING PERMIT TYPE
OFFICE USE ONLY
.? w w
? 01 Foundation
? ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
02 SF Dwelling ? 07
,-Af- 4-plex ? 12 Mufti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) "! Basement sq. ft. ?i073 MCNVS System °C-
(Allowable) Main Ievel sq. ft. City Water
UBC Occupancy - i 2 ?? sq. ft. 1 ?3z- Fire Sprinklered
Zoning 2t sq. ft. PRV
# of Stories Z Z s... sq. ft. Booster Pump
Length sq. ft. Census Code. L/
Depth i.s Footprint sq. ft. z,o89 SAC Code a/
t? qt A Census Bldg
y Census Unit
APPROVALS uf
? b
Planning Bu ilding Engineering Variance
Permit Fee Valuation
Surcharge
Plan Review I/v
License
MCNVS SAC ?Z `G c.f
Cif SAC
$ rf Ov0
Water Conn. °c ZS 71K
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other Lass /1,z?N / CuJ
Copies G s> ; ?6
Total:
<zK6>
Z)9?
ht u ><1 yx/?
073X /?
Cv, DYS
?lo.SX
Sy;?7LY
% SAC
SAC Units ???
a oo
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APP ICATIO
< a
a PROPERTYLEGAL• Z
W V
a a W
W
ATE OF SURVEY:
a m
N
LATEST REVISION:
o
4 i
Y
DOCUMENT STANDARDS
/
O ?
/
9"'C3
? • Registered Land Surveyor signature and company
Building Permit Applicant
?' ? ? • Legaldescriptlon
U' ? ? • Address
Z' ? ? North arrow and scale
2'0'?? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
0" O ? • Directional drainage arrows with slope/gradient %
? ? Proposed/axisting sewer and water services & Invert elevation
?
l? ? ?
? • Street name
• Driveway
ELEVATIONS
Exist no
a' ? ? • Sewer service
tam ? ? Property comers
2? ? • Top of curb at the driveway
? 0' ? Elevations of any existing adjacent homes
Proposed
? ? • Garage floor
I' ? ? First floor
Cr' ? ? • Lowest exposed elevation (walkouUwindow)
Cr' ? ? • Property comers
C4'? ? ? • Front and rear of home at the foundation
PONDING AREA (if applicable!
? tf ? • Easement line
O Cf' ? a NWL
? CK ? • HWL ,
? • Pond # designation
r
? [f O • Emergency Overflow Elevation
,0--? ? ? •
Q-'? ? •
I' ? ?
l't ? ? •
e o ?
? Z"'?
Lot lines/Bearings & dimensions
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks, overhangs greater than 7,
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 sideyard setback of adjacent existing structures
Retaining wall requlrements,04ny ',
Reviewed:
Jury 1995
/ CONSTRUCT EARTHEN DAM AT MIN. 1.5' It lull DOWNG
WEST R/W LINE TO CONTAIN STORMWATER IN C.R. D
TO NORTH IN HIGHWAY R/W. SOD & PEG BERM. SO
G Q C.B. OUT TO APPROX. 1O'R. SEED REMAINING DIS
PP
?
.B.36 _ s?v ?+a6 - 5 4 ?? o??
l. -1
S & r s46',w36` I 661.5
0E JED? q?
SO 5P Wllt4_ l , 855.6 I
s 49,w E (¢ Sl I 853.0 36 1 I 12
p\N ? I
;6"" s'j W 1+60 I I 1 1
s 48 `w44' 1 9 10
& 852.2 1 1 1 1
'6 1/32 BENDS 8
16 10'
1 1 I I
t 6?? I I , 11 38A` 58y.01
7 62.0 ` 1 u
I I , 56.0` 40.5 I 6 -1/32 BEND
a\?Ej p 28.0 I L50.0 67,5 A J
B \\ \ ?: '? ?? ' ?? / I ---
SMT. ?6 --W8 END TEL.
7 575 ` ;i
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6"X 6"TEE TEL
21.0 I r ?L - ?48.5 `
HYDRANT 5
V
70? H. 25
i i V r?8 X46.0 43.5 I
1 2'
. ' ' 270 ?c\ C ?4 \ , 11 1
NSTRUCT EARTHEN DAM 670 l 3
HNGRADE FROM C.B. 570 V }
1.5' ABOVE GRATE - 29.5` 600..
D S PEG BERM; SOD ?-EMERGENCY 4 S8W 1+57
NTAINMENT AREA AROUND OVERLAND \ s40 ,w49 J LS;:-^?a;
ATE OUT TO 10'R. OUTLET ? `,w46`
MAX. ELEV.=85 .5 S8W0+50 5 39
'=-6 1 \ s40`;W530% 664.0
,. 5 v 85
S8W1t87?: ? ` ? _
;72',w84DRAINAGE aUTI ITY;, r? 1 ANDCi
EASEMENT
1849.0 OF UT? FY LCCATI
4' i C. B.33 - - -- SWALE NS. THIS
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REF. SHT.I CITY PROJ NO. 92-UU °°° °_
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DESIGNED CHECKED
'
I HEREBY CERTIFY THAT THIS PLAN WAS PREPARED` B
94 CB RECURU PLAN H
G
D UNDER MY DIRECT SUPERVISION AND THAT I AMADULYR
" .
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. ED PROFESSIONAL ENGINEER UNDER THE LAWS OF THE
TEND C
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. DRAWN APPROVED MINNESOTA. ,
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- - - - ---- --- ---
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NWL 836.00
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fI?
4P DATE: _I I '"? 7 -41 ?` 'HONE; `
DETERMINE WORKING SQUARE +QOTACE OF EACH:
1. TOTAL. EXPOSED WALL AREA,,.,,,.. -1 sq ft x rrulf li EE"
2. TOTAL ROOF/CEILING AREA ?
........ sq IF t x 026
3."-TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall
area above floor,......
a)
Total wall window ar
: ,...°,.?? aq Ft
ea
J _ glared...... ft x "U., t
? ? ?i?J
e
l
glazed
. • -- Cdr aq ft x "U" ?-
b) Total door area -^--
c) Total sliding glass door area.
at,?L glazed...... sq ft x 1fU„ ?(ylC' . pf
glazed...... sq ft x ,lull
d) Total fireplace wall area
? 2 aq
ft x
„U„
e) Total wall framing area
(Average 109)...........
sq
__1
1
ft x
'lull
+O`1 E}
?
b
,
_ mo
f) Total net wall area above
floor {Insulated).,,,,,
9) Total rim joist area......
Total foundation
area (Exposed)..........
h) Total foundation
window area .............
1)
3.
X11_ sq ft x „U"
=? tO sq f t x 'rU„
?n sq ft
sq ft x 'lull
?oLI + =
03 •- 7
7`^' a 0
Total net foundation ' .y
area above grade........
sq' f t x „U„ Q ?A ...
TOTAL a) thru 1) . a
i
If Item $3 Is the same aa, or less than Item /I, you have met the intent of
2 MCAR 1.14008 A aad 0.
......... ,.....
3f 5«?.l Page 1
1917 N.C. BEH[IETT LUMBEP CO. 6129704407 P.02i05
-_11- y .. Vn.Vanagull
hltPJ-C?7-191 N. C. EENNETT LI pBER CO.
95 J: 18
4. 'TOTAL EXPOSED ROOF/CEILIK CALCULATIONS:
total gxposeb
roof/ceiling area........ Eaiu? sq ft
J) Total skylloht area........... Jsq ft x "U"
k) Total roof/ceillnq framing
area Warm ink)...... fl sq ft x "U"
1) "Total net insulated r
roof/ceiling area....... ( I -70 sq ft x "U"
4.
61287,04407 F'.83/05
,is- 3'
?i
w
8 023,
TOTAL J) thru 1)
If total of +4 is the same as, or less than 02. you have met the Intent of
2 HCAR 1.16008 A and 0.
ALTERNATE BUILOrNG ENVELOPE IIESIGN
To utilize the total envelope system method, the values established by the sum
of Items f3 and f4 shalt not be greater than the sum of Items 01 and 12. Z?
n 1
+ 2. 3???- 31
3. 7 `t a? + 4. 3 7 :Z
C E R T I F I C A T 1 0 N
1 hereby certify that 1 have calculated the "U" factors and "R"
values herein and that the buildinn here described meets or exceeds the State
of Minnesota Eneropy Conservation Act.
1 I , 7-1 ?
(Date)
Page 2
?:K'•:$;:':?<S:Yt"?F?4k",?'?C°?::i7};??r t;; aq+'.;::. d:'t)4:%N;;JY"i(Yt,'i,U???<Y,l'n4
CITY OF MR'
', Tnr?M: RAL :.:C10 763
1"41 MO M? Mrr rmi l 14IE3130
W& AZTECS F:G.dF71 & CO iSTR :CT 3 0,j
22D M' `V5 I_NITOM, CA 209.,
205 `?;-ICJ'. 15 EAST433D CT Une
040 9(:::71. SU SliJ"Bi [v '.P: '.i1.?5
2055 9MI 241 af.li'MMY Q 2.50
z
Total Receip4 Ampurf- 521,75
U NR T_ 1: JAN
.4Y. :-i"{..: Hi iM1.?{ 4.Y WYi?Y?!{?`{y:>v ;'1 )V ::{l''fs lk Yii'/:i',{}-•.}{ih??'?J{)i(NTT
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651.681.4675
New Construction Requirements
? 3 registered site surveys showing sq. f, of lot, sq. ff. of house
and all roofed areas (20% maximum lot coverage allowed)
D 2 copies of plans (show beam 6 window sizes: poured fnd. design: etc.)
? 1 set of energy calculations
? 3 copies of free preservation plan M lot platted after 7/1/93
DATE: q -27-/ `?I
DESCRIPTION OF WORK: tec RLO0
STREET ADDRESS:
LOT: S BLOCK:
Name, Lu (LmAfj Phone #:
Last First
X803
el Re aI, R ents
2 g9b&s of pion
1 set f calculations for heated additions
I sites r exterior additions b decks
CONSTRUCTION COST: 11,30 qV
.? S ?r45TuJoo? ?xrt`?
Z SUBD./P.I.D. #:
PROPERTY
OWNER
3
,?j- 'F 2-35-82-
Street Address: 5.2,E €4" "-g C" K-f
City C' State:
rnu
Zip: SS/2 3
Company: A24E C kDy f Phone #: L
(area code)
CONTRACTOR
Street Address: / 15 g3 ?"?? 71 ?1 ?` License # -7ot39/f?6 gyp.
City UuSJ`l?? State:
M J
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code
Street Address: Registration #:
City
Sewer 3 wafer licensed plumber (required for new construction only :
State:
Penalty applies when address change and lot change is requested once permit Is Issued.
Zip:
Zip:
,.,5-5337
I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
s Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received Yes No yyy???
Tree Preservation Plan Received Yes No Not Required ??
L BL CITY USE ONLY
RECEIPT #: La
SUBD. 0 3i DATE: 45 po
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH tLQ. TOTAL
Shower 3.00 x 1 = ?-
Water Closet 3.00 x -S
Bath Tub 3.00 x ' = 3-
Lavatory 3.00 x '3 = `' -
Kitchen Sink 3.00 x = s
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x i = 31
Floor Drain 3.00 x i = 31
Gas Piping Outlet * minimum - 1 3.00 x 1 = 3-
Rough Openings 1.50 x Z? _
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE II II .50
TOTAL ?
SITE ADDRESS: '4 `? t6st W U) CL C`C
OWNER NAME: L, Qr' A,,4 ( hl,,
INSTALLER
STREET ADDRESS: ? 1P D Q') A k? `' A ac
CITY: Tcu r ( rl, STATE: r?ti ri ZIP: 5 5 S
PHONE #: ((eta ) ?4 G)- ' '-11 )
C J, -
5TU
OFFICE USE ONLY
L BL
SUBD.
RECEIPT #:
DATE-
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681.4675
Please complete for. ? all oommerciaUndusbial buildings.
? mufti-family buildings when separate permits are no required for each dwelling
unit.
DATE: CONTRACT PRICE:
WbkK 11 Nt: NEW CONS i RUC T iON ADD ON REPAIR '
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of gP.= fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
STE. #
OWNER NAME:
INSTALLER:
ADDRESS:-
CITY:
PHONE #:
METER SIZE:
SIGNATURE:
OFFICE USE ONLY
DATE:
STATE: ZIP:
APPLICANT
_ INSPECTOR:
CiTY USE ONLY
L 7 BLS?}} 02 RECEIPT #: 5
SUB b/rke DATE:
Please complete for: single family dwellings
? town homes and condos when permits are required for each unit
New construction Add-on furnace
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: a ZI 2-l gZ to
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.0
Additional 50 M BTU 00
r
? Gas Outlets (minimum of 1 required @ $3.00 each) Z 6
? State Surcharge .50
s?
TOTAL 30
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
EEM
SITE ADDRESS: SZy
OWNER
PHONE #: 4f'5y766 '
INSTALLI
STREET
CITY: 1 vtjw STATE: ,J ZIP: ?a7
PHONE #: (?0?2 )
CITY USE ONLY
L BL _
SUBD.
RECEIPT #:
DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
?.? CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for all commercial/industrial buildings.
? multi-family buildings when separate permits
for each dwelling unit.
DATE: _Irlo h?_ l,?) . I / P CONTRACT PRICE: -1
WORK TYPE: - NE
DESCRIPTION OF WORK:
l
FEES: ? $25.00 minimum fee Qr 1% of'ntract price, whichever is reater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,0 of pr?p d fee due o all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: h/
TENANT NAME: (IMPROy
INSTALLER: I
ADDRESS:
CITY: Iv1 tvr?10-_) VI'?i
ELEPHONE #:
ONLY)
= required
IMPROVEMENT
STATE:
: ?7
PHONE # (Dla - L??C?- (DIDt {?
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
**
* PIONEER
* ang?inee?
2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914 FAX:681-9488
• fJNI FN(]NFFRC
Certificate of Survey for: LIFE STYLE HOMES, INC.
524 EASTWOOD COURT
I
?I
01
UI I
01
251
N I
WI C
C
I '
862
I
25
I?
BENCH MARK
TOP OF PIPE
ELEV.=862.73 .
14 31 ? ,.7
LAND PLANNERS. LANDSCAPE ARCHITECTS 625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
8
134"E
11 I I
10
863.3 ;? - -
TO 36.47
EAGAN
REVIE0!
----STORM SEWER LINE ON PROP. LINE
I
(0&9.5)
41.56
862. 11
863.2 2¢ 98
o X863.
?'-22.3 a + 863.5
+
3 N
o 10
+ 1
yT 1 00 ' 863.7 l '?a
p0X864.4 f
to
00
rr 9
F--al
/
+
'Q
S
0 W W D
0
,o
/
'
o w l
883.5
863.9 I
va I
az I
_863.7
ST
z
. _ v¢ I
_8647 - _ _ !+1 1 10
153.47
10
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: MFR
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICALELOCATION I
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND
FOUNDATION DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
PROPOSED IS NOT THE RESPONSIBIUTY OF THE SURVEYOR.
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN
THOSE SHOWN ON THE RECORDED PLAT.
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN.
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM
WE HEREBY CERTIFY TO LIFE STYLE HOMES, INC. THAT THIS IS A
SURVEY OF THE BOUNDARIES OF:
871.7
I IMP)
C4 a
?7.a 0
m?"OD Z
n
n?
879.9
(P,-7 7,5)
LOWEST FLOOR ELEVATION: g572
TOP OF BLOCK ELEVATION: 065'e
GARAGE SLAB ELEVATION: q_'(06-4-
X 000.00 DENOTES EXISTING ELEVATION
( 000.00 ) DENOTES PROPOSED ELEVATION
- - - DENOTES DRAINAGE AND UTILITY EASEMENT
DENOTES DRAINAGE FLOW DIRECTION
-? DENOTES MONUMENT
El DENOTES OFFSET HUB
TRUE AND CORRECT REPRESENTATION OF A
LOT 9, BLOCK 2, HAWTHORNE WOODS 3RD ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 28TH DAY OF NOV., 1995. A
PIONEER ENGID(EERINV P.A.
SCALE : 1 INCH = 30 FEET
/s
863.4
i' CA
U3 6
+
i 863.6
411'
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
For Office Use
Permit #: 1 1 d 5'c
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL PLUMBING PERMIT ' PLICATION
Date:rA —C
Address:.5 4 F
Tenant:
r .0
Suite #:
J
Name: MILBERT COMPANY INC dba CULLIGAN WATER License #: 063031 -WC
Address: 1801 50TM STREET EAST City: INVER GROVE HGTS
State: MN Zip: 55077 Phone: 651-451-2241
Contact: BILL MILBERT Email:
New/JReplacement _ Repair _ Rebuild _ Modify Space Work in R.O.W.
Description of rk:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
((later Softener
Add Plumbing Fixtures ( Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ 616V
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.00pherstateonecali.ora
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 t e approved plan in the case of work which requires a review and approyaI Af plans.
x /
Applica'nfs. Printed Name
x
ApplIc
s Sign ure
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA117036
Date Issued: 10/14/2013
Permit Category: ePermit
Site Address: 524 Eastwood Ct
Lot: 9 Block: 2 Addition: Hawthorne Woods 3rd
PID: 10-32152-02-090
Use:
Description:
Sub Type: Reroof
Work Type: Replace
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes.
Logan Hollenkamp
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Owner:
Logan Hollenkamp
524 Eastwood Ct
Eagan MN 55123
- Applicant -
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.
Applicant/Permitee: Signature
Issued By: Signature
41011a
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: , /
Permit Fee: / 66-
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: q
Site Address: S 3.4 E A
Unit #:
m
Reside
Owrt :
t � m
Name: )-O q .r '°F Y°I\..y4r e N A\ rs a%0,Nef Phone:S'.O- 3'1 3 -) 3 S
Address / City / Zip: 5 a ti C:,,,, c•,% c ---k Ec t. 0 tv\ N , S' 5 a-3
Applicant is: Owner i<, Contractor
_ t
e of Wor
Description of work: S', t�;; ,� „,, `'
o k 'C" r~ `. �,
s,...---,:,-,<- 6
city
Construction Cost: 5' 0 ecu _ Multi -Family Building: (Yes / No\ )
Contractor
_
Company:: k" `.ri,. tst\fa„a 6� er'„'tS Contact: G q�,�\-b \4 (
.(7,-",'',
Address: S 01 Chl-k_ ”, (1-C\e \C aS”' \ City: , `,\\�� A -s
State?t`\ 1,4 Zip: SSbQ 2� Phone:6 I.D..-94 (J- I') 3 Email: (K,kCL‘iSS 9' \c , co
License #: %C--1-10-0-.\ Lead Certificate #:
If the project is exempt
from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and rppo ting documents that y ' submit are cons o be pub information Portions of
tb nformation masified as non-public rf you p v' c reason would permit the City to
....;.
conclude that they are frade s
CALL BEFORE YOU DIG. Call Gopher State One CaII 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 issuance.
x I dd)zrr
Applicant's Printed Name
pp t' ignature
Page 1 of 3
Jeffrey Wheeler
From: Timberland Exteriors <timberlandext@gmail.com>
Sent: Friday, October 07, 2016 12:40 PM
To: Jeffrey Wheeler
Subject: Permit ea138951
Hi Jim, can you amend our permit to reflect the roofing portion of this project is only the area directly above thy..
fronlapproximately 17 feet wide by 24 feet to the ridge. Thanks
1