528 Eastwood Ct
Use BLUE or BLACK Ink
Aeffi-
For Office. Use
I
~ Permit#:
I f I
City of Eagan
1 Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 L Staff:
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 8 a s~W v0 d C-~' aq , M rt/ ~S Z3
Tenant: f / Suite M
RESIDENT / OWNER Name: eY1:I hh,o~( fi Phone: 4.5-1 / 2s3 S -
Address / City / Zip: w~ ~,IJp ~ c~ C -E- v- KJ z
CONTRACTOR Name: License
Address: City:
State: Z' Phone:
Contact: Email:
TYPE OF WORK New _ Replacement _ Repair _Rebuild _ Modify Space _ Work in R.O.W.
Description of work:. r ~,..-ev+
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) ✓Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 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)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) o
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 tans.
x A-"x1: x '~LA
Applicant's Printed Name Applica 's Signa ure
FOR OFFICE USE Reviewed By: 1 Date:
4
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office Use
of I I
11 Permit 9 4`-`'] ~ ° I Per
City Ol EaEd
mit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: I~
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3L 0 Site Address: {,"a S W c! C
Tenant: Suite M
RESIDENT/ OWNER Name: a T rf ~/1?~j~° e h /'1 Jiy A-fr PhoneLe;S/ 2p 7?_4
Address / City / Zip: ,1-_Q 0
Applicant is: Owner Contractor
TYPE OF WORK Description of work: / r7CcS off C POX ~A so st
Construction Cost: dd Multi-Family Building: (Yes / NoX-)
CONTRACTOR Name: - -To h n fy'd rc1 License r.2 Q 1p 9 7 37 c)-
Address: /VS 1-1-'a tr LL's Le- CT City: = ~1 ;12 4 U`y1
State: Zip: .SrS D a Phone: le 3D~ 7
Contact: 8 ~-Irorv Email: -
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.org
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 wwith the approved plan in the case of work which requires a review and approval of plans. 1, 1 -1 1
X D44 T i3 x e~f
Applicant's Printed Name Appl' ant's Signature
Page 1 of 2
6
- ~j DO NOT WRITE BELO0 C)
W THIS LINE ~7~;,:;?
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation ~ 0 Occupancy MCES System
Plan Review Code Edition Mrj;?, SAC Units
(25%, 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation Xe HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: J C~ , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC / o e o
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
Zo to (i;B)
PRESIDENTIAL BUILDING PERMIT APPLICAT mit Wg3s3
City Of Eagan: ~97ao
3830 Pilot Knob Road, Eagan NM 55122
Telephone # 651-675-5675 FAX # 651-675-5694 recelvk
New Construction Requirements Remodel/Repair Requirements Onf
3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists ea of Survey Recd _ _
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report - Y - N
1 Soils Report if proposed building is to be placed on disturbed soil 1 f decks Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. i~ r is {r is i s ptic system Tree Pres Required _ Y _ N
1 set of Energy Calculations On-site Septic System _ Y _ N
3 copies of Tree Preservation Plan if lot platted after 7/1193 APR 2 0O
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form ((Xi(.C CI J l0
60
Date Construction Cost
Site Address g~ iwl n e C Ct Unit/Ste #
Description of Work T X / `P 10e Ic Y
Multi-Family Bldg _ Y N Fireplace(s) 0 - 1 _ 2
Property Owner 'T2f/' ~'l t~l B tt' Telephone #(4TI);
Contractor mi'l'! OVCl L P_00._, QZP 3 73 c;l--
~
~d
Address C_C2.s l JSI P City
State Z&/ f✓ /~c~J d Tit Zip Telephone # (4S/) 3S_ 9 _
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
esota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category Resi ntilation Category 1 Worksheet New Ener ork
S sheet
(4 submission type) u
bmitted ed
• Energy Envelope Calculation mitted
In the last 12 months, has the City of Eagan issued a permit for 'or plan se on a master plan?
Y _ N If yes, date and address of r plan:
Licensed- Plumber Telephone # ( ) _
, d.
Mechanical actor Telephone # ( )
Se r/Water Contractor 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.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg
❑ 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 (screen/gazebo/perola) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous
Work Types
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
Y 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage Yes
Valuation Occupancy MCES System
Plan Review 100% or 25% CGaz ,2w7
Census Code Zoning [ City Water
SAC Units - Stories Booster Pump -
# of Units Sq. Ft. PRV
# of Bldgs Length A; Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
Footings (deck) _ Final/C.O.
Footings (addition) Final/No C.O.
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests -Final
Framing _ Siding _ Stucco Lath _ Stone Lath Brick
Fireplace _ R.I. -Air Test -Final _ Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
-
- ~
Base Fee0 0
#
Surcharge
Plan Review 76.70
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies YQ X "AF
Other
Total
VE# 100d Wd80:10 L6-LT-1I %96=g
247-2 Fnterprise Drive
Mendota Heights. MN 55120
%812) 681-1914 FAX:841-9488
LAND SURVEYORS + CML ENOREERS
®~IP ih~ LAND PLANNERS. LANDSCAPE AARCHITMTS 625 Hig11WD 1O N.E.
Blaine, MN 55434
* * (612) 783r-1880 FAX:783-i883
CertlflcQte of Survey for: LIFESTYLE HOMES
528 EASTWOOD COURT
.AGAN
BENCH MARK
TOP OF PIPE EV I E E U
ELEV.864.27,%
BY - , &V
JATF
BUILDING INSPECTIONS E-'P I.
I 2 j o- 4z
1 ` 865.4 H(y862.4 86 .6 81.33 LT N83'~4w48"W 65.2 1
47
r~ 1 50.39 153-47
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20.33 3 X 867- D
1NY.~855.6~ 0 'r I
N 04 I.5=RVCE Q r fT /acv per,
CI 3p r 866.7 r
0 ELI
/22, 8.00•' a ~'7
y. 00 CLz 411 ►
1 r
$64.8 ! rw,r~ !p r S F
, 1
41 G(T
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V,/ 10 jI v 27,s6
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1 867.5 " 21.67''^ 867.5 868.0' 866.4 rf
866.3
2 8 7.5 37.33 i Qw •
10/ ; ` o h/ of 869.2 .
,r 871.7 870.0
i
~XlG 870.6
BEN OF PIPE
ELEV.=1368.92-'`
IT,
BY:
DATE:
LIONS DIVISION
va 7 P'
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN 8Y, MFR PROPOSE Vy-/TIdN
NOTE- DUILDING DIMENSIONS €FIOWN ARE FOR HORIZONTAL AND VERTICAL. LOCATION LOWEST FLOOR ELEVATION;
OF STRUCTURES ONLY. SEE Mot-VECTUAL PLANS FOR BUILDING AND
FOUNDATION DIMENSIONS. TOP OF l~LOCK ELEVATION. -
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPIXTEO ON THIS LOT BY THE GARAGE SLAG ELEVATION; ~GLY_~--~-
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
PROPOSED IS NOT THE RE5P0NSVWTY OF THE SURVEYOR.
K 000.00 DENOTES EXISTING ELEVATtON
YHE REOORDEO PURPORT TO SHOW EASEMENTS OTHER THAN ( 000.00) DENOTES PROPOSED ELEVATION
NOTE THOSE SHORTIFICATE WN ON DOES
DENOTES DRAINAGE AND UTILITY EASEMENT
NOTE' CONTRACTOR MUST VERIFY DRIVEWAY DF.51GN, ----r- DENOTES DRAINAGE FLOW DIRECTION
! DENOTES MONUMENT
NOTE: BEARINGS SHAWN ARE 5ASE0 ON AN ASSUMED DATUM _a_. DENOTES OFFSET HUB
WE HEREBY CERTIFY TO LIFESTYLE HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 10, BLOCK 2, HAWTHORNE WOODS 3RD ADt MON
DAKOTA COUNTY. MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENT'S OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 12TH DAY OF NOV., 1997.
S NED PIONEER EN-11 ERINC, A,
SCALE : 9 INCH = 30 FEET
John C. Lvrsvn. L..S. Reg. Na. 19828
1067 95181.03 SWK
Told
CITY OF EAGAN
f 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
ON
CORD
PERMIT TYPE:
Permit Number:
Date Issued:
n
0
1 APPLICANT:
I c? 1"t ??r
i.
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
I 1'i MAPr PRV ?: U PL14R _ VAtr,k`Y r.NG
Permit No. Permit Holder Date Telephone #
ELECTRIC .1 e
p
e
- /? 9 ?{y7-1073
l
PPLUMBING( 0
HVAC I ?°? ?? 7J?7"0??!
inspection Date Insp. Comments
FOOTINGS ld;
FOUND
FRAMING
/1S+?f
ROOFING ?-•? 9 i? f s?"
ROUGH
PLUMBING
4k V
PLBG
AIR TEST !r
ROUGH
HEATING
GAS SVC
TEST
nnar,j
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG ?yf- J
?7 C
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I. 1
f
BSMT FINAL
DECK FTG
DECK FINAL
%/9
.,t, ?
Address 528 EASTWOOD CT
Zip 5512
Lot 10 BIk 2 Sub HAWTHORNE WOODS 3RD
THESE ITEMS WEPjE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: -? V F Yes No Inspector:
Final grade (6 from siding) t?
Permanent steps (garage)
Permanent steps (main entry) /
Permanent driveway
Permanent gas I/
Sod/Seeded grass (Z
Trail/curb damage
Porch l?
Basement finish L/
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 6814645 before working in fight-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
CITY OF EAGAN
CASHIER: S TERMINAL NO" 572
PATE: ii/i8/97 TIME: 16:00:23
ID.
NAME" LIFESTYLE HOMES INC
2256 9001 528 EASTWOOD CT 47423.46
it
Total Receipt Amount" 474.23.46
CRO83036
USER ID: NANCY
XcX?ic%??k?c"Xm?k"%?XX:?X?Xck??k?X?kkc"XatmX??#%??kat+%mx??#?kz?"k??kXc
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031135
11/18/97
SITE ADDRESS:
528 EASTWOOD CT
LOT: 10 BLOCK: 2
HAWTHORNE WOODS 3RD
P.I.N.: 10-32152-100-02
DESCRIPTION:
A
REMARKS:
PRV
FEE SUMMARY:
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.01014i'0 In L1' k Type NEW
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PERMIT
S & W PLBR - VALLEY PLBG
VALUATION $148,000
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$1,127.25 MISCELLANEOUS $1,539.50
$732.71 Total Fee $4,423.46
$74.00
$950.00
100
i
$2,883.96
CONTRACTOR: _ Applicant - ST. LIC OWNER:
IFESTYLE HOMES INC 14363350 0001288 LIFESTYLE HOMES INC
A2950 12TH ST N 12950 12TH ST N
AKE ELMO MN 55042 LAKE ELMO MN 55042
(612) 436-3350 (612)436-3350
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B[SIGNATURE?
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)r3(r
,5!.w CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
Remodel/Raoair Requirements
i 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sixes; poured fnd. design; eta) ? 2 site surveys (exterior adtlition& 8 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: I 1 101-1, 1 CONSTRUCTION COST
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT M BLOCK
0 SUBD./P.I.D. #.
PROPERTY Name: ..Lt SJ ? e, l?l ? 1? I Phone #:
OWNER
Street Address:
City: State: r v ?? ?c Zip: S56
CONTRACTOR Comp?,ny: L- Phone #: &?- 53g7)
Street Address: License #: )05
City: 6Yp Lb-MD State: V`I Zip: ?`7a
ARCHITECT/ Company: d r•?hone #:
ENGINEER
Name: II ll Registration #:
Street Address:
City: 6 an ? State: rL Zip: ,?;.56
Sewer & water licensed plumber (new construction only): Penalty applies when address change
and lot change are requested once permit is issued.
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:
OFFICE USE ONLY
Certificates of Survey Received Yes (/ No
Tree Preservation Plan Received Yes _L No Not
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
e02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ?
? 03 SF Addition ? 08 8-plex n 13 Garage/Accessory ?
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ?
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
p' 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) V N
(Allowable) v nl
UBC Occupancy R-3,o-r
Zoning u-1
# of Stories 2
Length 5_
Depth so
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
?TotaC
I% SAC
SAC Units
I
2
,?,d ? Z I Y e Z
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. 11 z 8 MCNVS System
Main level sq. ft. %1 40 City Water
sq. ft. ci97 Fire Sprinklered
te=a= sq. ft. Gaz PRV ?/eg
sq. ft. Booster Pump
sq. ft. Census Code, v i
Footprint sq. ft. Ss- SAC Code rj I
Census Bldg I
Census Unit i
Building M3 Engineering Variance
Valuation: $ i4 8. 000
.
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PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway
ELEVATIONS
Existina
?? ?
• Sewer service (or Proposed)
?? ? • Property corners
m?'? C1 • Top of curb at the driveway
M-/? ? • Elevations of any ex0.Sting adjacent homes
Proposed
/
? ? • Garage floor
??? ? First floor
C3? ? ? • Lowest exposed elevation (walkouthMndow)
/t? ? • Property corners
fl ? ? Front and rear of home at the foundation
PONDING AREA (if applicable)
? t7 ? Easement line
? ? • NWL
? ?? • HWL
? ?/? Pond # designation
? ? • Emergency Overflow Elevation
DIMENSIONS
El" ? ? • Lot IinesBearings & dimensions
? ? • Right-of-way and street width (to back of curb)
0-'0 ? • Proposed home dimensions including any proposed decks, overhangs greater than 2%
porches, etc. (i.e. all structures requiring permanent footings)
e?'? ? • Show all easements of record and any City utilities within those easements
C ?? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? 0 ? • Retaining wall requiremen if any
Reviewed: 'r 1/// 71
January 1996
CRAIG19MLDGPRMT.FM
LOT SURVEY CHECKLIST FOR RESIDENTIAL
•11OV-05-1997 09:49 N.C. BENNETT LUMBER CO. 6128704407 P.01i04
;?" `,4';?`F?:.._. ? ?'? ? ?:, ? Fez ???' ?•,? ? t, .._.
'SITEADDRI<SS:
?-- 'C-
'CONTRACTOR: DATE:
PHONE: _
WERNINE VORKING SQUARE FOOTAGE OF EACH s
1. TOTAI. EXPOSED WALL AREA, .... ... ? ??' -2, - .
/ Iq ft x "U" lY t ?Gb~
2. TOTAL ROOF/CEILING AREA „ / 3 L %, w
aq f t x "pl. .OZ'--- s- . 3 y
3."-TOTAL EXPOSED HALL AREA CALCULATIONS:
Total Exposed wall
area above floor, Z
k sq ft
a) Total well window area:
,.f glazed /r L
aq ft X 01U.,
glazed w
.. b) Total door ores ,,,.... is f •aq ft x "U"
c) Total pslid IIng glass door area:
a L glazed...... 7- sq f x .lU+, ?s Ijc:
-,? glazed...... ?tS sq ft of ,YU„
d) Total flreplace wall area ?- • ??'
e) Total wolf framing area
(Avereoe 10%)........... 7 (tS 7
I q ft x "U" 009
f) Total net wall area above
floor (Insulated)....... / r sq ft x "U" a?j•-t r 036,
tai rim joist area...... `f sq rt x "U" • O
Total foundation -
area (Exposed).......... Z
sq ft
h) Total foundation
window area, ............ aq ft x '+U" d?
I) Total net foundation'! y . ??-
,.
eree above grade.:.,.,,, r sq?ft x „u„ 0 ?
TOTAL e) thru 1)' 7
If Item P3 Is the same as, or less then Item A1, you have met the Intent of
2 WAll 1.16008 A aqd 0.
page 1.
.. , .+ .... .. ,. 1.. .6+ n.' . .'[••, -x.141, S: .i,.
NOV-05-1997 09:50 N.C. BENNETT LUMBER CO.
4.. TOTAL EXPOSED ROOF/CEILINr. CALCULATIONS:
6128704407 P.02i04
Total gxposed
rooftcalling area........ l-- sq ft
J) Total skylight ores....... sq ft x 'fU"
k) Total roof/cellinq framing
area (Average Ift)...... sq ft x "U"
w Lsy
1) 'Total net Insulated F, f r CIS
roof/telling area....... sq t x r?U"
4, w TOTAL J) thru 1)
If total of 84 is the same as, or less than 02, you have met the Intent of
2 mm 1,16008 A and 0.
1 ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of Items 13 and f4 shall not be greater than the sum of Items fl and 02.
•
3 7 7 1+?1 + 4. ?^ r Z
.
C E R T I F I C A T I O N
f
4 hereby certify that 1 have calculated the "U" factors acid /'R" •.
values herein and that the bulld{nn here described meets or exceods the State
of Mlnnesvte Energy Conservation Act.
(Date) ?--?--- -
. Fase 2
k?c?:4:%?? ?; ?a?t%t:?X`k,:?;,; ,;r..<:k ?a,::k>Y g<v,? ;; r?:?C#ri;'K doXs,• ?' ?:cr,.r,,?Xr;;
CIA OF FAUN
C;A'.:i-I:'.I:% ;JS TPRMT.NAL PC 689
DATE. 09/14199 TT.M1_:; 0:105j.
TV ;:
WE:; mLLSTAR CONSrRUCTIONy :CNQ
22W 3001 =aPH l ASTNO(M (;T :L53..25
205 Wi 528 EAsrwom CT A.00
ToKS Receipt Amomh, t97.25
O.t i;
Cp ' POW
L1Iim in lAiv
..^,add?rg,:;'-ok?$%c$;?•>'n"{o$Y,t;;:,,.':yaY.o;<lt>i:'rrg:; 'p Y.o'c;onY,rht$t:?
1 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) I( 57 a "S
2 CITY OF EAGAN r'
J 3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements Remodel/Reoatr Requirement
? 3 registered site surveys showing sq. R. of lot, sq. R. of house
)
and gfl rooted areas m lot cg_verace allow
> 2 copies of plans (show beam & window sizes: poured Ind. design; etc.)
? 1 set of energy calculations
3 copies of tree preservation plan it lot platted after 7/1/93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions 8 decks
CONSTRUCTION COST: .76 a0
-:2 P ??S TGc/0 ?/ d
LOT: ,0 BLOCK:
PROPERTY
OWNER
SUBD./P.I.D. #: l 1 n r Y yV _ WT-() C? /)
Namw fe, r Kc v h Nxi ' Phone #: cf° 76
Last First
Street Address:
? ?pr?wo
City r?l ?C /w State: ml? Zip:
?? T
Company: ?71IIY ee/ fl. Phone #: ?y1 t (area code)
CONTRACTOR 3
StreetAdddress: DI LT Q 13 AV e N ' License# 1?? v0
City State: Zip: 3 L?? 0
ARCHITECT/
ENGINEER
Telephone #: area code (
Street
City
Name:
Registration #:
State: Zip:
Sewer & water licensed plumber (required for new construction only):
Penalty applies when address change and lot change Is requested once permit Is Issued.
1 hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicabl
Stale of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant..
OFFICE USE ONLY
Certificates of Survey Received _. Yes
Tree Preservation Plan Received - Yes
No
No - Not Required
JCi' I C
'Jj0
V, L /0 BL CITY USE ONLY RECEIPT #:
SUBD. LL/P¢Lco 5 RECEIPT DATE: ? rc
1998 PLUMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, NN 55122
(612) 681-4675
Please complete for: ? single family dwellings
D townhomes and condos when permits are required for each unit
backflow preventer for underground sprinkler system
FIXTURES - - - -- -
EACH - - - - - - - - - -
# - ------- --
TOTAL
Shower 3.00 x
Water Closet 3.00 x 1
Bath Tub 3.00 x 1 = 3
Lavatory 3.00 x 3- = e?
Kitchen Sink 3.00 x I = 3
Laundry Tray 3.00 x I = s
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x I = S-
Floor Drain 3.00 x 1 = 3--
Gas Piping Outlet * minimum -1 3.00 x I = a "'
Rough Openings 1.50 x 3 = 5y
Water Softener `for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler "fordwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations ` to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ` MPC lie. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL 00
- ------ --- ----- - ------ --- - --- --- ------ ---- --- ------
I hereby acknowledge that I haveread this application, state that - the information is correct, and agree to comply with all applicabla City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: S2-8 &-tGJct]d
OWNER NAME: /r[ a tl- FC!-K, A
INSTALLER NAME: ??psc-h err-r r ?klrt TELEPHONE #: ?/V 7-10` 3
STREET ADDRESS: W60 lQdr k?
CITY: Pr, ty /ITA t t STATE: /?/; nom- ZIP: ? 5 3'T 2
JSTORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
f
CITY USE ONLY
LOT J? BL
SUBD. h..lAdfA Wtd[ A)" 3 r"DI
RECEIPT #:
944 9 S
RECEIPT DATE:
1447 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
Date: I
Complete this section only if you are installing HVAC in single family, townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U 24.00
ADDITIONAL 50 M BTU <290D
6d•
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: 50
• TOTAL:
Complete this section only if you are remodeling adding to. or repairing existing single family
dwellings, townhomes, or condos.
Add-on furnace Add on air conditioning
Add-on air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS: s (a??C I y s O)GO [ U f 2
OWNER NAME: A i? t f LL 1 S PHONE #: t ?1J j?Q - ?Sb
INSTALLER NAME: C ?/Q (`y& /T 191 PHONE #: -1 J I?l?Co
STREET ADDRESS: nLO L), ?p rS[cr? ? w "?
CITY: STATE: ZIP: 3__SC7-?12
OF PERMftTEE
SIGN
s
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO:
ADDRESS: o ?? ua ke.r AUe ._
Uordckn /?1U 5535
LOCATION: -5a7p &QSIWOOJ l i 4/O,801,lavAOrne Woods 13
RECEIPT # / DATE 9 4 11, 9 - V 19 7 VALUATION
REASON FOR REFUND c on7rartror ,S not oing T-kip11 JOrl<.
TYPE OF REFUND ELECTRICAL PERMIT 3211-9001 $
PLUMBING PERMIT 3212-9001 S ?3. 50
MECHANICAL PERMIT 3213-9001 $
BUILDING PERMIT FEE 3210-9001 S
PLAN REVIEW FEE 3422-9001 S
SAC (MC/WS) 2275-9220 S
SAC (CITY) 3866-9379 $
SAC/ADMIN 3446-9001 $
WATER CONNECTION 3865-9220 $
SEWER PERMIT 3743-9220 S
WATER PERMIT 3713-9220 $
ACCOUNT DEPOSIT 2252-9220 $
WATER METER 3716-9220 $
ROAD UNIT 3860-9375 $
WATER TREATMENT 3868-9220 S
SURCHARGE 2155-9001 $
UTILITY ACCT OVERPAYMENT 2250-9220 $
CURB BOX DEPOSIT REFUND 2253-9220 S
CONSTRUCTION METER DEP REFUND 2254-9220 $
WATER USAGE CHARGE 3711-9220 $
TOTAL S /.3. JrO
I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid.
42
/?
9
Sign e ?
? Date CL,lim.VOC
CITY USE ONLY
-L i BL RECEIPT
SUED. RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-1675
Please complete for: • single family dwellings
• townhomes and condos when permits are required for each unit
• backflow preventer for underground sprinkler system
FIXTURES EACH ?ISZ. TOTAL
Shower 3.00 x
Water Closet 3.00 x 3 = ?_
Bath Tub 3.00 x k = ?-
Lavatory 3.00 x 3 = C?-
Kitchen Sink 3.00 x = 1-
Laundry Tray 3.00 x 1 = s -
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x = 7-
Floor Drain 3.00 x _
Gas Piping Outlet ' minimum • 1 3.00 x t = `
Rough Openings 1.50 x _ ?t• $'
Water Softener `for dwellings under construction 5.00 x =
Water Softener " for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under oonst 3.00 =
U.G. Sprinkler `forexisting dwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System • oak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems `Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City
of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within
City property/dght-of-way/easement. p
SITE ADDRESS:a p ?? ik ?? ( CT
OWNER NAME:
INSTALLER NAME: ?I?II•., ?1?, ?? - TELEPHONE#:
STREET ADDRESS: a )^ ?''
CITY: ?o«t, • STATE: y ZIP: S53 s
SIGNATURE OF PERMITTEE
4E# IOOd PId80:I0 L6-LI-II
** **
* PIQNI
*i
,x * it
Certificate of Survey for:
528 EASTWOOD COURT
EN&M
?E
I
I 2
862.4
'
a
I
V 4
864.8
[jam
?C+
W
866.3
2 8 7.
Sgt
to /
10 I l ??,?!1 1
w
r- -
10
I?
3 +866.7
1 2.X
4
O.Ia1? .0
IO ??
TO ; _-
867.5
vT`' *r9
5 3L3a
•- <LRj7+? 667.8 oc
2422 Enterprise Drive
Mendota Heights. MN 55120
(612) 081-1914 FAX681-9488
625 Highway 10 N.E.
Swine, MN 55434
(612) 7831880 FAX:7 IAN3
HOMES
865.2
864,9
rAm
r
k 866.3 x
ID
N?c' ',EPT,
%96-&
879.8
v ? 10
+2666,4
871.7/
' ypU kc
sE.
7--ii "a
I? Q ? ?? ,x,,11
7/_?? y Tl rm
Dy.
NOTE: PROPOSED GRADES SHOWN PER GRADING PUN OV6 MFR
NOTE: OURGINO OIMENSONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION
OF STRUCTURES ONLY. SEE ARCRtlTECTUAL PUNS FOR BImAING AND
FOUNDATION DIMENSIONS.
NOTE: NO SPECIFIC 5945 INYESIIGATION HAS (TEEN CDNPLETEO ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE S'EOFIC HOUSE j2EQ
THE REOPONSIBILITY OF THE SURVEYOR,
PROPOSED IS NOT
-
LOWEST FLOOR ELEVATION: ??' '
TOP OF BLOCK ELEVATION: +?p+ L?-?'-j-
GARAGE SLAB ELEVATION: g& 7. 7
% 000,00 DENOTES{ E1111INO ELEVATION
pOTE: THIS £ERTIRCATE GOES NOT PURPORT TO SHOW EASDMENTS OTHER THAN 000.00 1 DENOTES PROPOSED ELEVATION
THOSE 3NOIN7 ON THE RECORDED PLAT. DENOTES DRAINAGE AND UTILITY EASEMENT
NOTE CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE FLAW DIRECTION
?- DENOTES MONUMENT
NOTE: BEARINGS SMOWN ARE EASED ON AN AS"EO DATUM E3 DENOTES OFFSET HUB
WE HEREBY CERTIFY TO LIFESTYLE HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF.
LO 0, BLOCK X, HAWTHORNE WOODS 3RD ADDITION
OAXOTA COUNTY. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 12TH DAY OF NOV_, 1997.
CI MEET A PIONEER ENGI ERING, )P.A,
BY
BATE
??ws l BUILDI'
665.4 Hops?c
N83V4'49"W
153.47
153.30
885.5
(OV5,0\
I
?N
?+4 I n( w.
F4 yy
TZ7 ??
n I +"'
S
'
I y
110
J
SCALE : 9 INCH = 30 FEET 6-?
Use BLUE or BLACK Ink
Office Use 1
For 40~
Cit of Ea RU D Permit#:
y I Permit Fee: 4- <411C>
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: f I~ Site Address:
Tenant: Suite M
RESIDENT/ OWNER Name: 0004;~ ~ lhh~ Phone: D✓' 600 / a/
Address / City / Zip: f& 4JI14VOW (~C
Applicant is: Owner -,A-, Contractor
TYPE OF WORK Description of work: gg 0// ~ ^kVV7~
Construction Cost: UU49"00 Multi-Family Building: (Yes / No )
CONTRACTOR Name:/ ZI 6b?e^ 676/101-3 , u6 License a0✓ M,0X
Address: ti. / yb ff = ,JLI);V1 City: !)hlyV/
State•,/4 Zip: SS737 Phone: d /o y4f-
Contact: 6!6 04%0-X5'1 q Email
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.org
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
x le; _e) t- x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164141
Date Issued:09/21/2020
Permit Category:ePermit
Site Address: 528 Eastwood Ct
Lot:10 Block: 2 Addition: Hawthorne Woods 3rd
PID:10-32152-02-100
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Matthew T Ferkinhoff
528 Eastwood Ct
Eagan MN 55123
Hoyt Exteriors Inc
15112 Galaxie Avenue
Apple Valley MN 55124
(651) 246-4801
Applicant/Permitee: Signature Issued By: Signature