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540 Eastwood Ct Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Use 1 1 ~✓~~-7 I City OT Ea Permit#: 11 ~ QII I , O d1 I Permit Fee: 3830 Pilot Knob Road 1 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: c7-7-7_&0/0 Site Address: 7y S ~~d d~ C~ a Tenant: Suite RESIDENT/OWNER Name: ` SGI~ 5 Phone: U/~~ 35y i/ Address / City / Zip: Applicant is: Owner V 'Contractor TYPE OF WORK Description of work: ~,o - V0j Construction Cost: 71 7 yy Multi-Family Building: (Yes Noz CONTRACTOR Name: C r9k? h-(4 ( G u7 e111d?'5 License Address: r" ~S vldy City: State: ` Zip: Phone: Contact: 14 Email: )Kr ~ 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 'thout 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 p - _ \i k--~ 4 x I ro r( x Applicant's Printed N me Applicant' Signatur Page 1 of 2 ^?? a INSPECTION RECORD CITY'OF EAGAN PERMIT TYPE. 3830 Pilot Knob Road Permit Number: ' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ;.iIM1ORNt WOODS 3RD (617) 4S6 0674 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. A17K :. W PI FIR NAIFTHEW DANI "I 5 hl fin Penult No. Permit Holder Date Telephone # ELECTRIC PLUMBI HVAC / 9 Gv0'la,fl,2 Inspection Date Insp. Comments FOOTINGS FOUND o" e FRAMING ?p y ?f Q ? GCfi3 L ? ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING I n (f/ GAS SVC T EST r 40 INSUL T / GYP BOARD 4 FIREPLACE oft L FIREPLACE AIR TEST t( l? FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL YZ a-If BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Address- • 540 EASTWOOD CT Zip 5512 -3- Lot 13 Blk Sub HAWTHORNE WOODS 3RD ° 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 l/ Sod/Seeded grass Trail/curb damage Porch Basement finish b ? 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 - Re;ident Copy Pink - Contractor Copy CITY OF EAGAN CASHIER: S TERMINAL NO: 577 DATE: 11/21/97 TIME: 14;,42:46 r ID: NLME: NEW HOME COUNSELING INC 2256 9001 540 EASTWOOD CT 4,747.21 Total Receipt Amounts 41747.21 CRO9%63 USER ID: NANCY CITY OF EAGAN 3$30 Pilot-Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 031155 11/21/97 SITE ADDRESS: P.I.N.: 10-32152-130-02 DESCRIPTION: 0-c C 540 EASTWOOD CT LOT: 13 BLOCK: 2 HAWTHORNE WOODS 3RD 'cj,TPyermit Type SF DWG i9;,:lEr Type NEW R-3 U-1 tc CStTPTlr V-N .n" APIE^?t^ R-1 If r. -!ngtT 68 k k 45 Q ' ?a ? ' 'E""' ? w.y. 2^i -^P PIHS '&Y k 2,096 Gt7Cie 101 1 - FAM. DETACH {x a-vtIg a`;_ A N ?m REMARKS: S & W PLBR - MATTHEW DANIELS PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % _ SAC Units Subtotal $1,312.25 $852.96 $92.50 $950.00 100 $3,207.71 $185,000 MISCELLANEOUS $1.539.50 Total Fee $4,747.21 CONTRACTOR: - Applicant - ST. LIC OWNER: NEW HOME COUNSELING INC 14560674 2006044 NEW HOME COUNSELING INC 1566 WEXFORD CT 1566 WEXFORD CT EAGAN MN 55122 EAGAN MN 55122 (612) 456-0674 (612)456-0674 ' f' Off C' I R i6 4 { b i i S ?' %'f % S?! l*iL°P `yI* a%'si se+a?d ?ask+m w ¢tit csCG :is s -wi,?, 'w {msa sa %a NC'v ?bise 4E ""K I here6fck:aledgs Chat, '[hays 6t ?cl .YFi ttff?LS4taag# fl p't 8('k s? kr)?3 ${ $s!t Cf3fl 'F?'r -b{WT"{rh i ,, w kp k .*.?w` - i t{ { i a¢.u? d k'tF iaa sr _ yy yL.,., m @ yy y? ))// yy?? t fj ?Xjy??-yhP,m{? fj T? 5 1 Y }i I I `Y6 14 p tl^ 2 % E wt k' Z f G . rv ?? ? 4. 1? 41A. 5wsrt53 4? Y.i ' ka .l t,j O Ne t+' lfN r *l .L i 6 Y1CkYi.e'e°{ ?9 h^ Id 1 %Y ?£ I4 L Ei Z %ff &I 6 %?OI4^ N ?^aE 1% 9^y y ? i vT & j6 ?` " Nwin YhE ? /fSSUEO B : SIGNAU 31.15 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)- d? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681.1675 New Construction Recuirements 3 registered site surveys 2 copies of plans (include beam & window sizes; poured frid. design; etc.) 1 energy calculations 3 copies of tree preservation plan if M platted after 7/1/93 required: ; Yes +N DATE: - CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT Z'6- BLOCK PROPERTY OWNER CONTRACTOR RemodeVReoair Recutrements ? 2 copies of plan ? 2 site surveys (exterior addition & decks) ? 1 energy calculations for heated additions Street Address: City: State: Street Address: Zip: tone #: License #-42Q 2127 Zipc? ARCHITECT/ ENGINEER #:.,?? [P? Phone Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only . ao /I 'co, Penalty applies w& b 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 mp with all applicable State of Minnesota Statutes and City of Fagan Ordinances. Signature of Applic; OFFICE USE ONLY Certificates of Survey Received t! Yes No Tree Preservation Plan Received Yes No BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 ?02 Foundation ? SF D lli ? 06 07 Duplex 4 ? 11 Apt./Lodging ? p we ng -plex ? 12 Multi Repair/Rem. ? ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? ? 05 SF Misc. ? 10 -- Alex ? 15 Deck WORK TYPE Jzr' 31 New o 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth ,/ A/ A/ P-3.0 1 R-I v S' Basement sq. ft. Main level sq. ft, z sq. ft. aL& a sq. ft. sq. ft. sq. ft. Footprint sq. ft. * -x 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous (2120 MCNVS System z 16 z. City Water s 8z Fire Sprinklered 8re PRV Booster Pump Census Code. 101 2.0%, SAC Code Census Bldg r Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: Surcharge ,emeKl- Plan Review License r? xy MCNVS SAC 34a ,r 17. 3 3 City SAC 30 K tr„ yL Water Conn. Water Meter s + Acct. Deposit '?- SNV Permit P/0-5 S/W Surcharge a Treatment Pl. Road Unit 2. Park D G u Trails Ded. , . s Other 5 ap " 9. t. Copies 3 (^ x 5- ? Z 2 Total: ?] v : %SAC f SAC Units a aqe $ IT'S,cee.- ci(0 42,4 Soo z zo 17 = 8, Co. 3- ,2-2-0 ;x 3t tp ib 74 = ?4 S2 S re4, s ,sue vo f L LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT AP CAT N PROPERTY LEGAL: Z/3 1 DATE OF SURVEY: LATEST REVISION: ? y DOCUMENT STANDARDS ? • Registered Land Surveyor signature and company ?1 ? • Building Permit Applicant ? • Legaldescription V0 ? • Address [3?? ? • North arrow and scale 2::] I ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0 12 ? • Directional drainage arrows with slope/gradient % E7 ? ? • Proposed/existing sewer and water services & invert elevation / la ?7 ? Street name e/ ? ? Driveway ELEVATIONS Existing ? - 0- ? • Sewer service (or Proposed) ?? ? Property comers ? 0 ? • Top of curb at the driveway fY ? ? • Elevations of any existing adjacent homes Proposed ff--?o ? • Garage floor 0,0 ? • First floor 0-,0 ? Lowest exposed elevation (walkout/window) r? ? • Properly comers o' ? ? Front and rear of home at the foundation PONDING AREA (if applicable) ? 2'? ? Easement line ? 17, ? • NWL ? l' ? HWL ? l > • Pond # designation ? ? • Emergency Overflow Elevation DIMENSIONS 12"? ? Lot lines/Bearings & dimensions ? - ? • Right-of-way and street width (to back of curb) 13 01 ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', ell, porches, etc. (.e. all structures requiring permanent footings) ents th ithi Ci tiliti ? ? • ose easem es w n ty u Show all easements of record and any ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures ? ra' ? • Retaining wall requirements A-spy Reviewed: January 1996 CR,W1QQ6 BLDGPR W.FM cxrEK:OR ENVELOPF. ', /7AGE "L'" COMPUTA"ON c,?// S!TE COVTRACTUR: 1',OM)~ C'OUN4e,INU UaTE 4/8/96 PHONE?456-0674 DFTERNIME WDRKING SQUARE FOOTAGE 3554.549 1, 1otCA1 cx?:.>e? ::all araa3611.221 5q.ft. x .11 397.2343 2. lct:ai rco;Jcu iliaq area 1608 sq.ft x .025 43.368 3. Total fl<or e an; . area 0 sq.ft. x ().CS 0 cc,ar ,::; t,i ated enclosad areas) area 12 sq. ft. x 0.025 0.3 ,ever ui. Leated exposed areas) ta! expnQed :,,all area above the floor. _ 3256.549 a. iota'. wai'_ windo;a area ................ 266,91 1). 'i'ota: d,)or area ....................... ... 37.B189 C, Tot a) s iding glass door area ............. 80.04 d. It:tal fireplace area ............ ......... 0 '. ?,'•;] w;a1J framing area (ave. 10?)........ 325.6549 f ;ta I,Ijt wall area above the floor.... ... 2546.125 y, 1'c•tal rim joist area ...................... 308 90TA1_ E:X i'GSL:U FGUJDATION AREA ....... ........ 46.6722 h. T(-,tal fc)undatior, window area .............. 0 1'%tal nat foundation area ................. 46,6722 Determine "t:° value of each wall segment. a. 266.91 x "U" 0.41 = }>, 37.8189 x "U" 0,06 c. 80.04 x "U" 0.41 = d. 0 x "U" 0 = e. 325.6549 x "U" 0.090334 - f• 2546.125 x "U" 0.043215 - y. 308 x "U" 0.040683 = h. 0 x "U" 0.41 = i. 46.6722 x "U" 0.076161 109.4331 2.269134 32.8164 0 29,41778 110.0313 12,53051 U 3.554623 c ...... ...............................Total 300.0529 31 #'6 vane as or less than item #1 you have met the current Flit'i (3 •,'_df'o. 2 MCAR 1.16006 A AND O. :01 AL F:::i c>SI L' k OF; CEILI1dG AREA j . Tut ?--i l c,lcy1 i ght area ...................... k. TOta,i flat roof/ceiling flaming area...... 1. Total net flat roof./ceiling area.......... Determine "U" value for each roof/clg 0 x "U" 0 = J' k. 166.8 x 0.025549 = 1. 1501.2 x 0.021801 = 1668 0 166.8 1501.2 segment 0 4,261625 32, 7272'7 ...Total 36.9889 if 1t"n 47 is th(, same as or less than item #2 you have met the :?. 9Y moo,{e , 2 MCAh 1-36008 A AND D 0 TGTA1, 71u,)? .ANT, AREA {enclosed) 10$> 0 o. ,: al : ;->'i aril. framing area lave. 0 p. ;otu; net insulated floor/cant. area...... value for each floor/r_ant. segment. 0 0 x "U" 0.064144 = 0 0 x 'lull 0.C29386 B. .........Total 0 t.!,. case ar 02: less than item #3 you have met the enc.tg'J co?r, AR 1.15008 A AND 0. 32 7"l i.i)U:'./^Av'_^. RSiA !e3tpc) sed; ti"an:.ng area (ave. 1.2 10?,) • 10. $ Y. }'Ut'a_ nrt fnsvlated fIoor/ Y 8I"ea.... . Drterni a "U" value for each floor /cant, segment. n « 0.048333 = 0.057999 1.2 x 10.8 x "U" G.07,'L805 = 0.246294 t' . Total 0.304293 ii #4 you have met the #a '..',e: sa?,4 a; r,r lF.6fi than it.en"i cn?-'G)' code. 2 MCAR .1b008 A AND O. CEPTIFY THIJ.'1 I HAVE CALCULATED THE mJu rACTORS AND "Ru 1:p'-'01:.` i'.I'.RH ] 14 A!d!) 7"r1AT Tlnk B1113 1,fr, HERE. )-E,GCRIBED 14EETS OR Fj'n?QEEDS FH; , 3 1 7 TF Of i: J ie(vP SOT i ENERGY CONSERVATIVil ACT. ? ? (ignet?t?e) UETEFt,11 NE IT" VALUES" .itiki. .:i--, "Ail aLLIIWJ u c.n. 1n+.4Tlcl. A1I....., 0,68 SI.,,-f fwcV..... .... 0.45 Therwo-nr(aak... .. 0 Stt:d.............. 6.93 Sheathing......... 2.06 Siding............ 0.78 Exterior A?a.... .. 0.17 Total "R" Value... ........ 11.07 1/R - "Y" Vnluv. .. ... ..... O.COM Jhb( J1+:ULATJV'+ VITA SIDING y S.R. li)tet i',:r A:....... 0.68 Sh(-et I1'JuIC. . . .. . . . ).45 rheati;ing......... 2.06 Sic')=i?l............ 0.73 bxtrric,r Ai ...... G.17 Tv±a: °R" :alc ...... 23.14 ....... 1/f: ..... .......0.543215 IiiRll ('L iJNG MF!!BER Intc-: i o i A:...... , . 0.68 Sh,ct Rock........ 0.56 C;eilinV Mertl:w_ .... 4.35 insulation ........ 32.92 Styli Air......... 0.61 1'c tal ''k" Value. ...... 39.14 jk - " " bat u............0.025549 '1HRU CE11-I14G INS`.JLATION L:terio, Air...... 0.68 Sheet: Roc:k........ 0.58 1 n;tio l at i Gn ........ 44 Still Air......... 0.61 Total "R" Value............ 45.87 1/R = "C" t'alue............0.021801 `1Hf?'J CUIJi kE,`! f? h;.UC'K interim A......... 0.68 Cow-. hhl ......... 1.20 0. 17 1't,t<, R' Vd_uet. .. ....... IS. LS 1j}{ ??+ ..................U.076161 THM ell JOIST Insulation ........ Rin 'c„ et ......... 1 .84 f-3hew;i1)ng........ . 2.Ub Sid:l.q....... ..... 0.78 Fr:t„t h r Ail ...... 0.17 ictal "K" M uk . . . .... 1-1 24,50 :/R °U" .......... ..... 0.040683 U" t'& Ue for . . ndoo - ...... t7: valve for ,:af ro.... .... 0.+1 0.06 0.41 im CANT, @ A;LIdBEK enclosed) llli.E) 1(?)"rlli ... plywood.,......... ,-iD]St........ .... Sheet ROCP,........ Stall Air.....,... 0.68 1.23 0 0.93 11,5E 0.58 0.61 ot.iyl "R" Mae ............ 15.59 1/R _ Q......... ..........0.064144 T! PJ '.71a'1. lj {t IiC 10 Seth Wwand ........... 0 . 9 7i,aulet l >n... 30 Sh et 0.53 0.61 Total "Y° velum. 34.03 l?K ..U".... ..........0.029386 phi CANT. 0 ALKBER ' exposed l Un,lel a ay:a?ut_ ... . . ....... .. 0. 93 Jolst.......... .. 4.64 !,r.athing......... 2.Ob SOf f] t.......... u.78 EXteY for A13.. .. ... V • I-; 10tdi no Valle .. . . . . .. . .. 20.69 Ilk _. "+;"......... ........'.048333 THRU A q . m :KOL' ATION (exposed) Interior A:r...... 0.66 Finish F]oQrnng... UItdt;3'Iayrleat ...... 0 PIY,w + d. .. . .. .. . . . U.93 Inr„2ietion........ 38 Sheathing... ..... 2.06 soffit............ 0.78 Exterior Ai: ..... 0.37 Total "R" Value........... 43.85 1/R __ "U. ..................0.022605 CITY USE ONLY L I? BL SUBD. ??? W LG?Olt h L (?t/OU LC4 3 fi T RECEIPT M O Sd S RECEIPT DATE: 1998 PLUMING 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 ? backillow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x 3-00 Water Closet 3.00 x -5 = 9.00 Bath Tub 3.00 x 2 = /0.00 Lavatory 3.00 x /A-60 Kitchen Sink 3.00 x / = 3 00 Laundry Tray 3.00 x 1 = 3.00 Hot Tub/Spa 3.00 x = Water Heater 3.00 x 0 Floor Drain 3.00 x 3.00 Gas Piping Outlet * minimum - 1 3.00 x = 3.00 Rough Openings 1.50 x _3 Water Softener * for dwellings under construction 5.00 x = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under cont. 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 lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 15-6 4" ------------------------------------ -•------- Ihereby adcnowledga that I have read this application, state that the information a cortect, 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/right-of-way/easement. SITE ADDRESS: 93/0 ant ?.. /) aakt OWNER NAME: v INSTALLERNAME: TELEPHONE#: -IA3-,-Tyo STREET ADDRESS: CITY: »r?L.[ rY STATE: y r ZIP OF PERMITTEE .S"506P' JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 CITY USE ONLY ?( - LOT L BL RECEIPT #: U ??q/ `to ) a SUBD. 4"" - "?/j?y 7?,???,J04W_ lNOia? RECEIPT DATE: / 3 o 7 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 Date: CJ" 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 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: 3C? Complete this section only if you are remodeling adding to or reuairing existing single family dwellings. townhomes. or condos. Add-on furnace Add on air conditioning Add-on air exchanger, i.e. Vance 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: 4 ?? rice ?y rC> n C? OWNER NAME: l r C ? PHONE #: INSTALLER NAME: 0 Qom; (c7 \\ E' \? r PHONE #: -?IOd -??daf? STREET ADDRESS: l h 1 Lm y ? CITY: STATE: ZIP: ATURE OF PERMITTEE city of eagan April 27, 1998 MR MARVIN FISCHER 4355 S ROBERT TR EAGAN MN 55123 RE: ON-SITE SEPTIC SYSTEM LOT 1, BLOCK 9, AUDITORS SUBDIVISION 42 Dear Mr. Fischer: THOMAS EGAN Mayor PATRICIA AWADA BEA BLOMQUIST SANDRA A. MASIN THEODORE WACHTER Council Members THOMAS HEDGES City Administrator E. J. VAN OVERBEKE City Clerk The City of Eagan received a telephone call from Mr. Martin Diffley on April 22, 1998 regarding the individual sewer treatment system at 4355 S. Robert Trail. This system is located on Lot 1, Block 9, Auditors Subdivision 42, and Lot 13, Block 2, Hawthorne Woods 3rd Addition, which is owned by Kathy Trimble. During excavation to construct a home at 540 Eastwood Court, liquid began leaching from this system. Last winter you agreed to pump this system every two weeks until spring when you could hook up to the City's sewer system. As Martin Diffley has this property sold via contract for deed, he still has a vested interest in this property. A follow up phone call from you on April 23 indicated that Roger Weierke would abandon the present system and connect this property to the City's sewer system once connection fees have been determined. Your cooperation in this regard is appreciated. Sincerely, William Adams Construction Inspector (Plumbing) WA/js MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN. MINNESOTA 55122-1897 PHONE. (612) 681-4600 FAX (612) 681-4612 TDD (612) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity Employer MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE (612) 681-4300 FAX' (612) 681-4360 TDD: (612) 454-8535 iKV RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 1,3 Z ?- 9 f New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys showing sq. It of lot. sq. It of house; and all roofed areas 2 copies of plan Cart of Survey Recd -Y -N (20% maximum lot coverage allowed) 1 set of Energy calculations for heated add'Nons Tree Preis Plan Recd _Y -N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pras Not Reqd -Y -N 1 set of Energy Calculations Addition - indicate if on-sife septic system On-site Septic System -Y -N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date '7 Construction Cost 7- E O O Site Address J? `> C a 5? : u of C-4 Unit/Ste # Description of Work C ?- ` So -x--N PO V Multi-Family Bldg - Y - N Fireplace(s) - 0 - 1 _ 2 Property Owner / ot ?7- ,5 f i 2 cSG L7tI 45/ `til Telephone # (6S ( ) 6 cD ?-C- 6 7 ?yt 1?1 Contractor 5-A VCS GPI Gu cw o i-l 5 ? r N ( , _ Address '/Z State ym V-? ? 7 1 C ^ r r'C 4V e , City Zip `JS Telephone # (%S Z) q Z -0- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 I e `al ules 7672 Energy Code Category Residential Ventilation Category 1 Worksheetl It - •t New nergy Code Worksheet (4 submission type) Submitted r • - Suhm fed . Energy Envelope Calculations Submitted I n Iil Have you previously constructed a building in Eagan with a fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y N If' so, 25% plan review 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. V L C--E!- ?G G/ [ Applicant's Printed Name Applicant's Signature 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 - piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-piex x 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 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ?/ Clio Occupancy MC/ES System ` - Census Code Zoning fZ l City Water _ SAC Units Stories / Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const_ Width 141 _ Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _)?' Ice & Water _4 Final Framing Fireplace - R.I. -Air Test -Final Insulation REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone Windows (new/replacement) - Retaining Wall --------------------------------------------- ----- Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Approved By °z,7_ct V? (9 1-1a /t¢ v/ 6'A Building Inspector 0 low Other Total I ** * PIONEER * ®/f?owl ** ** Certificate of Survey for SE BUILDING INQDI:CTIONS DEPT,/ w x/878.9 C7 2422 Enterprise Drive Mendota Heights, MN 55120 LAND SURVEYORS . CIVIL ENGNEERS (612) 681-1914 FAX. 881-9488 LAND PLANNERS. LANDSCAPE A ?TECTS 625 Highway 10 N.E. Blaine, MN 55434 (812) 783-1880 FAX:783-1883 NEW HOME COUNSELING, INC. 540 EASTWOOD COURT ,BENCH MARK TOP OF PIPE ELEV.=879.79 10 (j, t), cO 12 o 4 (880.2 Seg, A 0 ` 883.8 >t r? 880.0 ls3?S 4 ?r OF O , o` b ^ r / /8 \ Ly 83.8 X CgyZ•u Power 892.4 air 88 .2 B? J g _ • r O / 2 / a?o? i M u? X883.0 / 886.9 X 883.8 13 i 887.2 X21 1, 25 i 883.9 ???a r 32.38 < 10, / CD??• 884.°? L -----T-----vry ------, 895.1 BENCH MARK ?.' TOP OF PIPE ELEV. =890.31 ' wW 894.9 183.95 ^ Z J aJ /cv J 10 6f T 896.8 C Oy C•D) ti a`' GAN NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: MFR NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION 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 15 NOT THE RESPONSIBILITY OF THE SURVEYOR. PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: ?T 7`t-G TOP OF BLOCK ELEVATION: °77 GARAGE SLAB ELEVATION: 05 87 3 NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X OOo.00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION - - - DENOTES DRAINAGE AND UTILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM -a DENOTES MONUMENT -R DENOTES OFFSET HUB WE HEREBY CERTIFY TO NEW HOME COUNSELING, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 13, 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 10TH DAY OF NOV., 1997. SIGVohn IONEER ENGINES G, P.A. SCALE : 1 INCH = 40 FEET BY: l ,71 97470.00 SWK 7 MOP, Fa X15. C. Larson, L.S. Reg. No. 19828 * * * PION EER R * ®ng naar ND SURVEYDRS • CIVIL E PLANNERS. LANDSCAPE 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 MC 681-9466 625 Highway 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX:783-1883 Certificate of Survey for: NEW HOME COUNSELING, INC. 540 EASTWOOD COURT _,?a?:?d4N F: Em 9= ARI E Li rY ATE 7 - -17 ,BENCH MARK TOP OF PIPE BUILDING INQDI:CTIONS DEPT./ ELEV.=879.79 10 w 78.9 1 12 \? 879.t \ 879.1 £ki ^ ? ?? H SF 1° R 4 4 880.2 . ? A 860.01?S4+F 883.8^F-- 883.3• SERVICE p V.=872.3 '6.66- 8 s. ? /" Dr^C 40 ^01 ?_? \ !a h 892.4 S BB .2 saO ?? k C? O arcs x883.6 Io J? O? M / 886-9 -o 883.8 13 9Q 887.2 (Q Z\ ? 2 i 883.9 a i l / 3?.E" ? VCf 32.38 884.9 1 11 X06 o4 S00"17058"E<? 10L- '?? T° y 895.1 53.96 - - T - 43.44 894.9 896.8 S99037'11"W 183.95 TOP OF PIPE ELEV.=890.31 NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY. MFR PROPOSED HOUSE ELEVATION NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION LOWEST FLOOR ELEVATION: 751-6 OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND 4 07 7 7 7 FOUNDATION DIMENSIONS. TOP OF BLOCK ELEVATION: 9 NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE 60 87 3 SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION - - - DENOTES DRAINAGE AND UTILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM DENOTES MONUMENT -^?- DENOTES OFFSET HUB WE HEREBY CERTIFY TO NEW HOME COUNSELING, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 13, 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 10TH DAY OF NOV., 1997. SIGN D: IONEER ENCINEE G. P. A. SCALE : 1 INCH = 40 FEET BY: r n-,1 n?A7n nn gww efw55D ll-/o-el7 lwe0 f[f V'?• ohn C. Larson, L.S. Reg. No. 19828 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA141323 Date Issued:03/06/2017 Permit Category:ePermit Site Address: 540 Eastwood Ct Lot:13 Block: 2 Addition: Hawthorne Woods 3rd PID:10-32152-02-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Michael R Schuster 540 Eastwood Ct Eagan MN 55123 (651) 280-5651 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use Permit#: /L/ O / City of Eaaall Permit Fee.. !Y v 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 � 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Vj`` //a-7 Site Address: 5Y2.1 45 0te'2' CST Tenant: Suite#: Resid6tnVO ner i Name: 4j14&6 ,././0- � Phone: 6,Sd 2 -756. ' Address/City/Zip 5114 Q17-..-41)defP.l7 I� Name ,J-4, 6 Yr sem, .0 .0 r. , License#: PC- ‘ I" e2,// Contractor Address: q C g.i-u-4.) ill City: ®�s P4-44d., State: 4iW Zip: ,076-0 7.J Phone: 6 '15f" 3� / Contact: (' iV ate Email: - i .. ... .._ . New T Yp.e of Work — X Replacement —Repair Rebuild —Modify Space Work in R.O.W. Description of work: RESIDENTIAL KWater Heater Water Softener Lawn Irrigation ( RPZ/—PVB) Perris t Type Add Plumbing Fixtures ( Main/—Lower Level) Septic System i` f New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.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. Z4.01I7 Ala-aft5TIketmt- x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By Date: Required inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA144325 Date Issued:07/20/2017 Permit Category:ePermit Site Address: 540 Eastwood Ct Lot:13 Block: 2 Addition: Hawthorne Woods 3rd PID:10-32152-02-130 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Michael R Schuster 540 Eastwood Ct Eagan MN 55123 (952) 393-6443 Capital Construction LLC 406 Gateway Blvd Burnsville MN 55337 (855) 766-3221 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA150546 Date Issued:07/13/2018 Permit Category:ePermit Site Address: 540 Eastwood Ct Lot:13 Block: 2 Addition: Hawthorne Woods 3rd PID:10-32152-02-130 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Michael R Schuster 540 Eastwood Ct Eagan MN 55123 (651) 280-5651 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature