501 Hawthorne Woods Dr...?..
CITY 4F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
? SITE ADDRESS:
INSPECTI
HAW i NWrryE. 440011`.•
ilrsltlttitl:?!G" liI}I)(1`• :'
I'I PERMfT SUBTYPE:
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPUCANT:
r„ , 1 nri
TYPE OF WORK:
.
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H., l
41 r i! I f.???? t
Y
INSPECTION DA • DA
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Permit No. Permlt Holder Date Telephone k
S/W ?
PLUMBING
I
HVAC RV
EIECTR ? 8 /
EZECTRIC
Inspection Date fnsp. Comments
Footings I ,
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
B '7 Y
Isui.
Fireplace
Final Htg. ?
Orsai Test
Final Plbg. Pibg. Inspector - Not'rfy Plumber
Const. Meter
Engr./Plan
Sldg. Final
Deck Ftg.
Deck Final
We11
Pr. Disp.
? C17Y OF EAGAN ~ v
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
S{TE ADDRESS:
' ????. : ? fait?,.a.
? ----?DI ??,;I ? t 3I=); Nt wu?li?, ak
I PERMIT SUBTYPE:
I I F2(1ilrtt4 1 M
?
?
1C0RD?
PERMIT TYPE:
Permit Number:
Date Issued:
a
t) f'p 3 txp 1?. e-q ?i
T ?, 4#? -- I i11
PE OF WORK:
f:. <<. i I i i:;r?
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i
t? i, r t_ r? t ro?a
t! A I 1 41 N p kd
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Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
iNSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
--
86M7 R.f. a• ?
BSMT FINAL
DECK FTG
DECK FINAL
ip • dIr -&- s
%'Mer-tificate vf cccupanc?
%itV of Cfagan
Tepaftmeut of 13ara? ?uf3yection
This Certificare issued pursuant to the requirements of the Uniform Building Code
certifying that at the tinre of issuance lhis strricturr was ire compliance with the various
ordinanees ojthe City negulating building construction or use. For the following:
usc Clusif..t;on: SF DW BbB. vrrmit Na. MQ I
Oocvpancy Type -R3/'Ml Zoning District RI Type Const. VN
owwr or au;kftngVEIPIiIRA BC1IES Addirm 2441 VF1diL1RA I7RIVE, wODBQKY
euilai+g Aaamw 501 HAM'J.RIE WOD6 DRIVE Local;n, L34, B2, IWIlOW G10C.U6 7M
oue-
ewlmng arw
POST IN A CONSPICUOUS PLACE
S>??C? REQUEST FOR ELECTRICAL INSPECTION
?
See insimctions ior com0laLng t?is torm on back ot yellow copy
??6 35 X" Below Work Coved-hv This Request
kTMr°"j .Q{1 ?Q-j?
C,Q/O-
ew ,ap TypeolBwlding AppliancesWVed . EquipmeniWired
Home Range Temporary Service
Dupiex Water Heater Electric Heating
Apt Bwlding Oryer Load Management
Comm.'Industrra! Fwnace Other (SpeciTy)
Farm An Conditioner
Olherispectly) Conhector9 Aemerks
Compute fnspechon Fee 8elow.
# Other Fee # ServiceEnhanCeSze Fee # CirCUtls/Feetlers Fee
Swimming Pool 0 to Amps ° 0 to ioa Amps $o
7ransformers ? Above 200 _ Amps Above 100 _ Amps
Signs rspactor5 Use Onry TQTpL
Irriganon Booms (,J ?
//?r , . /d0
Speaal Inspection ??iY-?
Alarm/Communication THIS IN57ALLATION MAY BE ORD
DISCONNECTED IF NO7
Other Fee . COMPLETED WITHIN 18 MONTHS.
1. the Electrical Inspector, hereby
f Rouqn-in
certi
y ihat the above mspection has
6een made
q:?o ???r'(:w?y'mF.
??
OfflCE USE'JNW
Ph(s requesf WM 18 mOnths hor
11 .i
=i- i? F
Q//'y ?
5 6 3 5 02 ,?_ G?
Repuesl DeM Fir NO Rougni 1jcno pReQwretl
I (YOU m?51 Irmp'ector when mady). Inspeclron Other Than Rough,ln
? peady Now ?Will Nony Inspectar
Ves ? N. Oate Reea
I icensed contractor rJ owner hereby request inspecuon of above electrical work at . ,
Job Atlaress (Street Bax or fioute No )
?O/ l{?v {?co,e ?-
Qry
Section No Townsmp Name or No pange No Couryy, _ / .
Occupam (PRINT? /
?
? Phone N.
?
4.C ?¢ `i-Q
re rS
Power Supplier Adtlress
Elecmcal Contractor ICOnpany Name
DALE FRANKE ELEC. IPdC ConVador§ License No .
.. CA 00682
Maning Aatlress (Gonvacior or Owner M s?allalioni
12gp3 FLORIDA LA?" APPIF VALI.EY MN 55124
Amnorrze0 SiSnaWre IConttecto?q jner Mabtlg Ingallation) Phone NY(I'be,
- _ / 434-6364
MINNESOTA STATE`ffOAfiD OF ELEC7qIC1TY
Grigga•IIIYftay BICg. - Room S173
1821 Unrvercity pve.. St Paul. MN 5510/
Prane(612) 602?800
THIS INSPECTION REOUEST WILL N01
BE ACCEPTED BY THE STATE BOFRD
UNLESS PROPER INSPECTION FEE IS
ENCLOSEO
Address 501 HAWlFK1RNR [rl1() DitIVE Zip 5512 3
16t 39 Blk Z Sub Haw'nRoFM wooDS 2rro
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry)
Permanentdriveway
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement fiaish
Deck
Please verify with the builder the removal of roof [est caps from the plumbing system and thc shut-aff of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy ?
?
?
/g/,6Dr
2007RESIDENTIAL BUILDING rExmnT arrLCCnTIorr
t g I.,5°
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructlon Reouiremenls
3 registered ste wrveys shming sq. fl. of lot, sq. ft of house; and all roofed areas
(20%maxlmum lot coverage allowetl)
-1 Soils Report N proposed building Is to be placed m dlsluNed sdl
,2 ooples d plan showing 6eam d windax sizes; poured laund design, etc.
1 setWEneyyCalalatlms
3 coples MTree Preservafim Poan 9 lat platted after 711193
Rim Jdst Detail Options selec6M sheel (bulldings with 3 or less unlLS)
Minnegasw mechanMal venhlation form
RemodeVReoair Reouiremend Oft Use OnN
2 copies of plan shmving IooUngs, beams, )oists Cert ol Survey Recd _ Y_ N
1 set of Eneryy Calculations fa heated addllions Sails Repat _ Y_ N
7 site survey Mr addiUoris 8 decks Tree Pres`Plan Recd _Y _ N,
Add6'oq • Irdk2t6 tl wl-Sife seplic syslem Tree Pres-Reqrered _Y _ N
OnsfteSepUcSystem _Y _N
rians are consiaerea
Date d l.b
SiteAddress
Descriptioo of Work IID Gefmk- H?uSe.'E
Multi-Family Bldg _ Y _ N
Property Owner
Contractar _
Address _
Construction Cost ? J to ? ?`-
?r UnitlSte #
SiDIVK. -
Fireplace(s) _ 0 _ 1 _ 2
Tv,,, t-T? cm-,e 4c avti4ls, <?
i LAKEWOODS REMODELING, INC. I
I 9007 E. Bloomington Freeway !
I Suite 144 I
Bloomin ton MN 55420
Tetephone # (
4 , City
!,^r
State _ ?'?----------?-----?J Telephone#(y?a)???-?SS ?
COMPLETE THIS AREA ONLY IF
Energy Code Category "- Minnesota Rules 7670 Category 1
(J submission • Residential Verrtilatian Category 1 Worksheet
tyPe) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Su6mitted
In The last 12 manThs, has ihe Cfty of Eagan issued a permit for a similar plan based on a master plaM
_ Y _ N If yes, date and address of masTer pian:
!? 0-
IJ??I_
Licensed Plumber Telephone #
?
Mechanical Contractor OCT 2 g 2007 Telephone #(
Sewer/Water Coniractor
a Residentiai
Telephone #(
that the information is
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 Noes
? 01 Foundation
? 02 SF Dwelling
? 03 Otof_plex
? 04 02-pteac
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
O 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 22 Porch/Addn. (4-sea.) ? 33 EM. Ak- SF
? 23 Porch (screen/gazebo/pergola) O 36 Mufti Misc.
? 24 Storm Damage
? 25 Miscellaneous
[3 13 16-plex
O 16 Fireplace
O 17 Garage
0 18 Deck
O 19 Lower Level
? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding
? 36. Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reraof ? 46 WindawslDoors
'Demolition (Entlre Bldg) - Glve PCA handout to applicant
Descript(on: wacaroamage_ves
Valuation
Plan Review
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
? 07 05-plex
? OS 06-plex
? 09 07-plex
? 10 OB-plex
? 11 10.plex
? 12 12-plex
Occupancy
100% or 25%
Zoning
Stories
Sq. Ft.
Length
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Wyter _ Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ [nsulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUII2ED INSPECTIONS
_ Sheetrock
FinaVC.O.
FinaVNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
Clz4555o <o
suiLoxNc
027326
04/19/96
SITE ADDRESS:
P.T.N.: 10-03900-010-02
-5g? -50I HAWTHORNE WOQDS DR
LOT: 39 BLOCK: 2
HAWTHORNE WOODS 2ND
DESCRIPTION: ?
GAS FIREPLACE
tl'Wild-ing.,Permit Type FIREPLliCE
%Building 4ork 7ype NEW
Census Gode ?434 ALT. RESIDENTIAI
? . .
t
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L
4K=
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=?u
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i? 4"
w,:y.._;..an 13?•t?j:?":a ??
. . . ..Efi ._ __ ... ..
REMARKS:
FEE SUMMARY:
Base Fee $25.00
3urcharge $.50
Total Fee $25.50
CONTRACTOR: - Flpplicant - OWNER:
BUILDERS EXPRESS 15463777 NIERENGARTER KURT
845 BERKSHIRE LANE 502 HAWTHORNE WOODS DR
PLYMOUTH MN 55441 EAGAN MN
(612) 546-3777
I hereby acknowledgethat I have read Yhis application and state that the
informat3on is caCrec,t and agree to compiy wath all applicable Stete of Mn.
Statutes and City oF Eagan Ordinences. `
L ?.
?
? APPLICANT/PERMITE G RE
PERMIT
- - ISSU Y: SIGNATURE
CITY OF EAGAN
a?P 5830 PILOT KNOB RD - 55122
1996 FIREPLACE PERMIT APPLICATION
681-4675
DATE: hLD
DESCRIPTION OF WORK: ?INSTALL rlM FIREPLACE: _ WOOD BURNING
INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
AREA TO BE INSTALLED IN:
STREET ADDRESS: ?,?l T'nAAKAu Iuuu
LOT ?Lz BLOCK 15'- SUBD./P.I.D. #:
APPLICANT: (circle one only) OWNER
?S.S d
Y GAS
1)
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 5tatutes and City of Eagan Ordinances.
PROPERTY Name: Phone #:
OWNER Lu?j '""'
Signature:
Street Address•
City:
fIREPLACE Company:
INSTALLER
State: Zip:
? Phone #: ...? ?`'?1J! !
Signature: - , ' f / I
Street Address: . 1S 4?J Ba?U;AD(I License #City:P X4 State: ? Zip?
GAS LINE Company: Phone #•
INSTALLER
Name:
Signature:
Street Address
City; State: Zip'
I . I
OFFICE USE ONLY
BUILDING PERMR TYPE
0 14 Fireplace
WORK TYPE
0 31 New o 33 Alterations
0 32 AddiGon o 34 Repair
GENERAL MFORMATION
Census Code.
SAC Code
REMARKS: Chimney/flue must be inspeeted before eoneealing.
FEES
Pertnft Fee
Surcharge
Other
Copies
Total:
i****#***#*************#*#*************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 012
DATE: 04/14/00 TIME: 10:16:03
ID:
NAME: CUTTING EDGE BUILDERS
3210 9001 501 HAWTHRON WD 60.00
2155 9001 501 HAWTHRON WD 0.50
Total Receipt Amount: 60.50
CR126372
USER ID: JAN
...._..iyaaattii4***#********************
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
851-881-4875
New ConahucHon RaaWre manri Remodel/Reoair Reauiremenh
n J repiateretl alte wrveys fhowing aq. R d bt, aq. H. of house
antl gfi rooted areas I90X maxlmum lot covemae allowem
? 2 coples of plans (ahow beam 8 wlndow slzes; pouretl fii deslgn: etcJ
? t set W energy calculaNona
D J coples of irea preservaMon plan H lot plalted alter 711/93
DATE: 411 IW
DESCRIP'f10N OF WORK: ( y K? S °d? ? w I S? vS
0 60.50
Callcj 4(I1f b0
2 copiea of plan
1 set of energy cdcWaHons tor heated otlditlonf
1 s(te wney tor exteAOr addlflons a decks
CONSTRUCTION COST: WSO?00
STREETADDRESS: S-oI 1r[1,WR fMbvx WoaA 0.•.
LOT: 39 BLOCK: ? SUBD./P.I.D.y: NAA0YNe Wtln i tC 27
S'rY 1
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: "t?lm i lM Phone t: 7- dSl N
last Flnl
SheetAddress: S0) 4ReAL" u&JS 0, -
Cly State: Zip: ?OZZ
J
Company: lX&y WAawIy r OKS ?- Phone #: (JS r `j03-1Z''f g
(area code)
Sheet Address: MM ?'rCS &L& ucenae atO lS v 3q 1Exp, o+
City 12SL^i`-1 State: U'i` ni
Company: Name:
Telephone #1: (
Zlp: 5 Oeg
Sheet Address: RegishaTbn Y:
Cly
S1ate:
Sewer/water licensed plumber (if installina seweNwaterl: Phone #:
ZiP:
I hereby acknowledge fhat I have read this applicaHon, sYate ttwf ihe infomwlion is cortect, and agree to comply wHh an appBcable Stah
of Minnesota Statutes and CMy of Eagan Ordirmncea
Signature of ApplicanY. 31-' v C/%,
OFFICE USE ONLY
Certificates of Survey Received _ Yes J No
Tree Preservation Plan Received Yes No Not Required
- - ?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-piex ? 17 Garage O 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-piex ;ir18 Deck O 23 Poroh (screened)
? 04 02-plex ? 10 08-plex 0 19 Lower Level O 24 Storm Damage
? 05 03-plex ? 11 10-plex Pibg _Y or_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex O 20 Pool ? 30 ' Accessory Bldg.
z 9RK TYPE
31 New ? 36
0 32 Addition ? 37
O 33 Alteration ? 38
? 34 Repair O 42
GENERAL INFORMATION
SAC Code 01
No. of Units o
No. of Buildings ?-
Move Bldg. ? 43 Reroof
Demoiish (Bldg)• ? 44 Siding
Demolish (Interior) ? 45 Fire Repair
Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Ptanning Building
Permit Fee 6 G. S li
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 6 0, SU
SAC Units
% SAC
sq. ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
Ciry Water
Booster Pump
PRV
Fire Sprinklered
6G Engineering Variance
Valuation: $ oIOT)
(
? 31 Ext. Att - Muw
? 33 Ext. Att - SF
? 36 Muw
Z/3q
bb1b7174 1G; 11
..
3
? CERTIFICATE OF SURVEY
4 For VENTURA HOMES
SO/ HAWTHORNE WDODS O?/vIe
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rPi6Vr af.4ct',ao-D•?'?r.e cou.rrrY ?
?? /VD?I/` r ?p a?---? ' °p •
73 ?-
8sa
--`' ($3b• ?7
O)
GOT 39 /
ORAWAGE 9 UTILITY ?
EASEMEN7 PER PLAT ?
TOP OF MPE
ELEV.. BdO. 83 .{? ?
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IC. Page 2 af
PERMIT rK
? CITY OF EAGA N -
6-116'/y?-l
3830 Pilot Knob Road PERMIT TYPE: s u x Lo x N c,
Eagan, Minnesota 55123 Permit Number: 023891
(612) 681-4675 Date Issued: 0 6/ 16 / 9 4
SITE ADDRESS:
501 HAWTHORNE WOODS DR
LOT: 39 BLOCK: 2
HAWTHORNE WOODS 2ND
P.I.N.: 10-32151-3 90-02
DESCRIPTION:
Buildi.ng -P,ermit Type 5F DWG
' BUilding Work Type NEW
, U8C Occupancy ,. R-3 M-1
Construction Type V-N
/
? Zoning ` R-1
Build3ng Length
? 74
? Building Width 41
?
? B.uild3ng stories j 2
/
.i
l
REMARKS:
PRV S& W PL6R - STAR PLBG
FEE SUMMARY:
VALUATION $191.000
Base Fee
Plan Review
Surcharge
5AC
SAC 8
SAC Units
Subtotal
$958.00
$622.70
$95_50
$800.60
1@0
1
$2.476.2@
MISCELLANEOUS $1,828.50
Total Fee $4,304.70
CONTRACTOR: - Applicant - sT. LIC. OWNER:
VENTURA NOMES INC 17304003 0006706 VENTURA HOMES
2441 VENTURA DR 2441 VENTURA OR
WOODBURY MN 55125 WOOD6URY MN 55125
(612) 730-4003 (612)730-4003
?
I hereby acknowiedge that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
?
( P ICANT/P ITEESIG IATURE ?
ISSUE BN S URE -
-1
2csiql
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION 4- ?,50q, 'lo
681-4675
11 CP,9?? ;-r1'
STNGLE & MULTI-FAMILY 2 sets of plans, 3 registered e?uJ^?vays.; 135c?opy of energy
calcs.
COMMERCIAL 2 sets of architectural & struc R -? P?- f
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
JuNE? 4 Val uati on of work 2- Z?b t°O?'
Date
Site Address: SO l ?4P.V'4TNoRN?, 4-loonc? prztVe,
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK 2 SUBD. P.I.D. #
Descri tion of work: S?NC.A LE. raMI ?.Y i'D V.IF-C..LIIJG
The appl i cant i s: 0 Owner E?Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE M
City State Zip
Campany \/e7t-1TU12-P- Phone -730- 4?3
Contractor Address 2A-41 VE*-4TJ12-P t?wv? License # to-lD(.O Exp.
City State Ml-l Zip SS12_6
Company F?-0.V?GO Phone ?-7 2'O72T
Architect/
Engineer Name ? Registration #
Address ?`}'?? WP?I?f l?J?_Ohl p?l ?/?
City ?Af??•1.?1 State MN Zip 5512'2-
Sewer & water licensed plumber ?TP1?- P WM?1h1C? Pracessing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State af Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
Cities Di._gital
( Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
OFFICE USE ONLY
? ?
BUIL DING PERMIT TYPE ro 1 `
!
. ,?
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? r
16 iA ht
Basement Finish
R 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind.
11 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. 13 10 Multi. Add'1. ? 15 Deck p 20 Public Facility
? 21 Miscellaneous
WORK TYPE
El 31 New ? 33 Alterations ? 35 Tenant finish ? 37 Demolish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION -
Const. (Actual) ? Basement sq. ft. ) S? o MWCC System i
(Allowable)
"? lst F1. sq. ft. is cv City Water y
UBC Occupancy ?.
; 2nd F1. sq. ft. ;2??d PRV Required ?-
Zoning T Sq. Ft. total Booster Pump
# of Stories g Footprint Sq. ft. Fire Sprinkl er
Length On-site well Census Code -74?7-
Depth ;i33 On-site sewage SAC Code o/
APPROVALS Census Bldg
Census Unit
?
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
0`Footing
13 Final
$ Framing
? Draintile
12 Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
I vetuatim:
S ? o 0
7y%no
SAC %
SAC Units
Y
I ?
?-^
2H?
-?
?S?vz 10` ?
Y3,s•.. ?? ? l?y
t'?:,
-?
i??'; ,T "z.?; ?
, _
06i09i94 12:16
CERTIFICATE OF SURVEY
For VENTURA HOMES
002
SO/ HqWTH?NE tNt?odS GoP/vE
PROPERTY DESCRIPTION: _ Lot 38, Block 2, HAWTHORNE W40D3
2ND ADDITION, Dakota Caunty, Minnesota.
We hereby certify that this is a true and correct survey of the abave descxlbed property and that it was
pertormed by rrte or under my direct supervision and that I am a duly Llcensed Surveyor undar the
Iaws of the State of Minnesota. This survey does rtot purport to show atl impravemants, easements
or encroachments, to the property except as shown thereon.
Signed this day of ?u??? , 19 9/ James R. Hill, II1C.,
jg gy. . ??
Gary R. arcis, Minnesota lS. No. 10943
EAAGAlU WGDM&ERJNrG. .
Notes:G°?oG°?aMo ? r'QCJ?6?=?Lr?'
1. Building dimensions shown are for 0 Denotes set iron manument
• Denotea found iron monument
horizomtal &rtical location of structure aniy. x 827.68 Denotes exisUng elevetion
See', archit ctural plans for building & (830.00) Denotes proposed elevatlon
foundation dirrhensions. -410- Denvtes propnsed drainaye -
2. No? speoiflC soils investigation has been gench Merk: -
completed on this lot by James R. Hill, Inc.
The suitability of soils to support the specific Proposed Garage Ploor= Sa(n. e
house proposed is not the responsib+lity of Proposed House Top Block= eaF+ I
James R. Hill, Inc. or the surveyor. Proposed Garege Top Block= ajh. 4
3. Proposed grades shown were taken from ProPOsed Lawest Floor= R40, o
the gradine BJor developmsnt plan prepared by EA 8egings are on assumed datum
McCOU?6S FFiANK pOOS ABSOCIATESJNC. $C81B: 7??= 3O?
REViEWED Psgelof2
WY S .
.44p o <? oF 11 )an''i'es . Hill, inc.
> S m ? Z PLANNERS ! ENGINEERS / SURVEYORS
z ?q 0 m
V p m y i? <
2500 W. C7Y, pD, 42 • BURNSVtLLE, MN. $5337 • 612•890•8044
06i09i94 12:11
I ia
CERTIFICATE OF SURVEY
For VENTURA HOMES
501 HAWTHORNE WDODS OR/t/E
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A/ " "5,0'47 a.r
r??? f (836.87
?8?4•Q? /
GOT 39 /
bRA1NAGE 9 UTILITY ?
EASEMENY PER PLAT ?
r TOP OF PI EK
ELEV. - BdAP' . A+,{ 4 ?
n
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BENCH WARK
• TOPOFPIPC R. Hil
ELEV,.00,LB James
993
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LOT SIIRVEY CBECRLIST FOR RE6IDENTIAL
BUIL
PROPERTY LECiAL•
Registered Land Surveyor signature and company
Building Permit Applicant
Legal description
Address
North arrow and bor scale
House type (rambler, walkout, split w/o, split
lookout, etc.)
Directional drainage arrows with slope/gradient %.
Proposed/existing sewer and water services
Street name O
Driveway
entry,
Existina '
p? ? ? • Sewer service
01?0 0 • Lot corners
B' ?? • Top of curb at the driveway
2, ? ? • Elevations of any existinq adjacent homes
provosed
D- ? ? • Garage floor
01?0 ? • First floor
[-?? ? • Lowest exposed elevation (walkout/window)
ol 0 0 • Property corners
CY? 0 • Front and rear of home at the foundation
PONDING AREAS (if aDplicable)
0 ? ? • Easement line
? ? ? • NWL
? ? 0 • HwL
? 0 ? • Pond # designation
0 0 0 • Emergency Overflow Elevation
DIMENSIONS
tr' ? 0 •
0? 0 ? •
a' ? ? •
@'D ? •
? [YCJ •
Lot Iines
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footinqs)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
existing homes
Retainina wall requirements, if any
Reviewed;
October 1992
Date of Survey: Ca / y/ Y?/
?
s?
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10
TL.
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37
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39
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HYDRANT
6"X 6"TEE
6? i/16 BEND
-- _6"
L 141 /
? I ' •
?
12 )
?
` Qr ?AGAN DOES f?0 i GUARA•E -
•;;;? ?.??JRACY OF UTILITY LOC 10N?
f.NJlO,l+ ELEVATIONS. THIS DATP. IS FU? _
iiON PURPOSES LV A !D? ,?---
UvIf?G IT SHOUL V??:'.?Y T??
;;._;,: ,:. :-giioNOR THE SI7E.
------
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6" DIP ST B (
BY CITY- RE
PLUG EkE XTT
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UTILITY S!ER'
FROM DIF?LE
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PURPOS 5 91,1LY APdQ
"AN '
AN IT YNI
R.E. 65 .6 USNG 67 StfO LD VERIfY THE:
NQ. 147 CUNQER CIT.
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LY MAN DEYELOPti
?{? McCombs Frank Roos Associates, Inc. 300 MORSE AVENUE ( P0. BC
MINNESOTA STATE ENERgY CODE CALCULATIONS
BASED ON CHAPTER 5 OF THE ?a_ ?Zq
MODEL ENERGY CODE - 1983 EDITION -f I
Adoption Effective
Owner Phone Date
Site
contr;
Building Classification: Type A1 (Single Family & Duplex) 47
Type A2 (Residential, 3 stories or less) (OVer 3 stories) (Other)
NOTE: Comnlete pages 3 and 4 first. GENEItAL INFORMATION ?tb ?Tk
1. Building PerimeterU d(Lrt^r? ft.
2. Wall heiqht (ground to eave) ft.
3. 1. X 2. (above) qross wall area sq.ft.
4. Building dimensions (L) ? X(W) r =M -> Bq.ft.roof & floor area
5. Sq. foot area of rim joist - F1Qor joi t size (2 X
1?2 X (Perimeter) _ 334 sq.ft.
12 •
6. Doors - Area (3?
Thickness in U. factor ,14 +, 41
Type of Construction Perimeter ft.
Manufacturer_
7. Total door's perimeter ft.
8. Windows:
U factor
approvad
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
GI66 l? ?/O ? ,) p A
t rr ?s EACH UNITS SQ FEET
9. Total sq.ft. Glass -21 5??
10. Fireplace area: Width X Height = X = sq.ft.
11. Exposed foundation: Height X Perimetar ,(D 7 X?_=?sq.ft.
COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL
CODE ALLOWANCE, IS USED.
-1-
12. Framing area = lot of groae wall area.
0
13. Groes wall area i 7
1 sq.ft.
Window area A,.sq.ft. U windows
Rim joist area Asq.ft. U rim joiet= 04
Door area A_ "r71 sq.ft. U door srea= ?14
other doors area A?_sq,ft, U other doore= L
Exposed fndn A- II(_sq,ft. U foundation= ?d (?
Framing area A3749, sq,ft. U framing area=,,R,5?
Net wall area A 7i ZiI sq,ft. U wall= ?m/
(13B) TOTAL . . . . . . . . .
404- 3Zq
UxA = _Z/O
UxA =
14-
UxA = 7
UXA =
UxA
UxA = fS
UxA = I 191
UXA = J 3 Z
14. Gross wall area x 0.11 (A-1 einqle family & duplex) = allowable UxA/Code
(13. above)
x 0.23 (A-2 other residential)
x .23 (other buildings)
x .28 (OVer 3 etories)
-7 BTUH must be larger than or same
x U Code! ????_ °F. as 13B above
15. Ceilinq framing area (Af) equale 103 of ceilinq area
15A. Gross ceiling area = (L) ? x (W) ? _ .&&--sq.ft.
158. Joist area (Af) Q 10$ ceiliTlq area sq.ft.
15C. Net ceiling area (Ac) (15A - 15B) = I 41f, Z sq.ft.
U ceiling x Ac _ Li -tZ x?0 LZ = ?1
U framing x A f = I S?' lJ x . a23 =_Al,
15D. TOTAL U x A ................... ........ .., 7,57
16. Ceilinq area (15A) x 0.026 (A-1 sihqle family & duplex)
= allowable UxA/9ode
x 0.033 (A-2 other residential)
x 0.06 (other)
?/_ ) BTUH must be larger than or same
A(15A)l9 x U Code -QL? =?1 °F. as 15D above
NOTE: Use U anc9 A values obtained from pages 1, 3 and 4.
QERTIFICATJ.QL{: I hereby certify that I have calculated the "U" factore and
"R" valuea hereln and that the buildinq here described meeta or exceeds the
State of Minnesota Pnergy Conservntion Act.
Date signature
-21
,
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 501 Hawthorne Woods Dr
Lot: 39 Block: 2 Addition: Hawthorne Woods 2nd
PID:10- 32151- 390 -02
Use:
Description:
Sub Type: e - Underground Sprinklers
Work Type: Underground Sprinkler System
Description: New
Meter Size Meter Type Manufacturer
Fee Summary:
Contractor:
Preferred Plumbing
6400 High Point Trail
Prior Lake MN 55372
(952) 447 -5761
Dan Clough
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
PL - Permit Fee (Res Modifications)
Surcharge -Fixed
- Applicant -
Serial Number
$30.00
$0.50
$30.50
Owner:
Timothy S Anderson
501 Hawthorne Woods Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Remote Number
Comments: Permit closed without required inspection(s). Letter sent to applicant on 02/24/2009.
0801.4087
9001.2195
Issued By: Signature
Plumbing
EA083413
06/06/2008
ePermit
Line Size
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Cityefaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
JAN 1 4 2016
Use BLUE or BLACK Ink
L
For Office Use
i_
Permit #: 1 `�,"[ 1 OU)
Permit Fee: 00
Date Received:1-- I Li "
Staff:
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: ,'lIVII° Site Address:50i \4CCCI'3 +T`1 e. EQTLI
Tenant:
U 1163 ISL JCC
Address:I7y-q� (,�/\�,c
State: M N Zip: inn 12`-t
Phone:
Suite #:
Phone: X51 ' 431 " 5/S(.0
�v- 1 ea an 5512
License #: I4 I J +114t113 (+Nw
City: PL \A. LE ;\/
-2z\ - 3n3
'I i a
Contact: ifTMR\ Email: RNaCkl lmV Oir tO (3 I t -Car
New Replacement Additional Alteration tJ Demolition
Description of work: IGCe 14•;A)G' nce
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under/Above ground Tank ( Install / Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
_ $ • 00 TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
$
$
=$
Permit Fee
Surcharge
TOTAL FEE
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 sta 'thout a perms hat the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
\ivera,
Applicant's Printed Name
x
Ap
ant's Signature
For Office Use
�* y Permit#:
EAGAN
`
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinqinspections(a)citvofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: a 1 Al L VI Phone: c 1 z 'i 3"l -J "1
ct
Resident/
C3wner Address/City/Zip: 5c7 J HtW 1 W' i Af✓O0,d(5 f R;v' 5-3123
Applicant is: Owner Contractor
Type of Work :{
Description of work: 1-Ke, P�•
Construction Cost: /40 Multi-Family Building: (Yes /No
.. ...: _ _ _m... ........ ..
Company: C-/ r� Bay CC/,l,S tr.) Ct IA Contact: A°r‘TY)C-l'"\ aQ i).eK
Address: 2,•S 2 ) Uft( " 4v s City: $T (4i)1K
Contractor n" /
State:/11/V Zip: v�.]1 2/U Phone: 612. 2'ii J20EmaiL
• License#: 6(..,6c133() / Lead Certificate#:
If the project is exempt from lead certification, please explain why:
. � �e I r— u i ! rN, 10 01 al rTOr
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:
Fire Suppression 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-.ublic if oer ®rovide s ecific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(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 lans. //ti. ,
Applicant's Printed Name Appli nt's Signature
r For Office Use
II
�I Permit#: S C/c/ (C
E AG N
„h.__ 4..'. Permit Fee: /-9 a 5"
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinoinspectionst citvofeaoan.com
2019cRESIDENTIAL BUILDING PERMIT APPLICATION
Date: (9- - / Site Address: Unit#:
Name: YI(^'1 Lel urs Phone: 6-1 2- 1 V sg
Residentit
Owner Address/City/Zip: ceri✓e
Applicant is: Owner contractor
Type
of Work ` Description of work: LA-1h 0'✓ A e r 13 l,,.r` 1 047,41'
026 I
Construction Cost: i 0 l/OU Multi-Family Bui ding: (Yes /No \)
, fCompany: (tel ty Bo/ (G�►s'n h1.Ti/t1 Contact: G1 T
Address: 2S2-( O/1 1-j � �'cs City: „Cr �(4/,) /°i
Contractor / ID
State Zip: 677-14.2-4 Phone: CMZ- 7 82 Email: �d�dl tnr c,k. ,f7 c, 6(64-144.LtAi
License#: 9L. (Q.g3.3 C/J Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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 JNo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the Information maybe
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gooherstateonecall.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. 'may
App' ant's Printed Name Appl cant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163598
Date Issued:09/08/2020
Permit Category:ePermit
Site Address: 501 Hawthorne Woods Dr
Lot:39 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-390
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 -
James Lowe Jr
501 Hawthorne Woods Dr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature