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505 Hawthorne Woods Drt CItY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 - INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: f:U 1 1 YI I fJ(I ?i.•'{v 3 ?, S{TE ADDRESS: I t?'I' Ei t. I.)[: I , II;0J ( iliitrPak PERMIT SUBTYPE: i !11,1, f3??" I? l7?1 (1 H R tl !:i 4 0 N'_ti I l fi t r' 1 t Fi 8 It 4? TYPE OF WORK: INSPECTION ., . .A ? ??r•.ri i iJi, ! i?lll.il 1 IJ I I I;?? ul?t,rr ? N Jr I : IlI;?I 1 I Hi. ?•Ir?I V itE Mqt2! 2% i-.i E'1. rSR 1'Ak`A:IN 1'LKti ? Permit No. Permk Holder Date Telephone # S/W PLUMBING 7?y cg j q v; gga` HVAC ELECTPAC" A5(p ELECTRIC Inspection Date Insp. Comments Footings I Foundation ? G / Framing 7 Roofing Rough Plbg. IJ 7 e-_r Rough Htg. IsuL ? 7 4- G??J Fireplace Final Htg. 4 orsat Test r I, Finat Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Pian Bldg. Finaf , d 7 G & ? / 1 Deck Ftg. ? ? Deck Final Well Pr. Disp. ! Q?._7--7 IYd . ' ? O 0 / Wertificate vf Cccuoancv witv of Cfagan TepwAmcat of 13x0* 3u6pectina This Certificate issued pursuant to the requirements of the Uniforrn Building Code certifying tiwt at tlte tinee of issuance this structure was in cornpliance with the various orrtinances of tJre Ciry regalating building canstruction or use. For the fodloweng: use citaificadno: SF ' ald,_. Permit No. 23Q j9 OcrnWncY iy'Pe R3/r+I ZoninB Dr.wu-t Ri TYPe ConsiWN OvoeroCBuildiog?+? WS. OMM. pddrru 1704 28M ST W. NM PRAM &eldiag Addrrss 505 HAMM WIM DPdW l.oaiiry 138s ?, H&MME W= 2M Di1C , BUMtI1g 0frMil P POST IN A CONSPICUOUS PLACE ? ` 7 ? REQUEST FOR ELECTRICAL INSPECTION "'o?j nnn ee-ooooi-oe 7a? ? ? Sea instmcLO^t for wmple0ng this lorm on back ol yellow copy. ?1i?r 7 q . z _ C 395 1 ."X" Below Work Covered by This Requesf ?•m,•? ew A Rep TypeofBUilding AppliancesWired EqmpmentWired Home Range Temporery Service Duplez Water Heater Eleclric HeaNng Apt. Bmlding Dryer Load Management CommJlndustrial Furnace Other (SpeciTy) Farm Air CondiUOner Olher IsV.,fYI Confractor5 flemarks Compute Inspechon Fee Below # Other Fee # ServiceEntranceSize Fee # Crtcwts eders Fee Swimmmg Pool 0 to 200 Amps 0 to 100 Amps ? Transtormers Above 200 _ Amps Above 700,_ iiimps SIgf15 . Inspector's Use Only TO AL Irrigation Booms Speaal Inspection AlarmlCommunicaaon THIS INSTALLATIO AY B 0 EPED DISCONNECTED IF NOT ' Othei Fee ' COMPLETED WfiW 18 TO% I, the Electrical Inspector, hereby Roughin r a?e7 1) certffy that Ihe above inspection has been made. Final Date OFFICE IISE 3NLY Tlus reciuest vmtl 18 months irom ? Repuest Ua[e ne o Roug?-in Inpsection Reqwratl Inspection OMer T n liough-ln (YOU musl call inspeqo? when ready) ? qeatly Now II Notly Inspector - Yes ? No Dete P¢aGy r icensed contractor ? owner hereby request mspectwn of above electrical work 7t: Joo eareas Bbeei. eox or qame rvo 1 Ciry I TTaSecimn No wnsM1ip Name or No I Ra? ^ Y ` Count • ' Occupanl IPqINTI Lj0,2 Phone No. L N2W .I-c ?- "i Power Oher Atltlress r bV?erYP?. ?f'f O.I (? ... .F.??s !'N.n p .V ? Elecmcal Co dor (?mpany Name) Conlreclor's L¢ense No ? •--4G Matlinq ress IGOnlractor or Own Making Installation) ? o Autnm2Etl alure ICOnlratlo Owner Makm9lnstallalion? Phone Number t>;;T-a MINNESOTA STATE BOAHD OF ElE THIS INSPEGTION REOUEST WILL NDT GriB9a-MlEway BICg. - Room S473 BE ACCEPTED 8V TNE $TNTE BOARD 1821 University Ave., SI. Paul. MN 55104 UNLESS PqOPER INSPECTION FEE IS phone (612) 15,12-0800 ENCLOSED Address 505 HawltME knpDS DxivE Zip 55123_ Lot' ''38 Blk 2 Sub HawnDrzrE WOOns 2nm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: /4 7!? Yes No Inspector: PIP Final grade (6" from siding) vl? Permanent steps (gazage) Permanent steps (main entry) ? Permanen[ driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish ? Deck Please verify wi[h [he 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 exisu. Contact engineering division at 6814645 before working in right-0f-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contrector Copy 2005 RESIDENT7AL BUII,DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 13 g- ??. Telephone 0 651-675-5675 FAX # 651-675-5694 New ConsWdion Reouirements RemodeUReoa'v Reouirements Office Use Onlv 3 registered site surveys showing sq. R, of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Surrey Recd _ Y_ N (20%maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N, 2 copies of plan sfwwing beam & window sizes; poured found design, etc. 1 site survey for additions 6 decks Trea Pres Requlred _Y _ N 75etofEnergyCalculations Add'diar•indicafeHOn-sdesepticsystem On-sileSeptic5ystem _Y _N 3 copies of Ttee Preservation Plan d lot platted aRer 711193 Rim Jost Oefail Options seleclion sheet (buildirgs with 3 or less uniGS) nstruction Cost? ;7 i O ? a . 1'e Date ?' C ?/ ,( / ? o Site Address FjU ?j rTYTw r R ? r=-r ?e, WOI.C?u??. • Unit/Ste # DescriptionotWork ?Zo I Yf9'Ci`?,9 2- llVln/'/?C'"Ws ?SR'YYU ?????5 1 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 r' Property Owner ?i FYyYI 4?pYO?'il( U F1'?1 I'?L 1? `??7I_ Telephone #( 1D1) ?J,91' 7q7g Bucfget Exlerion Contractor 8017 Nicollet Ave S. Addres: Bloomington, MN 55420 t'? S(Ij City State pH: 1-877-310-1742 U Zip - FAX:1-952-887-1659 •??,t'?1?'?" Telephone #( ) COMPLETE THIS AREp ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate? Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Caltulations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( p I\V/ ?- 1 Mechanical Contractor Sewer/water Contractor APR 12 2007 Telephone # ( Telephon-a #( I hereby apply for a Residential Building Permit and acknowledge that the informarion is complete and accurate; that the work will be in confortnance 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 wluch requires a review and approval of plans. ? V kt'YLW'FI- ?JGH-iLltk7 C: 0 Applicant's Printed Name Applicant's Signature Sub Types OFFICE USE ONLY I ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 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 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Oemolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation REQiTIRED INSPECTIONS Final/C.O. Final/No C.O. _ Plum6ing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucca _ Stone _ Bnck W indows • _ Retaining Wall Approved By: , Buiiding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 911 1 cv CITY ()F EAGAN 3830IPilot Knob Road Eagan, Minhesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: ? BUILDING 023919 06/22/94 I SITE ADDRESS: P.I.N.: 10-32151-380-02 505 HAWTHORNE WOODS OR LOT: 38 BLOCK: 2 HAW7HORNE WOOpS 2ND DESCRIPTION: ` Building'Permit Type SF DWG 6uilding Work Type ' NEW UBC Occupancy?_, / R-3 M-1 Construction Type V-N % Zoning ? R-1 Building Length 67 , Building Width , 48 - Building stories ; 2 - ??-? I REMARKS: PRV 5& W PLBR - PAR30N PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge 3AC SAC ? SAC Units 5ubtotal $1,073.50 $697.78 $112.00 $800.00 iee 1 $2,683.28 $224,000 MI5CELLANEOUS $1,828.50 COPY $.50 Total Fee $4,512.28 CONTRACTOR: - Applicant - ST. LxC. OWNER: GEROLO BROS CONST 17582842 0001115 GEROLD BROS CONST 1704 280TH ST W 1704 280TH ST W NEW PRAGUE MN 56071 NEW PRAGUE MN 56071 (612) 758-2842 (612)758-2842 Z hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State of Mn. ? Statutes and City of Eagan prdinances. - APPLICANTIPERMITEE NATUR'? ISSUED BT. SI ATUR INSPECTION RECORD CITYOFEAGAN PERMITTYPE: 3830 Pilot Knob Road suxLozNG Permit Number: Eagan, Minnesota 55123 023919 Date lssued (612) 681-4675 06 /22 / 94 SITE ADDRESS: APPLICANT: LOT : 38 BLOCK: 2 505 HAWTHORME WOODS DR GEROLD BROS CONST HAWTHORNE WOODS 2ND (612) 758-2842 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION FOOTIN6S .. . FOUNDATION .. FRAMIN6 ROOFING INSULATION FIREPLACE ROUGH IN PLB6 ROUGH ZN HTG FINAL PLBG FINRL REMARKS: pRV F L ? 1 ? S& W PLBR - PAR50N PLBG , i • i r , , ? , , ? ? '3 I51q19 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit r???? energy calcs. ,f U z?d 1 4 1994 COMMERCIAL 2 sets of architectural & structu al plans, 1 set o specifications, 1 copy of energy a?cs..--_________ Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work ? o?d `f? ooc7 Site Address: I.2 ' ? SUITE M STREET Tenant Name: (commercial only) IAT 3Q BLOCK [Tt-C.W ?hcA'' ?tJ P.I.D. # Descri tion of work: 1?32UU The applicant is: ? Owner lYcontractor ? Other (Describe) Name Phone Property LAST F[RST Owner Address STREET STE # City State Zip Company -er S, ?S Phone 7S8-dW`?9'\ Contractor Address /7o c! 2Po t?` S?.- (-e> ? License #c1:1011IS- Exp. q, S- City O'CC_z.) 7"?Zcu62- 5tate (A?...1 Zip 6v') Company Phone Architect/ # S Engineer cU(nC7 Registration Name Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? ? Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?& 02 SF Dwg. ? 01 4-Plex 0 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck WORK TYPE ob 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) ? Basement sq. ft. ]?G (Allowable) ?,? Ist Fl. sq. ft. ?c? UBC Occupancy ? 2nd F1. sq, ft. Zoning ? Sq. Ft. total # of 3tories Footprin t Sq. ft. Length ? On-site well Depth _wm_ On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard C3 Footing El Final % Framing ? Draintile a Insulation [r 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: vet?t;o,: S a d ?GUv a- r?w s 02iet? av /4,.? OACI D d '--` ap, ,kao =?(10 tz k t6 = ??Y???,?sf = 3S7,K ll ic/ , nk , ? ?. ,. _. w w «• `a.....? ? 16 Basement Finish ? 17 5wim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System _k City Water I)r- PRV Required Booster Pump Fire Sprinkler Census Code ? SAC Code U / Census Bldg / Census Unit ? Assessments SAC % SAC Units U W. J W m (1) < ? 0 ? Q w a c m W y U ] ?0 0 • e? ? o • e`? o • H--0 D • B"I] 0 • 8'10 0 • O?e] 0 • 13 • 10 B?6 ? • LOT BURVEY CHECRLIST FOR RESIDENTIAL PROPERTY LEG DOCUMENT BTANDARDB Registered Land Surveyor signature and company Building Permit Applicant Legal description Address North arrow and *er 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 Driveway entry, ELEVATIONS Esiatina ? 0 0 • Sewer service 8? 0 0 • Lot corners ?j] ? • Top of curb at the driveway p?? ? • Elevations of any existing adjacent homes Provose8 ?p ? • Garage floor B' ? 0 • First floor j}- 0 ? • Lowest exposed elevation (walkout/window) p/D 0 • Property corners ?0 0 • Front and rear of home at the foundation PONDING AREAS (if avplicable) ? C? 0 • Easement line Q ? ? • NWL ? V ? • HWL 0 C??C1 • Pona # desiqnation ? C( 0 • Emergency Overflow Elevation DIMENSIONS CY p [] ? ? 0 • • Lot lines Right-of-way and street width (to back of curb) ? Q' 0 ? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all ?p ? • structures requiring permanent footings) Show all easements of record and any City utilities within those easements ,0? p ? • Setbacks of proposed structure and setback of adjacent ? p? ? • existing homes Retaining WA:?* r,jqj&f'ements, if any Reviewed: 'J^ October 1992 Date of Survey: ;I 1 37 M.H.2 51.r. Po.c. ze+i 38 ? .611 ? . . . .? ?a+se , 9 10 0 ' . BEND / NA TME C F EAGAiV DOES P', ", C?Ut'tiAMi ,-'--E l'FiE ACC RACV OF UTILI"Y GCCATIONS AND/OR LEVATIOIVS. 1'HI DAiA 13 FOR OIV PURPOSES OP:L`! AiVD .:.Jn UvING IT SNOU',D VL,-,.i Y THC i?3 iN OVTHE S ITE. ,? S - D R I 12 -I / 39 HYDRANT ?6"X 6"TEE 6°-I/16 BEND ? is' 1 ? --. ., . 15 ? NI > CD I I ' ?-- ------- ? - ? ,----- - ? ? . --- r-, i i L_J ,? c f ? ?? J ? '?? ' ?p L.F_g'P?I.G. ° Ia 64 SbR .35- . , _ . _ . P J? a? PROF! 15"FfCP 1... .. " .. . . ... . . . ..?.. .. . . . . . . ? ' ? .. • ' ' ' .. ? . . . . ?... A ;1 . .. 1 ? .? ' '. Q? O .. .... .. .. ... •?... .. ..... ?. . _ _...... . . . ? ' ? ? ...-. ' .. . . .. ? . . . .. ? . . . . ' ?. .. ? .. ... ? . ? " . . ... .. . ... ..? ? . .. . ...... ? ' R 35-7•7 p0 ... _ ... . m `° • _ ' i . ?? yu? ? ...? w m. . 268 L.F. - _ „ _ _... _ 9 B11 Pv ? ° x . io ao - suR ? n - _ o. ? . . . . ... _... .. _.. .. . . . .. ... ...... _..... -- .,.. . ... . . _ , ? M.. . - ... . ?. ? ' ld lC , , . . . , ..,.. , . .. . . . .. ,. . . ? , . . , .. ... ? ., . , , . , . . . . ... . ... , . . .. _ . ... F N.. , . . . . .. . . ? .. .. N... 7 R _ . . . .. ... . . ... ? - ' CO °°._ . 32 ._....__._......_.. :: : :: 31 ...._. . .. :....... . ...... :. .._.....: .. _:. 30 .?. . MIER: ;ITE AODRESS: :ONTRACTOR: DATE: ? ? DETENIINE WORKIHG SOOARE FOOTAGE OF EACH: 1. TOTAL EIIPOSED uAll AREA,,,,,,,, ya04 sq ft x'11" • t. TOTAL ROOF/CEILIN6 AREA,,,,,,,, sq ft x"U" _??? ). TOTAI EXPOSEO WAII AREA CALCULATIONS: Total exposed wall •rea aDove floor,,,,,,,, sq ft ? • t a) Total watl wtndow area: ? D? L 9lazed...... 39? 7 sq ft x??U?? O? x glazed...... ?- sq ft x "U" ? b) Total door area /, 3 sq ft x"U° e) d) Total slidlnq glsss door area: D8 6 glazed...... ? sq it x"Un ? qlazed...... sq t x U -- ? Total flreDlace wall area a) Total wall framing arca (Avera9e 10t)......... sq ft x"U" ? ? f) Total net waii area above floor (Insulated)....... v?3y? ? sQ ft x"U" • DyG ' ??1 ?,9 g) Total ?(a? )oi:t area...... 3( sq ft x"U" . 041 3' - 13 . Total fcundatlon area (Exposed).......... ? 9 a sq ft h) Total foundstlon ?? wlndow srea ............. C) sq ft x"U" • t) Total net foundatlon , n de bove sq ft x"U" • ?03 /9' ? ' ' ........ 9 area a _ ? TOTAL a) thru 1) ? 3yg If (tem P3 Is the same as, or less than (tem '1. you Aeve mct tha Intent of 2 MCAR 1.16008 A acd 0. FXTERIOR ENYELOPE AVEiIAGE "U" COMPUfAT10N ? ? X N I a , Page 1 ?.,'ibTA1•EXPOSEO ROOF/CEILIHG CALCULATIOMS: Tota) exposed ?y ft ro.ot/cOilin9 area........ - J) Totgl skyllght ares....... - ?) Total roof/celllnq framing ,_., ? sa ft x"U" • 02 ?. ? ?? ? area (Aver+ga In1t) ......?y D i) Tota1 eet fnsulsted , .0 1$ '. roof/celllna ares....... sa ft x'U„ TOTAL J) thru i) 4. " If totsl of th Is the same as, or less than I2s you have met the intent of 2 MCAR 1.16008 A and 0. . ALTERNATE BUILDING ENVELOPE DESIGH the val of ttems /jtandtl!4ashallen te6eygreatertthan the sumuof ttems'llhandb/2t? s? 1 . + 2. a . -- 3. + M. ' • C E R T 1 F I C A T 1 O N 1 her eby certify that 1 have caleulated the "U" factors and "11" values herein snd that the buildtnq here descriAed meets or exeeeds the State of Minnesota ftfergy Conservatlon Act. 5 qnsture (Oate) pege 2 ? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. .;,<? NEW CONSTRUCfION I ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE S? FEES HVAC: 0.100 M BTU $ 24.00 ADDTTIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@$3.00 EACH) S' /S': DD ADD-ON/REMODEL (ExtsnvG CoNSTRUC[zoN) $ 20.00 STATE SURCHARGE .SU TOTAL SITE ADDRESS: // c`2 aj 74 e4 N Fi c OWNER NAME: ,5._11 So`1 aalt 15'f2 TELEPHONE #: ( 3" 4 4 ? +'?-?" SI NATURE OF RMITTEE 1994 MECHANICAL PERMIT (RESIDENTTAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 CIT'Y: Na STATB: A4fJ ZIP CODE: TELEPHONE #: PLEASE COMPLETE FOR ALL COMMERCIAI,/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII,Y BUR,DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTI'. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: CONTRACT PRICE: $ 1% OF PFEE PROCESSED PIPING: MINIMUM FEE: STATE SURCHARGE TOTAL FEES $ $25.00 $25.00 $.50 FOR EACH $1,000 OF MM FEE. $ STTE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLI) INSTALLER: ADDRESS: CITY: TELEPHONE STATE: ZIP CODE: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWN,HOM-ES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NO. FIRTURES EA TOTAL, SHOWER 3.00 G . . ? WATER CLOSET 3.00 - ?? BATH TUB 3.00 ? ? LAVATORY 3.00 ` - ? KIT'CHEN SINK 3.00 ?. . `_. _L LAUNDR7' TRAY 3.00 3 HOT TUB/SPA 3.00 3 ? WATER HEATER 3.00 ? FLOOR DRAIN 3.00 GAS PIPING OiTTLET •-ini-i m -1 3.00 3 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 ' PRIVATE DISP. • netiay. sc. 20.00 U.G. SPRINKLER • eome uneer consL 3.00 ALTERATIONS ' to evsting 20.00 " WATER TURN AROUND 20.00 , ?'?•`oo" , STAT'E SURCHARGE .50 TOTAL: ?, 7s ,sd SITE OWNER SI T RE OF ERMI?TTEE 1994 PLUMBING PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 CTTY: 1VO ?D^-i eiG STATE: t"?/ ZIP CObEs?-? PHONE #: (G/ 2,) PLEASE COMPLETE FOR ALL COMMERCIAL4NDUSTE2IAL BLJILDINGS. ALSO'POR'MUI.TI- FAMILY BUILDINGS WHEN SEP.ARATE PERMPl'S ARE NOT REQUIRED FOR EACH DWELLING UNTI'. _ NEW CONSTRUCTION ADD ON _ REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: I% OF CONTRACT FEE, STATE SURCHARGE s.50 FOR EACH $1,000 OF . FEE, MINIMUM FEE: $ 25.00 x''"° ` CONTRACT PRICE X 1% STATESURCHARGE TOTAL SITE ADDRESS: $ $ $ TENANT NAME: STE. # OWNER NADE: . INSTALLER: ADDRESS: CITY• PHONE #: STATE: ZIP CODE:.. . FOR: CITY OF EAGAN A,ppLICANT 1994 PLUMBING PERMIT (COMMERCIAL) , CITY OF EAGAN_ 3830 PII.OT KNOB RD FAGAN MN 55122 (612) 681=4675 _ _ yA . ? SUI! 35 194 10:26 TO 440 7275 (?BL;';) [SENOTES EXIS'1'1tJCa ELEVAT{UN C 853 3 ) DENO'PF-S PROPOSEU ELEVKfION ! tNDtCATES UIRECf10N UF SURfACE DRAtiJAGE 53, FINISHEU QAftAUE FLUOR ELCVP;TIDN $4S,L9 o BASEMEN'f PL0011 ril-CVAfloty i'UP Or POUNUA, iUW f_LCVA1'1UtJ CONSUI.TINU ENOINEEhS e]Oae P4(iNt4El15 ond lfltlD fUf1UEVO1IS RrfcmNGINF-f-RING COMPRNY, INC• 1000 EAST 1461h SIREET, BUfINSVILIB, MINN66DTA 06337. ?egal Description: SGALE : 1' a Ao• . a? ADOR6`?5: 505 NAW"lNORNE WoapS AIL. 1,9', ?8 u.,,cN rnARK : TN H 4r N0R7NEA?i"r -?lbe8 IAT CORNElC. ' roLzv. 3 849, r3 m ? x? dl? ?-J ; ?aa, 7 ,. 6E204,0 99as. Co.vsT. ;§L639Z•o/ 8K2i4 rrt aaa-aooo IFIGIATE OF SURVEY 3 ? ?o ? a y ----------------------- FROhi PF.OEE Etdr_,IflEEPItiu T-157 p.0_ ? 8 •? /'?•s.1 L? , .?y8 al?? , ? wa ? , . ., .1 _. ;'. 0 ? `a, , • 2 3o Ft, MON7 94111oi,ve ,- 43, $6TBACX L/NE Cb Huer /o 6-.9L 4' °•0 43 ? /1 ? 44 ?N4 -jTkA/NAGE AND / UT/G?7Y EA.?ENIENT ? EAGAN ti REVIEWEG .? cti•, . _._----- N por??- ovo R ??? ; :8?'??'• c:oiLlLy L'11n' l:lil.?a 1? tt Lrua, aiiQ oorrec?areal?y`lue?l:lile U'?_, ?,r1 l?erek?y lan?l as ekioo-qii aiicl aiy q.? ea liareo}i, , Aa prep City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 505 Hawthorne Woods Dr Lot: 38 Block: 2 Addition: Hawthorne Woods 2nd PID:10- 32151- 380 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Property Claim Solutions LLC 4655 Nicols Rd, Suite 202 Eagan MN 55122 (651) 994 -2028 Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 $1.50 $90.00 Owner: William L Sandifer 505 Hawthorne Woods Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Building EA084098 07/08/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA111115 Date Issued:06/12/2013 Permit Category:ePermit Site Address: 505 Hawthorne Woods Dr Lot:38 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-380 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - William L Sandifer 505 Hawthorne Woods Dr Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA130440 Date Issued:04/24/2015 Permit Category:ePermit Site Address: 505 Hawthorne Woods Dr Lot:38 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-380 Use: Description: Sub Type:Residential Work Type:Alteration Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Deb Larson 8815 209th St Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - William L Sandifer 505 Hawthorne Woods Dr Eagan MN 55123 (651) 681-7988 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature r :Ail � /� For Office Use T I °I i l I % i i f EAGAN Permit I�g'.7 I1� ..,__.D . e •... ...• ,a;« 'k ' a Permit Fee: /.. --c./ ' n �~ /Date Received: /�-�'17 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i' ''II (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 BY:Staff: Nl1i buildinginspections(&cityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10-CI-1-1QSite Address: 5o5 HAW"rii0KNif woo bs be Unit#: Name: u3 , 14.1,i bS p4i irx Phone: (301A- rill' 58'51 Residiont) a -Owner , Address/City/Zip: S 05 I41901-11t 'ORJ11 1/40o1:>6 bat Applicant is: Owner >c Contractor REtMvrir i,jocp blrc,Ct ' NG RAbL, • E 'TIClic' 1.1Ntb h.A c � / LA...Dpje.- Type of WorkDescription of work: 1,4 51-44L.L 'Cca Qt ITtr Dgrik-ims- w/ Ai uMitrm t-,p164, Construction Cost: Multi-Family Building: (Yes /No ) Company:%icil,Vir I4-0/4 • • Address: 16a3 Contractor Q - State:MiN Zip: 554 IL Phone: ' . Copli License#: 'jC,6:.Ss9'g6' Lead Certificate#: If the project is exempt from lead certification, please explain why: l ..- ) 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 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.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 plans. / x C 41-Z-1 LT- x i Applicant's Printed Name Applicant's Signatur- DO NOT WRITE BELOW THIS LINE 5O� f� ane e- S D D . /.�0 7 >-- SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Famizy) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi) Multi t Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* fAddition 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 3 2 Occupancy Z /2c- -/ MCES System Plan Review Code Edition /, SAC Units (25%_ 100%c/ ) Zoning / --j City Water Census Code Al 3 Le Stories Booster Pump #of Units I Square Feet /60 PRV "- #of Buildings i / Length 1t. Fire Suppression Required `— Type of Construction Width I is REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final I No C.O. Required FoundationFoundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water Final Pool: _Footings _Air/Gas Tests Final , Framing 30 Mihutes 1 Hour Drain Tile Fireplace: _Rough In Air Test Final Siding: _Stucco Lath _Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: frl'nReviewed By: '� , Building Inspector RESIDENTIAL FEESs--0—'40- gjit' ' '.. . Base Fee Surcharge Plan Review 571> MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read I Copies i /a.a -V7 TOTAL Page 2 of 3 i JUN! 08 '94 10:26 TO 440 7275FROM PROBE ENGINEERING T-157 P.0":' ilk ..�..Y. _ - Gezocr� B,eoS. Covsr OROBE CO SUUIHO (RGINEE�I c��:1<r�r�En5 end LimofvnvEvans X6392.0/ ENGINEERING5o5 1-(AL1 f'4. Z/ COMPANY, INC. , er -7 a ------- , _� . r...�� 1000 EASY 146th i7REt7, BUfNSViLLt , MINNESOTA 1}5337 Ptt 432-300Q • CERT F`cATE OF UI ` ' egal Description: f_J IA. . ., ............•••••• ••••••••• . a ��) DENOTES EXISTING ELEVATION ( 853 .3 ) DENOTES PROPOSED ELEVATION _,,,,- _.-- INDICATES DIRECTION OF SURFACE DRAINAGE g53,k,6 = FINISHED GARAGE FLOOR ELEVATION `� _04C .V1 BASEMENT ',Loofa IaLEVAI IOH 6s4--, ,o TOP OF FOUNUNr ION ELEVATION o' E / - SCALE: 1' a aleM ��- ‹yoe 505 NAW`1140RNa WOODS Pg. - ' " .•- `3i1 4S' Op IpDRE55 /'1f.'1,��2 ,\ w,cN MARK ' 7)414 il'T WT Co RR7>}+=Afx 6a8. `�` 1 / _ / .�'��"°',00 r(sl,C,y' i ��9,�3 I(ro "si Ci `�g .3'b /8 r/ i 16:0,b R22j2�1CJ ,„ „J V N /ate •$636 ,/` // _a`_• 4. kBS m' 42.cb,_. as, / ' 3-, `� ? _ "_4 //'.‘, 81�• c► 3o Fl ANT Bv/cOhne 1 k114- _ n `,�/ �r� ,�$1r; Host .507-BACK L/NE o 4.4*-i 1 ' , -'6A " 4w� A., 4, so co Ti'f'4 1 ' ! \ ,ii J /6,i :14 „44,,v.-7,,,,,,0 Aka, l7 ‘k...*ft-- '''..- 4' Un-i7Y ..,459.44E-Nr `, (4g779) ^, REVIEWED ° I/ ,/ . ;41 r. EAGAN �y, ti � M ' n BY g;,,r /' DATE:_)44_ V/2 r — Q �_.#_ V BU6LUi,� os''� a L#v 4. ,1 k. k a AGGAN ENGINEERTN DEPT. y , POG MM. RE©LED - teey hoLt:l1:y tttJz 1:1�I is <a true, an cor'z ct rc rrlsontaby Me l 1151 0f _ _ _ a last a38 shown and described llereo�l� , .As prepared