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510 Hawthorne Woods Dr: Y' OF EI ` 3830 Pilot Knob (612) , PERMIT TYPE: f91"'+' Permit Number: 0 • ' . : ` Date Issued: '' iITE ADDRESS: ` "" ' 1' ? ?`` I " `- ` t ?' •?!.. f? 1^ I. I F; f r.??. , APPLICANT• ' k ,.. II FCI:#) Ht)FTN-t Nf1i11 hl+l?.NF. t1?ltrti:.. wrNLi :-, . ? { I., i 1? lF,t? ;:??e?1F? PERMIT SUBTYPE: . TYPE OF WORK: INSPECTION D. . DA + i t-,Ml;4t, i,?irt? IPI?, i'il?ll/f? '?I 1• j..F? li ?.7 ( S? i? I? I I'I '. j ?! i ! I hJAI :'i ? Permit No. Permit Holder Date Telephone 8 ELECTRIC PLUMBING yol HVAC 8 Po l Inspectfon Date Inap. Cqmments FOOTINGS P, / FOUND ?Y b A FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ? ROUGH HEATING eV7 GAS SVC TEST INSUL ? GYP 80ARD FIREPLACE 1,6.?? FIREPL,4CE AIR TEST FiNAL PLE3G FINAL HTG ft !/ ORSAT TEST BLDG FINAL tT ?-?J a t BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 41,11 CR of &tall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Resident/ Owner Use BLUE or BLACK InN For Office Use / I Permit*: . g596I`d Permit Fee: /o=7-.)------; Date Received: Staff: L 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 570 /"C. 0' r 7PZ Unit#: Name: ...T7i:E S7P1'.- Phone s5/'-Z5V— Address / City / Zip: 57 D /4-# 4®4.1v L/ ,r. Cit-etorcliU5 /22 Applicant is: Owner Contractor Type of Work Description of work: f 1,c&—`e_. f"'C.. c Construction Cost:O -+ic ® 9.4e.:::, Multi -Family Building: (Yes Company:7446Q/ el p > ec, Contact _Ste 4/ C ,.mac r cac�'e dr' Contractor Address: ®r .34---,343r e Xu"e .J city: /77)6.1 S State:Nlip:5"-'0t6 Phone:7-4-8?%8T°gmail: License #:,2r -it jr5-0193 Lead Certificate #: /3410216.10.4.5 1 If the project is exempt from lead certification, please explain why: �s Lc-gt- r-7ay73- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING n 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: censed Plumber. Phone: Mechanical Contractor. Phone: Sewer & Water Contractor phone: Fire Suppression Contractor. Phone: you submit are considered.__ _ . . _ 'VOTE; Plans and supportinga�cumenfs that 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 1651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utiities. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x C3e- ..S7/2l7/h�yse✓ x App icant's Printed Name _/ Applicant's Sign Page 1 of 3 Wei.?ifica#e of Cccu.oancv w3h) o? ?ean 2cpartWcpt of 13sifting 340ccriun This Cerrificate issued pursuant to tlte requir+ements of the Uniform Building Code certifying tlwt at the time of issuance lhis structure was rn eornpliarsce with the varrous ? oniinances of the City regulating building corutruction or use. For the following: Ux Ctassificatian: CF` T7.T_ BWg. Pernrit No. ?.'t.7-3 O-q-wy TYvX R3/tl 1 zonins nisaict R I Type caist. IJj11, Oweer of Buildiag cmjn_?W cctm Addr- -rure 12---n aAGUE suilding Aea-531)HecmrYrnnr 4i]fiiS ranm. / n,u- Bmdding OWmeW - POST IN A CAMSPICVOl1S PLACE II111 I??I ?,??I • REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity -s? 1821 Universky Ave., Rm. S- 28 St. Paul, MN 55704 ` `% ? * 2 5 9 3 6 3 0 * Phone (612) 6a2-O8001?1?(0 ? ome Duplex Apt. Bldg. Other ew Addn Commercial Indushial Farm Remad Re air Av Cond. Htg. Equip Water Hh. Load Mgmt. OtFier: D er Ran e Elec Heat Tem . Servire "X" obove the work covered by fhis request. Enier remorks rn this space and on the ba<k of fhe white copy only. Calmlofe Inspecfion Pee - 76is Inspedion Request wdl not 6e amepled wrthout the mrrecF fee: Olher Fee # Service Enhnnce Size Fee # Circvih/Feeders fee Mobile Home Park Stall 0 ro 200 Amps to 100 Amps Sheet Ltg./Traffic $ig. Above 200 Amps Above 00 Amps Transformer/Generator INSPECTOR'SUSEONLV TOTAI.51 SignJOutline L}g. Xlmr 3j ? Alorm/Remofe Control ? Swimming Pool I hereb cen? fhof I Ins eeed el ml m h da i herein on the dares smfed Irrigafion Boom Raugh-In Speapl Inspection Investigative Fee Final . ? THIS INSTALLATION MAY BE OHDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 259-363 ? ?Y Th, mquest ?d,a mons ? m Yalidaiion d?P?'o'?' PLEASE PRINT Ofl TYPE Reqoesl Dote Raogh-m mspecnan requ ?? N. Inspecnon Oiher Than Rough-In? Ready Now ill Call 4' - , i-CT L (You m?sr mll the mspedor when ready? Dme Reody I <C-nsed mntrador ? owner here6y reques} inspedion of }he above elednml work at. lob Mdress (S1reeY, 8ox, or Rouk No ) Gry lp Code l0 r., Secnon No Tawnship Nome or K. Range No Fire N. County ? O¢upaM `J. l ji (+(1 Q Ph /e,O ? ? p • ? ?Q Power Supplmr L naa,ess ` ? r.ti: ? ?1,.,? ??--?? ElMnml nhador (Compony Nome) o C onor h<ense N. Masrer Lic N. (Planf Elee OAyj y ? Z MoiLng nss (Comranor Owner Pedormmg Inzlollahan) ? ? 9 ° M1c ?.{?' i ?.07 fwMonzM omm (Canlmcio r Ovmer Pedoimng Inzwllahan) Phane No. ?// EB-OOOOlA-106/95 STATE60 - INSTROC110NSONBACKOF YELLOW COPY Address 510 HAwiHORr1E wOpDS 2eID Zip 5512 3 ..? .Lot 11 Blk 4 Sub Hawtfto?uE wnoDS zrm THESE TI'EMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Peimanent driveway Pertnanentgas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plum6ing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in righbaf-way or installing underground sprinkler system. ? White - City Copy Ye]Iow - Resident Copy Pink - Contractor Copy CITY USE ONLY PERMIT #: 49 34 RECEIPT DATE: ??JI I I??I ?i RESIDENTUL MECEA1VICAI. PEiMIT APPLICATIOR crrY oF EaeAv ssso Paor xivoe gn EABAA MR 55122 651-681-4675 Please complete for. ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: OWNER NAME: ?z_3 e INSTALLER NAME: STREET ADDRESS: CITY: STATE: Plaee a r.hecli-mark naxYtn the oerrolt WOYk tVUE ZIP: New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existina dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other JK/? 1 I Gl l r "?X t VIGy?t 'I ?? E L f ? ? Nature o work: ? J State Surchar e $ .50 CD Total $ Reminder: Call ftir inspections. V V'CJoJ? TELEPHONE #: iS4 t?l: ? RI "+, ? I' . .,,'L L„ ??? flDiii? GS ?t? n ?nr^sn- i nrrrcTr? r-r TELEPHONE #: MI;?Ni.?,PG4lu, MN 55403-2998 (?EA cooe) 6 i 2-824-2656 ? `lSc- Y ? l??l??l SIGNAT F PERMITTEE Updared l/01 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMERCIAL MECRA1v1ClkL PFJiM1T Ai'PLICATION CiTY oFE4HAN 3$30 MOT KNOS !iD EA6RA, bIA 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: _ New construction _ Interior Improvement _ Processed Piping PHONE#: - (nPEA cons) STATE: ZIP: Install U.G. Tank Remove U.G. Tank Specify Nature of Work: When insta!ling/removing underground tank, call 651-6814675 for inspectian by Fire Mars6al and Plumbing Iinspector. Fees: 1°/a of conhact price OR $50.00 minimum fee, wlrichever is greater. Underground tank removallinstalla6on = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $ 1,000 Base Fee TOTAL $ . SIGNATURE OF PERMITTEE Updated 1/Ol -? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDSNG 627273 0A/11/96 SITE ADDRESS: 610 HAWTHORNE WQpq5 DR LOT: 11 BLOCK: 4 HAWTHQRNE WqOpS 2ND P.S.N.: 10-32151-110-04 DESCRIPTION: ermit Type SF DW6 ?"._. ?.; . .: ? 9kt ? aNw 6`St st fla ?Fmv _ r? ? " `bn a?e a?sm ?.? ?`i?F r °--'s W@t Ln":G:u ati a? t,,.,?•'ina a?ce? ?e6ia 4'u +x n? .R`, z ? ? ? e, REMARKS: DRIVEWAY ENTRANCE MUST BE CONCRETE BEFORE A CERTIFICATE OP OCCUPANCY I5 ISSUED FEE SUMMARY: VALUAYION Base Fee Plan Review SurcMarge SAC SAC & SAC Units SUb't0tdl $1,592.25 $796.13 $120.50 $900.00 100 1 'V 39 Y V V a V V $241,000 MT5CELlANE0U5° $1,923.50 Tota1 Fee $5,332.38 CONTRACTOR: - Applicsnt - sT. I.ZC.OWNER: fiERDLD BROS CONST 17582842 0001115 GEROLp BROS CONST 1704 280TH 5T W P 0 BOX 128 NEW PRAGUE MN 56071 NEW PRACrUE MN 56071 (612) 758-2842 (612)440-4924 . T horeby, a ? info`ranRatfan €? ? nF ? ?.9?tt"`&5 Bt?LT' G1.'L?t E[?aI"f ?#)C 5 APPLICANTIPE'RMITEE SIGNATURE ;Qkk Type NEW R-3 U-1 e V-N R-1 72 44 2 I ? bIL_ i91a ? 5 5 6 2 eg 101 1- . FAM. DETACH -K:-41°ii;-,ata-ti'f tn? t(u P , ,. e _.... i t9. ?? _,..,. ?... _ ...?ae.,?.. . _.v .a . .. . LLJ SSUED BYI SIGNATUR CITY OF EAGAN mzD? 3830 PILOT KNOB RD - 55122 r 7896 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Canswction Reauirements RemodeVReoair Reqgirements ? 3 registered site survays ? 2 copies of plan ? 2 copies of plans (include beam & wlrMow slzea; poured fnd. design; eM.) ? 2 si[e surveys (exteNOr additions 8 decks) ? i etiergy cakulaUons ? t energy calculations Tor heated addkions ? 8 copks of tree pieservation pI? n H bt pletted after 7/1193 required: _ Yes 1K No DATE: `tCONSTRUCTION COST: DESCRIPTION OF WORK: eL'' 41-15J(1A ?D.\ STREET ADDRESS: LOT BLOCK ' ? l v dIwL'"sihnl-At t ? SUBD./P.I.D.#: / 4 J-A-? `-) a4,j-Aorn iz r ) u- ? a L?joocb 14CI4d-? PROPERTY Name: Phone #: OWNER l Street Address• Cit State: o- y: CONTRACTOR Company: CO54, Phone #: 7 -?-ff )? PQ n d 1a,?' License #: LZb 111-5 ress: o Street Ad City: Apl-11 &U`' Iy// State: /M/_ Zip: 6-?6 -2) ARCHITECTI Company: Phone #: ENGINEER Name: Registration #• Street Address• Ci{y; State: Zip: Sewer & water licensed plumber.??SdnS (1-?vw-?^? Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this applicafion and state that the info tion is corcect and a ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received " Yes _ No Tree Preservation Plan Received _ Yes v No - 1=7 ?? U OFFICE USE ONLY BUILDING PERMIT TYPE ?w w 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish eia-``02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility 0 04 SF Porch ? 09 12-plex ' 0 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE ,-?1 New ? 33 Alterations ? 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System ?- (Allowahle) ;VT-^l Main level sq. ft. G7W City Water UBC Occupancy /L-3 u/ sq. ft. /,677 Fire Sprinklered Zoning /Z-r sq. ft. PRV # of Stories z e&.. sq. ft. Booster Pump Length 71.s sq, ft. Census Code. Depth y17 Footprint sq. ft. Z SS' SAC Code o? ? Census Bldg APPROVALS srr° 1 °• Census Unit / ?f Ptanning Buiiding Engineering Variance Permit Fee 5urcharge Plan Review license MCNVS SAC Citg SAC Water Conn. Water Meter Aect. Deposit 5!W Permit SIW Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: $ Zo 0 0 mA,N 1G7 x 9. / 7 ` ts /e./ 7 Kdy/ 7 //-r 'X yz = y?7 Ly... lD Y ? ' ?v- Z ? /?( = ZG zr ?J = zG iy , 2416(?6D /s = /,7 /Y C GY s> ° <'=5 ?zXz) '</ Y) /,r/j?' ,czs= yz9so (fn..? ? 4M Z , ? -- i, -7yy?5-,/= !vi?? z` ZKI?f ° L? 2u !3 ' 26 17z za.i? = 277 i1 677 X sy" tl ss8° 172,, 4 •33,r 7.75- Z ZS"/ 25.s" = 718 ? c ? 7S?xl6 = Iy ° ?z, bl? 4I? Z00 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMR APPLICATION ? G3?? ? ? ? 5? ? ? w? ? ? ? ? ? ? ? ? ? 0 ? ? DATE OF SURVEY: LATEST REVISION: DOCUMEMTSTANDARDS • Registered Land Surveyor signature and company • Bullding Permit Applicant • Legaldescription • Address • North arrow and scale • House type (rambler, walkout, spl"d w/o, split entry, lookout, etc.) • Directional drainage arrows wifh slope/gradient % • ProposedJebsting sewer and water services & invert elevatlon • Street name • Driveway ELEVATIONS E i i ? 0 • x st DS Sewer service (or Proposed) ? 0 • Property comers m?'b ' ? • Top of curb at the driveway o-"6 13 • Elevations of any erisUng adjacerrt homes Proposed 0?0 ? • Garege floor Q? ? ? • First floor Ck" 13 13 • Lowest expased elevation (walkouNwindow) 51" ? ? • Property comers Er-? ? • Frorrt and rear of home at the foundation L3'? ? . ff- ? ? . f3"" ? ? . ?? ? • ? o---? . 2?o ? . C?'? ? . 2-,o ? . [a-'O ? 2? ? ? ? q/L7 . PONDING AREA fif aoolicable) Easement line NWL HWL Pond # designation Emergency Overflow Elevation DIMENSIONS Lot IinesBearings & dimensions Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, ovefiangs greater than 2', porches, etc. (i.e. all structures requiring permanent footlngs) Show all easemenis of record and any Cily utilides within those easements Setbacks of proposed structure and sideyard setback of adjacent ebsting structures Retaining wall Reviewed: PROPERTY LEGAL: January 1996 CRAl019GliBLIX3PRMf.FM EXTERIOR ENVELOPE 1& 2 FAMILY RESIDENTIAL "COOKHOOK" MEfHOD STTE ADDRESS: TJ l0 o W o s ?• ' CI'I'Y. ?-? BUII.DER: DATE: Q ATinimnm Criteria; Rpof: R38 with ene[gy ausse5 Ot R-44 with SfendBtd I:ussexs. Rim Joist: R-19 insulation Foundation Windoas: Insulated glass, 1/2" air spaa, waod or vinyl &ame• Entry doon: 1 3/4 inch solid wood with scorm or bettu STEP 1 Window & Door Area Totai Window & Door Area Ia Sq. Fcet WINDOWS (inclnding foundation wiadocvs): Dimensions Qnty. Atea X X X X X X X X DOORS: Total Area of A window & noon 3 9,?- Total Wall .Area ia Sq. Ft Wall Total Perimeter Height Area Total Area , a a6?' B STEP 3 Daiza Featara ASSE[vl$Ly OPTlON FRAME WALL: STANDARD FRAbIING ? ADVANCID FRAMING CAVPTY INSULATION SHEATIiII1G: LESS THAN R-5 ? R-S OR MORE WINDOWS (except foundatioa windowa): U-FACTOR ? From the table, determine tUe maximnm peiuent window & door azea for the drsign optioas selaxed and eatu the vahu in box D below. . 18.8 D Sup 2 Caicxilate area u a percent of wall Box A(window & door area) divided by Box B(wtal wall area) times 100 equals the window and door area as a peccent of wall area (Box C). Box C must be less than or equal w Box D -SQr- Hox A x 100 = C BoxB ??.76J ???? F. The bwlding must not excced the maximum window and door area as a percentage ofoverall exposed wall area listed 6elow for the combination of framing technique, R-value of insulation within ttx insulated cavity, sheathing R-value, and window U-factor. Other components must mcet the requirements of this subpart. ramine CavitY insnlaNon MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL EXPOSED WALL Vtrmdow U-Factor Shra hinE 0 49 0.36 31 27 STADIDARD R-13 >R-7 13.06 17.896 21.3% 24.3°h STANDARD R-15 >R 5 12.9'/0 17.1% 20.1% 23.4% STANDARD R-18 QZ S 11.1% 16.0% 18.80/0 22.0% STAND.4RD R-18 >R S 13S% 18.6% 21.8% 25.3% ADVANCED R-18 <R-5 11.1% 17.1% 20.1% 23.41/6 ADVANCED R 18 >R-S 13.5% 19.2'/0 22.5% 26.1% STANDARD R-21 <R•5 11.8% 17.0% 19.90/0 23.1% STANDARD R-21 >11-5 1d.0'lo 19.3% 22.5% 26.1% ADVANCED R-21 QZ-5 11.8% 18.1% 21.2% 24.6% ADVANCED R-21 >R-S 14.0% 19.9% 23.2% 26.91/6 Subp. 3. Performance criteria The combined tlmmal Uansnvttance (U, ) factots for walls, rooflceilings, and floors over unheated spaces must be less than or equal to: A. 0.110 Btu/h fl°F for walls; B. 0.026 Bdilh ft°F for rooflceilings; and C. 0.04 Btu/h flz °F for floors. STAT AUTH: MS § 216C.19 HIST: 18 SR 2361 7670.0480 Repealed, 18 SR 2361 SUBD. CITY USE ONLY BL 1996 PLUMBING PERMIT (RESIDENTIAL) ClTY OF EAGAN . 3830 PILOT KNOB RD EAGAN, MN 55172 (612) 681-4675 RECEIPT #: DATE: ? -?' Pfease complete for: (/single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet ` minimum - t Rough Openings Water Softener Private Disposal " Dakota Cty. license (new and refurbished systems) U.G. Sprinkter ' home under const. Alterations * to exdstmg Water Tum Around ACH 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 65.00 3.00 20.00 20.00 STATE SURCHARGE TOTAL L7• x x x Y :c x x x x TOTAL ? ? ?- 3 3 v?'S61 .50 ? SITE ADDRESS- -7 ?Q r OWNER NAME:_ ? &, FF INSTALL STREET ? CITY: cQ STATE: ZIP: PHONE #: ( 6,62) ,.?G 5? S00 I OFFICE USE ONLY L gt RECEfPT #: SUBD. DATE' `?(p 1896 PLUMBING PERMIT (CQMMERGIAL) CITY OF EAGAM 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 661-4675 Please complete for: . all commercial/industrial buildings. . mufti-family buildings when separate permits are IIgt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ Na. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERa TO BE INSTALLED? _ YES ` NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MU3T APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever{s greater. State surcharge of $.50 per S1,000 of oerm t fee due on all pertnits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL _ 51TE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: cin: PHONE #: SIGNATURE: OFFICE USE ONLY STE. # STATE: APPLICANT ZIP: s ' METER SIZE: " DATE: INSPECTOR: • . . CITY USE ONLY L ? BL ? / RECEIPT #: If suBO. Y-m7w7110ANe 00611s DATE• 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681-4675 Please complete for: (Psing(e famity dwettings ? townhomes and condos when peRnits are required for each unit ? New construction Add-on fumace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: j?*1 ? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) o ? State Surcharge .50 TOTAL 1111?_z6 -67 SITE AD[ OWNER I INSTALLI STREET D PHONE #: Z2 9::? y?F CITY: A 8 eAV4Z STATE:? ZIP: ? PHONE #: (?/02 ?-?f --??d// '0 .. CITY USE ONLY L _ BL _ RECEIPT #: SUBD. DATE: L?' 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 5830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-+1675 Please complete for: ? all commerciaVindustrial buildings. ? multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION DESCRIPTIaN OF WORK: INTERIOR IMPROVEMENT FEES: ? $25.00 minimum fee Dt 1% of conUact price, whichever is greater. ? Processed piping - $25.00 • 5tate surcharge of $.50 per $1,000 of pmmjt fee due on ali permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLI) INSTALLER: TELEPHONE #: ADDRESS: CfTY: - PHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMtTTEE CITY INSPECTOR LQ 14112 RESIDENTTAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeURenairReauiremeMS Office Use OnN 3 registered sHa wrveys stawing sq. ft af bt sq. R M house; and all rooted areas 2 copies of plan Cert of Survey Recd Y N (20°b mazimum lot mverage allowed) 1 set of Eneyy Caicula6ons for healed additions T2e Pres Plan Recd _Y _ N 2 copies of plan showing heam & windaw sizes; poured found design, etc. 1 sde survey for additions & decks Tree Pres Reqd Y N 1 set of Energy Calculations AddiGon - iiro'kate i(on-sife sephb system On•site Septlc System _ Y_ N 3 copies of Tree Preservatron Plan if lot plattetl after 711193 . Rim Joist Derail Options selection sheet (bldgs wllh 3 or less unib Date f /0?)- /°U 3 Construction Cost * k4 1 bc) o. p O Site Address 5 t 0 Aq W" or h 2. 1 We'JOC S? IUnit/Ste # Description o[ Work Multi-Family Bldg _ Y ?N Firepiace(s) _ 0_ 1 _ 2 Property Owner Telephone #('105 j)'?? -'-/ 5`Yo ?-. Contractor Address City State Zip Telephone #,( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeocv 1 Minnesota Rules 7672 Energy Code Category . Residential Vendlation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted SubmiUed • Energy Envelope Calculations Submitted g?b40 - Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor 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. LO-lkrar L • Applicant's Printed N e ??a ? Appl canYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex 0 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) . ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 70 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 05 03-plex ? 11 10-plex )21? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex PIbqZY or_ N? 25 Miscellaneous Work Types ? 31 New ? 32 Addition x 33 Alteration ? 34 Replacement Valuation ? Census Code SAC Units - Nbr. of Units ^ Nbr. of Bldgs - Type of Const ? _ Footings (new bldg) _ Footings(deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final ? Ftaming _ Fireplace _ R.I. _ Air Test _ Final ? Insularion Occupancy R "3 MC/ES System Zoning ? CityWater ? Stories Booster Pump -' Sq. Ft. - PRV - Length ? Fire Sprinktered - W idth REQUIRED INSPECTIONS FinaUC.O. -0- FinaUNo C.O. ' Plumbing ? HVAC Other _ Pool _ Ftgs _ Au/Gas Tesu _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaiuing Wall ?- Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ToWI ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Eut. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant ? Building Inspector ?ep sv PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit 9 / a-3 / (J 3 ' Date _ % Site Address Unit # Property Owner Telephone # ( ) ContracYor 0 W- ? Address a/ g ? City - State Im 4L' Zip Telephone # 6-50f ) 73 O ' ? 51g ? The Applicant is _ Owner Y Contractor _ Other Septic System New _ Refurbished Submit 2 sets ot plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50 00 o Adding fixtures to lower levels or room additions, excluding water soften er and water heater . _ Abandonment of septic system _ Water turnar und (+ 5!8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ addi6onal $ 50 State Surcharge l $ 5-v , t;-/-) Tota I hereby apply for a Residential Plumbing 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 with the Plumbing Codes; 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 th approved plan in the case of work which requires a review and approval of plans. -Z-j ct p . 1_61 r.nI /u tiJ m. Applicant's Printed Name Applicarlg Signature MATCH UNE-CONTINUED TO 9HEET N0.9 f5µ?143 34 \?C wo J ?waa.ae B6ae V1 V E .fzo' ? ?.w, ? j?.i'r` o ? SBW?I64 145 ?r 39B80 D / V ' ' ? i 44.0 9?.0 v fi fANC SIDEWALN ' 45.0 8 \ 7 sewa+ee 146"r3B' 8673 S6Wli7b \ a96;r78, 4 873.7 WTHORNE 59W1440 ' ' 5814 '0+61 I I SBW2+61 931 ? S 06 ,w36 i s56 ,w93 848?8 :?•7:?-:i9 839.? 951.6 6"-I/16 BEND Sew 1+79 33' w90' 1 I . a SS I 36 37 6421 BENCHMARM 70P NUT OF HYOHqNT I M.H.2 3e ELEV.'849IJ 7 5 S LT P.OC.2B/1 SBW 0+95 ' , L 310 900 35?' 0' a50,w32 41. 835.4 - i T / ' I t 4310 ? 39 6" \ 7EL 1 4A5 ITYDRANT , ? 6'X 6"TEE 40A, 7,60, 1 65.0 W.a' J \ ? V ly" ? 1/??? Ir6'=1/16 BEND M.H. 3 !4'L7 'OC 26rGB 9 '-I/16 BEND s s w r+3s a 9T',w SH? 839 7 10 58WO?J9 a36',w48' 830.2 WOCDS ? (1 PRBP95E9 (L GRADE 1 1 V \ ? \ ? ? 330 702 386L.17-8"PV.C.-SDR 35-7.-28% 702 20L.F.-8"D.I.P-CL52-7Z-.28% ? 3 8697 R.E W03 44.0 11 S B W7+98 s o0', sT' B4,j 4 ACE MAN R CRY 1 LEY ROAC :2•14 L( I I I ? I I?i ??i I p ? v ,??.-- ? - -- . .• ? I I u+ ? IS y ? y• I 595' 20 18 0 I m ? IZ )- ST I ? I ^ SEWlfll ,w38 7 I ?'--------- 6'0IPST BO 144' U T \ BY G17Y- REMWE I? T 836b PLl'G e E%TEN? I r PER PLA I I j ? UTILITY SIp?RV A A ? FROM OIF ?LEY I m_ Q RoaD D ( a v i--? ? L_J :1: rr ay,yN I? ?• f,?,+ I ? ?\. ? f? ?? 1 I I I J I DRIVE FF;r'AN L2' 7" ?! €nACY QF U71 i '..I`i Y !_CCATIflNS E! E?V?ATIOINI pS. ? s?,ii"A?/i i FpOp?R JrJ Oi 9i.7 filVD .,Ni iOiW Py?ld0 .. .?v U ?INGI IT ?e'f.:.?=i Y T?"'?E 2.?_ ' _:;.°?s'?9?i0PJONTh_Sli17 M.H.I I \ `? rf1\ O? ?J ? 162 ? SDR 35-3rW%- m 3.39 N n N 0 85706 RE-6SB.6 .W \, ?.ur ? ? arv? 268 L.F.-8'P.V.C.-SDR SAMITARY MANHOLE NO 147 (UNDER QTY CONTRACT) ? 038.4 R E: 83}P 7.88 ? \I L ?----- - 7 ? -03 L.F-8"P.KC. ? SDR 35-0.40% ? ? 24 23 26 27 28 29 30 41 32 „ -.r_ .-•?.ee.o, ..::d..laiaN'?`.'Y?£N6RC•ll?WnSMY.Fl1='Gil:?a^:ci ?_ 4se?lYrt'.%:,NPtWY?Y'^.»Y?Yev.3 pC,??S A"'Y.P.$t?4S? x'N?b:?'PYiM:•.K.?:A]BF ?Si2 . < ? ? LYMAN DEVELOPMENl i J.F n 300 MORSE AVENUE (P.O.BOX 40; EXCELSIOR, MINNESOTA 55331 ;Y 2•10-95 II5 71 (612) 474-0844 B A ,t A .- .. ?nc ra ac r fQ A i9?i S? -- ---- For Office Use Perm j C!ty of Ea an Permit Fee: /P ‘2r 3830 Pilot Knob Road Eagan MN 55122 Date Received: 7— 1( f Phone: (651) 675 -5675 staff: 6- Fax: (651) 675-5694 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I 1 l 1 Site Address: 1 I I �L' ur i o j Dr: Tenant: Jr' f d 1 mutt r tZ_ Suite RESIDENT OWNER Name:.itTY Old cS .1 t t Phone: 1°5 „-4s 6( Address City Zip: 9t0 t1 Osi I rr, CCC1. L ,,r Applicant is: Owner Contractor TYPE OF WORK Description of work: re cc() U14300 Construction Cost: 1 430 Multi- Family Building: (Yes No CONTRACTOR Name! f f kt rso i License .C2t :10 I+ 1 Address: `I, l,. C 7 City: hid i d k State: Zip: "T" Phone: 53 tk' 1 c'0 Contact Person: t\ ny TDi f 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (1 submission type) Energy Envelope Calculations Submitted 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 classified as non public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 riot 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 Ii x X. 41 )a. I 1 Applicant's P Name Applic Ti Sign: ture Page 1 of 3 41101'' City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Va2 °a 171 3SY7 Use BLUE or BLACK Ink For Office Use /OJ� Permit #: 1 ' D� Permit Fee: (E! 0 O) Date Received: (2-19' — 13 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 2) �� cp Site Address:Si ��60A-54-V-10 IA Tenant: JCf -4 LA- LA- v t Suite #: Resident/Owner Name:C fC "4 1.1-''c CA rt 2 Phone:�5(` `%S t -�S(0 1 Address / City / Zip: El 0 1 & -.i H/l 0 tri/L:2- ko SIJ1]c�y Contractor Name: Ons t -k u4' 11—Ca:1�`j V 4" kt'y- License #: ? 22-02-0 S) Address: 1904 UP°,v) t < 0 Da 5-I--- City: AG SA -i S State:�-k lam+ Zip: jCj b� L4 Phone: La 51 1- 9 2 1 X Yi t, Contact: r t. -7'-j Email: tc-e-Vrt.(.VOCOxevsir € t)neki0UkCU r. Corn Type of Work New Replacement Additional Alteration Demolition _ Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods.' Permit Type RESIDENTIAL urnace /Air Conditioner COMMERCIAL New Construction Interior Improvement Install Piping Processed _ Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) Other _ RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State burned out appliances, ductwork, etc.) (includes Surcharge)) $5.00 State Surcharge) = $ TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank installation/removal $60.00 Minimum (includes (includes $5.00 State Surcharge) State Surcharge) $1 million, please call for Surcharge OR Contract Value $ x 1% = $ Permit Fee *If the project valuation is over = $ 5.00 Surcharge* = $ TOTAL FEE 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.qopherstateonecall.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. icS CV) Applicant's Printed Name x Applicant's Stigrjrature d-)kuu„, FOR OFFICE USE Required Inspections: _ Underground _ Rough In _ Air Test — Gas Service Test In -floor Heat Final HVAC Screening Reviewed By: Date: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109816 Date Issued:04/05/2013 Permit Category:ePermit Site Address: 510 Hawthorne Woods Dr Lot:11 Block: 4 Addition: Hawthorne Woods 2nd PID:10-32151-04-110 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. Josh Mcguire 1424 3rd St N Minneapolis, MN 55411 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 - Jeffrey Spartz 510 Hawthorne Woods Dr Eagan MN 55123 (651) 454-4562 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109827 Date Issued:04/08/2013 Permit Category:ePermit Site Address: 510 Hawthorne Woods Dr Lot:11 Block: 4 Addition: Hawthorne Woods 2nd PID:10-32151-04-110 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. Josh Mcguire 1424 3rd St N Minneapolis, MN 55411 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 - Jeffrey Spartz 510 Hawthorne Woods Dr Eagan MN 55123 (651) 454-4562 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151268 Date Issued:08/16/2018 Permit Category:ePermit Site Address: 510 Hawthorne Woods Dr Lot:11 Block: 4 Addition: Hawthorne Woods 2nd PID:10-32151-04-110 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Jeffrey Spartz 510 Hawthorne Woods Dr Eagan MN 55123 (651) 454-4562 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155926 Date Issued:06/10/2019 Permit Category:ePermit Site Address: 510 Hawthorne Woods Dr Lot:11 Block: 4 Addition: Hawthorne Woods 2nd PID:10-32151-04-110 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Jeffrey Spartz 510 Hawthorne Woods Dr Eagan MN 55123 (651) 454-4562 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156860 Date Issued:07/23/2019 Permit Category:ePermit Site Address: 510 Hawthorne Woods Dr Lot:11 Block: 4 Addition: Hawthorne Woods 2nd PID:10-32151-04-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Jeffrey Spartz 510 Hawthorne Woods Dr Eagan MN 55123 (651) 454-4562 Mn Plumbing & Home Services Inc 14105 Rutgers St NE Prior Lake MN 55372 (952) 469-8341 Applicant/Permitee: Signature Issued By: Signature