514 Hawthorne Woods Dr? ^ ? ? ?INSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE: 0 Pilot Knob Road Permit Number. •° ?'? ? A?
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675 ?
` I.N.? lA-:i
? SITE ADDRESS: tOll
. !THfIRNi l.iil
PERMIT SUBTYPE:
1 7 , , a p •7 " •1 - APPLICANT:
iN Etl.rf?.i;. - ,
il•; 1?#? ? :.
TYPE OF WORK:
INSPECTION .. . .ATE INSPTR.
I
i
I f+K
f'P AN RF VTf-'WP[7 HY If trAl'O NftV/4C; 5`F'
`;I:I'f RA'(f Pf'RM.1 f RI tll.likEf? I OR AN
?
?
Permit Holder Dats Telephone i
SEWER/
WATER
PLUMBIN ?
HVAC
Inepectlon Date Inap. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HVOROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
tIYYyOF EAGAN
' 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: 11.1 10" `
,:> 1:1
• , , ..? i,? ?:?,rtNt? ?.?1r?ni??: ?t?;
1?l?I l l i1?iJ;Fli I Illillf', .'fJlt
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
? 1 I 1? I W?;
q APPLICANT:
TYPE OF WORK:
i?t ,+ i. i I ( M??IJ
Nf W
i f MI'Ni 11RiVk AI'RI)N
INSPECTION D. . .A
! l rihi t ?J?• ????il I I'???
if 1? f? ?iil;.ll f II ll I??
?
t t?!,?1 I'I It?? I I hlllt
,;.w (' ON ( kAi. TOR K t. 4.11 1-lA 1 f K ?St.t-i1r( PaV ?
111) r. 01 (INI1 i 111k tVr wA'r rNIPAroCt r', il,ONI 141 It
y
?. ?
L
?
Permlt No. Permk Holder Date Telephon* It
ELECTRIC
PLUMB 8gQ ' 90?'
HVAC
12
Inspecdon e Inap. Commenta
FOOTINGS 0,/QS
!
FOUNO
f-d
A(/
FRAMIN(3 ,
ROOFING
!?7
ROUGH
PLUMBING
d 6
PLBG
AIRTEST
021
ROUGH
HEATING
Q
GAS 5VC
TEST
INSUL
[
GYP BOARO
FIREPLACE
/l S
FIHEPLACE
AIR TEST
FINAL PLBG
FINALHTG /W,, f5
ORSAT
TEST ? 1G CA '
BLDG FINAL
BSMT R.I.
BSMT FlNAL
DECK FTG Ol fe
DECK FlNAL
«? ?°> r• ?
t
WtrdjtCQtC of cCClipQ1iC?
(OM of Wagatt
Tcpart?cent of VMiib* ZaOrection
This Certifecate issued pursuQnt to the requireinents of the Uniform Building Code
certifying that at the time o, f issuance this struclure was in cornptiance with the variaus
ondinunces of the City regulateng building construction or use. For the fol[owing:
ilse Classifkaiac ?DW Bldg. Permit Na. 26271
0-uP-Y Type R3I vI Zoniog Dishia RI Type Const. VN
aww of auiiang J S HRIES INC aam.. 4371 ffiZT M LAM, EAGAN
514 HAWDUVWi1M DRIVE i mai;,y L 10 B4 HAWIIOW UM 2NID
A
o?;? PQST IN A CONSPICIJOUS PLACE
(L /?U " REQUEST FOR ELECTRICAL INSPECTION `?'? e/e-oo^ooi-os
lo. See mstmctions lor compleling tM1is lorm on back ol yellow copy. E?[
1?/J?1?FJ'? "X" Below Work Covered by This Request
Nek Add Rep. Type of Bmlding - Appliances Wired Eqwpment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Builtling Dryer Load Management
Comm./Industrial Fumace Other (Specity)
Farm Air Conditioner
Other(specdy) ConVactor's RemarHs
Compute lnspection Fee Below:
# Other Fee # Service Enlrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps I d ( 0 to 130 Amps
Transformers Above 200 Amps Above 100 -Amps
SI I15 Inspector's Use Only. OTAL -V
Irrigation Booms /o/'
S ecial tnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, 1he Electrical Inspector, hereby
if
h Roughin
Lf o atE ?? _?/
cerl
y thal t
e above inspec6on has
been made. F?nai oale
?
OFPIGE USE ONLY
This request voitl 18 months fmm
0
1 0 484 9 1
0
Request ate
? Flre N. Rou
(Vou m n In eclion ReQUired
? cal?mspeclor when reatly) InspecUOn Olher Then Rough-In
? Reatly Now ? WAI Nouty Inspeclor
Yes ? No Dafe Reatl
I licensed contractor ? owner hereby request inspection of above elec[rical work at:
Job Atltlress (Slreet, Box or Route No )
'
?
1
/ Qty
?ct
?Sl Gt ?? ? s
oo o
n
Sectlon No Township Name or No, Range No. Counry /
Occupant?PR
vtr
v Phane No
Y???Dy2
PowerSUpplier
/ I /
?
L?/ nea?ess
n
riC
?CI
FCaTa ?y?1?
Elecincel Conlractor (COmpany Name) ConVaclors Lcense No
zvK T
Mailing Ad?drejss (ConVac[or or wner Making Installatlon)
1 ?J i, P/E
A. orizetl Signalure o ct nnnglnsWllaVOn)
` Phone Number ?
??s=.?33
MINNESOTA ATE BOAND OF ELEC ICITY I THIS MSPEGTION REOUEST WILL NOT
Griggs-Mitlway 91dg. - Paam 5-028 II I I I I I I I II 1 I I I I I I I? I I BE ACCEPTED BV THE STATE BOARD
1821 University Ave., SG Paul, MN 55104 I UNLE55 PROPER INSPECTION FEE I$
Ppone (6121 6C2A80 0 ENCLOSED
Address 514 HAWIMtuE Woovs nuIW Zip 55123
Lot , '10 Blk 4 Sub HAw1HORf]E WODDS 2ND
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspedor:
Final grade (6" from siding) ?
Permanent steps (garage)
Petmanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiVcurb damage
Porch
Basement finish
0L
Deck [7
Please verify with the builder the temoval of roof test caps from the plumbing system and the shu[-off of watet supply ro
the outside lawn faucet before freeze potential exists.
ContaM engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - Cily Copy Yellow - Resident Copy Pink - Contracror Copy
L /0 BL /f
ciTr use oNLY
SUBDakL.trt{hOrCiH2 WUb4
RECEIPT #: ?
DATE: 1911,0 Q5
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air cond::ioning Add-on a:r exchanger, i.e. Vanae systerr5, etc.
Date: „Z 9 zz Z? ?/
FFFC
? Minimum Fee: Add-on/Remodel (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) ?. Ok
? State Surcharge •50
TOTAL ? •-/?
SITE ADDRESS: _S??4
OWNER NAME:T'd- S 1-1 dA, L- S PHONE #:
INSTALLER NAME: h?*?
STREET ADDRESS:
`
CITY: STATE: ,k " ZIP:
PHONE #: (
cirr use oNLv
L _ BL _
SUBD.
RECEIPT #:
DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -46T5
Please complete for: ? ali commercialfindustrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE:
CQ"lTF3ACT °RiCE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: , $25.00 minimum fee 2C 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
CIIY:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMIITEE CITY INSPECTOR
L LU BL CITY USE ONLY RECEIPT #: 99A
? nd
SUBD? rcics?ll,aniJ? ?? 01 ? DATE: 10110.195
7895 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
-' EACH NO. TOTAL
Shower 3.00 x 3_
Water Closet 3.00 x y? _17
Bath Tub 3.00 x 2 =_?
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x / = 3
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x ? = 3
Floor Drain 3.00 x
Gas Piping Outlet ' minimum - 1 3.00 x r = •T?
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations " to existing 20.00 =
Water Tum Around 20.00
STATE 5URCHARGE .50
TOTAL
tc-
SITE ADDRESS: 52 ?4 Aa ?2 0,4 "z
OWNER NAME: -L d-' S 1°I o/S'f ti S
INSTALLER NAME: /'( " ? te "f `"hH Kf"'et 4 G
STREET ADDRESS: i ? -P cv ° !4:? Ze-
CITY: ??-l s U, ?/ STATE: sGi Al ZIP: S? 3
PHONE #: ( ) f3'26-90 S/-
SIG?jd!
1ATQREOF ljtKM1TT
L _ BL _
SUBD.
OFFICE USE ONLY
RECEIPT #:
DATE-
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB 12D
EAGAN, MN 55122
(612) 681-4675
S
Please complete for: . all commerciaVindustrial buildings.
? multi-family buildings when separate permits are pflS required for each dwelling
unft.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS 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 MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pgrmit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
cmr:
PHONE #: SIGNATURE:
OFFICE USE ONLY
METER SIZE: " DATE:
STATE: ZIP:
APPLICANT
_ INSPECTOR:
CITY OF EAGAN PERMIT
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE: e; u r L n F rd G
Permit Number. m 3 A 4 ael
Date Issued: 01 J 2 6 19 9
SITE ADDRESS:
5.14 ilHwriioR19e ?,1000s nP
LGT: 10 BLOCI<z 4
FIAWTH0RNE Wp(7L1S ?ND
P.T.iJ..a 10 -921F, !.-1.00-H4
DESCRIPTION:
?
1
B}xildinq'j>ermi.t Tvr,e EshSEhiEN7 FIVISH
003 tdinq Wx'krl< Ivpe ALl'FkATTOPd
iCensus CodP 934 ALT. RESIDENl-SAL
i
\
REMARKS:
P IAH R FVTI'WF? U BV C.RIi1L D%OV,q(:ZYF.
S"'PE'r2AiE NERMiI HEUU'fREU hOK Atil'r` PIUMBING WiJRK.
CqIL i6 11 4F5 H4« faFi'Af;17TNn r"I!l`f'7T['Idl P'"RMTT NhJf"1 1 n1°PFf'TI"(1N+'q
FEE SUMMARY:
?:?•?P r-?:? e6 e.0 0
Surcharqe _ .:?.50
Tot=a1 1 ee $60.50
`ZONTRACTOR:
w
OWNER: - APPtycant -
eHrco EauiAf+n
5114 iiAwrHOrMe wooo,s nf:
EAi;RM r91v 65123
(651)406-938'
I herobv ucknow.ledq° Lhnt 7 have rtad thi,
in'Yorrnatiion is corroct and aerer: to comrlv
Stattitea end CiCy cT Fsqan Oi•di.nurices.
L ?Q?? 2
APPLICA T/P MITEE SIGNATURE
applir,ation aiid ?.T.atP Y_hat, tihe
with al.l araoJirablc 5"tcte ot P11.
"S.? CQ A?I?
SUED BY: SIGNAT R?I
-
- 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 , s-0
(651) 681-4675 q
New Constmc[ion Reauirements RemoEeVReoair Requirements
? 3 registered site surveys ? 2 wpies of plan
? 2 wpies ot plans (include beam & window sizes; poured fid. design; etc.) ? 1 sRe survays (azteriar addRions 8 decks)
• t energy calculations ? 1 energy cakulations for heated adddions
? 3 copies of tree preservation plan if lot plattad aRer 7/1/93
reqw : Yes No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS: ?I? X??s-ln???'1oJLt.1?s ?O?i?S ??• ???? ?????
LOT: ? O BLOCK: SUBD./P.I.D. #: IA-0.WAku'RtkA
PROPERTY
OWNER
Name: C-"w? & _ Phone#:
Last First
Street Address: l;7? \
? Lj
City ,S'?.?? -(?-L? State: ?A Zip:
Company: Phone #:
CONTRACTOR
Street Address
City
ARCHITECT/
ENGINEER Company:_
Name:
Street Address:
City
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is correct, and
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONIY
Certiflcates of Survey Received _ Yes
License k
State: Zip.
Phone #:
Registration #: _
State:
_ No
<
to comply with all applicable
1rc ?
Zip
Penalty applies when address
Tree Preservation Plan Received _ Yes _ No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?f 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Acce ssory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) 5• r?.l Basement sq. ft. Census Code 9?J
(Allowable) Main level sq. ft. SAC Code ol
UBC Occupancy R-3 sq. ft. Census Units t
Zoning R_ I sq. ft. Census Bldg b
# of Stories - sq. ft. MC/ES System
Length - sq. ft. City Water
Width - Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS ,
Planning
Building
Engineering
Variance
Permit Fee
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:
Valuation:
% SAC
SAC Units
L 10 BL q CITY U5E ONLY
1.\
sueo. lIiA of V-,k, WGT) &-/3 KA
RECEIPT#: ' '` 9 RECEIPT DATE:
PERMIT # -?? ? -
1999 PLiTM$INH PEfiMIT (RESID£NTIAc1.)
crrY oF eas"
3$30 f1LOT KAOB ftD
Ensnx, hua ssiQE
(651) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH. #
TOTAL
Bath tub $ •Q X
Floor drain 3.00 x = $
Gas i in outlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tre A x = $
Lavato . 0 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 0 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet X ° $
Water heater .OD x = $
Water softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e ---> ---> $ .50
TOt01 -a -a ___> ...a $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
•
-
- .
--------------• •-• •----------------•-----------------------------... ---------- --------•------------- ---- • ---------------------
- City ot Eagan-ordinances-
I hereby adcnowledge that 1 have read this application, state that the information is correct, and agree to comply-with-all applicable-
It is the applicanYS responsibility to notify the property owner that the Ciry of Eagan assumes no Iiability for any damages caused by the City during its
normal operaUOnal and maintenance activities to the facilities consWded under this permd within City propertylright-of-way/easement.
SITE ADDRESS:? ?AW??`??? " - ???? ??'v?
OWNER NAME: :&C?W ? TELEPHONE
Tc
INSTALLER NAME: TELEPHONE #:'?,u. ?ZZ- l7
?REY+ CODE)
STREET ADDRESS: ??-
CITY: STATE: ZIP:
Q?'& A 4:z
SIGNATURE OF PERMITTEE
(',Il'V fISF ONI V
L J(\ L BL L?_
SUBD. ??V'-.l
a-?
RECEIPT #: 1 U-2?- U-I S
RECEIPT DATE: ) - a--? "q j
1999 PLUM$IN6 PEft14ITP (U.SIDEN17AI.)
ctrY oF Etsnx
S$SO PILOT KNOB i{D
$kfikN, MN 551EE
(651) 6$1-4675
Ptease complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
??------'-'---------- -------- ---------------
FIXTURES ---????_??-----------------'-------- -- -
EACH _# TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/5pa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' for existlng dwelling 30.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler ` forezistingdwelling 30.00 =
?
Alterations ' to existing residence 30.00
Water Turn Around 30.00 =
Private Disposai System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder: Call 681-3675 for inspections of water heaters,
watersofteners,aiterations,etc. 30, SM
TOTAL
-------------- •-• •----------------------------- •-----------•
I hereby adcnowletlge that I have read this appliption, sfate that the --• • -----------• ---------------... _.. --------------... ---------------------
infortnation is correct, and agree to comply with all applipble City of Eagan ordinances.
It is the applicanYs responsibility to notity fhe property owner that the Ciry of Eagan assumes no liabilily fw any damages pused by the City during its normal
operational and maintenance activides to the fadlides truded? ynder this permit within City propeRy/right-of-way/easement.
?
-
aw*
1
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? ???1 2?
Np rn
n?`PSd? Mv SSIt?
9
c?CL
U`c ?
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kv
SITEADDRESS:
?-.nM .
o
L
I
?/
OWNERNAME:
WSTALLERNAME: E?
>.?
G (aa
C-, r--e- cc) TELEPHONE#:?
C'1 L-EOb 41L'2?
.
?
Ax
? ,
STREET ADDRESS:
CITY:
STATE:
SIGNATURE OF
ZIP:
CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999
" .I
?.?
li WW y
TMTT,^TMTTTMTTMTTMTMMMTMTMMMTMMTTTTTTMTM
cn'v oF rAGAN
CaSHIF'Re S TERMINAI_ N0: 06t
DAl'E: 01/26/79 TIME: 15:23:22
1D5
NIME:
i2J0 9001 514 HAWTHQRNE 60.00
E1.,?.?5 3001 514 MAWTHORNE 0.50
G
'-± c
' Tatal Receip+, Amount: 60.50
Cfj??2204
• L?S?R ID: NANCY
,..
0.,r
. '.
.??
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuILozNG
Permit Number: 026271
Date Issued: 0 8( 2 2/ 9 5
51TE ADDRESS:
p.I.N.: 10-32151-100-04
514 HAWTHORNE W0005 DR
LOT: 10 BLOCK: 4
NAWTHORNE W0005 2ND
DESCRIPTION:
PERMIT cX v7a? 7 g-p, -? 5
CEMENT DRIVE APRON
6uiYding'.Permit Type SF DWG
Building W3rk Type NEW
'"UBC Occupancy`" R-3 U-1
, Cvnstruction Typ.g VN
Zoning R-1
Building Length 64
' Building Width 44
Buildind 5tpries 2
.-S?`Uare Feet , 2,127
?.
_. . . , _ . . .? _ ; . .. ? i '.._., . _, _
REMARKS:
S&W CON7RAC70R - M& W WRTER & SEWER PRV
NO C.O. UNTIL DRIVEWAY ENTRANCE I5 CONCRETE
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
5urcharge
SAC
SAC ?
SAC Units
Subtotal
$1,262.25
$441.79
$57.50
$850.00
100
1
$2,641.54
$175,000
MISC FEES $1,892.50
Total Fee $4,534.04
CONTRACTOR: - Applicant - ST. LIC. OWNER:
.7 S HOMES 16869092 0004849 J S HOMES INC
4371 BEN7 TREE LN 4371 BENT TREE LANE
EAGAN MN 55123 EAGAN MN 55123
(612) 686-9092 (612)686-9092
I hereby acknow3edge that T have read tM3s applicat3on and state Chat the
information is correot and agree-to comply with all a-pplicable State of Mn.
Statutes and Gity of Eagan Ordinenees. !
L _
PPL MITEE SIGNATURE
? SUE ,IGNATURE
. CITY OF EAGAN
I I 3830 PILOT KNOB RD - 55122 ?
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registsred aite surveys ?2 copies of plan
? 2 eopiss of plans (indude beam & window sizes; poured fid. design; etc.) ? 2 atte surveys (exterior atlditions 8 dedcs)
? 1 energy calwlations ? 1 energy caiculations for heated add8iona
? 3 eopies of Lee proaervation plan M lot platled efter 7/1/93
requirod: _ Yes _ No
DATE: e I 1 / ? g.S CONSTRUCTION COST:
DESCRIPTION OF WORK: t2F,IL621"
STIjEET ADDRESS: ? 14 J?Ai?TYl arc,-<; l??A1 ?K .
'LOT 10 BLOCK 4_ SUBD./P.I.D. #: N/!w`TH0K --e ??'?a?s' ? ? ,?I.va . _
PROPERTY Name:
OWNER
Wt
FA6I
Phone #:
Street Address,
City:
CONTRACTOR
ARCHRECT/
ENGINEER
State: Zip:
Company: _ .?U,S Phone #: 6 y"O f2
Street Address: ?3?1 13c,?-?r 7X.E'-2?' GH, License #: 1V""04ff
City: f'AG ?,.-, State: Ar , ziP. 6S12 3
Company:
Name:
Phone #-
Registration #•
Street Address*
City:
State: Zip:
Sewer 8 water licensed plumber: lklAfE-e-? SGZ"CX- Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state Mat the information is correct and agree to comply with att
applicable State of Minnesota StaWtes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01
Gi-'02 Foundation ?
SF D
lli 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
,, we
ng o 07 4-plex o 12 Muki RepaiNRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 5F Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
a 05 SF Misc. 0 10 = piex o 15 Deck
WORK TYPE
?31 New a 33 Alterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORAAATION
Const (Actual) ? '-v Basement sq. ft. /, '??'F MC/WS System o'?-/
(Allowable) Je- Main level sq. ft. !'/ City Water o[.
UBC Occupancy ?-/ sq. ft. ??1 Fire Sprinklered
Zoning / sq. ft. PRV ?ES
# of Stories Z lsr. sq, ft. Booster Pump
Length (031S sq. ft. Census Code.
Depth yyr Footprint sq, ft. SAC Code oi
Census Bldg /
APPROVALS Census Unit /
Yv
Pianning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Pertnit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Treils Ded.
Other
Copies
Totai:
% SAC
SAC Units
Vaiuation:
/f/fA/ N
S x rz = !oo
/rs.. ia = lsb
/0x ?1 z = 7Slv
g ?7Svoc? "
tIf?' ?Y"=x?sa
?
yf?' zsr ?Y.i7x
/, yls xsY =?76, ?Z`°
Z *-,>
? K-4-
,_--- -
z
? z
?yn 3 ? ZX /5,f
?Zoyn 5Y= ?so?? .sKs.s
? - -?
? £ C!C =?/2av ?` I
--
_ ?
; ?zs
-. s
Lo x?7 i ? '
?
_ 0"b(6 ?
?-
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWFIER: O ?
SITE ADDRESS: 514 Y(/}l,,t!^ oi2<? 16'd041 ?K
CONTRACTOR: _?j?E? I?C OATE: PHONE:
I
DETERMINE WORKING SOUARE F007AGE OF EACH:
). TOTAL EXPOSED IJALL AREA,,,,,,,, 'j624.5 Sq fL x"U" -l? '
2. TOTAL ROOF/CEILING AREA,,,,,,,, 1-351 sq ft x"U"
3. TOTAL EXPOSED WALL AREA CALLULATIONS:
Total exposed wall
area above floor,,,,,,,, J04,5 sq ft
(t)-
a) Total wall window area:
lq?+yi.7G7ZSEi? 9lazed...... 456 s4 ft x??U" . i?, ?>' • l,?O, i7
- 9lazed...... - sq ft x ''U'' s
? d, I 3 ° ?•`?-?
b} Total door area ,,,,,,,,, 3 J sq ft x "U"
c) Total slidfng qlass door area:
1411A); Cglazed...... sq ft x"U"
- 9lazed...... sq it x "U'' a--
d) Total ffreplace wall area O sq ft x"U" r- -
e) Total wall framing area ?
(Averaae 10%)........... '3U4•5- sq ft x -U- 24.96
1t1L_---
f) Total net wall area above
floor (Insulated)....... 12IS-• t sq ft x "U"
g) Total rim Joist area...... sq ft x"U" Ql93'?7
,
Total foundation
area (Exposed).......... sq ft
h} Totai foundatton
window area ............. sq fi x"U" °
t) Total net foundation
ft x "U"
area above grade......,. sq
3. TOTAL a) thru i) ??J•
if item R3 is the same as, or less than item F1. you have met the intent of
2 MCAR 1.16008 A and G.
.
Page 1
4. TOTAI EXPQSED ROOF/CEILIPIG CALCULATIONS:
7otai exposed ,
roof/ceiling area........ sq ft
J) Total skyliaht area....... ? sq ft x"U"
k) Total roof/cellinq framing ? c ?c
r
?? p'
area (Averaae 109) ,,,,,, ;?? ? 3 sq ft x U , ? 2 .?
1) Totai net insulated _ ) e^?,? !
roof/ceilinq area....... J ? sq ft x"U" , ? q-
?
TOTAL J) thru 1)
4.
If total of 04 is the same as, or less than R2, you have met the lntent of
2 MCAR 1.16008 .4 and 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of items N3 and N4 shall not be greater than the sum of items N1 and 02.
1.
+ 4.
a
+ 2,
.3.
C E R T I F I C A T I 0 N
6
I hereby certify that I have calculated the "U" factors and "R"
values herein and [hat the buildinn here lescribeA meets or exceeds the State
of Minnesota Eneray Conservation Act.
?
SfqnaturIe
l
_ ? f5
(Date) page 2
il _ _._ .._..rLf\-GU
CONSTRUCTION
r
R YALUC•
CEILINr, SECTION (INSULATED): n FI
i Interlor str flim
2 .?.C?i`.`-??"'? • Sg
3
4 Exterlor alr Flim stilil n.til
TOTAL R ? 94•?0
u - va• -eDzs
L?¦
CEILING FRANINf SELTlON:
1 Interlor a8r fllm
q ?S Jw
j 3u s
4 I n t e r or alr m
5 inches sof
A.61
still ?• ?
t wooA .e5
TOTAL R ? ??
U + 1/R ` •d'Z1
.
V
Ur I/R•r
LE1L1Nf; FRAM111P. SEC7lON:
?• Inter(or alr Film
2
3 q. I
4 Exterlor atr ri m st
S lnches so t wood
TO7AL R ? _?
u a 1/R 0 ?
H
CEILING SECTfON (INSULATED):
1• Interlor a(r flTm
2
3 A. 1
4 Exter?or air fIm I?Lll.l
?.?,
i Inside alr fi1M
2
3
4 n,17
Outside air i'" TpTAL R + _?
u
page 4
VENTED
. , ^
I"1
0
R VALUE
q,6R
95TRUCTION
4MINC SECTION:
Interlor alr fllm
I I bRC
rlor a r
U - 1/R 0 .09
WRLL SECTION (INSULATED)
--(i Interlor atr f11
i „ ,GdosT
?
?
3
4
'7 , d" HP.RD ? - (1. 17
Ezcerlor a1r f11m • _
u - 1/R - .04
'6%
J
Is]
RIM JOIST Sxrrintir
i . lnterfor
S
6
'e: p4
a °-
;4,
dA Jn4
7
FOUNDATION INSULATIOTI REQUIREO= ? . ?/R ? .p
Min. R-5 on entire wall 0(i
Min, R-10 down to frost depth
FOUHDATION SEC'CION: n
?R
1 InterTor atr film .
2 I? Z sN¢o a.nn lo.
3 t 2" Co . P.x.oct? . I, 2
4 Exterfor a r ilm n,I7
(5
(F
TOTAL R ? ? ?• .3
? u . I/a • : °7
SLAf! ON G0.ADE
w
em
`•? `a,.?v. ,Q: ;Qa a
?4• , Q 4
?• ? ;
? V ?: o' •4.I
d? . •Q r? . ? .' ? ?:
Heated Slahs:
Minimian R = 8.5
Unheated Slabs:
Hinimum R = 6.2
.
? 4 ? ?
.,.;a; a .• -,.?•.-.a
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i4
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` P??c
? LOT SURVEY CHECKLIST FOR RESIDEMIAL
BUILDING PERMITAPPLICATION ?
. m
W y PROPERTYLEGAL:
W U ?.?i
a 6 m DATE OF SU Y:
LATEST REVISION:
4 Z i
' DOCUMENT STANDARDS
?' ? ? • Registered Land Surveyor signature and company
0 • Building PertnitApplicant
0 • Legal descriptlon
? • Address
? a • NoAh arrow and scale
0 O • House type (ram6ler, waikout, splR w/o, split entry, lookouk etc.)
9-'C3 0 • Direcdonal drainage arrows with slope/gradient 96
? ? • Praposedfexdsting sewer and water services & imeR elevatlon
? • . Street name
O O • Driveway ELEVATIONS
ESistlna
?9 ? • Sewer service
?9? • Property comers
tYf7 ? • Top of curb at the driveway
0/O ? • Etevations of any ebstlng adjacent homes
Pro s
? • Garage floor
%?'O ? • Firstfloor -
D?'o ? • Lowest exposed elevatlon (walkouUwindow)
q/O O • Property comers
???O ? • Front and rear of home at the foundation
? PONDING AREA fif aoolicablel
?9' ? 0 • Easement tine
[9' 0 O e NWL -
m--'0 ? • HWL - ,
?O ? • Pond # designatlon
o ge"'O • Emergency Overflow Elevatlon DIMENSIONS
O" ? 13 • Lot IinesBearings 8 dimensions
Q,-'-o o • Right-of-way and street width (to 6ack of curb) •
M--- '13 ? • Proposed home dimensions including any proposed decks, overhangs greater than 7,
porches, etc. (.e. all structures requiring permanent toodngs)
M--'?O 0 • Show all easements of record and any Ciry u0lides within those easements
• Setbacks of proposed structure and sideyard setback of adjacent exlstlng sVuctures
? ? • Retaining wall requiremen ' any
Reviewed: /
Nfime ! D te
Juy t995
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` 2U
0+53
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8
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' CONTRACTOR: BROWN a CRIS
? rPIC'lNLgEP
* t?R?T10e?`?
* **
*
Certificate of Survey for
.+?t?ll
51C?EN/ALK-?JD.n7•
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LaHD SUftYEYqS$ • G`4L ENGRlEFkS
tnNO e?ceP.Eas. VHD4raPC n5r,HI?cTS
(612) 681-1914 FAX: 681-9488
6L5 Hignvlny tU N_E.
Inrd 55434
(812) 783-1880 FAX:783-1883
J S NOMES 1?NC.
514 HAWfHUP,ftiE Pd0,3DS ORIVE
,,SEE DE7AIL
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i7 94188.06 SWK .E John C. Lursan. L S. r;eg. fJO 15t23
T43'd
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 514 Hawthorne Woods Dr
Lot: 10 Block: 4 Addition: Hawthorne Woods 2nd
PID:10- 32151- 100 -04
Use:
Description:
Sub Type: e - Underground Sprinklers
Work Type: Underground Sprinkler System
Description: New
Meter Size Meter Type Manufacturer
Comments: Permit closed without required inspection(s). Letter sent to applicant on 02/24/2009.
Fee Summary:
Contractor:
Preferred Plumbing
6400 High Point Trail
Prior Lake MN 55372
(952) 447 -5761
Dan Clough
PL - Permit Fee (Res Modifications)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
$30.00 0801.4087
Owner:
Michael D Propp
514 Hawthorne Woods Dr
Eagan MN 55123
$0.50 9001.2195
$30.50
Issued By: Signature
Plumbing
EA083412
06/06/2008
ePermit
Line Size
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
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PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105816
Date Issued: 07/31/2012
Permit Category: ePermit
Site Address: 514 Hawthorne Woods Dr
Lot: 10 Block: 4 Addition: Hawthorne Woods 2nd
PID: 10-32151-04-100
Use:
Description:
Sub Type: e-Windows/Doors
Construction Type:
Work Type: Replace
Description:
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
Kara Benson
Comments:
9533 - 367th Street
North Branch, MN 55056
651-674-1766
BL - Base Fee $500 $40.00 0801.4085
Fee Summary:
Surcharge - Based on Valuation $500 $0.50 9001.2195
Valuation: 500.00
Total:
$40.50
Contractor: Owner:
- Applicant -
Renewal Andersen Michael D Propp
1920 County Road C West 514 Hawthorne Woods Dr
Roseville MN 55113 Eagan MN 55123
(651) 264-4777
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.
Applicant/Permitee: Signature Issued By: Signature