517 Hawthorne Woods DrINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: A " "`" "`'
3830 Pilot Knob Road Permit Number: ,''? t« t
Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675
SITE ADDRESS: APPLICANT:
, lii11..ltlfUi<N! +.luufj', fii' ??i;???;o #c{
;
' .iJ l 11111,('iI ?.lllf){??? a?H?) . •. I . 1 '43?? i..'IC• ? ?
PERMIT SUBTYPE:
, : , *,}i
TYPE OF 1NORK:
INSPECTION .. . ..
REI4RRKs. ASEAARATf. PhRM) 1 [?. HEUU1Reo wOk pNY rLhr tRjrAl OR PI tfM41?r11Ii W«IiI
..
?
?
.??
Permit No. Pe?mit Hoider Date Telephone #
ELECTAIC 16la7
PLUMBING U^-
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
. .
PLBG
AIR TEST
-?-
ROUGH
HEATING
? `
GAS SVC
TEST
? -
iNSUL
GYP 80ARD
rui
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSFAT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
C^??4:
-CITY,OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: ? ?? F ? .it, r?? ???.?
? I?r:clvi;i?4?Nk LdO+3OS ?J{i
t ? t H?+l,Pdr tl????l?`. .''r?li
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
tit, i i
0 .'.t ! ??•a
046 /Ok! 1'14
APPLICANT:
TYPE OF WORK:
INSPECTION .. . ..
I w ?
I fi! 1 Al(
Permit No. Permit Holder Date Telephone #
SNV
PLUMBtNG
HVAC ?19 ? IPD?lpO??
ELECT ? ?p p O? 4v
ELECTRIC
Inspection Date Insp. Comments
Footings I (19k ?CJ
Foundation
Framing
J
Foofing
Rough PI6g.
Rough Htg.
Isul.
(
Fireplace
Finat Htg. ?
Orsat Test I
Final Pibg. •? Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
/ 7
%U
Deck Ftg.
0 0
Deck Final
WeU
Pr. Disp.
Wertificate ot Cccupanc?
Wit4 a f Cfagan
ZeO artawat af $U{tbatg 3800ection
This Ceriicate issued pursuaRt to the riequireme»ts of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
onfinances of tlre City regulating building constrrrctian or use. For the following:
Use Claaification: $ F DWG Bldg. Permit No. 237c'q
00-p-r TYvo R3/ M I 7dning oisnia R 1 Type ca,st. VN
0. of B.b;,,gA!.IlEI10@I H[l?? Addrm 14551 r-IY RD QQ, B'V=
suiw;ng ,4mmo 511 HMJlfUM WDODS D!RIVE L-W" 135, B2, HA4JIlME WDCDS 2ND
j Daic',-;-;.?.:.
eoddingofficW
P06T IN A CONSPICUOUS PIACE
RESIDENTIAL
? BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
???? ?? 651•681-4675
NewConstruetionReauirements RamodeUReoairReauiremeMs -
• 3 regislered site surveys sliowirg sq. ft ot bt sq. ft of house; and ?II raofed areas • 2 mpies at plan
(20% rtaximum bl caverage allowed) . 1 set of Energy Calculations for heated ad(rrdons
. 2 copies d qan showing beam 6 vnndow sizes; poured found desgn, etc.) . 1 sde survey fa e#erior additions 6 dedcs
• 7setolEnergyCalc,.auons
• 3 copies of Tree Preservation Plan N lot platte0 af[er lltl93
• Rim Joist Detail Optlons selection sheet (bldgs with 3 or less units)
4 ?
DATE VALUATION (EXCLUDING LAND) 71
.jJBSITEADDRESS 6_I7 IfQH/ThOcii v?aodS DY',
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ./VO
PROPERTY OWNER 1- yV? Y1 C-a I q r f1 Cq (!
TYPE OF WORK
FIREPLACE(S) _0 _7 _2 _3
APPLICANT PHONE #?
ADDRESS 4100 EXCELSIOR BLVD. ZIP CODE
M ee??e
PAGER #
#
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9y Code Cate9ory _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
blechanical System Includes:
Sewer/Water Contractor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I hove read this application, state ihat the information is correct, nd agree to comply with
all opplicable State of Minnesota Statutes and City of Eagan Ordinances.
?
Slgnature of Appllcanf
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
TCu?" CJ4 2cc
Phone #:
Lawn Sprinkler
N0. of R.I. Baths
Updated 1101
OFFICE USE ONLY
? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
D 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 MuIG
D 05 03-plex ? 17 10-plex O 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteretion 13 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demol(tion (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MClES System
T
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinallC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (additiou) _ Plumbing
_ Foundarion HypC
Drain Tile
Roof _ Ice & Water _ Final _ Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
REQUEST FOR ELECTRICAL INSPECTION
???9?? &ee iq??idmnn iM complellN? this (orm on back of yellow ooOY
? "X" Be/ow WorK Covered by This Request
p?=?.`. ?SoY?I
e d Rep TypeolBudding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heatar Eledric Heating
Apt 8wldmg Dryer Load Menagement
Comm./Indusirial Furnace Other (Specify)
Parm Air Conditioner
Olher (sVeciyi Conlractor's RemarksCompute Inspechon Fee Below
# Olher Fee # ServiceEntrenceSrze I Fee # CircwtsiFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100,Amps
Transformers Above 200 _ Amps _ Above 100 _ Amps
SIg05 Inspectors Use Only . TOTAL
IrrigaUOn 8ooms ??-?G
Special Inspection
AiarmiCommunication TNIS INSTALLATION M E OR R 41SCONNECTED IF NOT
Oiher Fee COMPLETED WITHI ONT
I, the Electncal Inspector, hereby Rough-in ? Date
/
certifythatthe above inspection has
been made. F,,,ai
400 oate
OFFlCE USE 3NLY
TNS request witl 18 months imm
?
C? 399f6,? ? ? ?
Repuesl DaM Frte N. Pough-In InpsecLOn RepwreO
('IOU muet c nrspetlot w reatly)
Ves ? No inspechon Olher Than R In
? peatly Now Will NoLfy Inspetlor
pete ReaE
I licensed contracror p owner hereby request inspechon of above elecirical work at:
Job /+tldress (SVeet 8ox or Route No )
51 -
Gt/ev-,GoJ CAy
?
Secuon N. Township Name or No
I Range No County
Occupant(PRINT) Phone No
Power pLe,
?GLh-,?tLqc. Adtlres
);Z-n • 35Z
Elech¢ Coniracla COnpany Name) ConVactor's Licanse No
I g qtlaress ICOnhacwr or Owner Making InstallaLOn,
AutM1Orrzetl I re ?COnhactonOwner i q Ins? ation) - - - - - Ppone Nu ber
S???J-13 5d'
MINNESOTA STATE BOARU OF ELECTRICITY
Gr{g9a-Mloway Bldg. - Foom 5-173
1021 University Av¢., St PiUI. MN 55109
PM1One1612) 642-0800
THIS INSPECTION REOUEST WIIL NOT
BE ACCEPTED BY THE $TATE BOARO
UNLES$ PROPER INSPEGTION FEE IS
ENCLOSED
OFFlCE USE ONLY This requesl wid 18 monllis hom volidaHOn dote pnnted in ih^is/?x
? / ?JJ•i• /_ / ?/?Y
* 0 4 1 6 1 2 7 9# PLEASE PRINT OR TYPE ?v
Reqs?es^t D.?a '
,
?? q? Rw?gMn tnspecAOn req?ired2 Yes ? No
Y
ll
h
I Inspeclion Olhw Than RwgMn: ? Ready Now Wfll Catl
O
R
d
?/ ou must m
t
e mspenor when reuly?
(
me
eo
y.
I, ? licensed cont?aclor Xcwner hereby requast inspeclion of the above elechical work al:
Ja6 Addrcss (SheM, Boz, a Rwre No I Gly Zip Code
44?4horw. bUuods il „ 55123
Se iian No_ Tow?iship Nome oe No. Naige N. fira No Couny ?
:)a
Occuponr
(7??1 Scoloasm Ax[56M Phana Na.
5 - 3 -7
Power Supplier
pax? fl'0-C4;V Addross
Elaclr' Con?r (Compolry NomcI Conh? license No. Nwvm lic. No. (Phm Ekct OnM
Mai6, Addreu (ConhxM m Ownc PeirIwmceg Insblblion?
ANFwri SignaNre ?Connodo. or Ownar Pc ' g Insbllanon)
?cd ?u.r aa??--ee??v?- Vhone N.
W q -34 ?
EB00001.41 ) e/96 ?re*e oneen enev _ eec wereurnnue nu neer na vci i nw mw
416-127
RFQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electriciry
1821 Umversiry Ave., Rm. S-128, SL Paul, MN 55104
Phone (612) 642-0800
Home Duplex A f. Bld . Other: '- New Addn
Commercial Indushial Form Remod Re air
Air Cond. Htg. Equip. Water Hir. Load Mgmt. Olher.
Mryer Range Elec. Heol Temp. Service
°X' obove rhe work covered by this requesG Enfer remarks in Ihis space and on fhe back of e white copy only.
Calculaie Inspechon Fee - This Inspecfion Request will no/ be occepted withoul the corrxt fee:
Oiher Fee # Service Entrance Size Fee # f" rts/F Pee
Mobile Home Park Stall 0 ro 200 Amps 0 to 100 Amps
Street Llg./Traffic Sig. Above 200_Amps A ve 100_A ps
Tmnsformer/Genemror INSPECTOH'S IISE ONLV T AL
Sign/Oudine Llg. Xfmr. ? O O
Alarm/Remote Conlrol ,
Swimming Pool I here6 ceM thai I ins I smllanon dexri6ed Mrein on the dates
Irrigation Boom Ra,gMn ome
S
eciallns
ecfion
p
p
Investigotive Fee
THIS IN5TALLATION M
AY BE O Final Da1c
RDEREU D NNECTE TED WRHI 7 MO H.
Address 517 Hawixor_u? wooDS D?uvE Zip 5512 3
Lot ss Blk 2 Sub HawrHCxum t,nons 2nro
THESE ITEMS WERE / WERE NOT COMPLETG AT THE TIME OF THE FINAL INSPECITON.
Date: 9 Yes No Inspector:
Final grade (6" from siding) J
Permanent steps (garage)
Percnanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to
the outside lawn fauce[ before freeze potential exists.
Contact engineering division at 681-4645 befnre working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
*dtV oF eegan
PAT GEAGn1V
btayor
eeccv cnatsorr
Cl^1DEE FIELDS
MIKE MAGUIRE,
MEG TILLEY
Councif Members
THOMAS HEDGES
Cicv Adminisctator
Municipal Center.
3830 Pilot Knob Road
Eagan, MN 55122-189i
Phone: 651.6755000
Fi<: 651.675.5012
TDD: 651.454.8535
Main¢nmce Facility:
3501 Coachman Poinc
Eagan, MN 55122
Phone: 651 675.5300
Fau: 651.675.5360
TDD- 651.454.8535
www.cityoFeagan.com
THE LONE OAK TREE
The symbul of scr<ngch
md grow[h in our
communiry
July 8, 2003
NIR KEITH J FLAKNB
ROBERT GARY BUILDERS
3040 13T" TERRACE NW
NEW BRIGHTON MN 55112
RE: 517 HP,WTHORNE WOODS DRIVE
FLA5HIYG AT THE TOP OF THE FRIEZE BOARD
Dear Mr. Flakne:
Your June 24`h letter to me included a letter from James Hardie Building Products stating,
"The installation of inetal drip cap is acceptable°. I question if the lack of a metal drip
cap is acceptable." The James Hazdie Products installation instructions did not address
this particular configuration.
Repairs under Building Permit rt 49993 were subject to the 1997 liniform Building Code.
The UBC is not specific on the question of flashing; however, Minnesota Amendments to
the 2000International Residential Code enforced after April 15, 2003 make the intent
clear.
Subp. 9. Section R703.8. IRC Sectian R703.8 is amendect to read as follows:
R703.8 Flashing. Approved corrosion-resistive flashing shall be provided in the exterior
wall envelope in such a manner as to prevent entry of water into the wall cavity or
penetration o f w ater t o t he b uilding s tructural f raming components. T he f lashing s hall
extend to the surface of the exterior wall finish and shall be installed to prevent water
from re-enterin-, the exterior wall envelope. Approved corrosion-resistant RashinQ shall
be iiestalled at all of the followinz locations:
1. At top of all exterior window and door openings in such a manner as to be
leakproof.
2. At the intersec[ion of chimneys or other masonry construction with frame or stucco
walls, with projecting lips on both sides under stucco copings.
3. Under and at the ends of masonry, wood, or metal copings and sills.
4. Continuouslv above all proiectinQ wood trim_
5. Where exterior porches, decks, or stairs attach to a wall or floor assembly of wood-
frame constniction.
6. At wall and roof intersections.
7. At bui(t-in gutters.
8. Where exterior material meets in other than a vertical line.
At a meeting on March 11, 2003, your representative ageed to provide a drawing from
the siding and trim installer showing how the trim detail was put together. This drawing
was to be approved by the siding manufacturer. To date, this drawing has not been
provided to us and it appears that James Hudie Products will not endorse any deviation
from its instailation instructions. The City will accept that as an altemative to installing
the drip cap.
As this repair was a result of water intrusion, it would be in the best interest of all parties
to ensure that this project be a ven the degee of protection required after April 15, 2003.
If you have any quesfions, please feel free to contact me at 651-681-4680
Sincerely,
,i,?????"????/
7eff Wheeler
Building Inspector
JW,'js
cc Dale Schoeppner, ChiefBuilding Official
Mike Happ, State of Minn Bldg Codes and Standards division
Lynn Galameau, 517 Hawthorne Woods Dr
RESIDENTIAL
BUILDING PERMIT APPLICATION
Lj 0? CITY OF EAGAN
3$30 PILOT KNOB RD, EAGAN MN 55'122
651-681-4675
New Constnietion ReauiremeMs
. 3 registered site surveys showing sq. k. of lot, sq tt. of Muse; and all roofed areas
(20% maximum lol coverage allowed)
• 2 copies af plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
. 3 copies of Tree Preservatbn Plan'rf lot piatted after 711193
. Rim Jaist Detail Opdons selec(ion sheet (bldgs with 3 or less unAs)
DATE 3_ - -7 - <'?' Z
?
as
RemodalfReuair Reauirements lQ (.0 q
. 2 copies of plan
• t set of EneMy CalcWations for heated additions
• 7 site suney tor ezterior additions & decks
• Indicate'rfhomeservedbysephcsystemforadditions
VALUATION -ts -°, _ ° o
SITEADDRE$S s17 ?-(g?.'L?'?brNe uQ?dS L)Y-
TYPE OF WOR
"vE- sf--, ce) c
-q
MULTI-FAMILY BLDG _Y X(d
FIREPLACE(3) _ 0 _ 1 _ 2
APPLICANT Sqi(??S?2 r.c -
STREETADDRESS S?? 36J/z ?I•/P_ N ??- CITYZ?STATE/'?!J?ZIP?¢/ 18
TELEPHONE #61z.- 7t3&9S'8s- CELL PHONE #6/2, -?78• 3 f3 c7,T_ FAX #
PROPERTYOWNER?-?f-???yh,. TELEPHONE#K?r/.4S1f 77z7ea
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIIVNESOTA RiJI.FS 7670 CATEGORY 1
(d suhmission type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Phone #
Phone #
Submitted
Fee: $90.00
Pee: $70.00
----------------------°----------°------------------° °---°---------------°--°---°--------------------°-°-------•
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ord/inances.
Signature of Applicant
r
OFFICE USE ONLY
Water Softcner
Water Heater
No. of Balhs
Phone # '
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
if- 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 30 Accessory Bltlg
? 31 Ext. Alt - Multi
? 33 6ct. Alt - SF
? 36 Multi
? 25 Miscellaneous ?&j4V%, (&C#0a.#CjQ
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reraof ? 46 Windows/Doors
*Demolition (Entire 81dg only) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) ?C FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
-X Insulation _ Retain?nu Wall
Approved By ? 2, , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
license Search
Copies
Other
7otal
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 76 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
. ? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
.? ? 3830 PILOT KNOB RD, EAGAN MN 55122
b 651-681-4675
NawConsWCtion Reaulremenb
• 3 registered sRe surveys showing sq. R. W lot, sq. ft. of trouse; and all roofed areas
(20% mazimum lot coverage allowed)
• 2 copies o( plan shawing beam & vrindow sizes; poured found design, etc.)
• 1 sat of Energy Calculationa
• 3 copias of Tree Preservation Plan'rf lot pla@ed afler 711193
• Rim Joist Detall Options selection sheet (bldgs wBh 3 or less unils)
_ WaLer Softencr _
_ Water Heatcr _
No. of Baths
DATE J^ ZZ O Z VALUATION
SITE ADDRESS "41,,t?fwP WozJ-S U-N MULTI-FAMILY BLDG _ Y _ N
TYPE OF
APPLICANT
STREET ADDRESS
TELEPHONE # Co l-!KZZ-? &l CELL PHONE #
FAX #
PROPERTY OWNER L?-I V11r1 V G. I cti+?OL.Pc?tif TELEPHONE #
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
ZIP 5s
Energy Code Category _ MINNESOTA R[JI.ES 7670 CA7'EGORY 1 MINNF.SO'1'A RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system includcs:
Mechanical Contractor:
Mechanical systcin includes:
Sewer/Water Contractor:
Air Conditioning
_ Hcat Recovery System
FIREPLACE(S) _ 0 1 _ 2
`n_
Phone #
Phone #
ree: $90.00
p? R ? ? -
MAY 2 2 2002 I?
Fee: $70.00 L
----------°-------------°----------------------------------------------°--------------°-------------------------------
I hereby acknowledge that I have read this application, state that the informatio is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances
.
Signature of Ap Ic
OFFICE USE ONLY
t --I 1 --i L??-
RemodellReoafrReauiremeMs 2
• 2 copies of plan
. 1 set of Energy Calculations tor heated addilions
• 7 site survey (or exterior additans & decks
. Indicate'rf hame servad by seplic system foradditions
_ Phone # .
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Updated 4102
OFFICE USE ONLY I •
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 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 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex 13 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Altera6on ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new hldg) FinaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ plwnbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ FIaTninB Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (newReplacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf.
SHOWER
WATER CLOSET
BATH TUB
LAVATORY
KTTCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPWG OUTLET • minimum - i
BOUGH OPENINGS
WATER SOFfENER
PRIVATE DISP. • na].ay. sc.
U.G. SPRINKLER • home unaer const.
ALTERATIONS • to adating
WATER TURN AROUND
STATESURCHARGE
TOTAL:
EACH TOTAL
3.00 3• o-O
3.00
3.00 lo .o--o
3.00
3.00 3 • o-c-?
3.00
3.00
3.00 3 •
3.00 3 - .0-0
3.00 3 . --za
1.50 So
5.00
20.00
3.00
20.00
20.00
?
.50
? ?.
CTI'Y: C,.J??'J S I??GSTATE: ZIP CODE: ??DgT
PHONE #: tC-!
2c- /`0
SI ATURE O RMITTEE
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
SIT'E ADDRESS: '"? C/
PLEASE COMPLETE FOR ALL COMIIvIERCIALJINDUSTRIAL BLTILDINGS. ALSO FOR MULTI-
FAMII.Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH
DWELLING UNTT.
_ NER'CONSTRUCTTON ?
_ ADD ON
_ BEPAIR
WORK DESCRIPTION: \ . ?
CONTRACf PRICE: $ ?
FEE: 1% OF CONTRACT FEE `
STATE SURCHRRGF: $.50 FOR F4CH $1,000 OF ?` `??";w
= '?' FEE.
11EIIVIMUM FEE $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CI'I'Y:
PHONE #:
STATE: ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
1994 PLUMBING PERMIT (COMMERCLII.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
CITY USE ONLY
L ? BL RECEIPT #: 6?
SUBD. DATE: /G , .
1996 PLUMBING PERMIT (RE5IDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? singte family dwellings
? townhomes and condos wh<an permits are required for each unit
FIXTURES EACH N-Q, TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 ;c =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :c =
Floor Drain 3.00 :c =
Gas Piping Outiet ' minlmum -1 3.00 ;t =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Pfivate DispOSal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprlnkler " home under const. 3.00 =
Alterations ` to existing 20.00 = ao '°
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:_ :fd7 G?G1 0i'4 CJ e-
OWNER NAME: Qle."f
INSTALLER
STREET ADDRESS:
CITY: G? STATE: /?Gl ZIP:
PHONE #: ( 6(,\-) VSV- 37 2 9 ?
,
OFFICE USE ONLY
L _ BL _ RECEIPT #:
SUBD.
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ? all commerciaVindustrial buildings.
• mulN-family buiidings when separate permits are Il4S required for each dwelling
unit.
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 FLUSHOMETER:i TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' 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. SPRINY:LER PERMIT.
FEE: $25.00 minimum fee or 1% oi contract price, whichever is greater. State surcharge of $.50 per
$1,000 of Rg=1 fee due on afi permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS: _
ciTV:
PHONE #:
METER SiZE:
DATE:
STE..#
SIGNATURE:
DATE:
OFFICE USE ONLY
STATE: ZIP:
APPLICANT
_ INSPECTOR:
1994 MECHANICAL PERMTT (COMMERCIAL)
CITY OF EAGAN ?- ?
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMNIERCIAI,/INDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIItED FOR EACH DWELLING UNIT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CFEE $
PROCFSSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF MFEE.
?. .., ?
TOTAL $
JITE f'111LL\LSJ.
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONL1)
INSTALL.ER:
ADDRESS:
CIT'Y: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CTTY INSPECTOR
r
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIltEPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU
ADDTfIONAL 50 M BTU
GAS OUTLETS (MINIMLIM 1 @ $3.00 EACI-)
?
ADD-ON/REMODEL (EXISTIIVG CoNSTRUC'I'[oN)
STATESURCHARGE
TOTAL
SITE ADDRE
OWNER NAN
INSTALLER:_
ADDRESS: ?
CTI'I': c?k
TELEPHONE
$ 24.00
6.00
q.acf
$ 20.00
.50
TELEPHONE #:
STATE: Llk L t? ZIP CODE:
?
1994 MECHANICAL PERMIT (RESIDIIVTlAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
? CITY dF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT Gf2 X7 3 '36 4 (.o-9-9 q
PERMITTYPE: auxLorNs
PermitNumber: 023799
Date Issued: 0 6/ 0 9/ 9 4
SITE ADDRESS:
P.I.N.: 10-32151-350-02
DESCRIPTION:
517 HAWTHORNE WOODS DR
LOT: 35 BLOCK: 2
HAWTHORNE WOODS 2N0
Building-Permit Type
Building Wor-k Type
? UBC Occupancy-.
ConStructioh 7yp.e
i
Zoning -`
,? Building Length ?
, Building Width
? Building storias
o?
SF OWG
NEW
R-3 M-1
V-N
R-1
56
55
2
( ?- r?-
4?,J?7!;1!
REMARKS:
PRV 5& W PLBR - DRESHEF2 EXCAVATING
FEE SIJMMARY:
VALUATION
Base Fee
plan Review
Surcharge
SAC
SAC %
SAC Units
Lic. Search Fee
Subtotal
$2,443.55
$185,000
MISCELLANEOUS $1.828.50
Total Fee $4,272.05
CONTRACTOR: - Applicant - sT. LIC. OWNER:
ARLINGTON HOMES 14329725 0003200 ARLING70N NOMES
14551 COUNTY ROAp 11 14551 COUNTY ROAD 11
BURNSVILLE MN 55337 BURNSVIILE MN 55337
(612) 432-9725 (612)432-9725
I hereby acknowledge thet I have read this application and state Chat the
information is correct and agree to comply with all applicable State of Mn.
II APPLICA /PERMITEE SIGNATUflE ISSUE$609.05
5tatutes and City ofi Eaqan Ordinances.
$92.50
$800.00
100
1
$5.00
INSPECTION RECORD
' CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 PilOt Knob Road Permit Number: 0 2 3 7 9 9
Eagan, Minnesota 55123 Date Issued: 0 6/ 0 9/ 9 q
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 35 BLOCK: 2
517 HAWTHORNE WOODS DR ARLINGTQN HOMES
HAWTHORNE WOOpS 2ND (612) 432-9725
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION
FOOTINGS .. ,
FOUNDATION
.A
FRAMING ROOFING
INSULATZON FIREPLACE
ROUGH IN PLB6 ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - DRESHER EXCAVATING
F
L
? . . . , , . ., n? ?.
?
?
I i
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION ??{, 2'jz• ??
681-4675
Cn0v( G-V!
SINGLE & MULTI-FAMILY 2 sets of pl s, e s s te surveys, 1 copy of energy
calcs.
°
COMMERCIAL 2 sets of ar hitectural &
struc ural plans, 1 set of
specificatio ", "-'- " calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date / J7 Valuation of work ?a.?. O G O
Site Addres : -611
STREET SUITE #
Tenant Name: (commercial only)
LOT J s BLOCK SUBD. ta/? ?' ?
? P.I.D. #
G? 06 d !Jw ?
/?'
Descri tion of work:
The applicant is: )Vf Owner N?rContractor ? Other (Describe)
Name ??n an rnC--S Phone 3a" 7ot?
Property IAST FIRST
Owner Address
STRFET STE #
City Evi?scle'l?t State /<"4 Zip 7
Company Phone
COI1tC8Ct01' Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber .?2ES iE-2 .? k c_ 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 Sta f Minnesota Statutes and City of
Eagan Ordinances.
?
Signature of Applicant:
ities DiQital Oualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodgtng
U 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck
WORK TYPE
It 31 New El 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Oc V
cupancy •?
Zoning
# of Stories z
Length ?
Depth SS?
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? s;te
? Wallboard
Basement sq. ft.
lst Fl. sq. ft.
2nd F1. sq. ft.
5q. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
0 Footing
0 Final
? i t.?..waP ?IL
M
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System .?"
?vvo City Water y
`
PRV Required ?
-
Booster Pump
Fire Sprinkler
Census Code 7T7
5AC Code T
Census Bldg
Census Unit _L
Assessments
Er Framing
11 Draintile
E3 Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
_--?-
i v vo z 60 4;
2 ?,r Z o
Sa-s -
?9s37??s
- ?9Z
. S'e, zS
%f
?
?3?j( oA-.ry;
G S.
?zCh?.3o- (oa0 .
?p:a : y0
/'D--?--
? - - -- -??
I?Y 38S ?s' ;
?
vaLms;m: $ Ooo
?-
3z,-
2:,? zo - S zo
? 0,4 ja
•_ ? '?
0
8 , LOT 8IIRVEY CHECRLIST FOR RESIDENTIAL
L4 w BUILDINCi PERMIT APPLICATION
?
PROPERTY LEGAL •
a
? < m
W N Date of s?ey: c
AOCUMENT STANDARDS 9Y
? 0 • Registered Land Surveyor signature and company
? ? 13 • Building Permit Applicant
8?0 0 • Legal description
8? ? ? • Address
? 0 • North arrow and bar scale
bO"? ? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
0? ?? • Directional drainage arrows with slope/gradient $.
B? 0? • Proposed/existing sewer and water services
B??7 ? • Street name
B" ? 0 • Driveway
ELEVATIONS
Exiating
8''?0 ? • Sewer service
Pf ? ? • Lot coiners
20?0 ? • Top of curb at the driveway
?KD ? • Elevations of any existing adjacent homes
Proposed
??? ? • Garage floor
E7 ? ? • First floor
cr'?' ? • Lowest exposed elevation (walkout/window)
@?D 0 • Property corners
?? D • Front and rear of home at the foundation
I
PONDING AREAS (if IIpAliCSble)
0 Ef ? • Easement line
? H' ? • NWL
• HwL
0 ?-/? • Pond # designation
0 C? ? • Emergency Overflow Elevation
pIMENSIONB
0? ? ? • Lot lines
CD'? ? • Right-of-way and street width (to back of curb)
Q?? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
f? ?? • Show all easements of record and any City utilities within
those easements
?? ? • Setbacks of proposed structure and setback of adjacent
existing homes
??0 • Retaining wa e nts, if any
- ,?ire ? /00
October 1992
MATCN LINE- CONTINUED
TO SHEET N0. 9 ?
N
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34
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6" X 6"TEE
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?
GITY OF EAGAN PROJEC
RFILENC. SANTTARY SEWER, BLOC
Dartmouth Court to Haw
LY MAN DEVELOPMENT y
300 MORSE AVENUE? (P.O. BOX 40) Hawksbur Circle to Hawth
EXCELSIOR, MINNESOTA 55331 HawthorneWoods2nd,
Eagan, Minnesot
EXTERIOR ENVEI:.(1pE AVERAGE "U" CQMPU'CA'CION
OWNER :
SI:CE ADDRESS:
CON'.fRAC:CQR: PHQNE:
DE`CERMINE WORKING SQUARE FOO'CAGE QF EACH:
1. '.CO'CAL EXPOSED WA]',7', AREA (775?7 SQ. F'C. X
2. 'CO`.CA]'., ROOF/CEI]:.ING AREA rSloC? SQ. F:C. X?_
3. '.C(7'CAL EXPQSED WA7:J:, AREA CA]:,CU]:,A`CIONS:
`.COtal exposed wall
ai?ea above floor
a) 'Cotal wall wi.ndow area ?Ust .. SQ.F'C
b) 'Cotal dooc acea SQ.F'.C
c) `Cotal sli.di.nq qlass dooi: area ,(7 SQ.F'C
'Z,fl
X „U„ f56 D
X "Ul. 07 a , ..
- o
X „U„
d) 'Cotal fi replace wall area ? SQ.F'.C. X"U"
e) 'Cotal irall firaminq airea SQ.F:C. X"U" jO
(aveiraqe 10%)
f) '.Cotal net wall area above
flool: (insulated)
g) '.:ctal rim joi.st area --
,
:Cotal foundati.on area
(exposed)
h) 'Cotal foundation wi.ndow area
i ) :Cotal net foundati.on airea
above gr.ade
'.CO'CAL a ) throucfh i. )
32(0S 2 sQ.FT. •x " v?? 'fY-??j = 14D`
SQ.F`.C. X "U" 1??=_,?1'? •
qZiS SQ.F`C.
? SQ.F:C. X "U"
q,Z14 SQ.FT. X„U„ 10 = Is,q _
If i.tem #3 i.s the same as, or. less than i.tem #1, you have met
the i.ntent of 2 MCAR 1.16008 A and 0.?
7?Zl? ?f?)
PAGE 1
'.4. TJYPAI, EXP(>SED ROOF/CEI1' SNG CALCU7',A'CIONS:
:Cotal exposed roof/ ??fc)'C) SQ•F:C.
ceili.ng area
j ) `.Cotal skyli.ght area
k) `.Cotal roof/cei.li.ny
frami.nq area
; (averaye 10%)
1) '.Cotal net i.nsulated
roof/cei.li.ng ai.ea
? SQ.F:C. X "U"
IS,o SQ.FT. X "U" (DZG = 3?
D SQ.F:C. X 'lUll kbZ-z? = Zl, f
4. TO'CAI:, j ) throuyh 1)
If total of #9 i.s the same as, or less than #2, you have met
the i.ntent of 2 MCAR 1.16008 A and 0.
• ?J??? z'?/l/`? ?
AL'.CERNA`CE BUI]:,DING ENVELOPE DESIGN
:CO uti.li.ze the total envelope system method, the values
? established by the sum of #3 and #k9 shall not be qr.eater
than the sum of i.tems #1 and #2.
1.
3.
+2.
+9.
CER'.PIFICA:CION
I hei:eby cer.ti.fy that I have calculated the "U" factors and
"R" values hei:ei.n and that the bui.ldi.nq here descri.bed meets
or exceeds the State of Mi.nnesota Energy Conservation Act.
Date
PAGE 2
CT'Y Y f)^ Etyl:)AN
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4
PERIVIIT
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 029101
N C
Eagan, Minnesota 55122-1897
(612) 6$1-4675 Date Issued: 10 ( 2 5/ 9 6
SITE ADDRESS:
517 HAWTHORNE WOODS DR
LOT: 35 BLOCK: 2
HAWTHORNE WOODS 2ND
P.I.N.: 10-32151-350-02
DESCRIPTION:
?--? .
6?ilding.,,,Permit Type
Building Work Type
?Census` Code?
s
? i
! G
#t:\ /
l. ?4
la€ -
.,
:
J; ' , `CJS';7^7C`,
.7
.. _ .._,. ... . . «.?
BASEMENT FINISH
ALTERATION
434 ALT. RESIDENTIAL
;rr_ • , _ ? - ,
REIUTARKS:
A SEPARATE PERMIT TS REQUIRED FOR ANY ELECTRICAL OR PIUMBING WORK
FEE SUMiVIARY:
Base Fee $50.00
Surcharge $.50
7ota1 Fee $50.50
GONTRACTOR: OWNER: - Applicant -
NELSON ROBERT
517 HAWTHORNE WOODS DR
EAGNN MN 55123
j (612)904-6207
? I hereby acknowledge that I h?ave read thi,s a,pplication apd state that the 11 information is correct and agree to comply with all appliceble State ofi Mn.
Statutes and Czty tsf Eagan Ordinances.
? . _ , _ _ _ . .. .. . ? ._:.. ._. ._ _
1\8/!l I IIll?-
APPLICANT/PERMITEE SIGNATURE ISSUED e:51 ATU E
' CITY OF EAGAN I?o
O? 3830 PILOT KNOB RD - 55122 A10
1996 BUILDING PERMIT APPLICATtON (RESIDENTIAL) cen f_/ li Z,!
681 ?675 'rJ4?` ?t
New Conslruclion Reauirements RemodeUReoair Reauirements
? 3 registered site svrveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addRions 8 decks)
? 7 energy calcula6ons ? 1 energy calculations for heated additions
? 3 coDies of tree preservelion plan H lot platled after 7/1/93
required: _ Yes No
DATE: CONSTRUCTION COST: ? Z??ODO
DESCRIPTION OF WORK:
STREET ADDRESS: ?? 4 L"A?UVW1Pi Uh)d?
LOT J? T BLOCK SUBD.lP.I.D. #: ?`1..,?,ui 2AZ4L-U2ay^?
tD? ? VJ?-/c??
PROPERTY Name: ?? ?SOL? /'v??-f Phone #: 7
OWNER `AST FIpS'
Street Address: ?? ? ?? U12761'S' il?hl'6 -
City: *M State: ? Zip:
coN7wAc7oR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECTI Company: Phone #:
ENGINEER '
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber: 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 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
Certificates of Survey Received _ Yes _ No ?? ? 17 lft
Tree Preservation Plan Received _ Yes _ No ?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
a 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New
? 32 Addition
,0-"33 Alterations
? 34 Repair
OFFICE USE ONLY I .'
.; , s
? 11 Apt./Lodging ET? 16 Basement Finish
? 12 Multi RepaidRem. ? 17 Swim Pool
0 13 Garage/Accessory o 20 Public Facility
? 14 Firepiace ? 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
_ Basement sq. ft. MCIWS System ?
_ Main levei sq. ft. City Water /
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code oL
Census Bidg r
Census Unit o
Building kI _ Engineering Variance
?
J)
Permit Fee
Surcharge
Plan Review
License
MCNIlS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Pertnit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
.
1152078
L 3S 62
AccBSS FasEMErr N. "< z st
IN CONNECTION WITH PRIVATE PROJECT NO.
This easement, made this 12 day of 1993, between
Lyman Development Co., a Minnesota corporation, and Rosemary P.
Sterns, Attorney-in-fact for Rathleen Earley and John D. Walsh,
wife and husband, Jeanne F. Gardin and James W. Gardin, wife and
husband, Margaret T. Diffley and Dennis W. Sharpe, wife and
husband, Jean Ellison and Steven J. Graeber, wife and husband, and
Rosemary P. Sterns, single, herein collectively referred to as
°Landowner" and the CITY OF EAGAN, a Minnesota municipal
corporation, orqanized under the laws of the State of Minnesota,
hereinafter referred to as "City^.
W I T N E S 5 E T H:
That the Landowner, in consideration of the sum of Qne Dollar
($1.00) and other good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged, does hereby grant and
convey unto the City, its successors and assigns, a permanent
access easement over the following described premises, situated
within Dakota County, Minnesota, to-wit:
the North 10 feet of
South 10 feet of Lo
Woods 2nd Additiot?,
plat thereof.
U
Lot 34, Block 2, and the
t 35, Block 2, Hawthornef
according to the recorded
See also Exhibit "A" attached hereto and incorporated herein.
The grant of the foregoing permanent easement for access
purposes is specifically limited to the right of the City, its
contractors, agents and servants to enter upon the premises at all
reasonable times to perform maintenance, when necessary, on the
manhole structure located at the rear of the premises descrihed
herein. After completion of such maintenance, the City shall
restore the premises to the condition in which it was found prior
to the commencement of such actions, save only for the necessary
removal of trees, brush, undergrowth and other obstructions.
The Landowner, its heirs and assiqns does covenant with the
City that no obstruction shall be placed within or allowed to
occupy the premises described herein, including but not limited to
plants, trees and structures, etc.
And the Landowner, its heirs and assigns, further covenants
with the City, its successors and assigns, that it is the Landowner
of the premises aforesaid and has good riqht to grant and convey
the easement herein to the City.
LIW-11
rwanr as.ree Tnis
c
M7 of
Cuunmy AuAYior. DaYOts Co.
a25
IN TESTIMONY WHEREOF, the Landowner has caused this easement
to be executed as of the day and year first above written.
L e opm Co.
Sy:
p e . Ryan, 2,sst. Vice President
IN TESTIMONY WHEREOF said Rosemary P. Sterns, Attorney-in-fact
for Rathleen Earley and John D. Walsh, wife and husband, Jesnne F.
Gardin and James W. Gardin, wife and husband, Margaret T. DifPley
and Dennis W. Sharpe, wife and husband. Jean Ellison and Steven J.
Graeber, wife and husband, and Rosemar P S erns, sinqle, has
hereunto set her hand this )-I, day oP, 199-3L.
Rosemary P.
STATE OF MINNESOTA
-fact and indiv
ss.
COUNTY OFa&4La
I)
On this day of , 1993, before me a Notary
Public within and for sai nty, personally appeared Stephen T.
Ryan, Assistant Vice President of Lyman Development Co., a
Minnesota corporation.
tary Public
STATE OF MINNESOTA )
COUNTY OF & - ) ss.
)
Publi
sternwife
husband
husband
Rose
xcelSiOr, lMy COmm Exp es 7N 3 97 ?
THIS
Lyma
? 11ENNEPiNCOUNTY
300 Morse Avenue
On this ? day of ' , 199?(, before me a Notary
c within and for sa C unty, personally appeared Rosemary P.
s, Attorney--in-fact fo Kathleen Earley and John D. Walsh,
and husband, Jeanne F. Gardin and James W. Gardin, wife and
, Margaret T. Diffley and Dennis W. Sharpe, wife and
. Jean Ellison and Steven J. Graeber, wife and husband, and
mary P. Sterns, single.
Not ry Public
¦ ¦
?
DOCUMENT DRAFTED BY : Is JAYES 0. NANSEN
n DeVelopment CO. NOTARY WBLIC.YINNE9DTA
„ MyC0wj8'10nEzPkpM&Y7'IW
, IiN 55331
„
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1152078
oFRcE oF nHe counm FMMER
DAKOTA COUNiY. MN.
CEflTIFlEO THAT THE WRFpN INSTRIIMENf
WAS RECORDED IN THIS OFFlCE ON AND pT
Sa 16 I 29 PN '93
OOC. N0. 1152078
JAMES N. OOUW
COUNrY HEWHOEfl
or. 0 DEPUTY
. _?
..i?
FEE $UflCiW?(',E y, `+'o
CASH ? CHEp( ? `??
c?uwce wrwM E
REwwNo
DO NOT REMOVE
& 3
Landmar?c Tiue ?nc.
Eag? ????
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? ?
CONSUITIfi(3 ENOINEEDS
ROBE PIOtINE115 ond l,OHD fUf{VEYOIIS
fOdGIN6E6?ING , ' I
? COiY1PRP6Y, 9tdC. ,
? 1000 EAST 1461h STREE7, BUftNSVILIE, MINNES07A 55337
L{RL/Jla77>N /wmes
,Sog /JO. ln377.(51
PME
PH 432'3U00
CERTI?IC??? ?? SURq EY
Legal Description: toT 35BLOGK z?lAviriloRwE , Wbom. 24.o 4cpIrloAl,
raa,eorst ?iw.?ry. miN
(3?) UENOTES EXISTINU ELEVATIUN
(8tao.o ) DENOTES PROP05ED ELEVAfIQN
INDICATES UIREC;TION Of- SURfACE URAINAGE
84P9•33 = FINISHEU GARA(aE FLOUR ELEVAfION
= BASEMENT FLOOfI CL[V/\1"ION
-? 9`1-t-7 = TOP QF POUNUAfIU14 CLCVAll014
scnL[:1"=40' ADDRESS: 5/7 14AW7A402?e wmo5
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 517 Hawthorne Woods Dr
Lot: 35 Block: 2 Addition: Hawthorne Woods 2nd
PID:10- 32151- 350 -02
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Jeff R Galameau
517 Hawthorne Woods Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA078890
07/19/2007
ePermit
equirements should be directed to Mark Anderson, State Electrical Inspector,
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
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Use BLUE or BLACK Ink
For Office Use I, y1n
Permit#: �J (
,L-4,1
City
t i
City of Eaaall 7, 4
Permit Fee.
3830 Pilot Knob Road (= b.
Eagan MN 55122 �ti . :E I 'EO Date Received:
Phone:(651)675-5675 ;• /
Fax: (651)675-5694 APR 2 6 2017 Staff: 40
)2017 RESIDENTIAL� � BUILDING PERMIT APPLICATION
Date: .ZC—l—7 Site Address: J 1-7 H 1\W1)"f6 JE )oCi � Unit#:
Name: "3ECT C tis LA KW Eit V Phone:
Resident/ i
Owner Address/City/Zip: S) W P W'Ptak k vb WOO PS Ph.
Applicant is: Owner Contractor
Ili
Description of work: t� �
Type of Work
i
Construction Cost: 4110/ GGQ Multi-Family Building: (Yes /No )
Company: 1ieLMgLe INC. Contact: -SCS) iSkWkitiGf
d 5
° Address: }C ))2 TP City: L\ktv1LLC
Contractor
State: M 0 Zip: c. "041-1Phone: ".�5��$°Email:
T
License#: R(5Cj2455 Lead Certificate#: �-.,1, '- )9420 iL— (j 1q
If the project is exempt from lead certification, please explain why:
p#b t
....,......N.,.»n...w-..�.e.o-+.».a -,<.... ...,. .», mwa.aw., ««+».».w»«.e.,�...w..aa.-.,+wau. ..F �.,...nw+rar..ws..sr..:.......... ....�,..,.w« ».r�.�...w.«,,,w.ww.�„-...w.....,.«,..,....-...,w...-....,w...>... _.....»....�
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
}
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
e conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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.
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
M I k E tI1M-j x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
rye, DO NOT WRITE BELOW THIS LINE
SUB TYPES /"7 1410-114072-116a0C S 1012
Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family)"
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi Il Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding Demolish Building*
Addition 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 2iD , .r Occupancy JTZ-C ? MCES System
Plan Review Code Edition dyl/l Z0/ SAC Units
(25%_ 100% X) Zoning -1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ! Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 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:
Reviewed By: 713 Y1 it? � X74 , Building Inspector
RESIDENTIAL FEES
Base Fee 12 ` ?< / 3 ` a"
Surcharge W ,-r-ft ny/G;c c���tE125
Plan Review
ye)
MCES SAC
City SAC v p $ f?-s
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
..,,•,,r,!,:7, ;;,. =................‘ux....,-.-- ....-...L.—' ....---...--...-L.f...Cillm. .. ,
., ., ......,.- - -- 494.1040-rbou ArwieS
WIMP LT MG ElleltiCERS,
''.: •,' -;.-.!..110BE PLIUMEIIS and LAND SURVEYORS
. '
;•;-••• ENGINEERING
-.,
,..
..- Otbd, 1)X--e •- ,r.. ;/
COMPANYA' INC.
1............ 1000 EAST 14 61h STREET. BURNSVILLE :MINNESOTA 5533T Pt1 4323000
CERTIFICATE SURVEY
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i hereby certlry Lhat Lb Ln .i a true and correct 1,-npresentatiun of a tract
land as shown and described hereon. As prepared by me this 2-6.'1' day
fro ocy , 19 9.4- .
Rev•SED 6-2-94 : Avp Zo rr dieceSS eff)56-01047-
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t_o-r 341 LaCAIT&D 5.44), MN'S)
A0009 S702-C-Cr "oat) R.0. wi, 14/r2rPS
A t>bgt) AtvRESS 1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143962
Date Issued:07/06/2017
Permit Category:ePermit
Site Address: 517 Hawthorne Woods Dr
Lot:35 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-350
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeff R Galarneau
517 Hawthorne Woods Dr
Eagan MN 55123
(612) 282-0234
Integrity Exteriors & Remodelers, Inc
26219 Fremont Drive, Suite 104
Zimmerman MN 55398
(763) 753-2246
Applicant/Permitee: Signature Issued By: Signature