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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 $. B? 0? • Proposed/existing sewer and water services B??7 ? • Street name B" ? 0 • Driveway ELEVATIONS Exiating 8''?0 ? • Sewer service Pf ? ? • Lot coiners 20?0 ? • Top of curb at the driveway ?KD ? • Elevations of any existing adjacent homes Proposed ??? ? • Garage floor E7 ? ? • First floor cr'?' ? • Lowest exposed elevation (walkout/window) @?D 0 • Property corners ?? D • Front and rear of home at the foundation I PONDING AREAS (if IIpAliCSble) 0 Ef ? • Easement line ? H' ? • NWL • HwL 0 ?-/? • Pond # designation 0 C? ? • Emergency Overflow Elevation pIMENSIONB 0? ? ? • Lot lines CD'? ? • Right-of-way and street width (to back of curb) Q?? ? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) f? ?? • Show all easements of record and any City utilities within those easements ?? ? • Setbacks of proposed structure and setback of adjacent existing homes ??0 • Retaining wa e nts, if any - ,?ire ? /00 October 1992 MATCN LINE- CONTINUED TO SHEET N0. 9 ? N / g E5M ? 3,-' `? 34 32 HYDRANT 6" X 6"TEE ? .- gT$• 31 \ , J , FMH 4 J 6 F r? P.O.T. 23+18 , 7 14 6'CONC. SIDEWALK 8 1 e6s.a ---? I r------ ? I I I za ? 35 ? ? I ??---e71.-e - 6" -M.H. 3 +4?LT. PO C. 26t68 9 "-I/16 BEND 36 10 6 4 \ J 5 I t:?C'I i V?^?= f?P?GF;fL L'OES P!C)TCaEJARAKIiEE 'w,r,C;URACY OF U?'IL['IY LCCATIt)?!) z .?;?i?;? ELEL?ATIOiL?. r1?'?IS DaniP. is =0A PVRi'?VcEJ UI'LY j? 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U av?i ..... ..... ......... !.. .............. .... ......+e.?..; ? .... . , ............... .. ... ........ .......... . ...... .. .... .................... . ........ ................... . . ... . ....... ..............._.. __......... ................ .. ......._................... .._.. ... .. ... ?. .. .... .... P'?-?'. ... . ...... . . 'n??•.?^ 1?• ; ....... .... (? 4 , .a'._ - .._.....:::.. .:......`.:.. _i . ............. , .__.t,... ... . . .._......_......... .. ... .......... .. .... ............... . .... . ........... . .........._ ............ .. ............... ......... .. .. . ... ' ' ' .... . ..... . ? .- . .. ........ .. .... _'__ .... ..... . . ... ... .. M ... .. . ..... .... ... .................... ........ . . . . .?.. . .... ....... .... ....... ....... . ........ .. .. ....... ... ....... . . . . . ... .... . . ... . .. ....... .... ... . . ...... . . .........? ... ......... .... ... . ....... . . .. ... .. . . . 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I _ ... 1Ni'OsiuiATI01? TN?..S?T? .::...:.:.:: :...::::::: _............. ..... _:.::..::... ........... ... ... f?... ? 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 CA.:Hr.F:R;, s r!_.Rr5 Irara.. ?:o ; i) . ??v?. , ???,. ?:,,n ? Tz; F:: 13;,400 W.... ?•_ W , n?Cii'i:; `-?.{pTtfSN 'i ?Je?L?X1Ed 200 9001 517 II1k1r FIt:iltP?ii 7 6?I l:?i.:i,pfJ 1??.?:?.1 7: i{J. .i.? ( v Ai Nni l.'I1Rly... i^i 0. 5±1 ,^,R1? 9QL';7 '::I.i' I-t(?PiTI-IpFiNE pl 2r7,00 Lf.J'l 9001 50 HA!dYI.Ir,IItiNIL IaI Ji.i ;i!!'it-i aufii 51' 1i'1R!'rH01elJrr I.I , 00) :30:l.i 7001 517 iMNrHR,r.F l., 4;J,.00 y'S `i;n(! L ,`.i:L r' ;.4AN!'1'i_qWiJ!= 1+! 0„51 A ''nW lirc`:r:?i.r;§. Amrvtrl' : 'I1p.03 ? ilSEI:; TDv t.IC;qiQ .':7'{?$;? :7,`.'?:'YYaYn,l'.',:Yr ?F?; ?'n ?b?;:Y? i6$" ic `? $::3i •': 1°)F'Y?f r::'r?;';? n 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 „ NlSI Of iHE lRSI LINE OF 1NE NEIi1 Of SlC. 25• •? 1 ;. ' -°----'°_.? ? `•% 1. t • ' S ?; ,``•, . N 00'17'58" N 415.10 : ^°---------------'' t?------------------= .' • . ._.•:; : • :'? ; 0 78.11 :', .? ..... 79.37 .... ?, '. ':? •.? 134.34 133.60 : t? N 00'17'58" N.,, ;??... 125.33 --'_=`--_'-"---"------' " pq9r? • N 00' 17'58" N?+i •••_ -A- c? . •? y ; : ?` r? e, ? - I??? °? O WA ?Y W i • ?1 ?? \ ? I `,? ??? 1? ? r p1-.?- ? ' " i ? 17? ?? ? J ??, ?? ? IP ? ': • ? W V ` ? ,? ,?? O ? ,, i? ,1,`? ? 1 ! S • C2 . tz.7 Gjl ,,1 1? 1• 0? ?1' • , :In1?n. ???" ' I•,'' N i . ?y ,` ? ? ? , ? , ?, '{ ..?'?ti? ?., : : . i • ''" 1-?/ . ? ; ; „ 'a+ ` , -' 9da1 ?' ? :'? ' ?, ' 7` • _ • Iv ? ? " oL ,, ? ? W , , • ;?, : :: 1, . , ?`--? •?:! 1N'??35?3 a o. ; o ? 1,??, ? ; ; w ; ; .. . _ ? -- , . ._ _.? :5:.. N: •'', o ; '_?.._._ •-?=---- ', ? :,•= , , , w -, ? , , ' , •?? '?, ? ? : ; o'• ; := ?`,. I A `..? ; ; : , v ,=%'' ' ,? " ' ; ' ' • •N ? w ? O . i ? ? : . •v ?tEY_ts . -------• . L00J0',1?. ? Bt'BL?I l•78.69 -'.;.. (- 4.Q11•S ; , ?; tl • .? : •. • ?? 2•?p , ; ?;. . . wOODS ._.; ? ?1 ?', ?' '•. o s ?045•-D??''T2B1-9? •? j !? . %?, . ?, , ; .. . . ? , ?. o . . ?'•f , • ? ': w ? yg QaN? /? tis'aoi-I -----,:` /e5?,\ ?o; ; ;-..;:.... • .zs, iin W. G, ! y? ? w° _ I;" ,.1? ?6? • ', ^; ? W 1 ?Q; l o`? ?' 3 BB ? ?„ ?", /? Q. Sg ?, 1'? ,, ? ? ? w'? ; oY,?yn , ; ? ?.? ?,•I ? fn lo' ?. ? % ; •" 5 % ?? ' p0,• ? I , ,` , m ••., i . •?t ?J ?? ' %??o dm ?,' , 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 $UflCiW?(',E y, `+'o CASH ? CHEp( ? `?? c?uwce wrwM E REwwNo DO NOT REMOVE & 3 Landmar?c Tiue ?nc. Eag? ???? ?.1??? ? ? CONSUITIfi(3 ENOINEEDS ROBE PIOtINE115 ond l,OHD fUf{VEYOIIS fOdGIN6E6?ING , ' I ? COiY1PRP6Y, 9tdC. , ? 1000 EAST 1461h STREE7, BUftNSVILIE, MINNES07A 55337 L{RL/Jla77>N /wmes ,Sog /JO. ln377.(51 PME PH 432'3U00 CERTI?IC??? ?? SURq EY Legal Description: toT 35BLOGK z?lAviriloRwE , Wbom. 24.o 4cpIrloAl, raa,eorst ?iw.?ry. miN (3?) UENOTES EXISTINU ELEVATIUN (8tao.o ) DENOTES PROP05ED ELEVAfIQN INDICATES UIREC;TION Of- SURfACE URAINAGE 84P9•33 = FINISHEU GARA(aE FLOUR ELEVAfION = BASEMENT FLOOfI CL[V/\1"ION -? 9`1-t-7 = TOP QF POUNUAfIU14 CLCVAll014 scnL[:1"=40' ADDRESS: 5/7 14AW7A402?e wmo5 BNt - 1oP bF yAH o?j + }Ea..n'?eK.?E kAn?os L)R,J6 W FPasir ?F i.or 3'? 3eo?.k z. ti15?, 857, a4p W ? r I? < 0 D EAGP+N • ? REVlE'Wf D ?? - ?4?? g,? ?U c ?GE?N E GIIVEERIIVG DE?' ?oA'FE 9/ 2 41V ,? ? ?%kqz - ?? ? `. ? , ' `?. _?,E 1 °•I a ? a\ G'?"' tlp p. yh 30.00 ?53,t?J Zs7• c9n' 3 f3?SZ. I'? (03,-7 o zz.oQ gas.? lo ? b` iy ? V ``? ?`?858•?i?i o ie?o i z, og ,?--. ' ?'?' ?I t -k \ ($bl,e? t`?i sp s a?? -__ i6.o •O.?ybEE 7p N ? ` o a ? cGr? 19.0 pRArwJp(aC Ar.1U ff? r e? f?lo.1 y}?N ?:Pib9ihl l->f-'LIT`/ EASEIMGr-T( ? ~ 7j2?e ? i? F 10 L L O T 3 5 ? ? Eq?m&iJT '''i Zpt7 pec?o ` / i uu.0?•16 y ? ? pE2 v'?' ?? ? '?''E \ a1 ' __?.1• ? ? \? (?.?\ fk \? \ A/0uSE?6 ' V Y ? n 11 (i 11 MYI ? ?l \ I - _. l. -- po?o 7= 86o?7b 1 lseteuy curLlLy t1iaC CLLjt .l3 ,t Crtte aucl uori:oct: j,npi:rr=:enCatlou of. a Lraet c land as aliowti atiQ (-JPP(:Y'iIJP-Cl liereoti. As IJZ2E)1YP.Cl Ly me Lliir, _aaY c v??Y I i9 _44 . ? REVIS6?7 (o'2•`I'? : ADDED 'Lo f7 AecFSS ? /GOffS •. -t. Iiu. Ar?nAO?Arc-,?T.4oKc aAI 1. - - - --- vL--..._ _ - ----- LoY 34 LOCATtD SAu, M,y'S / AoDEv STZEt-7 ANn R.o- u/, w,nTpS ' ADbf-p ACflRE?% '' 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 $0.50 9001.2195 Issued By: Signature Mechanical EA078890 07/19/2007 ePermit equirements should be directed to Mark Anderson, State Electrical Inspector, I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State           ð  ÿ ÿÿ  þýüýüü     ûÿÿ þðêôìîÿ  óìö ø    ÿø  þýüûúù  ø öó  ö øöûúù õ   öùø öó  ö ä  öþÜ ä  öûúù äýêýö öþ öõýôü ö ô õýôü ö þÜ æöî   ÿ áÝ   ÿô ááñ  çëëñÝ ÷û  þýöìö é çëåëå  öóõ ø úô ùù òìôù Ú êê Þö ý áÝ ëÿãÝóìö øö  äõ  äõ âáàáñ ì ö üú  ì ìí ö ìùù ìì êöôöö  ö ôùúìùùü þ  êä þý òúê  îö ë ùù÷ ý úþ ýö Use BLUE or BLACK Ink For Office Use I, y1n Permit#: �J ( ,L-4,1 City t i City of Eaaall 7, 4 Permit Fee. 3830 Pilot Knob Road (= b. Eagan MN 55122 �ti . :E I 'EO Date Received: Phone:(651)675-5675 ;• / Fax: (651)675-5694 APR 2 6 2017 Staff: 40 )2017 RESIDENTIAL� � BUILDING PERMIT APPLICATION Date: .ZC—l—7 Site Address: J 1-7 H 1\W1)"f6 JE )oCi � Unit#: Name: "3ECT C tis LA KW Eit V Phone: Resident/ i Owner Address/City/Zip: S) W P W'Ptak k vb WOO PS Ph. Applicant is: Owner Contractor Ili Description of work: t� � Type of Work i Construction Cost: 4110/ GGQ Multi-Family Building: (Yes /No ) Company: 1ieLMgLe INC. Contact: -SCS) iSkWkitiGf d 5 ° Address: }C ))2 TP City: L\ktv1LLC Contractor State: M 0 Zip: c. "041-1Phone: ".�5��$°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 Legal Description: 4.or 35 1 45LOG.x. Z1 1441.4.1rAioRiVE , itAXV)5. 2010 4Cv i niemi, ,cia,eziri) C4*.),,drY1 ,e).m4".14.107-01, (W) DENOTES EXISTING ELEVATION (Stoo i 0 ) DENOTES PROPOSED ELEVATION ,......---,-- INDICATES DIRECTION OF SURFACE DRAINAGE 8(11.3'17 = FINISHED GARAGE FLOOR ELEVATION "1 . 4. = BASEMENT FLOOR ELEVATION 20-1.1-1 = TOP OF FOUNDATION ELEVATION SCALE : 1"=40' ADDRESS: 5/7 HA W 77/ Ale! woo/DS Pg/v E 0ts1 - The 6F &to el..., 4 44-"Asr.404,e 4-4170DS Uzi Je MI FPoor ef Lor 33 5&o-K- z, . CLEJ, 8.57, a Ga 11 440:-.1111ii .--. VV E n EAGAN ir,.. REVIE . ...... / /*" 4.. VED .. ... - _ . II: ,.:41.r." ..."-- 87751:-St--..----- EAGAN E 4 GINEERING DEPT. - . , v otCE CS Ykrt-- \ ---- ili 1 it/ 1..... G/14)1P 44z, i' 4117 3°•0 0 - _ ‘I‘s)COt ' liff• (7) CI S9°04.1 I " vi 4.4s Etiz.1.E.58.1,a Z5-7- * 0 .4. 4 w 06,5.z. I Ck. A - '" \\:::257.2.. "''- 1- — - '.— X -(,12,../..-?„,•,:i „ LE..0 c. Irs,ns. to rs; 4-.. ‘ 0. 4347y,-' - •, . ef i ft .‘c'rio. -::, , 4 stk Al ki Tr.84,9, = t..)ra_ir/ ' 66,,,Sen•cfar ."'-‘"i. ,.1.% 9.* ' \ • \ "4' ' le 32- 6 6" • -r-In iil ... _ , a/5 Lo T '35 \\ — 4•'4•9,01 -Z8 ) W. ‘'' <.'• a 1011.• "."-t-1." :,i,,,.i...;1 1' -'.-.. '''-''..-.7•6'''--.-- -----'-It''' . '' /7°'.1•1 4) eigAele147 .1400 , ...... - 6L-S`P_____2-:411•1',r--- ZP Fr kic q a- 5 z: 7s ___ __ ,_c, --31,------__---- ..-- ,•iit,,if -e... Sll'.w 311546 i I, --- 0' )42,''' --- - - - 11° 1. 1 -- ------------------- -------d - __----------- --- (0.', ' %----- 1027/ SO'l 0 - - ' \ \ \eP •-voc, 1;11-4 '-'rfl ...... ....• 1 ..... \ Vi ,--:::• ,-- - -. Mti 17D; IR V 7, ": r. • u . . . . ..„ 84,006 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- ,..)-0...:_i &icy .14P.2.40 4, ,r 0 _ _ _ _ c,pr; 0A/ ... /1/.. HI nil . Pi"1 . no. 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