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518 Hawthorne Woods Dr?_ . . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: INSPECTIUN REC4RD PERMIT TYPE: Permit Number: Date Issued; i(Ir: • ,? }+ FInw t i1ukwF 4iaarJ Haun rHc?r,Ni Latlurr•, :'Mil PERMIT SUBTYPE: APPLICANT: > crR , . ;3,?+ , ... TYPE OF WORK: " ?d"t w ?;kr i I I? 1 H6 N. }•+?,i 4!h/;'3/vr) INSPECTION .. . .. 1??'.III Ih i I iifa i 1 i.! 1 1 r'?t 7 it i?. F?I Mili-A. 1114I.Vt I.1pY t Ni frAN( l IqU`+1 Kf c(iNckt' TE Hf: F lIkt: I; fU llI l! at l'i`.,Ilk li I'f7V S t;, W{'i 111t M b tJ . ? r \ ?J Permk No. PermN H older Dete Telephone M SNY PLUMBING HVAC vyy ?,?? ?I ?Q ^ 90 d ELECTRI EIECTRIC Inspectlon Date Insp. Comments Footings I FoundaUon 6 Framing ? Roofing L ?QE?O? ?G6G?CTF? Rough Plbg. b Y Va Raugh Ht 9. 0 ? Y ? C T e G ?H c% r ?? •U:? . lsul. Fireplace final Htg. Orsat Test 4L/ Fnal Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Fnal Wetl Pr. Disp. ,T?, I *_ . ,W., WCL'tifiCQte of CCC1tpQliC? Witv o f Cf agan 'ZEparhuQltt Of $tMttS 31[idppChDn This Certiftcate issued pursuattt to the nequirements of the Uniform Building Code certifying that at the time of issuance this strvcture was in compliance with the various ordinances of the City regulating building constrrsction or use. For the following: ux ca?ificaeon_ SF UC aiag. Pamit r,o. 23q57 OceupancY TYPe R,3 /'M I Zoning Disvict RI Type Const. VN Owoer d Building`I SHawS Addtisc 6W HAMME DRM, F'W" Building Address 5 18 H941liOFM MODS DRM I?nlityj'Qf B2s H&MOM W= 2ND Dare: ' Buiidiag OfY'icial : / POST IN A CONSPICUOUS PLACE REQUEST FOR ELECTRICAL INSPECTION ? i 114 , SW^. msthacbA6 for com0letmg ihis lorm on back ol yellow coOY 1,911"X" Below Work Covered by This Request i? EB-00001-08 W4, r? ?- y? ew Add Rep. TypeofBmltling App6ancesWfred EquipmeniWrted Home Range Temporary Service Duplex Water Heater ElecVic Heating Apt 8mldmg Dryer Load Management Comm./IndusVial Fumace Other (SpBCiTy) Farm Air Conditioner Other(syecityl ConVactor's Remarks Compute Inspechon Fee Below: # Other Fee # ServiceEn[ranceS2e Fee # CvCwts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs insoeao.s use ooiy G,?? 7 IrrigaUOn Booms ? Special Inspection Alarm/Commumcatwn THIS INSTALLATION MAY BE RE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN i TH . ? ? 1. the Electrical Inspector, hereby ti Rouyn-h cer ry that the above inspection has been made. F,nai oa p OFFICE USE ONLY This request vold 19 months trom ?` C;2 q/ G ? ?191145 ? D ReQUesl te Fre No ROUgh-In Inpseciwn PeqmreC (Yau must cell ina0eclor when reaEy) Inspettion Other Th n Rougn-In [3 Reatly Now Will Notlty InsOector Yes ? N. Da;e Reaay I?adicensed coniractor ? owner hereby request inspection of above electrical work at: T' Jo0 AOtlress ($Vael 8ox or oute No ) p/ r 'I Gty ? - VY 1W C:ci + SMion No Township Name or No Range No Coun Occu ant (PRiNTI Phone o " - ?lG o°Z Po r$uppier a ? Pdtlress ? Elec?n I Coniracmr Company Name) f ConVactor5 License No / M in AOOress IConvaclor or Owner Making IrymallaJ??) A ' /(/?{ A /^? % / V ' ?L ' ?? ?? F ori tl Si vacto•jOwner akmq staltationl ? r P?ona Number lAl/1NESOTA STATE RD Oi ELECTRICITY ' THIS INSPECTION REOUEST WILL OT Grlgps-Mitlway 81d - Room 5-113 8E ACGEPTED BY THE STATE BOARD 1821 UniversMy Ave.. 51. Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612)60Y-0800 ENCLOSED Address 518 HnwntoRNE woW n rtE Zip 5512'1_ _ ,. . I.ot 9 Blk 4 Sub HwumE wooDS 2rm THESE ITEMS WERE / WERE NOT COMPLETE AT THG TIME OF THE FINAL INSPECI'ION. Date: /?, Yes No Inspector: ? Final grade (6" from siding) Permanent steps (garage) I? Permanent steps (main entry) Pernianent dtiveway ? Permanent gas ? Sod/Seeded grass s./ TraiUcurb damage ? Porch Basement finish Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contraclor Copy 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675-5694 ?----------------- ? Permit#: ? Pertnit Fee: ? Date Received: ? Staff: I i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ?b Cfi SiteAddress: S/e *?-o r? e Joe ?1 1?ft^Jp Tenant: a?? +--J y rvt- o re Suite #: RESIDENT / OWNER Name: ,?T i M a? y v..,re Phone: b 4 Address / City / Zip: S/ 9 a cu?- ' k-" +, D9-- Applicant is: _ Owner ? Contrador TYPE OF WORK Description of work: (-? ? ? Construction Cost: Multi-Family Building: (Yes No K) CONTRACTOR Name: Y(eCl. Cx-?-ti-rid(T-3 License#: Z6S'g3Z?`/ Address: 5-F59 1kacICSti''re City: ff1 JPr S?00e A-f i ck tj State: Y?^' Zip: S.Sb-7 ? Phone: ContactPerson:%fe-N" tj 9e) J d" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supportrny°do`"cuments thaf you submrf are considered to be publrc informaboii: f'oction§ af5- = the rnfoimaSon may be classified as non pubiic if you?pc'omde sp??afic reasons thaf'wpnrd per'mrf !he Cifji to'f '_. ?.';.`concludefhatthe_aretrade°secrets.i=;?? I A?''? I hereby acknowledge that this information is complete and accurate, that the work will be in conformance with the or ances and codes of the City of Eagan; that I understand this is not a permit, but only an appliwtion for a permit, and work is not to start without will 6e in accor with the approved plan in the case of work which reqwres a review and approv pl ,} J? t x . ?h(?TI- ?t'?, x ? pplic nnted Name Appli cag96,Signatu Page 1 of 3 CITV`aOF P-AGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMITTYPE: suzLozrvc Permit Num6er: 0 2 3 9 5 7 Date Issued: 06/ 2 3/ 9 4 SITE ADDRESS: P.I.N.: 10-32151-090-04 518 HAWTHORNE WOOpS DR LOT: 9 BLOCK: 4 HAWATHORNE WOODS 2N0 a ?Pv,31 oly3lql DESCRIPTION: ? REMARKS: ` ? ? ?' /7 B'uilding Permit Type SF DWG Building Work 7ype ? NEW UBC Occupancy??„ R-3 M-1 ' Construction 7ype V-N ' 2oning ' ' R-1 Building Length ? 67 Building Width ~ 36 Building storiss ; 2 ` •'t . ? ? ? ?- ? ~ !l DRIVEWAY ENTRANCE MUST BE CONCRETE BEFORE C/0 WILL BE ISSUED FEE SUMMARY: VALUATSON Base Fee Plan Review Surcharge 3AC SAC ? SAC Units Subtotal $860.00 $559.60 $81.50 $800.00 100 $2,300.5@ $163,000 MISCELLANEOUS $1,828.50 Total Fee L_$4,_129_901; CONTRACTOR: - qpplicant - ST. Lrc. OWNER: J S HOMES 16869092 0004849 J 5 HOMES P 0 Bpx 39652 600 HACKMORE DR EDINA MN 55439 EAGAN MN 55123 (612) 686-9092 (612)686-9092 I hereby acknowledge that I have read this application and state that the infarmation is correct and agree to comply with all applicable State ofi Mn. ? Statutes and City ofi Eagan Ordinances. _ Jn , RA?k I APPLICANT/PERMI7EESIGNATURE ISSUEDB SIGNATUR INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euzLozNG 3830 Pilot Knob Road Permit Number: 023957 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 0 6/ 2 3/ 9 4 SITE ADDRESS: APPLICANT: LO7: 9 BLOCK: 4 518 HAWTHORNE W0005 OR J S HOMES HAWATHORNE WOODS 2ND (612) 686-9092 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION FOOTIN6S .. . FOUNDATION DA FRAMING ROOFING INSULATION FIREPLACE ROUGH IN P4.BG ROUGH IN HTG FINAL PLBG FINAL REMARKS: DRIVEWAY ENTRANCE MUST BE CONCRETE BEFtlRE C/0 WILL BE ISSUED PRV S& W PLBR - M& W F -1 ? - -- -_ - - -- ----- -- - -? , ,. 1 1 ,. . , 1 0 .. . a..., , , ?.-.? ,... .?.: ? ? , ?..,. . ` . ? .??. . -- ? , •? ? ,, ??i,` . 1994 BUiL NG ERMAT APPLICATION $4, Qq .0O 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registere iFIL%um? of energy calcs. COMMERCIAL 2 sets of architectural & str ctu4?Npiins1,9514 se of specifications, 1 copy of ene g,y,calcs. nalty applies: 1) when E permit is typed, but not picked up by last working day of month which request is made, [ n 2) address is changed or 3) lot change is requested once permit s issued. Date d.•'?? / / ?¢ Valuation of work ? ?dv. &: Site Address: Sr l? wn/d?.? 144 , STREET SUITE # Tenant Name: (commercial o nly) LOT q BLOCK ? SUBD. Descri tion of work: T The applicant is: ? Owner ?Contractor ? Other (Describe) Name &2 eZ_ Phone Property LAST FIRST OWn@I' pddress STREET STE # City State Zip Company ? .S ?Arf i f Phone L&' ^ Contractor Address -G-?= . License #r?Dc09 f4 % Exp. ZffS City ? gC A ? State 1144."- Zip S S/2 J Company Phone /9?? L Arch itect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is t wo 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 compl y with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: / fi Cities Di ig ta1 Quality 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./Lodging )a 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition 11 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch 0 09 12-Plex ? 14 Fireplace 0 05 SF Misc. ? 10 Multi: Add'1. ? 15 Deck WORK TYPE ZJ 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ? iu • '? •? ., wt?P'1?' ? 16 Basement finish ? 17 Swim Pool ? 18 Comm./Ind. 0 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) ,//,, Basement sq. ft. ? MWCC System ?-- (Allowable) f,v? lst F1. sq. ft. 12141 City Water ?, U8C Occupancy 2nd Fl. sq. ft. la.( ? PRV Required -7` Zoning f<-i Sq. Ft. total Booster Pump # of Stories z Footprint Sq. ft . Fire Sprinkler Length a 9 On-site well Census Code Depth :;. On-site sewage SAC Code APPROVALS eensus undt i Planning Building Assessments Engineering Variance REGTUIRED IN SPECTION S ? Site ,E Footing C] Framing El Insulation ? Wallboard 0 Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units veiwstd,: -7yz 'i3`3 ? /2 ?`/,?a,r!,9, _iL a/} •? .-1 ?? '?6 O 2 ;z r 2 : 2v ,6.(,0 y /N ?- / ? ? ? , G w ? w° 5 a ? W V w a c m ?z? U ?? ? • p? D ? • ?? ? ? • B?? 0 • ? ? ? • L? ? ? • ? 0 Q • ,a-?n o • LOT SURVEY CHECRLIST FOR RESIDENTIAL SIIIL PRdPERTY LEGAL• Date of 8u ey: ? / Z ` _ DOCUMENT 6TANDARDS ,"¢? 6 / Z Z? 9 y Registered Land Surveyor signature and company Building Permit Applicant Legal description Address North arrow and bar scale House type (rambler, walkout, split w/o, split entry, lookout, etc.) Directional drainage arrows with slope/gradient $. Proposed/existing sewer and water services Street name Driveway ELEVATIONS Existing ? ? ? • Sewer service C?? ? • Lot corners CY ?? • Top of curb at the driveway 0?'?? • Elevations of any existing adjacent homes Pronosed FJ? ? ? • Garaqe floor p?? ? • First floor ??'? ? • Lowest exposed elevation (walkout/window) 0?9 ? • Property corners ??? ? • Front and rear of home at the foundation PONDING AREAS (if applicable) C?? ? • Easement line NWL Cd? ? ? • HWL C?? q • Pond # designation 0 ? • Emergency Overflow Elevation DIMEN6ION5 9'-O 0 • Lot lines ?? ? • Right-of-way and street width (to back of curb) lY ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring pernanent footings) ?0 ? • Show all easements of record and any City utilities within those easements ,9'l? D • Setbacks of proposed structure and setback of adjacent ? existing homes n i t if ? ? s, y emen a • Retaini requ z2 [9, 1 Reviewed• - - ! eV .;t October 1992 \ 8T$ ? ` ? ? J - - t?- - - - 6" ? 6'CONC SIDEWALK ? 8 7 4 -M.H. 3 ±4'LT. PO C 26+68 9 10 6"- I/ 16 BEND tl??-!"'f'-?•?,-, •.?.l.i? '` . ' ' --?t^ i ;`:. : , ?r . . i;. .' .?J.. - IPA f V E I_ WOOD S?_-- --D_.R t' ; ? ? •, i ? GRADE? I II R.E I M.H. 2 M?' ? ? ? ? I i , I? i I I II `- I I ,i Z 28%0 _ ? l 10 ? ? cP ? I 7.5'MIN. ?150 LF 4c. ?-64% I I m° `° ISbR 35- ? I. m m m I 'I I g? 'I CD , 0° I o ? . • '?r?-.?r?l^-.f.: ?°?a , i . ?1 Cp .. , , . ....._. . _ . , : . . ._ . " _ . . S ? ?•?;.???oo??m 66 L:F - ? ... ? :,.; ,: •'y i7`?' . , . - - . _ , .._ .°-_ _ . . . y ? . ? - .? . . _ - ... . ? . ,. ? .._..,.? ;i ?•? r?r' ... . , ? _ .. .? _ 83 , ,:? . ,I . . _ _ ; .,. . . SDF . ?.? ,-,- .. . : _ ,.. ? , . ..; . i i . ? I . I . ? ' , .... . ? ... . .. II ? ' ? ... . _ li . .??i ? _ ... ?. . i , ?? ?. I I.. . .._... _._ I I ? _ G 34 ? ,\1 ?\ V \ \ ? i % ? ..? 1 35 36 1 ? C.B.4 1 17.0' LT. PO.C 27+33 ? --_ 611 %I . M.H. 6 8 RT. P.0 T.24+5 7 ? / _r----? I ST M.H.S I 10.0'RT. I P.O.G 26+80 g ? ? I \1 i ? I ? I I ? --W ? P.O.C 27+43 ? ? 10 I I I / ? ?ST M.H.2i/ ?? ` ?( ? II ?- - - - ^ -? < ? ? , F.E.S. / -.??: ?» r 1 ?? • __----- \,v?..? U ?? ? ??''`?? ???R ??Ot `++ b• INV 8280 I r POND JP-26. 1 \ ? \ ? ? NWL 828.00 , \ \ ` H WL 836.00 STOR GE VOLUME 7.4 AC. FT TO 836 \\ ? / WET IVOLUME 3.8 AC. FT TO 828 EL \ \\ ? / ? ? ? $7-8 ,S? • TOP NU HYDRANT :) 1VI NOR I ? ' `?r TARY BENCHMAR ?I TQ pINc?/V OD ELEMF AT NORT EELEVA I?N = 932.7 I NE QUAD I M,H.S M.H. ? S . M.H.2 I B 4 G B. 4) 969. I ? I ?c . I.f1 d? ? TV ?'II ..a L aGA ., ?R„ 0 4? ? R.E ?c 4{3?;, t?? ; ? R.E.863.96 ? rr?1??? ? tT_LE.? uX1SIES p - r V ? I I ?,Ir?-, iY ( u YlJ1J .1 i l ?. JOUL1 I 1? '1_ C,l p ,n1 ? CP F-12`? I 1 33L I CL.5-2 wmjt ? o0 ? I ? tD f- O t,}N!rWR cfM ? 1~[1? ? IO m ^,? (1) m? p( Ot °R.G.FLAR D 27 SI lSQL.E -? ?R.C.P \ . . ? END SECTtO S, ? eL3-4. Q'Zo -V S 8.0 GY. Rll? RAP _.. .. ! \ , 1 t HWL 83 I I ?.. ? ? I 0 CL4 50 CL3 WL828 o: 9Q L:F 27"R.C.P i _ o- tQ.QO conts? ? . I • 8 ? ? WiTH TI STRAPS UP. .I .i, .. . . . ..... ... - . ?? ? . . .. .. _ . . ? ? .. .. . .. N ? ? ? y .. . ... I ? .?"?' ? . m .. ... .? .. . ... .._ ........... IO.. ?., ........?.??? I'......??"...?...? . ............._ .' .... .. .? . ? .. ,..... .. .., : ... ... ............. CISY OF £AGAN EPfFRIOii ENV$I,OP£ lVEA6CE 'UI COMPU7'ATION ONNER: ..?-?... $ITE `DDRF.SS: ? o-% CONTkACTOR: I' c? ?GJ I?uE:S DATEn PHONEs 6eyCc-9o92. Determine vorlcing square footage of each: 1. Total exposed uall area .. 4'?I (o Sq. ft. x.11 e 50-7•7" 2. Total t'o0f/ceiling area ,.. Il 25 sq. ft, x.026 25 Total ezposed vall area above floor = 4l0? (c a. Total vall windou a*ea b. Total door area ...:?T:?:4•.???.."??ev? .......... a'_id:ng g:oss ores .......................... 6c?. ? 3 d. Total fireplace wall area ......................... 2g2gk?eo e. Total wall framing area (average 101) ............. 432.oe? f. Total net Wall area above floor ................... 3l2?2.2? g. Total rim joist area .............................. 7 e7.2- / Total ezposed foundation area - I-4-+ h. Total £oundation aindou area....S?,,;;. ? i. Total net foundation area above grade............ Determine 'Ut value of each wall segment: a. :Y, I.gl x b. ? 55.-t>5_ a c. Go. x d. x e. 432 z f , 1 32 .2:1 x 9. , ze,'1.37 1 s h. x Jut . 3(?, - 130. 2$ ' U' ' U' ' U' ' U' IUr -? OUt D4 ful ' u' ?G?. o0 20.1G, 36.88 I I • 4R 3 . .................................................... Total - if item 83 is the same as or less than item 07, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area ? 11 25 J. Total skylight area ............................... t?o_ k. Total roof/ceiling framing area (average 10%) ..... I12.19 1. Total net insulated roof/ceiling area .............. ?0??•5 OYEA .. _. .. ?1..?1 yl V1? 1.?1 1.ii1 .?lti._?? L?:Llif:.R?GV •.9"!•? . ? ? . ' Determine 'U' relue Par each Poof/ceiling $egment: = J. z 'U' ?.._----- k. xIuI . n25' 2-S1 1, 1D12.5 xt,u i ? vzl = 21.2(0 .... Tota1 = 2`l'•07 ++ . .................................................. If total of 04 is the same as or less than 02, you have met the lntent of S9C 6006Sc)1. Alternate Huilding Enrelope Deaign To utilize the total envelope system method, the values established by the sum of Items 03 and p4 shall not be greater thah the sum of Items 81 and 42. 1. + a. 3 + 4. - Post-it"' br6nd tan transmittal memo 7671 n or P¦ge• 0 W From lCVt Jc,S?z I co. 1 s? S 1?otv.ES co. GJ`COC.? N.C? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOVfW1WHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH iJNTT. NO. FIXTURES EACH TOTAIs / SHOWER 3.00 .?° 1.3 WATER CLOSET 3.00 °P BATH TUB 3.00 Gz . _ LAVATORY 3.00 KITCHEN SINK 3.00 z ? LAUNDRY TRAY 3.00 ? HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 ? GAS PIPING OUTLET • minimum • t 3.00 %a ROUGH OPENINGS 1.50 ? WATER SOFTENER 5.00 ` PRIVATE DISP. • nek.cry. lio. 20.00 U.G. SPRINKLER • nome unaer const. 3.00 ALTERATIONS • ro ccisting 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE TOTAL: STfE ADDRESS: 518 HAWTHORN WOODS OWNER NAIvfE: J & S HOMES INC. INSTALLER: MCDERMOTT MECHANICAL INC. ' ADDRESS: 12231 NICOLLET AVENUE SOUTH CITY: BURNSVILLE STATE: MN ZIP CODE:55337 PHONE #: ( 612 ) 890-9084 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD ' EAGAN MN 55122 (612) 681-4675 1994 PLUMBING PERIVIIT ^(COMMERCIAL) GITY OF EAGAN 3830 P ?IIPT KNOR R'D EAGAN M1V 55122 (612) 68I4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MiJLTI- FAMILY BUILDINGS WHEN SEPARATE P,ERMITS ARE N.OT REQUIRED FOR EACH DWELLING UNIT. _ NEW CONSTRUCTION ADD ON REPAIA WORK DESCRIPTION: CONTRACT PRIGE: $ rrr: i% oF corvTRncT FEE. STATG SURCHARGE: $.50 FOR EACH $1,000 OF iff, FEE. MINID7UM FEE: $ 25.00 . CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL 9 SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: • _ ZIP CODE: FOR: CITY OF EAGAN APPLIGANT PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. V/ NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE 0717y FEES HVAC: 0-100 M BTU - $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExISTTNG CoNSTxucrloN) $ 20.00 STATE SURCHARGE .50 TOTAL 7 SD SITE ADDRESS: 518 HAWTHORN WOODS OwNER NHME: J & s HOMES INC. TELEPHONE #: 581-7457 INSTALLER: MCDERMOTT MECHANICAL INC. ADDRESS: 12231 NICOLLET AVENUE SOUTH CITY: BURNSVILLE STAT'E: MN ZIP CODE:55337 TELEPHONE #: 890-9084 1994 MECHANICAL PERMTT (RESIDENTTAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF PqggNg FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLl) INSTALLER: ADDRESS: CtTY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY WSPECTOR 1994 MECHANICAL PERMTT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 /- g, a//, ?? a151if? city oF eagan THOMASEGAN Moyor September 9, 1997 PATRICIA AWADA BEA BLOMQUIST SANDRA A. MASIN THEODORE WACHTER Council Members THOMAS HEDGES City Atlmini5frator BUTLER HOUSING CORP P O BOX 24597 APPLE VALLEY MN 55124 RE: ?CRETE SIDEWALK REPAIR f5l8,526,530 and 534-HAWTHORNE WOODS DRIVE HAWTHORNE WOODS 2nn TO WHOM IT MAY CONCERN: The City of Eagan has completed sidewalk repair work on Hawthorn lack of erosion protection from your lots at ihe time of home building. was $5,733.88. Steve Ryan of Lyman Development has agreed replacement, or $2,866.94. E J VAN OVERBEKE Gty Clerk e Woods Drive caused by Total cost for this repair to pay half the cost of As previously discussed, Butler Housing, together with Lyman Development, is responsible for repair/replacement of sidewalks in front of homes constructed by your company The cost to Butler Housing is $57338. Please submit your check payable to the City of Eagan. If you have any questions regarding this matter, please contact me at 681-4676. Sincerely, William Bruestle SeniorInspector WB/js cc: Stan Lexvold, Construction Sapervisor MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN. MINNESOTA 55122-1897 PHONE (612)681-4600 FAX(612)681-4612 TDD. (612) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTFI AND GRONITH IN OUR COMMUNITY Equal Opportunrty(Affirmafroe Action Employer MAINiENANI:t hnt:iu i r 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE (612) 681-4300 FAX. (612) 681-4360 + TDD: (612) 454-8535 2005 RESIDENTIAL BUILDING PERMIT APPLICATION $70? CityOfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWGbn Reauirements RemodeUFteoair Reauirenenq Office Use Onlv 3 registeied site surveys shawing sq. ft. of lot, sq. fi. of house; and all roafed areas 2 copies of plan ? CeA of Survey Recd _ Y_ N (20% maximum lot coverege allowed) 1 set of Energy Calculations for heated add'dions Tree Pres Plan Recd _ Y_ N_ 2 copies of plan showing beam 8 wiiMow sizes; poured found design, etc. 1 site surrey for additions & decks Tree Pres Required _Y _ N lsetofEnergyCalculations Addrtian-Indirateifon-sitesep6csystem On-sileSepticSystem _Y_N 3 copies of Tree P2servation Plan H lot platted a%er 711193 Rim Joist DehaO Options seledion sheet (buildings wiN 3 or less unBs) Date O 3 / O 1 / OP (o Site Address S I 8 Construction Cost } p i nn o UniUSte # Description of Work lgcl s P,vlr? , Multi-Family Bldg _ Y.1,14 N Fireplace(s) _ 0 'X 1 _ 2 PropertyOwner 'Ta a LX) timorZ Telephone#(G$I ) G$?`?79E?: Contractor Address State City Zip Telep6one # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel (+f submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master planZ _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; ihat the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approye?d plan in the case of work which reyuires a review and approval of plans. ? ? LJ-„y, OF-C ( 1C,? [SodE Applicant's Printed Nahie AAlicant's Signature 61AR 0 1 2006 OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-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 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc. ? OS 03-plex ? 11 10-plex J% 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 0 32 Additian ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Buildin g" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •DemollUon (Entire Bldg) - Glve PCA handout to applicant Valuation Occupancy ?fZ -3 MCES System Plan Review 100% or 25% Census Code y 3? Zoning ?-? City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Yl? _ Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) Plum6ing _ Foundation ?D HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final X Framing Siding Stucco Stone Brick )d Fireplace A R.I. XAir Test L Final _ Windows --?o Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ToWI DAKOTA COUNTY PROPERTY RECORDS DAKOTA COUNTY GOVERNMENT CENTER 1590 WEST HIGHWAY 55 HASTINGS, MN 55033 04/10/06 P A I D R E C E I P T RIX139R1 RECEIPT NO: 508146 PROCESSING DATE: 04/10/06 PAYER NAME AMOUNT: CHECK: X JIM WYMORE $46.00 CASH: CHECK DATE: 04/10/06 RECORDING DATE: 04/10/06 FEE CODES: 10 R08 CHECK NO: 6433 A CUSTOMER COPY i ?f . '- -- ?.75-1492 - JIM. W1fMORE ' 910 ? 6 4 3 3 . LIC: W-580-367-096 820 . ? ? -1184104 - ? ,. . , 518 HAWTHORNE'WOODS DRNE .. EAGAN.'MN `55123 .; ? .., ? ? _ Dn're ? envrorxe oRDF2 aP ?DOtiLARS' 7600 Parkbwn Avenue 6d+n0. MN STP3J ? E ._, .. •? ? "+ ? . c v..' " ??'? ??_ ? 1 . ? •. M},? - ? , `? , ?- v' - .< ' '- ' ; . ., >. ' ,,•.- . -`y'-^v- -N:09-10 L4;9=24!: , itl!llg4111"i04?i"(`4?;33? ? ?- - . CERTIFICATION OF PURPOSE OF SECONDARY HITCHEN FACILITIES WITFIIN SINGLE FAMILY DWELLING I, James Wvmore, duly swom and under oath, certify that I am the Owner of the one-family detached dwelling as defined in Section 11.03 of the Eagan City Code located at 518 Hawthome Woods Dr and legally described as Lot 9, Block 4, Hawthome Woods 2nd Add, PID #10-32151-090-04. A building permit apphcation has been submitted on my behalf to the City to enlarge, alter, improve, remodel, and/or finish the above-referenced dwelling, or a portion thereof, to mclude the installation of facilities for a secondary Idtchen within the dwelling. The secondary kitchen facilities to be installed under the building permit are for the sole purpose of providing cooking and food service facilities for private entertainment of guests by the property owner at the dwelling. I aclrnowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second complete, independent and separate living and/or housekeepmg ?'t witrun the dwelling. Dated: 2006 ? ? W i i Owner's S ature J Subscribed and swom to before me this ?t j day of T1c? ? C` ?n 12006. Q ?p ?- C?(1 ?? i`? S, ??Ar?? dENNIFER M. HILDEBRANDT ' Not Public -.. ?. Notary Pubiic State oi Minnesota ?? an' ? ie# 20119512 Dualified in Goodhue County Commission Expires January 31, 201C) I hereby verify that the above said Certification of Purpose of Secondary Kitchen Facilities Within Single Fami]y Dwelling was recorded at the County Recorder's Office on By: Ics: THIS INSTRUMENT WAS DRAFTED BY: Ciry of Eagan Community Development Department 3830 Pilot Knob Road Eagan MN 55122 2006. Bldg Insp/Forms/CertiEcation of Kitchen Facilities CERTIFICATION OF PURPOSE OF SECONDARY HITCHEN FACILITIES WITHIN SINGLE FAMII.Y DWELLING I, James Wvmore , duly swom and under oath, certify that I am the Owner of the one-family detached dwelling as defined in Section 11.03 of the Eagan City Code located at 518 Hawthorne Woods Dr and legally described as Lot 9, Block 4, Hawthome Woods 2nd Add, PID #10-32151-090-04. A building permit application has been submitted on my behalf to the City to enlarge, alter, improve, remodel, and/or finish the above-referenced dwelling, or a portion thereof, to include the installation of facilities for a secondary kitchen within the dwelling. The secondary latchen facilities to be installed under the building permit are for the sole purpose of providing cooking and food service facilities for private entertainment of guests by the property owner at the dwelling. I aclmowledge that the Eagan Zoning Code prohibits the existence of a second ldtchen facility within a dwelling unit to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the installarion of the secondary kitchen facilities under the building permit is not for the purpose of providing a second complete, independent and separate living and/or housekeeping,unpt withui the dwelling. Dated: (,? , 2006 ???/??-- R, ? % Owner's S' ature !? Subscribed and sworn to before me this day of '`{Yl('1 ? C` ? 12006. JENNIFER M. HILDEBRANDT Notary Public State of Minnesoia :J v Notary Public Io# 20119512 Qualified in Goodhue Counry Commission Expires January 37, 20..1.f2 I hereby verify that the above said Certificarion of Purpose of Secondary Kitchen Facilities Within Smgle Family Dwelling was recorded at the Counry Recorder's Office on 12006. By: Its: THIS INSTRi.JMENT WAS DRAFTED BY: Ciry of Eagan Commumty Development Department 3830 Pilot Knob Road Eagan MN 55122 Bldg Insp/Forms/Certificahon of Kitchen Facilities q 3 640 2006 RESIDENTIAL PLUMBING PeRMir aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. b'1?, (-,"D oate !%S I 3 l 1 QL 1 Site Street Address S 1? 14Gc U7 T?Od ? U)p pc) S D ? Unit # Property Owner V I?YN S Telephone #(?qJ j)? g? gp?G Contractor (?4O0'Q ATelephone# ( ) Address City State Zip The Applicant is: 4Owner _ Contractor _Other Septic 5ystem _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. !f you are instalfing onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment Water Turnaround (add $130.00 if a 5/8" meter is required) ?Other. RC49, SfrJ)C Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ `)({.C7 ?' I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a pe it, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is requ' e to be reviewed and approved. ? ( ApplicanYs Printed N me A i anPs Signatu J" i ? .-_ _ - _ _ _ _ - - - _ _ I ??06Vg I j Permit #• Z -y / &-21 j ? Permit Fee: / J o• ? Date Receroed: I I Staff ? ? I I I -----? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Dec- 1 SiteAddress: S?? A&U)+KOrr2 W006S 9r Tenant: 1i" ? QQM W 4W-0 C11?, Suite#: RESIDENT/OWNER Name TCitieS Bl??tmorlz_ Phone: 6??'??S'?I?JIoI? S?}j ?{.tW?t.er?..e l,.Joods fl?. Address/ City /Zip: Applicant is: `! Owner _ Contractor TYPE OF WORK Description ofwork: l.bw2r l2we..L y ? Construction CostS'DOO -? Oo d Multi-Family Building: (Yes_/ No!f CONTRACTOR Name: Sawe - 'Ao(?eoi-ilo4f License#: ' Address_ City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 7 Minnesota Rules 7672 Energy Code . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheei Category suem;nea sub,n;ned (1? Submission typ0) • Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a pertnit for a similar plan 6ased on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE;=Plans and supportirig tlocunie"nts that?you svbmrtare considereaLto pe publ?s iniormatEOrt?;'Porfions qf, t? prov?de specific reasvns #hat would perm?t Cl?e?City<to`+°,y ffie"information? inay be classihed as-norrputilic if you . ' , I here6y acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan; ihat I understand ihis is not a permit, but only an application ior a permit, an work is not to start withouf a permit; thffi ihe work will be in accordance with the approved plan in the case of work which requires a review and ap ro al of plans. x? tm W4rruoct x . ApplicanYs Pr ed Name p IicanYs Signature Page 1 of 3 / DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Poof ? Single Family ? 06-plex ? Fireplace O Porch (3-season) ? Ext. Alt. - Multi ? Ot of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? LowerLevel ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addltlon ? Move Building ? Reroof ? Demolish Interior )< Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' DemolRion (entire building) - give PCA handout to applicanl DESCRIPTION: Valuation 30Ot7? Occupancy MCES System Plan Review ? Code Edition p77 SAC Units ^ (25%_ 100 % Zoning City Water ^ Census Code Stories -- Booster Pump ^ # of Units Square Feet ? PRV " tl of Buildings ? Length Fire Sprinklers ? Type of Const. ? Width REQUIRED INSPECTIONS Footings (new 61dg) Footings (deck) Footings (additlon) Foundation Drain Tile Root: Ice & Water Final ? Framing Fireplace:_R.I. _AirTest _Final ? Insulation Reviewed By: _ Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Toial Sheetrock FinaI/C.O. ? FinaVNo C.O Building Inspector I? ? Page 2 of 3 HVAC Other: ? PooL• _Footings AidGas Tests _Final Siding: ,Stucco Lath _Sione Lath _Brick Windows ? Retaining Wall ?----------------- ? - ? Permit#: ? Permit Fee: I ? I Date Received: 1-2 - i` I I i I Staff ?-2 `-----------------? 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION 4)"I Date: ?CC -- SiteAddress: ,Sl$ ktW4,ot^k, LUbods Or• Tenant: T1w? -k Ccprh LA NV?ocA- Suite#: RESIDENTIOWNER Name: avVts ?. l.]uw,? Phone:?oS1-(E,$8 Address/City/Zip: ??30 ?+J S??fa.."j CONTRACTOR Name: .SG w..a = l-?o n.a o u7 n e? License #: Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK ? New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description ofwork: PERMIT TYPE RESIDENTIAL Water Heater _ Water Softener _ Lawn Irrigation ? Add Plumbin FiMures ? RPZ PV8) ? Main Lower Level) Septic System _ Water Turnaround New Abandonment RESlDENT1AL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) 'Water Tumaround (add $147.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (inciudes $.50 State Surcharye) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; thal the work will be in confortnance with the ordinances and codes of ihe 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 reqmres a review and apprqvia)of plans. x ?l ir1 ? um.oK ApplicanYs Pri Name EOR OF.FICE USE ` ?ta P.02 2422 Enterprise Ortve 4L AlendQtp Helqhta, MN 65120 ? PAn11?¦n ,."" (614) 891-1914 FAXs881--9iM ??P1 19eAP (9? L" a"""Us• LWAJK AWNaM 825 Hightacy 10 N.E. .j? 4L Blalne, MN 55434 (e72) 783-1880 FAX:783-1863 Certificate of Survey for: J& S HOMES, INC. 518 HAWTHOFtNE W40DS 6RIVE EP+GAN REVIEWED s?l ° • ? ?? ?? ? ?G" poG?? G?`' ? ? ° o o ul? ??U PftOPOSEG GRADES SH045N PER CRAOUlC AUN Btt MCCQMBS FHANK R003 N07E: eULnttaG DIMEN910N$ SHOWN ME FqR HOPoiONTAI. Mlp VCRTICAI. LOCAIIW GF 5tttUC7URE3 CNCV. SEE MCW7ECTUAI PLANS FOR BUILDINO I1Np iOUNDA710N OH1EN9pJS N01Et WH7RACT014 NUST YEPoFY ORIVEWAY UESIGN. h115 CkR71F7GiE DOE$ NOY PURpORT i0 SHOW £ASfA1lNTS OMCR 1NAN 7N0SE S10MN ON 7HE RECMpLD PLAT. NOtE: NO SPECff1C 50L4 WVFS71CA110N MA8 BEQ1 COYPLEIEp ON MIS Lor ar n+E suRVerat. me surcAsiutr of saLs ro suPaoRr nte BEUaNC3 3HOVaa uiE nssuuEA SpECIFlC HOI15E 9ROPOSED IS NOT iXE AESPdlSIBM1IiY OF THE 9liR4EY0R. Peoaoseo HOSE EEVanaN x ooo.oo Denotes Exlstfng Elevotion ( ooo,oo ) Denotes Proposed Elevatlon I.owest Floor Elevatton: Sfp,?,? Denotes Dralnage k UtAtty Eosemont Denotes Drolnoge Flow pirgction Top of Block Elavatton: ? -?-o-- Denotes Alenument -F3--- Denotes Offset Hub Garage Slab Elevatfon: LOT 9 , BLOCK 4 OAMOTA COUN7Y, MINNE50TA HAWTHORNE WnODS 2ND ADDfrION We heraEy xrtify lnat lKis aurvey, plm or renort vae prapared by me or under 7ny dYMk Wp iop, c?w t?ot i om duy ?eqi?tvd Land Su•wyo? una? the IaWS af tbt SWU of Hlnnscota. Datetl tnla?0ay ot ??. AD. 9?• REVISEA 6-22-94 PON6 INFQ SIgNE : IONEER ENGINE?RING. P. /?/?IQ SV<Al4`• 1 iIy? 1c7h1 = 1 Ttpp} 4??'l .+• .Wrn _ Inrann. I._ Ran Nn iQ: 6P6?? 06-22-94 03:27PM P002 #28 P.03 ?? 2422 Entery?rlae Orlve Mendqto Heigh}B, MN 59120 (812) 681-1914 FA7G681-9488 625 Htgnway to N.E. 9lalne, MN SSd34 (612) 783-1880 FAX:783-1883 Certificate of Survey for: J& S HOMES.INC. S0(%T'56°E - 51_81 10 W ? S ?i a ? ? MH. I g 1n POND JP^2&1 NWLt8260 HWLe036.0 1 ` \ \ ` 9 1 id ? N Q ? 2 8 N IM N (4?"?9 ) \ 9 0 ? . d ° 86+.10df -n ??%??5.4...p^,. r• A - BENCH MARK TOP OF HU6 2 ELE\le868.56--. 15' `1.6 h O/Q67 AR ?.?8£NCHMARK TOP OF HUB ??7?•a) ELEV.2 872.22 ? 872.3x (87 ,a) 33? ORIVEWAY ?3? ELEC,TELEB s?W? ? TU. PEDS 10 IMP.85S.3^+„"1 9? 730 `6 '-CONC. SibEWALK IGL4• g?? g4 fi? I 064.2 tAl ° C.B. D?,v fs wV?D? Scaie: 1 inch = 40 feet ? 06-22-94 03:27PM P003 #28 Use BLUE or BLACK Ink F----------------- - i For Office Use ~ City of Ea ~11 i Permit I i Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: V 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 5~f iR - Unit M Name: ~J t' f~l/U LAY Ylq &r1V_ Phone _U-af -2+r 4& RESIDENT / OWNER Address/ City /Zip: i B 1~F71.f1' 41-OWN't ~ O'%' ~IC{ lCi 'i¢~ 3 Applicant is: Owner _ Contractor TYPE OF WORK Description of work: EWhLC_-,-_ 7~ Construction Cost: !~Og a [o ® Multi-Family B, ildin9: (Yes / No 7 ~ _kJ Company:~rh C: r &Contact: J~7UClllG4I2 Address:,ae ~ 6th City: CONTRACTOR State: Zip: S~ j y~?g Phone: quo? ~L~ License 30 35-048°2 Lead Certificate 7,ZS73~ / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) /U 6 L A> 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: 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 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.oopherstateonecall.org 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_ j t~UC~i/tL/4~C~{ x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170502 Date Issued:07/07/2021 Permit Category:ePermit Site Address: 518 Hawthorne Woods Dr Lot:9 Block: 4 Addition: Hawthorne Woods 2nd PID:10-32151-04-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James B & Pamela J Wymore 518 Hawthorne Woods Dr Saint Paul MN 55123--305 (651) 688-9966 K & S Heating, A/c & Plumbing Llc 4205 West Hwy 14 Rochester MN 55901 (507) 282-4328 Applicant/Permitee: Signature Issued By: Signature