521 Hawthorne Woods DrCIT'V OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTIO
'jCORD
PERMIT TYPE:
Permit Number: ? ' • ' ? ? ?
Date Issued: /101 '1a
' SITE ADDRESS: iiit
i.: Nt
;i:.i •t ?fi?? ?l? i ?i?? ;: .'P?l?
? PERMIT SUBTYPE: ? ,::• ?.:-:
:44 I{1 111.1
I.AI)(t{??. f?H
Itl; i Pf I l li???l? Hl1MF'
i tN 1000
TYPE OF WORK:
.
INSPECTION . . ..
1"N',lil n! i+?ta : It'I f 1!lt i
114 111
I
? kf MAIrM ', i'i7V ?' h W I'lYf! -(o1? t F Y PLHo
7
PermH No. Permit Halder Date Telsphone #
S/W
PLUMBING g -
HVAC a 3??
ELECTRIC
ELECTRIC
Inspection Date Insp. CommeMs
Footings I
FQUndetion ?
>y
?% CcJ
Framing
iE
RooHng
Rough Plbg.
Rough Htg.
o 7
Isul.
r
Flreplace ? / q
6 ! ? !!I/
Final Htg.
OrsBt Test `
F{nel plpg. Plbg. Inspector- Notily Plumber
Const. Meter
EngrJPlan
Bidg. Final
7
Deck Ftg.
Deck Final
wau
Pr. Disp.
(? 3d
INSPECTIDN REC4RD
CITY OF EAGAN PERMIT TYPE: "'to 1 111146
'
3830 Pilot Knob Road Permit Number:
i Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
i .
! SITE ADDRESS: APPUCANT:
tildll(?!i=r±? s7tlf+l? , !'{= 't+?i', iiH?
i?
PERMIT SUBTYPE: TYPE OF WORK: ?
. .. . .,
RF i4A Ft K'_. , p t A W R[ 1! E f la F I 1 Ii Y M! F.f'. Cf tti i,v' K
•
Parmft No. Partnk Holder Data TNsphono II
ELECTRIC
PLUMBING
HVAC
Inspsctlon Dato Insp. Comments
FOOTiNGS
FOUND
FRAMINQ
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLD(i FINAL
BSMT R.I.
BSMT FINAL
D[CK FfG
DECK FlNAL
?a; ? -&W
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
PERMIT TYPE:
Permit Number:
Date Issued:
06 11" ra;'6
SITE ADDRESS: ' r' ' " `" " " 1 "'" 1' APPLICANT:
i0r; t4 rct(it I
fil ,?i•i ;
FfAl,tl Nt1i;Nt RJnOtI:; .'N(1 I R t.9 .? ) r....'t• YN.i
PERMIT SUBTYPE: TYPE OF WORK:
,, I , . - I I 11 t 11 :'? t
Permit No. Permit Hotder Data Telephone N
ELECTRIC
PLUMBING
HVAC
Inspsction Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTO
DECK FINAL
i
'?' Oc.?Nv2 ? Q? A?LV C.vfif?''?
c/ 2 `f/' y - f0
!ys"w'" `p&
Kei.?tificate vf Cccupanc4
(Citv of W-agan
Tepart?aeut oF Vani[bing ZnOoection
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance thrs stnrcture was in compliance wilh the various
ordinances of the City regrrlttting building canstruction or eue. For rhe following:
use classification: SF DWG swg. Pem,it No. 23556
Occup-y Typc R-3M I 7vning Distria RI Type Const. VN
ownu oc auikbng SEN'1WDM H14ES Aa&-u 1322 IE[S7 AV@l[IE, QAIQ.IATE
s.aa;ng nea,:,5 521 HAWIIUM Wl7MS D4RIVE Lmi;,y I34. B2, HAWIIUW WM 2DID
Date:
a?am? otr?
POST IN A COhISPICUOUS PLACE
REQUEST FOR ELECTRICAL INSPECTION
f? r? ? See insvvcligps lor comple?ng 1M1is torm on Oack ot yellow copy
N33 CyL2 ^ "X" Below Work C.overed by This Request
'???g? ags S 3
ew Aad Rep TypeafBmlding AppliancesWrted EqmpmentWir
Home nqe ' Temporary Service
Duplex ater Heater
O Electric HeBting
Apc 8uildmg ver Load Management
Comm./Industnal Furnace Other (Specily)
Farm Air Condttioner
Olher (sVanlyl Comractor? Remarks
Compute Inspecfion Fee Below:
# Other Fee # SarviceEnlrance5¢a Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps ? 0 to 10 Amps
Transformers Above 200 _ AmpS Abave 10 _ Amps
$IJnS Inspector5USe0nly
^ TOTAL SO
Irngation Booms y, 5 gs ?
Special Inspechon V
AlarmlCommunicanon THIS INSTALLATION MAY BE D DE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 RQWS.
I, ihe Electncal Inspector, hereby Rouyn-in ? e a G?
!
ceAify that the above inspection has
been made.
s r ?
OFFlCE USE ONLY
This raqu¢st voi0 18 monthsirom
4,1.i ,?m Vsss $
k 33622 0?,3-V8a 2J
ReQU Date
./
? Fne No ough.ln InpsecM1On FepWretl
(Vau usl call insOeCw reaEy)
Vea ? No Insoecuon Other inan ouBh?ln
? Reatly Now Will Nafrfy Inspeclor
Dele Ready
I i licensed contrector ? owner hereby request inspection of above electrical work at:
Job AOdoess IStreet Box or Rout No 7 ? /
WV I! v'? 6., Gily
SMion No Township Name or No Range No. Coun
Ocw i(PRINT)
Q e Phona No.
Pawer Supplier T) /
l ?P/'c?s / L?/? A.?tl/tlress n M 7?
Elednca tractor ICompany mel ? Conlr ctorg Lwense No
Mailing Atle?re/ss 1 mre<tor or Owner Making InsiallaLOn)
L? liC/ r --3
Aui?a nOwner Making Ins?all I Phone Number
MINNESOTA STATE BOAHD OF ELECTRICIIV THIS INSPECTION REOUEST WILL NOT
GriggrMitlwey Bltlg. - Poom S173 BE AGGEPTED Bv THE STATE BOARD
1621 pnivarsity Ave.. SI Vaul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone (612) 642-OB00 ENCLOSEO,
Address 521 HnwtxoxM t,? nxzvE Zip 55123_
I.ot' "'34 Blk 2 Sub HawwFm t,oms 2rID
THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECI'ION.
Date: On C? Yes No Inspector:
Final grade (6" from siding) v
Pertnanent steps (gazage) v
Permanent steps (main entry)
Permanent driveway v
Permanent gas ?
Sod/Seeded grass v
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 waret supply to
the outside lawn faucet before freeze potential exisis.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL
BUILDINC PERMIT APPLICATION
3830 PILOT N 6 RDEAGAN MN 55122
651-681-4675
New ConeW ction Reoulremenle
• 3 reqistered site surveys showing sq. R. oF lot, sq. ft of house; and all rooted areas
(20°b maximum lot coverege alloweE)
• 2 wpies of plan showirg beam 8 mndow sizes; poured found design, etc.)
• 7 set af Energy Calculations
• 3 copies of Tree PreseNaUon Poan if lol platted after 711193
. Rim Joist Detail OpOns selection sheet (bldgs wAh 3 or less unAs)
DATE
SITE ADDRE35
TYPE OF WOR
APPLICANT
ULTI-fAMILY BLDG Y Q*
FIREPLACE(S) A-<e_ 1 _ 2
STREEi ADDRESS 2489 Rice St Suite 70 CIn Roseville STATE MNiIp 55113
TELEPHONE # 651-734-9433 CELL PHONE # FAX # 651-483-0219
PROPERTYOWNERY?ar. aCcA oz-? TELEPHONE#kCb\"?Z
----------------------------------------------------- _'.----------- _°---.___".------'._."---
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RliLES 7670 CATCGORY 1 MINNESOTA RULES 7672
(J submission lype) • Residentlal Ventllatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
_ Water Softencr
_ Water Hcater
° No. of Baths
_ Phonc #
L.awn Sprinkler
No. of R.I. Baths
Mechanical Conhactor.
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
Fec: $70.00
Phone #
----------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is co ?6? ?ree?? ?}fl ? I y
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ,Illl 1 1 Z002
Signa}ure of Applica
---------------__._--°------------------____...._-------- -°------°-------_-.__-°-----------
OFFICE U5E ONLY -
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
RemodeVRenair Reauirements
• 2 coµes of plan
• 1 set af Eneryy CakWations for healed additbns
. 1 site survey (or eztenor adddions 8 decks
• Indicate if Mme served by septic syslem for additions
VALUATION tk-a i"A9 .34
Catastrophe Restoration Services Inc.
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 EM. Alt - Multi
? 03 01 of _ plax ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muiti
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire 81dg 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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foorings (new bldg) FinaVC.O.
_ Footings (deck) FinaUNo C.O.
_ Foorings (addition) _ plumbing
_ Founda[ion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
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
Total
Building Inspector
PERMIT
, CIo?YoOF EAGAN
PERMITTYPE: auzLozNG
Eagan, Minnesota 55122-1897 Permit Number: 031679
(612) 681-4675 Date Issued: 0 3/ 31 / 9 8
SITE ADDRESS:
521 HAWTHORNE WOODS DR
LOT: 34 BIOCK: 2
HAWTHORNE WOODS 2ND
P.I.N.: 10-32151-340-02
DESCRIPTION:
, /-•' rt E:7 ,"k 4 ie
."k,r.Az
?gty (F .f• itL \? i,?-??T?'??d?+`
C"?."aw V-x..ye
./
rl'I 9
; F
rx -
??.
?,Buiiding ?lJor,k T y p e NEW
,?Census Cdde ?? 329 NONBLDG S7RUCT.
(IN-GROUND)
Building_Permit Type SWIM POOL
REMARKS:
PLAN REVEIWED BY MIKE BARCK
FEE SUMMARY:
VALUATION $12,000
Base Fee $187.25
Surcharge $6.00
Total Fee $193.25
CONTRACTOR: - Applicant - OWNER:
VALLEY POOLS INC 18941480 SACHS DON
651 CLIFF RD 521 HAWTHORNE W0005 DR
BURNSVILLE MN 55337 EAGAN MN
(612) 694-1480 (612)452-5067
. ' . , F . , ?.,_ _ • . , e , , . _
I L
I hereby acknowleldge that>I.hove re-ad,.thi-s=apPl3?caxiton and, state ;thatc the n.
information is corrsct and, a?ree to, aom_ply -wit? o1l appl.irable -Stats _of t5n- .,
Statutes and City af._Eagoq Qrqinanc$s;.,, .. ,, . •.N a-?XL? -diY,ci ?E ?
AP9 ICANTlPERMITEE SIGNAT E?
Atln P,¢dl I ind
ISSUED Y: S1GNA RE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) $ 1q3.29
? crrsr oF Eaaax ?+
3830 PII.OT KNOB RD - 58122 L?i. • Cfi
581-4673
New Conatruelion Reauirements
? 9 registered sRe surveys
? 2 copies oT plens (include beam 8 windax saes; poured tnd. design; etc.)
? 1 energy celwletions
? 3 copies of tree preservetion plan 'rf lot platted after 711/93
required: _Yes _ No
DATE:
DESCRIPTION OF WORK:
RemodeUReoair Reauirements
? 2 wpies of plen
• 2 s8e surveys (exterior addkions & decks)
? 7 energy ralculetlons for heated eddRions
CONSTRUCTION CaST?L//
STREET ADDRESS:•?
LOT: ???BLOCK: ? SUBD./P.I.D. #:
Name: Phone#:
PROPERTY Last Fint
OWNER Street Address: J vZ ?/'? /? al j?vkmycc gooU `?
,??7 lr? lfd,[.l
J) /?
CONTRACTOR
City State: Zip:
Conpany: Phone
/ /? /
Street Address: (fi S% 9L/ Q Licrose # `
City LJi?/v -S -//A Stste: Zip:
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
City
Sewer 8 water licensed plumber (new conshucdon onty):
and lot change is requested once permit is issued.
State:
Penally applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. / ?J "0",
Signature of Applicank / V ?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Phone #:
Regislration #: _
Zip:
2 Q i?10
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
O 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. O 10 _-plex
WORK TYPE
O 31 New ? 33 Alterations
X 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
p1 , /'? n
? r A
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem. )SL 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Misceilaneous
? 15 Deck
? 36 Move
0 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies i--,
Total: -
°k SAC
SAC Units
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. ?
SAC Code v /
Census Bidg _L
Census Unit o
"3 Engineering Variance
Valuation: $_ i za ooo. r
? CITY (?F EAGAN PERMIT
3830 Pilot nobRoad PERMITTYPE: gurLorNG
EBgan, MinneSOt855122-1897 PermitNumber: 025723
(612) 681-4675 Date Issued: 0 6/ 16 J 9 5
SITE ADDRESS:
521 HAWTWORNE WOODS DR
LOT: 34 BLOCK: 2
HAWTHORNE WOODS 2ND
P.I.N.: 10-32151-340-02
DESCRIPTION:
?°uilding,,,Permit Type
Building Wo.rk Type
..?
DECK
NEW
REMARKS:
FEE SUMMARY:
Base Fee
5urcharge
7ota1 Fee
VALUATION $1,200
$30.00
$30.50
CONTRACTOR: OWNER: - Applicant -
SCHMITT MICHAEL
521 HAWTHORNE WOODS DR
EAGAN MN
(612)625-7017
? ?.. ?
I hereby acknowledge that Z have read this appliCation and state Efiat'w1?e
, information is correct and agree to comply with ail applicable State of
? Statutes and Git,y af Eagan Ordinanoes. J
r i?,(, kAewatA
APPLICANT/PERMITEE SIGNATURE
IR g,olAjm1?--
ISSUED BY SIG WbTUR
CITY OF EAGAN
?? 3830 PILOT KNOB RD - 55122 r?
o` 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construotion Reauirements RemodeVReoair Reauirements
? 3 registered af[e surveys ? 2 eopies of plen
? 2 capies oF plans (indude beam 8 window sizes; pouretl fid. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy celculations ? 7 energy celwlations for heatad addklons
? 3 copks M tree Weservation plan H lot plaped aRer 7!7/93
required: _ Yes _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
SZREET ADDRESS:
? ?
LOT
BLOCK 2-
SUBD./P.I.D. #: r'a.uW0716 a:tk
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGiNEER
{ I,?nr1? (a?5 =7o1rz
Name: ?r ?orl Phone #:??6 1(081-8-?3
v.. . . ?n , .
Street Address- --'-41
City: ??-
Company: ?f
Street Address:
City:.
State:
Company: ?
Name:
License #:
Zip:
Phone #*
Registration #6
Street Address,
Ciry:
Sewer & water iicensed plumber:
change are requested once permit is issued.
State: Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wRh all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY R '?' (,? 'VL ?
Certificates of Survey Received _ Yes _ No MAY 3 0 1995
Tree Preservation Plan Received _ Yes _ No _______________
State: *Zip: S3-/z z
Phone #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
i
,
0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
0 03 5F AddRion ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
0 31 New ? 33 Alterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuat)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq, ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
Cit; Sa _r.
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
MC/WS System
City Water
Fire Sprinkiared
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
Valuation: $
% SAC
SAC Units
N
W
n
O
?
a
uu
e
x
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3
BUILDING
023556
05J10/94
SITE ADDRESS:
P.I.N.: 10-32151-340-02
DESCRIPTION:
521 HAWTHORNE WOODS OR
LOT: 34 BLOCK: 2
HAWTHtlRNE WOOD3 2ND
Building Permit Type
Building Work Type
UBC pccupancy?.,
Construation Type
? Zoning -?
i Building Length /
? Building Width
? Building stories
{
U'
5F DWG
NEW
R-3 M-1
V-N
R-1
60
52
2
Li Lj
REMARKS:
PRV S& W PLBR - COKLEY PL6G
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SRC %
SAC Units
5ubtotal
$923.00
$599.95
$99.50
$80@.0@
100
1
$2,413.45
$181,000
MI5CELLANEOUS $1.828.50
Total Fee $4,241.95
CONTRACTOR: - Applicant - ST. LIC. OWNER:
BRENTWOOD HOMES 17301000 0001519 BRENTWOOD HOMES INC
1322 HELMO AVE N 1322 HELMO AVE N
OAKDALE MN 55128 OAKDALE MN 55128
(612) 730-1000 (612)730-1000
I hereby acknowledge that I have read this appliaation and state that the
information is correct and agree to comply with all applica6le State of Mn.
Statutes and City of Eagan Ordinances.
? [W,- ,a R.Q,cr,l I 111?
A LICANT/PERMITEE SIGNATURE ISSUED Br 516NATURe I
' CITY OF EAGAN
? 1994 BUILDING PERMIT APPLICATION
681-4675
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up 6y last working day af month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date AE91(L 94- Valuation of work ZOfo G2?. Cv
Site Address: FtA w TFFofLN? l.c.?OODS 0 124 ?iF
STREET SUITE #
Tenant Name: (commercial only)
T ? ? PAr`TMCZA?
LO BLOC& SUSD.
ZNJ-' ArD7n1 P.I.D. #
Descri tion of work: Ej:), oow-n A
The appl i cant i s: ($ Owner ? Contractor ? Other (Describe)
Name P.aZE1J'TLAAQQQ et) Phone
Property IAST FIRST
Owner
pddress
STREET STE #
City State Zip
Company f5IZ€lVTWco0 M96 ?n,1G. Phone 777n-IWC]
Contractor Address 2?22 HtL-MO 41/6.IJ, License # 100011314 Exp.
City 06ICiJA [& State M 1.1 Zip s65 l2 &
Company Phone
Arch itect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has een appro ed.
I hereby acknowledge that I have read this application and stata that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ? ?V?4P]C9?`?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
)s7 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
T * , ?
?;. ?? '? •?
?...
0 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Camm./Ind. Misc.
[3 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) I/n/ Basement sq. ft. /? 9'I MWCC System ,I-
(Allowable) VA,- lst F1. sq. ft. sz City Water ?
UBC Occupancy -3 M? 2nd F1. sq. ft. a? PRY Required
Zoning i{ I Sq. Ft. total Booster Pump
0 of Stories z Footprint Sq. ft. Fire Sprinkler
Length (oo On-site well Census Code ?
Oepth sz On-site sewage SAC Code __Ui
Census Bldg i
APPROVALS Census Unit /
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
121 Footing
LK[ Final
JM Framing
? Draintile
,2 Insulation
? 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
Sg
; 92, 10
--T--
78B
154`?A%O = 151,.?m
3(0,'?0 k,Sf =
C, 4i.
-2o ? 34 - 6mo
z,. zD - y6
?ydXi6 =
/o2yo
.?_
$?.581,co
valuactm: g b' Q O a
f3s.,.?
22YY9 = /3?
lS;r z - aa
(. (??y 30 ; zoa??o
?
LOT SDRVEY CHECRLIST FOR RESIDENTIAL
? w SOILDIN(3 PERMIT APPLICATION
<
Ul V ¢ PROPERTY LE(iAL:
6? m Date of 8urvey: _? Z z ?,
AOCUMENT STANDARDS a/ 9u
p'?0 ? • Registered Land Surveyor signature and company
6l ? 0 • Building Permit Applicant
Q?0 0 • Legal description
Q---p ? • Address
[}"p ? • North arrow and -ber scale
• House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
(? ? 0 • Directional drainage arrows with slope/gradient $.
(}`? 0 • Proposed/existing sewer and water services
? 0 • Street name
? p • Driveway
£LEVATIONH
Existina
C'J? 0 0 • Sewer service
21? ? p • Lot corners
? • Top of curb at the driveway
p
P ? • Elevations of any existing adjacent homes
Prooosed
g" Q ? • Garage floor
a'' ? ? • First floor
gr ? ? • Lowest exposed elevation (walkout/window)
8? ? 0 • Property corners
9-?13 0 • Front and rear of home at the foundation
PONDINCi AREAS (if anolicable)
0' ?p • Easement line
0 ??
? • NwL
? C 0 • HwL
? p ? ? • Pond # designation
p q/p • Emergency overflow Elevation
DIMENBIONS
??0
13 °o C? ? 0 •
a?o o •
2?113 ? •
n ??o?•
Rev
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
existing homes
Retaining requirements, if any
_ ??I / 4e/
October 1992
31
-MH 4
? P.O.T 23+18
5
MArCH LINE- CONTINUED --??I
TO SHEET N0. 9-?
40
\ ?NEEN
y c5?-70 34 ,
33
32 HYDRANT 1 5
6" X 6"TEE
w
863.8 I
r-------- ?
; tl
za ZO i 35 ?I I
871.8 - J? I
, ---
- 6"
6'CONC. SIDEWALK
8
7
6 ? \ 4
M.H. 3
*4'LT.
PO C. 26+68
9
6"-I/16 BEND
36
10
TNE ,ITYQF EAGA GQES F!0TGU RANTEE
TFIE ACCUR,4CY F U'fILIT7 L CATIONS
AND R ELEVATI iVS. YHIS DAT IS FOR
6RfFo"ti4,4TI0N P RPQ ES 0N Y AIVD
PE9'>t7?!S UvIIVG IT SH ULD t1t:'r=V THE
ENFC q j"+?., IOtJ 0?1 fHE 51T°.
I I \ I
Nt
g' i
! ;
? .
? --? HAWTHORNE WOqDS DRIVE i '
(SEE PLAN VIEW-9HT7)
8gO
M.H. 10 •. ?
; M.H.i 3
. ., . . ?;. _
?? c, ?-•,° ?,- ? ?:
; ,
.
,
1'p?? i:??U`;;;WY CF U?"ILyIi 1 LGCATIO(?
p
,k-?naie.± '4 IQ ri ".T?1 80
'
? tlr?1?V?vv. . .? - -
SrlVli i?Lt.
?r :?TiOZ ; PURr?OSES OfVLY AND
I `??
,
?EFASOLS USiNG ? iT SkiOULD 1JER7'r'Y THE
?A`fIaPJ n(U THE 51TE.;
P??QR?
E. 868.0
R. ,
070
EL
----??-
---.
r
` I LO
?
! _ FTG. EL BGO
!
?
., ; I
;
i ,
? , . _ . ... . :
850
4290.LE-8
" P.V,C. -SDR35-0.4p '/o
.
o
m
o.OD . ; . ?
I !
f
. i .. o
r
1 I
?
? . ?.
YI
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'
I
?
?
U)
y,? YF
w
v? ry ] e
. . .. ??\ ? rV ...
.. . - I .. .
. .. ? 1'I ? .
..
.. . m.M .. . _. '
?
.? ?
• . . i
? . .. ..U-) MIn. .... . ??
. LLI W . . . , i .... .. ._ . .
840
.
. . . . . . . .
. .. . . .... . . . . I.. ....... . _ . .... _. . ?....... . ? . .
.. .. ... ..... .. .. . .
_. . _. _ . . _ . ? . . ? .. .
__ ..
.... .. . . .... .. ... .. ... ... . I.
.. .. .. ... ..... .
_. . . ? .
:
.. ... _._ . ....._.. . _I. ........... .. ....... ......I
..::::.: :: :::::...:.:::::.:..:::::: ....:: ?
....... ......... .... . _.... I ..... .. .., ... .... . I .. .. .. i
5. 99? ...
?
..: :.::.:: :::.... .. ...::.? . : MA?' .2 _ _ .3.... ..
_
_. . I ... . . _ . _ .
.
?.
-. :.
-:- :.:.::::: ...: -. _ ... ...........
_. __ .. .......
?
............
.... ............ ............. -.. ::. .
µ,.?,:r
C ......
.
............ ? a?..
:... .... '- .:... :.. ....
CITY OF EAGAN PROJECT N0.92-UU
IOPMENT
E
.
SANTTARY SEWER- BLOCK 2 OUTFALL SHEET REV
_
,r
P0
BO X 40) GE
Dartmouth Court to Hawksburg Circle 9 E
. F Hawksbury Circle to Hawthorne Woods Dr.
SOTA 55 331
344 Hawthorne Woods 2nd Addition oF 19
Eagan, Minnesota
' T•
EXTERIOR ENVELOPE AVERAGE "U"'COMPUTATTON
OWNER U/9- U!/U W/
AL-171,0R N' W0006 ?IVE
S ITE aDDaESS '5'?i IW
CONTRACfOR J?M,e:5 DATE PHOtSE /i[J??DOU
Determine working square footaqe of each'
sq. ft. X-I L- --
1. Total exposed wall area ........
2. Total roof/ceiling area ...... ?c7 sa. ft. X? UZ,W -
A. Total wall window area..._...__• ................ Z??•?'?
?
?
II. Total door area ................. •-••--••••-•-•.
'
•
C. Total sliding glass door area ... ................ ,yjL)n
D. Total fireplace wall area ....... ...............
E.
F.
G'. Total
Tota1
Total wall framing area (average
Rim joist area ............
Net wall area above floor. 108)_._..___...?.
......... 151 Lo.
•---••---••-•-•-
Total exposed £oundation area - ( 52 ,
H. 'fotal foundation window area .................... NA- -
I. Total net foundation area above grade----------- i $'L
Determine "U" value of each wali segment.
a. ?.lpl x "U,. ? 5dr = 9 3 -11
-----
b. X -U-- 4,ZZ
C. f3.3v x,.?.. 4,11
d. - X ..U•,
e.U* I X "U" 'ap f. ( to X ,.U"
4- X „u..
h. - X "u"
i 18b _ x „u--.124
. !f? = ya/k-
.
275,-7
3 ...................................TOtal =
If item 43 is the same as, or less than item ql, you have :net the intent of
SIIC 6006(c)2.
?i
Total exposed roof/ceiling area =• ? S?CJ,
j. Total skylight arca.----'-------•---"-'--'------•••-
k_ Z`otal roof/ceiling framing area (avezage l0e)------ I 5,
l. Total net insulated roof/ceiling area .............. 1(.7Z ,7
Determine "0" value for each roof/ceilinq seqment.
x ..U..
x. l 86. °v x °u~
i. ? ?•'17- L x °v°
. D?7 = ?,'? 7
??.44
4----• ................................rotal = ?)°I, QI
If totaJ, of 64 is the same as, or less than 02, you have met the intent of
SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by.the
svm of items I!3 and 114 shall not be greater than thesum of items q1 and 112.
?. 40C ;5" + 2. 4 6.30 = 4?2. toce
s. 27-r7,? +4. -1i41 .01 = -71
ja
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHONfES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UN1T.
? NP-VY CONSTRUr-'TION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSE T
DATE "/
HVAC: 0.100 M BTU
ADDITIONAL 50 M BTU I I 100
GAS OUTI.ETS (MINIMUM 1 @ $3.00 EACI-) S
F"n . ? ?r1?Ca'
ADD-ON/REMODEL (ExISZV?rG D c.?oNSTRt1C1'ioN)
STATESURCHARGE
TOTAL
S1TE AD
OWNER
INSTALI
ADDRE:
CITY: F
FEES
$ 24.00
6.00
Roo
$ 20.00
.50
•?-
STATE: Ho ZIP CODE:
TELEPHONE #: q2 3 - I ! Z4
SIG ?. OF PE E
1994 MECHANICAL PERMII' (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4673
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNVIOMES AND
CONDOS V?FEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXT[JRES
a'2 SHOWER
WATER CLOSET
? BATH TUB
.s' LAVATORY
KTTCHEN SINK
? LAUNDRY TRAY
HOT TUB/SPA
/ WATER HEATER
_L FLOOR DRAIN
GAS PIPING OLTTLET • mmimum -
3 ROUGH OPENINGS
WATER SOFfENER
PRIVAT'E DISP. • naLay. uc
U.G. SPRINKLER • home mda const.
ALTERATIONS • to aisting
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
EACH TOTAL
3.00 G,aaz- t
3.00 la,?d
3.00 y.',5 r....
3.00 /r, zq cl '•' .
3.00
3.00 .3,4,
? ? _.
3.00
-
3.00
3.00
3.00
1.50 ? sa
-
5.00
20.00
3.00
? °-
20.00
20.00
.SU
SIT'EADDRESS: sa1
OWNER NAME: ?.C.??vci??' ./??•e,t- ?B'u'-??vrr?ls?+rv?.ea-?w)
INST.
iG l '{ G!J
STATE: ZIP CODE:
PxorE #: (b/a )
V d'q - /S/o ?
? ????
SIGNAT E OF PE ITTEE
1994 PLUMBING PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD EAGAN MN SS122
(612) 6814675
CITY USE ONLY
L? BL o2 RECEIPT#: L113e)? 5 a?
SUBD. RECEIPT DATE: 9/D F 7
i 1997 PLUMBING PERMIT (RESIDENTIAL)
! CITY OF EAGAN
, 3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681r4675
Please complete for. . single family dwellings
P wnhomes and condos when uired for each unit
? backflow preventer for underground sprinkler system
FIXTURES ?9SF1 N?. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/5pa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x
Gas Piping Outlet ' minimum- t • 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under wnstruGion 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G.Sprinkler `fordwellingunderconst. 3.00 =
9,4 ',G+PO` e e i179V eili ? 20.00 = ?7
ARef2ti0n5 ' ta existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' oak cry iic. 75.00 =
(new and returbished systems)
Private Disposal Systems `Abandonment 20.00 =
STATE SURCHARGE •SQ
TOTAL CLZO
-
I hereby adcnowledge Met I have read this application, state tliat the infortnatlon is corceU, and agree to compty with all applice6le City
of Eagan ordinances. It is the applicanPs responsibAily to notify the property owner that the City of Eagan assumes no liabilily for any
damages raused by the City duAng ils nortnel oparaHonel and meintenance actlvities to the fadlities construded under thls permK within
City propertylrightof-way/easement.
SITEADDRESS:
OWNER NAME:
INSTALLER NAME: _
P}iONE #: p
Q ? ? -7s3?/
STREET ADD42ESS:
CITY: STATE: ?''?--- ZIP:
ll -I 7 -? ? ,??-
SIGNATURE OF PERMITTEE
?j
tI
1152078 G 3N ? 2
ACCESS BASffiMT
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 Kathleen 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, wffe 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 S E T H:
That the Landowner, in considerztion of the sum of One 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 lo feet of Lot 34, Block 24 and the
South 10 feet of,Lot 35, Block 2, Hawthorne
? Woods 2nd Addition; according to the recorded
plat thereof.
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 described
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 assigns 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 qood right to grant and convey
the easement herein to the City.
Tmnefae tnteraA'!hl•
? 19
da! o/
Cuuntr AuGYtot. Dakota Co> -9
IN TESTIMONY WHEREOF, tlle Landowner has caused this easement
to be executed as of the day and year first above written.
L e opm Co.
?
By:
. Ryan, l,sst. Vice President
IN TESTIMONY WHEREOF said Rosemary P. Sterns, Attorney-in-fact
for Kathleen Earley and John D. Walsh, wife and husband, Jeanne F.
Gardin and James W. Gardin, wife and husband, Marqaret T. Diffley
and Dennis W. Sharpe, wife and husband. Jean Ellison and Steven J.
Graeber, wife and husband, and Rosema P S erns, sinqle, has
hereunto set her hand this _L day of, 199_1?-.
Rosemary P. SterrYs, Attorney-in-fact and individually
STATE OF MINNESOTA )
` ; ss.
COUNTY OF LAa
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 Publ?ic
STATE OF MINNESOTA ) ? J.A. BALCER
,y NOrANY PUBLIC-MINNESOTA
S3 • MENNEPIN COUNTY
COUNTY OF ) My Comm. Expires 7-23-87
On this ? day of , 199-fL, before me a Notary
ts onally appeared Rosemary P.
Public within and for sa 4fXay&f
Steras, Attorneir_-fti:leen Earley and John D. Walsh,
wife and husband, Jeanne F. Gardin and James W. Gardin, wife and
husband, Hargaret T. Diffley and Dennis W. Sharpe, wife and
husband. Jean Ellison and Steven J.AGraeber, wife and husband, and
Rosemary P. Sterns, single.
Publ
THIS DOCLiMENT DRAFTED BY:
Lyman Development Co.
300 Morse Avenue
.Excelsior, MN 55331
¦ s
JAMES R.IIANSEN
110MYCWMWEONMII NOTARY PUB.IGYINNESdTA
HENNEPOi p0lJNTr
7ti0o
. r
"?' _" "?r • ??' ?
. l r `i % , ' •/ ,?0 "" %%
37 ? • i,,
7 .
,m
_ ?;? ? ,..,, ;.?, ?? ?•,
?69. 73 ;'--• : ' ? I ? M jo; •.. '
o • Q? . . _ _' S3 - ''••_-•
S
..: 'j
36 ?•? op;%?
z
.
10
• - ,
--------------°------°-----N6g'
98.31 ??.
107.23 ... """"""'"'-'_-"""_'.""""'- 'm o
? a
y o ...?a•• .. ???!!!'''??? -r , ' - ""'-""-"'-'-'-'-
? ?
. . . "'"""'""'"""""""'""""""""' •' .....
_ ?^ •. ? . .....?.• .^ p '
_ ? •;... S 89'O6'21" N' 257.23 2 Q ,o tZ ;'
'
-
35 w?m ? a??J? 39 0?
: ?F =' - ? . ?' ?' ? 1 ,?:r •
k0, ? ?do*
OP
? N'• 9 3p ?...••'"? ,,r
? 4.6a 5 ? ? 13o?49"N? .N ???,"?' I ? ,? • ?1?'n
?83'3?.46:'
34
rT 8 _ ?? t g2'''? M ??`.'' ? , N \ s,•
. ; e?6g'`3? 23.-•"?r o?,30 ? ....1.._ .
. T? ?`" _ _ _ _ .? 9 _ ?m`?- _ _ 1?0 ?,..._. • _ _ _" -- _
'. F`? •', ??`,, ?? ? ` ??
B •,i
i• mm ?_ ?j ? `?G `S /? f •
^ \N
??.
• .i } ? ' ?to ^? .-'"? ,,,: ' i Y`? 30 ?\N
65
E 3t9' 33 ?. y
,
' ?x 3p'•::- .r
; ? •. ? •,.
? m .+ ?? : ,op 30 0'?
32
i? ' ' ? .-'?, ?'.• . ? .
a ; ,.- ,,, .. -3,g 9 30 ; ?` `. '1 ??` • %
? = .- ` . 1g o -3)•09 ,
;' ? ? ,.-•-O?.p9',N. ; :?, Og• M '?- 40g '.
S i?0.51,- 'S?? ' ,•;? 5'lCP?? s)g.5>:18 "
1• 1 ??•?' ? ?
?S6 `,?r .Q.,•?_.. ?f?. f.
? .83 3
'` ? ?r?9'1?•• . ' _ o ?2??,
. MR rcH k 177.31 . I ' _.
,SFE LINE 6---------'
SHFE? ,'i ; % r•
2 oF 11 •. ? , r .
. •• :, ; ± ?
' `? i ;:
1152078
oFRcE oF r?ie cau?rrr REcorIDar
LWa couNTY, rw.
CEHTIFlEO THpT iHE WITHIN INSfRUMEfR
WAS RE(ORDED IN THIS OFFlCE ON AND AT
SM 16 1 29 PN 193
DOC. N01152078
.
JAMES N. OOLAN
COUNTY RECOflDFR
BN. DEPIlTY
FEE /5 0,0 $wCFIARGE Y, s o
casH ? cm ? ?ng?i?.(?
crinr?ce wrwn? EScRVW
nMNo
DO NOT REMOVE
& 3
Landma?k Tiue Inc.
2121 Cg(( Diye
Eagan, INW 55122
'Q-12?=1
r •"iMf?MN ?tKl' 0 VIILIIY IA{fM[Nfl Ml
1
--=+ n c, " ?
S LI Naa 41wsip
?aga•,? ?'?n1
IN,r,;`,t`I T
?41?? M?er o ?»ut _ ii?•:`?.?11':l '.,
? ifiI?
Da -f `????_ t`^•ff- ?, ? ' % ??. ?
EAGAN 1;[VGII4LI,:t:I1\1C. DJUA;a
nM,.
L pef
??e`'S Z•tT.,{vU'? ??l,°?j:
;r
'_N
.? .- ?
?19 t? ,,•
a?.
eo.v?
\
? •- . /
?.
ci
FN? ' ?'is n
? `
? -
0
IJak
I/
3° j??
,. ?
,
?
`e? A 1
?
-Aa
e?• ? I?evs ` ? ??1 ('? Q`^.: ,i,^ao
n,
? \\.? ? b i •? ' /, ^ ' Y 'C?
k
?u
` ? m
.E i' / ,.n5 t
?
? ._CP1"
(? X
? h\ ?'
s Y
-:?
?
T
-,
0V `
?
-LE? I,`' ?4nVa L
1x Oenotes lron Monument Fouvd
n Denotes W(od Ilab Set
?g7s.6 Denotes EKlsting 5pot Elevation
Denotes Proposed Spot Elevatlon
,?- Denotes pralnage Directlon
-PROPERTY DESCRIPTION-
Lot 34. Dlock 2, t1AWTIlORNF.
WUUDS 2ND ADUITION, according
to the recorded plat thereof,
Dakota County, Minnesota.
PRQPOSED GARAGE FLOOR E4EVATION- aI G,3
PROPOSED TOP OF 6LOCK EI.EVATION- f)11' C)?
PROPOSID BASEMFNT FLOOR EI.EVATION= - 0-10'9 Z G?o
+NpTE; Verify all Bld9. Dfinensions,and
" Floor Heights wlth Final Ilouse Plans.
RVEYORS_CEitTIFICATION-
I liereby certify that tliis survey, plan or
report was prepared by me or under my
4lrect supervislon and ti?nt i am a duly
Registered Land Surveyor under the laws of
the State of M1nne ota.
W a ?Date: ?u ??Y
?
Wayne Q. Gordes, Minn. Reg. No, 14675 '
la, 19<0
540,j San.Su.xr
cuc? Eaie-ne.a
6123978620 05-10-91 09:15AlA f001 1137
r f '
?
?i
7
?
r
?
Z
, ? ?
vnom: teixi ax-w..
?WN /?A{IM VilllTT l4fIMIN7/ MI
T
? ?^L--
EAAGAIV
ta v lvt c o1 - i 11 %..
SCA"itt 'r
SU Naa{d.orne lJaals
Raga.K, MN
EAGAN
a;Z?, EtAtEWE 0
D,r ?
? d ? C/ rF o?v? ?? ??:.r
-y--rT 1 3/
NEERING I?E??? 5??8 '?,
? Z' 11?`,E
- ;_ ?? ? Po?• N?' ? ?,
ate.'"?"{
?.s-+o so`
"?, o ?''p? ? ?''v '? ' ? .o \?L
?
M.46' \ . ? ? ? ? ? 1
?CL??1W .
LoT
? ?. a 34
?. ?
' •, ?.
W
51???L0?
,-
?
?
AyI&
1D \
%u
t•°i?? r ?
bC3
3 N,?.S• ?
E'jsf;h5
NouSE
?
.
\(s
30
?
GA(?
4)
Sca.le s, t "=30 ?
? i i ? ? ? ? ?.z ; ?
p o
- ? o?Io
-6EtiEND J .
/ l
tK Denotes 1 ron Monument FOO+J
I a Denotes Wood Nub Set
I Rg,s.e Denotes Existing Spot Elevation
Denotes Froposed Spot Elevation
r--- Denotes Drainage Direction
-PROPERTY DESCRIPTION-
Lot 3'f. Dlock 2, NAWTIIORNE
WOUDS 2ND ADDITION, eccording
to the recorded plat thereof,
Dakota County, Minnesota.
PROPOSED GARAGE f100R ELEVATION= a-16'3 \
-----
PROPOSED TOP OF BLOCK ELE4ATION= -fi"I
PROPOSED BASEMENT FLOOR ELEVATION= . W1019 1q,
*NOTE: Verify all Bldg. Dimensions and
Floor Heights with Final Nouse Plans.
-SURVEYORS CERTIFICATION-
I hereby certify that this survey, plan or
report was prepared by me or under my
direct supervision and tiiat i am a duly
Registered Land Surveyor under the laws of
the State of Minne ota.
AO?_Date:
Wayne D. Cordes, Minn. Reg. No. 14675 ?
Rn?u; :(1y,, fo1 19vK Skow SaA. Sewec
ccecs Ease.ne.a
6123998620 05-SO-94 09:15AM P001 it37
1011.
O!ty of kali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2012 RESIDENTIAL
Date: ") - 1 Z. Site Address: 51
Name:
RECEIVED
FEB t) 1 2012
r
Use BLUE or BLACK Ink
For Office Use `/ i.�
Permit #: 2—
Permit Fee: (P/7*
Date Received:
Staff:
BUILDING PERMIT APPLICATION r w
'W1 f /,,� 1
wmoryt° IUDs j t Fid h� III Unit#:
Phone:
Address / City / Zip:
Applicant is: Owner
Description of work:
Contractor
Construction Cost: 3 0%®
Multi -Family Building: (Yes / N
20
Company: i V)V7eSQfa Ren eWO,Ylt ]e(� ontact: 9 U
Address: / - Ci Fo if Way Or, City: C. jer C® 'C
State: t i" t fl Zip: T 5 3` Phone: (3 ZVI 5 VZ- A •5
License #:1' C --z 06 36 5- 3 Lead Certificate #: ()Oki 5/rUcIrd crAi ry` ' `f 71
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
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.ciopherstateonecall.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.
IV)gr cU11w4flr�2
Applicant's Printed Name Applicant's Sf nature
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
DO NOT ITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
V
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Reviewed By:
Air Test
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Siding Demolish Building*
Reroof _ Demolish Interior
Windows _ Demolish Foundation
Egress Window x Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: Footings _ Backfill Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
3(.0c-2
22 !OD
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143663
Date Issued:06/22/2017
Permit Category:ePermit
Site Address: 521 Hawthorne Woods Dr
Lot:34 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-340
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Tri Minh Nguyen
521 Hawthorne Woods Dr
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149141
Date Issued:05/08/2018
Permit Category:ePermit
Site Address: 521 Hawthorne Woods Dr
Lot:34 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-340
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Tri Minh Nguyen
521 Hawthorne Woods Dr
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151851
Date Issued:09/17/2018
Permit Category:ePermit
Site Address: 521 Hawthorne Woods Dr R
Lot:34 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-340
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Tri Minh Nguyen
521 Hawthorne Woods Dr
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(952) 895-8100
Applicant/Permitee: Signature Issued By: Signature