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522 Hawthorne Woods Dr Use BLUE or BLACK Ink For Office Use 1 I 9 1 City of EaEaPermit I -5 1 I Permit Fee:. I 3830 Pilot Knob Road I I Eagan MN 55122 _ Date Received: Phone: (651) 675-5675 1 Yl I 1 Fax: (651) 675-5694 i Staff: 2011 RESIDENTIAL BUILDI PERMIT APPLICATIO ~~,W, _J . Date: Site Address: 0Ue Unit Name: Oade d- NaA0L, et Phone: UtJZ_B31"J / RESIDENT / iA'~ OWNER Address/ City/ Zip: 5~ huwi6 foe VvObds D`_ o Lie, Applicant is: Owner contractor / i~Lk add s~ «s -L +-0 TYPE OF WORK Description of work 1 e Construction Cost: %60% vv Multi-Family Building: (Yes / No~) Company: (~O U ~ u b IA,r QS Contact: t " L -16oJS O k) CONTRACTOR Address: o ('C Gtcd /La tJ e C3 City: State: tV Zip: ~7 t0 Phone: License Lead Certificate NAT-- 2 ~D9 / 0 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: 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.g_opherstateonecall.org 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the rdinances 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 wit 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. x 1 ~r ,vh~sv~ X Applicant's Prin ed Name Applicant's ignatur Page 1 of 3 D0 " RIarr~2 LINE'aac' TE BELOTHIS SUB TYPES - Foundation _ Fireplace Porch (3-Season) _ Storm Damage - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Multi 71( Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* X 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 Occupancy MCES System Plan Review Code Edition SAC Units (25% . 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction- Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Y Footings (Deck) Final / C.O. Required -7` Footings (Addition) I( Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: :Vzoy Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City -SAC Utility Connection Charge 21 7~d S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 IN - r-r s!PQ in n- Rv` Pn r arc^zrty Address: 522 HAWTHORNE -WOODS DRIVE, EAGAN Buys.-: 0NOLER N Nagai: LOT 3, BLOCK 4, HAWTHORNE WOODS 2ND ADDITION T!nz Nat Drat:-.^; is not Intended to be used as a survey and should, not be relied upon as such. " t hs . tot di aacslons are Lanett from the reccrr ed plat or the county records and are i assumed to be accurate. The location of the improvements shown an this drawing are - approximate and are based upon a visual inspection of the premises. A licensed - - '`1'tIrY9)'Vr Dtlli+iS~} YO tvViti4LiC1i !t Oil 4vVr. M♦Yi .+L'^1Cy, iIs .v =..«t dramrSa does not constitute a liability, of the canpany and is intended, for use by the -company only. ONE STORY FRAME -WALKOUT- 2) 3 -GAR GARAGE 3) PORCH 233.48 132A C6 st { °r3 X45 Ott f 0 1 I ~~lr Drsinaiie and utulty Easements Use BLUE or BLACK Ink I For Office Use Permit I I City of Ea ~a~ I , C ~ l I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I j I Staff: Fax: (651) 675-5694 L _________________I 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 12 312-1f) Site Address: / - - 0 Tenant: Suite RESIDENT / OWNER Name: Phone: ~J Address/ City/ Zip: CONTRACTOR Name: License ~C { City: w~~ Address: G` State: -Zip: « Phone: 2 Contact: ~r Email: 1VV1-Z:1 _L-YG %L TYPE OF WORK - New t4 Replacement - Repair - Rebuild - Modify/S ace - Work in R.O.W. Description of work: A-11t. N✓t' ✓~t / ' 9 - / PERMIT TYPE RESIDENTIAL Water Heater Water Softener / Lawn Irrigation RPZ / - PVB) Add Plumbing Fixtures (Main / - Lower Level) Septic System Water Turnaround _ New ~7 Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.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 wi out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval plans. x Applicant's Printe Name A ant's Signat r FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In Air Test Gas Test Final G?TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 52.2 INSPECTION RECORD ? PERMIT TYPE: ' - Permit Number: ' ? Date Issued: I PERMIT SUBTYPE: APPLICANT: . II?UU•; I?i: ,.. i t ?:i? ?:r; ??„?;: . ? I ? b ( .?.' ) 4 i;•r . ?? / ., i TYPE OF WORK: n D INSPECTION .. . A ' I I I I ? , . I ? ? ? ? ? ! i j . . I 1 . . , ? . : ? i ( I • ? ? I( 71 I I '.ko ' 1'?'.Itf (? lit;lVt1lAY £a(tcARll L MII'•1 f.tt l:OM[.IVt- 7E :fsIFFUtt i_ t./If b,lit 1 h117 }. W t'i i?i•- : I , IF Permit No. PermN Holder Date Telephone # S/VII PLUMBING ? /0 9s ?L(o/a7' HVAC ELECTRIC ELECTRIC Inapeetbn Date Insp. Comments Foo?iings I 9 Foundatfon Framing ? ? ?. ItA Roofing Rough Plbg. Rough Htg. ? 1_ d,.? v ? v /? ? {i y h 9S L? Isul. ! 3 qs a F???lace Final Htg. . Orsat Test Final Plbg. / Plbg. Inspector - Notify Plumber Const. Meter , Engr.lPlan Bldg. Final Decic Ftg. Deck Final Well Pr. Disp. rN?, ^ _ s ?, ?j) ?1 J1??+ti ?.: INSPECTION RECORD CITY QF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: .,,. Eagan, Minnesota 55122-1897 Date Issued: cy?? (612) 681-4675 SITE ADDRESS: ? ? ' ' ' •' `'' ``' " ' ? ? I 4ai?1?a?! ?1??r?1?• I??; PERMIT SUBTYPE: , .. ? I 0 ! 1+1 ?, I tt c rq ;A i., r, I? ? APPLICANT: TYPE OF WORK: i PI'?ll! h 1 111t4 I rJ rti 1 p';I f'AliAft i't f:19! 1 1'. RI 1111iv 1:11 I tlte Ari'i V I I lMlilN6 1 i I 1i 1I A I 11+?;: t ? ? ?:?j 1 ParmR No. Parmk Holder Date Telephone # ELECTRIC PLUMBING HVAC Mspecdon Daft fnsp. Comments FOOTINGS FOUND FRAMING / ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE Alfl TEST FINAL PLBG FINAL HTG ORSAT TE5T BLDG FINAL BSMT R.I. BSMT FlNAL DECK FTG DECK FINAL L - ? INSPECTION RECQRD ITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ? (612) 681-4675 SITE ADDRESS: APPLICANT: ? lir?,k.li!lil;•.i+: 11 ;!=w, PERMIT SUBTYPE: TYPE QF WORK: j;t ,. i t 1 f 1 .,?. NFw ? FJ k. C N'? ) (2 11?A! Permit No. Permit Holder Date Telsphone # ELECTRIC PLUM8ING HVAC Inspection Date Inap. Comments FOOTINGS 0 !/ FOUND FRAMING ROOFING ROUGH PLUMBING j PLBG AIR TEST ROUGH HEATING GAS SVC TEST I INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIDG FINAL BSMT R.I. BSMT FINAL DECK FTG r ? ? ?r? ?/v?YY DECK FINA! N REGIUEST FOR ELECTRICAL INSPECTIO Ee??oq?-og` 0- See instruc!ions foi completing this form on back of yellow copy. ?????,?? ;: ?? ??"? 4? "X" Below Work Coverid by This Request Ne Add Re44. Type of Building Appliances 1Nired Equipment Wired Home Range Temporary Service Dupiex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm.llndustrial ` Furnace Other (Speci ) Farm Air Conditioner Other (speclfy) Contraciors.Apmarlcs k n-1) Compute lnspection Fes Below: # Other Fea # Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Poo4 0 to 200 Am s 0 to 100 Am s Transformers Above 200 Am s Above 100 A s Si ns insaeciors use oniy. TOT ?Q Irrigation Booms "l) " Special Inspection 1 AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCOIyNECTED IF NOT -- Other Fee . COMPLETED WITHIN 18 MONTHS: f\ the Electrical Inspector, hereby Rou9n-ir, o ?-- certify that !h1B above inspection has Finel oace been made. ? OFFICE USE ONLY This request voitl 18 months from -----°--------._ .. _ ._.. -- - - --- - - -- - - --- - -- -- -- -- - 'e 0-?13 ?-410 _ , Reques[ Qate Fire No. Rough•In InspeClbn Required Inspecdon Other Thpq,Rough-In (You t_qAcall inspector hen ready) ? ? Reatly Now y?.NVlll NoGfy Inapectar No Yss Date Read i6licensed contractor ? owner hereby request inspeotion of above electrical work at: Job Atltlress (Street, B7;o or oufe No.) _Lk ?? 4v7-A a,c?n? ?s City Z-11 6oAv Section No. . Township Name or No. Range No. Caunry Occu t (P ) Phone No. 7/? ? Power Supplier fM-ofn- ck. '' Address o D , /I') SS cbv EIeClriCal ntracfor (Company Name) i --Z?v Conlractg{s ense No. J a 1-71 ? Mailing Adtlress (Contraclor or Owner Mawn Instanation) ? )7? ?/ Guh? e ?r ?N Authorized Signa o a dOwner aking inst ???? Phone Number L - 9? MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Mfdwey Bldg. - Room 5-128 1821 Univercity Ave., St. Paul, MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE 90ARD UP.'LFSS PROPER :tJSPECTiON FEE iS E'.._v5 :D t ? - . + At..`?, _ .i (fertcficate vf cccuvanc4 (Fit4 of Cpagan rwc«r ,? Sn"ins anoectiom This Certificate issued pursuant to the requirements of 1he Uniform Bu+lding Code certifying that ar tht tinu oJissuanee tlus strwcture was in eompliance wrth the various ordinances ojthe City ?egulatrng buiJding conatrucriore or u.se. Far the following: uR cwurwuimL S F D W G swg. eewmN Na. 24859 ODCNP-Y T?W R3IM I 7anin6 Dicsnid R I Type Const. VN owrrareu;w?ARI.'IQJ 1?Q?:S ?14551 r'iY Rn 11? B?ViTIF. Biulding Addreu 522 HAWDiDM GM DRM l.ocaliry LB, B4, HAWiFYl1A1F GxnS' 2m ??/?AI r' Due: BnJ ' O ?.?, .,. PdST IN A CONSPICUOUS PLACE 1 ?? ? ? u (4 1?S-a?J?-12?v,n.? w o oc? :-- ? NewConsWction Reauirements • 3 registered site surveys slwwirg sq. ft W lot sq. fl of house; and all roofed areas (20% macimum bt coverage allaved) • 2 wpies of plan showing 6eam 8 window sizes: poured founA tlesign, ek.) • 1 setof Energy Calc,.laGons • 3 copies of Tree Preserva4on Ptan i( lot plaried aNer 711193 • Rim Joi51 DeWil Optlons selection sheet (bidgs wiN 3 or less unils) a--h? RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 DATE VALUATION (ExCLuDING IAND) I O? o(xI jJB 51TE ADDRESS ?2- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Q `k- 4)/t"c,y ?? 54a/L , TYPE OF WORK .Tti626 GA- d' ? 0?1-L FIREPLACE(S) _0 _1 _2 _3 APPLICANT PHONE# ADDRESS ?Z l G? CFF I'ri/J , (?? rv?,? SS 5'3 ? ZIP CODE PAGER # CELL PHONE # '?44 133 FAX # NEW RESIDENTIAL BUILDING ONLY - Flll OUT COMPLEfELY Energy Code Category _ MINNESOTA RULFS 7670 CAT'EGORY 1 (check one) - Residential VenGlation Category 1 Worksheet Submitted - - Energy Envelope Calculations Submitted l? MINNESOTA RULES 7672 n - New Energy Code Worksheet Submitted II ,? Plumbing Contractor. _ Plumbing System Includes: Mechan(cal Contractor: Alechanical S}•stem Includes: Sewer/Water Conhactor: _ Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 All above information must be submitted prior to processing of application. I hereby ocknowledge that I have read this application, state ihat the info pll opplicable State of Minnesota Statutes and City of Eogan Ordin s. Signature of Applleant'< Certificates of Survey Received _ Tree Preservation Plan Received _ Water Softener _ Water Hea[er _ No. of Baths RemodellRewirReauirements - . 2coWesotWan gs ?? -d 1 . 7 sel of Enefgy Calculatiore Por heated additions . 7 site survey tar exterior addi6ons 6 decks Phone #: Larm Sprinkler No. oF R.I. Baths conect, and agree to comply with _ Not Required _ Updaled 1101 OFFICE USE ONLY ? Ot Foundation ? 02 SF Dwelling ? 03 Ot of _ plex ? 04 02-plex ? OS 03-plex ? 06 D4-plex ? 07 OS-plex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage q 10 OS-plex ? 18 Deck ? 77 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or_ N *, 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Stortn Damage ? 25 Miscellaneous O 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF O 36 Multi y 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Bldg. Cl 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg oniy) • Give PCA handout to applicant Valuation L/?a? d T Occupancy MC/ES System i Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units _J Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const 7- Width REQUIRED I NSPECTIONS _ Footings(new bldg) _ FinallC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Roof Ice & Warer Final Other _ Framing ? Pool ? Ftgs Air/Gas Tesu ? Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Shtcco S[one _ Insulation _ Windows (new/replacement) Approved By Gl , 8uilding 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 Total C.. 47 _C) ? ?? . ?? O -3 -410 1? ?,a??5` S H5 a lij Reque t Date Fire No. R gh-In Inspectmr Requiretl Inspecbon Olher T? Rough-In (VOU J call msp1Ctor hen reatly) ? ReaGy Now ?JNill Notily Inspector ? ? s No Dete Reatl I(S-licensed contractor ?owner hereby request inspection of above electrical work at: Job Atltlress (SVeet, BOx or Route No ) sa?. Tho,e?? ? a?qls ty Q-;qG0AI Section Na Townehip Name or No. Renge No. Counry Occupe t(PRINT) Phone No, Po er5upplier Allrass DO O"s UTIL --51-. L EIecVi cel GonVaMOr (COmpeny Name) Con[rec?oi 5 - No. D/7 LA Mai6ng Atldress Contrector or Owner Meking Installalmn) /}?N Authorrzetl Slgnat ontrac r/Owner Mekmg Install Phone Number ? MINNESOTA STATE BOAFO OF ELECTHICITY Gdggs-Mltlwey Bldg. - Room &128 IIII I I I III I I I I I II I I I I I THIS MSPECTION REOUEST WILL NOT BE ACCEPTED BY THE STATE eOARD 1821 Unlvenlty Ave., $1. Faul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone f6121 842-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION es-ooooi-as . 'V , See instrucUOns for com0leling this form on back ol yallow copy ? ?D8 7 y "X" Below Work Covered by This Request -,t Ne Add Rep. Type of Building Appliances Wired . Equipment Wired Home Range • Temporary Service Duplex Water Heater Electric Heating Apt. Building . Dryer Load Management • Comm./Industrial . Fumace Other (Specify Farm Air Conditioner Olher (spemfy) Comr r' Remarks M F ?? /r?nf ?; n ?.s v? %?3 ??ma5 Compute spection ee Below. p # Other ' Fee # Service Entrance Size Fee # Circwis/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Am s Transformers Above 200_Amps A6ove 100 _Am s SI f15 lnspedor's Use Only. TOT ?Q Irrigation Booms Special Ins ection AlarmlCommunication THIS INSTALLATION MAV BE DRDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTFI'' . I, the Elec[rical Inspector, hereby Rough-0n cedity that ihe above inspection has Finai I ozie . been made. OfFICE USE ONLY This reques[ voitl 18 months imm REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os Ill Sae insVVObow for completing this torm on back of yellow capy ?C,51G71'?? 1.11 0 1 t ?" . 164 "X" Below Work Covered by This Request '?.??.?°.?> New XdMil l Type of Bwlding Appiiandgs Wired' Eqwpment Wired Home Range Temporary Service Duplex Water Heater Electric HeaYing Apt Building Dryer Load Management Comm /Industrial ? Furnace O[her (Speafy) Farm Air Conditioner ONer(spacAy) ConrcactorsRemeiks Compute lnspecnon Fee Below. # Other Fee # Servi ntrance Size Fee # CircuitsJFeede Fee Swimming Pool / 0 t 200 mps 0 to 100 Amps Transformers Above 200 Amps A6ove 100 -Amps SIJIIS Inspecmrs Use Only TOTAL Irrigation Booms U3 . ? Special Inspection ? Alarm/Communication IS ONNECTEO IF NOT THIS WSTALLATION MAY BE O ? Other Fee ? COMPLETED WITHIN 16 M9KHS. I, the Elecsncal Inspeclor, hereby d certify that the above inspection has been made oate ?v OFFICE IISE ONLV Thm reques[ vo¢l 1 B motlths irOm L C?s' 0 ffl6ll 019,A4 Request Dale /? J/? 1? Fre o o qh-In Insp clion Reqmred (VOU must II MI?? wtc* wpan ready) Inspection Other Than Ro In ? Reatly Now ill Noliy Inspecror Ves ? Na Oata Re2tly I Ildlicensed contractor ?owner hereby request inspection o( above electrical work at: Job Atltlress (Sireel Box or Ruule No ? Ciry[. Semion No Township N.ime or No Range No Counly Occup I(PRIT) H"D'7i Phone No Po???eplie Adtlress ? ?JO ? ? D" /?? -5l'-,V'VYH?G Elecmcal ConVactor (Company Name) rCnt acr.,s ?cense No ; ?Q /7 M Aing Adtlress (COnhactor or Owner Mekmg Instella0on) Ai-IU6 ?. .???.o AutM1onzetl Si we (COntraclodOwnar Mekin los IaVOn) Phone Number ?a1 -?ays rNVesi[y plV?g.BS oP m S MN g5 104 'C'Ty UN i E55 PROPER INSPECTIONF EER3 B21 U GFnne (f."l Cdf.11Y11f1 Cni/`I /1CCIn REQUEST FOR ELECTRICAL INSPECTION ?^:?`•?`?t\ e-ooooi-os Sae mslruclions far comple0ng Ihrs brm on back of yellow aopy I? ???J Below Work Covered by This Request Ne Add Rep Type of Building "Appliantes Wired Equipment Wired Home e Temporary Sen?ice Duplex r Heater Electnc Heatin Apt Bwiding r t Load Management Comm.llndustrial ace Furn her (Specif F arm onditioner Omer (specd» Contraalar's Remerks . ?C. o u?c;.2 Compute lnspection Fee Below: # Other Fee # Service Entrance Size ee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Am s SI OS Inspectors Use Only • ? TOTAL Irrigation Booms t-F(?'? i;iV ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONT I, ihe Electrical Inspector, here6y certify that ihe a6ove inspection has been made. Rough-in . Final Dalr?, G? -? D. • OFFICE IISE ONLV Thm repuesi void 18 months Imm 407 A '??? 55 ?s zs Ad, &,,k?Jdnm I ? " ?? Fequest Datrif /? Q? ? Fire No Ro ghJn Inspeclion Reqwred Inspaction other Tnan Rou9h-ln (VOU m?Rt callinspeclor when re ady) ? Ready Now ?Will Nollty Inspeclor J Ves ? N. Da[e ReaOy I?? licensed contractor ? owner hereby request mspection of above elacMCal work at: JoC Atltlress (Slreel Bcx or RoNe No 1 Qry u? TE/O c 6r)? .?. G-ri%e'-0i Section No Township Neme or No Fange No County Occupant PRINT) e- Phone No Power Suppller Atltlress Elechical Conlractor (COmpany Name) ' r9G'yt/G-`?. 2?dtc%,?.° 1 (- CoNrado/s License No Mailing Adtlress ConVactor or Owner Making Installatmn) GE/ Z Iciiit/i - ?i9< /9?Kl,?.5.51/O ulhon d Sig o h tor/Owner Makmg Inst Phone Number ?9-539? MINNE50 A STFTE BOAFO OF ELECTPICITY Grlgge-Midway BIEg. - Foom 5-128 I II II I I I I I I I I I I THI$ INSPECTION flE0UE5T WILL NOT BE ACCEPTEO BV THE STHTE BOFRD 1821 Univauslty Ave., St Paul, MN 55104 Phone (812) 662-0600 UNLESS PFOPER INSPECTION FEE IS ENCLOSED. Address 522 Ht,wnioRNE woons D?uve Zip 5512_3 I:or - , s Blk 4 Sub HAwtME woms 2rro THESE I'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: G?2AS Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanentdriveway Permanent gas v Sod/Seeded grass ? TraiUcurb damage ? Porch ? Basement finish Deck ? Please verify with the builder the removal of roof test caps from [he plumbing system and [he shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ? White • City Copy Yellow • Resident Copy Pink - Contrector Copy r:'f.'1'" C1P 1=.AGF:i•J CE19I,y'ii;::'C, I::i iE.lil'1:i:7,J(11 iJCi'd t.,fi eh.... , (.tf:>/..?..?.,..r.,.?? _, ..,. i,.?.r:: :,?? ,,.,,,,?. .?, ?:.e.,:,,.,i r.,,?r:,, , v r r„? 3210 9001 59:' Hr,W-nHrnRNr: N r0„013 i:"I.G`'i 900'i rlr^_r I..h1!^!1'!-IQRRE hl 0.50 3420 9091 -`.iPR HAWTHC]RA:I:, bI %t:7:' C;E.cei.pt C,R0796' 9 tiSf::li 7'Ji;, JArl `kt t:d*>X* M, Vn-k??;:;;•k;X????,w . ':>X:kM.MU:YFk?,:sKx:fi::;* Y,.^;cx%i„ , ? CITY+OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: PermitNumber: BUILDIN6 Eagan, Minnesota 55122-1897 0 3 0 5 9 a (612) 681-4675 Date Issued: 0 8/ 11 / 9 7 SITE ADDRESS: 522 HAWTHORNE WOODS bR LOT: 8 BLOCK: 4 HAWTHORNE WOODS 2N0 P.I.N.: 10-32151-080-04 DESCRIPTION: (2 DECKS) B?uilding?P,,ermit Type ;?uilding Worlt Type ar?Census CQSE's '"t ?? Gl DECK NEW 434 ALT. RESIDENTIFlL t f i 3 6 i ?°' REMARKS: FEE SUMMARY: Bass Fee $50.00 COPY $•25 Surcharge $.50 Total Fee $50.75 Subtotal $50.50 A i CONTRACTOR: - Applicant - sT. I.IC OWNER: THE DECK & DOOR'COMPANY 14513192 0005457 MAIER ROCHELL 11632 AKRON AVE E 522 HAWTHORNE WOODS DR INVER GROVE HTS MN 55075 EA6AN MN 55123 (612) 451-3192 (612)405-6736 Z hereby acknoaledge that 2 have r'ead Chis appLicsaltion and state that the infiormation is_cprrect.apd ag,r.ee t4,compiy with al3 aR?iaca#l.e S.tate srf Mn.. 5tatutes 'ahd Gfty 6'f Eaga'n Oriitnarrces. L APPLICANT/? I?TEWNATURE L.cf I rd ? ISSU - SI NATUR-- 506qt 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 ?.[;^i . s • - . ? ? - RemodeVReoair Raouiremenfs ? 3 regiatered ske surveys ? 2 copias oI plan ? 2 copies oT plans (indutle beam 8 window slus; poured fid. tlesign; etc.) • 2 ade eurveys (exterior atlCitions & dedca) ? 1 enerpy calwletions ? 7 energy cekulations for heated addRions ? 3 copies of tree preservatfon plen d bt pletted after 7/7/93 required: _ Yes _ No ' DATE: k - 7 - 9 -7 CONSTRUCTION COST: -3/0 o ?e' DESCRIPTION OF WORK: - I11t C K .A U?J JT / o MS ?z ] -S? Z_AN/ 7-14 a/LrI /L' 12 1 PIZ 1 L'/ Z STREET ADDRESS: /7' LOT S?- BLOCK SUBD.IP.I.D. #: &ymeTWdx^'r W"°s ZN? fiv?T?v.,r PROPERTY Name: _ /*?YA i i? 2?/?An? s v f l?a cIflfg- Phone #: 4LaSJ- ?7-7-r. OWNER ... ?, Street Address: ?C12 ?Aw%/???^?? ?-'? ? ° ?'s ,?r2? ?/? City: State: ? Zip: CONTRACTOR Company:?h`?'c I.-lrieaf al- MooK le_ ii./c phone#: gz- Street Address: //.G 2 Z 4kfr2 0,j " K License #: ??-/S 7 City?Nd?n c.w vrr //i€ State: /y/k/ Zip: s? ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licer.5ed plumber (new construction onty): and lot change arc, equested once permit is issued. Penalty applies when address change ! hereby acknowledge that I have read this application and state that the iniortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Y&' Signature of Applicant: 4 OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No AUG 0 7 1997 Tree Preservation Plan Received _ Yes _, No _ Not Required $y; OFFICE USE ONLY ? . ? . • , BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 02 SF Dwelling o 07 4-plex ? 03 SF Addition o 08 8-plex ? 04 SF Porch ? 09 12-plex 0 05 SF Misc. 0 10 = plex WORK TYPE ?j 31 New ? 33 Akerations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Pertnit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposft S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? 0 12 Multi RepaidRem. o ? 13 Garage/Accessory ? ? 14 Fireplace n X 15 Deck 0 36 Move ? 37 Demolition Basement sq. ft. Main Ievei sq. ft. sq.ft. sq.ft. sq.ft. sq. ft. Footprint sq. ft. Building 'IY Engineering Valuation: $ _ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS 5ystem Cky Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit variance ? ?L _L % SAC SAC linits ? ,. ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: PermitNumber BuzLorNG . 025489 Date Issued: 0 5/ 0 3/ 9 5 SITE ADDRESS: P.I.N.: 10-32151-080-04 DESCRIPTION: PERMIT ??,¢0? ?3 522 HAWTHORNE WOODS pR LOT: 8 BLOCK: 4 HflWTHORNE WOODS 2ND Building'Perm3t Type Bwilding Wo'rJc, Type ? , ry . r _. BASEMENT FINISH ALTERATIQN ?-?-: i' REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Lic. Search Fee $5.00 Total Fee $40.50 CONTRACTOR: - Applicant - ST. L IC. OWNER: ARLINGTON HOMES 14329725 0003200 ARLINGTON HOMES 14551 COUNTY ROAD 11 14551 COUNTY ROAD 11 BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 432-9725 (612)432-9725 I hereby aoknowledge that T have read tFiis applicetion arid state thaC the infnrmation is correct and agree to comply with all applicable State of Mn. Statutes and City Qf Eagan Qrdi.nances. ? ? - 1 APPUCAN ;PERMITEE SIGNATURE LL ISSUED BV. IGNATUR -- - ` i:' ,? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 APPLICANT: 4 ARLING70N HOMES (612) 432-9725 TYPE OF WORK: SITEADDRESS:P.x.N.: 1e-32151-080-e4 LO7: 8 BLOCK: 522 HAW7H4RNE WOODS DR HAWTHORNE WOODS 2ND PERMIT SUBTYPE: BASEMENT FINISH BUILOING 025489 05/03/95 ALTERATION INSPECTION FRAMING .. . INSULATIQN ,. OUGH IN PLBG FINAL REMARKSo A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBTNG OR ELECTRTCAL WORK 1- ? 7 J ? , . CITY OF EAGAN '` 3830 PILOT KNOB RD - 55122 ?`i'?o ?? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) jA#19 •/ ? ? 681-4675 ? 3 regietered s8e surveys ? 2 copias of plans (include beam 8 window s¢es; poured fnd. design; etc.) ? 1 energy caiwlations ? 7 tree preservadon plan 'rf lot pletted after 7l1193 required: Yea No DATE: 4&2 02 lo , l 9 9 S CC ,- DESCRIPTION OF WORK: STREET ADDRESS: L5-1?- Z LOT 1! BLOCK J_ SUBD./P.I.D. #: ? 2 eopies of plan ? 2 site surveys (exterior additions 8 decks) ? 1 energy wlculations for heated addkions e? O? CTION COST: Z`5 00 ,-2 61 k PROPERTY OWNER CONTRACTOR Name: Street Address• City: .?4-14? State:/4''` - zip: Company: Phone #: Street Address: City: ARCHITECTI Company: ENGINEER Name: Phone #: Registration #' Street Address, City: State: Zip: Sewer & water licensed plumber: /Y `? Jd". Penalty applies when address change and lot change are requested once permit is i ued. 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. ,_' ---? n Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No License #: Phone #: ?12Z -? ?Z.S?- APR 2 6 1995 OFFICE USE ONLY BUILDING PERMIT TYPE .. , x' .. ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging CMC 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Mufti (Misc.) ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 Multi (additional) ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq, ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code ? Census Bldg ? Census Unit 0 Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W PermR S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. aner Copies Total: s Valuation: $ /s" % SAC 5AC Units ?CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Datelssued: 522 HAWTHORNE WOODS DR LO7: 8 BLOCK: 4 HAWTHORNE WOODS 2ND P.I.N.: 10-32151-080-04 BUILDING 024859 11/22/94 DESCRIPTION: ,- 1\ BGilding,Permit Type SF OWG Type Building Wo.r_k NEW l ,'UBC Occupancy`? R-3 M-1 / Construction Type V-N r Zoning R-1 ? Building Length ( 68 Building Width ? 50 Building stories ?3:qu?re Peet 3,043 ,- ? ,? C?? rlC??±,. REMARKS: DRTVEWAY ENTRANCE MU57 BE CONCRETE BEFORE C/0 WILL BE ISSUED DDV C C. 1.1 DI RD - FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units 5ubtotal VALUATION $874.00 $568.10 $83.50 $800.00 100 1 $2,325.60 $167,000 MISCELLANEOUS $1,828.50 Total Fee $4,154.10 CONTRACTOR: - Applicant - sT. Lrc. OWNER: ARLING70N HOMES 14329725 0003200 ARLINGTON HOMES 14551 COUNTY ROAD 11 14551 COUN7Y ROAD 11 BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 432-9725 (612)432-9725 L I hereby acknowledge that I Mave read this application and state that the information is correet and agree to comply with all applicable State ofi Mn. Statutes and City of Eagan prdinances. APPLICANT/P RMITEE SIGNATUFE fl? a 9.??;L I ? Crl? - ED B SIG ATURE I INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: Lor: e BLOCK: 522 HAWTHQRNE WOODS DR HAWTHORNE WOODS 2ND PERMIT SUBTYPE: SF DWG PERMITTYPE: auiLpxNG Permit Number: 0 2 4 8 5 9 Date Issued: 11 / 2 2/ 9 4 4 APPLICANT: ARLINGTON HOMES (612) 432-9725 TYPE OF WORK: NEW INSPECTION FOOTINGS .. , FOUNDATTON D. FRAMING ROOFING INSULATION PIREpLACE ROUGH IN PL66 ROUGH IN HTG FINAL PLBG FINAI REMARKS: DRIVEWAY ENTRANCE MUST BE CONCRETE BEFORE C/0 WILL BE TSSUED PRV S & W PLBR - F- L I . ? ,. ? J ? ? 4CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 ?-4, I?4.10 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s 4n rgy calcs. 4 r l j COMMERCIAL 2 sets of architectural & structura set of ans ,'1? specifications, 1 coPY of ener9y cal---------- [Pena 'ty 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 Valuation of work ev Site Address: ?o?a WD? ?? STREET SUITE il Tenant Name: (commercial only) LOT BLOCK ? SUBD. P.I.D. # Descri tion of mork: The applicant is: ? Owner 1111-:6ontractor ? Other (Describe) Name Phone Property LAST FIRST Owner pddress STREET STE # City State Zip Company 1L.? A4ftL.A'l Phone Contractor Address /S?SS ?el?p? i/ License # cOo'1D0 Exp. City ? State Zip ? Company 6&440.-?? Phone ?f,?" 795? Architect/ p ?? ?2'! L`-G?c.cs Registration # Engineer Name Address !v D ?J City ?01;ate Z;P ?. ' Sewer & water licensed plumber ? Processing time for sewer & water permits is two days once area has en approved. 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 . ' , BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish R? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch 13 09 12-Plex ? 14 fireplace O 19 Comm./Ind. Misc. ? 05 SF Misc. 0 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE A 31 New O 33 Alterations ? 35 Tenant Finis h ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) - Basement sq. ft. Z,Iaz MWCC System (Allowable) -N lst F1. sq. ft. z z? City Water A? UBC Occupancy 2nd F1. sq. f t. - PRV Required 75i_ Zoning . Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. ?,oy1 -I srfm• Fire Sprinkl er Length ?S On-site well et° -6 Census Code Ao/ Depth so On-site sewag e ? SAC Code APPROVALS Census Bldg Census unit _L ? Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? .5ite ? Fo oting WFraming ?I nsulation ? Wallboard ?Fi nal ? Draintile ? F ireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit. 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units vetLsac;on: S •16 7, 00c?- ? N.s,r io.s = Z/7 , sF Y.s,rH. s = io ysF ?33 = ??y 6 ` 1?j S 7 . 7.r,r Y i? X ?g = i,?ea S• 67 K 36 = mY S/b f s /Y.31 0x3> 13 s?,?. ?- L 275 / £"fc R• s i zX Lo..r?. yoq s? Y1?FY.??? =Gn> 7a ?-- z"/o 2- x / S 3v? ( y f s} ? (loY y, z7 Sxs'/= 1z3__??0? ?7AR9!£ / ??cK ''V?2C+?? zo,? ?Z =6ya Z" 70 • 31 X 2 •3T..S '?_ ???7 LOT BURVEY CBECRLIBT FOR RESIDENTIAL ? ? BOILDINO pERMIT 71PPLICA ON ? pAOPERTY LE(iALt Dat• of BurvOps DOCVMENT BTANDAR98 ? 0 • Reqistered Land Surveyor siqnature and company p • 8unq Permit Applicant 0 0 • Legal description 0 • 7?ddress 0 0- • North arrow and baa scele (YO D • House type (rambler, walkout, cplit w/o, aplit entry, lookout, etc.) (Yd 0 • Directional drainaqe errows with slope/qradient t. 0 •• Froposed/existing sewer at+d water servicea P ? • Street nnme 0 • Drivevay ELEVATI OliB EXiftina W?D 0 • Sewer oezvice D' 0 0 • Lot cornezs 0"0 0 • Top of curb at the driveway L? 0 0 • Elevations of any existing adjacent homes prooosed 0'0 0 • Garage floor 0' 0 0 • Firat floor LY D 0 • Lowest exposed elevation (walkout/window) D-- D 0 • Property corners 0'?D 0 • Front and rear of home at the foundation PONDING 7?REAS lif apglicaDle1 Q 0 0 • Easement line ? 0 • NwL 0/D D • HwL ? D i0 • Pond # desiqnation D 3,13 • Emergency Overilow Elevation e0 0 • Lot lines 0' [] 0 • Riqht-of-way and etreet vidth (to back of curb) _9- L1 D •-- Propoeed hoae dimensions including any proposed decks, overhnngs gzeater than 21, porches, etc. (i.e. all structures requiring permanent footlnqs) ? D D • 6how nll ensements of reeord aad any City utilities vithin those easeaents tr?0 0 • Setbecks of proposed structure nnd setback of adjacent existing homes 13 V'n • Rekaining vall requirements, if any Reviewed: Name / Date Oetobe= 1992 ! J ? ? • ?\/ 44,0 ' 92.0 ? ? o CONC. SIDEWALK ? 53.5 45.0' 8 S9W 0+88 7 s46;w5e' 867.3 S &lV 1+76 \ 546;W58' 4 873,7 t 650 53 -M.H. 3 t4?LT. PO C. 26+68 9 10 It- I/16 BEND S&W o+34 s36',w48' SaW 1+35 850 2 s 47? w58' . , 859.7 ? 44.0 ' • 71.0T ` \ v 77o' II S 9 W l+98 s 40', 52' 943.4 S, s' 83 • - -;,,: , , ,. ,???I?_?? .? ? i '; r. ? ? (? i? l-lT i V 3 ;^? IJ tJ f:?l W1'QR . Li. ?r ?? S E i _ i A.P D , \ ?s ) (` ( ? { 1J IT +3 1-{ 61 . L! 4,.? L3'?' ?7 -?y Y I I IE :.:. ,?.. -'-lT'E. ' --- ? ? ? ?. RNE WOODS Di , ? . ? ;- s sG?C,QF. ? t _i.. ? _ B?6.0 i ? , . . _ R.?. .. ? I I I , . . .. ...... . ... ....... ? _ _- - -_. . ? .. . _ ..,. .... .. . . . ... ? .?.. ..... . ... ? i . . .... . ? i ? ft.GRADE !... -... . ... ? ` _.. ...,. . ? ? .. ... . :. .__.. .. ' ' ....... .. _ . . , I :..:.:..:. . .. I I ? _ _ . . ? ... _ ... _..... __ ....... .. _........ _. ? _ . + . . . 1 : ? .......... _ ? .. ....:.__:...?..._..,.,.... i ....................,,,....... i i ? , _ _. . . ? _.., _... ..........:....,,.._........... .. - __--- E ? i R _. ..._. ?._......._ I ? . : - 33D 7D2 . . i . '... 359-L.F-8"FV ?.-SDR 35 -? I? .. . : ::::: ;_::::?:? ?.;?,::..... - . ? . ? Ex'rr;RZOR rnvrLnPe nvr•.RACC "v° coMrIrrn'rTOrv ? c)WNER: WFU SI:CE ADDRE55: CON:CRACTOR:- Ap?iwv i6?.-'l7 DA:CE: PHONE: DE'CCRMINE WORKING SpUARE E00'CAGH QP EACFI: 1. '.CQ:CAL EXPUSED WA7:,L AREA SQ. F:C. X 6g 2. :CO'.CAL ROOF/CEILING AREA SQ. F'.C. X ?OZ& 3. `.Pq'CAI:, rXPUST'D WA]'.J:, AREA CALCULATIONS: :Cotal exposed wall area above floor a) 'Cotal wall wi.ndow ai-ea 6r D . SQ.F'C. X "U" ?n - 2lJ b) '.Cotal door ar.ea SQ.F'C. X "U" c) '.Cotal sli.di.nq glass dooir area l?•0 SQ.F'C. X "U° ct) 'Cotal ficeplace wall area v SQ.F'C. X "'U" --? _? e) '.Cotal wall framinq area %?+ SQ.F:C. X "U" ( average 10%) f) :Cotal net wall area above ;.loor (i.nsulated) c1) '.:ctal ri.m joi.st ai:ea :Cotal foundati.on atcea (exposed) h) '.Cotal foundati.on wi.ndola area i.) :Cotal net foundati.on area above yr.ade L0?0 SQ.F'.C. .X "U" cD??7 =-C?e _ !? rb SQ.F:P. X "U" ?6 (Z?-'5 SQ.F-r. ? SQ.F`.C. X 'lUll ?- - Q SQ.F:C. X '-U-- '.CO'CAI:, a ) thcoucfh i. ) _ KE If i.tem #3 i.s the same as, or less than i.tem ikl, you have met the i.ntent oP 2 MCAR 1.16008 A and (>. Y , PAGE 1 9. `CO'CA1., EXPOSED ROOF/CEIL7NG CALCU]',A'CIONS: 'Cotal exposed roof/ ?(,L SQ•F'C_ cei.li.ng area •_,? j ) 'Cotal skyli.ght aa:ea k) .'.Cotal roof/cei.ling frami.nq acea , (avei:aJe 10%) 1) :COtal net i.nsulated roof/ceilinq area 9 `.CU'.CAL j ) through 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. ??(Q YO-- ?,( ? AL'CERNA'CE BUILAING ENVEL(>PE DESIGN 'Co uti.li.ze the total envelope system method, the values established by the sum of #3 and #9 shall not be greatei: than the sum of i.tems #1 and #2. 1. 3. ? SQ.F'.C. X "U" O SQ.F'.C. X????? J cZO SQ•F:C. X " Uc(?` ZZ m !?/ +2. +q. CER`CIFICA'PIDN I hereby certi.fy that I have calculated the "U" factors and "R" values hei:ei.n and that the.bui.ldi.ng hete descri.bed meets or, exceeds the State of Mi.nnesota Energy Conservati.on Act. Date PAGE 2 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ? NEW CONSTRUCTION _ ADD-ON A/C _ ADD-ON FURNACE _ FIREPLACE INSERT DATE 1y-/- qy FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU -6:09- 6 cro GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXIS7'!NG CONSTRUCI'ION) $-30:09- STATE SURCHARGE .50 TOTAL 50 '-0 SITE ADDRESS: .?2? ?AA1rh0t?eAIC- OWNER NAME: lqfllNU7aN 1AMC5 TELEPHONE #: 4/3 2-- 9725- ADDRESS:---309 `L'vl?l ST CITY: F? n m tn/Crrrox/ STATE: /,V't/ ZIP CODE: ??O z y TELEPHONE #: `I6 b - ? 0Z2 SIGNATURE OF PERMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDIIVGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: CONTRACT PRICE: 1% OF CC))Nx'RAC?? FE$ PROCE3SED PIPING: MINIMUM FEE: STATESURCHARGE TOTAL FEES $ $25.00 $25.00 $.50 FOR EACH $1,000 OF PEtArIIT FEE $ STTE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENT'S ONLY) INSTALLER: ADDRESS: CITZ': STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMTT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RI3 EAGAN MN 55122 (612) 6814675 L -,F BL // CITY USE ONLY ?+&.Q?? ? RECEIPT #: '?'i?,` `f ? SUBD. rLE'?ofY?x,e.- (?(/? ?H? DATE: I'?? "q S 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet * minimum -1 Rough Openings Water Softener Private Disposal " Dakota Cty. license U.G. Sprinkler " home under const. Afterations * to existing Water Turn Around EACH 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 20.00 3.00 20.00 20.00 x x x x x x x x x x x x NO. ? a- ?- -T- -T- F- ? TOTAL ?Od , o 46 ?_ ??,od T ?? -3-LI:2-0 STATE SURCHARGE .50 00 TOTAL SITE ADDRESS: L22 blxw L0lw-e- L?OD,257 21L OWNER NAME: INSTALLER NAME: Vvoe?'? ??? ? t SU rfi STREET ADDRESS: 4 46C FAg 7- ;)-&55 CITY: ??-??5??-?" STATE;%Y1 ZIP: 15-61423 PHONE #: ( ) LIcle I a 7N aI_ 0 ? STG'I CITY USE ONLY L _ BL _ RECEIPT #: SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: • all commercial/industrial buildings. ? multi-family buildings when separate permits are IInt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1 % STATE SURCHARGE _ TOTAL _ SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: SIGNATURE: APPLICANT STE. # STATE: ZIP: CITY OF EAGAN 'I CLAIM VOUCHER - REFUND REQUEST I f CITY OF EAGAN MAKE CHECK PAYABIE TO : STASNEF ELECTRIC ADDRESS : 2392 LEIBEL STREET 1! 101 WHITE BEAR LAKE, MN 55110 IOCATION 522 HAWTHORNE WOODS ?RIVE L8. B4. HAWTHORNE WOODS 2ND RECEIPT#/DATE 40874/05-I5-q5 - REASON FOR REFUND Di1PLICATE PE?tMIT-ORIGINAL PE?tMIT 00132407 ISSUED 05-05-45 TYPE OF REFUND ELECTAICAL PERMIT # 0 1324 10 3211-9001 $ 40.00 PLUMBING PERMIT 3212-9001 $ MECHANICAL PERMR SURCHARGE WATER CONNECTION PERMIT SEWER CONNECTION PEHMR ACCOUNT DEPOSR UTILITYACCT OVER-PAYMENT CURB BOX DEPOSIT REFUND CONSTRUCTION METER DEP REFUND WATER USAGE CHARGE OTHER: 3213-9001 $ 2155-9U01 $ 3713-9220 $ 3743-9220 $ 2252-9220 $ 2250-9220 $ 2253-9220 $ 2254-9220 $ 9711-9220 $ S $ S TOTAL $ 40.00 I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. st9ns ro Data 7.-.3?-? ?\/A ? 2007 RESIDENTIAL BUILDING PERIVIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstNCtlon Reauirements 3 registered site surveys showirtg sq R. d lok sq. ft. of house; and ga roofed areas (20% mazimum lot coveraqe allox2d) 1 5oils Report'rf proposed building Is to be placed an disNr6ed soil 2 mples of plan showing 6eam 8 window sizes; poured found design, ek. 1 xt of Energy Calculations 3 apies of Tree Preservation Plan'rf lot piatted a8er 711193 Rim Joist Dehail Options seledlon sheet (buildings wilh 3 or less uniLs) Minnegesco mechanical ventilafion form RemadeVReoair Reauiremenls 2 copies of plan showing tootings, 6eams,jaists 1 set of Energy Calculalbns for heated additians 1 slle survep for addifions 8 decks Addifion - indicale Hon-sife sepOc sysL-m Office Use Onlv CeRof3urveyRecd _Y _N Soils Repori _ Y _ N Tree Pres Plan Recd _ V_ N, Tree Pres Required _ Y_ N Oo-siteSepdcSystem _Y _N Plans are considered public information unless vou state thev are trade secret and the reacen Date 0 C ynstr uctionCost / n SiteAddress ,52Z /Z v?o/`/le f'?oorle et//` Unit/Ste # Description of Work Re rQ n'Y Mu1H-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2 Property Owner D l// e/ '/) %r Telephone #(?,(r ) o°.3g --rz gCt Contractor Address Citv cxaan. State ?v? yv Zip Z Telephone #(6,57) e L! Yc o COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Ivlinnesota Rules 7672 (J su6mission type) • ResidenUal Ventilation Category 7 Workeheet . New Energy Code Worksheel Submitted Submitted • Energy Envelope Calculations SubmiUed In ihe IasT 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Telephone #( ) Mechanical Contractor Telephone #( ) SewedWaterContractor 7elephone #( ) I hereby apply for a Permit and acknowledQe that the information is comnlete e; that 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 pernut, 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. Z&P L?_P?40 ii? Applicant's Printed Name App cant's Signature 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when pertnits are required for each unit - 5-P.6 J Date e)-l _ SiteAddress A(' IL 4tma." ?1??? ?I?Q ) Unit# Proper[y Owner Telephone # ( ) Contractor 1 ? St Add i ? ress reet C ty State ? N Zip SSQW (r) Telephone # ( 462 Bond #: Expires: a c The Applicant is _ Owner _ Contractor _ Other J Fire repair (replace burned out appliances, duc[work, e[c.) S .00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to ezisting dwelling uni[ 5 50.00 furnace _Additional _Replacement _ New air exchanger air conditioner heat pump .yI ? ather (?'1()V`? Y?i[7t'(l l`1u Y" ? 1^P?y;? (Sl -I ?I?II"1 ?it' ? State Surcharge $ .50 Total $ ?? 1 hereby apply for a Residential Mechanical Pecmit and acknowled be in conformance with the ordinances and codes of the City of aga permit, but only an application for a permi[, and work is not to start approv gd plan in the case of work which requires a review and aRprov (\rA?,.?,. r LGIrOC 1a( ! t \ information is complete and accurate; that the work will ith the Mechanical C des; that I understand this is not a "R permit; [hat thO wor will be _i",ecAance wi[h the Applicant's Printekl Name ?i 2007 RESIDENTIAL BUILDING rERuT arrLicaTioN ??. 00 City Of Eagan / 3830 Pibt Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 C? New ConsWchon Reauirements 3 registered site surveys showing sq. ft of lot, sq. R of house; and all roWed areas (20% maumum lot coverage allowed) 1 Spls Report if prapased 6uildmg is to be placed on disturbed sdl 2 copies of plan showing beam & wintlow sizes; poured found design, etc. 1 set of Energy Calculahons 3 copies af Tree Preservatlon Plan if lot platted afler 711/93 Rim Jdst Deiail Ophons selecGon sheet (buildings w0h 3 or less un0s) Minnegasco mechanical venWafion fortn RemodeVReoair ReauiremenGS Otfice Use Oniv 2 copies of plan shaving footlngs, beams, jasls Cert of Survey Recd _ Y _ N 1setofEnergyCalculafionsforheatetladditlcns SoilsReport _Y _N 1 site survey fa addiEons & dedcs Tree Pres Plan Recd _Y _ N. Addrtion-indicateifonsdesep6csystem TrcePresRequired Y _N On-site Septic Syffiem _Y _ N Plans are considered nublic information unless vou state thev are 4rade secret and the reason. Date TQjL l0,A_. l 20D Construction Cost SiteAddress ?ZZ }{ttW"[hOCUC W opAS W?j? UoiUSte # Description of WorkQll!/q(..'f ( (,L},..L{q?,) /FnVus.s /a.u/t•c/ C 4-uti+ Multi-Faroily Bldg _ Y_ N Fireplace(s) _ D _ 1 _ 2 Property Owner ?VG d-?JflwaCy ?J<<r ? 'I'elephon?e # ( 61Z ) 939 S2 0? Contractor `oe?try ClctL /2ccr/ocy Address 2 OrC?a ?4„c City 54t.Yc State M /V, Zip Telephoue # ( M) 2&V2- Llea.;sc # /3 SS COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Caieeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission Type) Submitted Submitted • Energy Envelope Calculatlons Submitled In ihe last 12 months, has the Cify of Eagan issued a permit for a similar plan based on a master plan? _ 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; that 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 approved plan in the case of work d approval ofplans. 7 D lea L, Soh&)snA? ? v o s 200 Applicant's rinted Name Applicant's Si nat re ..? - DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 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 - Multl ? 03 01 of_ plex ? 09 07-plex ?'17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10.plex (161,19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvoes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair Y 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/DOors ? 34 Replacement "Demolition (Entlre Bldg) - Give PCA handout to applicant D@SCI'IAtiOn: Water Damage _ Yes Valuation Occupancy MCESSystem Plan Review 100% or 25°k Census Code Zoning City Water SAC Units r Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIREDINSPECTIONS _ Footings (new bldg) _ Sheetrcek _ Footings(deck) Final/C.O. _ Footings (addition) ?G Final/No C.O. _ Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs AidGas Tests Final I Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace Air Test Final R.I. _ W indows _ _ _ insulation Retaining Wall I Approved By: , Building Inspector Base Fee Suroharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CD.??? J? L' l, c->-o lopROBE C PIpNHE1Nli ond6LANp s3U11VEyOpS ENGINEERING COMPRNY, INC. ? 1000 EAST 1461h S7REET, BURNSVILLE, AIINNE50TA 65337 , Pfl 432 - 3000 CERTIFICATE OF SURVEy LEGAL DESCRIPTION: L07 B . ?? DENOTES EXIS7ING ELEVATION ( a??.s ) DENOTES PROPOSED ELEYATION INDICATES DIRECTION OF SURFACE DRE 88/.83 = FINISHED GARAGE FLOOR ELEVATION 873•49 = BASEMEN7 FLOOR ELEVATION • 862 , 16 = TOP OF FOUNDATION ELEVATION BeAV?q MARK : 54N• /)Iy IN F?/?T o,c GoT 37 -/3GOc SCALfi : t' ? 30' . 7= ,657.aG fiDDRESS : 522 /-/191NTf/D,FNE 1.VCe05' DRi ?/E PeA1 Z h ??I Z .. 3) N 89°4z'o? ?o ? i rw? ? / 86?3i 223.4$ .v ? .. , ? Zo?rp l9 N `i??----- 0 7 08 ? w N ?3g 00 mgn,l? r_ ?% \ J D T 9 ' L 1•? / ? , ` i\ ?u1?? `\ ?( g 2' qy ? • 10 \4.33 ???/ C/ ?J q;6o / •? ? Q 2•pO `?\ ? V. `n ? o ? $ ? \? ?b??o ??x•?`? wi; J e'°a ?>`' • Z,w \?. o, N•.? m;°, J ?N \ , 8? w y, 63 ` ? 8 ??.QO 3`?' ? f' (?b 7e ? •: :. ' a ? ; N ?o° ?--, ? o :, ? s = ? ? ^ryi ? , -, G? m e tp$ \ ?l OO 1? 1 30 Fi. 30 FT, F1P.oN 7 B C• ? SE764CK LlNE _Y . . . CUENT AawU'ON PROJEC7 NO. 65B*,I ?fa? BK. Z/I ra. 6(0 ? ,,. . • CONSULTINO EN6INEEOS CLIENT ?QKLINC-7-TON NOMES + Q BE PLANNEOS and LflNd 3UflVEY005 PR .? ? NGINE6(i1NG PROJECTNa.658¢oi COMPANY, INC. BK.Zli PG. ?o(o ? ? 1000 EAST I461h STREET, BURNSVILLE, MINNESOTA 55337 . PI4 432-300 O CERTIFICATE OF SURVEY LEGAL DESCRIPTION: SCALE : 1' = 30' ( 89-0_0 ) DENOTES EXISTING ELEVATION ( 8??.s ) DENOTES PROPOSED ELEYATION INDICATES DIRECTION OF SURFACE DRAINAGE 88/• S3 = FINtSHED GARAGE FLOOR ELEVA710N 87-3,467 = BASEMENT FLOOR ELEVA710N • 862. l(o = 70P aF FOUNDATIDN ELEVATION BExK.I-I MARK : SAti/- My /N F4prv7-o,c LoT 37 -)3LOCK Z, T= 65 7,06 ORi ?iE /?DDRESS : 522 /-11)iN711a.eniE W49D5* • . ?cr I ? I I ? kr j °v lo i? r i ? i ? f- ? o x ??1 rn y Z ` 0 bo? 70 c i38•?0 m' W o / ??Wr\s $ -ICS s' VY o y,o ? lT1 O`1 Z ? /? \` i 1? $ D w?m ? tl, .v ??"? \o\• ? - mll?J ? $ ? 00 ? ? Di Y1 , Pe ?N I 450 LtQ41N.9UF ANO UT/L/TY EASENJ.Fi1/T N 89°42'az „E ?86?3? 223.?1$ ,v.TS. Vl \ ? LOT 8 ? ? G-/ /32.1?4 N.T.S. -"-" y ? PoNV ? ? wL=BzB.o ? N ? v \ wt=836.0 \ y ? 0,,29 NT.S mz ? ? S?vlk C-'` ? / ? 3?63?„E y 30 FT, FRoNT SET840K LJNE f- AiA:N ftEViEWE•D 8k o+?sg ED 15A(iAN r;NGIIVP?.?ERINCr DEPT. a. . - , . po?WVY I HEREBY CERTIFV TNAT THIS IS A TflUE AND COHRECT REPRESENTATION OF A TRACT OF LAND ' AS SHOWN AND OESCRIBED HEflEON. AS PREPARED BY ME THIS,IO%AY OF NavE/mM2 ? te 94 ? M0. DAT( DY 11(MARItf ? ?, REVISION! MINN. REG. NO. 40S1S.- IO13E ` PLnNNE1Hi5 ondGLqND s3U11VE90Ri i CuENT ARLIIUC7?TON NOME,S IGIN6ERING PROJECTNO. 65S4-,0I COMPANV, INC. BK.z/i Pa. (o6 ? 1000 ERST 1461A STREET, BURNSVILLE, MINNESOTA 53737 PH 432'3000 CERTIFICATE OF SURVEY LEGAL DESCRIPTION: ( sBo_o ) DENOTES EXISTING ELEVATION ( aa?s ) DENOTES PROPOSED ELEyATION ._,..-- INDICATES DIRECTION OF SURFACE DRAINAGE 88?.83 = FINISHED GARAGE F1.00R ELEVATION 873• = BASEMENT FLOOR ELEVATION • 882, I(o = 70P OF FOUNDATION ELEVATION BEa1GN NIARK : 5AN- My IN FKoNT o,c GoT 37 -/3LacK Z. SCALE : 1' ? 30' T / _ $9 7,06 /?DDRESS : 52Z /-111W7-110,eVE WXDs' ORi (/E k ? o V o U u ? : i i f` w o x ??1 _ ! 0 5p 19. -72 QD m5;0.l4 00 (??? ? N o 3) ? (cph VDT `'•:. <<? ?3` J? vnN b w,?-O? ? e?. o• / ?2' w ? '? 10 ?;o, W2° o syo ..o \ S? ? J a ?.o m SA 450 \p?l?\ ? ;y ? • : ? o Q d ? Y`•.:. .t? sJ ,. o? tp \?p ? (Cp? ? 0\ ? D ?6? \JIJ a z' 3°' 00 ? ? LlPA/A146E AND UT/L/T),' EASEMFiV7-- i4 N 890 42' 02 "E 223.48 NTS. / - ---- ---- ?- - ? le, 11 .If \ ?oT 8 ? -V --?- ) ? r"Q ? \ S / / `5 ?45'63?„E N-7o'?? ? ( 1 ?i 30 FT. FRDNT SET$4CK L flJE -ZG•/ ._... _. ? y PoNp N ? NWL:B$$A ? ?Nw?=836.0 = V \ 2yN:fS ? f- A t X. N REViEYdED OkTE ll l? ?? ? D 1By iAGAN E1VG01iER.ING DEFT. 1 HEREBY CERTIFY THAT THIS IS A THUE AND CORRECT REPRESENTATION OF A TRACT OF LAND AS SHOWN AND DESCHIBED MEREON. AS PREPARED BV ME TWS LO'DAY OF Nov4MBEI2 ? 1e 99- , . .. ???? MINN. REG. NO. ,_.I 9 08? ' VA Vq~ Use BLUE or BLACK Ir I For Office Use t I Permit City O1 Ea of a I I I Permit Fee: ' I 3830 Pilot Knob Road t I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I Fax: (651) 675-5694 ;Staff: 1I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION C Date: 01-4 s Ort, l l b , -5ZD'DSite Address: zl, 22 la hD(Ve 00 Tenant- C .1 t0a jcygt~51,er Suite e`cp RESIDENT/OWNER Name: IV34,)e J- 'K)4,je!4 6'P41t Phone: 612 - - f~3c1-,52 D- Address / City / Zip: E2.1 96 w `l a..e Ljj ppAc Q r, "e Applicant is: Owner Contractor ~GP°o••t 4Jl.c~ atl.~ TYPE OF WORK Description of work/»as/ t J47eEfa,Q~~'/~ jQytad 14rc !L-i l~fyE' , Construction Cost. .3~D00. D-~) Multi-Family Building: (Yes / No CONTRACTOR Name: Chu p `f r y e&4 uil~ll[ , =iuG License J'3 S Address:, Z Ore !arJ trj l City: L G g State: , ~ A) Zip: J~7 3t/ Phone: g'2` / 2s" 26g2- Conta e(i o aP Email: CCb 9.S 2 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 under round utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the o finances 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 wit ut permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plate x f~/! y a a1sa~ x Applicant's rinted Name Applicant' !:gnat Page 1 of 2 ~~'b0~ OWRBLOW THIS LINE ~!D SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi - Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building ~D p p / , / ~IJ l J~ / WORK TYPES vA~o 'P~JS _ 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 p Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final/ C.O. Required Footings (Addition) Final/ No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final Nf- Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: ,Rough InAirTest 4 FinalC Windows Insulation Retaining Wall: _ Footings _ Backfill T Final Meter Size: Radon Control Erosion Control Reviewed By: J-2, , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge, S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 - ��°'�� ' � Use BLUE or BLACK Ink � � ;�� '�M�$i�, �� Fa►Office Uae ---------� ,,.� � ��`�f�� Vlb O1 1� �lll � Permit#: u.� � �/ � iy I �' � Permit Fee:� � I 3830 Pilot Knob Road � i '' Eagan MN 55122 I Date Received: � � I Phone: (651)675-5675 � -;-Fax: (651).675-5694 . � Staff: � ��J � } � 2014� RESIDENTIAL PLUMBING PE MIT APPLICA ION ,::T.. Date: ��0� Site�ddress• J � Tenant: Suite : ---„-..�� ' �_ ��'�� ¢�� `� � �'` � �,_ ' x�� ,��'�4,��?;�r€ Name: h ,Resi enYlOwner� P one: a,�� d�� ` j,�I�J �/l '��,;,.,��. R��` �� "' i Address�'City/Zip:� �V �� "� ' ''��'� �`� Mii�bert om an Inc dba Cullign Water� @��' ��`' � �� p Y WC643176 a�� i,�. Flame: � ucense#: ��ti�� `� Aad�eSS: 180150t, $treet East� c;t : Inver Grove Hgts. � ��Contractor ,�� . � Y ��` `� �� * 55077 651-451-2241 �3 x � � � �� €��R� ��r, State; �M N�. Zip: Phone: a � ` "�� :t�� " �� , � . , �Milbert 4A�� ,',��`; �,. co�ca�: William�;R.�_ Ema��: �"'i C d�',r1�,1 j / � .. . . �a•d ��i4'f � N „ ' . . `r`�'`�#��'��-"'�$� '� New eplacement _Repair _Rebuild _Modify Space Work in R.O.W. ��Type:of Wor ' — — �� xy � � � �2 s��x�� , "� Desctfption ofwork: � ��!�� N�F� ' RESIDENTIAL ��j��"�� . � ��$ ' '� � �� `` Water Heater h��"��„��a '=u'�,� � �F�� ';�� ,� �WaterSoftener ��P�erm�t�T ��'� �; Lawn Irrigation(_RPZ/_PVB) �' �Y� �;� � �p Add Plumbing Fixtures�Main/_Lower Level) ��¢:�� ''� Septic System ;�y��a��;4 `'#;'� ' _NeW Water Tumaround �,� �� d��i��"'� i4�,�,,,� .' . „�s��^��,�`° �s,=w , s:" . Abandonment „�_, :RESIDENTI.Al:FEES: " �60:G0 Wefer Heater,-:lNater Softener, or Water Heater and Softener(inciudes$5.00 State Surcharge) � $60.00 Cawn�lrrigafion(includes$5.00 minimum State Surcharge) $60.00 Add:Plumtijng Fixtures, _Septic System Abandonment,Water Turnaround"(includes$5.00 State Surcharge) rt '"Water Turnaround(add$200.00 if a 5/8"meter is required) � �� $115 00;Septic Svstem New($10.00 per as buiit)(includes County fee and$5.00 State Su�charge) � ' TOTAL FEES S C�LL:BEFO�RE.YdU 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.goaherstateonecall.orq ,i hereby acknbwledge fhat this informa:ion is complete and accurate;that the work will be in conformance with the ordinances and codes oi the City of Eagar�;:thaY I'understand this is not a permit but only an application for a permit, and work is not to start without a pertnit;that the work wlll be In accordance with:the approved plan in the case of wotk which requires a review and approval of plans. X �i��/�� /��sp�� x Applicant'sPrinted Name ApplicanYs Slgna r :... �� -� �, „.. a . , ,...,, �- �`" �r^ �'��,�N�''`�� 'r��'� �� , �FOR O FI��11S 'a R�"eY� 8 �Ye �pat"eC`��'��a rN�,�` ' g ��. . �, :,,' [, . , �Z�� °z* £� � ?Xu `v7 4 � I-t;i�� ;_�a: �Requir dlnspe��i� �� n �. r ,� '� . - 'm �e�� , �'�� '� � � �� je. �-x r. £ ,�� ° _ -'' . ' q�. �°H��4�'�,��r: �� Mster ela ed Ite � te��Si - � � �� , . z�w��r��,� J�a n , r .��r�, �,� ;�� ,.. _._ ��_ • _. __ � _ ...�__ �;. '� .. �: .� PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149889 Date Issued:06/13/2018 Permit Category:ePermit Site Address: 522 Hawthorne Woods Dr Lot:8 Block: 4 Addition: Hawthorne Woods 2nd PID:10-32151-04-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - David Tstes E Engler 522 Hawthorne Woods Dr Eagan MN 55123 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature