525 Hawthorne Woods DrI CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
I 525 ? :??; ?,t
41411
PERMIT SUBTYPE:
? } fSl.tlt M'. ; 2
?.??,??i?•. r?it > .<?r,#l:. N twftriif E4finr.
(6111) "+ tii f000
TYPE OF WORK:
;1lis
IPJSPECTION . . .
''? ? I ??;•? 1 ? ? t .,? ?
PERMIT TYPE:
Permit Number:
Qate Issued:
& W,. 11 1. E•tR VA I 1 t Y !' f. fffi
II?
l - -
Permit No. Permft Hoider Date Telephone JI
S/W
PLUMBING
HVAC
ELECTRI 7 a ? ?' ?O
ELECTRIC
Inspection Date Insp. Commenta
Footings i
Foundation ?`?ly& a x
Framing
?Z
Roofing
Rough Plbg. -2 Z' -11
Rough Htg. .
2
Isul.
!
Fireplace °z/a-lQ41 ?
Fnal Htg. '9 fl
N
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
EngrJPian
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
,2
'
Wer#ificate af Cccupanc?
?inj o? ?agan
?c?a?aext ?f ?Ki[?'rag ?a?pccNon
This Certifecate issued pursuanl ta the requirements of the Unifornr Buifding Code
certifyrng that at tlte time of essuance rhis structure was in compliance with the various
orrlinances of the City regulrrting building coristructroR or use. For the following:
Uu Qassifiption: ,'? W Bldg. Permit No. 77515
Oocuprmcy 'lype EWHI Zaniog Diwict _R I Type Conct. NN
Owneraf Buiklina HMFNRM[Yl FYM Addmss 1199 HFIFRIM N? M1J]AIF.
euiaing ndaress S?ASdtsaf'M U[Y'l1S TR_ LacalayT?,?, Rmmryag wYRS_ m
? ? De: p3/2g1g!?
B??
PQST IN A C.ONSPICUOUS PLACE
???
1 Y
1
9
0s
r
42 8 A)" ay
;e
?
(
flequesi Date
?_ ^,
C, Fire Fbugh-m inspectmn
Requvad? NO71CE: Vou Most Call Electrestl Inspector
It A Rough-In Inspeclmn
_
?j ?s ? No Is Pequvetl
I.Blicensed contractor ? owner here6y request inspection of above electrical work at:
Jab Atltlress (SUeet, Box ar Paute Na l Qty
Sechon No iownship Name or No. flenga No Counfy
Occup (PRINT) s
'--[/C/V ?G^- J C? / ? /G?J Phone No
PawerS ber Adtlress
Electrroal tracror (COmpany me) Conhac ?cense No
Mailing Atldress onVactor or Owner Makmg Installetion)
Au[honz Signature (COnVaEtor/Owner Mabng Installation) ? . Pho umber
MINNESOiA SiATE BQARD OF ELECTRICITY ? THIS INSPECTION REQUEST WILL NOT
Grigga-Mltlway Bitlg. - Faam S173 BE ACCEPTEO BYTHE STATE 60AFD
1821 UniversRy Ave., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSEO
a/iJ/?C REQUEST FOR ELECTRICAL INSPECTION
? See mstmcbons For compleling tnis lorm on back M yellow copy
M_ 71.428 "X" 8elow Work Covered by This Request
???` EB-00001-OB
?? / 90eZ?j
ew Add ReA TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
DUplez Water Heater Eleciric Heating
Apt Buildmg Dryer Load Managemenl
Comm /Industrial Fumace Other (Specdy)
Farm Air Conditioner
Other(speclfy) ConVactor§ Remarks.
Compu[e Inspecfian Fee Belaw:
# Other Fee # ServiceEMrance5ize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps ? 0 to 700 Amps -
Transformers Above 200 _ Amps 00 _ Amps
SIynS Inspeclor5 Use Only TOTAL
Irngation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD RED DISCONNECTED IF NOT
Other Fee COMPLETED WITH MO S ?
I, the Electrical Inspector, hereby Rough?m
certify that the above inspection has
been made. Final
? oa?e
--l
OFFICE USE ONLY "
This request vatl 18 mOnihs trom
Address 525 HAWtoxtE [aoODs nRIVE Zip 5512 3
L.ot ~ 33 Blk 2 Sub t3aWnioRM woons zrID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: 3 a9 Yes No Inspector:
rlv
Final grade (6" from siding) j/
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway
Permanent gas ?
Sod/Seeded grass ?
TraiUcurh damage
Porch V
Basement 6nish ?
Deck
Please verify wi[h the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in rightrof-way or imtalling underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Cnpy
City of Eapn
3830 Pilot Knotr Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
? .----.-,---- --?
? ?Oe;C}ifice,Use I
? Permit#: '? 1?
? PermitFee:
I ?
? Da[e Receroed: ?
I ?
i stax: ?
------------
2008 MECHANICAL PERMIT APPLICATION
Date: Sife Address: -50? 5 6.l.tl'f Yl Vti1 P WaA5
Tenant:
Suite #:
?
RESIDENT / OWNER Name: , ?G'Yl Phone:
nv ?? 1 )- -3
-j
3
Address / CiTy / Zip
.
6,
CONTRACTOR Name:_ KlineCorp. _Licenseu:
DBA. Practical Systems
nddress: 43426 Shady Oak Road
City: _ Hopkins, MN 55343 State: zip:
952-933-1868
Phone:
TYPE OF WORK New _ Replacement 1>( Additional _Alteration Demolition
Description of work, ?L'vY i 4 I liu, Lid Ci.ddi4'.2ri,?
`: NOTE: Bofh'rovf mounted arrd qrotind iiioqnted 'mecHanleal",equrpmenf;is requrr€tl; to, '
be screened by'Cify Cods :'Rlease contaci the INec/raaical irispector,or ohe of {!ie
Plan»ers far fntormatfon a?i rrriitted screeniti ihetJiods:`=,
RESIDENTIAL COMMERCIAL
PERMIT TYPE Interior Improvement
New Construction
Furnace _
-
Air CondiLOner _ Install Piping Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
'
_ HVAC units mus[ be screened
Heat Pump Under / Above ground Tank ( Install /_ Remove)
? Other " When installing/remowrg (ank(s), call for inspec[ion by Rre
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace bumed out appliances, ductwork, etc.) (indudes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installati on/rem oval OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If P rtni Fee is less [han $7,000, surcharge is $.50.
- It Permit Fee is >$1,000, suroharge mcreases by $.50 for each =$ State Surcharge
$1,000 Permrt Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTALFEE
I hereby acknowledge that this informaLon is wmplete and accurate; that fhe work will be in conformance with the ordinances and codas of the Qty ot Eaqan, that
I understand this is not a permit, but only an apphcation for a permrt, and work is noi to stah vnthout a permd; [hat the work anll be in accordance wiih the approved
plan in t`he case ot work nMich reqmres a ieview and approval of plans. ?
_?,10 C?.rvr? 6P 6o K' X A?A.eAo-, J
ApplicanYs Printed Name Applica 's Si"ure
FORf1FFIC(
r-qqq
r...----------'-_---I
I ?
Cit
f E ; Perm"? 6(?)O ? ' ;
y o
apn ' -
-5-6 SD 1
-
i Permit FeE: ?
3830 Pilot Kno6 Road ?
Eagan MN 55122 ? DateRecehred: i
Phone: (657) 675-5675 1 ?
Fax: (651) 675•5694 I ? 5f??
?------__m_._______r
2008 RESIDENTIAL P LU11ABfNG PERMIT APPI.ICATION
Date: Z? Sito Atldress: rfK?"?'?orn e- woJdS D rtve.-
Tanant: I Sulte #:
RESIDENF / OWNER Name: Phpne;
Address ! City I Zip: I 1?56,2 ??w` ? A N
CONTRACTOR Name: iAleld eag ' n. N - L'icense#: 003o2.-L-PM
AdarOss: ?410 Kiime t Lane North
0 'I
Ciry: 7fi?3..d7 5-f12UQ state: zip:
Phone: I Contact Person: 7-41"-1 s-
TYPEOFWORK New
AZ?eplaceme „FiebuiW ModitySpace -WOSkinR.O.W.
t V Repair ,
h
_
I
- _,_
s???7C'?'^r'fS
wr
Descriptionofwork: ?
PERMITTYPE RESIQENTlAL
Weter Heater _ WaterSoftener
Lawn Ircigation _Add PlumbiM Fixdures
RPZ /_ PVB) I ? Maln _ Lower Level)
I
Septic System i ? Water Tumaround
New
?
Abandonment
RESIDENTIAL FEES: I
$50.50 Minimum W ater Heater, Water Soffener, or WVater Heater galo, Softener (includes $SO State Surcharge)
$30.50 L2v+n lrr+g2tion (ncWdes $.50 State Surcharge)
?
$50.50 Add Plumbing Fixtures, Septic System Aban donment, Water Turnaround` (includes $.SO State Surcharge)
"Water Tumaround (add $136.00 if a 5/8" meter is ?equired)
$100.50 Septic System New ($t0.00 per as built} ,;nclu es County fee and $.50 State Sureharge)
i
lf
d
50 Fi
R
l
b
d
t
t
0 50 State Surcharge)
Yc
(includes $
k
L
r (rep
ances,
uc
epa
ace
ume
ou
app
.
re
$9 .)
or
, e
.
70TAL FEES $ V' SO
t nereby acknowleage tnat tnLS intormanon Is compiele antl aaurate; that tha work wltl be M confarmance w14h fhe orclinancas and wdes af the CM1y M
Eagan; that I understand Nis is not a permit but only an applioaNon for a pertnft, and work Is not m statt wltAOUt a pecmli; ttial iha wark wlll be in
accorUance with the approve6 plan in tne case of wonc whtcn reqihres a review anA approval Of IafiB. ?
x 5914,n,?- --- ?
ApplicanYs Printad Name j ApplltdieYs Slgnature
?FOR OF.FiCE'USE^
RESIDENTIAL BUILDING
Permit Application ?
Ql?? City Of Eagan
? I-T 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construclion Reauirements RemodeVReoair ReaviremenGS Office Use OnN
3 regisle2d site surveys shaxing sq. fl of lok sq R of house; and all roofed areas 2 copies of plan CeR of Survey Recd
(20%maximum bt coverege allowed) 1 setof Energy Calculations for heated addiGons Tree Pres Pian Recd
2 copies of plan showing beam & window sizes; poured lound design, etc. 1 ate survey for additions 8 decks Tree Pres Not Reqd
1 set af Eneyy Calculations AddNon - irMicate ifon-sife septic system _ On-site Sepfic System
3 copies of Tree Preservafion PWn H lot platted after 711193
Rim Joisl Derail Optlons selection sheet (bldgs wilh 3 or less units
Date 7 /? D / ag
Site Address Sa 5' ,HV. Construction Cost -60D
,? aYn e Wda `b? Dq • UniUSte #
Description of Work .z. Y-
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner / Y)Q,l? w.Lr-n Telephone # ( 4,5-/) 7 Y ?
Contractor hALz e UDF//UG
Address ?y y 6?/
State
?JLF. ?Ji1 -
ZipS //
CitykalC Udi't-
Telepho¢e #(fj2, )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Categorv 1
• Rasidential Ventilation Category 1 Worksheet
(4 submission type) Submitted
• Energy Envelope Calcula6ons Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone # ( ) ----?- -?" ?° 1
Telephone #
6 ' .. .,
Telephone # ( ? t? t? I '
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 perntit, 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.
ApplicanPs Printed Name
?
ApplicanYs re
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fveplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellane0us
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (EnUre Bidg) - 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
REQUII2ED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing ,
_ Foundadon HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
_ Franvng Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
P,pproved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
,
CITY OF'EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ? ((? 2-S D
PERMIT TYPE:
Permit Number:
Date Issued:
tt- Zcs, 43
BUILDING
022515
11/24/93
SITE ADDRESS:
P.I.N.: 10-32151-330-02
DESCRIPTION:
525 HAWTHORNE WOODS DR
LpT: 33 BLOCK: 2
HpWTHORNE WOODS 2ND
69
37
t ? --'
(i? 1
.-?
BI U-Ilding:- Permit Type
Building -Wo,rk 7ype
?UBC Occupancy??,
Co.nstruction Typ' e
Zoning
Building Length ?
? Building Width
\
REMARKS:
PRV S& W PLBR - VALLEY PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Subtotal
VALUATION
$895.00
$581.75
$86.50
$750.00
100
t
$2,313.25
SF DWG
NEW
R-3 M-1
V-N
R-1
$173,000
MISCELLANEOUS $1,744.50
Total Fee $4,057.75
CONTRACTOR: - flpplzcant - 5T. LIC. OWNER:
BRENTWOOD HOMES 17301000 0001519 BRENTWOOD HOMES
1322 HELMO AVE N 1322 HELMO AVE N
OAKDALE MN 55128 OAKDAIE MN 55128
(612) 730-1000 (612)730-1000
I
I hereby acknowledge that I have read this application and state that the
information is correct and agree ta comply with all applicable Stete of Mn.
Statutes and City o'F Eagan Qrdinances.
n
? i
i ?
; l ;
i ?
? APPLICAN7/PERMITEE SIGNATURE ISSUED Y: SI URE
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT: ss BLOCK:
525 HAWTHORNE WOODS DR
HAWTHORNE WOOD5 2ND
PERMIT SUBTYPE:
SF DWG
PERMITTYPE: BuzLozNc
Permit Number: 022515
Date Issued: 11 / 2 4/ 9 3
z APPLICANT:
BRENTWOOD HOMES
(612) 730-1000
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS .. .
FOUNDATION D.
FRAMING RQOFING
INSULATION FZREPLACE
ROUGH IN PLBG ROUGH TN HTG
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - VALLEY PLBG
?
?
,. ?
. r
?
?
1 -. t
'REACTIVATE
vl 2 cirr oF eaGaN
FERN{Il ir ' Fs c5_j_V(? D0
A tfi 1993
1993 BUILDING PERMIT
681-4675
APPLICAT{ON t I M q, q5
/° r
SINGLE & MULTI-FAMILY s s s 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: i) 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) iot change is requested once permit
is issued.
pate 4 ? J 8 / 93 Val uati on of work 190 XO 0
Site Address: 525 u.3000S nQ-•
S7REEi SU[TE k
Tenant•Name: (comnercial only)
IAT BIACIt Z- SUBD. P0411340WIJE P.I.D. M
Descri tion of work: EE3?
The applicant is: 0 Owner 1111 Contractor ? Other (Oeseribe)
Name E3 Nrnk3I0°CI Phone
Property LAST U FIRST
Owner ?
Address I-3ZZ 4E-t mo AVE
STREET STE !F
5tate Zip S?1Z?
QALF
Cit
C!:AIL
_
y
,
Company l Phone 7-3,0'
Contractor Address Ai]+-t? _ License #nrojsi'1 Exp.36/149
City State A&-Zip 551Z8
Company Phone
Architect/
Eng+neer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber VAuFY ums3i??- . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this a lication and state that the information is
correct and agree to comply with all applica e State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE U5E ONLY
BtJILDING PERMIT TYPE
? 01 Foundation
E?02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
? 06 Duplex
? 07 4-Plex
? OS 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
0,31 New
? 32 Addition
,
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
. ,,...
!' ?
^T• Y , i? '+?? ?
?
?
? 11 APt./Lod9in9 •16??
e ent. inish
'
? 12 Multi. Misc. ? 17'
Sw m ooT
0 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
0 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 31 Demolish
? 36 Move
Const. (Actual) Y-N Basement sq. ft. MWCC System yEI-E-
(Allowable) Y- N ist F1. sq. ft. City Water Y?
UBC Occupancy fL 3 M-1 2nd F1. sq. ft. PRV Required ?
Zoning R-? Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sy;?^inkler
Length 68%z? On-site well Census Code
Depth 37, On-site sewage SAC Code
APPROVALS -?
/
Planning Building Assessments
Engineering Variance
REGIUIRED IN SPECTION S
? Site ? Footing ? Framing O Insul ation
? Wallboard 11 final ? Draintile ? Fireplace
Permi,t Fee v,i„et;,,,, gT?, c? p J r
Surcharge
Plan Review (aqyRq6-E; _;40?zx ZZ ? (?7 !
License
MWCC SAC
I °','Zx 2
City SAC
Water Conn gSMT;
to,Pa
K 16 yL)o
.
Water Meter ZCSX 3? r JD6??
Acct. Deposit 3L/S
-'
S/W Permit
5/W Surcharge ?-
! L1 OGI K/-5 ° Z?? I 3y?
Treatment P1 .
Road Unit
Park Ded.
Trails Ded.
Co
ies 7XZx2 ? 2?
p
Other rl 959 8
Total:
SAC % /OD 38 y? a tobtl
SAC Units ?L 392
?-1, sLl= tr12 475?
1
• ` IAT BURVEY CHECRLIST FOR REBIDENTIAL
? HIIILDING YERMIT I?PPLICAT N
W S2 ? FROYERTY LEGAL:'2!:?3z °
?IL In Date of Surveps
? DOCIIMENT BTANDARDS
['J?0 ? • Registered Land Surveyor signature and company
0 • Buildinq Permit Applicant [? 0 ? • Legal description
0'" ? ? • Address
?? • North arrow and bar scale
E?'013 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
Cd? ?? • Directional drainage arrows with slope/grndient t.
? D 0 • Proposed/existing sewer and water services
?? ?C1 ? • Street name
? ? ? • Driveway
ELEVATION3
Bxistina
D ? 0 • Sewer service
Dr 0 0 • Lot corners
0r 0? • Top of curb at the driveway
? -?? • Elevations of any existing adjacent homes
Prorosed
0? 0 0 • Garage floor
? ? ? • First floor
0? ? ? • Lowest exposed elevation (walkout/window)
? ? 0 • Property corners
?0 ? • Front and rear of home at the foundation
PONDING AREAS (3f apDlicable)
? ?? ? • Easement line
? Oi ? • NWL
• HWL
? ? • Pond # designation
0 ? • Emergency Overflow Elevation
0" D ? . • Lot lines
? ? • Right-of-way and street width (to back of curb)
?? 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
i
i
?? 0 • Show all easements of record and any City n
th
utilities w
those easements
,0? 0 0 • Setbacks of proposed structure and setback of adjacent
D;r,,o existing homes
• Retaini 1 re ements, if any
Reviewed:/
October 1992
J
?
, ,. . .
?? .
gNVELOPE AVERAGE "U"'COMPUTATION
SZTE ADDRESS 41oo1_25 /7iP/uE
CpHTRAC'i'OR4nffA4a&/7 Zj?? DATE PHOt? -7-36 -1000
Determine working square footage of each.
1. Total exposed vall area ...... ?1j?64 sq_ ft. X._1 -°!Z3 . 74
2. Total roof/ceiling area ...... ILI ?__sa_ ft_ X•U046O - aj$
05
A. Total wall window area..........................
B. Total door area.................................
C_ Total sliding glass door area ................... UO ,
D. Total fireplace wall area.......................
E. Total wall framing area (average 108)_..._.._...
F_ 7bta1 Rim joist area.....-• ....................•?
G: Total Net wall area above floor---------- •--•--- ,0 UJ•`?
Total exposed foundation area - ?? ? •
H. Total foundation window area .................... -
I. Total net foundation area above grade........... II2•
Determine "O" value of each wali segmcnt.
a_ ?I '7d 5 X ..U.. --
? • 3? = 11 ai
b. ¢Z. X ..U.,
c. tGt)• x ..U.. sU
d. - X "U"
e. 311, 7 X "U"
f. x ^u^
g. 1??3. ysX ..?.
h. - X "U"
- _ ?
.l1? _ ??•?iY
?o`? = lai•Cv
??? _ ??v
7 X ,.v- ! ??J = 5.2
3................................... TOtal
If item 03 is the same as, or lcss than item 01, you have :net the intent of
SBC 6006(c)2.
Total exposed roof/ceilinq area aj, Zj. Total skylight area..................................
._?
k. Sbtal roof/ceiling framing area (average 10U _._...
1. Total net insulated roof/ceiling area ..............
Determine "U" value for each roof/ceilinq segment_
J. ? X U.
-
x. lsl •7i x °U° '.'J
x?U^
4 ...................................... TOtal ----s?+-;-??
If total of 04 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1. Alternate Building Envelope Design
1b utilize the total envelope system method, the values established by_the
sum of items $3 and #4 shall not be greater than the'sum of items #1 and #2_
+ 2.
?T-
3. 'd77i?l' .?' + 4• 2L_7?
Y
M 1
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO; FOR TOWN+HOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UN'IT. ,
NO. FIXTURES EACH TOTAL
? SHOWER
- 3.00 3-
? WATER CLOSET 3.00 q-
a BAT'H TUB 3.00
LAVATORY 3.00
? KITCHEN SINK 3.00 ?-
? LAUNDRY TRAY 3.00 3 -
HOT TUBJSPA 3.00
? WATER HEATER 3.00 3-
? FLOOR DRAIN 3.00 3-
? GAS' PIPING OUTLET minimum • i 3.00 '3-
ROUGH OPENINGS 1.30 y• ? u _
WATER 50FTENER 5.00
PRIVATE DISP. • DakCry. lic. 20.00
U.G. SPRINKLER • nome unda conat. 3.00 '
ALTERATIONS • io adsting 20.00
WATER TURN AROUND 20.00
STATESURCHARGE
TOTAL:
.50
SITEADDRESS: ?aS 1.1a,,.,k?,ef..< Wo01d3 `- ? rz
OWNER NAME: bef??j I?l v--• ,
INSTALLER:_ `/ p I l?-, ? ?h• c,e:)
ADDRESS: (iI i-) C P<< l- L ?
CITY: J c, t 14 a? STATE: (n - ZIP CQDEi 5. S S> >.
PHONE #: ( ) LI cto- w,
--
SIGNATURE OF PERMITTEE
1994 PI:UMBING PE$1VIIT (RESIDENTIAI.)
CITY OF EAGAN
3830 PII,OT KNOB RD - - -
EAGAN MN 55122 - "
(612) 6814675
9
PLEASE COMPLETE FOR ALL COMMERGIALJIrTDUSTRLAI: B.UILDING5. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE RERMITS ARE: NOT REQUIItED FQR EACH
DWELLING UNTI'.
_ NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FIiG: I% OF CONTRACT FEE
STATE SURCHARGE: $.50 FOR EACH'$1;000 OF ?g" FEE.
T1INIA1Un1 FEE: $ 25.00
C0IYTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TEN,4NT NrSME: gm #
OWA`ER NAME:
INSTALLER:
ADDRESS:
CIT7':
PHONE #:
ST?A1'E:
ZIP CODE:
FOR:
C1TY OF EAGAN APPLICANT
1994 PLUMBING PERMIT (COMM!ERGIAL)
CITY'OF EAGAN 3830 $FLOT KNOB RD E;?GAN MN 55122
(612) 5814875
,? __
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLP.CE INSEAT
DATE II cqttl `-f `f
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) L. co
ADD-ON/REMODEL (ExISTING CONSTxUCrioN) $ 20.00
STATE SURCHARGE .50
TOTAL 36150
n,
SITE ADDRESS: M
_ ,?i$?J ?I a.c,vt-? (,?,YL.? ?,(?X,?,O? l.U.1f)
OWNER NAME:JCYJ/1CftL1QC1? t&? TELEPHONE #: 731I QO0
TELEPHONE #:V?j3- l I yq
a nCv.O,Lthl.)
SIG?URE OF PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
CITY: 622-/nQ.L(1It STATE: MnI ZIP CODE: 550(0S
-- ?
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AiSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: CONTRACT PRICE: $
NE`.?`? Bi.iIiDIPiG
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF q?QNT
RAC."T FEE
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TtL
$25.00
$25.00
$.SO FOR EACH $1,000 OF MRM1`i' FEE.
$
SITE ADDRESS:
OWNER NAME:_ TELEPHONE #:
TENANT NAME: (IMPROVEMENI'S ONL1)
IN5TALLER:
ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPEC'I'OR
ir
?
2007 RESIDENTIAL BUILDING PERNIIT APPLICATION
?
. City OtEagao
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWclion Reauirements
3 registered site surveys showirg sq. ft of lot, sq. % of hwse; and I roo(ed amm
(20%maximum lot coverape allawed)
1 Soils Report if propcsed building Is M be plaoed an disWrbed sdl
2 capies of plan showing beam 6 window sizes; pared fanC design, e0c.
7 set of Energy Calwlations
3 copies of Tree ReservaUan Plan if lot platted after 711193
Rim Jdst Detail Op6ms selecbm sheel (buildings wilh 3 or less unds)
RemoddR2eoair Renuiremants
2 copies of plan shaxing foo6ngs, 6eams, jdsGs
1 set of Energy Calculations far heated additions
1 sde survey fa additions & decks
Adddion - indrafe flon-sRe septic system
/,/ 75_•1?4
Olfice Use Onlv
Cert ofSurveyRecd _Y _N
Soils RepoR _ Y _ N
Trce Pres Plan Recd _V _ N,
Tree Pres Requiretl _ Y_ N
On-site Septic Sys[em _ Y_ N
Mmnegasco mechanical venNa6on fam
Plans are considered oublic information unless vou s4ate theV aPe tPade S?Cf2'Cantl the/rea/?n.
Date 1Z.. l? lQ? ConstrucNon Cost
Site Address S" 1A-AUW{Ir4r ft.%C - %Aeapa S 12?^tJQ._
Description of Work smuse yl k D
Mu1H-Family Bldg _ Y*?[,N Fireplace(s) _ 0 ? 1 _ 2
?
B
Property Owner 'I?. ..?amt, Cr M2Ll?JGtb ??G?? Telephone #J^) (me;m" 17445
?"
`?
? • ?
Contractor G
\
Address Af ?
Ci1S?t> ??Y1?'Jp?tr
VIC
State (`-*%Tt
Telephooe # "2)
Zipl*
5 ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateEOrv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ven8laiion Category t Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Su6mitted
• Energy Envelope Calculations Submitted
In the last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master planZ
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
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 permiy 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. _
?, "IZe > c? na.,.A R
ApplicanYs P inted Name Applic &t's ' nature
1
} ? r
• DO NOT WRITE BELOW THIS LINE
Sub Tvoes
? 01 Foundation ? 07 05-plex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg
?( 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
/ '
? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 PorchlAddn. (4sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 OS-piex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 38 Multi Misc.
? OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvues
? 31 New ? 35 Int Improvement ? 38 DemWish Interior ? 44 Siding
,$[ 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish Building" ? 43 Reroof 0 46 WindowslDOOrs
? 34 Replacement 'Demolitlon (Entire Bldg) - Give PCA handout to applleant
D6SC17Dti011: Wefer Damage _ Yes
i
Valuation Occupancy C-2 MCES System ?
Plan Review ? 100% or 25%
Census Code ! d Zoning R- ? City Water
SAC Units - Stories ? Booster Pump ?-
# of Units Sq. Ft. PRV ?
i
# of Bldgs ? Length ? Fire Sprinklered
Type of Const Width .? ,
REQUIREDINSPECTiONS
Footings (new bldg) _ Sheetrock
Footings (deck) FinaVC.O.
?. Footings (addition) ? Final/No C.O.
Foundation HVAC
Drain Tile Othe*
Roof 14? Ice & Water ? Final Pool Ftgs AidGas Tests Final
? Frazning _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace _ R.I. AirTest Final Windows
? Insulation _ Retaining Wall
Approved By: Z!o , Building Inspector
--------- ----?-- ---'--
ease Fee G!^ r L 1-@ 7 9 S
a?
Surcharge
Plan Review
MClES SAC fJAG K 15O p V- r
Cily SAC F%Yqre,i oao
.
m
Utility Connection Charge Lptiaprtl? ? h?r ?4^0101
S&W PeRnit & Surcharge G
Treatment Plant
License Search
Copies
Other
Total
Oli1?i2002 MO\ 09:23 FA% 7835332888 SAWHORSE INC
r -
h kUl•I : IHHf I FhIG I I 11=CR I I!i3 I i UFA:. 1,10.
: 70 ?-17?-6?f31
JAHN ENGINEERING, INC.
CONS{IL7'lAf13 ENOINEER/Np
8518 VaAey View Road
Carcoran, Mlnnesota 55340
OlFIee/Fax: (642)-4766
7?,, -, 'c." y .z_ac z cs•Sr
Mr. Rick R7tey
Sawharst pesigners 8c Fiuilders
4740 42°a Avc. N.
Robhinsdale, MN 55422
Re: Nelson Projact
525 Hawttsome Woods Drive
f.agan, NSN 55123
DearMr. Riley:
ZOOa/OOJ
7an. 1: 3W,8 OiH:37PP1 P3
Ianuary 12. 2008
L have reviowed the plans for the Nelson froposod addition and ricmadel plan rdalive W
thC stcxl beam head4,-r spunning 12 fect in t1w Lower levei. [t is holding the stnu,Kure over
the drior that leads to the cacercise roOttL
Uur discussion for framing considerations lead to the selection of a W74x22 sKee1 beam
The anatysis that I did indica6es that it is very edaqu2ite fur both strength end cEetlectioa
If you have any questions or.desire any additional info[mation pleaw call me-
Sinx:Gnely
Bernard J. 7ah,?P.
Minnesota I.&cnse 9476
01i14/2002 MON 09:23 FdX 7635332668 SAWHORSE INC
Date: 1/10/2008 Revision DaYe: 1/10/2008
Site Information
Address 1: 525 Hawthome Woods Drivs
Address 2:
City: Eagan Caunty: Scott
Apalication information
Business Name: Sawhorse Builders Inc.
Contact Person: Rick Riley
U002/OOa
Existing Construction: 1994 and after (7670).
Project #: 1982
Lot: Block:
Subdivision:
MN ConVactor Licanse #:2382
Office Ph: 763-533-0352 Fax: 763-533-5716 Cell Ph:
Address 1: 4740 - 42nd Avenue North
City: Robbinstlale State: MN Zip Code: 55422
Minimum Mechan9cal Code Reauiremerrts Met
Will you be replacing or adding a water heater, fumace, or boilen NO
Will you be installing a decaraUve solid-fuel appliance? NQ
Will you be instaliing an exhaust fan 300 CFM or greater? NO
You h$ve met the minimum requiremerrts for make-up air and combustion ais as
required by the intematlcnai mechanical code, as atlopted by the state of AAinnesola
with amendments.
r(Z%cu f4c.sy
Applicant Name (pnnt): SignaturelDate:
Code Official (pnnt):
Signature/Date:
100d naR,. i
01i081-2002 TUE 16:00 FAA 7635352668 SAWHORSE INC
CA)JI REScheck 5oftware Versian 3.7.3
Compliance Certificate
REpOrt Dete:7TJ27/D7 lzEViSw
Data fllenam0: CftProgram FlIeslChaddRE5rhecMnelflm2.rck
fpj 002/004
P9imlt# `
Pertnit Oate
?E rr?? EP oW E?
JAN 0 9 2008
Energy Cak: 20001ECC
Letallm' Eagan, MInn080ta
c«,sm,cam ryaa: singk Famiry
GldZing Ares PefoBMage' 7$9'e
Heating Degrea Daya: 7981
Conshuction SiOe: OwnedAgent: DeggneNCanLaeta: ,
- - - '
Ceilirg 1: FIeF Ceifing w 9cissar Tiuss: 271 0 5.0 7
waut:woodFrerre,w( 1IW??o•s8. Slr?'a. 1125 x?.o o. 52
wintlew 1: Woetl FramevouWe Panewith tuw•E 10.5 0.330 35
lMntlow 2' Wood Frame:Double Pana vAth L.ew-E. 25 0.330 S
Dwr 1; payy. 75 0.330 25
Complance StetamenL• The p'opased bWfNng daslgn daealhae nem ie Correwtent witn ri+e Wiidiig Glarie, ePoeftatione, end other
ealwletlOns 9ul]mittetl with the pemvt apptication. The propo.5ed buil6ng has 6een deslgned to meet the 2000 IECC mquirements m
REStherX rslon 3.7.3 an ! to mmpfy WtIh the mandetary eeq?aremenb liated in ihe RE3cherX Ingpection ChecldisL
6 ' ?,?v3WnR5? ??v?ts 'tNe Z? 0"7
ullderNesign CompnrnJ NamO DoW
t2-ICX rt
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DATIE:
BUILDIfNG INSPECYIONS DBl/ISBOftf
SIGNAA
SURVEYING ?SERVICES INC.
mlLwsoWW•9«teE• Li1L ooD
e??.:roMh? +?'n HOMES. • INC.
Nelson"
v?i°?rwi?vrarnussnimsu? szs 1{dW*Gphe_ 4oajLSDf, .?+
JI F;;F-ja.n, MN
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3Sx I %9't $ ?? V li... L)
4
?, {? J e flB?W ?=7r Date ?
y y? ??\1_?' , 51p o` ? t kWEERINGDEPT.
CvacaK}}
?? Scale.: ("=30'
`3±J r-e-?;=; ? _...- ?.-.,._.
? -LEGEND- ?osoVa L`u??ti::.u
i, o Denotes Iron Nanument PROPOSED f,ARAGE FLOOR ELEVATION= B?yZ
- Denotes Wood Hub Set PROPOSED TOP OF 840CK ELEVATION= 884.ar
,e83.7 Denotes Existing Spot Elevatian PROPDSED BASEMENT FLOOR ELEVATION= 8??'• S
(Ysavz) Denotes Proposed Spot Elevation
r-'-? Denates Orainage Oirection *NOTE: Verify all Bld9. Dimnsions and
Floor Hesghts with Final House Plans.
-PROPERTY DESCRIPTION-
-SURVEYORS CERTIFtCATION-
I heretry certify that this survey, plan or
lot 33, Block 2, HAWTHORPlE 6lOODS 2ND report was prepared by me or under my
APDITION, according to the recorded direct supervision and that S am a duly
p7at thereof, Dakata County,?YAinne"s"oYa,. Registered Land Surveyor under the 1aHS of
---_the State of Minnesota.
¢- Date:
_ Wayne D. Cordes, Minn. Reg. No. 14675
?
CglvdrgCAus F0R8
ii
fii 1 Seaeca Rn3A S..t4e E-
Eapan, Mlnnesota 55122
Phone:(812)452-3077
DIIAINAO[ AMO YTIIITY [A3[MLMTf A11t
iNOWMiMYf,
9 ? _j ?s Q
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-LE? GEND-
S o Denotes Iron Monument
a Denotes Wood Hu6 Set
x883.-1 Denotes Existing Spot Elevation
(x984.z) Denotes Proposed Spot Elevation
??--- Denotes Drainage Direction
V r
Scale. : I 30
?J
?(?
¦ Y 57 e B 1t le? i?'a.=° t: euca ar`
PROPOSED f,ARAGE FLOOR ELEVATION= gBy.Z
PROPOSED TOP OF BLOCK ELEVATION= 8L(? -1S
PROPOSED BASEMENT FLOOR ELEVATION= S-16' S
*NOTE: Verify all Bldg. Dimensions and
? Floor Heights with Final House P1ans.
-PROPERTY DESCRIPTION-
-SURVEYORS CERTIFICATION-
I hereby certify that this survey, plan or
Lot 33, Block 2, HAWTHORPIE WOODS 2ND report was prepared by me or under my
ADDITION, according to the recorded direct supervision and that I am a duly
plat thereof, Dakota County,_;Mj'nnes'o:ta,. Registered Land Surveyor under the laws of
= the State of Minnesota.
. .. ? .. WQ ?.a- Date: "/Ze 1q3
? Wayne D. Cordes, Minn. Reg. No. 14675000
SIGiV1A
SURVEYING
SERVICES INC.
pOnlt CaRvItICIls t4Ro
?
y1GMA
SURVEYINC3
SERVICE3 INC.
19'tl Seneca Paad •Sw}e C.
Eapen, Minneeola 55122
PhoM: (612) 152-3077
OIIAIMA69 AMD YTILITY t4f[M(NT1 Rft
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?' -LED -
? o Denotes Iron Monument
d Denotes Wood Hub Set
x8831 Denotes Existing Spot Elevation
(x884.z) Denotes Proposed Spot Elevation
- - Denotes Drainage Direction
PROPOSED GARAGE FLOOR ELEVATION= 88y.Z
PROPOSED TOP OF BLOCK ELEVATION= 8".5
PROPOSED BASEMENT FLOOR ELEVATION= 816,5'
*NOTE: Verify all Bldg. Dimensions and
Floor Neights with Final House Plans.
-PROPERTY DESCRIPTION-
-SURVEYORS CERTIFICATION-
I hereby certify that this survey, plan or
Lot 33, Block 2, HAWTHORPlE WDODS 2ND report was prepared by me or under my
ADDITION, according to the reG,o,Y;ded direct supervision and that I am a duly
plat thereof, Dakota County";:_Minnes'o';ta,; Registered Land Surveyor under the laws of
the State of Minnesota.
+o/ZA 1q3
Date: w
? ,- `Wayne D. Cordes, Minn. Reg. No. 14675 -.WO
? ,e way
.?
?
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 525 Hawthorne Woods Dr
Lot: 33 Block: 2 Addition: Hawthorne Woods 2nd
PID:10- 32151- 330 -02
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Practical Systems
4342B Shady Oak Rd
Hopkins MN 55343
(952) 933 -1868
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
Owner:
Douglas B Nelson
525 Hawthorne Woods Dr
Eagan MN 55123
Mechanical
EA083076
05/15/2008
ePermit
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Use BLUE or BLACK Ink
�-----------------,
� Far Office Use I
� (,,y I
` � Permit#: ��-�/ -� �
�lt� 0�����Il � � ' ���
jPermit Fee: �`
3830 PiFot Knob Road 1 a ` ,1 ,� �=�j�
� Date Received: �,r�
Eagan MN 55722 � '�
Phone:(651)675-5675 t�k F 2 -� �
Fax:{651)675-5894 '"-'", � °°s° � Staff: �
L------------ --�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ���3^15 Site Address: S25 tifh.uTlia2.�� . Wtxa�S D2 C�9ca�+�l Unit#:
-�" �� ������, ',
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� �� ���� �`� Address/City f Zip: _-f"j,�5 �1w'TH�2NE Lt�S i�tL �c�Pb.t mN SSi23 �
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��� . � ������ �� � 4� Applicant is: Owner �Gantractor —� �
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' *, � � �` Description ofwork: �^rluc.z�A�Bar{� �'a-1R�r�-c.st� �unt�Ct�rz�T� c�cz.x�z_u��-n�init�ry
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� Company: �A�w S� f.�[�ti�1z.S £�.�n2c Contact:L�At.t IY�c�lostL�/
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� ���� �'�' Address: �"l�-�2�D �IU� iJ City: �o�BiNSbA�t�,
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� �. � � � �. � State:�(Y1N Zip: �5`�2.2 Phone:?�53-53�-�352 Email:r,�,mc.noslr,wt 5c;��uhofse.v��t.r�rn
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��" � � z License#: �L r�p 23�32 Lead Certifcate#: N{}T-248 t�9—i
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If the praject is exempt from lead certification, please explain why: (see Page 3 far additional informationj
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 manths,has the City of Eagan issued a permit for a similar plan based on a master pian?
_Yes _Na If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
� � � �
�����������tlY ' g ��Y �� �. � M., �`����n �+� FL..� k ���:� �i�f�� �� �'�Y,y.,�i„I�� �� � �+3 � .
f�;i ". �-s=�"' ''3; $'a t �,a' C � 'u".''f^ a+ .` ,r" ;, � � k€ .. 'r< w�' —�" `,�„' :?, fdF-�' `T 1,$,r f,j p �,
;� ,,;.. . �� S i. "k� ,-`�' �# � o-s�:ux �r-��:�`� ;� � �.�. �.
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CALL BEFORE YOU DIG. Call Gopher State One Call at{651)454-0002 for protection against underground utility damage. Call 48 hours
befare you intend to dig to receive locates of underground utilities. wnkw.gopherstateonecaii.orq
I hereby acknawledge that this information is complete and eccurate;that the work will be in confamance writh the ordinances and c�des ofi the City of
Eagan; that f 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 app�nval of plans.
Exterior work authorized by a building permit issued in accorxiance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x f/IYY1'etA9�-G��-U L l��n x `7����"'`�--._.----�
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
� _
J�� ��l'�iT�G�i�'��G ���CSS �6C t
DO NOT WRITE BELOW THIS LINE /c�7�(�r
SUB TYPES
Foundatian _ Firepiace _ Porch(3-SeasonJ _ Exterior Alteration{Single Family)
�Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration{Multi)
_ Multi _ Deck _ Porch(ScreeNGazebotPergola) _ Miscellaneous
_ 01 of_Plex ! �awer Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement � Siding _ Demolish Building*
�Addition _ Move Building _ Reroof _ Demolish Interior
_ Aiteration , Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining WaU *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation �� ��� Occupancy f#�+�'.� MCES System
Pian Review Code Edition ����i;,1 SAG Units
(25°!0_ 1Q0%�} Zoning �f (�p� City Water
Census Code Stories �— Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction _T_�� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) �C Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Rir Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test �Final Siding:,�Stucco Lath _Stone Lath �Brick
�C. Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls � Other. � �`� "'� ��_ �
. r
Reviewed By: , Building Inspector
RESIDENTlAL FEES ��J ��� ,,,��"`�i' �, �j�`i,fR/����,����a`�
Base Fee �"-� f `�� �``
Surcharge ,�, } � �'� ;;�>�s�+ �,� ' ;�t�
; ;;>�, '�✓�,�!
�
Plan Review � � � � ���
..�° �'�,
�. ; '.� ,,� �,,� , �.
MCES SAC � �� s�#����"� f€i.���'`
City SAC ;� .�- i� � -���� �'� � ����
,� � � �:� � �
Utility ConnectiQn Charge � �, � ���,� �,� �
S�W Permit 8 Surcharge �'�,>�,�'`.=°'�� �,t ' r'? � �
U'
Treatment Plant ;�- �� ° b `�� ��f �
Capies � X ..���
a�:. � °�
TOTAL ` � � �
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1 5 ;���r� #�a:
� 9#�.�� ` Page 2 of 3
��i�'?,,,tit��x�'
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131850
Date Issued:07/10/2015
Permit Category:ePermit
Site Address: 525 Hawthorne Woods Dr
Lot:33 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-330
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:4 Bath Fans
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Douglas B Nelson
525 Hawthorne Woods Dr
Eagan MN 55123
Practical Systems
4342B Shady Oak Rd
Hopkins MN 55343
(952) 933-1868 X205
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
-----------------,
� For Office Use I
� I
I
��+ 0� �� n n I Permit#: � �
ll l �/'� �
6 �u 1 � Permit Fee:��� . W I
3830 Pilot Knob Road � �1 �'"�
Eagan MN 55122 I Date Received: I �� — �
Phone: (651)675-5675 j c�-j i
Fax: (651)675-5694 � Staff_
-------------i
2015 RESIDENTIAL PLUMBING°�����1�APP�ICATION
Date: !"-�0-1� Site Address: �ol� �a.r✓�'1-�tr�^H e- WC2c�S ��''i�l��
Tenant: Suite#:
Y � . .
�� � ��" Name: .�����j h ���'�='S Phone: �,5-�' ���" 7��Iv I
ntJOwner
��``}`� ',
� �; Address/City/Zip: ,
�� .,,�,� ��� / �{ I
Name: ST�I v�/�t�,� ��UH,.t1i�� l�+L License#: lUs��s S
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�,� .. Address:_II Z � S�'F'� �7` 5111� j�I City: 1:..�GS�-r.
'���' Contract�t����
�,
}s State: �✓� Zip: ��3� � Phone: qS�-3C �-dIZ�
�
�;${ ..° Contact:��� �L���' �� Email: �is '� �h� �11�6/h . Ld/Lt
s,$� ��
� �'� e��,�W _New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
��� ,��
�
�° '��� � ��'`� � Description of work:
fi} x . .
��a������": � �� `��; RESIDENTIAL
�,,�
Water Heater
Water Softener
`��" � Lawn Irrigation�RPZ/_PVB)
Pe . � �Add.�Plumbing Fixtures�Main!_Lower Level)
.�� ' Septic System a _ S�.L Qn�
���; � :� _New Water Turnaround
�� � - ma�n.r�
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround"(includes State Surcharge)
*Water Turnaround(add$210.00 if a 5/8"meter is required)
$115.00 Septic SVstem New(includes County fee and State Surcharge) ��j
TOTAL FEES$ "'
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.aopherstateonecall.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 ermit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of s
x��/.S�l� / ' C'✓G vl'�� x �
ApplicanYs Printed Name pplicant's Signature
� �,,_
t� %�� k, � � �
FO�,��FICE U�� Review�d By >;,� <����'e '
-� �. �, -��,
,; ,. � � � �� , �
Res�uared�lr��p�ections�`���, �lJrtd�r Gr�c��,�i�?� �.l��►r�(�� {� � ��ir�es � G���,� �,����� Fifi�a�� ��*��n
.�ac �.,. " '� ��.� �� ` �� # '�"-. �'r'� ,. .. >. : , �� �
� N�e�er R�la�+�i��i�Zems. ��I������������_..,� , ����i�`ad'��� ���,�. ���a�a�leter r,�*���� `S�°� ��:� ��"}�.�g*� „c''�
�
F��
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145605
Date Issued:09/15/2017
Permit Category:ePermit
Site Address: 525 Hawthorne Woods Dr
Lot:33 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-330
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 -
Douglas B Nelson
525 Hawthorne Woods Dr
Eagan MN 55123
(612) 386-5619
Advantage Construction Inc
18563 Vermillion St
Wyoming MN 55092
(763) 354-8441
Applicant/Permitee: Signature Issued By: Signature