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529 Hawthorne Woods Dr Use BLUE or BLACK Ink I For Office Use Z I Permit#: City of Ea an ~ 1 Permit Fee: I 3830 Pilot Knob Road 2-i Eagan MN 55122 Date Received: 1 Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 I Staff: + J "J I I 1 2012 RESIDENTIAL BUILDING PERMITI APPLICATION Date: Site Address: S (".y X111 /F1 e 1N'Ue~~^' Unit Name: ~e Phone: /0~'7/'~ RESIDENT / OWNER Address/City/Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: H RY " re~'JF Construction Cost: / (e Multi-Family Building: (Yes / NoJ ) Company: f) Poo F~T_-,A~ 6- Contact: o e- -777d %w- S CONTRACTOR Address: 0110 -7h07111- (1 A~,,.C( City: vi J/~ State: / `Al Zip: Phone: (a1g-C910/ ~pg8 License )3(&~qlo Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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 maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota Stat Building Code must be completed within 180 days of pV7~' x ~Oe &145 x Appli Vs Printed Name Ap ca 's Signature Page 1 of 3 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob F3oad ? Permit Number. Ea an, Minnesota 55122-1897 j'°• :? ?r 1??h 9 ?.? Date Issued: .(612) 681-4675 ' . ?"..1 -A.: iHJl.1L?..1'_.T.:rJ'Ni[ SITE ADDRESS: t c+T1. -i 2 K 1 u c r? ? II RW i HC1FtNtUitl?)fi? : f}1+ Ilr?r;{!! Il??r'f'ai II??l;f?', Mir PERMIT SUBTYPE: itr 1 t APPLICANT; TYPE OF WORK: r,t ?? TtVAt I Permit No. Permit Holder Dete Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMINC., ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING ' GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HT(3 ORSAT ?EST BLOG FINAL BSMT R.I. BSMT FINAL DECK FfG - DECK Flr,;;i - ? --- ? ` ' ? !-/YL _ - - - - - -- --- - ? _11_ ? CITY rJF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 i RECaRn PERMIT TYPE: Permit Number: Date Issued: ? SITE ADDRESS: 4 .,. i' ? PERMIT SUBTVPE:. ? . I ( APPLICANT: TYPE OF INORK: INSPECTION ? r? • „ . ., ? Ff t M'A itt? J'ItV kl NI.KR I'1itMl".;t1N F`I. f+?i ? ? ?sr. Permit No. Permit Holdar Dete TeleQhone A SNV PLUMBING HVAC ELECT C 51 ,5 y? adpp ELECTRIC Inspection Date Insp. Cpmments Footings I FoundaUon Framing ?a 9,y Roofing Rough Pibg. ? ?'? ? 8 Rough Htg. isui. ? 2 ?? Co i s- - 3 Z Fireplace 6 Final Htg. Orsat Test Final Pibg. ) Plbg. Inspector - Notily Plumber Const. Meter Engr./Plan Bldg. Final Deok Ftg. ? Deck Final Well Pr. Disp. y 1- Wertificate of Ccculpanc? Ktm 0f cfRgRli r.. MeOarttaeut of $Mi[biag 3"oection This Certifcate issued pursuar+t to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the Cily riegutating building construcrion or use. For the following: llse Qusification: Am ac 81dg. Pertnii No. 97761 Om"ncy lype R3 Ml Zaaing Distriat $ I Type Coasi. MN Owrcrof BuiMing T.TFF_S'TYf.F' FALS TN' Add2ss 148Q T.AKF. PARK !?TR_ F.A('AN eoilding Addmss 529 HAGIiI-1[7i2N7, ( 9"0D5 T)R7VF. Locality 1,32 R7 _ HASSUYIRNF: LvCYYL4 ?lVn '1 - _r! Date: Btrilclirtb POST IN A CONSPICUOUS PLACE Address 529 HAWIIHOgNE kY)ODS DRIVE Zip 5512 3 I.ot 32 Blk 2 Sub HnwnioxM WOons ?rm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECPION. Date: 1/4/ Yes No Inspector: PAO Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas v' Sod/Seeded grass TraiUcurb damage ? Porch ? Basement fmish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the ou4side lawn faucet before freeze potenlial exists. Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy ? _ . PERMIT M057609 CITY OF EAGAN PERMIT TYPE: 3830 Piiot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027628 (612) 681-4675 Date Issued: 05 /24 /96 SITE ADDRESS: 529 HAWTHORNE WOODS DR LOT: 32 BLOCK: 2 HA$W7HORNE WOODS 2N0 P.I.N.: 10-32151-320-02 DESCRIPTION: ¢?uildfnPermit Type DECK ?BUilding Work Type NEW tenegxa Ca.d? ? 434 ALT. RESIDENTIAL ?t i , ?--? ?'`. r?cu= REMARKS: FEE SUMMARY: Base Fee Surcharge Lic. Search Fee Total Fee $45.00 $.50 $5.00 $50.50 CONTRACTOR: - Applicant - s-r. LIC.OWNER: LIFESTYLE HOMES INC 14547$66 0001285 FEIL MARK 1489 LAKE PARK CIR 529 HAWTHORNE WOODS DR EAGAN MN 55122 EAGAN MN 55122 (612) 454-7866 (612)454-4839 ? I hereby acknowledge that I have read this application and state that the infcrrma;tiiorf=is ccrrrieC and agrse- to comply with el'I, applinable State o'f Mrt. 5tatutes and City of Ea9an Qrdinances. ?.??.,.. ? APPLICANT/PEqM E SIGNATURE ISSUED BN S AT CITY OF EAGAN ???? 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construdion Requirements RemodeVReoair Reauiremenls CCi XX2G?.°S' ? ? ? 3 regislered ske survays ? 2 copies of plan ? 2 eopies of plans (includa beam 8 window sizes; poured fnd. das(gn; ete.) ? 2 site eurveys (exterior additions 8 decks) ? i enargy calculations ? 1 energy calculations for heated addilions ? 3 copias of tree preservation plan H lot platted afler 7/1/93 required: _ Ves _ No DATE: CONSTRUCTION COST: P\ DESCRIPTION OF. WORK: STREET ADDRESS: y a- BLOCK ? SUBD./P.I.D. LOT ,2 PROPERTY owNeR CONTRACTOR ARCHITECTI ENGINEER Name: ?df) Phone #: y rws. . _. fl 6\ . Street Address:J-1 I ?-L.?. vT: A A )+U ity6Y14 14 4 1 [^ ?`--' 1?11 City: State: ? Zip:? f?- Company: ? jj(4/hA_?Xphone #: Street Address: lwft!a ?L.11 m-License #:?F??I City:?/aC??'.Q Xl State Company: Name: A4_ Zip:31 o%`-- Phone Registration Street Address, City. State: Zip: Sewer 8 water licensed plumber: 1"/? . Penalty applies when address change and lot change are requested once permit is issued. ` I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ??????ED) ? OFFICE USE ONLY iA14V , 5 11?? ? Certificates of Survey Received _ Yes _ No ------- --,o- _e Tree Preservation Plan Received _ Yes _ No ? OFFICE USE ONLY BUILDING PERMIT TYPE ,. ..? ? 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 5wim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-piex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ?v 15 Deck WOfiK TYPE ..., ?V 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 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. fl. sq. ft. Footprint sq. ft. Building Engineering MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance ? ev/ ? ?- Permit Fee Surcharge Plan Review License 0 MCNVS SAC City SAC Water Conn.', „ Water Meter Acct. Deposit 'w SNV Permit ? 11 Surcharge Treatment PI.# Road-Unit Park Ded. Trails Ded. Other Copies Total Valuation: $ 1r % SAC SAC Units ? c;ITI('OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUSLDING 022761 12J27/93 SITE ADDRESS: P.S.N.: 10-32151-320-02 529 HAWTHORNE WO(JIJS OF2 LOTa 32 BLOCK: 2 HAWTHORNE WOODS 2ND DESCRIPTION: ? B?,c?,?'?g?permit Tvpe SF pWG i].d'artlo, WRrk Type ¢u NEW U•qC 060Up&ri R-8 M-1 Gonstruetion 'Fyrpe V-N Z o h i n.,g R._.1 BuSld9tar LFngtti 59 Buildinx WitYth 40 $ql:Jelth4 stories, z ?'?g ? ? ????tig REMARKS aav FEE SUMMARY: 5& W pLBR - THOMPSOIV PLBG 8ese Fee Plan f2aview 5urcharge SAC SAC % SAC Units 5ubtotal vpLuArzoN $567.90 $563.66 $82.50 $750,00 100 1 $2,263.05 $165,080 MISCEILANEOUS $,?1e744.50 ?. 7nta1 Fee $4,007058 CONTRACTOR: - RPPlir..ant - sl', L1c. OWNER: LIFESTYLE NQMES INC 14547866 0001288 LIFESTYI.E HOMES SNC 1489 LAKE PRRK CTft 1489 LAKE PARK CIR EflGAN MN 55122 EAGAM MN 55122 (612) 454-7866 (612)454-7866 I ? Z hereby aaknaarledgs th,at I h.ave rea€3 this application and staCe that the informat?o,n 18 c€rrrect ood agree tq ctrmply with all aPp1ioah3.e 5tete o`F Mn. Statuties and Ca.ty af Eagan brdiilatrces, L s? ?`? ? 7 1SSUED ICAN?f/P MITE?,a^?{yA ?iLLr? E -- : SI NANRE? ? REACTIYATE _, PEW?I;T 21#1 (o? CITY OF EAGAN 40011- 5.JI At?L;tu v tU 1993 BUILDING PERMIT APPLICATIPNp;r • 5 1993 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy af energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 12 ? 13 ? 93 Yaluation of work Site Address: 529 HAWTHORNE WOODS DRIVE STREET SUIiE M Tenant Name: (commercial only) IAT 32 BIACK 2 SUBD. HAWTHORNE W00?5 2ND P.I.D. N Descri tion of work: SINGLE FAMILY DETACHED The appl i cant i s: ? Owner El Contractor ? Other (Deacribe) Name FEIL, MARK AND J[JLIE Phone 687-0178 Property LAST FIRST OWner Address 3677 ASHBURY ROAD STREE7 STE N City EAGAN State MN Zjp 55122 Company LIFESTYLE HOMES. INC. Phone 454-7866 Contractor Address 1489 LAKE PARK CIRCLE License # 401288 EXp, 3/95 City EAGAN State MN Zip 55122 Company LIFESTYLE HOMES. INC. Phone 454-7866 Architect/ Engineer Name Registration # Address City State Zip Sewer 6 water licensed plumber THOMPSON PLUMBING Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY SUfLDfNG PERMIT TIPE • „% ? H? ? ?? ? O1 Foundation ? 06 Duplex 0 11 Apt./Lodging 1 Bas errt Fihish, /ff 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Stim"?'or**- ? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? ]4 Fireplace ? 19 Comm.JInd. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE IJ 31 New ? 33 Alterations 0 35 Tenant Finish ? 37 Demolish 0 32 Addition ? 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) 1/ Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 3 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories z Foatprint Sq. ft. Fire Sprinkler Length y On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Yariance , REQUIRED INSPECTIONS ? Si te ? Wallboard M Footing ,E? Final ,?F Frami ng ? Draintile a Insulation O Fireplace Permit Fee 5urcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Yaluatfm: 6?s•.+ ?r- ? k?9, S= 288, 7.S 19,S.F 3?` = (o2-11 ( TX 5' < <40 /yyoxS % _ Zo,??- l.S= ?o.?.s ?--- ? 7%IyBS,?S //??.33?Y Y," p ss s ?-?---- SAC. % SAC Units E" D D Er a o 0 0 0 H? ? e- n o 0? D D il- 0 0 o a? o 0' 0 0 D''0 0 LOT SIIRVEY CHECRLZBT FCx RESIDEHTIAL BIIILDING JIPFLICIITIODi ? PROPERTY LEIiALS Dat• o! 8urvey: /? • Reqistered Land Surveyor signature and company • Building Permit Applicant • Legal description • AddTess • North arrow and bar scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Direational drainaqe arrows with slope/qradient t. • Proposed/existing sewer and vater services • Street name • Driveway 13 M'_ D • Exiatinc Sewer service 8" D ? • Lot cornezs ar- II 13 • Top of curb at the driveway ? D ? • Elevations of any existing adjacent homes Proposea D' 0 ? • Garage floor • Fizst floor E? 0 0 • Lowest exposed elsvation (walkout/window) 0 • prcperty corhers O? 0 0 • Front nnd rear of home at the foundation PONDiNa AREAS (if aaaiicable) D 6l 13 • Easement line 0 0' ? • tawL D 0 • HwL 0 ?/ 0 D 0 • Pond # designaLion Q • Emergency Overflew Elevation DIMENBIONS ? 0 0 • Lot lines ? 0 V D • Right-of-way and etreet width (to back of curb) 0 0 • Proposed home dimensions incYnding any proposed decks, overhangs greater then 21, porches, etc. (i.e. all "' structures requizing permanent footings) 0 13 Q • show all ensements of record and any City utilities within those easements v0 D • Setbacks of proposed structure and setback of adjacent - existing homes 00,11 3 • Retaini 'Eift irements, if any Reviewe / ? A2W97 -- October 1992 ? ? Cities Dijzital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. D r_c--a_.-9 Z ri 0,14 1 u:0 se EENt1ETT -. • tXIERlCIfl ENVELOpE AVERAGE PU" t[1NFUTATIDN p.ci:? J1.ry: f ?S : ^,_._.Y__ G.'? i? ?is_?,.....] ?q., ? ?'? _?.:1...?' ° , +-,. ? + 'M • ? - M?1 , ? , •?'?,F. Af?:;i.,?.?s. _.__ _ ...,..,..,...-.......W,...` : .: ??.,... ??.,..... ?? . ,.u......._._„. ?.._.___, ?dA7E ?5?..__?___ _ .......,.... ._..... ....... ...?..,_...,,.....?_. i....-9 ftiRNE: .,,,,,,..e..,,,,:,.__ SiEiERttlNF VOnKfHG 5-7VAAE -r OOT!!fE bF EltCN; 7G! ? k%r^S?n ItAli. AIlEt1 ...,.... $q ot x I,U?, ^,l RU(,°/CEE+ IM6 AliEd . ... .. , . .026 tnL' 3.. TOt?I CxPGSEtr ttAll, !1!lEA C+11C101.AT9dtq5 ? >..•?.,,..__,.,,„ ? , I „? 'v, u ; ? ..a; ; r •?:,JSxS? 'FrP? ? ; ' , . .. . • e .,.?.... }, `K ?E?? , i x M+ed, . . - . . sq ? k re "u„ V 2 3, ? __... "?3" -_.. '.n! ±cc,r alrea ..d..,... ...---_-?? ` ---- ? gq ft u Q??t, _.-?!..??•''_, ?' 1I Z.? ? . ?n! slfdln4i 4I893 dvor erta; • ' ? , ,? .„., . ''°•? 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EENNET T P. 03 . . e. iUtt+CExE`OSED RRUFIGEILillti CALCULATIl1f15t rraa//ce0ling arcm.....,.. iq ft ?-_-? ] ) l n t a 1 6 k y 1 i ph t ares.....9?R q f t.; X'`U" ?,,......IZ,?,,,,r k) lntni roof/eeliinq freming • ??„ area (Averaoe 1n)1 , .. ... Sa ft,. x "U" 0 7ntel net (nsulated N, \d 2--. sq ft'; x *,Ula ?.` ? roofJCelllnq •rea....?.., ??..,_,? ? p. ? TOTpi. J? thru 1) , . ?.,. r j?f IP tatel af RN Ix tlie seme ef, or lefs ihan f2, you haYe met thE Intlnt pf !1i?•,r 2 HCnR 1,36008 A nnd 0. ? d , . ??. , . ALYERiIA?E 9UiLDiNC ENVELOPE h651GN ; 1a utlllr.c the totnl anvelapa oystam rneehod, the v9iue5 entsb119iia4 hy th6 fum of ltems !} end RA sha1) not ba qreater than the avm bE ltems N4 and 02. ? ?. • _._?.1.?`?...r*+ 2. ? -3 ?v?? ..?.?.? • .?..LA..q i?,,. . ?L" 2- ? p 'i7 ? ? ^ u r . • . # «•? •? • dyr?? "?,` . r `?k"h. , , yot I ? -? ? .? . .?/?i' J I ? f ? Lt RTlFlCATin?i ? ! ?? ? ?? ? e ' •, 1 herr.hy rt-rLOfY Chet 9 have colculoted thr, ''11l' tackoYd mnd "R" p: r vcluas firrelrt end thec thc butAdir,n hcrn dcscrlbed mcats or exceeds the Strte of P{6nneaato EnergY Conservatton f.ct. ,.. • sqnitu?et ? . . , ? 7 ?? . ?(u'j???;?'?'-??,•? :, , y?J[ . ,. ? ..;tL•., y`?.?? ., '? ! . .. 1?'y?±'•:'i? x?.?yl???q?a (Dat ) • : Fega.Y ' ' ? ? ? . ? ?? Y?'":?:Y'•?, . ??.? 4i " - r CITY USE ONLY PERMITq-77 rS RECEIPTDATE: RE5IBFJffIAL M£CHANICAL PERMIT APPLICATION crrYoF- EAEiAv S$SO PILOT KNOB RD Ek6M 1NN 55122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: ?L L:?-a{ c>-rftQ .h Q , OWNER NAME: ??t(lQ TELEPHONE #: i ??4s_(a-?4 (AREA CODE) INSTALLER NAME: STREET ADDRESS: ciTV: Place a check mark next to the oermit work rvoe TELEPHONE #: S51 Z"?? New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existinq dwelling unit ,r $ 50.00 • furnace replacement ? • air exchanger ' • airconditioner . other Nature of work: aloc c ld 32 ?IDU State Surchar e $ .50 Total $ so ? Reminder: Call for inspections. (01z?l U Z- ?L4L( (AREA CODE) Updated 1:01 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauiremenls RemodeVRenair Reauiremems 3 registered sKe surveys showing sq. R of lot, sq. R af house; and all roofed areas 2 copies of plan (20°k maximum bt coverage allowed) 7 set of Energy Calalations for heated additions 2 copies of plan showing beam 8 vdndow s¢es; poured found desgn, etc. 1 site survey for additions & dedca 1 set a( Energy Cak,ulations Addition • indica[e if on-site septk sysfem 3 copies of Tree Preservation Plan if bt plafled a8er 711193 Rim Joist Detail Optlons seleclion sheet (bklgs wiN 3 or less unifs ? i 70 1/ i-7 I Ge??Q.(,?e.( 3(3I? ?'^?f ?pvueorc?u `o ,_. Cerf ot SGrvey_Re6d?' ??=?` Tree'Rres:RJari:ite''cd"'='?-_Y?.?:N ? Tree PAUuired N s7,?c Date Construction Cost dVD SiteAddress ?,?`) f?u•>?ra?ne= y, 1/am?s 11? UniUSte # . R ?t ;r-% Description of Work &SByt,-4- P , ti S ?l Multi-Family Bldg _ Y? N Fireplace(s) ? 0 2 Property Owner Jm r r- i 1 Telephone #(( 5?-1)41!5? O% s? Contractor Address Cit3' State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (?I submission type) Submitted Submitted . Energy Envelope Calcula6ons Submiried Have you previously constructed a building in Eagan wiih a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review Telephone #,(-._)1 i ? , 1 , Telephone #(,? 11 Telephone # j J`1N I hereby apply for a Residential Building Permit and acknowledge that the inforxnati`on is'crn ptets-1,ankl 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 pernut, 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. ApplicanYs Printed Name ApplicanYs Signa Sub Types ? 01 Foundation O 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types OFFICE USE ONLY ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex PI6g_Y or_ N ? 25 Miscellaneous 0 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation / (7 oo Census Code SAC Units # of Units # of Bidgs Type of Const _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final Framing Fueplace _ R.I. _ Air Test _ Final Insulation W idth REQUIRED INSPECTIONS FinallC.O. X FinaUNo C.O. Plumbing _.JY HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: Tz , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge TreaVnent Plant License Search Copies Other Total ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doars •Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered ?? ? ? 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. .S Z`J , SZ) Date I I ? I ? ) q Site Street Address 5,.3 Unit # PropertyOwner Y?lul,( Fe-j / Telephone# (6s! Contrector / ?f? ? ? ?t , l Address City Telephone # ( ) State Zip The Applicant is: Owner _ Contractor _Other Alterations to existing dwelling 24__ Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnarou/n?d (?add $121.00 if a 5/8" meter is required) Other. _1'ti\z vJ_ _?R Vl ? - $ 50.00 Water Softener Water Heater _ replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00 State Surcharge $ 50 ? Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name ApplicanYs Signa re ? -------Use ----------? ? For Office City of Ea?an ?I?i4 7M I PePertnrmit itp Fee: r`-' j = I ? ?. o , ? 3830 Pilot Knob Road E8g8n MN 55122 j Date Received. ? Phone: (651) 675-5675 i statt: i Fax: (651) 675-5694 I 2009 RESIDENTIAL BUILDING PERMIT APPLICATIONG Date: Tenant: Suite #: ne: 65-t ySF???l7 ? Ph j l re - Jt RESIDENT/OWNER u o e,e- - S= - , Name _/V« ? r! Address / City / Zip: S Applicant is: Owner _ Contractor TYPE OF WORK Description of work: Construc[ion Cost: Multi-Family 8uilding: (Yes NoIKJ CONTRACTOR Name: License li Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILbING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residenfial Ventilanon Calegory 1 Worksheet • New Energy Code Worksheei Ca[B90fy Submined Submitled (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, da[e and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Confractor: Phone: NOTE: Plans artd supporting documents that you submit are considered to be public information. Portlons ol the information may be classifled as non-public il you provide specilic reasons that wou/d permit the City to conclude thai the are trade secrets. I hereby acknowledqe that this inlormalion is complete and acarale; ihat the work will be in confortnance with ihe ordinances and codes of the City ot Eaqan; that I understantl this is not a permit, but only an appLcation tor a permit, and work is not to start withoul a permit; Ihat the work will be in accordance vnlh ihe approved plan in the case oi work which requires a review and approval ot plans. X?L E J..! x ? App1icanYs Printed Wame Ap licant's Sig atiy e C Page 1 of 3 Site Address: ?? - 3 4.?6 v ? 40 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family Garage Porcif.(4=Se35on)' Exterior Alteration (Single Family) _ _ _ Multi Deck Porch (ScreenlGaiebo/Pergola) Exterior Alteration (Multi) _ _ 01 oT _ Plex _ ? Lower Level _ Pool _ _ Miscellaneous _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building' Addition _ Move Building Reroof _ Demolish Interior ? Alteration _ Fire Repair _ _ Windows _ Demolish Foundatfon _ Replace Repair Egress Window _ Water Damage `Demolltion of entire 6uilding -give PCA handout to applicant „v Valuation 00 Occupancy JJNC. y MCESSystem Plan Review Code Edition po ? SAC Units (25%_ 1000/ 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) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing _ Fireplace: _Rough In _Air Test _Final 7< Insulation Meter Size: _ Sheetrock Final / C.O. Required >,? Final / No C.O. Required ? HVAC Other: Pool: _Footings _Air/Gas Tests _Final _ Siding: _Stucco Lath _Stone Lath _Brick W indows Retaining Wall Reviewed By: 7?Z? , Building inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL ? CEYOWS CERTfFICATE YLE HOMES t ? /?. i ?0, ?6fV/iIN??kK 4?.dF' " ? `? z?, .,?? TO?Gi?aIFE &f+d ? ' • >:T .,?. U (1 6Y? / ? `• ? 'f!I,: ,$2n . ^f `'r t • ? c. / • :;? ,, o?;?..?y? ? ? Y., . ?_ ??g..? ? p?n° ? -; . ; ' ,>,tv ? / . ry;? ,, C o , • , ; _ . j ? ? ? N •.? . .. . _rFEO _l q, :-ti , ? , F.IEVO.FSV0E87 n "4! (%1 ,'(?R •? . ro/.' a Q ? ?•, - - -- % - ?- .: - - 1 \ - ? -._..... I ?. r J? ? ^I Hx?.i'J4 'fy ? ? ? '? i'?• ;i , ? ? l.q 7' Sr='"? , ? . ? . ; ? a ?' •,.-,• - ,?'' / ' •'' N { i I I b N ? ln . I , Fj = S' ?G i z " I I ,li L4 i i' Jai-nes R. Hi11, inc. : PLANNERS / ENGINEERS (SURVEYORS 25r)0 W, C7Y. RD. 42 • HURN;VILLE„btlV. 66?'37 • 612-890•6044: ? wamrAmd ? :I •i , 't C 12-26-93 1'1:19 LIFESTYLE FIOMES INC, FiME R NICE DRY! !! 666 Pe2 F1E/ f.Cf 71 ii}.l'!L tRJC SuRVE OR'B ;cERTlFICArE ; LIFE TYLB I-iUMFS , ; , NUl'E, NO BPECIFIC SOILS INVH8TI3ATIOIV HA9 BEEN CaMPLEiED bN'fH18 lOT BY ,IAMGS R, WILL, INC. THE SufTABIUI'Y OF E016a TD SUPPOftT 7HH 8PECIFIC HOU9E Y1401'04HD IS NOT THC PlEBpON31 BILI7Y OP JAMEB R. HILL, INC. NOf'g: lQ,pIryO OIMENSlW9 9MTYN AHE WR HDI'?OriTAI IVERTICAL IOCATION OP 3TRUCTURE OFHX..9EE . ARGt17wTUAL PLAN! FOR pUILDIN6 e FouNannoN OIMEltSqHy, Z.IE?WED EAGAN REVlE?VdED BY? 0;kTj 1 z= zr 93 1 ? . .?? ? 'J ?J ?'l ?G??NG?E GDE?G°?oLoMa 6?? +--^-^--" Ef4OtES PpOpOS@D SURFACE ORAINAQE O ENOTE5 IRON MONUMENT SET SCA4E: 1 1NCH - 3 0 ?gEi "• ' NNtiTES IflOM MONUMENT FOUNq pROPOSED QAiiAdE PLppR - 1541.4. , EET • X040.0 ENOTE$ E(Ig71Na ELEYATION pI40POSEO IOWE$t FLQOR - 11113.g. ' EET (000.0) ' EIVOTE$ PROPOSEO ELEVATION PROPOSEp TOP OF BLOCK - 842. 3 EET 'WE H@RE6Y OFtTIPYTO 4IFE9TYI.E FpMHS THAT THIS I$ A 7RUE ANp COIiaECT ? REpRESENT 110N OP A SURVEY OF THE,BOUNDAHIES pF; . lal 7. 9100k 0 ,HAWTHpRnEyy00DS tNC ADDIT'ION, ocCOrdlnp 10 the recaqed plaf ~, Dakoto County, Mtienjr,a!c. - . • . ' I7 00E9 NO pURPORT TO SNOW IMPROYEMENTS OR ENCROACHMEN7S, EXCEPT AS, BHQy4N. AS BURVEIED ME pq UNDEfi MY DIRECT SUPER"SION TH18 /G+'" DAY OF pEC. , 0117, N VYSqt 31QNED: JAME5 ILL, INQ. •. M10' PWN sNh ADOItqN PNANK Rppg BY: - , OlU4Y p, HAa 8,1_ANro BIiRVEYbR ; - -- MINNE'BOTA Um3E NUM9EA10849 , 1 ?4 N'' James R. Hill, inc, PtANNFERS I ENGINEF-RS / SURVEYrjFiS -- ., 2600 W. CTY. R0. 44 * BURNSVILLE, MN. 66337 0 812-89Q'60I4 R-94% ? 6126887180!; 12-21-93 04:19 , ? f j ? P002 #16' ? 12-2D-93 1'l:iB LIFeSTYLE HOM25 INC. HRVE R NICE DRY!!! 666 P91 ? ? . SURVE'YOR'S'CERTiFICATE LrF STYL Ht7MES t ? N i •-ee440-._ i o Jdb ----- ?? 1 , alr Y &D i Ll r .j 'rJ r . ? , N e"? ? ? / ? . yI `'?J ?2 ?. ' ?. ? ? 1 G I ? . ? / q .0 , 00 / . ? f ?- l . yc.v4Er i " ? a ' i,,igi James R. Hil! inc. '. ? PLANNERS I ENGINEERS I SURVEYaDRS 2600 W. CTY. R0. 42 ? BURNSVIIL.F- MN. 66397 • 612-890te044 'I _...._.. _ ?, _.d.? ._ . .. . . ?.. ,..._.. _ . - - ?? ? -. . . R-94% 6126887180 12-21-93 06:19AM P001 #*181 ?r rnr /?? b , ?• .,. ? ! ,?A. ? 6 ? . ? /`o• , ? A 4 ,. • . ?' }' '• j Y.:/n .f1 i . 0 '• . , k • ? .. 1- C'i ir . i } : N ?•?? ?1??/?, / ? REQUEST FOR ELECTRICAL INSPECTION ?p? r?7- q C -7 See msW cuons for completing ihis form on back of yellow mpy IPI G 5.1,TJ 1 "9i" Below Work Covered by This Request ?91( '0 •EB00001-OB ao?g7 ew Add Rep Typeol8uilding AppliancesWired EquipmenlWVed Home Range Temporary Service x Water Heater Elect nc Heating uilding Dryer Load Management t m./Indusinal Furnace Other (Specify) Air Condihoner spec?ry) Contraclor's Remarks Campute Inspection Fee Below. # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 ro WO Amps ? Transformers A6ove 200 _ Amps Above 100 _ Amps Sigf15 Inspedor5 Usa Only, { G? TOTAL ? Irrigation Booms / (i? ? ??0 Special Inspection Alarm/Communicahon THIS INSTALLATION MAY BE ORD ED DI 019NE,CTED IF NOT Other Fee COMPLETED WITHIN 18 MONTWS. -? I, the Electrical Inspector, hereby certify that the above inspection has been made. Ro.qn-m r Final • e. _/? f Z-? OFFICE USE ONLV This requesl vaitl 18 mon[ha Irom 3??25 ?? y? p 157 Request Date ^? p Rre I o. Rough-m Inspection Raquired' NOTICE vov Musl Call Elecincal Inspecror IfA Rough-Inlnspecbon es ? N. Is Reqwretl I,X licensed contractor ? owner hereby request inspechon of above elechical work at: Job Atltlress (Street Box or Roule No ) Qry ^. Sz v ?d,40;-no,eN o?3 :e ?/?e•?,? Section No. Township Name or No Range No Coun AKcn1 Occupan[(PFINT) Phone No ? P%SrYi- t? f c.ncS Powej?SuOP'iier AdCress UAKCn'? E /- tc,-,<'ic•l rRk;n??v? i-Vr?j EiecV I ConVactor (Company Name) Comramors Licenae No itns" - - . G4z: cne ,c C'/? O 1Y32- Mailing AtlCress (COnlractor or Owner Meking Installa?ion) /00. ,7ya??? P « A?«? MN ss12 1/ Autho1? tl Signature onha / ner Making Installabon) ? Phone Number I. _ -? MINNESOTA STATE BOAqU OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT Griggs-Mltlway BIEg. - poom S-173 BE ACCEPTED BV THE STATE BOARD 1821 UniversHy Ave., St. Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS Vhone (612) 642-0800 ENCLOSEO ----------------i For Office Use n F+i non Permit City of EaRd 1 I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION c Date: Site Address: _ Tenant: Suite it. RESIDENT / OWNER Name: 1-6,1~ Phone: Address / City / Zip: Sl 3 Applicant is: L Owner Contractor TYPE OF WORK Description of work: 1" 5 Multi-Family Building: (Yes / NO/<J- Construction Cost: 000 CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting' documents that you submit are considered to be public information. Portions of the information may be classified as non-public H you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x V 4 C x Applicant's Printed me Applicant's Sig at e Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porcfr,(4-Season)' _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen//Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of - Plex 7K Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement Siding _ Demolish Building' _ Addition _ Move Building Reroof _ Demolish Interior Alteration _ Fire Repair Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage 'Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation (~~t Occupancy MCES System Plan Review Code Edition N1a 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 L Width . 1-1 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 ')z Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test Final Windows Insulation Retaining Wall Meter Size: Reviewed By: I , Building Inspector RESIDENTIAL FEES Base Fee Surcharge / Plan Review l MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL to Z LL U0 cc z Luc Wp L] Z r z Q +O Z (L uJ -- 0 z' Q u111 WW oi Cosa �/ Liaz CJdO0�1=I" ~ Z N_ H Q ZZ* RZ u 2ce u. W =NNO 141 Z z g C r z PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162185 Date Issued:07/01/2020 Permit Category:ePermit Site Address: 529 Hawthorne Woods Dr Lot:32 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-320 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner 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 - Mark A Feil 529 Hawthorne Woods Dr Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162185 Date Issued:07/01/2020 Permit Category:ePermit Site Address: 529 Hawthorne Woods Dr Lot:32 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-320 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner 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 - Mark A Feil 529 Hawthorne Woods Dr Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature