530 Hawthorne Woods Dr?
.?
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road
Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 101 APPLICANT: I
? i, ?I?•.i1?tl?it?tNF I,li?nl?': ti?: i , ll????? I',
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION DA . D.
,;??? t ?: , ;?,???t i ?•??,
? rf rrn?r?, . '
1l frv M 1:, tI tiA r t F; ? nF?1 tjl
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JJ
Permit No. Permit Holder Date Telephona;
ELECTRIC G](l ?d
PLUM
HVAC f? b'' Q" DO
Inspection Date Insp. Comments
FOOTINGS
FOUND ll L? a
]
?17'?
?,
FRAMING
ROOFING ?? ?C
D f
ROUGH
PLUM8ING
}
PLBG
AIF TEST `
ROUGH
HEATING
GAS SVC
TEST
INSUL 0010,
D-
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINALPLBG v7T?/
FINALHTG
ORSAT
TEST
9LDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
ByTM?
j- '
• . ? ,?
C?;ertificate of cccuoanc?
Lsitv of ?agan
2*04ttoeat of srilbacg ?x?rect?ox
This Certificale issued pursuant ro the reqreiremehts of the Uniform Building Cade
cenifying that at the tince of issuartce this structure was in cornpliance with the various
ordinances of the Ciry regulating buil.ding consrructiore or use. For the follow+ng:
Use (]usifiatioa: RR 13r: BWg. Permit No. 765Qli
puoWn.y 7ype [4A] I - 7.onina pistrict R„J Type Const. VN
Qvoer of Buiidiog J sBMWs Address 4376 E7l1ir &j(i(K
Ad&ess Lacallry
Buildio
7? ? ? Dow:
Biuldin Otfieial
POST IN A CANSPICUOUS PLACE
1:1"ro ?.?
0- 9 F; o'
Reques Da[e Rre ough-In Inspeclion Reqwretl Inspedion OlherTh n uqh-In
(Vou u call mspeclor when reatly) ? Reatly Now Will Nohty Inspector
Yes ? No pate Reatl
I licensed coNractor ? oemer hereby request mspection of above electrical work at:
Job tlress (SVeel, Box or qoute No ) Cit
O a,
SecUOn No Township Name or N. Range N.
Occupanl(PRINT)
Suppher
? Atltlress ,
Contnctor (GOmpany Name) on ' Li se No
?? .? ?
MaA re ( raclor or Owner Maki g InstallaW
!Z
?
Y
A rzedS Wr ( (IF, Owner akm Inslalla
r? /
Ph / /
Y'
MINNESOTA STATE BOARU LECTFICITV
I THIS INSPECTION PEQUEST WILL NOT
Griggs?MlOway 61dg. - R 126
I
I
?I 8E ACGEPTED 8Y THE SiAI E BOARD
1821 Universdy pve., St. Peul, MN 5510E I UNLESS PROPEF INSPECTION FEE IS
Phone f619 642-0800 ' cNci n.ccn
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
w lOo See insimcuons for completinq lhis form on Eack of yellow copy ;
"X" Be/ow Work Covered by This Request
e Add Rep Type of Building Appliances'Nired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Load Management
Comm./indusinal Fumace Other (Specity)
Farm Air Conditioner
ONar (specdy) ConVeclor's Remnrks
Compufe InspeC[ion Fee Below:
N Other Fee # Service Entrance Srze Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 15,60 I l 0 to 100 Amps So:
Transformers Above 200_Amps Above 100 -Amps
SIJpS InsOectar's Use Only TOTAL 0
S
Irngation Booms l
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby
if
h
h RO°gh-in s e?-
cert
y t
at t
e above mspection has
been made. Final te
OFFlCE USE ONLY
I! A /
This request vaitl 18 months irom 5-3 0
`?V
Address 530 Hn.wixoR[vE woovs niuvE Zip 5512 3
Lot 6 Blk 4 Sub xawIIloRtC WOODS 2rID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: j Yes AIo Inspector: A'
Final grade (6" from siding)
Permanent steps (gaiage) ijp? ?
Permanent steps (main entry)
Pemianent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-oH of water supply to
the ouuide lawn faucet befoce 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 - Contracror Copy w
1_47-* Cv?/L/¢13?/L ?
?.d 1, = 53a5 (?1+'
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530 +; AwT-;
? b ( a ? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw Construction Reauiremanh
. 3 registered site surveys slmwing sq ft. of lot sq. ft. ot house; aM all roofed areas
(20 % marimum lot coverage allawed)
• 2 copies of plan shaxing beam 8 vrindow s¢es; poumd found design, elc.)
. 1 set of Eneyy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 111193
. Rim Joist Dehail Options selection sheet (bldgs with 3 or less units)
DATE 1C) - R> - C-2_
SITEADDRESS ?oaQ.S?l?71AUlTl-FAMILYBLDG _Y _?PI-
TYPE OF WORK C?S1 ?o FIREPLACE(S) --0 _ 1_ 2
APPLICANT Catastrophe Restoration Services Inc
STREET ADDRESS 2489 Rice St Suite 70 CITY Roseville STATE-Qp?ZIP55113
TELEPHONE # 651-734-9433 CELL PHONE #
FAX # R.ri 1-dR'4-n21 A
PROPERTYOWNER TELEPHONE#ln\?-2-\
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNF.S01:A RULES 7670 CATEGORY l YIINNES01'A RliI.FS 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: __
Plumbuig system includes:
Mechanical Contractor:
b'feckimical system includes:
Sewer/Water Contractor.
Air Conditioning
Hcat Rccoaery Systcm
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City?H_ag?Or
Signafure of
OFFICE USE ONL
Water SoRener
_ Water Heater
No. of Baths
RemodeVReoeir Reauiremenb
• 2 copies of plan
• 1 set W Energy Calculations for healed additions
• 1 site survey for exterior addi6ois & decks
. Indiwte it home served by septic system for additiorts
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
VALUATION \2 -ZZ -
Phone #
Phone #
>rmation is
inc s. ?
_. I
aa-g
Fee: $90.00
Pee: $70.00
agree to comply
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OB 06-plex ? 16 Fireplace
O 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
13 12 12-plex Plbg_Y or_ N
O 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
0 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 MuNi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (EnUre Bldg only) - Giva PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Foatings (addition) _ Plumbing
_ Foundation HVqC
_ Drain Tile pther
Roof _ Ice & Water _ Final _ Pool _ Ftgs
Air/Gas Tesu Final
_ FIaminB _ _
Siding Stucco Stone _
_ Fireplace _ RI. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Aetaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
TreaUnent Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
ToWI
Approved By , Building Inspector
1
° CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
c2444z.q
B uzG.ozNs
026598
J.0/25J95
SITE ADDRESS:
530 MAWTHORNE WOOU5 DR
LOT: 6 BLOCK: R
hiHWl'HORNE WOODS 2N0
P.I.N.: 10-32151-060-04
DESCRIPTION:
Buzldinq:.4"ermit 7ype SP DWG
8uiltling Inoj?k 'iype NEW
.'06C t3ocupancy-, t2-3 u-1
Construction Type V-N
Zcs.nirtg ?+ --. R--1
Building LengL-h 66
? Bui.kding Width ? 44
' Ewilding sticsries 2
_$q,u a r e Feet ` 2,743
?
?
` ..
A
t ? ?
xv
REMARKS:
ORIVEWAY eNTRFlNC[ MUS'1' 8E CONCRETE BEFORc A CERT QF OCC WIIL BE ISSUEO
NRV S& W f'L8R - t4 & W WA7ER AND SEWER
FEE SUMMARY:
VALUATION
Base Fcs
P,I ail RY,VlEW
Surcharge
SAC
SAC %
SAC Unit-q
SubtotaJ
$1,377.25
$482,04
$99.00
$£350 .N0
108
1
$ 2 ,8 e8 .29
$19L;,H100
MISCELLflNEOUS
l'Otal Fee
CONTRACTOR: - Appli°ant - sT. LIc
;J S IdOME15 16869092 0004944
4371 BENT 7ftEE l.N
EAGFlN MN 55173
(612) 686--9+092
$1,892.5@
? $4,700.79
OWNER:
i ;; i{nmFs
4374 6ENT TRCE LN
F_AGAN MN 55123
(57.2)6^06-9092
?
T hereby acknowledge that I have read this applicatzon and state that ths
inforriiat3on 3s cvrrect and, a9rea to eontply w9tli all applicabie S1;a'teof Mn.
Statutes and City of Eagan qrdinances.
P ICAN /PERMITEE SIGNATURE
?7,(? l,r?.l
-??OE?I TURE
" u 1N5YEC'1'1ON RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ?N Lo r: e a Lo c K: 4 APPLICANT:
530 HAW7Fi0RNE WUDI]S C]R J S Ii0ME5
HAWTHORNE WOODS ZND (612) 6$6-9092
PERMIT SUBTYPE:
JF UWG
TYPE OF WORK:
NEW
BUTLC1TPdG
026598
sm/2s/ys
INSPECTION
FOOTINGS D. .
FOUNDA'iION
DA
FF2AMSNG ROOFING
TNSULATION FSREPLACE
RfJUGH TN PLBG ROUGH TN H7G
1=1N7iL PLBG FINHL
REMFIRKS: URTVEWAY ENTRANCE MUST 6E CONCRE'iE BEFORt= A CGR'f QF- OCC W7LL BE TSSUCD
PRV S h. W pLt3R - M& W WATEFi RNU SEWER
L
6 • 1
r ?
-1
_J
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1091 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construdion ReauirameiHS RemodeVRaoair ReauirertreMs
? 3 ispblered elte aurveys ? 2 mpies M plan
? 2 copies of plens (indude beam 8 window saes; pourod fid, design; etc.) ? 2 site surveys (exterior adddions 8 dedcs)
? 7 eneipy calwlationa ? 1 energy celculaUons for heated additions
? 3 apks M tree preaervation pjan if lot platled after 7N193
required: _Yes jL No ?
DATE: IO I l.2 Iq s CONSTRUCTION COST:
DESCRIPTION OF WORK: S. f-,
STREET ADDRESS: S3o Rg'?ITHv &h L?0a.01 ox•
LOT BLOCK _? SUBD./P.I.D. #: C?oo.pj „Z '.?tdL 2010 ,
PRdPERTY Name: Phone #:
OWNER
Street Address'
City: State: Zip:
CONTRACTOR Company: Phone #:
Street Address: CIq?J? l3c,0- T41f? Gti - License #• ??O ??`? ?
City: E'q GfJ,? State: 14N• Zip. SS123
ARCHITECT/ Company: ??/?.? f Phone #- G d6
ENGINEER ?
Name: Registration #Street Address,
Ciry: State: Zip:
Sewer 8 water licensed plumber: /pl ,f L? l?AfZ7Z P ??L . Penally applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this appliqtion and state that the informatlon is correct and agree to comply with all
applipble State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appliqnt:
OFFICE USE ONLY
Certlficates of Survey Received _ Yes
Tree Preservadon Plan Received _ Yes
No
? No
r--=- - - - - -- -,
J! OC I 12 19
I
?-------._-_-.----I
OFFICE USE ONLY
BUILDING PERMIT TYPE
13 01 Foundation o 06 Duplex o 11 Apt.ILodging ?
.E?'02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. o
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o
0 04 SF Porch o 09 12-plex o 14 Fireplace o
0 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
eEr 31 New ? 33 ARerations ? 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
?} r
.r °-•,
, . «?,:,.••' •
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const (Actual) ;0- ^4 Basement sq. ft. Y77 MC/WS System o?
(Allowable) 4"-At Main level sq. ft. ri City Water ?
UBC Occupancy Q-3 -i 2"' sq. ft. ; sz s Fire Sprinklered
Zoning R-/ sq. ft. PRV ?
# of Stories Z?r sq. ft. Booster Pump
Le^9th ? sq. ft. Census Code. /o /
Depth y3.s Footprint sq. ft. Z/ SAC Code oi
Census Bldg i
Census Unit /
APPROVALS
Pianning Building Engineering Variance
Permk Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV PermR
S1W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
OthEf
Copies
Total:
% SAC
SAC Units
Valuation: $ f /cet°oO
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DO-1
LOT SURVEY CHECKUST FOR RESIDENTIAL
iW b BUILDING PERMIT APPLICATIO
m
W {?j ?
y
W
PROPERTY LEGAI,; <
?
4 a m DAT OF 3URV : O <
LATEST RESAS(ON:
S Z = _
DOCUMENT STANDAROS
O • Registered Land Surveyor sipnature and rnmpany
? ? O • 8uilding Pertnit Applicant
?a ? • Legal descriptlan
a • Address
? 0
e-'a D • North arrow and scale
?
o ?
C3 • House type (rambler, walkout, splR w/o, splh entry, lookout, etc.)
-/ • Directlonal drainapa artows vvith slope/yradieM %
?? • ProPused/e*stlng sewer and arater servicas 3(rnert elavation
t3
? ?
G •
' . Straet name
-- • Driveway
?
C3 ELEVATIONS
.sti "
? • Sewer servica
? 0 • Property comers
0 • Top of curb at the driveway
? a • Elevatlons of any exdstlng adJaceM homes
ro os
? ?
? • Garage 8oor
a
?o • Fust floor
o • Lowest exposed elevadon (walkoWwindow)
? ? • Property comers
o ? • Front and rear of home at the foundatlon
0 ?0
• PONDING AREn r:f a.,.,nMtile+
Easement Iina
O ? O e NWL
0 ? ?
? • IiWL
a
? • Pond#desfpnatlan
? ? ? • Emeryency Overflow Elavetlon
OIMENSIONS
Er'13 0 • Lot Gnes/Bearings 3 dimenstons
cr--b 0
? 0 • Right-of-way and street widM (to back of cutb) •
? • Proposed home dlmensiona tncluding any proposed decks, ovarhatips preater than X.
z'0 porohes, atc. p.a. alt sWctures requiriny pertnanent fooGnps)
0
Cr' 13
1 • Show all easemenLs of record and any City uulNes witNn those easements
3
/
' 0 • Setbacks of proposed structuro and sideyard setback of adJacent eidstlng struclures
? 13 • Refaining wall requiremenCs, if ny
Reviewed:
? JYq 7995
S&W3+51
4' S 46',w 58'
&W0f83
46 ', w 5 7'
389.3
t'.l ! Cl.l:? ..'??1? 1
r
Or UqI'ILII io
WIJ. IFINJ
PUR?0.'E3 (J;?:l.;`
U,"ItiG IT SHC UL n,._ .. .. __?
OU 0?d TF{S SIT? .?
HAWTHORNE
,
,? .
--- _ ?
Ct GRADE?
C-SDR 35 'I -- ?
1 1 ?
?_. ? . ..
?
1 \?
330 7.02
35&L.F.-8"PV. .-SDR 35 -7-2-&%
20L.F.-8'.'
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I _. _
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29
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W
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29.5,
51.0 ?
M.H.5
` 3 'RT. P. O.C. 21+48
56.0?
51.5" ?
/i
? 78.0 r 70'
3 \
SBW It65
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w57' \
,
8920
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PURPOSES O,:L`; Ai'D
. ? .;_ U?lING IT SHOi1LC t'??:=
-
:.'...;:..:OiN Th-c SITE.
MH 4 '
44.0,
? P.O.T. 23+18 44.0?
56.0 1 45.0' 43.5 ? N /
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4
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889.3
28.0,
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s ae',W sa'
6
se wz+s4
s 45', w ss'
880.0
45.(
4
?:?>';: , s :; ;? . ?,.?'.? ?? • ;
,EXTERiOR=ENVECOPE'AVEWAGE;.'.',Fl?f:CCMPI?AT?O ,-
. ^.. _ '
.
? :t':. _ ;"'??: " ?:'?•;`: - ??r?:;???."??°''? '???%' ?': ' ?t".' y?
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_ 'S. - •:.y,." r•a411'?`^'?3'.. ?a??ns'. kH*??F? .•?^-i^?.?
..........-
.
,. . .
OWMER: - ;ee
. . .,, r,M!;?y?>'" S.Y;..?.,..?z?,:?Y^_ _ ?;r'<i,_x•?,t3?.;'t."v?"??,;'?i,""n?:;?.?`r"?? g7`.:„' .
..w . <C' i? r +? -. ..s' -,?'", -Y-?. •"•
.?E?t??t?o,c9l:.:' :9?.+?,;+?.;?;,;?" ?. ''?;???.' ??;
? ?Ar?' ti's2
SITE AODRE55: _
CONTRACTOIf: ` r? rc ... , . _.t • -T . . -? `"y^y?,?? ..,?.,> ;_ ;,.,?, °?
DE7ERMINE NDRKING SQUdRE FOOTAGE. OF;EACH:
,. ',.. ?«?, ., . •-,.. ;. . ? ... _ ,... ;, . .
.. ._ . .... . ...... .y = ? x :.. - " - M...? . ' " _ _ ? , qs?'".'•- . -- . :?" ,?
1. TOTAL EXPOSED WALL AREA.....,.:. 3r'J?? ' • sq ft x"U" •ll'^"`???`":'::. ???'?
' . . ? ; 7eGU?`.?s#?"s °
2. TOTAI ROOF/CEILING.AREA....., '.,_" ... ;•)';3<;?? sq ft x"U!''?=?''.'do?:•?
3. TOTAL EXPOSED WALL'AREA CAtCULAT10N5: • ',
Total exposed wall - ? - ; •'• ' . . .:_
area above floor,,,,,,,, 3'O4.? sq ft :t •'.. - .' ---
t
a) Total wail window area: " -
.A,?.??RSF.d 9lazed...... sq ft x??U"
- 9lazed...... - sq ft x ??U" o.
b) Total door area ,,,,,,,,, 3S gq ft x"U"
c) Total siiding glass doar area: "
d1?0e2SEA1glazed....... 3 6 sq ft x"U" 3
- glazed...... - sq rt x "U" "-
d) Total flreplace wal) area O sq ft x"U"
e) Total wall framing area
(Average 109) ........... ? 624. ? SQ fL X iflln
f) Total net wall area above
floor (Insulated)....... ?2 2iS, ? sq ft x"U" ?, d41 ? q?.84
g} Total rTm Joist area...... 33.2 sq ft x"U" ?19y_' 1 2.`?¢
Total foundation
area (Exposed).......... I? sq ft
h) Total foundation
window area ............. c) sq ft x"U" ?
T) Total net foundatton
area above grade........ r? sq ft x"U" '
3, TOTAL a) thru i)
If item 03 is the same as, or less than item P1, you have met the intent of
2 MCAR 1.16008 A and G.
Page 1
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a
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- f .., . ,?ce?r-.•5-..rr??.:,,yLrc1,..-M'o .ti ",?'."?,',??t? " ' -,rSy ? G
- ==TotaT ?exposed.`z??"f.°e?J3j` y ?'' _°x.'-? .._l S ?.aF^?r?•?ie.n?4, ? ???5?. 'u .? .??it _9 ?
`;x ?oof/cei;l.in9 `aree R • •.W..•?• ? v 1 ?,? x q " F fi' ?r'? , '?ri ???. ?G
w..rt?" ?+l'.h•i,? ? 11 11 iA .i:' ??*" ff ? L
? Fr„ . ,. .,r w.? ? y.,wvv.,m?lsrrte'n?Sy?'Mr? ?y?ls?YP
• xnN . ..: .? '? -....: ? .Ii: .. .-.. r. ???.; ,µ[?!'? V?tT?•.
k) Total roof/ceflin4'f?aining" ... ? • ?zi?,?'? ". :..; °:-.::'?;. . ?-<,.,
_'•.°?,3:'.?_
area (Averave lOR)...... sq ft x 6,2 5,
; ,.
,
' 1) ";Totel nef!irisu?ated? . _: ...., .. ._.... ?? ??
-roof/ceiltng area........ ?ZA?•'? sq ft x U
4.. . . _ _.... " TOTAL J) ;hru%zw:'??,.,'?j,`.
If total of 04 ts Che same as, or less than 92, you have met the intent of,
2 MCAR 1.16008 A and 0. -
>
?
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of items 93 and a4 shall not be greater than the sum of items kl and 02.
1. + 2. °
3•
+ 4.
t E R T I F I t A T I 0 N
O
I hereby certify tfiat I have calculated the "U" factors and "R"
values herein and that the buildinq here Iescribed meets or exeeeds the State
of Minnesota Eneroy Conservation Act.
3
(S qiature-)
C
(Date) ' Page 2
CITY USE ONLY
L ? BL ? RECEIPT #; ?
. •
~ SUBD. rnCcu?u. DATE: V 3
1996 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
(new and refurbished systems)
U.G. Sprinkler * home under const.
Alterations ' to existiny
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
50.00
TOTAL
x
x
x
x
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
SITE ADDRESS: ??? I)AW TNP'p19
x I
x /
x
x / = 3• _
x --
x
x ?_ _ ?{•50
x =
.50
I?,0
OWNER NAME: L)OmC5 -1-11b
INSTALLER NAME: zo ?
STREETADDRESS: IqA3J /Web LLL4 1"90. ?
cinr: STATE? rnn ziP:
PHONE #: ( 4!a ) nD `90 icl
L BL
SUBD.
RECEIPT #:
DATE:
OFPICE USE ONLY
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for. ? ali commerciaUindustrial buildings.
P multi-family buildings when separate permits are IIQt required for each dwelling
unR.
DATE:
CONTRACT PRICE:
WORK "fYPE: _ NE1N GONSI RUCTION _ ADD ON _ REPAIH
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
PAILURE TO PROVIUE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on ail permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDP.ESS:
TENANT NAME
OWNER NAME:
INSTALLER: _
ADDRESS: _
cIrv:
PHONE #: SIGNATURE:
OFFICE USE ONLY
METER SIZE: " DATE:
STE. #'
STATE: 21P:
APPUCANT,
_ INSPECTOR:
A .
L l BL CITY USE ONLY
SUBD ' Cu,u.r9fCiw?, (,( IOt30Cd G?'N
RECEIPT#:
DATE:
l 10
o? ?c(
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction
Add-on air conditioning
l- 3- 9,6
Date:
? Minimum Fee: Add-on/Remodel (existing residence only)
? HVAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outlets (minimum of 1 required Q$3.00 each)
? State Surcharge
TOTAL
1995 MECHANICAL PERMIT (RESIDENTIAL)
cinr oF eacaN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Add-on fumace
Add-on air exchanger, i.e. Vanee system, etc.
FEES
$ 20.00
24.00. ?
6.00
?. tt
.50
a75o
SITE
'5_q b //9
OWNER NAME: O'S 4)0M£6 PHONE #: Ly?'??914k
iNSTALLER NAME: 1?reh&) I-I?AL
STREET ADDRESS: L"92 /Jj oD LCf f
CITY: 16UQI)6UrUL STATE: A") ziP: 5533 J
PHONE #: ( 6t a ) RD ?WL) -4
/
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE:
CONTRACT PRlCE:
WORK TYPE: _ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$Z5.00 minimum fee gE 1% of contrect price, whichever is greater.
• Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permit )ee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:.
CITY:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE
(612) 681-4675
CITY INSPECTOR
461?i
city oF eagan
THOMASEGAN
Mayor
PATRICIA AWADA
BEA BLOMQUIST
SANDRA A. MASIN
September 9, 1997 THEODORE WACHTER
. Council Members
THOMAS HEDGES
Qfy Adnunistrator
BUTLER HOUSING CORP E. J. VAN OVERBEKE
Ciry Clerk
P O BOX 24597
APPLE VALLEY MN 55124
RE: CONCRETE SIllEWALK REPAIR
518,_52_, 53 and 534 HAWTHORNE WOODS DRIVE
HAWTHORNE WOODS 2ND
TO WHOM IT MAY CONCERN:
The City of Eagan has completed sidewalk repair work on Hawthorne Woods Drive caused by
lack of erosion protection from your lots at the time of home building. Total cost for this repair
was $5,733.88. Steve Ryan of Lyman Development has agreed to pay half the cost of
replacement, or $2,866.94.
As previously discussed, Butler Housing, together with Lyman Development, is responsihle for
repair/replacement of sidewalks in front of homes constructed by your company The cost to
Butler Housing is $57338. Please submit your check payable to the City of Eagan.
If you have any questions regazding this matter, please contact me at 681-4676.
Sincerely,
William Bruestle
Seniorlnspector
WB/js
cc: Stan Lexvold, Construction Supervisor
MUNICIPAL CENTER
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122-1897
PHONE (612) 681-4600
FAX (612)681-4612
iDD (612) 454-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GRONlTH IN OUR COMMUNIN
Equal Opportundy/Affirmative Actlon Employer
MAINTENANCE iACILI I Y
3501 COACHMAN POINT
EAGAN. MINNESOTA 55122 PHONE: (612) 681-4300
FAX: (612) 681-4360 ?
TDD (612) 454-8535
RESIDENTIAL PLUMBING
? pa ? 3 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts aze required for each unit
Date# //-3/
0
-
Site Address d3t / br,A_ Unit #
Property Owner Telephone # ( )
Contractor
address 3670 DODD ROAD City
State (651)'365 1340 Zip Telephone# ( )
The Applicant is _ Owner Contractor ' Jther
Septic System New Refurbished Su6mit 2 sets of plans and MPC license $ 100.00
Includes Counry fee. Additional consulWnt fees may apply.
Alterations to existing dwelling
Add fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water sof[ener Water heater $ 15.00
? replacement _ additlonal
?
?l
? U
$
.50
State Surcharge U
Total
-'- -.
I hereby apply for a Residential Plumbing Pemiit and acknowledge that me mtormat+esis compiere ana accuraLe; UunL u.U wU.A w„I
be in conformence witL the ordinances and codes of We City of Eagan and with the Plumbing Codes; that I understand tlus is not a
pemrit, 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 w,ork wluch requires a review and approval f plans.
?b .S. a ? e
e
Applicant's Printed Name APP 8n
2004 RESIDENTIAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
c Telephone # 651-675-5675 FAX # 651-675-5694
New ConsUuction Reauiremenfs RemodeVReoair ReouiremenGS
3 registered site surveys showing sq. ft of lot, sq. iL af house; and aU roofed areas 2 copies of plan
(20°,6 maximum lot coverage allowed) 1 set of Energy Calalations for heated additbns
2 copies of plan showMg beam & window sizes; poured found design, etc. 1 site survey for addiGons & decks
1 set of Energy Calculadons Add'dion - indicafe Bon-sfte septic sysfem
3 copies of Tree Pmservafan Plan'rf lot platted after 711/93
Rim Joist Detail Options selectlon sheet (bldgs with 3 w less unifs
's '] 0 -d
we lTse Oiil
7ree,PresPlanR`e,cd. ,., Y"` N
TreeiF4es R&IUiretlR"i?'k,i.?:i<.?? Y?-N
Ons?e_Sgp4c..SYSCe?+._`.'=._Y; ?N
Date Construction Cost
Site Address 53 0 ? s9Ai?/f02y? fN'J? S p r UnitlSte #
Description ot Work f?' il//S /-? ?C dl.?le6' 41?? /
Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _Z1 _ 2 O
PropertyOwner $Tf.VE /qdou54-A) A1}Q&Ck Telephone#(6SI ) G44' 7523
Contractor S E? ?
Address C'ty
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILCING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submiried Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
r-J ?f]
'?
?'? I? Telephone #( )
Licensed Plumber ,
Mechanical Contractor ?LL' ? - ? ?711n ! Telephone #
u
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Pemut 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
pemut; 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 Signature
OFFICE USE ONLY
Sub Types
? 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 - Multi
O 03 01 of_ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multl Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? OB 04-plex ? 12 12-plex albg_Y or _ ro ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
X, 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy t?nd?''L MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs ?Length Fire Sprinklered
Type of Const ?R? W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings(deck) ? FinaUNo C.O.
_ Footings (addition) Plumbing
Foundation ?HVpC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? FTaming ka j:e - Siding _ Stucco _ Stone _ Brick
Firepiace 'k R.I. ? Air Test _X Final Windows
Insularion Retaining Wall
Approved By: -T ? , Building Inspector
-------------------------------------------- ---------------------------------------------------------
Base Fee
Surcharge !y
Plan Review
MC/ES SAC 2,t o? ?
City SAC ?
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
L'JC) Lb 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date-L-44- I?, -2 I 0 Z/
Site Street Address U 1)fUnit#
Property Owner > tev[_ Telephone # (G? 6 SS 7 5?? 3
contractor Cc? vWk.Q./ 7elephone #(6/a
Address yaa? ?S?ew?auH"? ?L • City ?y(y' ?f State Wrvl, Zips?
The Applicant is: _ Owner 2?Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
Water Turnarou(n?d (add $121.00 if a 5l8" meter is required
?-Ather: 'C7 aA-?VY-,?V,? -C v" i $ 50.00
Water Softener Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $ Is-o "LZ?
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. _
HMI U L: I!!
?,;
ApplicanYs Printed Name A can s Signature ? APR 2 7 L004
N -7 3 (0 2 z-
2006 RESIDENTIAI, BUILDIN?'s PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshucfion Reouirements
3 registered site surveys showing sq ft. of lot, sq ft. o( house; and all rookd areas
(20%maximum lot coverage allowed)
2 copies of plan showing 6eam & window sizes; poured found design, etc,
1 set of Energy Calculations
3 copies of Tree Preservahon Plan if lot platted aRer 711193
Rim Joist DeWil Op6ons selecGon sheet (buildings witlh 3 or less unils)
Minnegasco mechxmcal ventilation form
RemodellReoair ReauiremeMs
2 copies of plan shaxing footings, 6eams, joists
1 set of Energy Calculatlons for healed addi6ons
1 sfle suney for additions & decks
Addihon . mdicafe if on-sde sepfic system
?12g, zs
,'?fk,s3 G/z . d*1
O(fice Use Onlv
CeRofSurveyRecd _Y _N
Tree Pres Plan Recd _Y _ N.
TreePresRequired _Y _N
On-siteSeptlcSystem _ Y _N
Date ? 5 / 93 / L)-
"
? ?
Construction Cost 7 ?OO , '
`l?
,
Si[eAddress ?? '?U04hpyr/l,Q W/)DdS f)r(ur Unit/Ste #
Q
Description oT Work Lk( ffir1 an1n-hL2i°lJ suhr6bm brT/?l.-?IbNrro C?,e.c,?
Multi-Family Bldg _ YXN Fireplace(s). X 0 _ 1 _ 2
Property Owner (jQ(l Ma(r,bQ!' f ` UT°!7 (DWlifelephone#((p,sI) (08g- YS?P3
Contrac[or V' ) e
Address Cit3' a
State M/U Zip Telephone # ((9SI ) _2N - ??Z??
* 19?k a/ nrA,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(J submission rype) Submiried Submitted
. 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 plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber ? ?elephone #?
Mechanical Contractor O ? elephone #(
Sewer/WaterConiractor Telephone#?
I hereby apply for a Residentia] Building Permit and acknowledge that thc 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 which r?quires a review and
approval of plans. n n ,?
-?h u.m?r?viv ? -
Applicant's Prmted Name Applicant's Signamre
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(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 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
tx 32 Addition ? 36 Move Building ? 42 Oemolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish 8uilding` ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement *Demolltion (Entire Bldg) • Give PCA handout to applicant
D25CriDtioll: WaterDamage_Ves
m
V
l
ti
?
R-3 MCES S
t
a
ua
on Occupancy ys
em ?
Plan Review/y# 100% or _ 25%
Census Code 12r3 y Zoning ? City Water
SAC Units Stories Booster Pump ?
# of Units r Sq. Ft. PRV
# of Bldgs ?-- Length /oZ Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheetrock
Foohngs(deck) FinaVC.O. .
j? Footings (addi[ion) ? Final/No C.O.
Founda[ion HVAC
Drain Tile Other
Roof Ice & Water Final Pool F[gs Air/Gas Tests Final
?- Framing _ Siding _ Stucco Lath _ S[one Lath _Brick
_ Fireplace _ R.I. _ Air Test Final _ Windows
_ lnsulation Retainmg Wall
Approved By: , Building Inspector
------------------ - ---- -...... -----
Base Fee °---
? ---- --
-------- ------------------- ---
--------- -----------------------------
?
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total t?• ZS
?
i
i
i
! 2-7
f ?
i
i
x
i
4r44 ?C
?
NEW PROnS?
_ IZ' SVniRR:f+'? j, r_ .
?.t?-? ?ctsrrr?? .
*----- -- - ---° P--?-T
? ? -
1
? -
? - - - - --?-- -,
' - - - - !v
FX/S,I1?Li ftl31}5e
?
F 4
'A-l.,? YY'tAtze*C'r? ?
530 4r-At,El1--tt'??Nr WDM)S N-P
--
??
- ? _
- - ? -
,
- - ??--?-- - - ?/ i
-:?4 ? ? 5
2006 RESIDENTIAL BUILDING rExnaT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruc6on Reuvirements
3 reqistered site surveys showing sq. ft. o( lot, sq. ft. of house; and all mofed areas
(20°k maximum lot coverage allowed)
2 copiBs of plan showing beam 8 window sizes; poured found design, etc.
i set of Energy Cakulallons
3 wpies of Tree Preservation Plan B lot platted after 111193
Rim Joist DetaB Op6ons seledion sheet (buildings with 3 or less uniLS)
Minnegasco mechamplvenUlationfonn
RemodeUReoair Reauiremenis
2 copies of plan shaving foolings, beams, jois6
1 set oi Energy Calculations for heated additions
7 site surveyfor addi6ons & decks
Add'rtion - indicate'rlon-sde septic sysfem
1 a-D
omm use a,iv
Ced of Survey Recd _Y' _N
Tree Pres Plan Rerd , _ Y_ N,
TreePresRequired _Y _N
On-siteSepticSystem - - _Y _N
Date--)_/ 0X0 ConstructionCost t(//VL)--
Site Address `j 3i' +if, , UniVSte #
Description of Work v?l?-???i/-" PAw ???J ("Jf ???f'sC?J ?.? 5? w?
Multi-Family Bldg _ Y!`N Fireplace(s) _ 0 _ 1 _ 2
Property Owner VYT ! L Telephone #( )
contractor Fireside Hearth & Home
waaress 14399 Huntingkon Avenue
stace Savage, MN 55378
- 952.736.7761
License #20512060
City
_ Telephone #
-- - 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residentiai Ven6lation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• 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?
_ Y _ N If yes, date and address of masier pian:
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 pe it, and work is not to start without a
permit; that the work will be in accordance with the approved in the ca of work which requires a review and
approval ofplans.
r
( VLi?
Applicant's Printe ame Ap icant's Si a e
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6d. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvues
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
De5C1'iptiOfl: WaterDamage_ Yes
Valuation Occupancy MCES System
PlanReview 100%or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Foorings (new bldg) Sheehock
_ Footings (deck) FinallC.O.
_ Footings (addition) FinaUNo C.O.
_ Foundation gypC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs A'u/Gas Tests Final
_ Framing Sidmg
Stucco Lath Stone Lath Brick
_ Fireplace _ R.I. _ Air Test Final _
Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
't PIONB6F1
* * *
*
LANO SURVETpflS • CML ENqNEEqS
UNO PI.ANNERS. UNDSCME Mqi11EC15
2422 Enterprise Drive
Mendota Heights, MN 55120
(812) 681-1914 FAX:681-9488
625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
Certificate of Survey for: JS HOMES, INC.
530 HAWTHORNE WOODS DRIVE
0 (
BENCH MARK ?' ? L\ZP ',?r 4'
TOP OF PIPE
ELEV.=887.10.\\ P?'R i ta RI
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NOTE: PROPOSED GRAOES SHOWN PER GRADING PLAN BV: MFR PROPOSED HOUSE ELEVATION
NOTE- 9UILDING DIMENSIONS $HOWN ARE FOR HORIZONTAL AND YERTICAL LOCATION LOWEST FLOOR ELEVATION: ?
OF STRUCNRES ONLV. SEE ARCHITECNAL PLANS FOR BUItDING AND
FOUNDATION DIMENSIONS.
TOP OF BLOCK ELEVATION: 8 • Z
NOTE: NO $PECIFIC SOILS INVESTIGA710N HAS BEEN COMPLETED ON TMIS LOT 8Y hIE ?, G
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT 1NE SPECIFlC HOU? GARAGE SLAB ELEVAl10N: 8?PROPOSED IS NOT THE RESPDNSIBILITV OF THE SUR4EYOR.
NOIE: THIS CERTIFlCAIE OOES NOT WRPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES E%ISTING ELEVATION
THOSE SHOWN ON iHE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVAiION
DENOTES DRAINAGE AND UTIL1iY EASEMENT
NOTE: CONiRACTOR MUST VERIFY ORIVEWAY DESIGN.
DENOTES DRAINAGE FLOW DIRECTION
NOTE: BEARINCS SHONTI ARE BASEO ON AN ASSUMED DATUM ? DENOTES MONUMENT
$ DENOTES OFFSET MUB
WE HEREBY CERTIFY TD JS HOMES, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 6, BLOCK 4, HAWTHORNE WOODS 2ND ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT A?SHOWN. AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 4TH DAY OF OCT., 1995. "
BGNE?I,O/NEER ENGINEER A.
SCALE : 1 INCH = 50 FEET
94188.07 SWK
John C. Larson, L.
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'"� � Use BLUE or BLACK Ink
r----------------�
� For Office Use �
�� � Permit#: ���� � �
16y O1 ����11 I P r i • t 'N I
e m t Fee. � 0
3830 Pilot Knob Road � �
Eagan MN 55122 RECEIVED � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 ���. 2 � �(�'��p I Staff: �
!-------------c�I��
2014 RESIDENTIAL BUILDING PERMIT APPLICATION •��3t-�"f
Date: � Site Address: � �,� �t'q;1,J-rV��"��{�.�p� ��-�� _��j��Unit#: ��
' Name:� c";� �5�, �,�'� Phone:��'�=� � � � ��D�
Resident/ : 6
Owner Address/City/Zip:�".?o �,3`�-f�.,r�.-�,�,a���,��- ,C� � ((v���
V
Applicant is: Owner �Contractor
Type of Work Description ofwork:��,�-,(G
Construction Cost: ( �� O�O Multi-Family Building: (Yes /No�
Company:--�o f'-�-�f,t" �,C'�,e.k f,�,n��`�, Contact: ���, i�G.�v�,SDII�,
Contt'actor ' Address:_���(���1 Yo.u�,Gy� ,f�l�, City: (�C�t���$�� !
State: L���
��Zip: �O Phone: �is ��,���'� EmaiL (` �,,�,,n�5�-u�T�,,���,C
License#: �� (oa�o.�13 Lead Certificate#: ,ry�,T � (,S'� I �o " �
If the project is exempt from lead certification, please explain why: (see Page 3 for additional inform tion)
°��� �-��
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 putilic information. Portions of
the informafion may be c`lassified as non-public if you provide specific reasons that would permit the City to
conclutle that the are traale 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.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X �,bl� ���, �,,� h, X �.,��� ��--�----.
ApplicanYs Printed Name Applicant s Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE � ��j �
SUB TYPES ��C� � Gl�v�r� Q ��G S �!
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family Garage _ Porch (4Season) _ Exterior Alteration (Single Family)
_ Muiti x Deck Porch (Screen/Gazebo/Pergola) E�cterior Alteration (Multi)
_ 01 of_Plex �' Lower Level _ Pooi 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
_ Retaining Wali *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation Occupancy �RR..�,� MCES System
Plan Review Code Edition c� ��. 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 Buiiding) 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
� Framing Siding:_Stucco Lath _Stone Lath _Brick �
Fireplace:_Rough In _Air Test _Final Windows
Insulation Retaining Wail:_Footings_Backfill Final
Meter Size: Radon Control '
Erosion Control �
Reviewed By: Building Inspector I
RESIDENTIAL FEES 'I
Base Fee
Surcharge � �r �A,��� � �� � �� � �� ��
(JW
Plan Review
MCES SAC �. � t� j�"�
City SAC � � ��� ��
Utility Connection Charge f
S8�W Permit� Surcharge
Treatment Plant
Copies :� �, ,1.'� = 1•�Z�
TOTAL
Page 2 of 2
. � .�>'-� �
. r.
2422 Enterprise Drive
'f� ,K'� � Mendota Heights, MN 5512�
*PlONE6A (612} 661-1914 FAX:681-9458
LAND SURVEYOflS •CIVIL EtIpNEERS
� eng neer ng U1ND PLANNQtS• IANDSCME MCFNiLC1S 625 H(ghway 1� tV.E.
6laine, MN 55434
� �K "F* (612) 7$3-1880 FAX:783-1883
Certificate of Survey for: JS HQMES. IN�.
530 HAWTHORNE WOODS DRIVE
�p,ol
� (�b
7 .z3 , ..-��� $ I
��5 �— ��: -�
BENCH MARK � `r v 4�"(P �%_,.�T t4�
E�EV.�8877 0�\ � -(�� 'P�Np,N�PF-R P�" �l ,�5 Os
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��-BENCH MARK
O�1` � EL�EV�894 59
� � � �
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{� ,� 1-�-�r=-� r, � .��. ]�ArAN'EY�IGIIV�T�RING DEI�
pof�o -..�- . . . -
�a ��.���. � .
NOTE: PROPOSEO GRADES SHOWN PER GRADING P�AN BY: MFR P[;,,�POSED HOUSE ELEVATION
NDTE• BUILDING OIMEMSfONS SHOWN ARE FOR HORIZONTAL AND YERTICAL LOCAT]ON L�WEST FLOOR ELEVATiON: ��
' OF STRUCTURES ON�Y SEE ARCHITECTUAL PLANS FOR BUILpING AND
FOUNDATION OIMENSfONS. p�� .�
i TOP OF BLOCK ELEVATION: �
NOTE: NO SPECIFIC SOILS INVEST1GA710N HAS BEEN COMPLETED ON 7}i1S LOT 8Y TFiE
SURVEYOR, THE SUIT118111TY OF SOILS TO SUPPOR7 THE SPECIFlC HOU9E GARAGE SLAB ELEVATION: 8 g '
PROPOSED IS NOT THE RESPONSIBILITY OF 7HE SURI�YOR.
NOiE: THIS CERl1FICATE DOES NOT PURPORT TO 5}IOW EASEMENiS OiHER 7HAN X OOO.OD DENOTES EXISTING ELEVA'RON
THOSE SHOYVN ON iHE RECORDED PLAT. ( OOp.pO ) DENQTES PROPOSED ELEVATiON
NOiE: CONTRACTOR MUST VERIFY DRFVEWAY DESIGN. - - - DENOTES ORAINACE ANb UT1U?Y EASEMENT
—�► DENOTES DRAINACE Fl.OW pIRECl10N
NOTE: BEARINCS 5FfOWN ARE BASED ON AN ASSUMED DAiUM —� DENOTES MONUMENT
—�— DENO7ES OFFSE7 HUB
WE HEREBY CERTIFY TO JS HOMES, INC. THAT T}iIS IS A TRUE ANb CORRECT REPRESENTATION OF A
SURVEY OF THE 80UIVDARIES OF:
LOT 6, BLOCK 4, HAWTHORNE WOODS 2ND ADDITION
DAKOTA COUNTY, M{NNES07A
IT DOES NOT PURPORT TO SHOW IMPROVEME(YTS �R ENCHROACHMENTS, EXCEPT 9�SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 4TH DAY OF OCT., 1995. � "
iGNED: 'r IONEEft ENGINEERING�A.
SCALE : 1 INCH = 50 FEET ,.
B .
1067 9418$.07 SWK John C. Larson, L.S. Reg. Na. 19828
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145394
Date Issued:09/08/2017
Permit Category:ePermit
Site Address: 530 Hawthorne Woods Dr
Lot:6 Block: 4 Addition: Hawthorne Woods 2nd
PID:10-32151-04-060
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 -
Jason M Schmidt
530 Hawthorne Woods Dr
Eagan MN 55123
(952) 297-1199
Allstar Construction Residential Llc
5145 Industrial St #103
Maple Plain MN 55359
(763) 479-8700
Applicant/Permitee: Signature Issued By: Signature