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537 Hawthorne Woods Dr' ._._.? ALl \I?i iJV i i%-l1 \ i\i1</Vi\L i CITY OF EAGAN _ • PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: ?'? ?•? ????' (612) 681-4675 SITE ADDRESS: W icj APPLICANT: ??,;i.dliltlf+ldt I,1Ot????; l?Ir: , ?, ;,, . ? I PERMIT SUBTYPE: TYPE OF WORK: I INSPECTION D. . D. ? ? ?:!.: , • I I,a? t? idr` 1 Permit No. PannR Holder Date Telephone # ELECTRIC 5 PLUMBI . et f p `f?' 9Q HVAC ? InapecUon Data Insp. Co ments FOOTINGS FOUND / ? _ - FRAMING 6 / ROOFlNG ROUGH PIUMBING ?J PLBG AIR TEST - /? ROUGH HEATING ? a?, ?Iv GAS SVC TEST INSUL Qr GYPBOARD FIREPLACE '!O FIREPLACE AIR TEST FINAL PLBG v ? . ? FINAL HTG G 23, t5 ORSAT TEST BLDG FINAL ?r BSMT R.I. BSMT FINAL DECK FTG # 9 •f ? DECK FINAL w w of,51 ? •w «0 Weilificate nf cccupanc? Wit4 tq ?agan ZOartntent oF exiibutg aa#0ectian This Certi,ficate issued pursuant to the rrquirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Clusification: RF m Bidg. Permit No. 75& 1 pccupancy '[ype R3Al I_ Z.ming Disaicc R I Type Const. VN owner or s„ad;og .T S HrlMS ? aadress 4371 Mi' 'f'RF'F' tAWK, F.M1W Building Addmss 537 ELAGTTR-RM WXMS_ I7RIVF, l,ocali&?o FO.- ??w?E MM--7M- Date - ? ? Bmidmg ??al POST IN A CONSPICUOUS PLACE 0- 29?440 A ° 3o s ,C 30 Q? i4. l.r•A ° Requ st ?ate ('l'? o? ?- a Fre No Rouy qwretl Ins eCtion Other Then Roughdn (YOU m?_ .. „actor when reatly) ? Ready Now Q WIII Notify Inspector s / Ves ? N. Date ReaC I[Xicensetl contractor ? owner hereby request inspection of above elecincal work at: Jo/b A-"? ?tltlress (St'ree6 Box or Route No ).1q i.../ /? 'J /7 rtol'!e V?b°U`? Cny ? ?o/ Section No Township Name or No. Range No. Counly / ?RK Of'R Occupant?PRINT) ??? J S Phona No? f? Power Supplier a qtltlrass / / d ? ? /l0, ? Y r? 1 Electricel Contractor (COmpany Name) ? 1? k Contractofs Licensa No C? o S Mallmg AtlCress (Conbactor or Owner Making I;stallaUOn / ?u?`rs ? ?yrQ `Z 0 2 • ' _ !? c 2/z ,5 0 ? A.thonzetl Sgnature (C ntra uOwner Ma slallalmn) Phone Number MINNESOTp TpTE BOARD OF EIECTPICI Gdgga-Midwey Bldg. - HOOm 5428 I III I? I I I I I ( I I I II II III ? I THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BONRD Phone (6121 2 OBOOSL Peul, MN 55104 II u I EUNLESS NCLOSE? OPER INSPECTION FEE IS /- REQUEST FOR ELECTRICAL INSPECTION t"1r?-0? ee-00001-49 ? Sea inslmcoons br comple4rn Ihis lorm on back of yellow copy '•§ ?? ??(?Q [ !. 5? "X" Be/ow Wl?by This Request \'nk??a?.?: Ne Add Rep. Type of Building Appliances Wired ' Equipment Wved Home Range Temporary Serv'ice Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Fumace Other (S eci ) Farm Air Conditioner Other(speafy) Contractars Remerks: Compute Inspection Fee Below: # Othar Fee # Service Entrance Size Fee N Circuits/Feeders Fee Swimming Pool 0 to 200 Amps RDi 0 to 100 Amps 8 p Transformers A6ove 200-Amps ove 700 -Am s Si fIS InspecrorsUSeOnry TOTAL r0 Irri9ation Booms Special Ins ection Alarm/Communication THIS INSTALLATION MA D DISCONNECTED IF N0T Other Fee COMPLETED WITNIN 18 MON I, the Electrical Inspector, hereby Rougn,n oai certify that the above mspection has been mada. Final oa ? OiFICE USE ONLY 7his request void 18 manths from Address 537 HAWIHORIE WOODS DRIVE Zip 5512 3 L.ot 30 Blk 2 Suh HnwnmE t.nons znro THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECPION. Date: /D (0 9,?" Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) V./I Pertnanent steps (main entry) V/ Permanent driveway Permanent gas ? Sod/Seeded grass Trail/curb damage Porch Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of watet suppty to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righPOf-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy 66093 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. !5 • SO Date 9/ I 7 ! B ? ? ,/ Site Street Address ,_5-3 Y DQ. t.L+1'1_.b-km?_ _t Unit # Property Owner ? &A& Telephone # (6a()/oV-g7!59 ?[ Contractor W `d' L?0? s?4J Telephone# 5-l3?0 I Address ??l0 2o l?:Jrt?4aQ City C State _jn n. Zip.?3 The Applicant is: _ Owner !tontractor _Oth er Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water hea ' ? U stem Abandonment Se tic S a ? 3 Q 2p0 _ p y q ` P?G _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: ? ? 15 00 Water Softener Water Heater $ . ? replacement _ additionaf 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 Gity 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. / 1(,rcllV ?-?V ?.vtr5 ?Q.k_?-? ,C1P?eu.2n?-J ApplicanYs rinted Name ApplicanYs ignature it i.?Ja 52 qo RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered site surveys showug sq R. of lot, sq k. of house; and all roofed areas (20%maximum lot coverage allowed) • 2 copies of plan stwwing heam 8 window srzes, poured found design, elc.) • 1 set of Energy Calcula6ons • 3 copies of Tree Preservation Plan if lot platted aRer 711193 • Rim Joist DetaA Optwns selectron sheet (bldgs with 3 or less units) DATE (/I' ZO- Z s RamodellReoair Reauirements - . 2 copies of plan • 1 set of Energy Calculations for heated additions . 1 site survey for extenor addi6ons & decks • Indicate rf home served Cy sep6c system for additions VALUATION SITE ADDRESS ??? ( kkW4W' /'t2. UW6C1S Dr MULTI-FAMILY BLDG _Y ?N TYPE OF WORK ? E'Ob -F -3 Id/ A'`4 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS ' ! `>(Q(O !/I/GSl2t?n?1?7?_ TELEPHONE # ?50-0'4?1 "97-32CELL PHONE # ATE MAAIP 0?'YV FAX # PROPERTYOWNER /G'" ?? ? ? TELEPHONE# ?S_1y697-7?3V COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category 111NNES0"1'<A R[ii.E.S 7670 CATLGORY 1 MIIF??pt • (4 submission type) . Residenhal Ventila[ion Category 1 Worksheet Submi[ted • o h • Energy Envelope Calculations Submitted UN 2 1 2002 Plumbing Contractor: ____ Plumbing systcm includcs: Mechanical Contractor: Mcch.mical svslcm includcs: Sewer/Water Contractor: -- Air Conditiouing Hcal Rccovcry Sgstcm ---------°°---------------------------------------------°----°----- I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagayl Signature ot OFFICE USE _ Watcr Soltc ncr Watcr Hcatcr -- No. ol'Baths -- _ Phonc # Iawn Sprinklcr No. oF R.I. Baths Phone # Phone # Pcr. $70.00 --------•------------ aGl agre_e)to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MWti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 Og-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (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 •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water , SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footmgs (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Foohngs (addition) _ Plumbing _ Foundation HVAC _ Drain Tile O[her Roof _ Ice & bVater _ F inal _ Pool _ Ft-s _ Air,'Gas Tests _ Final _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/rep(acement) _ Insulation _ Retaming Piall Approved By Base Fee Surcharge Plan Rewew MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector I ---"';:3CrTY OF EAGAN ' 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-32151-300-02 PERMIT R o1'.z.ra4 PERMIT TYPE: Permit Number: Date Issued: BUILDING 025841 06/16/95 537 HAWTHORNE WOOtlS DR LOT: 36 BLOCK: 2 HAWTHORNE WOODS 2ND DESCRIPTION: Building Permit Type SF DWG Building WuCk Type NEW ' UBC Occupancy>?, R-3 U-1 ? Construction Type V-N Zoning R-1 Building Length 64 Buzlding Width ? 45 - Building stories 2 "5q??re Feet ? 2,086 ?'_ L ' i ?`?',.:. • .. . _ REMARKS: PRV S& W PI.BR - M& W WATER AND SEWER FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Lic. Search Fee Su6total $1,242.25 $434.79 $85.50 $850.00 100 1 $5.00 $2,617.54 $171,@@0 MISCELLNNEOUS $1,892.50 Total Fee $4,510.04 CONTRACTOR: - npplicant - sT. Lzc. OWNER: J 5 HOMES 16869092 0004849 J S HOMES 4371 BENT TREE LN 4371 BENT TREE LN EAGAN MN 55123 EA6AN MN 55123 (612) 686-9092 (612)686-9092 I hereby acknowledge that I have read this application and state that the infiormation 3s correcC and agree to compJ.y with all applioable State of Mn. Statutes and City of Eagan Ordinances. J ? ? ?mtn APPL ANT/PERMITEE SIGNATURE ISSUED Bt(. SI ATURIE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BuzLoxNG 025841 06/16/95 SITEADDRESS: P•I•N.: 1e-32151-3ee-e2 pppLICANT: LOT: 30 BLOCK: 2 537 HAWTHORNE WOODS pR J S HOMES HAWTHtlRNE WOODS 2ND (612) 686-9092 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION FOOTINGS .. . FOUNDATION .. FRAMING ROOFIN6 TNSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL i REMARKS: PRV F L t 5& W PLBR - M& W WA7ER AND SEWER ? ? ` , ., ? ' I CITY OF EAGAN ? << ? 3830 PILOT KNOB RD - 55122 ?," +• i1 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) Bi4l ? B81 -4675 New Construetion Reouirements RemodeVReoair ReavircmeMs ? 3 registered site aurveys ? 2 copks of plan ? 2 eopies of plens (include beam 8 window s¢es; poured hM. tleaign; etc.) ? 2 aRe surveys (exteriw add'rtions 8 dedcs) ? 1 energy ealculations ? 1 energy celaletione for heated eddRfons ? 3 coDrea of tree pieservation pian if lot plaRed after 711/93 ' requiretl: _ Yes ? No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ? STREET ADDRESS: S 3 7 PAk/ 7WJ?`?-/? LOT '?-3 d BLOCK ? SUBD./P.I.D. #: r1'? t,°'Mo%d'"'C 3 Z N ? PROPERTY Name: aS Phone #: OWNER `"" Street Address`? 37? ,L'?"'r ?',1ty: St2tB: /0 y, ZIP: CoNrw?CTOR Company: S/1M Z` Phone #: . License #: City: State: Zip: ARCHITECT/ Company: Phone #- ENGINEER Name: Registration #• Street Address• City: State: Zip: Sewer 8, water licensed plumber: 14.f Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the iniortna6on is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY U?? ??Qry Certificates of Survey Received 1a1? i31 %?Yes YNo ?+ - Tree Preservation Plan Received _ Yes OFFICE U5E ONLY BUILDING PERMIT TYPE o I , <?! ?1C• " ,? .t •.a + .? w ? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish -er-02 SF Dwelling ? 07 4-plex o 12 MuRi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex •? 14 Firepiace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE oer--31 New o 33 Alterations o 36 Move a 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Ow Basement sq. ft. (Allowabie) Main level sq. ft. UBC Occupancy 3 G?--/ J,:j4nf2 sq. ft. Zoning sq. ft. # of Stories sq. ft. Length (o3•S sq. ft. Depth vs%s Footprint sq. ft. APPROVALS Planning Building 1,03 MC/WS System d, G 1,5Y City Water ? i? i70 Fire Sprinklered PRV rt Booster Pump Census Code. !o SAC Code 0/1 0 3S Census Bldg i ?- Census Unit ? F Engineering Variance Permit Fee Valuation: $ 74 Da0 f Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W PermR S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % VAIi SAC Units Rhr,v Z[uf, S y iL = (e o ?z.sr 17- ° !5D ?YS x 3O.37-= S?(F /y, i;7 x zo,r ? 2,? ° z9 x //.s ° 33y i3y3 y. GlPVS/? ' ??Z ?-- 1,x 30. s= 12 z lY xIo ' /Yo Zs r 72- = 8F/a 1Z f ? „a X5-"; I3S?'r' _--- W1niw LG vCr. e/, 38 3 N ts- _ 2?,7ys l, ? • l5-b?x 3/.G7 = ?23 Z ? /5 67 ? ?S .3s x s? ' 3 .ssK s.s ° 3 (,GB x« ' I f u?? zO-0 X ' LOT 87RVEY CHECRLZST FOR RESZDENTIAL 8 BIIILDING PERMIT APPLICAT ON BROPERTY LEGAL; - Dat• of 9urvey: 9-? ? DOCIIMENT BTANDARDs 21? 0 • Reqistered Land 5urveyor siqnature and eompany D -?? ID 0 0/ • • Buildinq permit Applicant Legal description ? 7Y ? ID? D • Address ?- N th or arroW and bar scale Z,,13 D • House type (rambler, valkcut, split v/o, split entry, ? 0 lookout, etc.) • Directional drninaqe anows with slope/qradient t. B?D 13 • Proposed/existing sewer and water services 2'? D D • street name JP?0 13 • Driveway ELEVATIONS 2?0 0 • Exiatina Sewer serviee 2'0 ? • Lot Corners H' ? - D • Top of eurb at the driveway 8-- 17 ? • Elevations of any existinq adjacent homes Proooeed @?D 0 • Garage Ploor • First floor mrl- ? Lowest exposed elevation (walkout/window) D : Property corners D? D 0 • Front and rear of home at the foundation PONDING 71REA8 lif aflolicablel D IY ? • Easement line D L? ? 0 • NwL n cs n • xwL 0 B ?? • Pond N designation ? ? L3" O • Eynergency Overflow Elevation I?D 0 • Lot lines L??O 0 • Right-ot-way and street width (to back of curb) O' n o • Proposed Aome dimensions including any preposed decks, overhanqs gzeater than 21, porches, etc. (i.a. all structures requiriaq permanent footings) lYD 0 • Show all easemeats of record nnd any City utilities within those easements 0 • Setbacks of proposed 6tructure and setback of adjacent existing homes 13 2--6 • Retainin re irements, if an Ravieved: Y October 1992 x . SBW 0+3T w36' s48' 31 f ? ? , 887 8 . 44.0 sswi+za ' 30 s47,w35 MH 4 44.0? ? • 890.7 ? pO.T. , 23+18 44.0 ' 45.0 29 56.0? A 43.5 ? N ? 51.0? M.H. 5 l 1- 3'RT.P.0 ' .C. 21+48 _ 0 56 45.0 . 470. zi ` . o OD 51.5 " ? V 45.0 N _? - ? 2 e ? 28.0, ; 6 _ 5i 91.5' Sp W2+64 ' ' v , ,w 58 s45 w LLJ - ? 78O 5 880.0 N ? ? 1?o S&W3-F-5! 9 5 4 5 Qs' W 5a' S& W O I- 83 , s 46', w 57' 3 ea9.s SaW I+es TWE CIYY OF -AGAN DOES NOT GU ?APi i-E?° s46',w57' iHE ACCURA V OF UTIUTY LOL TiONS 892.0 6aKIDIOR ELEV 710NS. THIS DATA i,, r02 {KIFORPs?Ai IaN PURPOSES ONL`f AND PERSO15 USIN IT SHOULD VER:'Y'i 1-r7: fNFORMF:1'ION 0 THE SITE. ./ ? 170 0 3 a w i+65 461,w 5T' 192.0 ? 91.5 ? 4 S& W0f83 s46',w57' @89.3 45A28.05 ,gpW3+51 s 46',w 58' 6 g & W 2+6 4 s 451 ,w 58' 880.0 S 9W 1 t76 s 46; w58, @73.T AfV DOES N0 i GUARAi't Y QF EA ?F UTILITY LOCATI,?N3 i t?E F,CGURAC ?S THIS DAT;1 1,, ? 0" ?,4?41an EIEVAT RPOSES 0,11af AD U I[i;-??;"?I iOFJ , _...,, uCING T SHOULD ,; •IE SI i C. lNF?r,;JlxTtON ?N HQWTHORNE I H: 5 Ut H. s . ? ... . . _.. ' R.E.90T,7. 8 6.0 „.. _ ...... _..,. ...... . R..?, _ . . .. . _ _ .. ..... O ?. , , ?. . - , ` ? ` ? . ?..? ? ?.u1.... _.. l ' ..?... ._.... ? ...._.. _ , ........ _.. _ .......... . . .. . . 1? L;F .-8".P. . ? `-. , , G-SDR 35 ...... _..... .... . . .... . ., ? ? -? -? . . . i 4{+0- ? . . .. .. ... _- { ? , . . .... .. 3.. a8-.° o. .. 1 ? ? .. .. . .... . .. ... ? ? ? ? 3 . 02 : : F-8"FV .3r'?L DR 35 .-S ? ..... .. ... Q... .. . _ ._... . . . _ _ -- _ . • o _ __ ................ ...._..____... .__, o .. .. _ : _.:: .. _ . _ . .._ ... w:......_... ......... .._ .;. ., . ._ ._..__._.?.._.._._. ?. ............_ .... ._.. ........ ..... . ... ... ? - : " _ .._... ?.. ... . ? I.P_CI _R ities Diizital Oualitv 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. EXTERIOR ENVELOPE AVERaGE "U" COMPU'iAT10N . ownEa: /.SITE ADDRE55: I PHONE: LOMTRACTOR: DATE: -_ / DETERHINE WORKING SQUARE FOOTAGE OF EACH: 1. 'TOTAL EXPOSED uALL AREA,,,,,,,, ?:' ? ? • sq ft x "U" 2. TOTAL ROOF/CEILING AREA,,,,,,,, I r!'% Sq fL X"U" 3. 'TOTAL EXPOSED NALL AREA CALCULATIONS: Total exposed wail , area above floor,,,,,,,, sq ft t a) Total wall window area: A.,, glazed...... e glazed...... - sq ft x "U" 3. sq ft x"U" 6} Total door area ?!7 c) Total stiding glass door area: `?^?glazed...... ? sq ft x uU" - ? glazed...... 7 sq ft x I IUI I , ,) ? >' . 1 _ '' ( / sq T t x "U" d) Total flreplace wall area O sq ft x"U" s ' e) Total wall framing area ` ' ?.? (Average 109,).......... sq ft x liun f) Total net wall area above , floor (Insulated)....... sq ft x "U" Total rim Joist area...... ?'3•? sq ft x "U" Total foundation area (Exposed).......... , sq ft e h) Total foundatlon window area............. sq ft x"U" 1) Total net foundation area above grade........ sq ft x "U" ' TOTAL a) thru I) if item N3 is the same as, or less than item P1, you have met the Intent of 2 MCAR 1.16008 A and G. Page 1 Cities Digital ? 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. 4.' 70TA1 EXPOSED ROOF/CEILING CALCULATIOt15: • Total exposed ( roof/ceiltng area........ - sq ft J) Tota) skyllaht area....... ---- sq ft x "U" .?• k) Total roof/cellinq framtng $ ll a area (Averaqe lOR)...... ? .?-?• % f sq ft x U . 1) Total net insulated .... roof/ceiling area ?, ? sq ft x "U" ... 4 TOTAL J} thru 1) ,If total of g4 is the same as, or less than 92, you have met the Intent of 2 MCAit 1 .16008 i1 axd 0. ' ALTERtlATE BUILDINf ENVELOPE DESIGN To utilTze the total envelope system method, the values established by the sum pf Items p3 and p4 shall not be greater than the sum of Items N1 and 02. I . + Z. 3, + 4. a n C E R T 1 F 1 C A T I 0 N ---i ----------- I hereby certtfy that I have calculated the "U" factors and "R" values herein and that the builAinq here lescribeA meets or exceeds the State of Minnesota Enerqy Conservation Act. (S Iqnatur,e) ? i, (Date) page 2 LOT? BLOCK - '/?? SUBD.9?Ur??? ,fWOOZ4 i ? RECEIPT # J&?? DATE ? o??ll`4P 1996 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: 5-2-4-q6 _ Commercial _ Residential (boulevards) v Existing residential GPM GPM Area/address to be irrigated: 53-) wmvs I.oc Instal ler: Maczc L,?-?,?Fi_ Owner 45, Plumber ? Street address: =3? NAw?r4°? QFzwc City, state & zip code: ?Ac-A^3 Phone #: 6`Ai t-8'1E 9 Owner Name• MAR:- Street address: 4V6 4%01)F- City, state & zip code: Irrigation contractor, if different than instailer: Telephone #: Phone #: I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-0f-way/easement. a 0- 0, - Applicant's signature Title Approved by: Date: PRV ? Yes ? No Meter Size & Cost ?°- Fees due: cJ;Zi<<ri ? 720- 19 New service ? Yes ? No Calculated bv PROCEDURE FOR IRRIGATION SYSTEMS - 1996 An irrigation permit L$ required - please contact Protective Inspections at 681-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee only if new service is installed. $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $760.00 per connection - WAC. $396.00 per connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not required if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter wili be required at a cost of $182.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $822.00. This information is to be supplied by the designer of the system. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not req ?i? red, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The instalier is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and sei and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. L BL CITY USE ONLY RECEIPT #: 6408A--? SUBD. Y'_?ts?GWwn?c? W? a? DATE: ?IaI l?S 1895 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 0 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH N8. TOTAL Shower 3.00 x J, m Water Closet 3.00 x 3 = 9,Cz Bath Tub 3.00 x _-1 = 6?? Lavatory 3.00 x Kitchen Sink 3.00 x 3.- Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = 1lVater Heater 3.00 x 3" Floor Drain 3.00 x 3- Gas Piping Outlet * minimum -1 3.00 x 2-- Rough Openings 1.50 x 3 =? Water Softener 5.00 x = Private Disposal " Dakota Cty. license 20.00 = U.G. Sprinkler' home under const. 3.00 = Alterations " to existing 20.00 = Water Turn Around 20.00 y9 so STATE SURCHARGE .50 - ? TOTAL SITE ADDRESS: 537 HAWTHORNE OWNER NAME: J & s HOMES rN INSTALLER NAME: MCDERMOTT MECHANICAL INC. STREET ADDRESS: 12231 NICOLLET AVENUE SOUTH CI7y; BURNSVILLE ZIP: 55337 PHONE #: ( 612 ) 890-9084 =[??VAI - if il STATE: MN OFFICE USE ONLY L BL SUBD. RECEIPT #: ; DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buiidings when separate permits are IIQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR 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. FAILURE TO PROVIDE 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. SFRIWKLeee PeRMIT. FEE: $25.00 minimum fee or 1°k of contract price, whichever is greater. State surcharge of $.50 per $1,000 of Rermit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: cirr: PHONE #: SIGNATURE: OPFICE USE ONLY I METER SIZE: " DATE: STE. # STATE: ZIP: APPLICANT _ INSPECTOR: / L J0 BL CITY USE ONLY RECEIPT#: 115M6 SUBD.V.I?,??? DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672)6814675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit -X New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ? d3c?, /995 FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) fo3,0d ? State Surcharge .50 TOTAL SU SITE ADDRESS: 5,37 ?.e -h&Vzo /f .Y=??L 42. OWNER INSTALLER eJ. oS. ` PHONE #: !L - 'O 9 c;) STREET ADDRESS: / I-u CITY: PHONE #: e -qq CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciai/industrial buildings. ? multi-family buildings when separate permits are ngt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: .$25.00 minimum fee Qr 1% of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (innPROVeMeNTS oNLv) INSTALLER: ADDRESS:_ cin: PHONE #: TELEPHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR RESIDENTIAL BUII.DING 5 Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWdion Reouiremenls RamodellReoair Reouirements 3 registered site surveys showing sq. R of lot, sq. ft of house; and all roofed areas 2 copies of plan (200k maximum lot coverage albwed) 1 selof Energy Calalations for heated addNOns 2 copies of plan showing beam & window saes; poured found design, etc. 1 sde survey for addifions & decks 1 set of Energy Calculafions Addi6'on - indicafe Hon-sife seAGc system 3 copies of Tree Preservation Plan if lot platted after 111/93 Rim Joist Detail Optwns selectlon sheet (bidgs wifh 3 or less uniis _i ??. Office Use OnN Cert at Survey Recd Tree P25 Plan Reod Tree Pres Not Reqd _ Onstte Septic System v A Date 61 / 133 / 03 Construction Cost 25,eU0 e Site Address 53-1 Ha.a*oMe kh20d5 0fwt Unit/Ste # Descriptiou of Work F,n?'sh La?er LaaGit Property Owner M4iC C. $ 00"k. LwN,=y" Teleph?e #( Efil ) b81-875? i Contractor C PawSio Mwut Pcr?,' Address Z51O Gu aD City S?w?-v?6w State MlJ I'1,(o Telephone#(65k ) 483-242.5 I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mumesota Rules 76'70 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissfontype) Su6mitted Submilted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( 1 i_j I hereby apply for a Residential Building Permit and acknowledge that the inforxnation,is comp e e_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 requires a review and approval of plans. Ma2C C. L.r. rtF? Applicant's Printed Name C ( Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling 0 OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition 1!4 33 Alteration ? 34 Replacement ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire BIdg) - Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? _ Footings (new bldg) _ Footings (deck) _ Footings(addition) _ Foundation _ Drain Tile Roof Ice & Water Final Fratning ? Fireplace -Y R.I. -*Air Test I Final ?. Insulation Occupancy Y 13 _14t MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS FinaUC.O. FinallNo C.O. Plwnbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By -r T , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total L? F4-??rs A? 7 ?. /° ? ?? 5-]5%,? PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permiu are required for each unit V?D . 17jV _ Date i /OA._/ 03 Site Address 531 1+n....+Ha?F. WcocA U"Ma. U nit # Property Owner _Mpae- ?Mgaµ K. LLJ;%er Telephone #( 656 ) v8%- 8')59 i Contractor ?XPHNSi Ru5 A(L4L RVTWC?s Address 6510 Cw n City S66 omV" State mAs ip Telephone k(bSi ) 4'63 - 29251 The Applicant is OL Owner _ Coniractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 InGudes County fee Additlonal eonsultaM fees may apply. Alterations To Existing Dwelling Unit, Including $ 50 00 b? Adding fiMUres to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water tumaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system Water softener Water heater - 15.00 ? replacement _ additional I _ State Surcharge .50 ? Total I hereby apply for a Residential Plumbing Pernrit and acknowledge that the information is complete and accurate; that the work will be in conformauce with the ordiuances and codes of the Ciry of Eagan and with the Plum6ing Codes; that I understand this is not a pernut, hut only aq application for a pemut, and work is not to start without a pernrit; that the work will be in aceordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature ? 2422 Enterprise Drive Mendoto Haights, MN 55120 PIONLEA ur+ (812) 681-1914 FAX:681-9488 * o suw?mxs . aou Er+cncros * ane naer ng LAND a"NNM• L'"DSC"K "qtluhCTS 625 Highwoy 10 N.E. 8laine, MN 55434 ?` * ?' * (812) 783-1880 FAX:783-1883 Certificate of Survey for: J.S. HOMES. IPlC. _ 537 HAWTHORNE WDODS DRIVE \ 894.2 ` ( va?.21 \ NOTE: PROPOSED GRADES SHONN PER CRADINC PLAN BY: MFF! BENCH MARK TOP OF PIPE ELEV.= 897,38 \ ? r Z? ? 0 Q\ ? ? 19.5 899.4 \ 30 ? EAGAN EIVGIMRIIVG IIDEP'1C. PoR No ° E- Q u ? G;?? 11?a NOTE: BUILpNG DIMRl90N5 SHOWN ARE FOft NOfU20NTAL AND VERTCAL LOCATION LOWEST FLOOR ELEVATION: $ OF SiRUC1URE5 ONLY. SEE MCWTECNAL PLAHS FOR BUILDING AND fWNDA710N OIMENSIONS TOP ? BIOCK ELEVATION: D( . (? NOTE: NO SPEqiIC $OILS INYESTIGA710N HAS BEEN COMPlETEO ON 1HIS LOT BY 7HE Z qQt SURVEYOR. TME SUITABILIiY OF SOILS TO SUVVIXtT 1HE SPECIfiC HWSE GARAGE SLAB ELEVATION: . PROPOSED IS NOT 1XE RESPONSIBIl17Y OF 7HE SURVEYOR. NOTE: 1l115 CER7IFlCATE OOES NOT WRPORT TO SHOW EASEAIENIS 07HER 1HAN X 000.00 DFNOlES EXIS7ING ELEVATON 7HOSE SMONM ON 7HE RECORDED PLAT. ( 000.00 ) OEN07E5 PROPOSED EIEVATION NOTE: CON7RACTOR MUST VfRIFY ORIVEWAY DE9GN. OENOlES OR/JNAGE AND UTIU7Y EASEMENT DENOTES ORMNAGE FLOW DIRECTd! NOTE: BEARINGS SHOMM ARE BASED ON AN ASSUMEO DANM -? OENOlES MONUMENT v DEN01E5 OFFSET HUB WE HEREBY CERTIFY TO J.S. HONES, INC. lHAT THIS IS A TRUE AND CORRECT REPRESENTAl10N OF A SURVEY OF THE BOUNDARIES OF: LOT 30, BLOCK 2, HAWTHORNE WOODS 2ND ADDIT{ON DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACNMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 8TH DAY OF JUNE, 1995. r-"? PIONEER P.A. SCALE : 1 INCH = 30 FEET Use BLUE or BLACK Ink r For Office Use City Permit#ofPermit Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: n2017 RESIDENTIAL B UILDING PERMIT APPLICATION Date: 5170/1/'! Site Address: 6'v ` +2 Unit#: r �'1 i, Name: 1 1_u - Phone: Resident/ r Owner I Address/City/Zip: Mo" f Yl0 P1f_ (1OJy Pr. 1 ; Applicant is: Owner Contractor —�Description of work: � UIfLV �t �Type of Work 1 je` ��c+�� 1.7 0 Construction Cost: I la. a Multi Family Building: (Yes /Noek- ) F Company: l( galitt. SLIM I Contact: . kiltindaet. Address: 205- FeM 1e. L., 41 5014 City: 4)0/1/11C1/4 Contractor State:Viitij Zip: 6141(e) Phone: Ga-0,6 1JEmail: bc4c. -L tLi•cense# L631 X73 Lead Certificate#: AI- CRp O1S 1 If th project is exem t from lead certification, please explain why: (1&5 I% 1 gw....._ 1)05e... ,._,......,.,�s..�_.,.w_...w........,.,..�..a.,.._,r. a.......�.,...�...,a,, ...�.�.,.. w._e...�..F_..._.,.. ,.� .._.�,....,__...e�....,_M,�_,. a..�«..,�,,.r....��,�,��.�.W.,..,� �.-�......pw._._..... 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting`documents that you submit are considered to be public information. Portions or the informationmaybe classified as non-public if you provide specific reasons that would permit the City to . ,_ _ ,.. . _ _______, conclude that thelisre tide secrets. d, _ __ __. _ . , f 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 C'de must be completed within 180 days of permit issu nce. / x LININA fh Olgvk x - ii Applicant's Printed Name Appli F Vs Si •�-re �y Page 1 of 3 Use BLUE or BLACK Ink For Office Use \ 11'. /2-7.Permit#: �d1 Permit Fee: /46)S- 3830 City of Eaaal Pilot Knob Road Eagan MN 55122 g Date Received: Phone: (651)675-5675 % ti 011 buildinginspections(a�citvofeagan.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f3/3 1 l 2v t7 Site Address: 53 7 t-1 cu,;tti°'"\ s O r`U - Unit#: Name: Rair G Phone: eQ5-l- 2 52-Qua ci Resie t/ Address/City/Zip: 531 t ta--,'f(I vnek&-)rxscl 5 Di,. C.. Applicant is: i7< Owner Contractor Description of work: . . x..€ Gl Type of Work Construction Cost:1 3 SO O-`y° Multi-Family Building: (Yes /No ) 4 h Company: G. v c�, €. `�•• '-art Contact: ry.4," A `41111. 11111111P11 Address: qo( Q� �. City: . F ( Pck.f"(c. Contractor- ''- State: -L1. Zip: 5S Phone. •5 t '1DZ"1 itZo •Email: Q 4 C.otvcZSC der.eo w, J License#: Lead Certificate# If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: .N9/4",-Piens ancteafiPCM:44004tIrefitalhat you s ►bmlt are considered to be public infoPortions of the v m in ormation aybeclassified s non public if you pro: ®e pecif reasons.that would permit.the Gid _lpo'ii that the 4 re trade sec ets. ..,` .,.. _ _tr � ` x:..n .;,..t. ,, .... -: x x:. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.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 mit; that the work will be in accordance with the approved plan in the case of work which requires a review and a proval of plans. x MN-RC- C. °ti-r 2 ��Q�1 �u L Applicant's Printed Name Applicants gnature Page 1 of 3 Use BLUE or BLACK Ink r OFe.t.a., For Office Use A , ; e s z RECEIVED Permit#: I`��0�� .._ Io5 . 2S �, c Permit Fee: !rV1 ,� BLrsHE° Date Receiivpedd:A 'IZ—�—17 3830 Pilot Knob Road I Eagan MN 55122 Staff: Zvi i/v Phone:(651)675-5675 I Fax:(651)675-5694 buildinginspections(ftitvofeagan.com 2017 RESIDENTIAL BUILDING PERMIT APPLICATION i "1 e Date: ?L I Site Address: 7 Es' 3w e Vve d$ A- Unit#: Name: Del'J LV)' Phone: ).5")" (Op(~ 5,57 Resident! n ,i to Address/City/Zip: / Ltwl'ND✓rte was 19 r_ Applicant is: Owner ttx"Contractor ' ® i T Work . Description of work: 5,(114 } Construction Cost:Amy, Multi-Family Building:(Yes /No ) (i f J �' Company: ; 1 1 III ) 144. Sd' ),1/I5 Contact: La I�1 Ii / iA 4 retractor Address: atO5 Th'41G(2k /°. ✓IJ ,JiA'f A City: 4y j14,(1ld'! State: tVi(y Zip: 4� Phone: 70- (62-Caail: b iiv+&15&hP,ifiC ` 100--) License#:_13(.631j23 Lead Certificate#: N q-965r If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: Nor` : sand trpport! ,. um rets dtyou su a=ast are considered to be public s trf iiia m e ft s on ubl+c if provide specific i 4 that wouldpermit the City hp , t -,. r -4 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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 acct dance with th approved plan in the case of work which requires a review and approval of dans. /%I 1 6, 41� , x _ App idant's Printed Name Appli = is Sig' r re t Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159632 Date Issued:01/06/2020 Permit Category:ePermit Site Address: 537 Hawthorne Woods Dr Lot:30 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-300 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marc C Luther 537 Hawthorne Woods Dr Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature