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542 Hawthorne Woods Dr Use BLUE or BLACK Ink i 1 For Office Usk 1 1 4r, j Permit* City of Eap I Permit Fee: I 3830 Pilot Knob Road i Eagan MN 5512 Date Received. 1 2 I I Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION l ~ Date: / Site Address: 7c)c'~ S (JC Tenant: Suite RESIDENT / OWNER Name: l t ✓ Phone: (AI- ~"~~L)~ ( a Address / City / Zip: `t+ Applicant is: vwner ✓ Contractor TYPE OF WORK Description of work: C L L)VIKG (ZOOM W I WOOw -W- SAWL 5 aCb/Appca<SoK )MM- 0 Multi-Family Building: (Yes / No A~j Construction Cost: CONTRACTOR Name: License o~ S Address: Co Je Ci City: State: w\KJ Zip: SS W - Phone: C? 6r) Contact: IAN,. Email: k tIQ6 i..ei~~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets.° CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. X_- !M L ICA" Applicant's Printed Name Applicants Signature Page 1 of 2 Use BLUE or BLACK Ink / For Office Usk I v F I ~ I . „ ; Permit v j City of Eatfl 1 Permit Fee. I 3830 Pilot Knob Road Qul; (y WC1 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: _ - - _ _ - - _ - J 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7'z3~rc Site Address: S'c rL. a 1~f~s, ® W[1[2 $ ILA KKRCW P-06LAr K Suite ~eeerrrt: RESIDENT / OWNER Name: l~ Phone: Address / City / Zip: a~ Applicant is: _ Owner Contractor TYPE OF WORK Description of work- Mow, Xir. RF-imc)m Row'; Nom be-&s ar, wRI.L, pt.ICC IsL tHb Cke, Construction Cost: 12,so Multi-Family Building: (Yes / No X-) CONTRACTOR Name: cac',_ cLicense raS~J~0 ~ Address: \l:~~)A U City: tic S State: Y Zip: Phone: (es. ' ~d~ db Contact \ \ Email'~w`~ 1~n > CcSVL~~NItZ-t6n Co COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 plains. Applicant's Printed Name Applicant's Signature Page 1 of 2 '51~~ ids A12, DO NOT WRITE BELOW THIS LINE q6:;,--;,6 SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) - Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) - 01 of _ Plex _ Lower Level - Pool _ Miscellaneous Accessory Building WORK TYPES l~ C( N'J Yl~^ DDtv New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation - Replace _ Repair _ Egress Window - Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Z Occupancy MCES System Plan Review Code Edition SAC Units (25%-100%-) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By:, Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review d MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge v~ ?t Treatment Plant Copies TOTAL Page 2 of 2 ill L INSPECTION RECORD? ?,,eITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: •Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 1 , a SITE ADDRESS: ` APPLICANT: ? 542 sMl° OFr.K St 00 f':'.1cj I(i1?r•sf ti,:?il??. ?J4? ? r. I'•; t?.l ?! `1 PERIIAIT SUBTYPE: TYPE OF WORK: ,. . INSPECTION .. . .• ? 7 ? ? Parmft No. Pertnit Holder Data Telephone t ELECTRIC PLUMBING HVAC Inspecdon Dete Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BLDG FiNAL BSMT R.I. BSMT FlNAL DECK FTG DECK FINAL GITi(13F EQGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 lR171 RR1-dR7lZ, INSPECTIDN j'coRD PERMIT TYPE: Permit Number: Date Issued: ili 1 1 1+ 1??11 ,1,•?Itt?. < ?il?fl?ia SITEADDRESS: .; tit.ull.r i !!h!•11IIl?F?tJi W??tl{1'? .'N?i PERMIT SUBTYPE: , ,i. . I,1'• `: NnMf '. i , I .' i ..? , i{, TYPE OF WORK: INSPECTION .. . •?,?. ? , D 1-4?, ; ,, ??? ?, ? i ?rll? II ! f{ ;'I !:i, li.lli?li 1 nt tE I i i i' H V ; t• IJ P I!s R N!: ?1 ? J Permk No. PermR Holder DaM Tetephona # S/W PLUMBING HVAC ? 5L ? 90 ELECTRIC ELECTRIC Inspection Date Map. Commerns Footings I O Foundation / L?/Tl Ym ?K! Framing Roofing r 417;!V- _ r? f Rough Plbg. Rough Htg. w Sf 15UI. Fireplace Fnal Hlg. ? zo, Orsat Tast Fnal Plbg. r? Plbg. Inspector - Notify PIumber Const. Meter EngrJPlan Bldg. Final Oeck Ftg. DeCk Final Well Pr. Disp. -y?.-}-- 1K?o^?' Ar'W ,/4y -ds a \ ",? •r _ ?-? W-tL'tiftCQte of cCCuvQuC? Wit4 of ?aqan ?qarhneut of This Certificate issued Prersxant to the requirements of the Uniform Building Code certifying rhat ar rhe time of issuance tfris struerure was in compliance wrth the variotts oirlinances of the City regulating building constrrrction or use. For the fo!lowing: use casmrwam: SF DJG aiag. Pe,ma r,o. 24853 Occupancy Type R3/ri 1 Zoning pistrict Rr Type Const. VN oW=ofMWRg JS HQm IIU Add.?,, 4371 EM 1REE LAM, EAGAN Mwfing Aaamss 542 HAWnME WO= IxtIVE Lcw;y I,3, B4, FIAWMME kU0w 22N1ID ; - '?" POST IN A CONSPICUOUS PLACE O O?4 L`+ 7 7 REQUEST FOR ELECTRICAL INSPECTION 10- Sea insimctians tor compieting this form on back W ysllow copy. "X" Below Work?overed by This Request Za{°`N? ee-ooooi-as /oO q W Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Du lex Watar Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Ferm Av Conditioner Olher (specity) ConfrectoYS Remarks. Compute Inspection Fee Below: # Other Fee # Serv ice Entrance Size Fee # CircuitsJFeeders Fee Swimmin Pool 0 to 200 Amps j' 0 to 0 Am s G17, Transformers Above 200-Am s A ove 4ff 0-Am s SI f75 Inspector's Use Only 7 p? Irrigation Booms ?, r y Ja S ecial Inspection l Alarm/Communication THIS INSTALLATION MAY B RD DISCONNECTED IF NOT Other Fee COMPLETED WRHIN 18 MONTH . I, the Electrical Inspector, hereby i h Rough-in i oatc? cert ty t at the a6ove inspection has been made. ? oeie _?, OFFlCE USE ONLV This reques[ void 18 months tmm `IdZ477 1°-?i"'' a Request Date FreN. Rough-I ..specam 9equlretl (VOU mustcall Inspector when reatly) Inspectioneatly Olher Then Rough. in ? R Now ? Will Notlfy Inspetlor Ves ? No Date fieatl I55 lic nsed contractor ?owner hereby request inspection of above electrical work at: 19, Job 1, Box or Roule No ) /A Qty ? ? ? f Section N. Township Neme or No Range No. Counry /-,' "0ka ? - Occupant(PRINT) .' ?" Phone No Power Suppher ?P?e'o? Adtlress ? ? Elecidcal ontrador (Company Name) . Contrdcror's License No ' ? r C (f U l?S S rl MaAing Atltlress (COnlrocror or Owner Making I tallabon)! Oa k ? . s Aut on¢ tl SignaWre nVa OvvnerMakl talie n) Phone NumOar MMNESOTA STATE BOAND OF ELECTPICIT? THIS INSPECTION REQUEST WILL NOT Grlgge.Mltlway Bltlg. - Room 5-128 BE ACCEPTED eY THE STATE BOARD 1821 Univerelty Ave., St. Gaul, MN 55100 UNLESS PROPEP INSPECTION FEE IS Vhone (612) 842-0800 ENCLOSED Address 542 HAWTHORNE WOODS DRrVE Zip 55121_ Lot 3. Blk 4 $ub HAWTHORNE WOODS 2ND THESE I'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION. Date: ?,,3 ?/y?' Yes No Inspector: Final grade (6" from siding) f Permanent steps (garage) ? Permanent steps (main entry) f Permanent driveway ?? Permanent gas V1,71 Sod/Seeded grass TraiUcurb damage ? Porch Basement finish Deck Please verify with the builder the removal of roof test caps from [he plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. ContaM engineering division at 681-4645 before working in right-of-way or installing undetground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contracror Copy 0 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsWCNan Reouiremants • 3 registered sita surveys snowing sq. IL of lot sq. fi. of house; and aIl roofed areas (20% maximum lat coverage allowed) • 2 copies of plan showing beam 8 window saes; poured found desiqn, etc.) . 1 set of Energy Calculations • 3 copies of Tree PreservaUOn Plan d lat platted after 111193 • Rim Joisl DeWil Optwns seiection sheet (bldgs wtlh 3 or less units? DATE q- q, d Z SITE ADDRESS ? q7- MULTI-FAMILYBLDG _Y _N TYPE OP WORKd- (e,?l?p ba? Ft-IREPLACE(S) _ 0_ 1_ 2 SELA ROOFING & REMOOI- - • ? APPLICANT 4in0 EXGELS'D ' STREET ADDRESS ST. LOUIS PARK, P?rr?: In CITY STATE_ZIP unnn i ncn TELEPHONE #Cn(Z-j623-f?fvy(, CELL PHONE # FAX # PROPERTYOWNER Ka.s2 L HvLY TELEPHONE# Q_Zr?' Oe? g ----------------------------------------------------- ----------- ------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'CA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (J submission type) • Residential VenGlation Category 7 Worksheet Submitted • New Energy Code Workshee[ Submitted • Energy Envelope Calwlations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: Mechanical systciu includes: Sewer/Water Conhactor. _ Air Conditioning _ Heat Recovery System Fee: $90.00 PhoneO C?P 0 9 70f17 """""""""""""""""""""""'"""""""""""""'""""'""""""""""'"" """""'"""'"""""'"" ' ' I hereby acknowledge that I have read this application, state that the information is?co2ecf,-anel:egree_t mply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ?a? ? OFFICE USE ONLY _ Water Softener _ _ Water Heater _ No. of Baths _ Phone # L.awn Sprinkler No. of R.I. Baths Phone # RamodellReoair ReauiremeMs . 2 wpies of plan . 1 set of Energy Calculalions for healed addihons • 7 site survey for ezlenor additions & decks • fMrcate if home served by septic system for additiore VALUATION Of Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 0 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage EJ 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 Canst W idth REQUIRED IN SPECTIONS _ Footings (new bldg) FinaVC.O. _ Foorings (deck) FinaVNo C.O _ Foohngs (addition) . Plumbing _ Founda[ion HVAC _ Drain Tile Other Roof _ Ice & Water Framing _ Fi nal Pool Ftgs Air/Gas Tests Final _ _ Fireplace _ R.I. _ Air Test _ _ Final Siding Stucco Stone Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector CITY OF EACAN CASHTEF: S TFRMINAI ND: 39 AAfE"u 11I14I97 TZMF: 0:3051 Ill; NAME: R W HENNE£thY 3210 9001 542 HFlWTHORNE 50.00 205 3001 542 HAW7HC)hNE 0.50 Total Receipt Amoiente 50.50 CfiDB?3ri USER ID: NANCY Xc X? k ? ?C ? X? ?k # ?k * k? # %? X? x? ?k ?k ?X X? ?X rK X? xY ?X k? Xc ?%%t +k ?X Xc ?X %? ?X ?k ? k k? ?k ?k PERMIT .CITX OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u r Lo r r+e Eagan, Minnesota 55122-1897 Permit Number: 031121 (612) 681-4675 Date Issued: 11 (14 / 9 7 SITE ADDRESS: 542 HAWTHORNE WOODS DR LOT: 3 BLOCK: 4 HAWTHORNE WOODS Jttd, P.I.N.: 10-32151-030-04 DESCRIPTION: Q;Ui,lding,?Permit Type $<tildinq Wo-r-k Type Census C o d e r . 00s - _ i c=' DECK NEW 434 ALT. RESIDENTIAL r? ; ?`' a? -?i ? ; .k?. r'?? "'= ? L.`' ?? ??.?.?r???;?1; REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: _ Applicant - sT. Lrc OWNER: THE DECK & p00R'COMPANY 14519192 0005457 KUGIAR BILL 11632 AKRON AVE E 542 HAWTHORNE WOODS DR INVER GROVE HTS MN 55075 EAGAN MN 55123 t612) 451-3192 (612)688-0818 S her,eby acknowladge that 'E-,fiave read tfiis a?Z?lica?tion? ?nd state fitaat th:o inforr?aticsn is ?orrect. and'? a?ree to cosnPly ;w;i?h 'aIl" a pp`1"i"ca t5`l )9 st?'t'e d1'"`,?n. ? Statutes and City ofi Eagan.4rdinances." - ANT/PERMIT?E?TURE ISSUED : I NA E J 11997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 5 \ ? CITY OF EAGAN ?? 3830 PILOT KNOB RD - 55122 681 -4675 New Construction Reavirements RemodeVReoair Reouirements ? 3 registered site surveys L,4'- 2 copies of plan • 2 Copies ot plans (include beam & wmdow sizes; poured fid. design; etc.) ,--1' 2 si[e suneys (eMerior additians & decks) • 1 energy wlculations ? 7 energy eaiculations for heated additions ? 3 wpies of tree preservation plan 'rf lot platted after 711193 required: _Yes _ No ' DATE: //- 7~ y7 CONSTRUCTION COST: DESCRIPTION OF WORK: 1,21icZ A/9.niT/oy STREETADDRESS: S S?.z /fo?l.uTNv/1Nlz Lv'v?9,O1 /J?f'/i//L? LOT ?_ BLOCK ? SUBD./P.I.D. #: "?"M4-Sc 10tVh). PROPERTY Name: I'i??L??? J3 i?? v- ? i?)/?'N Phone #: owNER StreetAddress: City: State:^4.-v Zip:..4?'-/L3 CoNTRACroR Company: %/?/1 1742" clt t} ,rJov rc lo ?nt c Phone #: ,, S/ 3??1 2_ Street Address: C 3 Z,9 K",,i N 4f/f f? License #: City: !NL'i?c?,??v,? l?i?ic?-?State: /?a?? Zip;? s ?7? ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licer.eted plumber (new construction only): and lot change are iequested once permit is issued. Penalty applies when address chance I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl= State of Minnesota Statutes and City of Eagan Ordinances. 1-7 Signature of Appiicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE •" !?! V. f ? yS p? i i ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dweiling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Acce ssory ? 20 Pubiic Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex 0" 15 Deck WORK TYPE ,ef' 31 New ? 33 Alterations o 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MGWS System ? (Allowable) Main level sq. ft. City Water ? UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. q -6 Ig_ Depth Footprint sq. ft. SAC Code caL Census Bidg I Census Unit APPROVALS Planning Building M? Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. DeFosit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC r?r? , SAC Unif?" .•???? Valuation: $ PERMIT ? CITY OF EAGAN 3830 Pilot Kno6 Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: C?2 ?s?i3 S- BUILDING 024853 11JiTJ94 SITE ADDRESS: p.I.N.: 10-32151-930-64 542 hiAWTHORNE WOODS DR 1Q7: 3 BLOCK: 4 MAW7HORNE WOODS 2Nq DESCRIPTION: B,`ikdSng-Permit Type SF DWG Ouiid,ing Wti.rk Type NEW KlI9C OecUparrcy\? R-3 M-1 f Cqttstru-etion Ty4Q V--N /I Z4naing ?--. R-1 Building Length ? 74 ? Butiding Wzdth 1 52 ISu.il4l3trg stories 1 re Feet,2,590 C l : _ t ? ?' i'? ?" REMARKS: DRIVEWAY ENTRANCE MUST BE CqNCRETE BEFORE C/Q WILL BE ISSUED FEE SUMMARY: 8ase Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $968.50 $629.53 $97.00 $808.00 100 $2,495s,93 $194.000 MISCELLANEOUS $1,828.50 Total Fe2 $4,323.53 CONTRACTOR: - Applicant - sT. LIC. OWNER: J S HOMES 16869092 0004849 J S HOMES INC P 0 BOX 39652 4371 BENT TREE LN EDINA MN 55439 EAGAN MN 55129 (612) 686-9092 (612)686-9992 I hereby aokriqwledge th•at I have read this applita•tion and st,ats that the infprmation I•s egrrec`C and agres to comply with al'I applica6le SCaCe df Mn. Statutes 4ind Citg of Eagan Owdipances_ ' L . , APPLIC T/PERMITEE SIGNATURE n KiI rh..? ISSUED EIY S NATU E I ° CITY OF EAGAN 14 IhA 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY .. ?_ . L ' II Lv' 2 sets of plans, 3 registered site s ?ys, 1 copy?o-ee ergy calcs. ` .? ?.1 . COMMERCIAL 2 sets of architectural & structural specifications, 1 copy of energy cal . 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 ef ) /?/ 1¢ Valuation of work 1??, Oa v I Site Address: 53 ?- J?jfb,-ryo,0-,-f L?-w.i-' J -0x , STREET SUITE # ?d Tenant Name: (commercial only) LOT ? BIACK ? SUBD. N/lc?IN oG?r p.I.D. # Descri tion of work: The applicant is: ? Owner IN-Contractor 0 Other (Deseribe) Name V-/.J?.c?- ? i31'ce kla 'gG L:F? Phone Property LAST FIRST Owner Address SiREET STE # City State Zip S?d?G f Ty? Phone l`Pbq2 Company COI1tY8CtOf ? Address License # ?4 49 Exp.? City State ??-, Zip S5'IZ3 Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber 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: v U OFFICE USE ONLY r r. . , , ?A BUIL AING PERMIT TYP E ,... ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 ,? . Basement finish c2 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. O 04 5F Porch ? 09 12-Plex 0 14 Fireplace O 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility 0 21 Miscellaneous WORK TYPE &?_31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move • GENERAL INFORMATION Const. (Actual) Basement sq. ft. Bzz MWCC System ? (A7lowable) lst F1. sq. ft. i azz City Water ? UBC Occupancy 12-? 2nd F1. sq, ft. PRV Required k Zoning i Sq. Ft. total _ e Booster Pump _ # of Stories w A,,,m Footprint Sq. ft. Z.S9o wl s*P fire Sprinkl er Length De th ?3s r On-site well O i ??t,?f; f Census Code p si n-s te sewage 43 , SAC Code oi APPROVALS ,s?lf?y(6?Census Unit ? Planning Building Assessments Engineering Uariance REGIUIRED IN SPECTIONS O.Site ? Wallboard ?Footing Final -b-Framing ? Draintile 15?lnsulation ? Fireplace Permit Fee Surcharge 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: SAC % 5AC Units wetuat;m: / F•R• .??- ?AnAEi L 7x /S ' !oS Z ,l zo f F 38.r= 3?? .s,? 12.s 7x 13 = 9/ ?7.sx'j'? ,r?3x3 ` s Y,cB ` 3y r /? `G2Z x SY 90, 388 , 667 = y° = CiH> ?-- ? . (JS?'° T i, aZZ ?i 'F',a.sa:? ?/,yso x sY= 78,?00? ( ?? i? -!?•?= 3?z .?r =L S, S8? 11 I ; ??3?i ? ? tY?O 0 ? 0- TYO 0 p'.B13 0 13 i 0 0 0 LOT BIIRVEY CBECKLIST FOR RESIDENTIAL 80I 4ROPERTY LEGs*.s LDIRHIT 71?P?I?}?T?ZO??-a'`?..?.._"??? Dat• oi Surveys DOCiTMENT BTA*pA 8 • Registered Land Surveyor signature and company • Huildinq Fermit Applicant • Legal descziption • 1lddress • North arrow and bar scale • House type (rambler, walkout, oplit w/o, spiit entry, lookout, eto.) • Directional drainage arrows with olope/qradient t. •Froposed/existing sewer and water services • Street name • Driveway ZLEVATION9 Egistina Pf 0 D • 6ewer service D^ E) 0 • I.ot corners B',0 0 • Top of curb at the driveway D? D 0 • Elevations of any exfsting adjacent homes preeosad Q O 0 • Garage floor ? 0 0 • First floor H ? 0 • Lowest exposed elevation (walkout/window) D • Property corners D 0 • Front and reer of home at the foundation P9NDIN0 11REA8 (ii applieabie) 0 IIjp • Easemeni line 0 Cf/? • NWL 0 IY • gwl, D b • pond / desiqnation D 0 •__ , Emergency Overflow Elevetion DIMEN8201f8 I?? 0 D • Lot lines 0 • Riqht-of-way and street width (to back of curb) '? d 0 • propoaed home dimensions including any propoaed decks, overhnngs gzeater than 20, poYChes, etc. (i.e. all ? stzuctures requirinq permanent footings) 0 • 6how sll easements of record end any City utilities within those easements D 0 • 8etbecks of proposed atrueture and setback of adjacent existing homes 0 0 • Retaiaing yn? req?riremente, if any October 1992 11+24 ,w 357 29 S8W 0+37 s 48 ', w 36' 8878 30 5.10 M H. 5 3'RT.P0 C 21+48 ' ? 5 60 / j 5L5,._ 8 83.0 43.5 / 915, / 780 170' 29 5' 4 ` SgWOf83 s46',w57' 8893 3 SabY 1+65 s4E',w57? \ 8920 ?- ?? ? 32.0 7' 31 ?? ' 44.0? / i? , -MH 4 ? 440' ? P.UT 23+18 440 45rJ' ? 56.0 53.5/' ? V 45.0 470. 7 l 450 Sgyylt76 280' 6 s 46 ?, w 58' 873.7 S8, W2lFil s45',w 58' 5 8800 S&W3+51 \ s 46',w 58 yf- R?- • c?,- cY`1GF?Pd DJES I?C?1?c,u?? ;ArI+.E ;- ? c. ? +;,r AC;.'Uf?ACY OF UTILITY IOCATI0,13 111EVA710fVS. TWI3 DA:(`, r Fo'.i .l,llDPURPOSES 0`.'.'t Ai'.'J -?•- ;-?._, . ..: t, -11G IT SNO?JLr. ";'Ic,; OPJ TwE SI i 6. Mp,WTHORNE ?- - - ? --- ----- --- ------ ? - M.H 5 H. 4 I R.E.901.7 A 6.,0 ---- ---- -- R E 8 64 -----I ------ --- -?m----- -- ?_I / HAWTHOF --- 0O ---- ---- -- ---- -------- ---- .H. --------- ? -------- -- - 5 R.E 901.7 - ---- ? ? O L ---- ---- -- - - - IV ------- 7 -°= - -- - H. 4 , - -- -- - RE 8. i h -- I - 64 - - - - I ' - - --- -- - - --- - - - - -- - - I- 17 L F-8"P . C.-SDR 35 _ 380 ?-?e°?o I ? - ----- --- - - - --- - -- -- - - - - - - -- 3-73 . --- . . - ---- --- ?-- - ? i --- --- - ?7_9 -- --- -- ----- - ----- - - - ------ - -- --- - ? ' ----- i - - --- . N , ? ^ 330 ? co " -359 -I L.F-8"F' ?6- - - ----- ? OD ?0 ----- --- - C =?:,?.+Vif;P! CC ?5 P:t?i' GU/; ?Ai `??c THE ;'.L?i?.i. [3ACY OF TILITY LO 'ATIONS ?4.Q-- ------ =------ _--------- F,4??;M?_=.: _EVP,TIONS._ THIS DATA IS FOR (h?:=J;;:':ACi N PURP -------- SES Oi?1L, -- AND - ---- - - v JSIfVG IT S OULD VcF FY ?HE ON THE ITE. ?Q_ -- ------ ----- -- -- --- 2 ! -- 2 2 ? -- ---- -- ---- -- - -- - ? 2 1 94 CB ECORD PLA I ? F 5 ' 6-93 MJ. R -iS ' ?'T EVorro-rSTREETrrr?- ??t IDT i?ENTR- r? AW WDS UR ?- ... SWR....'... ?-_ DEPTH, -.-..- M H_2 TO 3 • • • EXTERIOR ENVELOPE AVER{(GE "U" COMPU'T'ATION , OWMER: 'SITE ADDRESS: 1-94, ' LONTRACTOR: DATE: I11I51V¢ PHONE: dpE-q?92 cl' DETERHINE WORKING SQl1ARE f00TAGE OF EACH: AREA 2 z f "U" 1. TOTAL ,,,,,,,, EXPOSED WALL ;! pf sq t x 2. TOTAL ROOF/CEILING AREA,,,,,... I gao Sq fL X"U" 3. TOTAL EXPOSED WqLL AREA CALCUlATI0N5: Total exposed wall area above floor,,,,,,,, ,2 Ol 2 sq ft t a) Total wall windaw area: 1_oa? t, 9lazed...... „205 , g ?5 sq ft x v . , „225 • _? I . 3/ ?,?Lr 5 glazed...... ,?2-1 _ ?I sq ft x"U" .207 O6 59 sq ft x"U" SS b} Total door area ,,,,,,,,, , c) Total sliding glass door area: l av' ?i 9lazed...... ?ii sq ft x"U" , I`?L? gtazed...... '- sq rt x "u" a d) Total fireplace walt area sq ft x"U" a e) Total wall framing area 1 (Averaae lOg).......... :2pf. 2 sq ft x"U" , C9?z ° =i'6'4q f) Total net wall area above f "U" ?' ? ? ?4 , 2? floor (Insulated)....... sq t x .t T g) Total rim Joist area...... sq ft x"U" Total foundation .... area (Exposed) r ? sq ft ...... h) Tota1 foundatlon window area............. sq ft x"U" i) Total net foundation ? - ? area above grade....... . J I Q sq ft x"U" 10/05 7 ' ° 3 TOTAL a) thru i) m I6S.2 If item k3 Ts the same as, or less than item A1, you have met the intent of 2 MCAR 1.16008 A and G. Page 1 4. TOTAI EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceiling area........ ?Q Ii, sq ft J) Total skyltaht area....... ??.sq ft x"U" k) Total roof/ceilinq framing 'y area (Averaqe 1(1q)...... sq ft x"U" 1) Total net insulated roof/ceiling area....... 7sq ft x"U" ?01Y ° ,525 y, TOTAL J} thru 1) If total of !'4 Ts the same as, or less than p2, you have met the intent of 2 MCAI 1.16008 A azd 0. ALTERNATE BUILDIPl6 ENVELOPE DESIGN To utilTze the total envelope system method, the values established by the sum af items N3 and k4 shall not be greater than the sum of items N1 and #2. 1. + 2. _ 3. _+ 4. C E R T I F I C A T I 0 N I here6y certify tfiat I have calculated the "U" factors and "R" values herein and that the buildinq here !escribed meets or exceeds the State of Minnesota Eneray Conservation Act. Siqnature (Date) Page 2 PLEASE COMPLETE FOR SINGLE FAMIi,Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ? NEW CONSTRUCTION _ ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE 12-13-94 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 'f'o C) ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL ??• ! SiTE 542 HAWTHORNE OWNER NAME: KAREN & BILL KUGLER/J&S homes TF-LEPHONE #: 6880818 INSTALLER: MCDERMOTT MECHANICAL INC. ADDRESS: 12231 NICOLLET AVENUE SOUTH CITY: BURNSVILLE STATE: MN ZIP CODE:55337 TELEPHONE #: 890-9084 S G? NATURE OF PERMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AL50 COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF qFEE $_ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ?ER14+Ir'i' FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLl) [NST. ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1994 PLUMBING PERMIT (RESIDENTIAI.) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL -A SHOWER 3.00 C. 12 WATER CLOSET 3.00 ? 2 BATH TUB 3.00 LAVATORY 3.00 ? ?- ? KTTCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 ? _t FLOOR DRAIN 3.00 3 GAS PIPING OUTLET • minimum - 1 3.00 3 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVAT'E DISP. • nax.ay. uc 20.00 U.G. SPRINKLER • nome uaa coast. 3.00 ALTERATIONS • to exuun8 20.00 WATER TURN AROUND 20.00 STATESURCHARGE TOTAL: .50 ?g. 50 STTE ADDRESS: 542 HAWTHORNE OWNERNAME: KAREN & BILL KUGLER / BLDR: J& S NOMES INC. INSTALLER: MCDERMOTT MECHANICAL TNC. ADDRESS: 12231 NICOLLET AVE 50 CITY. BURNSVILLE STAT'E: MN ZIP CODE: 55337 PHONE #: ( 612) 890-9(184 '? SIGNATURE OF PERMITTEE PLEASE COMPLETE FOR ALL CODMEERCLAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. _ NER'CONSTRUCTION ADD ON _ REPAIR WORK DESCRIPTION: CONTRACf PRICE: $ FEE: 1% OF CONTRACP FEE. STATE SURCFIARGE: $.50 FOR EACH $1,000 OF FEE, MINIMUM FEE: $ 25.00 ? CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: $ $ TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STA1'E: ZIP CODE: FOR: CITY OF EAGAN AppLICANT 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNUB RD EAGAN MN 55122 (612) 6814675 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION ?o -:)--9 `:?Zo City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit JAN 2 3 2004 ' Date Site Address .S y Z u r ? aY"v?C- Unit # Property Owner /J ;11 44 11-A 2 Telephone #( (e o'P/ 8 Contractor /7YJ?j2?? %"f ?-.?G,•. Street Address JW lZZS3 41161Q, /?7/Y_ .S• City +?-?4?h S?. ? 4 State 177 A) Zip S S-; 37 Telephone #( 9"5-Z-) Bond#: SS- /8'6V63 Eapires: 9' z/ d The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to eaisting dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger airconditioner _New _Replacement ? other Qa•-a? h47L, State Surcharge $ .50 Total g 30•So I hereby apply for a Residenrial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance wiffi the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemut, but only an application for a pernrit, and work is not to start without a pemvt 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 Applic t's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagaa 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc commerciaUindusaial buildings multi-family buildings when sepazate pernvts aze not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zlp Telephone # ( ) Bond tt: Eapires: The Applicant is _ Owner _ Contractor _ Other Work Type _ New Construction _ Underground Tank _ Install _Remove'*see below _ Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: '*When instaNing/removing underground tank, call for Inspeetion by Fire Marshal.and Plumbing lnspector Pel'lltit Fees: $70.50 Underground tank installation/removal :u5CS6 : ' ' er:a (il.cludn Se.a Sard?gc) or Contract Value $ x 1% _ $ Pemut Fee • If nermit fee is $1,000 or less, add $.50 ? $ State Surchazge If,permit fee is over $1,000, add $.50 for every $1,000 p¢imlt fee $ Total Fee I hereby apply for a Commercial Mechanical Pemrit and aclmowledge 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 with the Mechanical Codes; that I understand this is not a pemut, 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 requues a review and approval of plans. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspector Date: ??n ? I ForOffice.Use ??L .? , +UJ ?-, I' ? I?? - I Q ( City of Eapn N1AY ] j u 2009 bO ' PertnitiF I permRFee 3830 Pilot Knob Road I Eagan MN 55722 I Date Received: Phone: (651) 675-5675 1 ? I 1 Staff: ? Fax: (651) 675-5694 L _______---- - - - - - - 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Ai- -oC"'/ - CJ J Site AddresS: S174,? Tenant: Suite #: 1,?i2L7V /`,?GC 6 Li3-/L Phone: (GS/- -0 9/ 9 RESIDENT I OWNER Name: `--? i -? ??s, . , ? z!-n 17 n /? Jn /?'i) /l ?, ! //? ???-r9 /3Y? J ?J' ?2 2- Address ! City / Zip: ??t v( CONTRACTOR Name: JU6L-X411v 11'46 1f7-6, f?/C, License#: Address. 1?-V` 5 cicy: 5 State. 1291?1 Zip:J-?U7 Phone: ??? - -17LG i 9 U Contad Person: /)-)191Q`/ LO W17/L:7Z? TYPE OF WORK _ New X Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL X Water Heater _ Water Softener Lawn Irrigation _Add Plumbing Fixtures -(_RPZ I_ pug) Main _ Lower Levei) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $50 State Surcharge) $30.50 Lawn IrrigatiOn (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (inaudes 5.50 State Surcharge) `Water Tumaround (add $165.00 if a 5/8" meter is required) $700.50 SBptic SyStem New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances ahat theeworkthwilbe nf Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permd; accordance with Ihe approved plan in the case of work which requires a review and approval o f?'JA%?`? Ld CtJ % 1-1 X F?-- X AplicanYs Printed Name qpplicanYs 5ig ture Reviewed By: Date: FOR OFFICE USE Required Inspections: _Under Ground _Rough-In .> Air Test _.Gas Test _Final p10NEEFI ? ?., 5::•.E?:h? . :?r?_ Ei'1??1'10BCI11g-s-. ' LPN. P_t\HS+S• nt?stA?E .. ?llertificate of Survey for: J• 1[ 2422 EnterpriGe i f1:rd^tC :ti°.ghtS. ^AN 55120 il (612) 681-1914 FAX:681-9488_ _I h_'1 _ I oa re. },;,y 3,.^.4:4 II (612) 783-1880 FAX:783--1883 S. H OM ES l N C. 542 HAWTHORNE WOODS DR. ? 1 r / O ? 'i. r ? Q le- ?b s L ssz. ? ,? 89303 SIVf% i x 688 ?'Qv,,? 8945 n, p,?? 96.9 FL 1 yg.C? p? I i ? ? rv??5".? ?? ? z 4 I lQ A ? I. ? I 9ENCH MARK TOP OF PIPE ? E l EV.= 902.69 ?___? ?X?S? SE o 1 903,x ' LO 900. 7 ? p? ` 900.1 ? 7-? ?`'•sio£wa? x ` ?A???w,ela ` ,- ? SERVtCE 9\?01.9 C.B.dN? ?INV,=892.0 v 1lN e0 { O •y`, ? ti 901.5 ` {s (p V ?1 902.5 rat.5?i ?? . ,?o zz E A (?*.- ?? R E V { E1N;9:*t+r? _rsJ' 893.59 g' S7"W ?, ?9pasj? ELEC. PEb.\ --"-6E`1CH MAFtK ' LOEV? 901?.72 E ;a 2 B. .i/. R?0 U?? rA EAGAN ? ? S M ? 6 Z o? ( ? PRC=^4E] ;-4?.i °y7kN ?E4 u"FA61N8 7LA4 9Y: McC0:dC3 FicPN'F. RDCS RSiC'Cin7E5. !?`C'7hiS C.RLFiCaTE DOES yCT PURPORT TD SE;ok ERSEM"ctiiS 'vTnrC1L 67riER IMfN THGSr SN'?RJ ON TfE RE;GR9ED °VT. NO?r gU•x; ^'b'EItiSICNS 540Y?N Afi8 ??k ?'TUAL PL,Y4IS FC+^ 3UI'C:4C Lo:0.%V OF SiP.'U'--UR?S 4N'_Y. 5•_'. ^RC-!T=? :>l:I °0uNOPrCV oq:eNSIDKS. SCALE : 1 INCH ? 30 fE t;C'E: °3e75NCT:7 MJ=T'hRlir :P.IV:WAY CES+V. NC?=: !,G V-:IPC SGIlS INtTS?;A?ICF h.15 3E7\ CO'.7PL:TE9 CN T;il°_ 6HaR.NG4 :HG'NN Ar^E AaiVMD LQi 2Y Tn"C S':RYc°OR. THE Sd.'F?I_:FY Ji SO,lS T6 S:1PPC3i -Nc ?onpnC?? Nnll:.r ? Y?T'?J 5£C???= N,'.SS rRCPOFiF-] :5 N97 Trie R:SFGN5;3'?LITY Gf TH? SVaI'"e'/Sk. c0 Den:.?es c r,;? cxiQtilg rleva:io.^. Lo;yeSc Flcc' Eievotiun: 895.6 , . u??O tes 'r,epoEed ctevctfor. Ec:emeM . 8 & U11i•y 4 dloc'c Ejev.?r' . .ar. 7 04-, -- - D?^.o:ea Oeno+.0s q Jrc.n Dro;ray? cIG•A p;rertion . cn o --.-? 7'eno;es 6'c1-jrr,er.t . G?,raye S.oo Eievct,or: 903:' pen?:95 0":5F' _.uc '- S I?aC. 7!-iAT ?Hi? APaD CORREG'- ?, REFR=ti=NTP.TICN OF F. S?ti'ltY C-_ 3'JI:IJUrrJ?S "ll?. LOT 3, sLOCK 4, HAWTHORNE WOODS 2NQ ADDITION DAKGTA COUN7Y, M1NNESOTA , 17 AS ch.?p;*?, p.S O rURP0?7 TC S?Ov? lh',FRO?cidEN'S C=: EN?H;G<+??fltNT tX?t?: c- DJtS ?•cn N?Y Ii= G? L?\D=K Id" ??I?n?Ci S?P:.r?V15'.'•N THt:_1DiH P .iF I?'?':-`/1?E4, 1394. - ?•- . F.= 1 ?JOnn?:.uie.i:t L` M3' 11 2422 E?ter?.rise : ris? ? * i f?°r1arC :7e?hts. SA?J 55120 ? (612) 681-1914 FAX:681-9488 * PIDNEER --- ? el'1 MePPp \PIg_-'--tae]'.e?Nr:i. a\JSiA%E efi='IZ^'S II 3 a?re.l.??"N?5-:4'4 :.=. + II (612) 783-1880 FAX: 783-1883 * * * ;;E!'tifiCcLe Of JU!vey fOr: a? -o • ? R BENCH MGRK ` TOA pF pIPE E L EV.= 902 69 t ?O?', . ;? F< u ' •?; ??`6 ??` `, ,-. ??= ? ? 900 ?l0 , -7' `a,cS"P ?C Z? Cn? C.B ? ' O j • ? U*) ? ;aoz.2 ?VtCE 892,C 0 902.1 \ - 7 900.1 ro ? ? 901.9 x '.1 ,g C N J. S. H C7M ES i N C. 542 HAWTHCRNE WOODS DR. !e,; L .Q 8 ? ) ±y 9fi ?5 1a3'?, ! ! ? opoppooo ?- . BS'A3 ?' S1v?'?` i ? r I ?x888a? 8945 ?f.. t ?1 I ?: s t 3r? i i i'. ? I ,,. x89318 z? J ?n¢ho= '' i? ? Y J • ? 2? ? `? 901.2 -° .E 4?. ° ` 901.5 '. - - -.gazz----- 893.59 155.32 882.6 ?.- " . 6 "W E1-EC, PFD. ----BENCH MAFtK E?L£V? 901?.72 ? ?'4•°a,?rr Li.vt g? Fl- EAGAlV i ? ? M S M N ? C7 Z \ `?41A ? I I ? ? ? DEF'f. PRU?CSEJ ^.'A::i 540Y.'N 7?i GRADING PLAV 8Y. IdcCO7.OS FnPNF RJ?S F?SO:.IATc', M. YFiS C2aT•PiCATE OOSe vOT F6RPOpT TO S40H RS"GlA=\•.S NOTE. 3'.:10•'?+ lWEICSIONS SHO`;N AkE c,-k N.CF,12G\?A'_ 6N? '::n'C:+l j4RN TiGk .HO.,,! ON 4=C,,R^El °IPT. LO•:ATIGV ^.,F SiPC_ U4?5 C'NLY. ^oC,-!T=,.TUA.L P! 1!iS F'v'? 3l:f?Cl`J ;NS =O.acarcN 04r_r:s-m - CZ ???-rca ?r,-T :_a:.- cFiV=:;nr c_cc\. SCALE : 1 INGH = 30 PEET (i !?; S=EbF'C SUl_5 MV?5T,SA'I?K h>.S 3E_': ^- TO CrJ1r FFL:'CTE9 CN 1?12 6`.AR.AG3 ,?-.N'nP; A?E h_3UMcJ E ?p - S???Th3lT"?= S0.L$ Bi 'N 1.;i 2Y T..c S.fi'Jc R. inc _ . rRCPO$iJ IS k'J- Tn: ft..`,FG45•?LiTY GF Ttl-- SU?1='/]k. 'FA'1?(?'S?? NOI:== 'JAT? X Ci'.D,CU liP.lv±CS Ckl`.'tl.lg FICVl7'IO'.: Lo,esL Flcc' t;evotir,n: 8951 ?:a,oa ; ?"?e?es 'r•cpozed clev;'.?or. -= DQ"c:es ??. prcrn:•)? dc U,i??.? Er. i< r;u-•- .o Gf olo,: E'eva, . T^ 904.1 -.-"- Oeno!ps cic, rec'ion Dr?ray? .v Gl _ ---?- Den::es NcI?in':er.t . ;;arays S-io Elev,t{on: 903•' 7HAT ??!iS i5 .4 TR'J= AND CQRRtC- Il,l? ? ?_S INC. ` .y? R?FR=S=i?Tp.T10? pF 3']j?VUAR;_5 UF: LpT 3, BLOCK 4, HAWTHORNE WOOQS 2ND ADDITION DAKCTA COl1N7Y, N41NNEScJTA p , P.5 ?'Gl,???Nt."J'"S, tX'?c°T S- c1?0\'y. 'T ??,t5 N',l ?UrirO?? C'v=,G'+ti I?:rRO?ti??E N'S C< aN:'H ?v ?F ?°:cVi??i, g?GV?•c^. 51, 1,1c G?; l,?\D=R My :iIRE;:7 SJP?nbI50M THI? 1_0=H -. ? -, ? ?iu'.J'C?yf i. ?rS:^Nc.° =?,.CIC= ?INC.w F - F-c -\c 151i17 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA081071 Eagan, MN 55122 . Date Issued: 11/14/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 542 Hawthorne Woods Dr Lot: 3 Block: 4 Addition: Hawthorne Woods 2nd PID 10-32151-030-04 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: New Life Contracting Inc William R Kuglar 2478 Hillwood Dr E 542 Hawthome Woods Dr Maplewood MN 55119 Eagan MN 55123 (651) 274-6943 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use (11}y ll~ I of {'Eap I Permit J 38 30 Pilot Knob Road Permit Fee: Eagan MN 55122 I I Phone: (651) 675-5675.` 1 Date Received: l Fax: (651) 675-5694 I I ~ft r_ b 2012 1 staff - - - 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: '7 - ) 9 - t'Z- Site Address:. Ll Z 14 L ~ Tenant: 1 \ - C Suite M RESIDENT J OWNER Name: ~ c~ c,-f- Phone: 65 f h ~ ~ C~ ~S < ~ Address / City / Zip: -5-1:1 Z VA C, L) t v ^L- LJ ea u U $ Name: RESIDENTIAL H ' Ta , I tNC License Address: 1315 East 41 St trust, SUlle A. City: CONTRACTOR Minneapolis, MN 55407-3425 State: Zip: 724144 ne: G r Z- 7 z 4 li, Contact: Email: New Replacement Additional Alteration Demolition TYPE OF WORK Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement PERMIT TYPE Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE 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.nopherstaleonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be i nformance with he o 'nances 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 no start witho a erm' ; at the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X 1t,~ 9-& r\ 1 C-G k r\e--r- x Applicant's Printed Name Applica is ignatu e FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA137383 Date Issued:06/30/2016 Permit Category:ePermit Site Address: 542 Hawthorne Woods Dr Lot:3 Block: 4 Addition: Hawthorne Woods 2nd PID:10-32151-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - William R Kuglar 542 Hawthorne Woods Dr Eagan MN 55123 (651) 688-0818 Soderlin Plumbing, Heating & A/c 3612 Cedar Ave S Minneapolis MN 55407 (612) 721-4080 Applicant/Permitee: Signature Issued By: Signature C L Use BLUE or BLACK Ink q'C For Office Use „._ , 0' itil° �' Permit /�� ityofaan � �. 1' . f') Permit Fee. 5' 3830 Pilot Knob Road P -,O Eagan MN 55122 Date Received: c Phone:(651).675-5675 ,y i 2017 Fax:(651)675-5694 Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 5 ; 14. A.0T Q. WAf -C. t”' Unit#: e F ."23 Name: ili Al Phone: 19c(_ }6 gl. Fr i� -,� P� � '-e Address/City/Zip: CACI a Y F _ Applicant is: Owner Contractor • t � Description of work: SL B ATI f 52-150A1k Construction Cost: iii 400 Multi-Family Building:(Yes_/No/c ) �_as -,,,;-,;4,,,,„,:,.. company tin oit Q �'-f v<'.. Contact ( tet t... tz x Address: \1 � e�\4 1-'''-',',.:',.:: State:40 Zip: SSW-- Phone: —r01p1` ( Email:(j\ )��- cu:.` tt, c�g l? .65 o ` n d License#: �C-as 3 ry ,,,,, Lead Certificate#:1� Y—a� 5�-r,� If the project is exempt from lead certification, please explain why:. 16Utl.i 114 it??S 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: f —.W..-e ,M.43' ® Y"f aCR 1 1@ @ "o@.sY C ae�@ ® ev_3 aztrt o-r '" l®P„'ki-.!S.44-..e f ® DA ® ®e �� :1,00^,0,- `t w 0'.-. w m e ... a ed '. I'' 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.000herstateonecall.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 Mfhnesota State Building Code must be completed within 180 days of permit issuance. t ' Lena O T&garl— X X glass()per Applicant's Printed Name 1 'Applicant's Signature 1111 Page 1 of 3 z{� , J Del E 6 S O NOT WRITE BELOW THIS LINE /4/1-/ZIO SUB TYPES _ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) 10 Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New Xi Interior Improvement — Siding _ Demolish Building* — Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation * 2 Ii2°.p- Occupancy S QC– 1 MCES System Plan Review Code Edition Mil 7.0 i S SAC Units (25%_ 100% P) Zoning g—1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 1J t Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) ,q Final/No C.O. Required Foundation 10 HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water _Final Pool:_Footings Air/Gas Tests Final A Framing Drain Tile Fireplace: Rough In Air Test _Final Siding: Stucco Lath Stone Lath _Brick Insulation Ki Windows _ Sheathing Retaining Wall:_Footings—Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control ?` 51-f�+'el2 p a,\ Other: ?eviewed By: 1 0 r)1 /11 i J(.J y f}- , Building Inspector tESIDENTIAL FEES i 1 Base Fee / 1 Xi ( ' = i -z I Surcharge It z a o- Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink For Office Use C k 0Eakall) Permit#: i/ 1 % d Permit Fee: 4 — 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 buildinctinspections(a?cityofeadan.com Staff: L.._ ,Q 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: V ^ f Site Address: 5(1)- Mr 10+4014Q-- Mi o cJ itiir. Tenant: _ Suite#: I Residen#/Uwner Name. i.l �-) 4-y9/aY,.,_ _ w Phone: 65-7-- t oa4 q 00i i Address/City i-Zip: �.0 ci./'�Z . G 0 � f" . , s / 3 / /I Name: /4� S C .— ,�( c-416✓ l:7'`�• w,�.�� .. �,.�.�� License#: - I Contractor Address: l /p f city: S7 ' , ' z`"t r r a ./••75----Y State: ��`�' Zi 6 S ," )." -" p: .. ! v Phone: 1 Contact: V L2 S Cr Email: , rj t;k (--°'''C'' 'S Q 1.. 'C i?t / / l77(:, , c1� `1 i INew VReplacement Repair Rebuild Modify Space Work in R.O.W. AryiTfpeofWork -- _ I Description of wort �S a( Vic' /,. (��v z ( RESIDENTIAL Water Heater 1 I Law Water Softener n Irrigation(—RPZ I—PVB) _ Permit Type Add PlumbingFixturesMain/ Lower Level Septic SystemII — ( ) New Water Turnaround 1 ,. f Abandonment - - RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) i $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround`(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) fi $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecail.erq 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.cityofeagan.comfsubscribe. 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 he in accordance ��with thee approved plllann�fin the pcaasseen of work which requires a review and approval of plans. ii Applicant's Printed Name Appl'' ' is ignature r FOR OFFICE USE Reviewed By, Date Required inspections: under Ground _,. Rough-in Air Test Gas Test Final Meter Related Items. Meter Size Radio Read Manometer Staff: Phea c=am .. ' /- - Y — 69-0 c Use BLUE or BLACK Ink r For Office Use j� Eag,all ::::e City of i 3"--D- : �� 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 buildinginspectionsOcitvofeagan.com Staff: 2017 RESIDENTIAL BUILDINGPERMIT APPLICATION Date: Io Ip l ID Site Address: t-�2 ,iwne W,olf fir Unit# Name: �f)) �(I kr- Phone:.,. Resident! 1 1�e+._ C Owner Address/City/Zip: a , ' iz toss �f— (Gl et MA' 57a 3 / Applicant is Owner \C Contractor ,,ten Type of Work Description of work: I W tUtY /5c. 4_ C�'1 J 1y � I., Construction Cost:1)3 Multi Family Building: (Yes /No ) Company: M1,e iir L �O/� ►s Contact: L4vdikl 4e'7J4wV4 ` aGoc '� G► N s e 4 }P� 1 � Contractor E Address: J! City: /�� State:�� Zip: � �h Phone: �1 -a3�— wG�mail: bw4erih&4hiccn, License#: �✓� / J Lead Certificate#: G� If the project is exempt from lead certification, please explain why: S ' ' n ._ . wuw. . ,. .. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I 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 of the i information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they I are trade secrets. 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.cityofeagan.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.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 accor ance with the a proved plan in the case of work which requires a review and approval of plans. x h � Y(4;) Am �, J Applicant's Printed Name Applican - Signa - /, Page 1 of 3