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546 Hawthorne Woods DrINSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: ?'.' ?? "'"' , Eagan, Minnesota 55122-1897 Date Issued: • ? (612) 681-4675 SITE ADDRESS: ' I " ' 41 i"Ii ` N "" t' " APPLICANT: Iili: , P: i. i?1 f ? lf I![iRN1' tlrlo)ff•: Itp ; ,?? , ? , ., , . ? • ;? , I PERMIT SUBTYPE: TYPE OF WORK: 4a: +? INSPECTION „ . DA ? a E rr ,? I ?15kS: E'I l F L F Vl -1 I Permit Holder Date Telephvne # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FFAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING • GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCnvirr TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG ? DECK FINAL . IN! 'C1TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ' ' . ;?+si ? i 11?11tMt_ l:?t?t?11 tihtlti!{?s•c1f i?r+;1f1: •p?l? PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: ' _ y ;` 0 " APPLICANT: I?tr iN, stni TYPE OF WORK: INSPECTION D . . . . , , ? . . ? . f ? ? . it I , t i';t MAF<1 '. ? i1r?v S r: ii 1111. tW rit ir 1 1. tz,j ? ? fogo ? I Permit No. Pertnit Holder Date Telephona # ELECTRIC 3 I ? rf 95' ?? PLUMBI •HVAC 8' ? I5 ?.57-8'?IBI Inspectlon Date Insp. Comments FOOTINGS 7/3 /Q < a FOUND c, / S FRAMING L , ? .?ll?'f-D Q444- ROOFING ? ?-- ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST 4 INSUL A-- GYPBOARD i FIREPLACE N ?v FIREPLACE AIR TEST •7 - y- '9S FINALPIBG Zd d ?? Gc: e-14S G? N 17 -B?° 6 -/G ?v? LI FINAL HTG `i ORSAT TEST BIDG FINAL ? BSMT R.I. BSMT FINAL DECK FiG DECK FINAL • -,? ? i .. v wAertificate of. Cccupancv 40h) o? Oftean Toadmtxt Offtdaing 3t60cctioK This Certificate issued pursirant to the ?+equirements of the Uniform Building Code certifyeng lha[ a1 the tinie of issuance tiiis structure was in carrrpliance with the various ordirtances of the Cety regulattng bui[ding constractton or use. For the following: Use Q.ifiation: 9 DWG BWg. Permit No. 2" 1 poaipon.?y Type R3/U I Zotiag DistrKx Ri 7ype Const. VN UrneroFBuildipg ANDERSON ORM DC Addrcss 26M HORGF4YF LN. WMIM auiaing Aaama 546 HAWWDURNL WOOD6 DRIVL Lacwicy 12,B4, HMTIRDM WOMS 2rm ? ?- POST IN A CONSPICtIOIJS PLACE REQUEST FOR ELECTRICAL INSPECTION ,°?=''? ea-ooaoi-os See instmc?ions for mmpleAng Nis honn on back ot yellow copy, i?? "X" Below Work Covered by This Request V CRS? 7d,? Ne Add Rep. Type of Building Appliances Wired Equipment Wved Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industnal Furnace Other (S ecify) Farm Air Conditioner Olher (spenly) ConVaclor's FemaMs Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A ve 100 _Am s Si n5 Inspectois Use Only TOTAL Irngation Booms ) ` •Cij ,?? Special Inspection ? Alarm/Communication THIS INSTALLATION MAY O D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspecror, hereby tif h h b Roughin Date y t cer at t e a ove mspection has been made. Final Data OFFICE USE ONLY ((ry?? This request vmC 18 months imm Il 0-1r??? el25ly?s ,? -?/ V(9 _ Roquest Dale Fre No Rough-In Inspecfion Require0 Inspec0on O[her Thaough-In (VOU must call inspectorwhen reatly) ? Reatly Now Will Notity Inspeclor Yes ? N. pate Reatl I? licensed contractor Nowner hereby request inspection of above electrical work at: Job AtlG?re/ss/ tShceA, Box or Route No ) + / ^ ? 17lJ ??iw?t;rhE w•.?.,\L (;rr?Y Qy ? -.c??,.?._ Sechon N. Township Neme or No Raiye No 9 Cou ,y J 4JGt%?? ?4 Occupant(PRINn lhomas ?/seng Phone No. 7U.? ? Power SupP6er Atltlress Electncal Conuactor (Company Name) Conlracmr's license No dl-40 meownea-- Mailing AUtlress (ConUaclor or Owner Making Inslallapon) 600 ,t- AuNOr S)gnature (CO VaciodOwner Making InsWllaM1On) Phone Number MINNESOTA STATE BOAND OF EL CTRICT' THIS INSPECTION REQUEST WILI NOT GtlggsMidwey Bidg. - Haom 5-128 I II 1 1111 11 1111 I I I eE ACCEPTED BV THE STATE 90ARD 1821 Universlty Ave., SL Paul, MN 55104 UNLESS PflOPER INSPECTION FEE IS PhoneJ612)6C2-0800 ENCLOSED O O O 6 7 REQUEST FOR ELECTRICAL INSPECTION ee.oooaI-os 10- See mstmctions br comple0nq ihls lorm on back ol yellow copy ^, 4 1 8elow ft& Covered by This Request e Add ep. Type of Building y Appllances Wired Equipment Wlred Home Range Temporary Service Duplex Water Heater Elechic Heatin Apt. Building Dryer Load Managament Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Olher (specity) Coniracto/a Remads _ Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Cirouits/Feaders Fee Swimmin Pool 0 to 200 Am s a.0 0 to 100 Am s 5 7 Transformers Above 200-Amps 00 _Am s Ab Si OS 8 Inspacto/s Usa On1y TOTflL Irrigation Booms d Special inspection AIerMCommunication THIS INSTALLATION MAY BE ODISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Elactrical Inspecror, hereby pough-in . oaie ?. J certity that the above inspedion has been made. F??ei . oaie Gr 6 OFFIGE USE ONLY This request wb 18 months Irom 0 Reque Date ire No. 8• a-q S Rlnsga:tion Reqwretl (You must call mspecmr han reedy) n Ins ection OthorThen Rough-In ? Reetly Now ? Will Notlry Inspecror Yes Na Date Refld 1 17 licensed contractor ?owner hereby request inspection of above electrical work at: Job Atltlress (Sireet, Box or Foute No )I I S??o 1d«w?orne- City Secl?on No. Township Nama or No Range No Counry 4 -w ?i Occupant(PRINT) (?n frl?O -F Phone No. c, Pawer Suppher \` \ ^A V`^l A*r Atltlress 13 Q C ZQ /? + Elacmcal ConVeclor (Company Nama) ? Coniractor's Licensa No ? Maibng AOtlress (COnVactor or Owner Makmg Inslai 0 4` 1413 S 0 i- ( AuthonzeC Sipnat ontrecbr/Ow aking Ins ion) Phona Number -?36-566 MINNESOTF STATE BOAflD OF ELECTRICITV THIS INSPECTION REOOEST WILL NOT GrlggsMidwey Bldg. - Poom 5-128 BE ACCEPTED BV THE STATE BOARO 1821 Univarsiry Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Ghone(812)fi42-0800 ENCLOSED. Address 546 enwnio?M waODS Dx1vE Zip 5512 3 Lot •- 2• Blk 4 Sub Ht,wnioPIE tiaons 2rro THESE ITEMSWWERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECPION. Date: Kow 9s Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Permanent dtiveway Permanent gas Sod/Seeded gtass TraiUcurb damage Porch ? Basement finish Deck Please verify with the builder the removal of roof cest caps from the plumbing system and the shuboff of watcr supply to the ou4side lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ? White - City Copy Yellow - Residenl Copy Pink - Contractor Copy 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ? City Of Eagan 3830 Pilot Kno6 Road, Eagan MN 55122 t-4 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reamremenls RemodellReoair Reauirements Office Use OnN?? I 3 2gistered sile suneys showing sq. fl. of lot, sq. ft. of hause, and all roo(ed areas 2 coples of plan CeR of Survey Recd _ Y_ N (20°k maximum lot coverage allowed) 1 sel of Energy Calculations for heated additions Tree Pres Plan Recd Y_ N, 2 copies of plan showing beam & window sizes; poured found desgn, etc 1 site survey for additions & decks Tree Pres Required Y _N 1 set of Energy Calculalions AddPo'on - indicete 'rfon-sde sephc system On-sile Seplic Syslem _Y _ N 3 copies of Tree Preservation Plan if lot platted after 1M193 Rim Joist Delail Options seledion sheet (bldgs with 3 or less unils C, Date 0 / C / d Construction Cost /d 0a ' Site Address /;y.. 7- j r- N 15 ?jJpOD<, 7? ) e t uF Unit/Ste # Description of Work 61, W? a Dh l ? J rYr tvt??- V ? `?!< <S LL Multi-Family Bldg _ Y!i N Fireplace(s) 0 _ 1 _ 2 Property Owner \C (,- Telephoue # ( Contractor ? v ? \ Address 1-1 0 1 \ ` City State Y\A (Ij Zip qw 1 7.,1) ? Telephone # 05'2-) `'T4-I 331 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Su6mitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone Telephone N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the inforrU' ?te-aftzl"'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 9hich requires a review and approval of plans. ?atJ ?vKiz, ,,\i Appticant's Printed Name OFFICE USE ONLY Sub Types ? ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 OS-plex IK 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ?r- 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg) -Give PCA handout to applicaM t*? , Valuation Occupancy MCES System Census Code ? Zoning City Water SAC Units Stories Booster Pump # af Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? Width Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundarion Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ RI. _ AirTest _ Final Insulation REQUII2ED INSPECTIONS FinaUC.O. ? Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Futal _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: ( 2- , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total W ??f ')-/ ova •rx rrtw'. c.u. RUL 6 ?YD -/4T I I CAtE op &jw4VwY . DALE G ANDERSON CONSTRUCTION Addr?s? Ropa?? //e?+s :,?fC N4w1Not+E Wcs?s Ar'vG ?EV1E!:? t" }FF,???(?ylI ?iIy ?` ... .r+'?. 4 ¦ p ? 9 W O . _.?-- ??. ! 1 F, , ti. z Z mt ? 1 ? p3 9 m S ; ? T ? ( N N f 1O N • ^ t"' . - Vofe : w6kr sfiuf.o" Shown f!'SSUme sm.. rva. inv. o 6Y`f? Gar. ? , i rM_ 8 . i ---, . ; Prop.J ? ?4 House 9.67 N 16.3? l. vd•s °, 1 •- 15315_ 7?'- IC. .llrOiVq?I? --I N 8•`1 V,28n w Ir Aeose &.RJ.= Oro;na9e & Uiility Ease ? /0"vnj - 4xt N/oed par/ io mork Pwr. ,rnc. /oco4on. Ep, ieB93.7 r10 Oc $70. 0 N O O nj Ln W m r$72.C ? E ur' r EAGAN E-SG iN EiYi L`iE?DiG Dr.Pl'. i DIAG: 94 X 4 ? DENOTES PROP eA ??? ?LEYA?( ? E?? ?,QE-?L36?1of•f ? x1011.2 DENOTES EXIS 71 , G ?Ey AlION. TOP OF BLOCK - yp=.9 ? OENOTES DIRE C Mt L011E5T FLOOR - 897.C CZci w#D) ¦ DENOTES WOO D W 7c? 11 FOOT Lot 2, Bl o k 4; H?1wTtisf??? ,? ?1CDDITION, Dakota County, Minnesota. :ole 17, 0 0en o es Iron Mon. Beorin Ootum: Asaumed Job No. 95326HS Drw 8 Disk4 : hereby certity tha t his is a true and correct representation of B. G. RuD t 60Nb INri survey of the boun d ies of the above described lond ond of the , LANp *U4tVWY%>Q6 =ation of ali building s if ony, thereon, and all v le encroachments, e10@r I.xXINbTON AVg NO. any, from or on so id lund. E. U M? CIRGI,.t PD?iO, MIMIrO0TA I ited'thiseWh day o f BY m 41 1995 Minnesoto License No./;7/ZS bbm14'3b2b'"?'/L.10I+bbbf I?. ! .. /??/w ? Tf1Tl11 O 1.7'] wa'?7° E .?? NORTN Z ?v' .- -" -I :- -? i 1 I 1 ! / ?. ?<< < .? I5 ) I -- - _' - ? - - ._ J RESIDENTIAL BUILDING PERMIT APPLICATION S („? c? ? ? CITY OF EAGAN / 0 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Consirudion ReauiremeMs • 3 registered site surveys showing sq. fl. of lol, sq. ft. ot house; and all roofed areas (20% maumum lot coverage allowed) • 2 copies of plan showirg heam 8 window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Presenation Plan'rf lot platted after 711193 . Rim Joist Detall Options selection sheet (bidgs with 3 ar less units) 1?%?1 Q?? DATE -ST` SITE ADDRESS TYPE Of WORK ??- APPIICANT FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS _ 49 SOUth OWaSSO BIYU. CITY STATE_ZIP TELEPHONE #_ LitlIC Ca118d8,MN 55117 F,,X #c?? PROPERTYOWNER TELEPHONE# COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNF.SOTA RUI.ES 7670 CATEGORY 1 MWNES01'A RULFS 7672 (J submission type) • Residential VenUlaGon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbuig systein includzs: Mechanical Contractor: Mechanical syslem includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System I hereby acknowledge ihat I have read this application, state that the with all appiicable State of Minnesota Statutes and City of Ea9a9,QK Signature of Applicant Fee: $90.00 Fce: is correct, and agree to comply OFFICE USE ONLY Water Softenc,- Watcr Heater _ No. of Baths _ Phonc # LaNtim Spanller No. of R.I. Balhs RemodeVReoair ReauiremeMs • 2 copies of plan . 1 set of Energy Calculatians for healed additions • 1sNesurveyforezterioradditions&decks • Indicate if fwme sened by seplic system for additiore I s-? .a5 VALUATION l? U IA/W 7NUcL?T-I- F-AbMIYIBLDG _ Y _ N Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY O 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (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)' O 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg only) - Gtve PCA handout to applicant Valuation Occupancy MC(ES System Census Code Zoning City 1Nater SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & W ater _ Fiual _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (ew/replacemen[) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC Ciry sAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total CITV qF EAGFlN CASNSER: S TF_fiMINAL N0: 774 DATEa 08/13l98 TII'SE. 15:44:45 ID: hAME: R.W. NC:NNEEsF(Y 3230 9001 4400 TOFTE I.ANC 50.00 2155 9001. 4400 TCIF'TE LFlN1= 0.50 3430 9001 44qC1 TOFT'C LANE 0.25 321.0 9001. 546 HWl'HfiN WDS 50.00 2155 9001 54E HWTHfiN WDS 0.50 32'?J 9001. 4944 S!_ATCk FtC? SO.O?J 21.55 9001 4944 Sl(iTFli fiU 0.50 Tot a 1 f:eceipt Ainnun+, ; 151.75 CR09E61B i 4JuEh ILs NANCY PERMIT CiTY OF EAGAN • '3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 - TE ADDRESS: ? I P.I.N.: 10-32151-020-04 PERMIT TYPE Permit Number: Date Issued: 546 HAWTHO,RNE WOODS DR LOT: 2 BLOCK: A HAWTHORNE WOODS 2ND BUILDING 032879 08/13/98 DESCRIPTION: Buildih'qPermit Type Building 'Gqo,rk 1"ype ,,"CBRSLI9 COdL> h , '2,-- . ? , DECK NEW 434 ALT. RESIDENTIAL ;,.I _ __ ??-?,? •? ? REMARKS: PLAN REVIEWEp BY BILL ADAMS. FEE SUMMARY: Base Fee $50.00 5urcharge .50 ? 7ota1 Fee $50.50 CONTRACTOR: - Applicant - ST. Lzc OWNER: THE DECK & DOOR COMPANY 14513192 0065457 LYSENE TOM 11632 AKRON AVE E 546 HAW7HORNE WOODS DR INVER GROVE WTS MN 55075 EAGAN MN 55123 (612) 451-3192 (651)688-7027 IL I hereby acknawledge that I have read this appSication and state tttat the intormaCion is cbrrect and'agree to comply with all applicable State of Mn. Statutes and City csfi Eagan Ordinances. APPLICANT/PERMITEE SIG ATURE - 1998 BUILDING g6 6? New Construttion Reauirements PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?, 3830 PII.OT KNOB RD - 65122 ?[?? , c??-' 681-4675 ? g, t ( - ` ? 3 registered sde surveys ? 2 copies of plans (inGude beam & window sizes; poured tnd. deaign; etc.) ? 1 energy plalations ? 3 copies of tree preservation plan 'rf lat platted after 711/93 required: _ Yes _ No DATE: - 7` `1 K RemodeVReoair Reauirements ? 2 copies of phn ? 2 site surveys (exterior addkions 8 decks) ? 1 energy celculatlons for heated aOditions 4 -• CONSTRUCTION COST; bLOb - DESCRIPTI I OFWORK: Dl??/? CTD/J/%/Ji^? STREET DDRESS: .5?J16 LOT: a BLOCK: ? SUBD./P.I.D.#: WM&D a Nazne: V?Pe'er d- 4KdN'.G,4 Phone #: 70 7i 7 PROPER'CY Lmi First OWNER SReet Address: .S_V-,C Ciry j 63 State: Zip: SS%L 3 CONTRACTOR Company:?Tf?? ?-VouB't (e, la,ec Phone #: 31 -7 7 Street Address: / Q daf /? License # 5 ??7 City / N i/1YJt G?w?/.£ ,lfla' fGt?J State: Zip: ?,S D 7 S ARCHIT'ECT/ ENGINEER Company: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Phone #: Registration #: _ State: Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and sfate that the infortnation is correct and agree ro comply with all applicabi State of Minnesota Statutes and City of Eagan Ordinances. / Signature of Applicant: -r ? OFFICE USE ONLY Certificates of Survey Received v Yes _ No Tree Preservation Plan Received _ Yes - No _ Not Requir AUG 71 ? J OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 03 SF Addition ? 08 8-piex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 05 SF Misc. ? 10 _ plex ? 15 Deck WORK TYPE 31 New 4K! 3 Alterations ? 36 Move 32 Addition ? 34 Repair 0 37 Demolition GENERAL INFORMATION Const. (Actual) (Ailowabie) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Traiis Ded. Other Copies Total: ? 16 Basement Finish ? 17 Swim Pool ? 20 Public Facility ? 21 Miscelianeous Basement sq. ft. MC/WS 5ystem Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. ? Footprint sq. ft. SAC Code Census Bidg ? Census Unit Building ? Engineering Variance Valuation: $ , % SAC SAC Units .6: 102 FKLII`7 E.U. RUD $ SONS 11 i ,Adt I ! G,?t? C3? ?i?Y?Y jR: OALE G ANDERSON CONSTRUCTION Adalrtzf . A.pa?J /lo?+s :,;'}C N4u?lNeitw+E Wads AYv? ??. ?•, l, .>t - r"2EVlE?'/? RRoVe 31 ?? __..._----- ? ??:1 ? T-, -it ? s A q. ?.S z? m* II ? ¦ ? ? ? v p3' 14? . I• • m I*„ A(eig : itshr 3hufoolq? shown assume $Wr. tNC. /aY. 4 S S3 6x??; Gar. _ ? ? ? ? N ? ? WO I N ? t ^ m Prop.j t House ' E NORTH l ? ? .. -r .. I 1 I ( 1 / ?w??` L ? ? i 1 L ? e ? IZN i \ ? \ 14 ?? ?) ? .? -- - J.? 915.5 ? 153 {57 «. Tf vt's??1J^' as`0S•2s° w IiL Aeose 6m1+= Droinage & Utility Easer?ja I lo?,.j- QXs „ws po?l .??: ?o mork swi: ,ftiic, /oco4on. Bp? i = 893.7 T X s7n.o N 0 T Ci ? N w m -----J VILE AvED EAG.LV El'rGL\t- ERD'G DEPT. <JEWODENOTES PROP 4 D E'rE?? V O?M? J ?AffFL?, ? ? c. ¦1011.2 DENOTES EXIS T) Ct E V ATI O N. ?G TOP OF BLOCK - q O+ s.'1? ? OENOTES DIREC Nt OF- LOMEST FLOOR - 817•G C?si w/o ¦ DENOTES WOOb U,8 AT 17 F00T Lot 2, Blo k 4; HtA?sF???F1N?,Tt7DS,\I =ADdtTION, Dokota County, Minnesota. cale 1"=_A;L o Deno es Iron Mon. Bearin Dotum: Assumed Job No. 95326HS Drw B Disk e hereby certify thot his (s a true and correct repreaentation of S. b. Ru0 t 60N6 IN?'i survey of the bounC ies of the obove described land anC of the , LANp OURYWOft ocotion of ali buildings if ony, thereon, and all v' le encroQChments, ??? ?MNSTON Avg NO. f any, from or on soid land. E. M? CIRGl,.R PDdN, MIMINAOTA ated'this?day of ?U eY 1995 Minnesota License No.? bmml4-3626'"?'fl.. 1M-b661 ---- - ... ,. ._..._ TOTFlL P.02 CITY OF, EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 CW2?? PERMITTYPE: BuxLozNG Permit Number: 025991 Date Issued: 0 7 J 11 / 9 5 SITE ADDRESS: 546 HAWTHORNE WOODS DR LOT: 2 BLOCK: 4 HAWTHORNE WOODS 2N0 P.I.N.: 10-32151-020-04 DESCRIPTION: Building?.'ermit Type tuilding "?rk Type UBC tlccupancy`, , % ConsCruction T'y'pe Zoning f Building Length Building Width ' 8uildieig-stories 5.c(?al'e, FeeC l ? •a r ._ em ...e.. i i SF DWG NEW R-3 U-1 V-N R-1 70 34 2 2,065 , • Pw' r.._y .a, t REMARKS: DRIVEWAV ENTRANCE MUST BE CONCRETE BEFORE C 0 WILI. BE ISSUED PRV S& W PLBR - NEU PLBG FEE SUMMARY: VALUATION 8ase Fee Plan Review Surcharge SAC SAC ? SAC Units Lic. Search Fee Subtotal PERMIT $2,450.79 $148,000 MISCELLANEOUS $1.692.50 Tota1 Fee $4,343.29 CONTRACTOR: - Applicant - sT. LzC. OWNER: ANDERSON CONST INC, DALE G 17317737 0002612 ANDERSON CONST INC, DAIE 2664 HORSESHOE LN 2664 HORSESHOE LN WOODBURY MN 55125 WOQDBURY MN 55125 (612) 731-7737 (612)731-7737 I I I hereby acknowledge that I have read this information is correct'and agree to comply Statutes and City of Eagan Ordinances. ? AL- E- -(,/- APPLICAN7lPERMITEE SIGNATURE $1,127.25 $394.54 $74.0@ $850.00 100 1 $5.00 appiication and state thet the with all appliceble State of Mn. -A a? ??DiraA ISSUEL) BY IG URE •e 1NSYl;(:'1'lUN KLCURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 025991 07/11/95 SITEADDRESS: P•I•N.: 10-32151-e2e-e4 Lp7: 2 BLOCK: 546 HAWTHORNE WOOpS DR HAWTHORNE WOODS 2ND PERMIT SUBTYPE: SF DWG NEW INSPECTION FOOTINGS .. . FOUNDATION ,. FRAMING ROOFTNG INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: DRIVEWAY ENTRANCE MUST BE CONCRE7E BEFORE C 0 WTLL BE ISSUED PRV 5& W PLBR - NEU PLBG F ? .., . , APPLICANT: 4 ANDER30N CONST INC, DALE G (612) 731-7737 TYPE OF WORK: 7 ? CITY OF EAGAN „4 ', 4 3 10 3830 PILOT KNOB RD - 55122 q9t 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ' New Conshudion Rea ??!W18TItS 0 3 repisterod ske surveys ? 2 copies of Olan ? 2 wpies of plans (Indude beam 6 window sizes; poured fid. design; etcJ ? 2 sRe surveys (exterior add'Rions & dedca) ? 7 energy eakulations ? 1 energy ealaiations for heated addftions ? 3 copb6 0} trae proservatfon pian H IM platted aRer 7/1l93 roquired: _ Yes _ No SQ? W? ? 6 DATE: 4f'Z°1 IciS CONSTRUCTION COST: ? DESCRIPTION OF WORK: STREETADDRESS: -'-r5O 'r"'""TV to' (V?- % LOT a- BLOCK a SUBD./P.I.D. #: PROPERTY Name: Phone #: OWNER `"'T Street Address- City: State: Zip: ?'r1 - !v8- T ( (o (o CONTRACTOR Company: L? ? ?- A -')en,c? e?? 22VPhone #: ?31- -7 ?'-??l Street Address: alolo? l {-65eshng.Lr? License #• 240 City: dbu r State: AA n Zip• ?S? a S ARCHITECT/ Company: Phone #• ENGINEER Name: Registration M Street Address- City: State: Zip: Sewer & water licensed plumber. 0Ej ?Iumbi nq . Penalry applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge Mat I have read this appiication and state that the intormation is correct and agree to comply with all appiEcable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiipnt: OFFICE USE ONLY Certificates of Survey Received /Yes No Tree Preservation Plan Received _ Yes "o 1?----es . J u 11 19 1395 -----_------. :- OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duptex 6-Pv? 02 SF Dwelling o 07 4-piex 0 03 SF Addition o 08 8-plex a 04 SF Porch o 09 12-plex 0 05 SF Misc. 0 10 _ plex WORK TYPE ,-)3?-31 New o 33 Akerations a 32 Addition o 34 Repair GENERAL INFORNIATION Const. (Actual) 4 (Allowable) T UBC Occupancy A -a u-i Zoning # of Stories Z w rsf..?. Length -7o Depth 3_? 0 11 Apt./Lodging o ? 12 Multi RepaiNRem. o 0 13 Garage/Accessory o 0 14 Fireplace ? ? 15 Deck 0 36 Move 0 37 Demolition Basement sq. ft. Main level sq. ft. ? sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVALS Pianning Building ? zos Z.ObS e SN°r S ` Engineering Variance ? --7& o/ i / Pertnit 1-ee Surcharge Plan Review License MCNVS 5AC City SAC Water Conn. Water Meter Acct. Deposit SlVN Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: . S,r 3?c Z ° 3 3 x 6•r = zo /ssX fs ? iyY zCo X d8 ? 9s8 /b. 3 )x Z ' 33 e,..r 2 x tr. r =/ 7 $ l f3 00 !V ? Z?f,cSY^. ? ('pS v7o Gt ?? Zx -7 ?SK ?.71> ? /F M e a 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bidg Census Unit /SsrW r- - / U,16.0. > !, z ?r < r?> ? 1 ?ti , Z2 - ? zy,r 2y = S7? L.r Z 3 = ?/? .33 X7 = z f__ 776 ?TgL ? 14171 ??Y JLL-97-1995 16:02 FROM E.G. RUD & SDNS FOR: DALE AddKe{? REdIEW TO IcA I ? ? ???3*100 ANDERSON CONSTRUCTION '*4ef.ardj //oY++t : 5EC Nows.vcw,v4 Wadr A?Y?? D -- ;?,/ Q,V-s 1> 4 .. 9 ? =?w, s Z m * r II n ?? v , ? os s t4 ?, . m 1*; . 6 Nefe : Nhter SfijeQ^ shown assume swr. rvc. iov. 4 le DIAG: 94 X ; x, o?i ?.?z ?o?s EzIs?n, / DENOTES DIREC a DENOTES W000 Lot S??? ., . C. Gar. ' ?p'4 10 v a ? N r ? m ? .111? I Prop. I t House ' { ??d???,?ec??YO?e°, Pc. 7?/e?'CtirJd -°? N 8510 '28" W Ik A.ose derwJ+t Oroinage & Utility Eo 4x4 h?aos ?qas? ?o monE swr. ,y^vc. /oGo?ier?. g ! = 893.7 yi = 100.0? EO ELEVATION. ElEVAl10N. N OF DRAINAGE. JB AT 11 FpOT OfFS&T. 4, HAWTIiORNE WOODS 2ND "8719.0 W O J ? O nj ? w ? rn 15 $i2.c : ?AEWED EAGAN E'IdGIlVEEHIlVG DE? P%*'w-afar.a 'i TOP OF BLOCK - ? LOMEST FLOOR + A97.G CZc6 M#n Dakota County, Minnesota. Scale 1"=30: OOeno es Iron Mon. Bearin Datum: Assumed Job No. 953 6HS Drw B Disk4 We hereby certify that his is a true and correct representation of 5. G. RLID t 60N6 INC?'i a survey of the bound ies of the above described land ond of the , LANp OURNWOM location of all buildings if uny, thereon, and all v' ' Ie encroochments, IIW UMNyTCN AVR NC if any, from or on said land. E ? MC. . . GIRGJ.R PI*f*, MIN9N/OOTA Dated'this1?m day of .h//J 1995 Mmnesota License No.? ??b•?68b .... _ . ... ,. ._...- ---- - -- *I ,7" ? 502 r ? ?•? ? ,. -?- ,. I ?AA ? I NORTN u - W u ra?n 19?0 I? ? s? n ID? ? o - O • 0 • n • D • n • Fd' D 0-0 D • n - tY? D • ?n n • LoT 87RVEY CSECICLZST FOR AESIDENTIAL PERMIT FROPERTY L£GA.= ON Dat• o! eurveys Registered Lnnd Suzveyor siqrfature and eompany Buildinq Permit Applicant Leqal description 7?dd=ess North arrow aad bar aeale House type (rambler, valkout, aplit v/o, split entry, lookout, etc.) Directional drainage arroas vith slope/gradient t. Proposed/existinq sever and water services Street name Drivevay 2-?- 0 ZLE9ATIONB Existiaa s.wer :en?ice n ? ? ' ; Lot cornars ?B Il D • Top of curb at the driveway D? n n • Elevations of any existing adjacent homes Prooosed [iY,O ? • Garaqe tloor D?,FJ D • First Sloor IY D D • Lowest nxposed elevation (walkout/windov) 1-?? 0 • property corners ? D ? • Front and rear of home at the foundation PONDING 71REA8 fi! BDDl-icwA1e1 0 G'/'rl • Easement 2ine 0 II? ? n e?n • NwL ? • xwL ? L7 0 ? • Pond # desiqnation O D • Emergency Overflow Elevation DIMEHBSONB ID? D 0 • ff-'D n • LY p • Lot lines Riqht-of-way and stroet width (to back of curb) Proposed home.dimensions includinq any proposed decks, overhanqs greatQr than 210 porchas, eic. (i.e. all structures requlrinq permanent lootinqs) show all easements of reeord and any City utilities vithin those easements Setbacks of proposed structure and setback of adjacent existing homes Retaininq wja-j raquirements, if any Raviewed: 1 Oetobar 1992 1?. 6"-I/16 BEND--?' 5i )t59 ? 34 1 28 6 -I/16 BEND X ? 460' 3 2 B?.Or 'E VALVE I v =E 620' I/16 RFAIf1_ . / . i ? II v • ??N 1? 1% ? 6, \, 320' 19+13 35.5' ? 2 ' 35.5 ' ?- C.O. 3 ? SBW 1t23 s 49; w 59 , 905.6 L. SERVICES TO BE STTttrr.Tr•.n nv nTnwoc CONTRACT, FOR THE 611 i IN HAWTHORNE WOODS bI 14 PRESSURE REpIICING 'STE 4C0 HAWTAORNE AOODS DRIqF S8W 0+69 BOTH UTILITY ? ?T? s 4 7 ' w59' T9EIR CONSTRUCTION AC 2 893.7 EFFICIENT INSTALI,ATIO ? CONTRACTOR. SIGNIFIC THAT M ---- M.H . 6 AY BE REQU ?I ' 4' RT. 38.5 PO.C. 20+50 CONSTKUCTION WILL BE ? GENERAL CONDITIONS...1 > 490? OUTI.INING SCOPE OF WOl BEFOKE START OF THE W( ( SBW 0+3/ \ s49,w57' ? 895.2 ? \63.0, 'i HE G','',` Of L::Gl:N [30cS f:f:? if ?i.!!.; ;^i+i i c'"' T!iE AuCURACY OF UTILI`fY LOCATIONS ANQ/OR ELEVATIONS. THIS DATA i8 FOR `?'a I€•? r' J`? t Pv? Ai i 0 N P U R P O SE S OPJLY AfV?D RERSf1idS USING IT SHOULD VEF!=Y THE 4v1k'FORWATlORI ORI THE SITE. S OtlO NOTE: ALL SEWER AND WATER SERVIC s 46; w66' 8979 15' 0" INSIDE LOT LINE PER PLATE NO'S 300 AND 310. C LOCATIONS MUST BE OUTSIDE LOT) TO ASSURE CLCAgApCE F, BM11 BENCHMARK TOP NUT HYDRANT NOR AT NORTH ENTRANCE TO PINEWOOD NE QUAD. ELEVATION = 932.77 I 930 M.H. 6 M.H. 5 . ? i F;E Cs i 1° ?J? EaiG?',?I o0 S ?:C?"i ?C?l1F??;1 i?? icc 920 i I?{? ?,CCUE ?ICY OF U ILI7Y LOz TIO?S ? EL VATIONIS. Ftl3 DATr? I ?QR i?:=3R1?9ATi0 PURPO E8 OhLY ANG .. ?cFi?:C'idS U ING 9T SH ULD VERi= _ THE I [MrO€tMATIO? ON THE SI E. 910 307 R.E.903 6 _ - R.E. 901. 7 900 - -DIP C - ? ATER AIN -- - 1 - ° _. __ _ 890 138 L.F.- "P.V.C. IOOL.F 8"PV.C. SDR 35- . °1o SDR 3 -2-Wla .Q5 • 2.20 880 ? rfi N ?O . ? . _ ? : . .... ,.?. ? . ; . i , ? . , ? ? ) -? .. ... ,., . _ , . ? ? ?? .. . ? . . . . .. . . ..... .. ? ... . _ . .. .. . .. . . ....... .. .... .. ..... • ? , , . .. ... _ . .. .. _ . ... . . .. . _.._ _._R . EE RD PLA .S- ...._. _. 3ROt(VN 8 CR S 2 2 .. TY OF EAGAN PROJEGT NO. 92-UU t' ?? i . / CITY USE ONLY L BL /L RECEIPT #: l SUBD. 2LAviiiwr Wdl,. J%J DATE: &Z T 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ?' le family dweilings 2 ? townhomes and con os when permits are required for each unit FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet * minimum - 1 Rough Openings Water Softener Private Disposal ' Dakota Cty. license U.G. Sprinkler ` home under const. Alterations ' to existing Water Turn Around ? EACH 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 20.00 3.00 20.00 20.00 STATE SURCHARGE TOTAL x x x x x x x x x x x x NO. ?- _ -? _ ?- _ 3 = TOTAL 7 3 T 3 13 3 3 s3 375?-Vp ? ?Ct17 SITE ADDRESS: OWNER NAME: INSTALLER e STREET ADDRESS: 4/2,705- -62L?evice-v?e- 42' CITY: STATE:? ZIP: ?33 -3UJ PHONE #: ( 61_2 ) ,R9;ZZ _ '?? ??3? L-h.. STGAATDI?EOFPEf?f?f fl"r Ekz L _ BL _ SUBD. RECEIPT #: DATE OFFICE USE ONLY ..11 + 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciaVindusVial buildings. ? multi-family buildings when separate permits are IlQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: + NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? Z YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RE5ULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge of $.50 per $1,000 af pgrmj? fee due on all pertnits, CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: cirv: PHONE #: FMETER SIZE: " DATE: STE. # SIGNATURE: OFFICE USE ONLY STATE: ZIP: APPLICANT _ INSPECTOR: ? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIItEPLACE INSERT DATE 8 // 7 / IZ- HVAC: 0-100 M BTU ADDTTIONAL 50 M BTU GAS OUTLETS (MtrtlMUM 1@ S3.00 EaCI-I) ADD-ON/REMODEL (ExISTIIVG CONSTRUCT[oN) STATE SURCHARGE TOTAL STTE FEES $ 24.00 6.00 9 oa $ 20.00 .50 39-sv OWNER NAME: -oi Q o,bi •ami-PrLddvl V 1.4?'v?a4? TELEPHONE #: ? ADDRFSS: od-?o"? f?•U'2 CITY: • ?? STATE:ZIP CODE':? TELEPHONE #: 7, g-7 O I ?22e',L'l SSIGNATURE OF PERMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 . (612) 681-4675 r PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AISO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIltED FOR EACH DWELLING UN1T. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: CON'I'RACT PRICE: 1% OF ??I??`?• FEg PROCESSED PIPING: MINIMUM FEE: STATESURCHARGE TOTAL FEES $ $25.00 $25.00 $.50 FOR EACH $1,000 OF .:: ' > ? : F'EE. ?.><.: $ SIT'E ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IIvPROVEhtENrs oNL1) INSTALI.ER: ADDRESS: CITI'. STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITI'EE CITY WSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 Cities Di i?tal Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. n.m - . .,a•r na3:.;%?i??{?.' ?..: .n? ou,n ............ 6: ak. .n\ r"o-T`r 07 r?t>' Q ?..a Tat;M?P!AI_ NQ- :;wI:F:Rc 35 ]J^'"rr:. ?-? 0312110c, rlrs_. ln.,:c^,. :D; ,v; ,,,' : ? ;-IONfYS 1.1'S": 0- 22{0 9t%1". 546 ! NSN:<h! ';U5 r',•'.rN ..» 9L71 ?,?.F. F;IqTFiiiN I+;Y:iS C, 50 !. lp,4iFtroP_z;]t :4r,ow'.,L ' 40..5q LII,. i y inN .t,,..,.:::%wK":::;" "'.:;::?:?a :;,:t::-M?'xr, •:.r, ;, x:t' bvx ?.?* 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cinr oF Encnrr 3830 PILOT KNOB RD - 55122 651-881-4875 New Canshuctbn ReaWremanb Remaiel/Reoair Reauiremenh ? S registered sife wrveya ahowMy eq. fL d bt, aq. B. ol house and gy rooletl areas (206 mmdmum bi coveraae aibwe? * 2 coples of plam (ahow baam & wlntlow slua: paured Intl. tlealgn: efcJ ? 1 tet o/ energy calculatlans > 3 coplea ol hee preservaHon plan If lot platted a1Fer 7/1/93 DATE: 70- / /(y ° DESCRIPTION OF WORK: I,?se heh7? STREET ADDRESS: ?1 ?_ _ I ? h w?? e r hC? t,?? ?? yI ?I LI Irvj LOT: c BLOCK: I SUBD./P.I.D. #: fT??t? I?Y?I?o od S ? r r-? /Name: Q kc, Phone i: 6!? b -?)U a? PROPERN Flig OWNER Sheet Address: ? CIN State: Zip: 5:5-12 3 Company: Phone A: CONTRACTOR (area code) Sheet Address: License # Exp. CMy cl ? o-5a 2 coWes a plan 1 set ol eneryy calCWOtions tor healed adtll6ons 1 slte wrvey for extedor addlllons R decka CONSTRUCTION COST: V State: ARCHIiECT/ ENGINEER Company: Name: Telephone ll: ( Sheet Address: Regiskatlon p: CHy State: 21p: Lp: Sevyerlwater licensed plumber (if installina sewer/waterl: Ptwne #_ U I hereby acknowledpe Ihat I have read this appikation, stafe that Ihe inkmmis cortect, a? agree lo compry wNh aq apPq?le State of Minnesota Stahrtes and City of Eagan Ordinancea ) -J Signaiure of ApptlcanY. ?? - OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex O 13 16-piex ? 21 Porch (3-sea.) ? 02 SF Dweiling 0 OS 06-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 OB-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscelianeous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' O 44 Siding h< 33 Alteration ? 38 Demolish (Inte(or) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to appl icant for demolition pennit GENERAL INFORMATIQN SAC Code ? I No. of Units ? No. of Buildings Const. (Actual) ? (Allowable) a; • kl UBC Occupancy ? Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq.ft. sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinkiered M ISCELLAN EOU3 INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance ? Permit Fee Valuation: $ ?-,o o Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: O 31 Ext. Alt - Multi O 33 Ext. Att - SF ? 36 Mutti SAC Units % SAC ? CITY USE ONLY sUBO.? kl_Au4?r?r? ar4- RECEIPT#: RECEIPT DATE: PERMIT# H Q?a O 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IQ708 RD EAGAN, MN 55122 651-681-4675 Please complete for. ? single famity dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACN !f TOTAI Alterations to existing dwelling - minimum fee Describe: ??%s ? /3s.H f bz?`'h $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ GeS pi in outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tra 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished • requires MPC lic. 75.00 x = $ Septic S stem abandonment 30.00 X = $ RPZ new installationlrepair/rebuild 30.00 x = $ Rou h opening 1.50 x = $ Shower 3.00 x = $ Underground s rinkler if dwelling is under constructian 3.00 x = $ Underground sprinkler iF existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If awelung under wnswction 5.00 x = $ Water softener if existing dwailing 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 -> -> -> $ 50 Total _> _> -? ? o . p Reminder. Call for inspections of alterations, i.e. water heaters, waber softeners, etc. --•---------------------------------------------------------------------- ------------------------------l ---------------------------na--nces---- I hereby adcnowledge Mat I have reatl this applicaGan, state that the infortnation is cortect, end agree to compy with el applicabte City of Eagan ordi. It is the applicaM's responsibility to notify the propeRy owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal operaUonal and maintenance adrvities to Me hacildies constructed under this permit xrithin City propery/right-of-wayleasement. SITE ADDRESS: .S-W /% g`"' /Xa-,?{ 1v16Y1Vf l6lr OWNER NAME: : IL/I a»'1(kI1 . Cy6&?1 U1 TELEPHONE S I- 'ZG ) 7 (AREA CODE) INSTALLER NAME: / /6' TELEPHONE #: STREET ADDRESS: ?00 Qq,kLanK? L4 h.{ (AREa CODE) CITY: I?uf hSdi STATE: ll-jyA ZIP: SIGNATURE OF PERMITTEE 5 1,17-$ RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Oa?3,as New Construdan Reauiremenls RemodeUReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. tL of bt, sq. ft o( house; and all rooted areas 2 copies af plan _ CeA of Survey Reoi (20% maximum lot coverage allaved) 1 set of Energy Cakulations for heated additions Tree Pres Plan Recd 2 copies of pWn shovring beam & window sizes; poured found design, etc. 1 site survey tor additions 8 decks _ Tree Pres Not Reqd 1 sel of Energy CalaWtbns AddiUon - indirafe it on-sfte sephb system _ On-site Septlc System 3 copies of Tree Preservation Plan if lot platted aker 711/93 Rim Joist Detail Options selec6on sheet (bldgs wBh 3 or less unils Date ? /&_ /O-P._ Site Address Zy(e 4)Aw7NV/IN Construction Cost FlW le E L.X700c ?a(21VE" UniUSte # Description of Work AE11p`r A/ UAF 16aGao?' PropertyOwner nrh (,YS6.u[r Telephone#%OLT Contrac[or 'GBhlqtiSSpiutg E? Address 7$S(! F(wy tp State MA megac?QS City MOUwji]S ujEu Zip .5S/ / 2 Telephone # (7") 7&0 Zcwop COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate?o,rv 1 Minnesota Rules 7672 Energy COde Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #[ Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernvt, 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. /yAail 7JE 2oE Applicant's Printed Name /? y - Applic Ys Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 , Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation •' Occupancy MClES 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 REQUIREDINSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings(addition) _ Plumbing Foundation HVAC Drain Tile O[her Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ F'ueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total , EXTERI0R ENVr'3.OPE °AVIItAGE "U" COMI'llTATION (To be aubmitted with building pormlt npplication) ne ortvo femily duellin v- Ounor 11 other Site Addross ontractor Dfl?? l7- /{Nyl:?Q?h? Dnto ,INEAL FT. OF xPOSID WALL +„_+above gredo= TOTAL EXPOSID WALL AIiEA SQ. FT. )PAQUE WAI.L CON57RUCTION: "U" vnlue x nroa lr/4 Aw 11 U$3.0'1? s i95i-l . z. -7 9.5?t, (U) ft cA> q. = . .:n;.:: .. {{&a 144,4 (d l J? 'lUll,o92ic sq. rt. 7?4 =9 Wl (u) (A) RiM R,QcA ItUu,GYf/x sq. ft. lgd9. 00 7 38 (p)' (p) ..'. ??'??• ' ?GVClG fI?lra 1IuIy076x sq, ft. 1349.Z4 - 90 (U) (A) )ota ll reference ?C.OCL/LQFA' ?q!/C• 11 U,1Z:2& aq. St. /?. `{2 ? Z•ZaJ (U) (A) ;' ; Srom ' ittached sheets "U"_x sq. ft. _ (U) (A) uUn_r. sq. ft. - (U) (A) itUt,_r, sq. ft. - (U) (A) "U"_x nq. , ft. - ' (U) (A) ,'INDOWS: "U" value x aren ?hka & type AN`GCRS? C:?/Ir '`'?I? liuit _zbX sq. ft. .' -M19 = ?O-?S(u) (a) p?O.Pf y0pct u+:??? !.Y'aj?G6.nUI I?S? aq. ft. if 10 P= -0-.ZOj(U) I(q) [aLl1?50CLY_.(? 1IUII., /Ox oq: ft. .pZ(U) (A) 7 ? ?U) (A) ilU11.SSx sq. ft. 700RS: "U" vtaluo x area uako & type A/,/D• fIV Z?90,e "Un ,Z7x aq. ft. Z{O. °'Lr_ /0. gl/ (U) (A) 11 ' 11 i,?a L- i,JS. V`ook'! "U%A?x Oq. ft. 3-7• 8i,- Z•5?(o) (A) it . it 3lf/??4 a'G??S i?U???x aq. ft. ZO_?! (U) (A) . TOTALS Sq. Ft. ZZ?» (U) (A) TOTAL (U) (A) VALUES AVG, "U" 7NIDID BY TOTAL WALL AItEA 2?27- AVF7tAGE "U" .17 or iess for 1& 2 family duollingo .22 or less for n11 other buildings :OOF/CEILIIIG : TOTAL AREA: a Sq. F'E. GC:?L/NG fIz: GH "[1q, a ft. (A) Det il reference from C,4?'Lcin/G 4/L6A sq tt 1 . ? = v z/ (U) (A) ' :ttached sheets . - "U" . !'t _ (U) (A) Describe openings _x sq. . in roof "U"_x sq. ft. - (U) (A) "U"_x sq. ft. - (U) (A) ToTnLS /86/. o sn. Ft. 17Q.06 (v) (n) ToTni. (u) (n) VALUES 4,a,o,o - OZ3 nvc, ??u?? DNIDED BY TQTAL ROOF/CLG. AREA? ? MINNESOTA ENFItGY CODE MAXI1,53M 17fIS BUILDING ESTIMATID BTU LOSS THIS BUILDINC ? BTU LOSS .. ,•Z'7Z7•l? SQ. FT. OPAQUE WALL 0,11- 2"?9, 97 Z2?• ?? ?g(??•D SQ. FT. CEILING o2G s ?g.39 ?Z • ? ? SQ. FT. UNVENT CLG. 0,10= TOTAL BTU LOSS PEIi tfft. PER AEGItEE OF TEMP DIFFEftENTIAL _ , 1'. .. • .:'. _ ? .µt• '-'? - 4,?:•?% ` PERMIT City of Eagan Permit Type:Building Permit Number:EA107592 Date Issued:10/18/2012 Permit Category:ePermit Site Address: 546 Hawthorne Woods Dr Lot:2 Block: 4 Addition: Hawthorne Woods 2nd PID:10-32151-04-020 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Perry Firkus 2650 Minnehaha Avenue Minneapolis, MN 55406 612-276-1680 Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Thomas B Lyseng 546 Hawthorne Woods Dr Eagan MN 55123 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116053 Date Issued:10/02/2013 Permit Category:ePermit Site Address: 546 Hawthorne Woods Dr Lot:2 Block: 4 Addition: Hawthorne Woods 2nd PID:10-32151-04-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Lisa Nyberg Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas B Lyseng 546 Hawthorne Woods Dr Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use • c Permit#: L City06 O1 Eaan Permit Fee: 1(-- 5 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: n2017 RESIDENTIAL �BUILDING PERMIT APPLICATION Date 5130 1 ` Site Address: 57(y I)W,//itv'e WOWS Or Unit#: 5 Name: IOW Ly Phone: 6S7-303- 6423 Resident! gn n/� Owner Address/City/Zip: G oc'i , I-441 Or , Applicant is: Owner X Contractor Description of work: 1�� ilMe- � G�'1jf�Sc►`�Y/' G� �.__�.r_,,. _._.,.,.. �_�..._.�._��.��_e Type of Workri V Construction Cost n pry r 3 Multi Family Building (Yes /No ) Company,w._ $J�� i�S. ..... . .......... -Contact:,� �.�-.0it,"� ri� (J Contractor Address: los. �tI t( JV 6f t ,` City: ,L ii N Zip: 7J`i VJ�'d� � ? 1, / 4' ' State: Phone: � Email: r, I�_s, ,",_ License#: &G31 p(� Lead Certificate#: AU y /5 I If the project is exempt from lead certification, please explain why: !WS"14"" I _ „ _ _ _ „ __________ 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: F Licensed Plumber: Phone: 3 z Mechanical Contractor: Phone: i, Sewer&Water Contractor: Phone: s t Fire Suppression Contractor: Phone: NOTE:Plans anal supporting documents that you submit are:cons lered to be public i formation. Portions of x the information may be classified as non-public if you provide specific reasons that would permit the City to :,, . ,. ,_ . . _ _ conclude that the.,y are trade secrets. . ._. _ y., _ __a _ 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 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 Buildin• Code must be completed within 180 days oLLt4doi permit issuer) e. x41SC4/\ x �� i / Applicant's Printed Name Appli g's Si, is , re °' Page 1 of 3