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549 Hawthorne Woods DrPERMIT City of Eagan Permit Type:Building Permit Number:EA148767 Date Issued:04/19/2018 Permit Category:ePermit Site Address: 549 Hawthorne Woods Dr Lot:27 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-270 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Christophe R Jackson 549 Hawthorne Woods Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use i . Jc-0 0~0( City of Ea (]~'j I Permit ®q i E Permit Fee: 9® 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z9 /U Site Address: ~td7^h WAC_~ - Tenant: Suite RESIDENT/ OWNER Name: Phone: CS%- re)c 5, Address / City / Zip: h~/~/ Z~" /-A-,2a-0-jC, AIL/ Applicant is: Owner Contractor S 3 TYPE OF WORK Description of work: 44/l./ 11A e 1<.) he 1L-s c~ f7ce e~ Construction Cost: Odd Multi-Family Building: (Yes / No L) CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: 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 n6,~, 0~ '-141- , / , X L Applicant's Printed Name Applicant's Signatu Page 1 of 2 , CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: (c?l l 1 I.t! f?1'1 ? SITE ADDRESS: ' ` " - : ' " ' ' 1 " ` -- " ` - ` 1.1?t :7 Ei t tii: t ,.I i I II?)1Y1V1' L.lIJ1111', Iilt . ..: ? ?:i?• .? ?'?i?ili PT't PERMIT SUBTYPE: APPLICANT: , , 1 . :' ,? , •I 1 f: TYPE 4F WORK: ,,?? ? ?,??. i r,•;,i?i n ? .? ??, ? '',t-? k ;t , Il :;F: PAE?/?If 1:11 !{MI 1 1'• P t"0 11 1 14 f 1) f!1ti AN1' E'1 tfMNINt F LL ? Pertnit No. Pa?mit Holder Date TNephone li ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Commenta FOOTINGS FOUND FRAMING ?'` - ,;v ROOFlNG ROUGH PLUMBING ? !J PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIP TEST FINAL PLBG FINAL HTG ORSAT TEST _ BLDC3 FINAL ? BSMT R.I. VJ BSMT FINAL k-v, DECK FTG DECK FINAL INSPECTION RECQRD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ?(IJlittfi-:iV[ 41uOU`. ITIs I PERMIT SUBTYPE: f11(.) I I H E i: i PERMIT TYPE: Permit Number: Date Issued: ? i-NWANO fll. ! b i:' ? 1444-G4 TYPE OF WORK: 1 FJ A i Pertnit No. Parmlt Holder Date Telephone X ELECTRIC PLUMBING HVAC InapecUon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING f3AS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK Ff(3 DECK FlNAL INSPECTION RECORD ' CIT`P OF EAGAN PERMIT TYPE: ' 3830 Pilot Knob Road Permit Number: • Eagan, Minnesota 55123 Date Issued: (612) 681-4675 ? SITE ADDRESS: 1,0111 e' / l3 t.. s].1 I PERMIT SUBTYPE: - APPLICANT: TYPE OF WORK: INSPECTION .• . D• •?nr? ? ?i?, ? ?i ? ??., - I,I ;a I 'lt 4;i: I Id 1'! L14! M/1Fth. `: 1 L'IiV i. W p I H!t 101 f N F•. 1• 1 Permit No. Permit Holder Date Telephone N S/W PLUMBING 44 -'U01 HVAC Q/f.?.t7ry ?9 wig G4 'If ELECTRIC 00 ELECTRIC Inspeedon Date Insp. Commerns Footings I /pk ? Foundation Framing Roofing Rough P1bg. 1 ? O ? Rough Htg. Isul. T Flreplace Fnel Hlg. Orsal Test Final Pibg. a S / Plbg. Inspector - Notify Plumber Const. Meter EngrJPfan Bldg. Final Deck Ftg. Deck Rnal weli Pr. Disp. G?s?s? 2/a Y - , (krtificate af Cccupancv Wit4 af Cfagatt ??tut ? ??? ?oecdfu This Certifrcate issued pursuant to [he requirrments of rhe Uniform Building Code certifying that at the ti»te of issuance thu structure was in compliance with the various ordinances of the City rrgulating buildireg construction or use. For the following Use Clusificuion: SR I7W Bldg. Permii No. M76 Occupancy'fypc ]R IAM I ZoningDistrict R f TypeConst. 3m OwrrrofBuildine S1F.TPLJANf) RTIX2S jW Add"ss j)R- RII,TI?TF Bwwing AaaRss 549 HAWFtfT1RAtFWCYYZS TlRT"1T£ LAcalih I.27 - H2.-HAGfll ?4 Date: -, Buiwwg Officiail POST IN A CONSPICUOUS PLACE &K0P 3 REOUEST FOR ELECTRICAL INSPECTION e'e/-'00001 -09 ? `-?6R O ? 9 41o. soe instructlons lor co apleong ihis lorm on back oF yellow copy B ' "X" 8elow Work Covered by This Request ti? e Add Rep. Type ot Bullding Appllances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. 8uilding Dryer Load Management Comm./Industrial Fumace Other (Specify) Farm Air Conditioner Other(eDecily) ConVaclors Femarks' Compute Inspection Fee Be/aw: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Am s 0 to 100 Am s O-10 Transfortners Above 200-Amps e 100 -Amps Si n5 Inspector's Use onN (y > TOTAL Irrigation Booms S ecial Ins ection AIarMCommunication THIS INSTALLATION MAV BE OAD ED DISCONNECTED IF NOT Other Fea COMPLETED WITHI ON t I, the Electrical Inspector, hereby certity that the a6ove iospectlon has been made. Rougn,in , Final - oa?l/',?,Y Date ? ?.. OPFICE USE ONLY This request vatl 18 months irom O? ?60 5? ?s y 0 p 94 ? / ?J ? ? G(/? ReQUest Dflie ? / //^ (J Fire v Rough-In Inspecnon Requiretl (VOU mu call inspecror?y{nen reetly) ' Ins cYion Oiher Than Rough-In ?Reetly Now [?Vill NotTy Inspecmr ?? L L ! / YBa LJ No Data Reed Ielicensad contractor ?owner hereby raquest Inspection of above electrical work at: Job Atltlress (Sireel, Bos or Ro e No ) y ,??,??? a?ds Ciry -?? 641V Seciron No TownshiD Neme or No. Range No County D,9 Ko 7?9 Occupant? PRINT) .5 GZ CJ F7 R? ? Phi ?C/ Poweqr ?SuppliaVr ?r.,. k/?l`° ! a Fl?'Cf?Ctc ACtlress L ?A2?s'ih 7b?t Electdcal C nttattor (Company Name) ?le -,-, 1 -- e, 7 -c- c? Contractors lmense No e? a J01 MaNng Atltlress (COntrector or Owner Mabng Installation) IjpltiYP ,Z).j e- AmMdzetl SgnaWre (ConVact Qwner Makm InsWllatlon) Phone Number 3zz-YisS MINNESOTA STATE BOARO O ELECTFICITY THIS INSPECTION REQUEST WILL NOT Gr189e•Mitlway 91tlg. - Faom &120 BE ACCEPTED 0V THE STATE BOARD 1821 Universiry Ave., 51. Paul, MN 53101 UNLESS PROPER INSPECTION FEE IS Phane (612) 6I2•0800 ENCLOSED 17 700 "? ? 7 d ? 5 ? : Req at a=a ?? _ ?? Fire No cUOn Reqmre0 Inspec?on OtherThan Rougn-In - (VOU must call mspecror when reatly) ? Ready Now ?Will Notdy Inspector ? Yes No Dale Reatl IKlicensetl contrector ? owner hereby request inspection of above electrical work aT Job Address (Sireet. Box or Roure No ) ?r vg 02-el vIc Cny Secbon No Townsbip Name or No Range No County D 'q-K6?'q- Occupant (PRI?VT) S ?.. 4' Pnone NO Q?C Power Supplier q R- K a ?ja' ?( e of/!iZ Atltlress ` ?.'A!2/+? %?ts 7 0?Z Electncal Cgnlraclm (COmpany Nama) c Connactois L¢ense No. -2 o_ c? z-) Maibng Atltlress (COntractor or Owner Mabng Instaliation) !eo y,I' --Z'a °A "%-- ;4,r t L,Q, eNc 'J, //e 'p-,I? y AuMVnzetl $ignaWre (COntrac dOwner M king?) Phone NumGer 3 z, MINNESOTA STATE BOARD F ELECTF?IdTY y? Grl99s•Midway Bitlg. - Poom 5-128 '-"?- THIS INSPECTIDN REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARO 1821 Univarspy Ave., $t Paul, MN 55104 ` UNLESS PFOPEF INSPECTION FEE IS Phone (6121642•0800 ENCLOSED REQUEST FOR ' ,dPECTION ' A?4` /J/?)a-oo/aoi/-o?s / .? See insimcboris ... on back of yellow copy V A ? ?(p '!"`? (p .???0 _`??'G? ? "X" Be/o ered by This Request ????•,?,.?? . Ne lding Appliances Wired Equipment Wired Range Temporary Service Water Heater Electric Heating W Dryer Load Management rial Furnace Other (Specif ) Air Condrtioner Convactor's Remarks specify) das?k??- ?j?t-?s Compute Inspechon Fee Below # Other Fee # Service Entrance Size Fee # Circuds/Feeders Fee Swimmin Pool 0 to 200 Amps $ 0 to 100 Amps Transformers Above 200_Amps Abo e 100 -Amps $I Ils Inspecmrs Use omy TQTAL Irrigation 8ooms Special Ins ection Alarm/Communication THtS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MON I, the Electrical Inspec[or, hereby Rough-m ? oaie3^ 9 certity that Ihe ahove inspection has bean made. F??e1 oa? ?RJ OFFICE USE ONLV This requeat voi0 18 monihs from Address 549 xnwiHOUrE woons pRnE Zip 5512 5 L.oC •2? Blk 2 Sub ttawtxotaE woons 2rro THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 4-14 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) f Permanent driveway ? Permanent gas ? Sod/Seeded gtass ? TraiUcurb damage ? Porc6 Basement finish Deck Please verify with the builder lhe removal of toof test caps from the plumbing system and the shutroff of water suppty to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yeltow - Resident Copy Pink - Contractor Copy ? e7dq q PLUMBING (RESIDENTIAL) C Permit Application City Of Eagan ?g7 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pemuts aze requ'ued for each unit Date_'r'?/';S) / Q J Site Address J'{q &Jk Op" n Uuit N PropertyOwner c,>rrl2rce,l ?„tfrac4v?- ?j rasz?el CpNs? Telephone#(?jy5i ) yg5 -?(p?I Z Contractor 1r j ?1 ` p, Address _ City T:iitC v\ _ State ? Zip SSOol Telephone # c?? > u? ?ga y The Applicant is _ Owner ? Contractor _ Other Septic System New _ Refurbished Suhmit 2 sets of plans and MPC license $ 100.00 InGudes County fee. Additlonal consulWnt fees may apply. Alterations To Esisting Dwelling Unit, Includ' $ 50 00 ? Adding fixtures to lower levels o r om additions xcluding water softener and water heater . _ Abandonment of septic system _ Water turnaro und (+ 5!8" meter if ne ded -$12 e 1.00) f? ? ( ` _ Other. _ RPZ _ new installatlon _ repair _ rebuild $ 30.00 _ Lawn irrigation system r_' ?._`n nrn ( ? Water softener Water hea[er 2? 15.00 _ replacement _ additional 1 State Surcharge $ .50 Total $ SDi S0 I hereby apply for a Residenrial Plumbing Pernut and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a pernut, but only an application for a permit, and work is not to start without a pemilt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 1 IGL.n i eI 1 W121 2pi _ -?1CCMt4.a App icant's Printed Name Applicant's Signature . 5? a aS RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ` Naw Construction Reauirements RemodeVReoair Reuuirements • 3 registered site surveys showing sq. ft. of lot, sq R. of house; and all mofed areas • 2 copies of plan (20%mazimum lol coverage allowed) . 1 set of Energy CalculaGons for heated additions 2 copies of plan showing beam 8 wmdow sizes; poured found desgn, elc ) . 1 site survey tor exterior additions & decks • 1 sal of Energy Calculations . Indicate d home served by septic system for additions • 3mpies of Tree Preservation Plan d lol platted after 711/93 V? • Rim Joist Detail OOtiorks selection sheet (61dgs vnth 3 or less units) DATE 2- .D 3 - O p SITE ADC TYPE OF APPLICANT VALUATION i????D?OGU ? -- WLTI-FAMIIY BLDG _Y c/-N FIREPLACE(S) L/ 0 _ 1 _ 2 STREET AIaDRESS ' CITY1?????1?TATEW/PZIP dd TELEPHONE # k-&3--Fs''I/CELL PHONE # rY •- r? Z FAX #44j 1" 43' 9'5?'7/ PROPERTYOWNER CIU,s ?GtC?fa? TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Cate9orY _ MINNISO'CA RUI.1;S 7670 CA1'EGORY I MINNtiS01:A RULGS 7672 submission typeJ . Residential Ventilafion Calegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submilted Plumbing Contwctor:. ' Phonc # -3?9??"?'? Y Plumbing systcm includes: _ at?tener -- L.awii Spiinlder P'cc: $90A0 Water Hcater No. oF R.I. Bailu No. of Baths Mechanical Contractor: Phone # n 2 i r=' FI-? b4echanical systcin includcs: Air Conditiouing I P'cc: $70.00 -1, -- Hcat Rccoveiy Syslcin Sewer/Water Contractor: Phone # S ? L I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabie State of Minnesota Statutes and City of Eaga di Signature af Appllcant ei???? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Recerved _ Not Required _ Updated 4102 OFFICE USE ONLY ? r , ? 01 Foundation O 07 05-plex ? 13 16-plex 0 20 Pool ? 30 AccessoryBidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage 22 PorchlAd-dn (--?4_Sea.?? ? 33 Ext. AR - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ?Jc1aJ> CN- - ? 31 New ? 35 Int Improvement 1c ? - ? 38 Demolish (Interior) ? 44 Siding V_4iEal? ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair )"N 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demalttlon (Entire Bidg only) - Give PCA handout to applicant Valuation ?Cip? D Occupancy MC/ES System Census Code L/ Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered ??V 1 Type of Const v Y Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings (deck) s(, FinaUNo C.O. Footings (addition) 7 Plumbing ? Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final ? Franring _ Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) LC Insulation _ Retaining Wall Approved By , Building Inspector 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 ., 5'D i3Gy 2T = I'?1?"s?y'' .?- ?? ? .; lifi3 7'J )?IL4 ?? 0 v 7 // 7GO CITV OF EAGAN CASHIEF: S TERMINAL N0: 84 DATE: 05/07/97 TIME: 14:53:01 ILi : NAME: STETtQWAND PI_UfiS INC 3210 9001 543 HWHRNE WOS ;;U.OQ 2155 9001. 549 HWHRNE WL1S 0.50 r Tota1 hereip+, Amoun+,= 50.50 CkOi 3:ii6 USER SU: NANCY ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERIVIIT PERMIT TYPE: Permit Number: Date Issued: BUILOTNG 029911 @5J07/97 SITE ADDRESS: 649 HAWTHORNE WOQDS UR LO•T: 27 BLDCK: 2 tiflWTHORNE WOODS 2ND p.I.IV.: 10-32151-270-02 DESCRIPTION: ?.. _ i .$? '• ?.> t., fl ermit Type DEGK W,,rk TYPP NEW 434 AL7. RESIDENT7AL aa?tl { . L?., te...?.n,,.. . .§i?'?r •"? . a 6 k REMARKS: FEE SUMMARY: 6ase Fee $50.09 Surcharge Total Fee $50.50 CONTRACTOR: - flpplicant - sT. Lzc.OWNER: S"TEINWHNf7 BLDRS INC 19855111 0001055 LIND5TR0M CHh"IS 23050 PILLSBURY AVE 549 HAWTHOftiVE WOOLS pR l,AKEVILLE MN 55044 EAGAN MN (612) 894-0498 (612)45z-1459 . . a .' i ... y . o g , h 411.r?°`I?i??z?w????f? ? st.a??tie, s arit( G1,?? L ? l APPLICANT/PERMITEE G URE ISSUED BY. SIGN E ??, 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? cirr oF ??GaH 5830 PILOT KNOB RD - 35122 681-4675 Naw Constniction Reauiremenfs getnodel/Reoair Raouiroments ? 3 registered site aurveys ? 2 copies W pian ? 2 copias ot plans (Indude beam & wlndow saes; poured fid. design; etc.) ? 2 aite surveys (exterior atlditans 8 dedcs) ? 1 enargy wlculationa ? 1 energy ealculatlons for heated adtlkiona ? 3 coples of tree preservation plan ff lot platted aRer 7!1/93 required: _Yes _ No - DATE: Mav 1. 1997 CONSTRUC770N COST: 0 .800.00 DESCRIPTION OF WORK: 12' x 14' Deck ST?REET ADDRESS: ?/ LOT 27 BLOCK 549 tiawthorne Woods Drive - Eagan, I4innesota Hawthorne Woods Second Addition PROPERTY Name: Lindstrom, Chris & Marijo phone#: 612/452-1459 OWNER mR StreetAddfess: 549 Hawthorne Woods Drive CONTRACTOR ARCHRECT/ ENGINEER RECEIVED MAY 0 5 1997 BY: Company: N/A Phone Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new cons4vction onty): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this applicadon and sTate that the informatio is rrect anq ,? to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. c m r„r . Signature of OFFICE USE ONLY City: Eagan State: iD; Zjp; 55122 2 SUBD./P.I.D. #: COmpany: Steinwand Builders, Inc. Phone#: 612/985-5111 5treetAddress: 23050 Pillsbury Avenue LiCense#: 1055 Cjty: Lakeville StBte: rlinnesota ZiP: 55044 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY ,, , fi ? -1 BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex 0 04 SF Porch ? 09 12-plex ? 05 SF Misc. o 10 = plex WORK TYPE 0 31 New )1( 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actuai) (Allowable) UBC Occupancy Zoning # of Stories Length Depth I_1»:Z•P/_14-'? Planning Variance ? 0/ 1 0 Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 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. Building , 'W? Engineering Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Misceilaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bidg Census Unit 96 SAC SAC Units ?<CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (672) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: auzLoxNs 024836 11/10/94 SITE ADDRESS: 549 HAW7HORNE WOODS DR LOT: 27 BLOCK: 2 HAW7HORNE WOODS ZND P.I.N.: 10-32151-270-02 DESCRIPTION: SF DWG NEW R-3 M-1 V-N R-1 66 42 2 1,959 cc;??;,? V Yr? \ L Building`,Permit Type 6uilding Work 7ype ?'UBC Occupancy / Construction Typ.e Zoning -? % Building Length ` ( Building Width ` Building stories v ?-?quare Feet \?' `? i •. , _ -' REMARKS: PRV FEE SUMMARY: S& W PLBR - PIENE PLBG Base Fee Plan Review Surcharge SAC 5AC ? SAC Units Subtotal VALUATZON $804.00 $522.60 $73.50 $800.00 100 $2,200.10 $147,000 MISCELLANEOUS $1.828.50 Total Fee $4,028.60 CONTRACTOR: - wpplicant - sT. l.Ic. OWNER: STEINWAND BLDRS INC 18940498 0001055 STEINWAND BLDRS INC 2526 HORIZON DR 2526 HORIZON DR 102 BURNSVTLLE MN 55337 BURNSVILLE MN 55337 (612) 894-0498 (612)894-0498 ? Z hereby acknowledge that I have read this applicat3on and state tha[ the information is correct and agree to comply with all appl3cable State of Mn. Statultqs anaity of Eagan Ordinences. ISSUED'?1''A^ R? l I INSPECTION RECORD CITY OF EAGAIV 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: LoT: 27 BLOCK: 549 HAWTHORNE WOODS DR HAWTHORNE WOODS 2N0 PERMIT SUBTYPE: SF DWG PERMITTYPE: suzLozNc Permit Number: 0 2 4 8 3 6 Date Issued: 11 / 10 / 9 4 z APPLICANT: STEINWAND BLpRS INC (612) 894-0498 TYPE OF WORK: NEW INSPECTION FOOTINGS ., . FOUNpATION ,. FRAMING ROOFING INSULATION FIREPLACE ROU6H ZN PLBG ROUGH IN HTG FTNAL PLBG FINAL REMARKS: PRV S& W PLBR - PZENE PLBG F L ? J ? CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 .??? nrrrl 'o ??r ? ? • ? ?` r:? rr, 1/(,° ''f - 7 % SINGLE & MULTI-FAMILY 2 sets of plans, 3 regis er site surveys, 1 copy of energy calcs. ? G 3 ii':4 „ F?'D ? ?/ ?_ ,. . 2 COMMERCIAL 2 sets of architectural & str_?ral lafls- 1 set of specifications, 1 copy of "? cs. 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 'lJ 6y. / 3 /°I4 Val uati on of work qEZ231 l S cD , co cpp , Site Address: S'OC9 UF-WG. STREET SUITE p Tenant Name: (commercial only) LOT Z-I BLOCR 2- SUBD woaOS 2ho 11Q?, P.I.D. # Descri tion of work: tJfcW cn'L, The applicant is: ? Owner 12-6-n' tractor ? Other (Describe) Name Phone Property LpST gTEINWAND BEIDRS., INC. Owner pddress 2526 Horizon Dr. Suite 102 . STE ii Lic. #0001055 City State Zip Company Phone °o°l4-O4S& Contractor „ . Address 2526 HOCiz011 D1'. Suite 102 License # Exp. Burnsville, MN 55337 City L1e #0001055 State Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber 9- NCs-- . Processing time for sewer & water permits is tw ays once area has been approved. I hereby acknowledge that I ve rea his application and stat that the information is correct and agree to comply 'th all pl'cable State o Minnes a 5tatutes and City of Eagan Ordinances. Signature of Applic ? OFFICE USE ONLY ' -?v - ,,- 4t., BUILDING PERMIT TYPE 0 01 Foundatian ? 06 Ouplex ? 11 Apt./Ladging 0 16 Basement Finish 9 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0 17 Swim Pool ? 03 Sf Addition ? 08 S-Plex D 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch p 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. 0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New p 33 Alterations ? 35 Tenant Finish 13 31 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INF ORMATION Const. (Actual) 19-ty Basement sq. ft. /?y? MWCC System _ p? (Allowable) r1 lst F1. sq. ft. 4 L 3s City Water UBC Occupancy 2nd F1. sq. ft. o a PRV Required Zoning e-i Sq. ft. total oe ' ° Booster Pump # of Stories z W/aM>. Footprint Sq. ft. r T9s9 45 Fire Sprinkler Length On-site well ?r y?f Census Code Depth vz On-site sewage SAC Code ai APPROVALS Census unat i Planning Building Assessments Engineering _ Variance REQUIRED INSPECTIONS ?.Site ? Wallboard Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Cann. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ? Footing Final valuectm: fgl' Framing ? Draintile g /Y7,ooo /a x /Io = /60 /y x ?S ° SJz LSX 2 ? Izn 3& ? ?17z / X b ' $ - LRNf 2.sz zY 3.rx iz - yz 3txsy (v9a ZNSh,.z. Zsx zY ' ?o ?(oK I/.f ? o <??/ ? ? ` ( 3srr < ig > fs? 3S ? S 9s/X s? $I Insulatien ? Fireplace r5 Sm f I'/. zrr 38 < S `/z 7 s' F 3? ° yz3 2.s x zH = (op 3-r /` fo, /ob7 l?,a.x A ZZF ZS = ?0/fo 2 32 Zx r9.s? = 3Y ,og7 x //a = r.cr? ? ?p, y'9z ` ?---- s O0 ??1-A-? ? LOT BIIRVEY CHECRLIBT FOR RESIDENTIAL BIIILDING PERMIT 71PPLICATI N ? pROPERTY LEG ALt ? Dat• of Burveps .?? DOCIIMENT BTANDARDS 17, Y D 0 • • Reqistered Lnnd Surveyor signature and company i ? Bu lding Permit Applicant 0 • Leqal descriptioa tY 0 0 • Addrass 0 • North arrow and -bnr scale t4? D D • House type (rambler oplit w/o, aplit walkout enLry ?"D G • , , lookout, etc.) i , L D rectional drainage arrows with alope/qradient t. @-?D D • • Proposed/existing 4ewer aad water Qervicea D • street nnme ?" 0 0 • Dsiveway ELEVATZOliB Ld?O D • Existino Sewer aervice VD ? 0 • Lot corners / D 9 0 • Top of curb at the driveway 13 0 • Elevations of any existing adjacent homes 6"?0 0 • Brofloaea Garage lloor H' D 0 • First floor D? D ? 0 • Lowest exposed elevation (walkout/win9ow) D 0 • Property cornere ? D • Front and rear of home at the loundation 13 Zf? 0 • PONDING 7?REAS (if apnlicabla) ement lfne E 13 NWL n a' n ? wz. x D t? D • Pond # desiqnation 0 1 0 • Emergency Overflow Elevation ?0 DSl2lENB201P8 ='Ot lines d t t idth t b k 0 . w ree ( o ac Aiqht-of-way an s of curb) Er D 0 • Propoaea home dimenaions inciuding any proposed decks, overhanqs qzeater than 20, porches, etc. (i.e. all structures requiring permanent lootinqe) EI? D D • Show all aasements of reeord and any City utilities within D? D those easements d d t t tb t 0 • s ruc ure an se Setbacks of propose ack of adjacen aWD • existing homes Retaininq ytak_re,%direment6, if any Oetober 1992 ., IY?.I I.v 3? RT P.O.C. 21 +49 11 6 -I/16 BEND 4 28 2 i 6"-I/16 BEND M.H. 6 4' RT. P.0 C. 20+50 27 6°GATE VALVE 2 6"x 6" TEE ?? 6-I/16 ? PRESSU?2E REDUCING FACILITY E N D? 9( 2) 6 GATE VALVES TO BE INSTALLED BY CITY OF EAGAN- REF. ??NOTICE TO CONTRACTORS?? NOTE- UPPER RIGHT.? TEE i" REDUCER 26 25 6°-I/166END 6° GATE VALVE ? i ? M.H. 8 - 3'RT PO.C. 17+67 8" GATE VALVE 8" PL UG 1\ It:) ? O o ?Q7 41 Q o ?? 4 RT. P.0 C 19+13 \ ? 2 ? 3 U'fII.. SERVICIiS 7'O RF. CONS'fRUC'1'IiD BY o•rnr•.es FROM IIACKMORr. URIVI: SIDE -- FUTURE (BY OTHERS) ? ? ' ? " ' ' ' :1 . • . ?. ..7" ? :? ? r: ?',:•Y 0i' C O 8 . R ? r i? • ' i.?.I Ii'.?? J. IHIS TN' 1EE r rLlr?rl7:,c_? ? .-?? J 1 oN DRI VE -- -- - - --T i I-- I ----- - _.. ? - -- - _.l_ . M.H. 6 M.H. 5 , ; , ?e. .. I I : i . ! ;0n,7 n F,:? ? ? . . ._., .?? '! ? -?- , . .,. ?.?,v •r r i_?i r i . '? 0 Ai?0 13 ? R.E.916.Q 7 .:.llONIpi. (HIS 0:"1 ,:. I-C. + ? ?iv.: PU?dP(JSES (J fd Ai:3 ?_{SILG ITi SHOULD c ON TH:c SITE. i 906 R E 903.6 ' I`' 7 V.V. O Z)0% ?-DIP C o I ? , ... ; ? ATERMAIN ? ' < ' P.V.C. 145 L:F-8? < - I S.DR 35- 6.401/6 ? I I I I I ? i ??? t 138 L.F. - PV.C. -8"PV.C. 100L.F. ' ' I... I o m 0 . SDR 35-2.OQIa , SDR 35-.2.00°/A ? ' , U?i n I... ° I? , ... . . ... _ ? o .o ? o 0 0 - 0 ' .. ? m I ? ! m ? m - m ? . _ a? .. m ., i m m. ? _.. ? ' , .. . _ _ .... ...:.. ... .:..: .:::......2 2 ._ :::.....::. 17 18 19 20 21 CITY OF E ? LYMAN DEVELOPMENT SCALE BARSCALE SANITAIZ) BooK PAGE Hawthorne V? ? 300 MORSE AVENUE ( P0. BOX 40) ; Hawth EXCELSIOR, MINNESOTA 5533J F??eNo .? Feehans Res. Arch. 612 494 3224 P.02 SXTERIOR ENVELOPE AVERAGE "U° COMPUTR7ION OWNER___________ PLAN NO._9-1018-4 SITE ADDftESS S? f/.v ??aut ????--- ^-- _------- -- ? - ----^------------____ f:ONTRACTOR...,,,,______Bkoinwand 91dra. OATF..... 11-1-qA DETERMIME WOFtKINO SGtUARE FC70TRAE 3025. 44 1. Total exposed wall area 3112.54 sq.ft. x.11 342.3794 2, Total ruof/ceil3ng area 2233 sq,ft x.026 58.058 3. Total flaor cant. area O cq.ft, x 0.426 O (over unheated enclased areas) 4. Total 41oor cant. area 181 sq.ft. x 0.45 14.48 (nvar unheated exposed areas) 5. Total expozed wall ares above the floor----------- 2727•44 a. Total wall window area ....................344.05SS b. Total daor area ........................... 37.8184 c. Total sliding gla5s door area ............. 42.2211 d. Total fireplace area ...................... 0 e. Total wall framing area (ave. 10%)........ 272.744 f. Total net wall area above the floor....... 203U.b03 g. Total rlm joist area ...................... 298 T07A4. E%P08EA fLIUM1IDATIqN AkEA ................ 87.1 h. Total foundation window area .............. G i. Total net foundation area. ....... ......... 87.1 APtermine "U" value of each wall seg ment. a. 344.0535 x "U" 0.39 = 134.1809 b. 37.0189 X °U" 0.06 = 2.269134 C. 42.2211 x "U" 0.39 = 16.48623 d. O x "U" 0 = 0 e, 272.744 x "U" 0.090334 m 24.63812 f. 2030.643 x "U" 0.443215 = 87.75292 g, 298 X °U" 0.440683 = 12.12368 h. O x "U" 0.39 = 0 i. 87.1 x "U" 0.476161 = 6.633663 6............. ............• ... ..Tatal 284.0646 If item #b isthe same as orle.s than item #1 you have met the current energy codes. 2 MCAR 1.26008 A ANU 0. R=96% 612 494 3224 -- 11-- 10:37AM P002 #02 ,,_,? , Faehans Res. qrch. 612 494 3224 P.03 ' TUTAL EXPO$ED ROOF/GEILENO ARER 2233 a. 7ota1 skyllyht area....................... O k. 7ot.al flat roof/ceilSngframing area...... 223.3 1. 7atai net flat roof/celiing ar-ea.......... 2009.7 Determine "U" value for each roof/clg. segment j. 0 x"u" O? 4 k, 223.3 x"U" 0.026925 = 6.012386 1. 2009.7 x"U" 0.422795 = 45.8l035 7 ............................... ....Tota1 51.82273 If itEm #7 is ttte same ae or less than item #2 you have met the energy GOCI£'. 2 MCF3R 1.16008 A AND D. TOTAL PLOQR CANT. AREA (enclosed). 0 p. Total floor cant, framing area (ave. SOX). 0 p. 7otai nat insulated floor/cant, area...... 0 Aetermine "U" value for each floor/can t. sagment. n. 4 x"U" 0.464144 - d p. Q x"U" 0.029386 = 6 8 ..... .............................. Tota1 4 Ii 3tem k8 is tihe same as or 1ess than item #3 ynu have met the energy code. 2 MCflR 1.16008 A AND O. TDTAL FIOQR/CRNT. AkEA (expoaed) 1B1 q. Total flnor/cant. framing area (ave. id%). 18.1 r. Total net inaulated floor/cant. area...... 162.9 Determine "U" value for each flvar/cant. segmant. q, 18.1 x"U" 0.057438 = 1.039632 r, 162.9 x"U" 0.027894 = 4.545933 ...........................Tota1 9 5.583565 ........ If item #9 is the same as nr Iess than item 04 yau have mat the energy code. 2 MCAFt 1.16408 A AND 0. T HEREHY CER7IFY THflT I hiAVE CALCULAtIFD T? "' F,TpR8 AIUD "R" VALUES HEREIN AND 7HAT 'fHE RUYLDING ? E 5 IBE {1EETS qR EXCEEDS 1"HE 8TA7E QF MINNE50TR ENEFtf3Y CON9EFt VrIl 2U I (signature) ----------°'- -- (date) R-96% 812 494 322'4--- -- :37AM P003 #02 PERMIT c,?¢QZq? ?I CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: -4I119ff Eagan, Minnesota 55122-1897 Permit Number: 0 BUI 2 5 5 D 9 N G (612) 681-4675 Date Issued: 0 5/ 0 5/ 9 5 SITE ADDRESS: 549 HAWTHORNE WOODS DR LOT: 27 BLQCK: 2 HAWTHQRNE WOODS 2N0 P.I.N.: 10-32151-270-02 DESCRIPTION: Bwilding Rermit Type Buildiny Wo'r-k.,Type ? y; , l r '- ? h (? '-, - BASEMENY FINISH ALTERATION ,?.'`'';?'_..r? : t.,-- • - s?? 7 D,.t ?i.. REMARKS: A SEPARATE PERMIT I5 REUUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee Surcharge Lic. Search 7ota1 Fee $35.00 $.50 Fee $5.00 $40.50 CONTRACTOR: - Applicant - 57. LxC. OWNER: STEINWAND BLORS INC 18940498 0001055 STEINWAND BLDRS INC 2526 HORYZON pR 2526 NORI20N DR 102 BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 894-0498 (612)894-0498 E ( T hereby acknowledge that I have read this application and state that the infdrmation is correct and agree to comply with all applicable State of Mn. ? Statutes and City,of Eagan Q.rdinances. 1 _ ' .?--a- ' flr?? ??(.I rn?? APPLI / E SIGNATURE SI R?? I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS:P•I•N.' 10-32151-27e-e2 LOT: 27 BLOCK: 549 HAWTHORNE WOODS DR HAWTHORNE WOQDS 2ND PERMIT SUBTYPE: BASEMENT FINISH APPLICANT: 2 STEINWAND BLDRS INC (612) 894-0498 TYPE OF WORK: BUILDING 025539 05f0S/95 ALTERATION INSPECTION FRAMING D. . INSULATION ,. OUGH IN PLBG FINAL REMARKS: A SEPARATE PERMIT TS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK ? ? ? ? CITY OF EAGAN ? ir A r? 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 687 -4675 ? 3 registered site surveys ? 2 wpias of plan ? 2 coples oT plans (indude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (ezterior additions & decks) ? 1 energy calculations ? 7 errergy cakulations for heated adddions ? 3 copies of tree preservation plan 'rf lot platted after 7/1/93 required: _ Yes _ No DATE: 4/28/95 CONSTRUCTION COST: nm 10,000.00 DESCRIPTION OF WORK: Basement finish (1-B.R.,1-fam. rm.,l-Bonus Rm., 1-Bath Rm; STREET ADDRESS: 549 Hawthorne Woods Dr. LOT 27 BLOCK 2 SUBD./P.I.D. #: uawrhorna GTnnrlc 9nr1 Adcl 894-0498 PROPERTY NBme: Steinwand B1drs. Inc Phone#:(h».) RQS-SQSS OWNER '"" `"" \NC'dpreetAddress' 2526 Horizon Dr. Suite #102 ,SO?e ? ?y391 •?i? 5??0 V6• ARCHITECT/ ENGINEER City: Burnsville State: TIN Zip: 55337 Company: Steinwand Bldrs. Inc. Phone #:(612)RA4-n4qR Street Address: 2526 Horizon Dr. Suite fl&ense #: #0001055 Cjty: KKMK Burnsville Stat@: MN ZIP'SS1'27 Company: Name: N/A State: Street Address- City: Sewer & water licensed plumber: change are requested once permit is issued. Phone #• Registration #0 Zip: Penalty applies when address change and lot 1 hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree Preservadon Plan Received Signature of Applicant: _ Yes _ No _ Yes _ No Steinwand Bldrs. Inc. by; Lamont W. Steinwand V.P. 9-9 [E c EG V ?'V MAY 0 1 1995 ------------ OFFICE USE ONLY µ rr • :? • BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. ? 70 = plex ? 15 Deck WORK TYPE 0 31 New cfle-'33 Alterations o 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION l.'onst. %(4cluai) Basemeni sG. ft. ,"."CNVS &ystem (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire 5prinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ? Depth Footprint sq. ft. SAC Code DL Census Bldg i Census Unit d APPROVALS Planning Building Engineering Variance G Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permft S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units L c??-7 BL CITY USE ONLY RECEIPT #: ,QO3, ? SUBD.,?"Cn.e? U)" rY d? DATE: '' /-5/LS 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single famify dwellings ? townhomes and condos when permits are required for each unit FIXTURES -? EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outiet' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 20.00 = U.G. Sprinkler ` home under const. 3.00 = Alterations " to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE TOTAL SITE ADDRI OWNER NA INSTALLER STREET AC 7Z ? .50 V 6 0 "e- Z4,C cf-L?%9i 0:761/ ? ZIP: CIN: All, I:OGUf?G/ STATE: ?? ?- PHONE #: .?? OFFICE USE ONLY L _ BL _ RECEIPT #: SUBD. 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. . all commerciaVindusViat buildings. • muRi-Tamily buildings when separate permits are Ilp1 required for each dwetling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED9 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED9 YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgLmjt fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME:. INSTALLER: _ ADDRESS: cirr: PHONE #: SIGNATURE: OFFICE USE ONLY ! METER SIZE: DATE: DATE: STE. # STATE: ZIP: APPLICANT _ INSPECTOR: PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ?c NEW CONSTRUCTION ADD-ON AJC ADD-ON FURNACE FIREPLACE I SERT nATE _ i9/9 HVAC: 0-100 M BTU ADDTTIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ?1. ADD-ON/REMODEL (ExlsTUVG CoNSTRUGTION) STATE SURCHARGE TOTAL rEEs $ 24.00 6.00 /. 00 $ 20.00 .S0 o??n ? STI'E OWNER TELEPHONE #: (:5'1,9 TELEPHONE #: c?la' ?7?I SIG TURE OF PER EE 1994 MECHAHICAL PERMIT (RESIDENTIAL) CITY OF EAGAN . 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CITY;_ /"1 a.v l-ri' s.? e .4,14 STATE: zIP coDE: SG04v PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUII.DINGS. AL50 COMPLETE FOR APARTMENI' BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF ?T' ?? ?''R?!i;FEE $ » ?, PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF fp FEE. ,tNHT TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMrROVEMErrrs oivi,Y) INSTALLER: ADDRESS: CTTY: TELEPHONE #: STATE: ZIP CODE: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (CONIIbIERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIRTURES EACH 1?OTAL SHOWER 3.00 ? WATER CLOSET 3.00 BATH TUB 3.00 ? LAVATORY 3.00 KTTCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HE;ATER 3.00 FLOOR DRAIN 3.00 _L GAS PIPING OLTTLET • minimum - 1 3.00 ROUGH OPENINGS 1;50 WATER SOFI'ENER 5.00 PRNATE DISP. • DaLay. uG 20.00 U.G. SPRINI{I.ER • nome unda coast. 3.00 ALTERATIONS • w edatmg 20.00 WATER TURN AROUND 20.00 STATESURCHARGE TOTAL: SIT'E OWNER ?- 'S / CITY: PHONE #: .5.0 00 , 4!q Odw P?K,Z STATE: A/ ZIP CODE: 1994 PLUMBING PERMTT (RESIDEIV'I'IAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAI,/INDUSTftIAL:BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEAARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ NEW CONSTRUCi'ION ADD ON _ REPAIR WORK DESCRIPTION: CONTRACi' pRICE: $ FEE. 1% OF CONTRACf FEE. STATE SURCHARGE $,50 FOR EACH $1,000°OF I'"""". ? FEE. hiINIMUM FEE. $ 25.00 CONTRACT PRICE X 1% STATESURCHARGE TOTAL SITE ADDRESS: $ $ $ TENANT NAME: S"I'E. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STt1TE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1994 PLIfMBING PERMIT (CUMMERCIAL) CITY OF EAGAN 3830 PII,OT KNOB RD EAGAN 1VIN 55122 (632) 6814675 s? 130, ? MECHANICAL (RESIDENTIAL) Permit Application ?qa City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 v-f w Telephone # 651-675-5675 FAX # 651-675-5694 Plcase complete for: Single Family Dwellings Townhomes and Condos when permits aze reqwred for each unit Date Is / 01_ Sit Add 90 SH &A Al k 0{" Vl e WB?S D r U it # e ress . l n PropertyOwner irossel COr-K.4. (GQhQs&l Gv?{ra?)eone#( (?51 ) LI$s -7642, Contractor RariM i nQ?/\ t'[c a cX gP?'^a Street Address A103 Lf v?A I 2 Av Q, City ^ r viq i? ok? State ??? Zip 550(3 Li Telephone# (/D?Sl ) Ybq= 7gaq The Applicant is _ Owner ? Contractor _ Other Add-on, modification or alteration to eaisting dwelling unit $ 30.00 furnace replacement air exchanger air conditioner )C other YIQLU e.dCdi?IOti G i uCti 0?o. I ra.A jc 1 rt }t?a4- State Sorcharge $ 50 J?1 ? ? ?? I L ?? SO 5 30 Total u r ! -l , I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 ofplans. D«y,el ThpleA L<9;1nv Applicant's Printed Name Applicant's Signature MECHAIVICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. commercial/indusMal buildings multi-family buildings when separate permi[s are not required for each dwelling un3t Date Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Applicant is _ Owner Contractor Other Work Type _ Newconstruction UndergroundTank _Install _Remove _ Interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature of Work: P¢1'IU1Y F¢0 $50.50 Mirumum Fee (indudes S[ate Surcharge) Contract Value $ x 1% _ $ Pemut Fee • IFpermit fee is $1,000 or less, add $.50 If permit fee is over $1,000, add $.50 per =:> $ State Surcharge $1,000 Pernut Fee $ Total Fee .iiu.wy aypry ior x Commerciu mecnamcai rernut ana aclaiowledge that the information is complete and accurate; that the work will be in conforntance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; t6at i understand tlus is not a permit, but only an application for a perrriit, and work is not to start without a permit; tUat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspector Date: 2007 RESIDENTIAL BUILDING rERMiT arrLicnTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWChon Revuirements 3 re9istered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas (20% mazimum lot coverage allowed) 1 Soils RepoRif propased building a to be placed on disWr6ed soil 2 copies oi plan showing beam & window sizes; poured found design, elc. 1 seto(EnergyCalalalions 3 capies of Tree Preservatwn Plan'rf IW platted after 711193 Rim Jdst Detail Opfions selec6on sheet (buBdings with 3 or less units) Minnegasco mechanical venfilaUOn fortn RemodellReoair Reauirements 2 copies of plan shvwing foofings, beams, joisfs 1 sel of Enerqy Calculations tor heated additions i site survey for additions & decks Addi6on • mdreate r( on-site sep6c system ga.oc Ofrice Use0nN CedofBUrvey,Tiecd.,;{ _Y'_Ff YN Tree RfeS:PlanRecd:,."r; -".-Y._H. _ Y..,_ N Oii-sRe'SePtic System:'.- :=?.Y.::_ IJ Date 2? / / 5 Site Address ,Sy I 6 -7 G}' ?i'l /?v J Construction Cost " ' '?? ? /,1/ Y `U{ UniUSte # Description of Work ?Pta?rlG Multi-FamilyBldg _ Y_ N Fireplace(s) _ 0 2 Property Owner r h+/`t> ? ? ??slJ vt Tetephone #( ) Contractor Address /D $? State _?f? /Tn"1?v SGcG Gf .?I l%J City Zip S5 3/3 TelephoneN(7?? lP ?a'y?l?J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv ] Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted . Energy Envelope Calculations Submifted In the last 12 months, has the City of Eogan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Coniractor 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 Ciry of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Name App Signature ,, DO NOT WRITE BELOW THIS LINE Sub Tvoes ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Erzt. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. AIt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 StormDamage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding ? 32 Addition ? 36 Move BuiWing ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors - O- 34 Replacement "Demolition (Entlre Bldg) - Giva PCA handout to applicant DBSCrIptlOfl: WaterDamage_Yes Valuation Occupancy MCES System PlanReview 100%or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTION5 _ Sheetrock FinaUC.O. Final/No C.O. HVAC Other Pool Ftgs Air/Gas Tests Final Siding _ Stucco Lath _ Stone Lath _Brick W indows Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total Cities Di2ital Qualitv 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. 1t±l;29:'-4102 ?PpN 16:02 FAS fl 312 1:16 55:2 Sf:gFIRL,R ii+iT?=k C'C: MNcheCk i:qh3PLI.whC:E RcPuF;'r tRi nnest>ta Enerqv Gode hiNchecic SoftvJare `Jers i en :Irill i"?,?"/: uz''r;Tl!'.;3 S7NT"=: Ml^f7t's%Jr'= O.t)'vE' 2 G0iNa7"'r'.flC:! i.C`iN 7YPE: S4Ciqf E. i;;'r vAT F: 7 r-- L s:..?i);'?w DATE OF 5 .?-e7"?.:. rI'TLr: BRA?EL caNrTRue°,10ra * i;l I r- 'r_'ki ,`.:--, Be1.-?E?r• I hrlt, f..tJ"!t; >.r•?, . . ..'t?. , : .... . -,? , _ „ . ?._ ,._s.,.... ,. , .._.. ?i??...'4:_ .. .'I..: EZL1'V'.as?'?e'3iS$l:'TC,.l9;> _ _ .. _?_.-,..._.,_... _ '?_ ... .. . ??, 14AL4S ; ?r±on? ".=ran:.. 1n" r.!?. ._ ?:... ?.•, S>N:T: i:c7t1C. 9.0' isLALING: 4Vl fidvW5 o!` i'GOrc .?_ ,. FLOdRS: Qvc-r Uncor,ca i t;onec: 30 it`-----_____ _ OMPLIANCE STATEPIENT; 7he Droorrst?trJ b:--i .=`ti ar, L.zc.? ,'. ;?... , .: COfiil:i"tPt't Wl t'l LhE bUl I dl:!a L? i ?_':S . ?:.r'?:;?:' ? ? tr..-?'• ii'i = . u?... ._ . __ ? l' . . 5Ui3mittG'J' Wltrl tf1E1 O.P.1"mi =- u^i7 ll (.ai `Uf7 . 7 "c ?••C,i7t7?:- designed tfl m88t th?? rer?uiramente 01' i:h:= i`i;?sr;??.,a*.' , ? •1U-28?'2uu: }fpC 15:0-9 Fdti_ 9(312 496 5513 9CHF:REFi i.i:vgEy h1NC!'i?^c€: Ct7?111a'LIANCE REF'Oil1" Pi?nr.esata En2rav f:odr - ^;Nr.he:,k 5cftwarP Version 3.i: ZGtd"e: 2 CONSTRtlCTION TYPE: S} ns i e raim:l ?- DA'fE: 10•-28-2002 DATE U'r' PLANS: TT71_t? BRASEL C0NS"CI;UC?10N t::C lf?iPLi ANCr : 4'ASS?.. 102 26.:}-b bfyi'`lC;!` Thdi: {fndf? ;:t'.-.,. ,. ..,., ?d . ,. , ..-,. .. . . r:EzL=r?cs: ??,a,.,?a ,r;:?s _ _ _ _ _ - _ _ .. - - - - - - - - ;?:? ;`. .._ WALLS' Wnod rrame, 16" G.E_, E35MT; Conc, J,U'. .htIS.C}' GLA7_ING • Wi ndows' or Joor: , Ab.>ve G? ade ,i?; FLOQRS : Uver 'lJricor,di ti oned Svac:e - ---------------------------------- COMPLtANCE STATEhiEN7: 7he e.rUooSoy bu'!?d,n,'1 "; t;_;=.r,r ? consistent with ±he bui5dinc; DiBfla. subrr-itted with the permit aok) i i c;ti r°?????. designed ta meet irer;:ents oi -?? ??z B1J1 i?`.1F.?1'iDPS3C#IlE!",__ ? ...___......_.... - /? -A Eaendota Heignrs. rnu '?_?iN (612) 681-1914 FAX:681-9488 l111p aLnvEr'ift> • CMt E MEE?'S ? 625 H"3hway t(i N.E. *ana AOl11° a I.r40 ILM1?NERS. uWsr,eoc nse??ers f ei??r?o, rnr? 55434 * * * (612) 783-1880 FAX: 783-18f33 ? (,ertificate of Survey tor: STSEINWANO wBWLDERS rHORNE 0 M 904.6 - jQQO ? ?. C°? I o ? -01 BENCH M A s `?- E? EVO:90507-.__ SMY89t -7 ? 28 i ? E.4 H}'.?„???'?? r t)ArC as ? 904.47 co (V H ? 9074 O A ?M m N M m ? N .1 ??70 906.1 ? Ni 906.0 1•\ _ . ? p/,??9 'r.'11'O ?9D8.7N K r PECgilg LE. ?ylr{.?r0 p 1 9087 ry ", ~ ---OENCH MARK /Gqp/M ,yI . 70POf PtPE p `ny ? EI.EV; 910.16 2g n, 2?S --,A 914,5 ck t - _ 9i? ? 1x9 go. 1 I 2' II 51 , O 902.4 - N17'4S,0g„ f 2 21 wq4 -r7, 1I.A, as/ EAGAN ^?.`-? NID1'40?? . DEPT: MFR PROPOSED CRAOfS SMOWN PER CRADING PUN BY: CAI TMIS CEp'ryFlCATE OOES NOT "PORT 70 SNOWpuEAS£MR?TS HOWN ON Sl1E REWRPE? NO1E: BU?MG MIENSIONS SHONN ARE FOR HOPIZONTAL AND VEkII sg ,vttw?civN. vuNS Fa+ aunoiNC OSHFIt MAN 1HOSE S µO AFWHDATION Ow?arisLr, 30 FEET SCALE INCH = NOIE: CONIRACI'OR MU51' VERIFY ORIVEWAY DE51d1. BEMINCS SliDMN ANE A5S1MW ON 7N15 p BY 1FIE SURVEYd2 Ti?E?ABIUn OFSSOILS TO SUf'PORT iNE N07 THE RESPON9&UTY OF TF1E SURVEYtIR' .,....??., ?rnISF ELEVATION SPEGFlC HWSE PROP0.SED IS qGZ' V Denotes Exiating Elevatlon LGweSt FIoGi rEICYaZiC77: x oop.oo ( ooo.oo ) Danotea Proposed Elevatlon Easement Oenatea Droinago ds Utitlty 7? of 91ock Elevotlon: ? penotes Dratnage Flow Dlrectlon t Elevation: e Stab Gara - T Denotes Monumen Danotea Offset Hub g CT TNA7 1'F1IS IS A TRUE AND CORRE WE HEREBY CERTIFY TO S7EfNWAND BUiLDERS IE OF ?A?TMQRE Y RfPRESEN7A11ON OF A SUR W?? 2Np AD???ON ' 2 LQT27, BLaCK . pAKOTA COUNIY, MINNESOTA IMPRO F xUC7T AS SNOWI`1, A 1994 ENCHROACHMENTS O SUPERVISION URPORT SURVEYEDNOB pME dR UNDERHMY DIRE A P +i '. 15„ I/e ` . . ? iGNE ? PIONEER ENGINEERI . 4 _t q- 1 ? -- ? /Y Tc_i'd * Mendoto Ncignts. P,ird ?,-. ; y ??c (612) 681-1914 FAX:681--9488 PIONS¦p LANO $?Phi')K+ • Ubi E,lW„CfR9 ? 625 Nighwar t(; rd E. * en nssr np "ND RnrAEHS. ?ANoSCAPE M??IV?CTI Blojne, tnN ;5431 * ** (612) 783-1880 FAX:783-1883 * Ger-tificate of Survey for: STEINWAND W 6?UoL DERS 0 M 904.6 ? - . )L- - C°t?? / a BENCH M AkK TOP OF PIPE ELEV.•9?5.0T-_, 28 t,u ? ?n 904A7c? 0 0) to ? o 7+ ? ? ? INV=885.7 ?' ? 907.4 t'' -? r' i •? "//n c? ?!s> rzo .?26 h a M ^'/ "' n - m i p??SF??S ?.0 j"a ? ?SS? f 906.1 ? ± 27 oe? . 11 / Gqq / 7 ? •0 ? 908.4 906.0 v'99 rPE05??. O 1 O0 J ?,u\ 3097 ?,0 7 7/ --BENCN MARN ? TQP Of PlPE ? E1FV.2910.16 ??S c 914.5 ? x 908.0 ? ? ? 909.? ?? + / / 26 902.4 ` cj ,i Z n+l7??s,?9,? - ( 21 . ?. a• .10 M PROPOSED GftAOES SHONN PER CRADING PIAN BY: 7F{IS CERTIFlC/.TE UOES NOT PUAPORT TO SHOW EAS£MR175 NOTE: BUIl91NG pMEN90NS SHOMTI ARC FOR MOlNZONTAL ANO VkRTCAL OIHFR 1HAN MO3E SMOMN ON 7ME REOOf10E? PLAf. LocAl10N OF sMCNRES ONLK 54E ARpuIECIUAL PwNS fdt ewLDING AND FOUNDAlld9 DIMRl90N4. SCAI.E WcH = 30 FEET NOIE: COMIRACTOR YUST VMFY DidW`MAY tlESIGN. gWINGS STIOYM ARE ASKUM h1OTE: NO SPEpFlC 9065 INVES11GA110N NAS BEFN COMPLETEO ON 7Mm5 LOi 8Y ME 4URVEYON. THE SINTAWUiY W SMS TO SuPPORT tNE SPEGFlC HIX15E PROPa!?0 IS NOY 111E ?? ? TME ?fl1?E1'OR• X oop_ao Denotes Exlatinq Elevation ( ooo.oo ) Oanates Proposad Elevatlon Denotea Oralnaqa dc Utlllty Easame?t Denotes Orainage Flow Oirectlon r Denotes Monum*nt Danotes Offael Hub WE HEREBY CERTIFY TO STEINWAND BUILDERS REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LQj 27, BLOCK 2, HAWTHORE wooDs DAKOTA COUNTY, MINNESOTA SUR?EYED 9Y MEpOR UNDERHMY DVRECT SUPE RMSION THHS ( ?•? - 7rc -t f-G Lawest Floa Etevation: Top o{ giock Elevatlon: `?> > ¢ Garage StaD Etevatton: `/U•' --- TNAT THIS IS A 7RUE AND CORREC7 2ND ADpITION NTS, EXCEPT AS SHOWN, AS AY OF OC7. . 1994 . ? PIONEER E?Ir GlNEER? . RA. - r •!--? - -- T0 `d' * * * * * PioNSOa * sn nesr Lnvo rLnr+Neas. 24?2 EriTerpri,e O+Nc Mendnla He]ghts, P,1N 55120 (612) 681-1914 FAX:681-9488 625 Highway 10 N.E. Blaire, PdN 55434 (612) 783--1880 FAX:783-1883 CertificatP of Survey for: STEINWAND BUILDERS 549 MAWTHORNE WOCAS bRNE ~ 0 M t IMl=895.7 - 9046 - _z'- cqub'2 7? K ?Y 5 f ?? 13TOP OF PIPE ? ELEV=s0507, N SER? 2V E A C, .4 J„ ,? ?? ??E wE D DarE ry ? lo58? ? lL1 M 1167 N. J2.0 M. I26 0 N ppo 904.47 0 N gp70 po 3B0 roQ I( psS?AC'y ? fc 90 906.1 k 908.0 ? ? 27 26 ? 1 (901? 902.4 Z 906.0 0 z "' ?aoe pRD ?p x -.TV.E1 TELE O ' PE05. 907.6 - c ( "' O J (y\ N9.gJ o ?i? ? 909?ti. u)7/ -BENCN MARK ? Aq ?M 2,a4 70p OP P! PE EI.EV.=910.t6 i 7.7 ?e'Q ? 4? ? 914.5 -? 908.4 /f \ ?`?.//•?.'.? ?15?? ? / _, ,..... ? ? 1 / 10 v? &L /S EAGAN E1VG ERIN DEPT. r n ?p N/?4509?le._ 'ry-='°L?'olnioVo b 21 75 PROPOSW GRAUES SHOYM PER C(tAOING PLAN BY: MF R p IjH(JZ ? 1HOSE SMONN ON THE RECORDEU PU?T. N NOTE: BNIDING qMEN90NS SHOMN ?AE Fqi HOiNZONTAI AND VERIICAI. LOCA11d! OF 3TItUCNRES ONLY, Sa ARdd1ECNAL VUN5 FON BUILOING ,wo fWNDAraN DIMR+gONg• SCAL£ : 1 INCH = 30 FE?7 NOTE: CONIAACTOR YUSI' ?IFY OPo?E?MAY DE?dI. BENUNGS 5710VM ARE A'aK1MED lOT 8Y h1E?SlIRVEYOR. 1HE S?IITABIUTY OF SpL3 ??ORT 1HE7M?5 SpEGFlC HWSE PRaPOSE0 15 N07 iHE NfSPOH981Ur OF ME SuRVE7OR- x app_oo Denotes Exlating Elevatfon ( 000.00 ) Denotea Proposed Elevation _. r-. Denotea Dralnaga k Uttlity Easemen! Denotes Oralnaga Flow Dfrectlon - r Denotas Monument ? Denotes Offse4 Hub Lowest Floor Elevation: q0Z, Top of Block Elevatlan: Gnrage Slab ElevaUon: f /0' 111AT 'THIS f5 A TRUE AND CORRECY WE HEREeY CER7IFY TO S7EINWAND BUILDERS REPRESENTATION OF A SURVEY OF THE 80UNDARIES OF: LOT a7, BLOCK 2, HAWTHORE WOODS 2NQ ADQITION . DAKOTA COUN7Y, MINNESOTA IMPROVEMENTS , t994 . NOT URPORT ENC SUR?EYED BYPME OR UNDERHMY DIRECT SUPERVISION THHS O Ftl)QAYSOF UC7? AS SHOWN, A ? (.` cr I ' Yl,? r Sr //o. SIGNE PiONEEft £GINEERI , P.A. /•c. - 7ii C .J... G U /Yi'r .--??-r.• ?... ..eno 't i T 9 `d May• 20. 2013 11:55AM TIM LEMKE CONST 6516029012 Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAI L.t201., No. 1283 P. 2 Use BLUE or BLACK Ink For Office Use 110°1o1 Permit #: Permit Fee: q5. 61 0 Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 5kOha Site Address: gill kkQ{1Lo k4,-)cskS r Unit #: J J; . I si�l:ei�lti-i��='� ' 1llift�F wl�w J r.,.... 1,,1,0:1! -:...±.1 :.: PhoneL `eS (- I`f0 S Name: CLcl� � V Ct ���\\ �`�`rn�-� �At� ,,,, `- ` 1 Com- Address / City / Zip. FM '1-'(aua.34wc'rLD Vlhrxd, < `l){` C_m 4.,L S ( c Applicant is: Owner 6ontractor '1-'II•�l r FIL^`i'::I:_A:!:;�i:�E:ice�4"YI:i7,i ►l I° ' :=;:%"'::-ii'd", `rll ©1Ni�rFs ..rr" t�� �.• rlr.:.-: 1�. Description of work J� (-1-e40-04/a,0rr- '� z loti a ows� I-b�ty F Kir 5 5 YLooe— ikauR� Construction Cost J SOO Multi -Family Building: (Yes _/ No x ) IiI 'I { Y�rI (SII, .,.,,...,�.�rtall"-'..1..1.,,.,.1 iJIIy.::., i,.: !Mr-+ IA,- ; t M r id.„,ir9' X�f ` Fliti �iha” ? :I � ,aa+ i;- ,:;a rl r I �1 ,,� lf,t, 1 i. Company ? .7��441rt t„f - �Contact vv� 11 a_� x-.0.1 ✓?(� t- ,�{{��,��� l..``` , ^ Address � Ci V't�Q(�.`�n '�-�ls State: Zip: �kL� Phone Ls(— (Po'--R'oo ( License #: o� S' Mo" Lead Certificate #: l - S- I If the project is exempt from lead certification, please explain why' (see Page 3 for additional information) BO( Cr 114 / R-'\ \c\C\ k 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: .;...,. .,: A N07E: P ,i,,t R ...,.ctrl . ., .�.. .x.., I, AIIA ! a V. AM ltt'° , f rntailon YI ( r :.a. plir li J ` -.,r 1 ..:. ....!?i, "W W,Y!Vli�i]pV�rilr`JIa�111�Ii, .�v,n:,.�o:.,.r: ...,.. .. .....:.:...:..: r1 k': �:. ,...:,:.:. - r."Li.. ••:1;. ty' 1 u arfin . oeu010.44 ii / ,, m f: '.', p reg: o' �' ! `lt`om�e�o P , �'; r _.�, ::::,: : �: w: I Y4 L., ,., ., .,.... ...............:.......... ,(K{ ,� ., , ,.,-,;_.,:,_ ,,..JI���i,r hl w ..rpt: _H .,..,.....,r •, .r.:.. e G I::....,,,:Y, .t J.l JX,�.I+ J.�M 6Ar::: �::: yr,.,................r.", � 7 4d�µ 1u1• J,..., .....i,l . e be. classltletf'as'k►ti1 ' „l. l rovrde.;s.. ec�c;reasorist� at 1woujd ��`e`: It ...._. .. .:..t:::.�:..::.....:.nl..... ! I'Y,Ijr, i 1 r.. r ..�:::.°. ...: � :. e,rri .:,... I lr ..1 iil'i�:lr�l::,.:.............. .. � i\ i �. M .r::.:.........2cl,f. ,,. .I�/VI I.r,.i. Lr. �,:�v.v :-.._.::..v..f C .Y I 1 ..::. `...' r ,v,v...vin .�:e...::::�:::�,.J, t vII Cii�,t�rt{1r�71:Vi` l,I t ` ,y !, p91�Al�rf` iii li+"' Y .. ;rl C jril,I„or .r;+'', � r . 'k I �;._C��%f:��%��1:�%fa�tt����f��'��.��:�$R����";,�'1 GPI(1±�f� lI,": 1 ....._ . +5, l��Bi111i•Mfld��Y�. 1 11 F' ""nsdo • I J d t�, � �Y AI r IlL.1 .AIA -,{� a r tike • ' �to rjli 'tl J 1 )+/ �r r. ail 11; f Y1�rq ,1 tt �q6 {1 IA 1l�Yr��'.1HI��YJ�Ei7� CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locales of underground utilities. www.gopherstateonecal).orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan In the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. Applicant's Printed Name Applicant's Signature Page1 or3 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall ° it Wood DV DO NOTITE BELOW THIS LINE I 01210g _ Fireplace Garage Deck Lower Level DESCRIPTION Valuation Plan Review _ Porch (3 -Season) _ _ Porch (4 -Season) _ _ Porch (Screen/Gazebo/Pergola) _ Pool 11af)rIv Interior Improvement Move Building Fire Repair Repair (25%_100% �) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final yFraming / Fireplace: Rough In _Air Test )C Insulation Sheathing Sheetrock Occupancy Code Edition Zoning Stories Square Feet Length Width Final 4-rivo Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: _Pool: Footings `Air/Gas Tests Final _Siding: `Stucco Lath Stone Lath _Brick /)(Windows _Retaining Wall: Footings Backfill Final _Radon Control Erosion Control Reviewed By: , , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL oN) Ic-r aol- RA- .,160 (), No Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA111219 Date Issued:06/13/2013 Permit Category:ePermit Site Address: 549 Hawthorne Woods Dr Lot:27 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-270 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Fixtures:kitchen sink, dishwasher, disposal, icemaker Joe Rascher 712 Smith Ave So Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Christophe R Jackson 549 Hawthorne Woods Dr Eagan MN 55123 Rascher Plumbing & Heating 712 Smith Avenue South St. Paul MN 55107 (651) 224-4759 Applicant/Permitee: Signature Issued By: Signature City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAR 0720U Use BLUE or BLACK Ink For Office Use �y Permit #: I I 0 ) t� Permit Fee: 10 5 3-5 Date Received: 3/ baby Staff: 2014 RESIDENTIAL BUILDING��(PERMIT APPLICATION ' Date: Site Address: & � 133- Oib,Q , C7A JS F Unit #: Name: Address / City / Zip: 03143 Applicant is: Owner \/ontractor Description of work: ginOtie R_ceL Construction Cost: - Company \ Address: \R & e(\ i C� Cit v ��►� Zip:5���\ P -O /At 6 Multi -Family Building: (Yes / No Y ) APC,__ Contact: Phone: City: \ \ Vl S License #: `_as 4 0 Lead Certificate #: NAT— x55'35-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ?o ST- /978 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: Sewer & Water Contractor: NOTE' Plans' and;suppo inf ,. ocurr> entsfhat you submit arocoi non public ycu provide sj conclude hat he ara. trade Phone: Phone: ped to be public ic 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 Building Code must be completed within 180 days of permit issuance. x ..cantrib e . /m Ca A I ' Printed s Name x Applicant's Signature Page 1 of 3 .. .a . � � � � � � . . � Use BWE or BLACK Ink ^----------------- � For Office Use � ` j Permit#; c7 U !�7° i �1t� Of Ea��II ,;{F. t � -,, � ��a.�� � � Permit Fee: � 3830 Pilot Knob Road � � 'f��s:J I Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I ��l i Fax:(651)675-5694 I Staff: I I . . � . . . . . L���������������� J . 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ������ Date: SiteAddress: _�"t� riCL�'tGLOJ'f� WC�t�,� ��.�''� � � Unit#• �l � �' '� Name: �Y��i'l:�a � �LC.\ � IkC�K._Sf�ilf� Phone�t �16�'�q� �: �5:1 �� , k�� , � M' £�"�g�����. Address/City/Zip: �J�� �- �,�,:,��° � a�_ �° � ��; Applicant is: Owner V Contractor i�y � ��; Descriptionofwork: �� t�1� �Il�K- � ''�r�` 6F �(�DUS� 4�; ` L� Construction Cost: / '��� Multi-Family Building:(Yes_/No�) � �� �.� / �f �- �� � � � Com an 1 �w�. ��Q l�inC�F-�`- �C Contact: ,•� � ��`�' �� z'" ` � P Y`� /� � � � ( � � �:� �� � `� Address: \��.�{ �_i��1�U � City: ����1/�C]-Z�� ���on rac o� : ��s �� 4�� �, .� � e �r�,,z��� �- '� State:�Zip: ��,� Phone:� ��—��Gl`Qk�a�Email: � � eCq� � ����'���� ���` �p � � � � � ��g�� � ���, License#: �J� �S�J�E�� Lead Certificate#: �II� ( " aSS,�S" � �., .�A � _�. if the project is exempt from lead certification, please expiain why: (see Page 3 for additional information) - - COMPLETE-TM1S AREA-ONLY-IF CONSTRUCT-I�IG A�IE-1Al-BUIL��ING - 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: ;��,MO � ��s���J���%�iport�ngrclo�ume�t `�� �t ct��u t ��o�sitle�ed to be ubl�c�nformat�oi�, Portions of`;�� � � �.• � ° n!�� P p � ��, � � � ��� � � � �!n�'�m�on�In �e /assi d�aS b i; . µm�r,� r �� �lfic��ason�that woultl perm��the C�ty i`o �'� �a � r �' ° �a � ,�.�c ..?.=,..A.� �°z,��. ..,,A�a,na�a��. , ..,-. .r��,�. __ . � �'��_ C. �S C e�S,: , �� �,,,_ �-:��� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiiity damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecali.orq I hereby acknowledge that this information is compiete and accurate;that the work wiil 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 fior a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 780 days of permit issuance. �-;w ���- X�y ApplicanYs Printed Name Applicant s' ignature Page 1 of 3 F ��� �Cc�ornt (�v� s�� DO NOT WRITE BELOW THIS LINE `�����' SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) ,�d( Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Muiti � Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES � New _ Interior Improvement _ Siding _ Demolish Building" _ Addition Move Building _ Reroof _ Demolish Interior _ Alteration Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION � Valuation �6�5� Occupancy ���, MCES System Plan Review Code Edition `7 �M �L 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) Meter Size: � Footings (Deck) Final l C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:._Ice&Water _Final PooL•_Footings _Air/Gas Tests Final � Framing Drain Tile - - - fireplace:-_Rough Fn _Air Test -_FinaF -Siding:_Stueco Lath _Stone Lath- =Brick T Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES � � Z� c� Base Fee � }L i� — Surcharge C� ` � Plan Review MCES SAC � � ] LI ty � � 3 �� = ` � c� sac Utility Connection Charge ��� � CC �.� S&W Permit& Surcharge � � Treatment Plant � Copies � ��� TOTAL � Page 2 of 3 ti ; 24;2 Enterpris� privo 'K Mendnta Heights, FAN SSiLl7 .� �* �- 3� ,�, 1�l�1N��� (612) 681--19i 4 �AK: 681�-9488 ��P�U SuavEY!iR5 • ����ENCiME6k3 ; i � LnNO PLA�NERS. L,1NPSrAPE ARCH!YECTS 625 H;ghw�y 1() tJ.E. � * ena nee�r n� �,�;,;�, rnN �j�j43ti �r * �.* (612} 783--1880 FAX: 783-1883 c;er-t�fic�atP of Survey for: ST�INWAND BUILDERS _.— u 549 HZ1W7H�RNE WOCQS DF2NE �� �lQ�� �� , M C B. �� 804, "_~--�� -._ � 904.6 ��jQ� _���� ' �^ O � ���r� ����`%��` � �, ����°3� ,� �os.o 6ENCH M ARK q j`"-- � Otj�� � TOP OF PIPE ai 5 1 �`"�~ �.-�� �L£V.=905A7�-� �' N � 5�895_�7�� `�� ��C�6?� 9074 0 � � ��58. � g �908.7 � { �`' x ,f-TV.� 3ELE. yu7.4 }' -� �. %/�?, Pfr'd �b PEC1S. cv _ -� c� kl��r�'p � W� M���7N' 12.��•(26� 907.6 �y� �r �� 5 0° 1 r'�,;-�, !t� � � �a pROf� f'�i'�83 ��9. � 908.7 ti � ,'7� �� N Hp �S�' ( � ,�. � 90447�j '�� � Q 7 --�---BENCH MARK p ��q R�nj ey�'�- 7UP OF PE PE I ap � 7.0 38� _✓" / �' .hi' � � ELEV:910.16 h /�� f'D � `�8.0 /q+ �S 2� t. '�.5, �C'H 907,7 � ,�� 9 I 4.5 fx J'� , -.�, 908.4 M.�t/ 906.I "� �`_ ,�,, /�rj �7�v � •�G� �� I f � 9.0 0�0 _Q� ���' r � � � Y w�-� � � � � ���0�.7 ,T �' n� � r,� + J � " �� :,� � 1 / �.�. �` ` �V' � � ���-- � ~�'e � � ,;}� �,s �te L � 2 C ._.. ;���;�� ede, l� uildfn9lnsp��� , l 8 sy �'`4�' • � � f� � � �/ �,�" 8 _--�' �`^�„+ �` 5 4���/ D � 4 �7`" r9 0�,o ',�.. �S �AGA�dI'ENG ERIN DEPT. 9Q2.4 `'` �y��►¢l.7 p^ � .�r ��� ... ,� � � �- -�.. 4 /�'� G), a�,� k'7 t - i ° ( ) q d� � i � �'V���� ��ti(f��.� ,.0 � W � �4l,A'u"�b'.waP,`>..r �7 A§ �k v':�....��� 2i PROPOSEU GRADES SHOMM PER GRADING Pt�N BY: M �R � T}iIS CERTIFlCATE DOES NOT PURPqRT TO SHOW E/1SEME1'!TS NOTE: 6UIlDING DN�+IENSIONS �OMM AFiE FOR HORIZONTAL AND VFJZI1CA�l 0�� TM�� TM� ��� � � ��(�p PLAY. 4pC1,SlON pF STRUCTIfRES ONLY, SEE AitCFtITECNA� PuN5 FQR BUII�ING ANO f'OUNAA11oN DIAiR1SI0N8. NOTE: CONTRACTOR MUSY VEItIFY DRIV�MIAY DF�iGN. SC BEARINGS SHOMM jAR6 Aa�1MEDE= NO7E: �EO Si'EqF1C SqLS INVE��'11GAT}OM HAS BEDJ CC�IPLElEO ON 1FI15 L0� 8Y 1N� SURbEYOR. RiE Sv1TAB�Urr of SQn.� TO SuPPORT T►�E SFECIFIC HDUS� PROPOS£R IS NOY i1iE RESPQM�BIUTY OF TNE SURVEYt�R• 1 x oop_oo Denotes �xiating Elevatio� �awest Floor Elevotion: �d� � ootl,00 ) penotes Proposed �tevation�asement � penotes Droinage dc Utility Top af �Iock �levotian: `�1��� --.-- penotes bralnage Flow Direction �—t-,� Denvtes Monument Gnrage Slab Elevation: F� � �.�--- Denotes Offset Hub WE NER�BY GER't1FY Tfl S 1'E f R!O�N�E BOUNDAR ES OF: �AT '1'FiIS [S A TRUE AND COR?EC7 l REPRESENTATfON OF A SUFt1/EY LUT �7, BLOCK 2 , MAw-�oR� waoos �Na Aoo�r�aN - � pAKOTA C4UN1Y, MINNESOTA i IT DOES NOT PURFORT TO SHOW IMPROVEMENTS OR ENCHf24ACHMENTS, �XCEPT AS SHOWN, AS � ;u�v��Q sY M� oR uNDER MY DiREc,T SUP�RVISiQN TNIS BT�N�3DAY OF OC7, . 1994 • -, ' I �' 9 .; ;.o � ;i-- ! • `f � � ��`�v2r s� //�"- SIGNE PIbNEER ��,NGtNEERf , P.A. � �� - � t, � - „ ) �� i-U f � �- - i �• j a i c.� ,r ; __...�...-..-��„ • �, �'-' L.S. Reg. No. 19�28 � Jahn C, l.arsan, �i ^.---.--• ---- -�.---_— �' _--� . ,... ' - T F_i 'rJ- � PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167929 Date Issued:04/02/2021 Permit Category:ePermit Site Address: 549 Hawthorne Woods Dr Lot:27 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Christopher A Jackson 549 Hawthorne Woods Dr Eagan MN 55123--306 (651) 470-2687 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature