550 Hawthorne Woods DrINSPECTIUN RECORD
° CITY OF EAGAN PERMIT TYPE: `' ` i' 1 ""
3830 Pilot Knob Road f'l+'+ r i
Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: l.. i f'+', (612) 681-4675
SITE ADDRESS:
' , ,.; I ; : ,,1,?,
0.11tit11rN1: 4a114,+11S 'Nfy
PERMIT SUBTYPE:
, .-.. . ?.....-.. . . ,
ttt?M? '
?14011
TYPE OF WORK:
t4t Ef
INSPECTION rA • DA
,f ,.? : I Ilfll
?1<1 MAkhf R1/ (AlldfPAf.I.llit to f' MFCN I
?' tJit Ci f;•ft! 1 +.AIf +if tii CA)rANt 1` tlhilt':.'-' Ill:ltJt I.if?V f N1
Permlt No. Parmk Holder Date Telephane N
ELECTRIC b/q3/qp
, ?
PLUMBING
HVAC
Inspscdon nsp. Commanta
FOOTINGS 711314 9-9
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
P
AIR LBGEST
ROUGH
HEATING
?Q
GAS SVC
TEST
INSUL
GYP BOARD ?
FIREPLACE
FIREPLACE
AIR TEST ?
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL 7 ZZ 1- ?1?
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
WAM*ffcate vf CccOanc?
?? ? "an
2*0"tecxt vf ionabxg 3xoection
This Certifecate essued pursuant to the aquirrmertts of ti?e Unifornr Building Code
certifying t/rat at the tiriee of issuartce thrs structure was en compliance with the various
ordinonces of the City regalating building const?uctron or use. For the following:
use Guu&auon: SF W swg. Ptrmii rro. 25887
p.c,g.,,,y 7n. R3/'U I Z.% o;m;Q R II Tya canst. VN
o,maorsu;king KEYLAND E3Q- Aemnm 1M I FT4g Pc7[NI' Rn_ aRTM i.eirrr.
B:wina na&= 550 HAKDMR? wacns MRM Lacatity L1. B4. EOMM33RM wocns u,m
.
Datc ??1:.
....?ow'.4r.
`.?"`?••6
POST IN A CONSPK.'UOUS PLACE
,VIC
REQUEST FOR ELECTRICAL INSPECTION ,?, esss??-ooo/o?i-/o/s
? See instmclions Por rompleting Ihis tortn on back ol yellow wpy K?U/ /
?? "X" Be/owlNork Cevered by This Request ?"k.?
95 ?
New Ad Rep Type of Building AFplian es Wired Eqwpmeni Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwiding Dryer Load Management
Comm./Indusirial Fumace Other (Speafy)
Farm Air Conditioner
aner (sPeady) comractors Ramerks
Compute Inspechon Fee Below:
# Other Fee N Service Entrance S¢e Fee # Circwts/Feetlers Fee
Swimming Pool 0 to 200 Amps "" 0 to 100 Amps
Transformers Above 200A mps Above 100 _Am s
$19fIS Inspectors Use Only TAL
Irrigation Booms 1' U ?
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORDERED NECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, ihe Electncal Inspector, hereby oare
'?-?
ceAify that the above inspection has
been made. F?nal o?ce! ??
OFFICE USE ONLY
This requestvoitl 18 months irom
0-ow0
Reques[ afe
? Fre No R b-In Inspection Reqwrea
(YOU u call mspeclor nen rea0y)
? Inspecnon Olher Than Rough-In
? Reetly Now ?Will NoUiy Inspector
Ves
No Date Peatly
I ,licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address tStreet, eox or Roule )
b6 Ciry
?
,5S6 0',
- G
Seclbn No Township Name or N. Range No County
Occupant P IN Phone No
Power up Atltlress
/
Ele ica o tor (COmpany Name) ? ConUactors Li e No
M, Aing AdOress (GONra or or Owner Making InstallaUOn)
& L'& /
Aulhorizetl Sig ture (COMractodOwner Making In tallaoon) Pho?nejINumber
MINNESOTA STATE 60APD OF ELECTRICRY THIS INSPECTION REpUEST WILL NOT
Griggs-Mitlwey Bldg. - Room ^s128 BE ACCEPTED BV THE $TATE BOAFD
1921 Unlversity Ave., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE I$
Phone (612) 6CP-080U . ENCLOSED
Address 550 HAwixoxM Haans n?uvE Zip 55123
Lot -• •I Blk 4 Sub xAwTHOFM uioons zrm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: 9 ?y Yes No Inspector:
Final gtade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
[he outside lawn faucet before freeze potential exists.
Contad engineering division ai 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy G)
?0
2007 RESIDENTIAL BITILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons W ction Reouirements
3 registered sile surveys showmg sq. ft of lol, sq. R of house; and ag roofed areas
(20°k maeimum lot coverage alloweA)
1 Soils Reportif proposed bulding a to be placed on disWrbed sal
2 copies of plan showing beam & window sizes; poured found design, etc.
7 set of Energy Calculafions
3 mpies of Tree Preservatian Plan if IW platted after 7l1193
Rim Joist Delail Options selection sheet (buildings wiN 3 or less unifs)
Muinegauo mechanical ventilation fam
q,o, 17D
RemodeVReoair Reouiremen5 Otfce Use OnN
2 copies of plan showing footings, 6eams,jois4s Cert of Survey Recd _Y _ N
1 set of Energy CalcuWtions fa heated addidons Shcs RepoR _ Y_ N
1 srte surveyforadditions & decks - Tree Pres Plan Recd _Y _N,
Add'rtion - irMicafeiloo-sitesepticsysfam TreePresRequred ' _Y _N
OrrsiteSepticSystem '_Y _N
ol?.,o ?re rnncirlnrcd nuhlir infnrmatinn unlecc vnu state thev are trade secret and the reason.
....,..,..._ .............._
DateI_n /?/ _ __.._...._...._°--
7?-7
V
L --- -
ConstructionCost
Site Address J c.? n f
[y/L?GC/??,CJ \ T
(9E9d SC7? UniUSte #
Description of Work G,-r° ?
Multi-Family Bldg _ Y4?N Fireplace(s) _ 0 _ 1 _ 2
Aa h I t Telephone # (ly.? ?) ?? 0 ? J [ 1 Li 2S
L/l
Property Owner
-W PA ._
Contractor II'lali
?M
Address ? H G
C?tS'
State Zip Telephone # (1,g5-) ?S'lo 'ffGL/?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672
Enefgy COde Category . Residential Ventilafion Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitled
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan?
_ Y _ N IF yes, date and address of masier plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
apply for a Residential Building Permit and acknowledge
Telephone # (
Telephone #(
Telephone #(
the information is complete and accural
e;
that the work will be in conformance with the ordinances and codes of the City of Eagan ana me Ntate of rviN
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 #ke case of work which requires a review and
ap oval oFplans. `
,,
ApplicanYs Printed Name APPl
DO NOT WItiTE BELOW THIS LINE
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot 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/gazebolpergola) ? 36 Multi Misc.
? 05 03-plex O 11 10=plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish Building` ? 43 Reroof 0 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bld g) - Give PCA handout to applicant
DeSCrIpYlOI1: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 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
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaVC.O.
_ Footings (addition) _ Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Wa[er Final Pool Ftgs AidGas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
CITY QF EAGAN
CASHTERe a T'F:.FMINAL N0: 762
DFl7E- 07/30/38 TIMF: 15:58:52
IP:
NAME: RfiUCE RAILEY CQNSTkUCTION
321.0 9001 550 HWTHkN WA5 124.75
2i.55 3001 550 HWTNRN WDS 3.50
Tnt,al keceip+, Air,our,te j LS.! J
Ck035506
USEF IDa NANCY
?
r?
CITY OF EAGAN
3830 Pilot Knoh Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
p.I.N.: 10-•32151-010-04
DESCRIPTION:
u
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
560 HAWTHORNE WOQD5 pR
LOT: 1 BLOCK: 4
HAWTNORNE WQQp5 2ND
4-SEASON
lr'%,'Permi.t Type SF PORCH
no tUrk Type NEW
n?
??ti,t'?e"434 RL7. RESIDENTIAL
00?
}s;Im?kSt6nt??8Y??Ryce4+ ? 31?`."?yffad?iE'-'?•:?•?'V'
2 ? .e iAPT'v2!^9 ?
Y G ?Y
[eSei .wt ,?`i?tl:'R? ?^?.E' •le c°-?vl:}v _wv
(i? IZ . ii?5 1"I• i {m :n?mu
'wC!m? %6 a#£ii Pa?PV 9""'nir?` 3a
EIM?<.5 I3??? ?E 5b?-ad.L #G1? 3R?°'j°I
"N
1 4?A -,'?•,
Q
BUILDING
032709
a7/se/9s
REMARKS:
PLAN_REVIEWED BY BSI.L ADAMS.
CALL 445-2840 REGARDING ElEC7RICAL PERMIT RND INSPECTIONS.
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Tota1 Fee
$124.75
_$3.50
$128.25
$7,0e0
CONTRACTOR: - Flpplicant - sT. LIC OWNER•
BATLEY/CARLSON 16519399 2009766 POLKOWSKI JIM
79$ GOL[]EN MEADOW RD 550 HAWTHORNE WOOpS DR
EAGAN MN 55123 EAGflN MN 55123
(6,51) 681-9399 (651)681-1948
„
'_- Z tte.reb'y aeknawl.eclge that,° Z have rea:d this' "appXi:ca-tI-ort ,q;ri.d stat0-tFt,a;t thee
i.nfizoro 6'tS;9 ri;-' is carrect and. aqree_tQ. °c:amplWitH..a7?t2' ap,pl3c?bla 8.Cate tif R??i.
5ta t ates n.r, ? iCy ? ?r F ??' ? Orcii nantses. ?.:
?= .. -- _ . . = - . 5 . . ,. . . ,. _ . _ . P . . _. ?
APPLICANT/PER ITEE SIGNATUflE ISSUED B IGNA E
Cities Di ital
? 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.
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? . ? CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construction Reauirements RemodeVReoair Reauirements
• 3 registered site surveys ? 2 copies of plan -7 - acl
? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 2 sfte surveys (exterior adddions 8 decks)
? 7 energy calwlations ? 1 energy calculations for heated Btldkions
• 3 copies of Vee preservation plan if bt platted after 7f1193
required: _ Yes _._ No
DATE: -7- '75?1 CONSTRUCTION COST; I
DESCRIPTIO F WORK: -5 P=r'=J?'A-L
STREETADDRESS: - . ? " ?-
LOT: I BLOCK: ? SUBD./P.I.D. #:
Name: Phone #: ? 'C` ? 1 9 ' h 6
PROPERTY Last First
OWNER
Street Address: 1-7 -5Z' L-- 10`
City State: l'l?L-141 Zip: . AT, S
Company: Phone #: ' t S
CONTRACTOR ;
Street Address: License "7l?G?G
Ciry -, ;- - , - State: Zip. "5-
ARCHITECT/
ENGINEER Company:_?- Phone #:
Name: Registration
Street Address:, ?3`7/,3?5- p /lz?:'
City ? fL':?'? SWte:
p,?t j• /
ZipfZJS? / 0 --4'
Sewer & water licensed plumber (new construction onty):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the informaGon is correct and agree to compy with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature af Applipnk
OFFICE USE ONLY
Certificates of Survey Received A Yes _ No
Tree Preservation Pian Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
13 02 SF Dweliing ? 07 4-plex
? 03 SF Addition ? 08 8-plex
Pl? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New
A32 Addition
? 33 ARerations
? 34 Repair
_J
? 11 Apt./Lodging O
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory 0
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
? sq.ft.
sq.ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Buiiding
?
Engineering
Variance
/
?
Permit Fee
Surcharge
Plan Review
License MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5NV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Ur;ts
Valuation: $ Da?
.
16 Basement Finish
17 .Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
!
?.
?
?#98-49z
ENEI2GY CODE WORKSHEET FOR 1& 2 P'MSTLY DWELLINGS
ITB ADDRESS
¢ /? ?/ CITY
DHPLETED BYiI>RU?? IJA ?L61 'p??pNg' qpAT6
nJILDINC CLABSIgICATION: ? categoiy 1 (ptani
HZNIHUM CRITERIA ,
Foundation Ineulation-R10
Slab on Grade Insulation-R10
Floor over unheated epaces-R24
Foundation Windowe 1/2"
ineulated Glaes,
-47ood ot Vinyl Frame
STSP 1 Window 4 Door Area A. Total Window f Door Area in Sq. Feot
WINDOWS (Including Coundation Windowe):
WIN?OW MAINFACT[IRE NAMBt
WINDOW MAIJUPACTORB TYPBl GSR?'(t
WIl7DOW HAIIOFACTUR6 Q FTCTORi 1
R. O. QuantiCy oq.fL.A'rea
Dimensions
!ou x S+ON
rr
X
X
X
X
X
X
X
X
DOORS:
----?----
X
rix- / ?i A n
1'otal- Area of n_
Windowe & Doore _
D. Total Wall Area in Sq. Ft.
Wall Total
Ferimeter Height Area
-IbD I . !v ?(2
-_.
or
4 (muot include veatilation)
Walle G Wiudowu
(See table on reverse uidQ
for allowa6le percentages)
Et.
RooE Attla Inaulation,
R44-With Attic No 1leel
R38-With Attic Raised lleel
R38 6 RS-Solid RaEtete
6T8P 2 calculate area ee e percent o£ wall
c. From Step 1 divide box A(471ndow & Door
Area) by box D(total wall area) timen loo
equale tlie window and door area ae a
percent oE wall area (box C).
@OX A X 100 = ?
I
aoX B c JS,S
ST6p J Daeign Featureo
ASSCt4BLY
PRAMII7G TYPE:
STACJDARD FRAMINO ? otude 16" o.c.
ADVANCED FRN7INO atude 2411 CAVITY INSULATION R_U_
9NEATIIIH6 TYP6f
LESS THAIJ c R-5 • X
R-5 r OR MoRL+
U-FACTOR p .
From the [able, (teveree eide) determine the
maximttm petcent window 4 door area for thadesign op[ionn eelected and entor the t value
in Box D below bused on the window mfg. U-
factor: .
1 "n1 D
43 ?-?C"?
Ttie t value from tlia l:ablo in Uox O eliall Uc
cyual to or greater than the } in Box C
7bta1 Area of Wulls I U= uq.ft
_ . _ . ? 1. .I .: . ' _... _ _,-
t,
•
ONE- & TWO-AAMI[,Y RfSIDENTIAL OUJLU(JVG pRESCR/p7'[y@ (COOIC-BOOK)
APl'RDACII
MAXIMUM WINpOW qND DOOR AREA AS A PERCGNT OF OVERAL[. WALL
AREA
77
F
ramin Ca???
Insulation Exterior
5healhin
0.49 Wlndow
0.36 U•Fqctor
0.31
0.27
i
STqNDARD R-13 2 R- 7 13.4g'o 17.8% 21.3% 24
3%
STANqARD R-13 R- 5 12.4% 16.4°/. 19.7% .
22
5%
STANDARD R-15 R- 5 12.996 17.1% 20.1% .
23
4%
S7ANDARD R-18 -15 < R j_ 11.19'0 16.096 18.8% .
$j
pya
NDARD R-18_19 E
R 14.096 I8.65', 21.8% ,
25
37o
ADVANCED R-18-19 <[t - 5 12.9% 17.1% 20.1% .
23.4"/a
ADVANCED R-18 -19 Z R- 5 14.5% 19.23'0 22.5% 26.1%
5?ANDARD
' R-21 <[Z - 5 12.8% 17.0% 19.9% 23
1%
S7
ANDARD R-21 >R- 5 14,5°s 19.3% 22.57. .
26.1%
ADVANCED 12-Z1 < R• 5 13.696 18.1°/0 21.2% I4.6%
ADVANCED R-21 R- 5 15a 19.9% 23.29'0 26.9%
AddillonaUalculawj values
STANDARD R•17 < R- 5 11.9% 15.79'0 18.4% 21
5%
STANDAItU 2-17 IZ - 5 13.8% 18.4Ye .
25.0%
ADVANCCU R-17 < R• 5 12.6% 16.8% 19.695 22.90/c
ADVANCED R-17 R- 5 14.396 1 22,29'e 25.79'e
Notee:
Window area equals rougli opening minue Inatallatlon clearances.
Wlndow U-Eactor mu91 be determined by either 1he National Fenestratlon Rating
Council standard 100-91, or AStIRAE 1993 He6dbook oE Fundamenlals, Ctiapter 27,
Tsble 5.
Pes4tl• Foz Noie 7811 o.M
ww??
n rron, •
?O"t ?.
r?na,. • v?a.. •
I.6
41
CITY c7F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
550 HflWTHORNE W00D5 DR
LOT: 1 BLOCK: 4
HAWTHORNE WOtlOS 2ND
CPZD??G?1
8UIL0ING
025887
06/23/95
DESCRIPTION:
Ber'ilding;wPermit Type SF DWG
huilding Wbrk Type NEW
;?UBC OccupBnay?' R-8 U-1
Construction Typ,e VN
Zoning R-1
Building Length 58
BUilding Width 42
Buil`ding staries 2
--5?4
r2 FeOt
ua 1.877
,
l
REMARKS:
PRV S&W CON7RACTOR - D C MECH
NO CERTIFICATE OF OCCUPANCY UNLESS DRIVEWAY EN7RANCE I5 CONCRETE
FEE SUMMARY:
vaLuarzoN
Base Fee
Plan Review
Surcharge
SAC
SAC %
5AC Units
Subtotal
`V19122.25
$392.79
$73.50
$850.00
100
$2,438.54
$147,000
MISC FEE5
Total Fee
$1.892.50
$4,331.04
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
KEY LAND HOMES 14409400 0081553 KEYLAND HOMES
17021 FISH POIN7 RD 17021 FISH POINT RD
PRIOR LAKE MN 55372 PRZOR LAKE MN 55372
(612) 440-9400 (612)440-9400
I hereby acknowledge that I have read this
information is correct and agree to comp;ly
Stetutes and City of Eagan Ordinances. I
APPLICANTlPERMITEE SIGNATURE
application and state that the
with all applicable State ofi Mn.
? ? - -
IS UED Y SIGN
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo T: 1 B L 0 C K: q APPLICANT:
550 HAWTHORNE WOODS DR KEY LAND HOMES
HAWTHORNE WOODS 2N0 (612) 440-9400
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG
BUILDING
025887
06/23/95
NEW
INSPECTION
FOOTINGS D. .
FOUNDATIQN ,.
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV S&W CONTRACTOR - D C MECN
NO CERTIFICATE OF OCCUpANCY UNLESS DRIVEWAY ENTRANGE IS CONCRETE
F
L___
.
?
?
?. . " - '
CITY OF EAGAN t 7` 3 31n
Aa,u? 19)<BUILDING PERMIT APPLICATI 7"Gi o ,? ?? ???? 681-4675 ?. r?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site sur ?-" """- gy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, i set of
specifications, 1 copy of energy calcs.
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 /[Cl_ Valuation of work
Site Address: S50 1-Ib'v.?b1z_t?,T--- ?DS py-10 E
STREET R11TE #
Tenant Name: (commercial only)
LOT BIACK ? SUBD.
??
W P.Z.D. ?k
RAS'?
OO S Zr1
Descri tion of work: L.E FZrrn u E
The applicant is: ? Owner 0,Contractor ? Other (Deseribe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE 0
City State Zip
Company J?E`t'l A"T> 4brnF--s Phone 440 -940D
Contractor Address 17 z.l Stt P'oi T KD• License # 1553 Exp. 3- 'I(O
City P=?c:*,- 5tate Mi-4• Zip5537 Z.
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber D G M F1 t4A44 W-A L . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ,
Signature of Applicant: C?-0? l A?.?- 6-la?°15
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging
c2Y02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc.
0 03 SF Addition ? 08 S-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
c0231 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) 6;?- Basement sq. ft. 077 MWCC System C>`
(Allowable) v--H lst F1. sq. ft. ? City Water ?
UBC Occupancy /L_/
"? - 2nd F1. sq. ft. ia
i ? PRV Required ?i
Zoning a?/ Sq. ft. total v Booster Pump
# of Staries Zu ,,,, Footprint Sq. ft . Fire Sprinkler
length 5"5 On-site well Census Code 40
i
Depth yz On-site sewage w SAC Code ?L
APPROVALS Census u it ?
Planning Building Assessments
Eng9neering Variance
REQUIRED IN SPECTIONS
? .Site ? Footi ng ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuac;an: s / Y 7 o0o
?A1"Ev[I_
7
,ar ° 9
G x y3,f ° z6r
2
a
(v x `
i?b
i. 7s X 7-75- = iy
? ITs?T'
09L
v 9 `
Z ? F6?-
.?-
/,zrx /,' - l`Y
rY x y6 = 6yY
ys.r = zvi
?/.?f a7-7s?'Ci?
073 x?s
??? 09?
?------
?Xi4-s' ? B7
17x ?z = ?/
zzX3o
37rl(o
SAC % I (? ?r zrs = ?vb
SAC Units
?'ssy
= 6GD
. s
f-
7s/ x ??O '
? ?, Ofb
`ounER: ' --_.__---------- nn7r
5?TE ADDRESS:?,.?b'{-?yv.?Tt-IIY??1 PHONE: 440-e7r4rc)
CONTRAC?OR:?YG/??J'7 ?`-/o•..•i% PIAN W
Determine working square footage of each
1. Total exposed wall area..... T 7t? S sq. ft. x.11 =
2. Total roof/ceiling area..... /774P sq. ft. x.026 =
Total exposed taall area above.floor= LL,__L?
a.
b.' Totzl
Total wzll window area .................
door area........................ ..........................
. .......................... /3 S
.3
c.
d.
e.
f.
g,
h. Total
Totzl
Total
Total
net sliding glass door area ..........
fireplace wall area ..............
wall framing area (averr.ge 10%) ..
rim joist area ...................
wall area a6ove floor ...........
wall area a6ove fioor ........... ..........................
..........................
..........................
............... .......••••
...:......................
..........................
' , p
7?Lo
Z?f°!
/q ?fv
i.
j, , wall area above floor ...........
frame wall area at r"oLlndat_oa .........
Total 2xposed foundation ......................
....
.....•••••••••••••••••••••
area= 71?
!c.
1. Totzl
Total foundation window area ..........
net."foundation area above grade . ............. ?
............. /9Ir
Determine "u" value of e
(e.g. window, (toor, each ach wall segment
separate wail section)
•
a. Xltuii 7 = 3, S
, b. z
? C v x ,lu„_ ??__
d _ x iiuii - _ - :
.
e. ?7v X U.. 37
f. X „U„ X „u,?
' x „u„ ,
n. -
;.
x 11 u.,
i x 1. u?? _
.
-
r X n U H
;f
X liul,
3 . ................. .............. ...Total
If item i3 is t?
as, or less thzr.
zl, you have me=
intent of SBC oC
A
4. 70TAL EXPOSED RQOF/CEILING CALCULA710tIS:
To'tzl exposed
roof/ceiling area.....,.. ?lD O sq ft
: j) To[al skylioht zrea....... - sq ft x"U" ° ----
k) Tocal roof/ceilinq framing
area (Averzae 109.) ...... sq ft x"U" 1G4?=
1) To[zl net insulated
roof/ceilinq area.......?`??/ rIl9 s9 f[ x"U" ?v? GZ-7. S,
i
L. TOTAL j) thrv 1)
I` totzl o` °l+ is che same as, or less than 1'2, you have met the intent o`
2 MCt2 1.16008 _4 ar_d 0.
. ALTERNASE BUILDIhlC, ENVELOPE
To utilize the iotal envelope system method, the val
of itens .'3 and :=4 shall not be nreater than the sum
+ 2.
7? : J:? + 4.
DESIGN
jes established by the sum
of items H1 znd °2.
ffan^4 C:.?'truCt ion
js5_C
tu?
E. T-G. ?-
QR4N^c N.aLL
?. t
, ? -----o ?
I /
? ' ? ?-
,
a p .? I
v ? -O
T ? ??? ?
yj_rr?hi ??:yJ p \ b
. Rss £
???=? ?-• /%
1-
CONSTRUCTION- FRAMING
1. INTERIOR AIP. FILM 0_58
2. 2 GYPBD .4a
3. 5 1 2 SOFT kOOD 6.57
_
4. _?1A' T??CaI'D ?1F.?Tr1^'LT ?.?S?t1 c.4
5. SIDING •6
6. IOR AIR FI11-t 0.17
T -A- = 14•1 9
U= .o-7
rrFr
L.
1. INTERIDR AIR FTLM 0.E8
2. ' i 2 ' GYPBD .4 =
3.
4.
?
3 i . t? , ?.,v,C sw.l
5?i
5. TNG
? •62
6. R A R LM -
1.
_
INTERSOR AIR FILM U= '
,ay
0.68 '
2. 6 ZNSUL. 19.00
3. zxl R JO _ -- -
4.
5. q'__
IDING r?-.G_ .
•62
6. RIOR AT_R FILM 0-17
_ .LA U= c4
BLCCK
1. INTERIOR AIR FIiM 0_68
2. !. • 1.28
3. STYRO . 0
4. PROTECPIVE BSRRIER
5.
6. t. A F 1
T0?'?.L R= 7.13
U= .1':
I' ( 1 SLfvS ON GRADE I1
v, a tl 4li
I?? rs• .? `.D lfI ?
AA ?1L
=? .?3 r(I i? x ? i ? 1
?J ?,711--P ?? -T
TI01'1: INDICATE T`!PE, „R„ VpruL. D-z.-P-:: NK
PLf,CIIM-1Nr OF IZISUT-A?'ION.
^. , . ^
A FXAT FifJ41
uUP
FIG. #5
?.? n?iiY-?1!T o 1-1 ' R-VAII.JE
2.
?.SY, flc
3.
4. .r,rf n i c?L ?ITC- -r%Lr't G> I
U
-??rn?
1. ( ?"rErz.? c? -??rC.. =? •-? -!??
2. • ? , ?n . . SS
s. 3
4. xt"?r Tzi Lo I
U , CP zi?
1.
2.
3.
4.
5. , prar
U =
tiMAT FIAW U?
FIG. k6
VFNTED
1.
2.
3.
4.
5.
?
U =
? ? 1.
2.
R?J
? 3-
Y, .yU..Ai
,•
,
?N-?.? NOTE: USE PDDTTIO??IP.L SF?E.TS T-F M? S-°? TE
pIEIDED FOR DETA?LS P?D CA1CUl-AT?0'4S.
IEAT FIAW
UP .
TZG. r7
r) IAT 87RVEY CHECRLIST FOR RESIDENTZAL
? BIIILDING PERMIT 71PPLICATION
BROPERTY LEGAL;
Dat• ot survey: S/ z G/ 9?
DoCVMENT aTANnARns
ID'?0 0 • Reqistered Land Surveyor ziqnature and eompany
?'.G• 0 • Suildinq Permit Applicnat
0 • Leqal description
I9' 0 0 • Addreas
1YiD 0 • North arrow and_bar scale
ir ? 0 • House type (rambler, valkout, cplit v/o, split entry,
lookout, etc.)
F D • Directional drainage arrows with slope/qradieat t.
D • Proposed/exiatinq sever and water servites
0 • Street name
D • Drivevay
ELE9ATIONB
0
• Existinc
Sewer service
B" O
-*? ? • Lot cornezs
0 • Top of carb at the driveway
D b • Elevations of any existing adjacent homes
procoeed
? 0 • Garage floor
? • First Ploor
D 0 • Lowest exposed elevation (walkout/window)
VD D • Property corners
D ? • Front and rear of home at the foundation
NG
? @-?/? • Easement line
D r? • NwL
HWL
D I9'/? • P nd # desiqnation
? • Emerqency Overflow Elevation
DI?SEIVBI011B
LA'? 0 • Lot lines
L4' p 0 • Riqht-of-way and street vidth (to back o2 curb)
D?D ? • Proposed home dimensions includinq any proposed decks,
overhangs qrenter than 20, porches, etc. (i.e. all
/ structures requiring permanent footiags)
D? D D • 5how all easements of recozd and any City utilities within
those ensements
D Loi • Setbacks of proposed atructure and setbnck of adjncent
existing homes
D D • Retaininq re irements, if any
Rsviewed: AZ C/ 9? .
Oetober 1992
M.H.5 -
3'RT. P.O.C.
21 +49
?:. 6"-I/16 BEND--"? ,
54.0
S&W0+59
a44,w34 28
- 893.5
611-I/16 BEND X ?
as.o'
Sewo+e2 go
aQ2;w33 '
a 895.7 27
6°GATE VALVE I
6"x 6" TEE 52.0'
II
; FACIUTY
C 6END ?
'S TO BE " -,\ ?( ;?
TY OF EAGAN-
?N7RACTORS NOTE- X /
26
r
T9.0?
T. POu
19+13 35.5?
2
33.5 ?
• . --_,?.- _
3 -?S C
-T0 00
-
?.n...?.?.,.,._•.-.?-.:-_a-,z?T_z:•_??,n?.e.::?F.?:ae?? __ .... ? .
IH $A'
PRESS'
aco? HnHT'Hi
' sorn i
S9 w 0+69 THEIR
2 8937 _ s 4 7?' w 59 ` EFFIC]
n
- M.H. 6
4'RT. P.O.C. 20+50
( sawo+sr
1 549,w57'
? 895.2
_ `63.0 ti
a`
ti
I? 000 ??
\ j
P?O?s
S OtIO
s 46; w 66 '
sszs
THAT MAY :
coNSTRucr
CENEEtAI, (;I
OUTLItiIRCi
BEFORE STI
TF;E- C! i 1' OF EAGAN DOES NOY GUliPIAN1'E€ ?
?
OF U
TILI I Y LO
CA
TIOftIS .
}-
q
?+
p
1i7
?Ofi
•-
-
.
?
_
.,-
?Y?+M1?I3,Lv.lIS?IV
M<lY AND
;:.IitiG IT S?;C:..'! J t,;?^:r ( ThiE
lh4FO x,.'?wi m CiN THE ;;1'i r. ,
?-?
?
NOTE: ALL SEWER AND.lN
15' 0" INSIDE 7.
PLATE NO'S 300"?
LOCATIONS MUSTI
LOT) TO ASSURE``
__.. 2 ..
M.
. 7 I _.
I
,
M.H.
6 .
M.H.
5
THE ,rTv oF EA N D065 PJC T GUA4AR!T't .:E.
? '??,E ACGURACY OF UTILI"f LOCATIO, !$ . :.
? ?
%,Lj
EKiFO
3iAxATiQiv •
URPP:;ES
C??.LY At
Ji.?
; FLR; i?l?? i US41V IT SFiOJ?rl "?=,;?Y TI .;
tI'FC F+MP+TICiU OP ; TF iE SITE.
907
E
R.E.903.6
'.: ?.. .: ? ro _ . ' .. . . R.E. 901.7
-' - GI P C _ o ..
ATER
AIN . ..
??a
_
1
.. .
ry
?
?
. .
?.
?.
. . .
.? . ... .? ..
. . ?.
. . ..
.
. .
1 1 .
? ti. V
? .
. . . . . .
. .
.. . ... ..
. . . .
... .. . . .
. ?.
.. . .
...... ..
. . ...
C.. . .... .._ .
. . ? .. .
. ??. ?.
. i ?
. _
. . ..
.. _. .
.
. . . . . . .?..
. ... ... .
. 0. ....
. .. . . . .. . ? . .? .
. . .. . . . .?. .
? . . .?.
_ . . . .
. .. _. .
_ . . _ .
.. . .
_ . . . ... . .
. . .. . .. ..._. . .... . . _
... _.. .. .
,. .. . 138 L.F. - '.'PVC. .
IOOL
F
_.
8 PV
C
SDR 35- .% .
SaR 3 .
.
.
-
0690
-2--
,
_...
.05 2
.
.
.20
_.......
„e?-.?.
?,.:, .................
I' _..... .. .. . _..
...._
_ . . ..._ ? . .
..
_.......
? ..__
? ............. _ _......... .
__._?..._
.....................
..... . . .. ..... ....... .....
.
_..
_......... .
N
N
-._..:
. ,
? .. . .
?...
rg?
m. _... . ._ ..
,...... _... . .
I
. ..
_ .......... ... ....
CITY USE ONLY
L ? BL RECEIPT #:
suao.V??o-rv?? Gf?aor,?.? o? ? DATE: g lS 9J?
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x as
Water Closet 3.00 x 3 = .?
Bath Tub 3.00 x .7-
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x . oJ
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x 31 ru
Floor Drain 3.00 x 3,07)
Gas Piping Outlet * minimum -1 3.00 x ?_ = 7J • 6?
Rough Openings 1.50 x 3 =? 5F•S?%
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 20.00 =
U.G. Spfinkler * home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTA,L SD J
SITE ADDRESS: tcjovz?5 hr'
OWNER
INSTALLER NAME: 61 121-f/lld-wu?
STREET ADDRESS: ? ?J A?&
CITY: STATE: ZIP:
PHONE #: (60- )
SI(3
...- •
CITY USE ONLY
L _ BL _ RECEIPT #:
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buifdings.
? multi-family buildings when separate permits are nQt required
for each dwelling unit.
uATE:
CONTRACi'PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
ADD ON REPAIR
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of ermit fee due on all pertnits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
cirir:
PHONE #:
STE. #
STATE: ZIP:
SIGNATURE:
APPLICANT CITY OF EAGAN
` CITY USE ONLY
L _L BL ? ? RECEIPT #: ?5 ?l
SUBD. ?,?c?. ?l?i. Or?'? DATE: ??? 95
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? New construction
Add-on fumace
Add-on air conditioning Firepiace conversion (to existing firepiace)
Date: ?0- ?O , ?S
I_?W!
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) °1 ,00
? State Surcharge .50
TOTAL 33 ?
SITE ADDRESS: 55 D ?? W rn ? r t? `?1 do (? S? _
OWNER
PHONE #:y1) 0, ?\?
INSTALLER NAME: n -R-? r'O ? ? `'-
STREET ADDRESS: `\2 C\ SQ Q
cin: STATE: ?(v ziP:
PHONE #:
ciTV use oNLv
L _ BL _ RECEIPT #:
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUindustrial buildings.
? multi-family buildings when separate permits are DDI required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee gC 1% of contract price, whichever is greater.
w Processed piping - $25.00
? State surcharge of $.50 per $1,000 of °e= fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARCE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (iMPROVenneNrs oNLv)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
; • ? „? ?,?, . a,.
r o LMO .LAWORM . ,.MDS?
*
-tificate of Survey for:
?` -/G J4
I 3p
W V
'
ol
` DA
j
> C-e
?
a
?
oa a
32.14
,a
l
.?
7 uMr
' WAr ?
?
..... .?...?..ma.n J <
1422 EntarFrise Orive
Mendoto Helghte. MN 55120
? (at2) aei-1914 FAXssl-94ee
625 High.ay 10 N.E.
Bbfne, MN 55434
(812) 783-18BQ FAX:783--1883
KEYLANO HOMES
550 HAWTFfORN WOOpS ORIVE 3862 - B
R A EW ?
BENCH MARK
TOP OF PIpE
ELEV.=903.28
/
EAGAN
2
S85°pg'28•E
42.58 897.62
??.
x -?
1? ?26.33 897.
?R W
v
? oU)
153.57
?
892.4
-4,_ ( ?7q ?
7 895.4 kli
x 1s
903.9 ; v? ry oo X ?
'A$ J o` ts.oo -- a•= ???V1 J? I?R. e ? wL c?
?
.Z & / rCa G- I
Q? ao v ?
) ?r4Q`?ry ? ? ? ?
904.9 6
? • 1„d11)904.6 .2 •67 N? j897.9 89X.9
? ?•' 5.7 .(`418
°
902.3 oo?f/ J,cJQ" ?
X
oa.\? ?1
?
?, Q I
??
-1 900_20 2
O??
• ?? 9004. ? ? ? \ l?p o??`< I
•
,ENCH IAARK A 4a ?l ? ~??---1--'-------j
OP OF PIPE S `vLI o4?S0q. ? 1?? ? 897.
LEV.=g04.41 7
_ ?
0?
, /;: L" r ZS?? I sY
1COSED GRa [p g 5y?
oNH aoa caAou+c
RAN BYM f R
5?4e.1+5?
S?oJo'J7wW
2
'
.nwo oNwsa+s sHonM uRe rart HarazwrAL um W-nncu Lochnoei
SIAUCNRES ON?Y.
SEE ARuHI'IEtT1AL pUU75 fqt gNl
I _PROPOSED HOUM E VA11Qy_
.p
?, µp
?A71411 pl[N9S
W LOYVEST FLOOR ELEVATION:
?
ECIi7G Sd1,S NyESTCATON NAS BEbI Cd/GlEi[p p? 7HIS l0T BY iHE
VEYOFt.
"
S?S TO SUPPORIIHE SPEC7i
n
?
? TaP OF BLOCK ELEVqT10N:
_ U y. O
1G HWSE
POSED IS
TNE f?
1i
0
NOt
sB?City oF TME yvrtWrpR ? 6 G
GARAGE 51A8 ELEVAT1pN: ?
CEAi67tAlE DOES NOT %117ppRT t0 g/pNr EASfLEN7$ O7NfR MAN
SESNOM a 1ME RECORUEO PLAT_
x000•00 OEN01ES EJ(IS71NC EIEVAna!
TRAC70R W5T YERIFI' pq1YEWAY DE9p1 ( 000•00 ) DENOIES PqpGOSLD ELEVATON
, DENOTES DRAINAGE M1p UMITr FASE4[Ni
t7NG5 FIOIN/ ARE BASED pN AN ASSUMEO DA1Vy --?' DENOTES DRNNAGE FLpq qRECt1pN
OENOTFS YONU4ENT
BY CEFtTIFY 70 KEYLAND HOMES iHAT iH1
I DENOIES pFF$[T INg
5
S A iRUE ANO C
PF THE BOUNDARIES Of: ORRECT REPRESEN7ATION OF A
BLOCK 4 HAWTHORN WOODS 2ND ADDITION
NJHTY, MINNESOTA
?T PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHONM. AS SURVEyEp gy 1AE OR
DIRECT SUpERVIS10N TNIS 26TH OAY OF 41Ar, 1995 . .- .
1 INCH = 3O FEET ?G??ED / PIONFER ENCINEE?NG P.A.
? 8Y ,
'
John C. l.arson, LS." Reg, No. 19828
--•------
t53
?
W
N
p
i_
:
i
?
E
•
?
P.02
*???c
* PIOIM
4K**?
Certificate of Survey for:
!L 7
? 30
W'
G?
11
3p
j
Q,
1422 Eniarprlse Drive
Mendoto Halghts. MN 55120
(612) 491-1914 PA6881-9488
WM sia,c.aa • aVa eatcns
L*o nwnt"• u?Otm?? 625 Hlghway 10 N.E.
Bloina, MN 55434
(612) 783--188Q FAX:783-1983
KEYLAND H M S
550 HANRFIORN IYOOOS 0RIVE3662 - ? '
BENCH MARK
TOP OF PIPE
ELEV.=903.26
/
M&CU414
2
: A
? oA-°ol S85T8128'E 153.57 ?
3 2.4 42.58 897.62 892.4 r 3 q L?
101 10 f=-_eo. --vr- - - - - _- ?
nZ26.33 897.7 895.4 ` ,
. 1U0.+ I V i n ?W x (5
??°? 903.9j ?`r ?x ? X TBLsd? Sr?? I
i g ?
ok$' ?e` 16.00
-- ? ? i rcae-r. I
, o? •, ,. ? , ?b J
, 4q O? n
/ ? ? 6 896.9 i%?
?0,1)904.6 ? .67 N 1897.9 x
b5.; ? (,?j 902.3 - ~o r X ? ? o? Q
04. o I ?i 900.20 Al 2 I
9004.
` I 1 I
'?ryN
BENCH MARK £il\V6\•? ?04S5p4? ? ,\ 0 897
TOP OF P1PE
ELEV.=904.41 898.2
FE. A la A Iv ? _ - - -
?? v a E? 0 t?g3? $?, sss 558'37'w
_ ? &Rr -'43;r
I
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571 95143.00 John C. larson, L.S. Reg. No. 19828
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For Office Use I (�,16
• • • • • , ffeEIVEAD Permit#: / �3'7O 1,V
DECO 7 2018 Permit Fee: J
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginsoectionsCa�citvofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 12/7/2018 Site Address: 550 HAWTHORNE WOODS DRIVE Unit#:
Name: NATHAN HENRY / JESSICA FIELDS Phone:
Resident/ 550 HATHORNE WOODS DRIVE
OwneW
r Address/City/zip:
Applicant is: Owner XX Contractor
Type of Work
Description of work: MASTER BATHROOM REMODEL
Construction Cost: 13,700 Multi-Family Building: (Yes /No X )
Company: ISPIRI, LLC Contact: ADAM BENDER
Contractor
Address: 7779 AFTON ROAD city. WOODBURY
State: MN Zip: 55125 Phone: 651-842-9167 Email: abender@ispiri.com
License#: BC627402 Lead Certificate#: NAT-20349-2
If the project is exempt from lead certification, please explain why:
HOME BUILT AFTER 1978
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that,you submit are considered to be'public information portions of the information may be
nom,
classified as non-public if,you provide specific reasons,that would permit the;City to conclude;that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeanan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.ciopherstateonecall.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 ork i 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 apprl I of ans.
XADAM BENDER
11 /
Applicant's Printed Name Appli•ant's Sig a ure
DO NOT WRITE BELOW THIS LINE6 C FI110 O1G►C- t0 be / %7
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) Exterior Alteration(Single Family)
)c,
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
Multi _ Deck — Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool _ Accessory Building
WORK TYPES
_ New _ 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 0411. ._ Occupancy +�(�.. MCES System
Plan Review Code Edition3 SAC Units
(25%_ 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \f6 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) )6 Final I No C.O. Required
Foundation Foundation Before Backfill 1- HVAC_Gas Service Test Gas Line Air Test Hood
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
'X Framing*30 Minutes 1 Hour Drain Tile
/ - Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
`x Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
/' Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES l
Base Fee 441(01 V
Surcharge P "
P 11
Plan Review r r.r:,1 ° /`f`f
MCES SAC 6 i ti ,o
City SAC I ('''ir
Utility Connection Charge '1
S&W Permit&Surcharge `�
Treatment Plant0 !!
Copies ,j�� ,�
1
TOTAL V ,=
° Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153422
Date Issued:12/18/2018
Permit Category:ePermit
Site Address: 550 Hawthorne Woods Dr
Lot:1 Block: 4 Addition: Hawthorne Woods 2nd
PID:10-32151-04-010
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Nathan Henry
550 Hawthorne Woods Dr
Eagan MN 55123
Aj Alberts Plumbing Inc
7975 Afton Rd
Woodbury MN 55125
(651) 738-0580
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163116
Date Issued:08/17/2020
Permit Category:ePermit
Site Address: 550 Hawthorne Woods Dr
Lot:1 Block: 4 Addition: Hawthorne Woods 2nd
PID:10-32151-04-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Nathan Henry
550 Hawthorne Woods Dr
Eagan MN 55123
(952) 649-7905
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature