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553 Hawthorne Woods Drr CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 , (612) 681-4675 ? SITE ADDRESS: ' ? 14 i1rll.l i 1?1,f? Nt U?li?l?', I?f? , I?t;ll l iluf? M? 4Ht??{t', ,'Nil PERMIT SUBTYPE: (Yrl f i N(; , I .. rNAI 'I • I I I f.I ri r,i i . A i A 1.1, A f( , } A i 1 1 . , „I j I i , I 1 i 4 0 ! PERMIT TYPE: I t i' , W, PermitNumber. ?? ???'}??• Date Issued: t-9 'PLIGANT: 1?. 1:' ? ?1 ,' t i. f?i?. TYPE OF WORK: [i} ';r t•: iC, 1 10 N +If tI (1Nt1 (Ii?K) hlrpM I N r, Y i:IP!'I i? lI nI 11.11W a ? ? Permk No. Parmh Holder Dete Telephons 0 ELECTRI F r7'/? ?' N PLUMBING HVAC Inspwtion Dats Inap. Commente FOOTINGS / FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FlREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BIDG FINAL ? Fin BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? ? ?,rn ? . ., CITY OF EAGAN 3830 Pilot Knob Road ' Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ? ? lir?111 {iuF;t+ll 1..lniail'.'iJ? PERMIT SUBTYPE: INSPECTI4N RECORD PERMIT TYPE: Permit Number: . Date Issued: APPLICANT: E? -A 000 TYPE OF WORK: INSPECTION ., . .. hi ? 1 t; t- hA f< h•,: N h S1 ? L W E' ! tt ti 'J A t 1. F: Y 1-r 1 f9 0 I I Pe.mn No. Permn ?+oiae. Date Telephone 11 snrv PLUM8ING HVAC ? ELECTRIC,:? 3_16 ELECTRIC Inspection Date Insp. Comments FooUngsl ? ? f Founda6on ? Framing L Roofing Rough Pibg. - ? Raugh Htg. rd ??G ' rr?3T w?S ?' • r L 9 I5ul. / _ Fireplace / C,01"140 Qlsyr/L ? Final Htg. O?sat Test Final Plbg. ??/ 9. nspec or - Not? Pla ber Const. Meter Engr./Plan Bldg. Final Dedc Ftg. 6 Dedc Final ?-- Tog S c. / ' Well Pr. Disp. Wertificate nf Cccu.panc? Wit4 of Cfagan zeoartracat of 13xoi% 3noectioa T7tis Certificote issued pursuant to the requirements oj the Unifarm Building Code certifying thal at the time of issuance tltis structure was in conipliance with the varrous ordinances of the City regulating building construction ar use. For the following: use classirrcadon: SF DWG s[ag. vtirmft Na. 23069 OceuPancy lype R3/M1 7oning Dishict RI Type Const. VN ouimer or euuding BRENIWOM iOES Ad6,u 1322 MM AVE N, dIAiNP?iE s,;wing Aaam, 553 HAWgiOlM WOOOS IlftIVE I.26, B2, I°IAW1IME WOCOS 2rID ?-•--?+? g?l 7?y'c? - • Buildieg Official Due: , POST IN A CONSPICUOUS PIACE ? a ?3 5 ? a? ?3a " ? d ? g 5°" Repuest Date / Fr a Roughdn Inpseciwn Repmretl n ready) (Vau musl ell ins0eciar whe Inspeclion Ollier Than Rough-10 ? pgatly Now ? Will NotHy InsOector ^ + Ei No Yes ? Dete Ready I?<censed contractor ? owner hereby request inspection of above electrical work aT Jab Adtlress [Sheet Box or Paute No ? City Sec N. Township Name or No Range No ouny ; Occ Phone No Pow Atlaress • ? Elecin al Conlra r company Name) ? ConvactorS Li se No DD g5l MaJinq Ndtlress IConfrac r or Ownar Makmg Installallon) - J -7112 J Aulhorixeo Si Nra ICOnireMO?/O n/eJr Makmg Inya116?onLC /? W-ya GC? ? ? ?i.-?i=-?°?L" PM1One {Nyumbe? ?/•?`Ff / V ?? uj1 MINNESOTq STATE BOAPD OF ELECTRICITV ? THIS INSPECTION REOUEST WILL NOT GriggB-MiEway Bltlg. - Hoom 5-073 8E nCCEPTED BY THE STATE BOARO 1821 Umversity Ave, St Paul. MN 55104 UNLESS PPOPER MSPECTIpN FEE IS P1wne (612) 642-OBDO ENGLOSEO ?j REQUEST FOR ELECTRICAL INSPECTION Ee-oo -oe ?o.m/ 5M?• c ? See mstmcuons lor complpnng [his lorm on pack of yellow copy pU 5.U 3 'X",2elow Work Covered by This Request ew Add Rep TypeofBmlding ApphancesWUetl EqwpmentWiretl Home Range Temporary Service Duplex Wate? Heater Electric Heating Apt Budding Oryer Load Management Comm.llndusmai Fumace Other (Specify) Farm Au Condilloner Olher (spealyl Canlreotor's Ramarks Compute Inspection Fee Belaw # Other Fee # ServiceEnlrance5ae Fee # Circmt5/Feeders Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps e-700 Amps Signs . insoenor's use amy l" - TOTAL Q Irrigahon Booms 5 S Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. ? I, the Electncal Inspectoc hereby Rough-m ?? a?e? ? i3 y? certi that the above ins echon has ry P been made, ,. Final r ?a?e ?' ! OFFICE USE ONLY This request vmtl 16 months trom ? ? 911-?IA5 "J Pequest Date Fi e No Rough_m Inspaction NOTICE: Vou Must Call Elecir¢al Inspecmr tl A R I I t h Ves ? No n nspec ion ou9 - Is Reqwretl Xlicensed contractor ? owner hereby request inspection oi above electriCal work at: Job Atltlress (Sireet, Bax or Raute No ) City C1./.} IIXC La;` 00 .r rt.i! I G`e L?0. G Seclion No Township Name or No. Range No County C, s 0.. Occupant(PRINT) Phone t!o n,v.cl o?J GFf - ?// ? Power Supplier Address Betlncal CoMraclor (Company Name) onlrador§ License No Maihng Atltlress (Coniraclor or Owner MeWng Installation) ? Sz'"J3 ANhonzetl Sgn u(C nhacio?/ aking I tallation) Phone Number ._.9 ?/ MINNESOTA STATE BOAflD OF ELF.Z?FICITY THIS INSPECTION REQUEST WILL NOT GriggsMltlway BIOg. - flaom S-Yl3 I(/ BE ACCEPTEO BV THE $TATE BOARD 1821 Univarelly Ave., SL Paul, MN 55106 tiY UNLESS PROPER INSPECTION FEE IS Phone(612)692-0800 r eNCLoseo V/ 9195 REQUEST FOR ELECTRICAL INSPECTION ll? See inslmqions tor rompleling ihis form on back oi yellow copy M 60291 "X" Below Work Covered by This Request ?D? ?0e Add Rep. TypeofBmiding . YI'cesWired EqwpmentWired Home Range Temporary Service Duplex Water Heater Elecinc HeaM1ng Apt. Bmiding Dryer Load Managemem Comm /Indus[rial Furnace Other (Specify) Farm Air Conditioner Olher(specrty) ContracmrSRemarks Compute Inspecfion Fee Below: Z tn p e L?' °^?J. # Olher Fee # SenriceEntranceS¢e Fee # Circmts/Feeders Fee Swimming Pool 0[0 200 Amps / 0 to 100 Amps Transformers Above 200 _ Amps A ve 700 _ Amps Signs Inspector's Use Only. ? TOTAL ? Irrigation 8ooms ?'lG Wo 3 Speaal Inspection Alarm/COmmunication THIS INSTALLATION MAY RED DISCONNECTEO IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby Rough-.n / (J oa? X ?/ L certify that the above inspection has been made. ? G / oaie OFFICE USE ONLY This request wid l8 monMS imm Address 553 HwmxrE wooDS Dxiw Zip 5512 3 Lot ' ' 26 Blk z Sub NnwiHOUrE rxxms 2nm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: /7 9 Yes No Inspedor: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent dtiveway _ Permanent gas Sod/Seeded grass , TraiUcurb damage Porch Basement finish Deck Please verify wi[6 the buildet the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6$1-4645 before working in rightof•way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contracror Copy ? RESIDENTIAL bl(IE BUILDING PERMIT APPLICATION ? CITY OF EAGAN /J ? ? ? • 3830 PILOT KNOB RD, EAGAN MN 55122 ? ? 651-681-4675 ? New Construetlon Reauiremenls RemodellReoair Reauiramenb • 3 registered sile surveys showirg sq. ft. of lot, sq. ft. of house; and all roofetl areas • 2 copies of plan (20Yo maximum lot coverage allowed) . 1 sel of Energy Calculations for heated additions • 2 copies ol plan showing beam & windaw sixes; poured tound design, etc.) . 1 site survey for exterior additions 8 decks • 7 set of Eneryy Caiculations • Indicate il home served hy septic system for additiam • 3 copies of Tree Preservation Plan'rf lot platled afler 711193 • Rim Joist Detail Options selection shaet (bldgs with 3 orless units) DATE (?' / 1"011? VALUATION es, 16r ? SITE ADDRESS 553 HRw?r'? <<.bOC?S ?/'cJe- MULTI-PAMILY BLDG _ Y 4_:-14? TYPE OF WORK J• D- Re/cL.p FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS TELEPHONE #-7c:5?3'S%(-e9d/ CELL PHONE # STATE^1?91 ZIP SSYfi/ FAX # PROPERTYOWNER?'JH/Y?'???c? TELEPHONE# ?- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO'I:A RLILES 7670 CA"I'1:GORY I MINNESOTA RliI.FS 7672 (J submission type) . Residential Ventilation Ca[egory i Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Phone # _ Pluaibing system includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00 Water Heater No. oF R.I. Baths No. of Balhs Mechanical Confractor: Phone # Mcchanicid systcm includcs: _ Air Conditioning Pec: $70.00 _ Hcat Recovery System S /W t C fr t Ph # ewer a er on ac or. one ---------------------- - ? . ?url 2.0.200.2.. Ii? ------------- ; --- -------------------------------------------------------- I hereby acknowledge that I have read ihis application, state that the information is corze?c'#,'and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , SlgnatureofApplicanf ^.)5 °--...... _..».._....... ___.......... . -............................ -°---°"-°-................... ----......... -..... _.. OFFICE USE ONLY Certificates of Survey Received _ Tree PreservaGon Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundalion) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV I Nbr.,of Bldgs . . Length Fire Sprinklered Type of Const Width REQUIRED IN SPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addidon) plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Buiiding Inspector ? ll OFEAGAN PERMIT U,41& 3830 Pdot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 2 6 6 (612) 681-4675 Date Issued: 0 8/ 2 4/ 9 5 SITE ADDRESS: 553 HAWTHORNE WOODS pR LOT: 26 BLOCK: 2 HAWTHORNE WOODS 2ND P.I.N.: 10-32151-260-02 DESCRIPTION: I , (INCL DECK) &fiildinq"'-permit Type SF PORCM Building Wo,rk Type NEW ? i , €' ? ?_. ,.. REMARKS: A SEPARATE PERMZT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION Base Fee Surcharge Lic. Search Fee 7ota1 Fee $137.25 $4.00 $5.00 $146.25 $8,000 CONTRACTOR: - flpplicant - ST. Lzc. OWNER: BRASEL CONST INC 14236105 20039420 JOHNSON DAVID 3952 155TH ST W 553 HflWTHORNE WOODS DR ROSEMOUNT MN 65068 EAGAN MN 55123 (612) 423-6105 (612)681-8118 I I hereby acknowledge that I have read this application and state that the informetion is correct and agree to comply with all applicable State ofi Mn. Statutes and City of Eegan Ordinances. ? &I AA -:m. Bk" ? APPLICANT/PERMITEE SIGNA7URE ? .--Aaw1U.?('?.! ! f I & ISSUED BY:fSIG URE T- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE 3830 Pifot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: P' I• N.: 10-32151-260-02 LO7: 26 BLOCK: 553 HAWTHORNE WOODS DR HAWTHORNE WOODS 2ND PERMIT SUBTYPE: SF PORCH JFOOTINGS IFINAL z APPLICANT: BRASEL CONS7 TNC (612) 423-6105 TYPE OF WORK: DESCRIPTION FRAMING REMARKS: A SEPARATE PERMTT IS REQUIRED FOR ANY tLECTRTCAL WORK BUILDING 026266 08/24/95 NEW (INCL DECK) F 7 I r° ?.i ? . CITY OF EAGAN ?3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 6 681-4675 New Conffiruetion ReauiremeMS RemoAel/Raoair Rxuirements ? 3 repiatered ske survays ? 2 wPies ot plen ? 2 copiea M plena (indude beam 8 window sWs; poured fid. design; etcJ ? 2 ske surveys (exderior additions 8 deeks) ? ? t energy eakulations ? 1 energy cekulafions far heated addilions I)oT ? S eopiea M tree proservetion plan ff lot pletted after 7/t/93 /L 4lez"1' requfred: _ Ves _ No DATE: F?? 9-95 CONSTRUCTION COST: ??Z 6-VA0 ? DESCRIPTION OF WORK: 3 S?usor O? rrL. . ?c.? STREET ADDRESS: 3 fi'a?/fkfu j_ /,?LOT Q_(a BLOCK _2 SUBD./P.I.D. #: PROPERTY Name: JahnSan DAlAsid Phone#: OWNER '"°' '"" StreetAddress- :t5S3 14ejwAa rr)e "5 Dr tiva_ Ci{y; ?49 a n State: m* Zip: coNrw?CTOtt Company: dPasP /?!? s =?rs? <?,•n ? i Phone #: Street Address: 34s-2 /ss ? sT. t?J. License #•>06 3Q1,Ae,'t CityAsc.yrdz.n,< State:/"? Zip•?'?6? ARCHITECTI Cofnpany: Phone #' ENGINEER Name: Registration #• Ctreg4 Crl_IrgcS,._ City: State: Zip: Sewer & water licensed plumber: Penalty applies when address ehange and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this applicatlon and state that the infortnation is correct and agree to comply with all applicable State oi Minnesoia Statutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY [Ep Certifiptes of Survey Received _ Yes _ No AUG 11VI Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE Y ? • ?• ?\ 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling o 07 4-piex o 12 MuRi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility ,OOL04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous o 05 SF Misc. 0 10 _ plex ?15 Deck WORK TYPE Cp?'31 New o 33 Alterations o 36 Move n 32 Addftion o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SIW Permit S1W Surcharge TreatmeM PI. Road UnR Park Ded. Trails Ded. Other Copies Total: _ Basement sq. ft. MCNVS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq, ft. Census Code. ysY _ Footprint sq. ft. SAC Code Census Bldg / Census Unit o Building Engineering Variance c-tgo w Valuation: $ ?Z = l6if' X 4-`v = 61 7z.o 7 (F Lr) / % SAC SAC Units -?'?ITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-32151-260-02 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 553 HAWTHORNE WOODS DR LOT: 26 BLQCK: 2 HAWTHORNE WOODS 2ND ' Buildin g-?-Permit Type SF DWG Building Woqrk Type NEW ?UBC Occupancy R-3 M-1 \ / Construction Type V-N ? Zoning ? R-1 1 Building Length ? 61 ? Building Width 36 Byilding stories 2 ? ?`;.. i? euiLDiVG 023069 03/16/94 2 ?l?' @ ?- ??? c-? (?fl n REMARKS: PRV S& W PI.BR - VALLEY PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $828.50 $538.53 $77.00 $800.00 100 $2.244.03 $154,008 MISCELLANEOUS $1,828.50 Total Fee $4,072.53 --? cvNTRacrvR: BRENTWOOD HOMES 1322 HELMO OAKDALE (612) 730-1000 - HpP11Ca1'iL - S7 . LIC 17301000 0001519 AVE N MN 55128 OWNER: RENTWOOD HOMES 322 HELMO AKDALE 612)730-1000 AVE N MN 55125 T hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. , APPLICAN7/PERMITEE SIGNATURE application and state that the with all applicable State oP Mn. ? MiO ,vi -r ISSUED B SI NATUR INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLozrvG 3830 Pilot Knob Road Permit Number: 023069 Eagan, Minnesota 55123 Date Issued: 0 3/ 16 / 9 4 (612) 681-4675 SITEADDRESS: Lor: 25 BLOCK: 2 APPLICANT: 553 HAWTHORNE WOODS OR BRENTWOOD HOMES HAWTHORNE WOpDS 2N0 (612) 730-1000 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION FOOTINGS D. . FOUNDATION ., FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH ZN HTG FINAL PLBG FINAL REMARKS: PRV S& W PLBR - VALLEY PLBG . ? , ,., ,. . .. ; ? •_u? . . .. ? ?'I." .s•;'. , ? ; i ? •' ? ? ? REAOTYAT,E _ ?ERMIT N- .23fl(A CITY OF EAGAN 1993-BUILDING PERMIT l9q 681-4675 APPLICATION $a nrf 9 ?e ???/f, SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy ? calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 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 *7 / 5 / 24 Valuation of work )(ol ']tlD. co Site Address: 6-6-5 WW44,J7;fiJRit1E 0/00D3 ?/?e STREET SUITE / Tenant Name: (commercial only) 7v ? N I D p LOT BLOCK SIIBD.Nn prOA i . . . of work: L??/Qw 17 L- C6 ?I nt is: ?Owner Contractor ? Other (Deseribe) Name ?I?9tiTT`U.StDVt) ?htg'? Phone Z30-IC?00 LASi FIRST IOwner Address 1'ZJ22 ???'"?a ??' . ?J . STREET STE N Ci ty OL?IC0i4LE State M!v Zip 6512^ Company Phone r Address ? ? License #600f519 Exp.:!;1-31 9 C•i ty State Zi p Company Phone Arch(tect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber V.4 6 M . 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: .-_J- ?r1?,? G ? 1?15?a ?-? Urrwc usc VnLT BUILDING PERMIT TYPE ? 01 Faundatian ? 06 Duplex O 11 Apt./Lodging 002 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck WORK TYPE (,T 31 New ? 33 Alterations ? 35 Tenant finish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION , _• ?0 16 Basemenr-Finish 0 17 Swim Pool a''?? ? 18 Comm./Ind. O 19 Comm./Ind. Misc. ? 20 Public facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) YA/ Basement sq. ft. MWCC System k (Allowable) lst F1. sq. ft. City Water UBC Otcupancy FTW-/ 2nd F1. sq. ft. PRY Required -!- Zoning -I Sq. Ft. total Booster Pump # of Stories 2 footprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code -7,9-7- Depth s6 On-site sewage SAC Code o / APPROVALS ? Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site b Wallboard 0 Footing El Final Ce} Framing ? Draintile a Insulation El fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vaLuscim: $ )5 Y ,DaD Q` 4 ! ,S 3/. 3,,V- 30.62 _ ?59. 9 I "2 !`t- 3 0 l y,? / s 3 3 _ Z SG, Zk J9,C.? - 39,3y rJ ??55 ?3kGS? ?L59,?7 2 ., cQ 3`/k 31' losyk 5v- s"?_ ?=L - (03 6 49 46 3,0 y ,?- %s-3 SAC % SAC Units LOT SIIRVZY CBECKLIBT ?08 RL82DENTI7IL ? SIIILDINO pIIR![IT 71PPLICIIT ON BROPERTY LL011L! ? Dat• o! eurvop: rZ /???2rL pOCIIKENT BTf?ND Ma 0 2`0 0 0 • • Registered Lnna Surveyor siqnature and oompnay i ' ? Su lding Permit 7?pplicant 80 0 ? D • Legal deseziption 9- 0 0 • ]?ddress 8?? 0 • North azuow and b?dr sanle . B' 0 0 • Honse type (rambler, valkout, split v/o, split entry, ' lookout, etc.) D" D 0 • Directional drainnge arrows with slope/qradient t. [??L) 0 • Pzoposed/exlstiag sawer aad wnter sezvices ? 0 IYO 0 0 • • street name Driveway DLEVIITIONB 0?0 0 • Existiav Sewer service 8?0 0 6o,,,0 0 • • Lot cornezs Top of curb at the driveway qp'[d' ? • Elevations of nny exfsting adjnesnt homes L'1'10 0 • pronosed Garage floor . D 13 • First lloor D ? 0 • Lowest exposed elevetion (walkout/vindow) D 0 D -10 0 0 • • property corner6 , Front and zear of home at the ioundetion DONDIIOC f1REl18 (if apnllaabl*l 0 E? 0 • Easement line 0 , rtwL HWL O P ? • Pond 4 designetion 13 • Emergeacy Overflow Elavetion e0 0 • DIMENBIONB Lot 1 inas B' D ? 0 • Right-of-wey and street aidth (to beck of curb) D 0 0 • Froposed home dimeasiona inclyding any proposed deck:, overhangs greeter than 21, porches, ttc. (i.e. aii -/ ctructures requiring permanent footings) D' 0 0 • Show all easements of reeord and any City utilities within -/ those ea8aments D" 0 0 • Setbacks of proposed sLrucLure and setbeck ot adjaoent G 0 • existing ho Retnininements, if any Oetober 2992 THE CITY OF EAGAiN DOES KPOT CUnF?AAITEE THE ACCURACY OF UTILITY LOCATIOfUS ::: • ;,. M01OR ELE!/AYIOiUS. 7FiIS OATA IS FOR 00MRAAYIORI PURPOSES ONLY AND =_ry? PERSONS 9JEIAIC IT SHOULD VER:r'Y THEE CO rMp(/ OMFORMAT10N ON YHE SITE. ,c: Id ? a ?o. 9 °'•^'nuul'H COURT ??- ON SHT. NO. 8 FOR urrr._ SF:RV, 1.0C. g"GqTE VALVE ? ON .I,OT 21, 6" TEE 24 H YDRANT 8'k 6" TEE . 4 RT. F 19+ 13 C -' M.H. 8 3'RT PO.C. 17+ 67 ? M.H.9--?? II/ 1 8NGATE VALVE '-M.H. 17 C POT. 16+06 8"PLUG 5'RT P C. 13t63 6 8' PVC FUTURE (8Y OTHERS) UTIL SERV. TO ftE PLUG - 1 coxsrxucxeo ax oTBsas RA ICKMORE ?R. FROM SZDE CRMORF. DRIVE HAEF SNEET N0.8 WOODS EXCEPTIoN pRiVE ; , .._:, .? ? 6"GATE ?ALVE 2 6"x 6" TEE PRESSU?2E .KEDUCWG FACILITY 6 6 a(2) 6? GATE VqLVES TO BE END ? INSTALLED BY CITY OF EAGAN- REF. ??NOTICE Tp CONTRqCTORS?? NOTE- UPPER Rlrur - , 8"x8" TEE \ 8"x 6" REDUCER 25 6"-I/16 BEND j?6" G ATE X VALVE 26 UTIL. 58RVICES TO IIF. CONS1'RUCT1iD gy pT11FK. FROM IIACKMURE DR1VIi S ATE VALVE A-A WG, fURE (BY OTHERS) U\\1. • JLn1. \. YJ \- .. u coNSreucrro ISY O'[IIF.RS FROH IIACKMORE UR1VE SIUG D R I V E ---- -?- _ -- ? ------- ---- - -- ---- - -- - ---- --M. f -- .19 ? --------- - - --- -- - - -- --- H. 8 -- ----- -------- ------- ------- I M. . 7 --- - R.E. 925.0 ? I I o' -- -- - --- -?- ? °-'-- - --- ' - T5FAIN - ---- ----- - - R E.916. - - ----- - COVER _ ? + o ---- -- ? E. 05 -- -- _ ? --? I O L..F.- 8" V.C. cER ' S DR 35-6 0% µDIP . ---- - - ? --- - ---- -- -- ---- -- WATE ? 145 L.F.-8 'PV.C. . SQR 35- 6.4Q% - -- --- - -- -- I38 L. F o SOR 3 O C) M " .... 1 ? 7 00 .. . . - 0 (D m ,., 1 Lb m .,, l EXTERIOR ENVEIAPE AVERAGE "U""COMPUTATION eQ?/(./TG(?dO.C? L" h ? . OWNER _? . SITE 7iDDRESS 553 ?ic?r?T?rb,PNE G?oo?5 d?? CONTRAC'I'OR b/iCf JV,T?.(?D D/ 4/NLe:5 DATE :!) -:/- PHONE / iV "IOOU Determine working square footage of each? - ? 1- Total exposed wall area ...... ?j1'] ZL 5 sq. ft. _-_jI 2. Total roof/ceiling area ...... __L50(e sa_ ft. X%O7itp - A. B. Tota1 Total wall window area .......................... door area ......................•-.--.----• C. Total sliding qlass door area ........... ........ (6,7 (as D. Total fireplace wall area ............... ........ -"' ? E. F. Tota1 Total Total wall framing area (average 10%)... Rim joist area-------------------- Net wall area above floor------ •-- ........ ,1a.?a -------- •--•---• Total exposed foundation area - I Hjrp, H. Total foundation window area .................... - Nd. 1. Total net foundation area above grade.... ....... 1 5y- Detesmine "U" value of each wa'_1 segment. a. Z221. OZ X,.U.. b. x „U„ , O(o 7 c. x „U,. . 5'v a. -- x ,•u„ e X „U,. ? f. 2G?• X "U" //,7 L s- 1 3.01 x"v., F 7, 7z .. ., U h. X X ..u„ . i3 3 ................................... TOtal Yf item A3 is the same as, or lcss than item {tl, you have met the intent of SIIC 6006(c)2. Total exposed roof/ceiling'area j. Total skylight area_-.•-----........................ .._, ?Ar. k. Zbtal roof/ceiling framing area (average lOS) ... .. . L9jp ,Ly 1. Total net insulated roof/ceiling area.............. 1i7 S. Q- Detezmine "U" value fo= each roof/ceiling segment. j _ .? X ..U" = NAe- k. t3o.? X "U- .03 = 3.dj1 X°U" , oZ = 23 .?a 4-• ......................-•-.---....._Total = 2 7i Zf total of 94 is the same as, or less than 42, you have met the intent of SBC 6006(c)J,. f? Alternate Building Envelope Design To utilize the total envelope system method, the values established by,the sum of items 93 and 114 shall not be greater than the sum of items 11 and 112_ i. ?74 ?.97 + a. 339b? = 3?Z .9L 3- 7,417. 4000 + 4_ 27 , PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALS,O, FOR' TOWNfiOAES AND CONDOS WHEN PERMITS ARE REQUII2ED FOR E.ACH UNTf. ? __.______- - M___M---- W------ ._...________.... NO. FIXT[JRES EACH TOTAL .. ? SHOWER 3,00 31 - = 3 WATER CLASET 3.00 4. -- A. BATH TUB 3.00 c . - - ?3 LAVATORY 3.00 / KITCHEN SINK 3.00 s. - - _L LAUNDRY TRAY 3.00 3 , -- HOT TUB/SPA 3:00 ? WATER HEATER 3.00 s. -- •, r , / FLOOR DRAIN 3.00 3. - •- ? GAS PIPING OUTLET •-i-i-um - i 3.00 3. --? 3 ROUGH OPENINGS 1.50 5: sa " WATER SOFfENER 5.00 PRIVATE DISP. • nai.ay. uc. 20.00 U.G. SPRINKL.ER • nome unaer conu. 3.00 ` ALTERATIONS • to existing 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: 'f 7, d o srrE ADDxESS: s s sWq_v? p?4? OWNER NAME: Ri31,1?rZC LD".2 ADDRESS: /b/09c1?o,E ? AqZe c, CITY: STATE: W,?? ZIP CODE: S?? aG PHONE #: (61.1) 4/.P4/ - /e/oG SIGNATURE OF ERMITTE 1994 PLUMBING PERMIT (RESIDENT7AL) CITY OF E9GAN 3830 PILOT I{NOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COT%fIVtERCI??LAINDLJSTRIAL BUILDIIVGS. ALSO FOR, MLJLTi- FAMILY BUILDINGS WHEN SEPARATE PERMTI'S ARE NOT REQITIRED FOR EACH DWELLING iJNTT. _ NER' CONSTRUCT'fON ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FEE: 1% OF CONTRACI' FEE, STATE SURCHARG& $.50 FOR EACH $1,000 OF :.. FEE. MI NII1ifUM FEE $ 25.00 CONTRACT PRICE X 1% STATESURCHARGE TOTAL SITE ADDRESS: $ $ $ 'd'ENAN'd' NAll4E:_ Sild. 9 OWNER NAME: INSTALLER: ADDRESS: CITY• PHONE #: STr1TE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1994 PLUMBING PERMI'r (COMMERCIAL) CITY'OF EAGAN 3836 EkLOT KNUB RD EAGAN MN 55122 (612) 681=4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTfS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE ?T`t 1 c) `F FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) (0150 ADD-ON/REMODEL (ExISTING CoNSTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL .2 ? SITE OWNER NAME:_ ?r? A.?UC,? i1(JYYII? TELEPHONE #: _? _D-ILXT? INSTALLER: GENZ-BYAN PLi7rIDiNG & xEATING CoMPANY ADDRESS: 14745 South Robert Trail CITY: Rosemotmt STprE; MN ZIP CODE: 55068 TELEPHONE #: 423-1144 ? ? SIG AT RE O PERMITTEE 1994 MECHANICAL pER1VIIT (RESIDEIVITAI,) CITY OF EAGAN 3830 PILOT KNOB RD ' EAGAN MN 55122 (611) 681-4675 ?-S ?oS ?"50 s d 2006 RESIDENTIAL PLUMBING PeRMiT aPPUCArioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date //_ 1 14 I e ? Site Street Address . S_C 3 f/dw t/le!! n. e kJee ?C ??_ Unit # Property Owner Telephone # ( ) Contrector. YtZL ev l?Lu.rrr .{1 r a Telephone # (yS,Z ) ?1 7l.7 / Address Pl b',O' Quak e2 City )0 ,44Zo n/ State /h.G _ Zip The Applicant is: _ Owner -/Z/Contractor _ Other Septic System _ New Refurbished Submit 2 sets of plans and MPC license Includes County fee _ $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. !i you are installing onlv a water sofrener and/or water heater, do not complete this section; move to the next _ section and check the / appliance(s) you are installing. _Septic System Abandonment ' - - Water Turnaround (add $130.00 if a 5!8" meter is required) " ` ? ? ? V6ther: ,R'" l?, a.r S %n k ?- 5 + II C- ck ? . ` . ,?. ?.? a, Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 S ? Se Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is require?d1 to be reviewed and approved. JD AJ fru?2A/S CjY ll?rr ?!_ -:;L/AJrL_? Applicant's Printed Nam plic Ys Signature fs9s? 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Gonstruction Reauirements 3 registered sfle surveys showing sq. ft of lot, sq. R. of house; and all roofed areas (20°6 maximum lot coverage allowed) 1 Soils Repoh if proposed building is to be placed on distur6ed soil 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 sel of Energy Calculalions 3 copies of Tree Preservapon Plan if lot platted a%er 711193 Rim Joist Detail Ophons selec6on sheet (6uiidings with 3 or less units) Minnegasco mechanical venGlatlon form RemodellReoair Requiremenls OKce Lise Only 2 copies of plan showing footings, beams, joists Cerl of Survey Recd _Y _ N 1 set of Energy Calculations for heated additions Soils Repod _Y _ N 1 site survey for addNons & decks Tree Pres Plan Recd _Y _ N. Addifion -indicate ilon-sRe septic sysfem Tree Pres Required _Y _ N On-stte Sepfic System _ Y_ N Date // //&_/ ConstructionCost o Z "Zo SiteAddress Unit/Ste # A-J .SS7z3 fXIsnNd i s Description ot Work ?Ul?/?L G?r?- ?7 N/S o ?T ? Multi-Fanuly Bldg _ Y? N Fireplace(s) x 0 _ 1 _ 2 • ,, Property Owner /? /??? ? ??f/? ?? /?-S.Oii/, Telephone # ( h?7) '6-RZ - tT lI c? Contractor Address &? / % .?TTrQg ¢-i' t?L-c ? I Cih' ?"' State Zip ..SS/03 Telephone # ? ,61) ?Ii r-l- ,L)`(A> ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Energy Code Category , Residential Venhlahon Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted in the IasT 12 months, has the City of Eagan issued a permit for a similar plan based on a master plc 2 _ Y _ N If yes, date and address of master plan: -;? `, ?D Licensed Plumber Telephone #( ) A?f111._0 0?? Mechanical Contractor Sewer/Water Contractor Telephone #( ) • 1?? Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a 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. ApplicanYs Printed Nam Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvues ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex 10 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvnes ? 31 New ? 35' Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair [f 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacerrl2nt 'Demofition (Entire Bldg) - Give PCA handout to applicant DBSCfIptIO11:,WaterDamage_Yes. .. Valuation Doo -? Plan Review 100% or 25% Census Cade y 3 ?( SAC Units # of Units # of Bidgs Type of Const Occupancy !< - MCES System Zoning R-? CityWater Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth _ Footings (new bldg) _ Footings (deck) _ Footings(addition) _ Foundation Drain Tile Roof Ice & Water Final _?x Fraxning _ Fireplace _ R.I. _ Air Test _ Final Insulation 11 Approved REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. ? Final/No C.O. X HVAC Other _ Pool Ftgs A'u/Gas Tests Final _ Sidmg _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wall Buiiding 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 1: ( ,tT Fe e- La",Z leve/ a, ow. _ W t0Qc7oLJ FlAT fee r?670- I f . 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 _'elephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reuuirements 3 registered site surveys showing sq. h of lot sq. ft of house; and all roofed areas (20%maximum lot coverege allowed) 1 Soils Repod if propose0 building is to be placed on d'aturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc t set of Energy Calwlalions 3 copies of Tree Preservation Plan if lot platted aRer 7l1193 Rim Joisl Detail Options selecUon sheet (buildings with 3 or less unils) Minnegasco mechamcal ventila6on form RemodeVReoair Reauirements Ofice Use OnN 2 copies of plan showing footings, 6eams, joists Cert of SuNey Recd _Y _ N 1 seto( Energy Calculations for heated additions Soils Repod _ Y _ N 1 site survey for addilions & decks Tree Pres Plan Recd _ Y _ N Addition - indicafe if on-site sepfre sysfem Tree Pres Required _ Y _ N On-siteSepticSystem _Y _N > rns ,? . ID Date Construction Cost Site Address oa 1 Uni[/Ste # Description of Work Dr-_cl, Xdoin n.Js Multi-Family Bldg _ Y ?1q- Fireplace(s) _ 0 2 PropertyOwner !Q'??kr:-ly J7 -4? o,-/ Telephone#( fpSh OSI -SII e Contracror T'lMpiFiLwec ?-?r ??r'?./a ?J43> m.?-?C 71-1' Address C?? T? n'?7? /%lDCY City F^Q.dN?d State ?/? • Zip -?l Z3 Telephone #(/ptl ? 34f'7 -06y 0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan 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 Contractor 'k Sewer/Water Conhactor ' '' Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential,Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a 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. ? Ap icant's Printed Name ApplicanYs Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? ? 03 0 1 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? ? 04 02-plex ? 10 OS-plex )ZC 18 Deck ? 23 Porch (screen/gazebo/perola) ? ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ?Q 32 Addition ? 33 Alteration ? 34 Replacement ? 30 Accessory Bldg 31 EM. Alt - Multi 33 Ext. Alt - SF 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding , ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors `Demolltion (Entire Bldg) - Give PCA handout to applicant' DeSCfiptlon: Water Damage _ Yes Valuation ?0 IP? 7 Occupancy MCES System, ? Plan Review ?C 100% or 25% Census Code L4 Zoning City Water . SAC Units Stories ? Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fiire Sprinklered Type of Const __?•T Width Footungs (new bldg) ? Footings(deck) _ Footings (addi[ion) Foundarion Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. ? FinallNo C O. HVAC Other _ Pool Ftgs Afr/Gas Tests Pinal _ Siding _ Srucco Lath _ S[one Lath _Brick _ Windows _ 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 ? ?, 03/03/94 99:2? $ b1[ 5yr tle:n gonls caRSxrxcira zoto • SIGMA suRVEvINa $ERVICES INC. .. : .' 19l ?. Ss?ew Raad •S..t4e E • . Pt0*!(e19? )?iu-on ,4p`?M O?,iO VTKITT fAfE Y(MTI M{ i ?'J L4 o we ?j o 4MOL e' y'"??"01??° "iwof? i ONTNlK?T?t??L[T LW ?{&NOMM ? ? .. . A:.,. 5'9'aJ /j 30 ? -LEGEND- / .000 .?..+?. )k Denotes Iron Monument 6%4 n Denotes " WSet ?qia,g Denotes Existing 5pot Elevation 00 -Is.0 ) Denotes Proposed 5pot Elevation r--- Denotes Drainage Direction -pROPERTY DESCRIPTION- Lot 26, Biock 2, HAWTHORNE W0005 2ND ADDITION, eccording to the recorded plat thereof, Dakota County, Minnesota. BRENT HOMSS, 553 NZwivwrtr_ W" P!'. , I - a"an M^I i¦ R? Y e°; ?Io ?t _ REVIrL*WED PROPOSED GARAGE FLOOR ELEVATION= qIS.O PROP05ED TOP OF BLOCK ELEVATION= PROPOSEU BASEhiENT FLOOR EL"cVA7I0N= .???• S *NOTE: Verify all Bld9. Dimensions and ' Floor He9ghts with Final House Plans. -SURVEY4RS CERTIF{CATION- Ihereby certify that this survey, plan or report was prepared by me or under my direct supervlsion and that I am a duty Reglstered Land Surveyor under the laws of the State of Minnesota. _ ? . Oate: rZ5l.? Wayne D. CorGes. M1nn. Reg. No. 14675 ? . • zrrc. 1 • . 03i03i94 09:28 $ 612 397 8620 SIG11R SURUEVING P.03 aanls SlGMA SURVEYiNQ SERVICES INC. 191 1 Ssneca R49 •Sw:4c E- rEi°a i: ?e+? s?m i 4msx ?n ? J 0IDit?t[C •??pr,1pW?IbpOWtOT ?Wtt?NO ? lMlt?, A{ SMOwM ON TN[ K?T G 6T*9iT 1,161;0 Al? `I ? ? "e: I"=3o -LEGEND- ,w Denotes Iron Monument foixnd o Oenotes S?` ?Set 'weeN 011.8 Denotes Existing Spot Elevation ( 9 ) Denotes Proposed Spot Elevation .-- - Denotes Drainage Direction -PROPERTY DESCRIPTION- 4ot 26, Block 2, HAWTHORNE WOODS 2ND ADDITION, eccording to the recorded plat thereof, Dakota County, Minnesota BRENT H OMES, M Jp6 son 553 Nawflwrwc Woods ?r. ) o ?? -, ?? - 0 0 0 i?_ '°' r?ti E.? ,. R EVIE?INED PROPQSEO GARAGE FLOOR EIEVATION= 91S'0 PROP05ED 70P 6F BLOCK ELEVATION= PROPOSED BASEMENT FLOOR ELEVATION= *NOTE: Verify a11 Bldg. Dimensions and ? Floor He99hts with Final Nouse Plans. -SURVE_XORS CERTlFICATION- I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Re9lstered Land Surveyor under the laws of the State of Minnesota. 40 - Date: ?Z5!•a Wayne D: Cordes, M{nn, Reg. No. 14675 _.00 • INC. P4qWN i1Wli0 VTILITI [\l{YtllT7 AR[ l00os Cgag%f%CDll fOt% 191t Ssaeca Raad •5w4e E EOpan. Mkwwaaa 55172 Phar4:(812)452-9071 D11A1M16t AND Villlft [ASLMLMTf AOL lIqMN T1NIf! ,J Q o l?.e WOIC 1[q?M0?01J01MMIbOWt07fLIMf?NOf[ LpN[f.TAfl/IOWMONiM(DKTMOlTII[[T / //e?•? / PROPOSED r [. _7 ? y?a? vaca..t I T! ? ?? qo9.Sx ? LOT '+? eo f• - - ^----- o' ? ' . ? T y._..__ / i_..-\\ .e C ? 4r3.7+ _ / 20 `p ^Y' / aA ,? .. . 7 fj ? ?9/teX P/- ? y? ?9/7.b / ? ,h° \ To Re6ar e a,. ??.oY r, ? , ??? ? ? ? o.?- 1000 , "e: -LEGEND- ? jR Denotes Iran Monument fo?nd a Denotes 49%rSet "' 3p6Son '• 553 Kd1uit%0rhe- WOOdt Of, Ea9ahi M N ? A FLOOR ELEVATION= PROPOSED TOP OF BLOCK ELEVATION= / / ? t.G. 908 ?0 J ? X9(a.8 Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= q IS.o 9?s,3 . 90(0,5 (x115.0 1 Oenotes Proposed Spot Elevation r--- Denotes Drainage Direction *NOTE: Verify all Bldg. Dimensions and Floor Heights with Final House P1ans. -PROPERTY DESCRIPTION- Lot 26, Block 2, HAWTHORNE WOODS 2ND ADOITION, according to the recorded plat thereof, Dakota County, Minnesota SIGMA SURVEYINCi SERVICE3 INC. -SURVEYO_RS CERTIFICATION- I hereby certify that this survey, plan or report was prepared 6y me or under rqy direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. ? Date: `ZSI.Q Wayne D. Cordes, Minn. Reg. No. 14675 _."00 _ _ _Use BLUE or BLACK Ink ~ For Office 7en 6,1F I City of Evan Permit ~ AUG 1 8 201 V ` I Permit Fee. lJ 3830 Pilot Knob Road Eagan MN 55122 Date Receive Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: - - - - - - - - - - - - - - - J 2011 MECHANICAL PERMIT APPLICATION Date: Site Address: Tenant: hh Suite RESIDENT OWNER Name: T (v JNAMI Phone: (0 40t 1 \ q Address / City / Zip: ' S3 Q ~Ut, WnA [ \ Name: O License CONTRACTOR Address: tt ~~J City: 20_p' !Wu C. State: M dvV Zip: Phone: Contact: Email: ( New Replacement Additional Alteration Demolition c TYPE OF WORK Description of work: NOTE: Abof mountad and oround,mounted mechanlcal equipment itt rt> ttuirect to be screened by.City Code. 'please contact the Mechanical lnspectoN-for Information co permitted screening methods: RESIDENTIAL COMMERCIAL umace New Construction _ Interior Improvement PERMIT TYPE _ Air Conditioner _ Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) r $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gouherstateonecall.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 wrk is not to start without a permit; that the work will be in accordance with approved plan in the case of work which requires a review and approval of pla x X! Applicants Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date:: Underground Rough In Air Test Gas Service Test In-floor Heat , . Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA107776 Date Issued:10/26/2012 Permit Category:ePermit Site Address: 553 Hawthorne Woods Dr Lot:26 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-260 Use: Description: Sub Type:e-Siding Work Type:Siding Description:House & Garage Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - David S Johnson 553 Hawthorne Woods Dr Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA108755 Date Issued:01/08/2013 Permit Category:ePermit Site Address: 553 Hawthorne Woods Dr Lot:26 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-260 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - David S Johnson 553 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 City of Eaall RECEIVED 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 APR 2 3 2014 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 93 7(2 L/ -?-3-i/ 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4V`2 7 /I Site Address: -CS3 , 4 14r, ' ln%Ly Unit #: Resident/ Owner Type of Work Contractor Name: 71191,-1 t aVe r*," e7 j Phone: 4S/— — ///a Address / City / Zip: ,59-5- 3 4.4 e l/11 cls Pi1�/ -e Applicant is: Owner v Contractor Description of work: /9/111-e c</ _S70,11- X 19#"4"-Scj -- Construction Cost:. 7, 00© QG Multi -Family Building: (Yes / No Company: P1¢C-. lvlc, /1911 1.1 tokpf e P>/p7Contact: ✓11 / Address: 07/ 1 0 Rt ((et t4 i'rr, I ✓4 City: State: /Mt., Zip: 5-"T" Q 77 Phone: ‘-r7 ^ 7 7 5 — '"/ License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x CvAIei e Applicant's Printed Name x Applicant's Signature Page 1 of 3 553 ktiM Or DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace ySingle Family Garage // Multi Deck 01 of _ Piex Lower Level WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) �( Footings (Addition) F1 \ PJ Foundation Roof: _Ice & Water Final Framing �J Fireplace: )(Rough In 'AiFinal Insulation Sheathing Sheetrock Fire Walls Braced Walls Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building 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 Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Erosion Control Other: 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 (i1/4/ 193\cl IA Page 2 of 3 EVN90 vaiaa as ovabaa a VIM It DRAINAGE AND UTILITY EASEMENTS ARE SNOW, TNUS s Ulm ¢ FEET IN WIDTH UNLESS OTI*RWISE WOICATT co, AND AOJOINIhO LOT LINES ANO 10 FEET IN WIOTN AND ADJOINING STREET V .4 LINES, A; SHOWN ON THE FLAT. z z I ;7)7 vacaKr SS3 RaawillarKe (A)oocl s Or. E,ag apt) M �l J c, T. . Rota N l rQi� ' •0 Too Rgear q+`t.o1 9rs.a Scate: I"=:301 / -LEGEND- A Denotes Iron Monument Fount Ste I1 Set o Denotes Denotes Existing Spot Elevation Denotes Proposed Spot Elevation Denotes Drainage Direction xgra.8 (,,,9rso -.PROPERTY DESCRIPTION- %, `t0. "-s• y a Lot 26, Block 2, HAWTHORNE WOODS 2ND ADDITION, according to the recorded, , plat thereof, Dakota County, Minnesota. PROPOSED IMAGE FLOOR ELEVATION= PROPOSED TOP OF BLOCK ELEVATION= PROPOSED BASEMENT FLOOR ELEVATION= 915.0 115,3 906, *NOTE: Verify all Bldg. Dimensions and Floor Heights with Final House Plans. -SURVEYORS CERTIFICATION - I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly • Registered Land Surveyor under the laws of the State of Minnesota. Z.� r �—r Date: 1Z5i.�`f- Wayne D. Cordes, Minn. Reg. No. 14675 I For Office Use I EvaCitY Of l ll Permit 3830 Pilot Knob Road RECEIVED I j Eagan MN 55122 I Date Received: L - _ _ _ _ _ _ Phone: (651) 675-5685 APR Z 3 2014 Fax: (651) 675-5694 Email: planninq(&citYofeagan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. Site Address: S$` 3 W4v,-.7e WU s alv r4 Property. Information Owner Name: ale rJ Name: Phone: GSI- 77S 7°/3 I Address: i) C ~/rtll~y 17-1*4 City/State/Zip: /yyPr j'1"rP "11h ,dries Contact 1 sc~7 Applicant Signature: Date: 41-Z 3 - /y Email address: C r c fi ,ice Aki c~sckfl- e f G~ J'T1 ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: )<Patio ❑ Sport Court Type of Work ❑ Sidewalk ❑ Fence Description of work: Planning Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks c. Approved Denied Date: Staff: No Property Anes to be gifted by cwnn"ctodawner. Revised Plans Approved: Yes / No Date: Staff: Engineering Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right-of-Way, etc. Approved / Denied Date: Staff: Notes: Revised Plans Approved: Yes / No Date: Staff: Comments a CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq G:\Building Inspections\PERMIT APPLICATIONS wvv9a vaaa ea avUlaa a va * SIGMA SURVEYING SERVICES 1NC." S9 T t Scnacb RncTd •Sa:tt E • BRE OD EaW. Phone: "(61"x,) 452- o'n H O M E S, I N C. t~ 11 30650r, DRAINAat AND UTILITY tASLM[NTS ARE 55-3 Kaw(I l%c lk-(Al" S►m"M THUS.' Q s J ~ ~a9 a+1~ M ~ L__ j, 09 W46 JrE[T IN IYIOTN rL[SS OTN[RWIS[ INDICA ID, AMC AOJOINIIrtO LOT LINN AND 67 /[lT IN WIDTH AND ADJOINING I MET LINES. AS SHOWN ON THC PLAT. S Ftl( I F, .7, g JS, e_ . r f 2d ~'l ~ln Al yacav. VJ 'ji3 \ ` ~o w ° 0'x!3` h ~~a Cev~er\~ 0. 7 ;d 6 -air e/ 0'. N ~ ~ s , - i Or~veway ~ TO 4- T.c. ~ •b ~ 1, 4r2.8 O~ 9rs.2 e. \a rsy --LEGEND- 91S.0 Denotes Iron Monument fou.nJ PROPOSED ,ARAGE FLOOR ELEVATION= Steel ReBar_ .,nnnncrn 7n13 nr: w nr~ 1=1 PVATTON= cl PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA122496 Date Issued:05/09/2014 Permit Category:ePermit Site Address: 553 Hawthorne Woods Dr Lot:26 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Renae Frienwald 2200 Hwy 13 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$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 - David S Johnson 553 Hawthorne Woods Dr Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144900 Date Issued:08/15/2017 Permit Category:ePermit Site Address: 553 Hawthorne Woods Dr Lot:26 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-260 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - David S Johnson 553 Hawthorne Woods Dr Eagan MN 55123 James Barton Design/build Inc. 5920 - 148th St W #100 Apple Valley MN 55124 (952) 431-1670 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159525 Date Issued:12/26/2019 Permit Category:ePermit Site Address: 553 Hawthorne Woods Dr Lot:26 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Exchanger Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - David S Johnson 553 Hawthorne Woods Dr Eagan MN 55123 (651) 485-9919 Apollo Heating & Air 6510 Hwy 36 Blvd N Oakdale MN 55128 (651) 770-0603 Applicant/Permitee: Signature Issued By: Signature