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554 Hawthorne Woods Dr? IN,' * . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: I i+ t .,1 sinE-a i I Ifir4 i t i! 11 -:,0IHO1tNt wr?ah', .•Mu PERMIT SUBTYPE: Ll A • PERMIT TYPE: Permit Number: Date Issued: I I I 1 1 i 141 N fi ".' N 1 1 :11 e l fA" I96 l?41 i(. t: 11 N01151 N(i E; ORP tt,ll) 4 11 4112 TYPE OF WORK: rv:- ti INSPECTION , I ,',, , ri.; D• . I , ? ?I'll .. I 1'AM I Nii i I Nn i N '. 111 A. I ikiPJ f 1 f,! !•I /1, 1 ItiUi,tl ! N I• I i'1, 6???I?,I) 1 N ii I t tNi51 E'? t;?, I Is•1;';f I , I R161RK` f?N !VF WAY f Pf`fpANf:i p111-; 1 fxF Cr.1Ni'kF fI RF FoRk C: Il 4!I 1 l. !if XS'rUk'fi .'. l H k -- IJ f' 1 i N!x t3 I A Y t(l C K P l. ' G L 7 0 Permit No. Permit Molder Date Telephone M ELECTRIC PLUMBING HVAC cl 16 11 G gas-?? Inspection Date Insp. CommeMs FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMSING ? ?p PLBG AIR TEST ? fQ f10UGH HEATING GAS SVC TEST INSUL lUO I/, - oaw?41-- 7a+ AA-A"- GYP BOARD FIREPLACE FlFEPIACE AIR TEST ' FINAI PLBG 7 FINAI HTG ORSAT TEST /,p ?Q BLDG FINAL ? j BSMT R_I. BSMT FINAL DECK FTO DECK FINAL 7 t Wertificate of cccuvanc? ?M of ftean TerertacNt oF ?nobtg 3xboectisn This Certificate issued pursuant to the nequirements of the Uniform Building Code cernifying thvt at tht time of issuance this structure wns in compliance with the various ardinances of fhe City regularing brrildiseg construction ar use. For the fo!lowing: Use Cusdrk*ion: SF D41G/GAR eldg Pamk No 28113 O-P-r TM R- 3 U-1 Zonin8 Disuia R-1 TyPe con:c. V-N Oww of euilding BUTLER HOUSING Addmss P 0 BOX 24597, APPLE YALLSY euilding Addnm 554. HAWTHORNE NOODS L2, B3, RAWTRORNE 1d00DS 2ND oae: Buddm oR,dg i POST IN A CONSPICl10US PLACE MN * 0 3 ], 3 2 4 7 4* Pno? (siz) 642 oeoo ?? ? Home ommercial Air Cond. Duplez Indusfrial Htg. Equip. Apt.8ldg. Form Water Hfr. ? 1Jew Addn Remod Re air load Mgmf Ofher D er Ron e Elec. Heat Temp. Servi<e ? 'k' above the work covered by this reqvesf. Enter remarks in this space ond on the 6ock of }he whde copy only c7E? Cal<uloie Inspechon Fee - 7his Inspechon Requesf will not be o¢epted withou} }he corred fee: OHrer Fee 8 Service Enfrance Size Fee # CiraiLS/Feeders Fee Mobile Hame Park Stall ( 0 to 200 Amps ' r 1 00 Amps Sireet Ltg./lroffic Sig. Above 200 Amps Above 00 Amps Tmnsformer/Genera}or INSPECTON'S1ISEONLY TOTAL ? Sign/Ov16ne Lig. Xfmc f l. ? Alorm/Remote Con}rol V t $mmming Pool llaLOn desmbed on 1he dales b sl I here6 reM that I im e Ihe ele ro insto Iffi9afion Boom Raugh-In Dare I ? ? S eaal Ins edion p p Investiga}ive Fee Final Date .y L ' THIS INSTALLATION MAY BE ORDEREO DI EO IF NOT COMPLETED WITHIN 18 ONTNS. REQUEST FOR ELECTRICAL INSPECTION G? Minnesota SWte Board of Electricity 1827 - ? University Ave., Rm. 28, t. Paul, MN 55104 ?= 313 - ? J? ? OFFl is requen void 18 mon?hs fro?wlidatioydate pSnAh? M s?yp ('/? ? ? e a? ??oJ 5 a? a PLEASE PRINT OR TYPE Req esl Dote ` Rauqh-m mspetlion Yes [] N. Inspenian Olher Thon Rough-InQ Ready Now 11611 Coll ?? ? f f (Yao mast call the ins r w n r ? t R dy I, li<ensed confracfor ? owner hereby requezf mspedion o( ifi bove electricol wor O O lob Address Slreet, Bax, or Rouk No.) 55 Ifa vv ?h y-ne_ lnlnr.z'ls Gy Ea an ? Secfion No Township Name or No Ranga No Fire No. Coun ?? ? Occupom I Phone Na Power Supplier ?? [L? - /L- add., Eletlnml Commclor jComP y Name Ca tmcror lirenee N cA a Y Moster L< N. (Plonf Eled Only) Moiling Addmss (Conhacror or Owner Pedormin Insallnnon) 3. 3 i? /?? e ? 5?? ?g ?? . 9rt/ 7? Ihorixed Stgno rc I(rto Own Pedo ng InsMllano °h Ky -33-3- EB- A-10 6/95 STATEBOAROCA - EEINSTRUCiIONSONBACKOFYELLOWCOPY rAddrtss 554 HAwTHORNE WOODS Lot ? Blk Sub Zip 5512_ HAWTHORNE WOODS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECl'ION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) ? Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass ? TraiUcurb damage ? Porch ? Basement finish VZ' Deck tZ Please verify with the builder the removal of rcwf test caps from [he plumbing system and the shut-off of water supply to [he outside lawn faucet before freeze potential exists. Contact engiaeering division at 681-4645 before working in righhof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - ConVactor Copy G) RESIDENTIAL ?! ?-- BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 & NewCOncWCtionReauirements RemodellRaoairReauirements ? • 3 registered site suneys showing sq. ft. of lot sq. R. of house; and all roofed areas • 2 copies of plan L- (20%macimum lotcoverage allowed) . i set of Enerqy Calculallons for heated addilions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . i sAe survey for exterior additiom & decks S?• / L4 • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3copieso(TreePreservatbnPlan'rflotplatledafter7/7193 • Rim Joist Defail Options selechon sheat (bldgs with 3 or less unil&) DATE g- g ----?- 0 SITEADDRESS S,5--y /74tJtXbr TYPE OF WORK 'De G K APPLICANT VALUATION k/va clS Dr Mev K g/ MULTI-FAMILY BLDG _Y YN _ FIREPLACE(S) 2!L 0 _ 1 _ 2 v STREET ADDRESS 1_-? 3LI WI<N H? h5 ??C S. CITy APE- "voc TELEPHONE # 6S1 y3 6 65AELL PHONE # FAX # ATE ''tZIP 5-5-1--25 PROPERTYOWNER Qi ?'`? +Ske /ind?SoTELEPHONE# 6S1y?6 SS>?- COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RiJLrS 7670 CA'I'EGORY 1 MINNESOTA RULFS 7672 (4 submission type) • Residential Ventilation Category i Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: Plumbing system inclucies: Mechanical Contractor: Mechanical system includes: Sewer/Water Confractor. Phone # I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga 77p&- S ignature of Applicant __ ----°---°°°----°------------°--°------°------------°°----°---.....---°----__....__------°--- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 Phone # _ Waler Soflener Lawn Sprinkle ? Water Heater No. of R.I. B ?'',„ ' No. of Baths ?6 oti.. . ?)_s _ Air Conditioning _ Hcat Recovery Syslem OFFICE USE ONLY - ., yt ? 01 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 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex p 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding F? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation z ? C! >C) Occupancy iz -3 MC/ES System Census Code y3 V Zoning City Water SAC Units Stories Booster Pump Nbr. af Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. -A Footings (deck) o FinaUNo C.O. _ Footings (addihon) _ 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) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector > ? - ,S'urveyar's Certificate SURVEY FOR : Butter Housing Corp, DESCR I BED AS : Lot 2, Block 3, HAWTHORNE WOODS 2ND ADDITION, Clty of Eagan, Dakota County., Mlnnesota and reserving easeMents of record, q? ? .00 A /f . N ?ti 23 , 10 ' 6s. lo tl?? ?' . J i? /^\??g9 48oy~ly 4 4? ? \I6 .3 4 ? cc ? I ? y , / O d 9 b<? Gaf o N \ s ? . „ . 61 Q?? ? f1?0r ?> i? ? \ \ O• \\ Is, \ ? ? ?? S ? S? A ,.61 I I ?W I i N 0 LC) s u? 909.1 4 912.7 912.6 LOT SO, FQOTAGE _ `i?y. 9 ? N ,0 6? ZQ.6 ,' p.0? ?q05? I O 33 ° flB, ? 16, 6 95 3']5>., qo2. i----- I 1 I 9oq`.o ? I L---- PROPOSED ELEVATIONS ?? , ? _ PERMIT ????& (?o 7 -?' CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: BUTLDIN6 028113 (612) 681-4675 Date Issued: 0 7/ 0 9/ 9 6 SITE ADDRESS: 554 HAWTHORNE WOODS DR LOT: 2 BLOCK: 3 HAWTHORNE WDOD3 2ND DESCRIPTION: ,,Puildin4,-Qermit Type fiBuilding ,6%4r,k Type ° UBC i5ccuI f Construction Y?pe Zoning+ '- BuIlding Lsng,th Bu3lding Width'" ' B.ul'dx'nq',istories Fe'et?°?-1-`...C era s ii;sx ?Go d e SF DWG NEW R-3 U-1 V-N R-1 62 37 z 2,103 101 1 - FAM. DETACH [?{g, i?~ • k?? F 7 ;?? I 3*'-m t"..?Si ` ?`.' 7= ?...'.?.s ?S REMARKS: DRIVEWNY ENTRANCE MUST BE CONCRETE BEFORE C 0 WILL BE ISSUED FEE SUMMARY: VALUATION Base Fee Plan Review Surchar9e SAC SAC ? SAC Units 3ubtotal $1,167.25 $583.63 $78.00 $900.00 100 1 $2,728.88 CONTRACTOR: - flpplicant - 5T. Lxc.OWNER: BU7LER HOUSING CORP 14314132 0001715 BUTLER HOUSING CORP P 0 BOX 24597 P 0 BOX 24597 APPIE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-4132 (612)431-4132 ? I Nereby acknowletPge that Thaue`read this applioat3on end state that the informatidn is correctand:agrse to compiy with?aYl apPlicabie State 01` Mn. Statutes and City of Eagan Ordinanassn. ??? aa? AP L CANT/PERMITEE SIGNATURE $156,000 MSSCELLANEOUS $1a923.50 Total Fee $4,652.38 , ISSUEDB SIGNAIUAt -- -? ' CITY OF EAGAN ? 1996 BUILDING PEffM T APPLICATION (RESIDENTIAL) ?- B a?a.?en, ? I 681-4675 New Construdion ReauhemeMS RemodeVRaoair Reauirements ? 3 registered aile eurveys ? 2 copfes of plan ? 2 eopies of plans (inGude beam & window sizes; poured Md. design; ete.) ? 2 sNe surveys (exterior additions 8 decks) ? 1 energy cakulatfons ' ? 1 energy ealwlalfone for heated addilions ? 3 copiea o( Uee preeervatlon pla H lot platted after 7l1193 requGed: _ Ves 25, NO ?? %j DATE: ???8Z9? CONSTRUCTION COST: ?- DESCRIPTION OF WORK: X?"'""` ` `• - --- STREET ADDRESS: ? LOT BLOCK SUBD ./P.I.D. #: ? '?7 J31- 1132- PROPERTY Name:-&. "" Phone#: L r owNER * D, ??( 6 Z f S t 7 Street Address . City: State: Zip CONTRACTOR Company: ? hone #: ? V132- Street Address: , D. ,90X Z S`V License City:( -,i/-- ARCHITECTI ENGINEER Company: Name: ? Street Adc ( Sewer & water licensed plumber: change are requested once permi v Zip: appiies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and agree to applicahle State of Minnesota Statutes and Ciry of Eagan OMinances. _ a n /) Signature of OFFICE USE ONLY Certiflcates of Survey Received Tree Preservation Plan Received Yes N _ Yes I" State: /' I A" Zip: $6 Phone # Registration #• ????? JUW Y ? 599? --- with all OFFICE USE ONLY A?t +S 00. ' `'" ? • ? ,? , BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ,d-t2 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool a 03 SF Addition o OS 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous a 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE ?1 New o 33 Alterations o 36 Move ? 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Aliowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ,? --.d Basement sq. ft. 6s7 MCNVS System C?- ,i%-/v Main level sq. ft. City Water -?? GZ?? z1 sq. ft. 1162- Fire Sprinklered /Z-/ sq. R. PRV Z$0se*r sq. ft. Booster Pump G/. 6-2 sq. ft. Census Code. /o / 7 Footprint sq. ft. Z, /03 SAC Code 0/_ Census Bidg / P G' 10 ° ,y Census Unit ? _ Building Engineering Variance Permit Fee Surcharge Plan Review Valuation: $ Z r1 License cAkr- z,. 7' i?' MCNVS SAC 1.5-x z° = 30 city sac 7 x / s°(r Water Conn. y7 = 6911 Water Meter ??X 3 z = ??? Acct. Deposit ? S/W Permit 5NV Surcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies Total: ?Z?,? (r?) o I,oS7? ??r EE ??X Zo = 30 zox yy=9y0 G X 3 z` lSy .?:A A :t5- /? /b Z X s?/ f ? Z212 ,Sx i? G7 ° 7 20 ? ay,?? = s5J . S?X F s ?- % SAC po2?N ?__. SAC Units ? 2,00 6 VU x /b = I ? ? ? ?' ? ?O fid0"? Yo ?a ?O ff O ? 13 •• LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPL.ICATION. 9 ? % ? ? ? ? ? ? ? ? ? ? ? ? ? ? PROPERTY LEGAL: DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Buiiding PermR Applicarrt • Legal description • Address • North artow and scale • House type (rambler, walkout, split w/o, splR entry, lookout, etc.) • Directional drainage arrows with slope/gredient % • Proposed/exassting sewer and water services 8 invert elevation • Streetname • DrJveway ELEVATIONS Eastina • Sewer service (or Proposed) • Property comers • Top of curb at the drivewey • Elevations of any eristing adjacent homes rosed a.., o B^ ? 0"? ? ? ? ? ? ? • Garage floor • Frst floor • Lowest exposed elevation (walkouUwindow) • Property comers • Front and rear of home at the foundation ? ?O • ? W'O • ? ?O • ? ? . ? ? • m'-'o ? p"'0 ? wo' ? ? t? 0 ? 0"o ? ? fY/ ? . . . PONDING AREA fif aoolicablel Easement line NWL HWL Pond # designation Emergency Overflow Elevation DIMENSIONS Lot lineslBearings 8 dimensions Right-of-way and street widfh (to back of curb) Proposed home dimensions including any proposed decks, overhaags greater than 7, porches, etc. (i.e. all struchues requiring permanent footings) Show all easements of record and any Cily utllities wRhin those easements Setbacks of proposed structure and sideyard setback of adjacent exasting structures Retaining wall requireme"ny Reviewed: Jartuary 1996 crsNOiaaaMMaaMr.Fea ENERGY CODE WORKSHEET FOR 1& 2 FAMILY DWELLINGS SITE ADDRE9S . 17l N (L UU'1'.l?i°FO D Z •CITY T COMPL8TED 8Ys U p HONS 2'- DATB `S S? SQILDING CLASSIFICATION: ? caYegory 1(muet include ventilation) or ? category 2(etandard) MZNIDCIIM CRITBRIA Poundation Ineulation-R10 Walls & Windowe Roof Attic Ineulation: tion-R10 ul G d I (See table on reverse aide for allowable percentages) R44-With Attic No Heel ns a ra e Slab on R38-With Attic Raised Heel Floor over unheated epacee-R24 Foundation Windowe 1/2" R38 & RS-SOlid Raftere insulated Glass. -Wood or Vinyl Frame STBP 1 Wiadow & Door Acsa STSP 2 Calculate area ae a perceat of wall A. Total Window & Door Area in Sq. Feet indowa): o n W d at i n WINDOWS (Including Fou ^ / ? ? ' - y ?v?N"'?'n " C. From Step 1 divide 6ox A(Window fi Door iqINDOW MANVFACTQRB NAMS: EDO - Ofi??LJ?7 Area) by box B(total wall area) times 100 WINDOW MTNUPACTURB TYPB: 9[/?s? - A/I-z?7D4FI equals the window and door area ae a a (6ox C) ll . are percent of wa 0361 WSNDOW MAN[TFACTURS II FACTOR: R. O. Quantity sq.ft.Area BOX A X 100 = C= i , ? ? Z BOX B Dimeneione ? Z X gTgp 3 Daeign 8eaturee ASSEMBLY X FRAMING TYPE: ? X STANDARD FRAMING studs 16" o.c. X ADVANCED FRAMING stude 24" o.c. X CAVITY INSULATION R Ofi61???Csle-? X X SHHATHING TYPH: / V LESS THAN < R-5 X R-5 > OR MORE X U-FACTOR X From the table, (reverse side) determine the DOORS: maximum percent window & door area for the tione selected and enter the 'k value n o i d p ea g in Box D below based on the window mfg. U- X factor: k7o n x ? Total Area of A= sq.£t. Windows & Doors Tha % value from the table in Box D shall be H. Total Wall Area in Sq. F t. equal to or greater than the ? in Box C Wall Total Height Area perimeter Total Area of Walle B= sq!ft Page 1 OF 2 9Q06ESS, 554: HAWTHORNE WMW QBLVE, EaG9N,. tld1. ----------------------------------------------- WINDOW AND DOUR SCHEDULE 9UANTITY TYPE SIZE FACTOR WINDOW --------- ---------- ---- -- ------ --------- OPENING ---------- 0 BASEMENT 27 X 14 2.60 0.00 1 PATIO OR 6 X 6 36.00 36.00 2 CASEMENT 14 X 38 3.70 7.40 0 CASEMENT 20 X 48 8.50 0.00 0 CASEMENT 20 X 60 10.80 0.00 2 GLIDER 26 X 48 8.60 17.20 0 CASEMENT 24 X 42 9.00 0.00 0 CASEMENT 28 X 48 11.00 0.00 1 PICTURE 48 X 60 20.00 20.00 7 DBLE HUNGS 32X24/36 35.80 110.60 2 DBLE HUN6S 20X24/36 8.33 16.66 3 DBLE HUNGS 20 X 22 7.90 23.70 9 OBLE HUNGS 32 X 26 13.60 122.40 0 DBLE HUNGS 24 X 24 10.20 0.00 2 - ---- SIDE LTS. ----------- 1 X --- 1.3 ---- --- 6.20 ---------- 12.40 ---------- --- 29 -------- -------- - - TOTAL - GLASS AREA: - - 366.36 ---------- ---------- -- DOOR -------- -- SCHEDULE - ----- ---- ---------- ---------- ---- - - OUANTITY TYPE - - SIZE FACTOR DOOR -- -- ------------ ------------ --------- OPENING ----------- -- 1 THERMATRU 3'-0' X 6 19.00 19.00 1 THERMATRU 2'-8' X 6 16.80 16.80 0.00 0_00 0.00 0.00 0.00 0.00 - --- -------- -- - 0.00 --- --- - 0.00 ----------- --- -- - ------- -- TOTAL DOOR - - AREA: 35.80 TOTAL WALL WINDOW AREA: 330.36 U-VALUE 0.361 TOTAL PATIO DOOR AREA: 36.00 U-VALUE 0.367 TOTAL BASEMENT WDW AREA: 0.00 U-VAL.UE 0.421 TOTAL WINDOW AREA 366.36 TOTAL DOOR AREA: 35.80 U-VALUE 0.066 'A Page 2 OF 2 TOTAL AREA- WINDOWS & DOORS: 402.16 (A] TOTAL AREA OF WALL= 3,225.50 [B] ACTUAL. WDW & DOOR AREA AS % OF WALL: 12.47% [A] \[B] jSTANDARD.WALL FRAMINGI SHEpTHIN6 LB:?S?. INS!lL;. 87'12, WIdQ4W U.3b. = 34,4O%_CIAX._WDMM_AffA: ADDRESS: 554 +AarHaRNe 4loODS. QetSlE., E9GN... tldL CITY USE ONLY L ? BL ,i R E C E I P T #: 3 SUBD. ?? add DATE: 8°?7 -4995+-LUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x 3.00 Water Closet 3.00 x 3 _ . 00 Bath Tub 3.00 x A _ 6,00 Lavatory 3.00 x S = S, 0 0 Kitchen Sink 3.00 x 1 = 3, a o Laundry Tray 3.00 x 1 = 3,00 Hot Tub/Spa 3.00 x = Water Heater 3.00 x f = 3.00 Floor Drain 3.00 x I = 3,00 Gas Piping Outlet * minimum - 1 3.00 x 3,00 Rough Openings 1.50 x 3 = y. So Water Softener 5.00 x = Private Disposai * Dakota Cry. license 20.00 = U.G. Sprinkler " home under const. 3.00 = Aiterations * to existiny 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TC'TAL S,3,00 SITE ADDRESS: Sj`/ ?actj a 4ti o r n c t) no dS Z?Pr u e OWNER NAME: Ah ? ers o?, INSTALLER NAME: ?Jelfer y- A)a tdo cL 2J, c. STREET ADDRESS: CITY: Au r n s vI/l -0 STATE: /YI N ZIP: 55 3 3 7 ? PHONE #: (b/ a- ) na-86 V I ^?Jc .. OFFICErldSE QNLY L _ BL _ RECEIPT #: SUBD. DATE: 7995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: . all commerciaVindustrial buildings. 0 multi-famity buildings when separate permits are pgj required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: __ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALI.ING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1°k of contrect price, whichever is greater. State surCharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE X 1% STATE SURCHARGE tOTAL SITE ADDRt55: TENANT NAME: OWNER NAME:, INSTALLER: - STE. # ADDRESS: aN: PHONE #: METER SIZE: ' DATE: SIGNATURE: OFFICE USE ONLY STATE: ZIP: APPLICANT _ INSPECTOR: CITY USE ONLY L ? BL SUBD. ?- RECEIPT #: 4, (P O 3 DATE:--I &?? b 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 --_? Additional 50 M BTU 6.00L-' ? ? Gas Outlets (minimum of 1 required @$3.00 each) J, ? ? State Surcharge .50 3i. TOTAL 33 SITE ADDRESS: S S41 ANA)TI7C?vL OWNER NAME: 7 C?/L 114ijJ /AJG PHONE #: INSTALLER NAMF• 'STREET ADDRESS: ?1737 6N/ C?ev L- LL' CITY: L 1 STATE: ////1i• ZIP: PHONE #: (G?pZ) b 'P ?bSLZ / CITY USE ONLY L _ BL _ SUBD. RECEIPT #: DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are n-ol required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: ?$25.00 Ininimum fee Qr 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ CITY: PHONE #: TELEPHONE #: SIGNATURE: SIGNATURE OF PERMITTEE STATE: ZIP: CITY INSPECTOR ) ?/ Q? w !Nl?'? 3ECZZPT +6 :IP? DATc CP To 1QH G51 NM ? , ??L??. ?-?? ?L.?J15n 3Z ADVIMmD ^_'?3A2 :IiERE 5 A r."'?"'.? SHORTAGS CH :'a ABOYE ?,c.CTRIGL I2STAi.:.ATION iN :'fE aMOUNT OF 3 ? f?r SHORTACEE M5T 3E ?ASD +HIT!?I2i :u DA:S. RF2".ARi6 - ? 0 ^o !00 amo serv=cea zL) 101 t0 240 amo. servicem PE?ZMIItI OBIG. Rs.CEZPT,I REC°I?'f UATE ?ZETf7?tN a COPY OF THIS FORM WITH REMITTANCE- ) t- ?, (< ,?z I'l G? lclzl 121201?? 624c? ? ???. /a*4 CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN iI.4KE CHECK PAYABLE TO: g& L ELEr-T_RIC ADDRESS: 3933 WEST 143RD STREET SAVAGE MN 55378 LOCATION: _ ssi. ver.rrvnRNF. wnnns DBIVE IT77`-Rl= HAWT14(1RNR W(10DS 2Ni1 ? RECEIPT#/DAT'E 0I/06/97 - 68777 VALUATION REASON FOR REF'UND DUPLICATE PAYMENT OF AD?ITIONAL FEES DUE. TYPE OF REFUND ELECTRICAL PERMIT 3211-9001 $ 37.00 PLUMBING PERMIT 3212-9001 $ MECHANICAL PERMIT 3 213-9001 $ BLTILDING PERMIT FEE 3210-9001 $ PLAN REVIEW FEE 3422-9001 $ snC (MC; ws) 2275-9220 $ sa.c (ciTY) 3866-9379 $ SAGADMIN 3446-9001 $ WATER CONNECTION 3865-9220 $ SEwER PERMIT 3743-9220 $ WATERPERMIT 3713-9220 $ ACCOUNT DEPOSIT 2252-9220 $ WATERMETER 3716-9220 $ ROAD i1NIT 3860-9375 $ WATER TREAT'MENT 3868-9220 $ suRCHARGE 2155-9001 $ UTILITY ACCT OVERPAYMENT 2250-9220 $ CURB BOX DEPOSIT REFUND 2253-9220 $ CONSTRUCTTON METER DEP REFUND 2254-9220 $ WATER USAGE CHARGE 3711-9220 $ TOTAL $ 37.00 I declaze under the penalties of law that this account, claim or demand is just and that no part of it has been paid. FEBRUABY 4 1997 Signa e Dace cLAim.voL ? UBD??? ;d HECEIPT t? ce0 7?? 'sCLIPT DATE r;Tt rz?t . _ ? To sOB VWl1L[i ? t- L ?- _ ( F PzEsE Bs ADVISED THA: TME zs A FEE SiiORJI.?.,,a ON THE ABDVE - II.ECTAICl?.L I2STALIr?TZON IN Ti? AMOUNT OF $ ?? 47 SkdRTA GE MLbT 3E PAID VHIT.'iIH 14 DAYS. REMARILS ? 0 to 30 amD. ci*cu'ts= & i / 0 co 100 amo service? 2 D- :Oi to ZQO amo. service= TOT,1L FEE DUE- , r ww ' a i ORIG. BECEIPIB RECEIPT DATE rg ? C )o RETi1RN A COPY OF THIS FORM WITFi REMITTANCE. d? ? f&f- G Ict I 4? -- Surveyor's Certificate SURVEY FOR DESCRIBED AS Butler Housing Corp, Lot 2, Block 3, HAWTHORNE WOODS 2ND ADDITION, City of Eagan, Dakota County, Mlnnesota and reserving easeMents of record. A4? ? ? ' E,; ? st i4„,, - -? TB.= 9oq.p ? I ? I I E A G Ai?, REV??'?ED UMED LOT SQ, F17OTAGE = 16,695 PROPOSED ELEVATIONS Top of Foundation =qit•? Goroge Floor = RIl'2 Basement Floor =qo5.5 Aprox. Sewer Service = 897A Proposed Elev. _ Existing Elev. _ Drainage Directions = Denotes Offset Stake = • SCALE: 1 lnch - 30 feet BENCHMARK, naH CD r.oc 211? elev = q24.o MIN. SETBACK REQUIREMENT: Front -ao House Side -lo Rear - "/A Garage Side - 5 HEDL (JND 1?BY C?rFY TMAT 1HI5 IS A 1RUE AND CORRECT REPRESENTA710N OF 1HE BOUNDARIES OF 1HE l80VE DESCRIBm PROPERiY AS SURVEYFD BY IAE OR UNDER MY DIRECT SUPERNSION AND UOE9 NOT Pl1RPORT TO PL1NHlNG dNGl1VBdRlN6 SURiBYIN6 SHOW IMPROVEMENTS OR ENdtOACHMFNTS, EXCEPT AS SMOMN. 9201 Ewl 8leaninqlon Fnswuy p/1G ? . gypnMatpb MN 59420 DAIE S/Lphonx (614) 8M-0289 Etfi. UNDOREN, LAAD SURVEYd NESOTA UCENSE NUMBER 14376 nv: 9bR• 159 gutler4(o City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 554 Hawthorne Woods Dr Lot: 2 Block: 3 Addition: Hawthorne Woods 2nd PID:10- 32151- 020 -03 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Royalty Remodelers 4411 Slater Rd Eagan MN 55122 (612) 414 -8199 PERMIT City of Eaan Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: Permit closed without required inspection(s). Letter sent to applicant on 2/13/09. (pf) Building EA080876 11/05/2007 ePermit If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - $88.50 $1.50 $90.00 Owner: David Anderson 554 Hawthorne Woods Dr Eagan MN 55123 0801 9001 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144359 Date Issued:07/24/2017 Permit Category:ePermit Site Address: 554 Hawthorne Woods Dr Lot:2 Block: 3 Addition: Hawthorne Woods 2nd PID:10-32151-03-020 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 Anderson 554 Hawthorne Woods Dr Eagan MN 55123 Clear Choice Restoration 2722 Hwy. 694, Suite 100 St. Paul MN 55112 (612) 259-7177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152068 Date Issued:09/26/2018 Permit Category:ePermit Site Address: 554 Hawthorne Woods Dr Lot:2 Block: 3 Addition: Hawthorne Woods 2nd PID:10-32151-03-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David Anderson 554 Hawthorne Woods Dr Eagan MN 55123 Clear Choice Restoration 2722 Hwy. 694, Suite 100 St. Paul MN 55112 (612) 259-7177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169484 Date Issued:05/27/2021 Permit Category:ePermit Site Address: 554 Hawthorne Woods Dr Lot:2 Block: 3 Addition: Hawthorne Woods 2nd PID:10-32151-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 & Susan Etling Anderson 554 Hawthorne Woods Dr Eagan MN 55123--305 (612) 867-4693 Sedgwick Heating & Air Conditioning 1240 Trapp Road, Suite A Eagan MN 55121 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature