558 Hawthorne Woods DrIN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
TION RECORD
PERMIT TYPE: ` 4 "
Permit Number: ;sa 1'
Date Issued: o r 11 4
SITE ADDRESS: t, p T= ! nl. IItic KA
lfltMf W(.?I)I1% 1114
1??111? IIi?F,M1 lit+??i.?•? .'Nf1
PERMIT SUBTYPE:
APPLICANT:
( t- 1. 1 N4 , 7:7 ib ri `+ t{
TYPE OF WORK: ?
I I; -l1 INt.'. I I I t'rNA1
?
? ,
---------------
Permk No. Permit Holdor Date Tetephorte M
ELECTRIC
PLUMBING
HVAC
Inspectfon Date Insp. Commenta
FOQTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBIN(3
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG ?S'/y 7
DECK FINAL ? ,
INSPECTION RECORD
VTY'.OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
tagan,'Minnesota 55122-1897 Date Issued: (612) 681-4675
SITE ADDRESS: FAPPLICANT:
f.?.?: ???,??i?????;??r ?.a???,?t?: i,r? i-.rc ???r.,nHr? r;i i??? ra??
PERMIT SUBTYPE: TYPE OF WORK:'
INSPECTION ..
, ??,.. . ..
I I;iv t•; h Ll 1';1lr',rtN ,•i''1 ii1,?
1 , 1 VF t . 1 A y K I N 1 i.r1NI I Ptfl"? I 111 1 , ? N e I (l t r I IiI 1,?( f t i) !11 1 I
Permit No. Permk Noider Date Telephone t
ELECTRIC 1 000
. 4ffCYJ. 7iiP; 9 O
,PLUMBIN SfO q? ? - ?r&j
HVAC o Id y2 f?G /- ?U
InspocUon Date Inap. Comments
FOOTINGS
FOUND
71 Iw {, IQ 4-0 1 ' bx G
-?
FRAMING V JD
0
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
Q?'r
GAS SVC
TEST
d
INSUL
GYP80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
J
FINAL HTG
/> ?
/?]
ORSAT
TEST
BIDG FINAL
BSMT R.I.
BSMT FlNAI
DECK FfG
DECK FlNAL
7 `r
?
„? g
? ?.At
, Wemftca#e af cccuvanc?
?c?rt?eNr of ?r?t??g ?x?ccti.?
Thrs Certificate esseud pwrsuanr to the requirements of the Uniform Building Code
certi,fying that at tlu tinee of issuance this structurr was iR compliance with the various
ordinances of the City regulating buildereg construction or use. For rhe following:
use cAssifiation: SF D1X' aidg. Pemne IVO. 959) ?
00-p-Y TYPe R3AJ I Znaing Distria R 1 'type Const. NN
OwnerofBuildm6 SR?TWANf1 WIRLS IM Adbmss 9526 HMTZM jR, 3M.T?-
BuildinE Addmss 558 NAW7A-RNF? Cei7IDS TIRTW- l.ocaliry
? Datc:
Bui6dicg tJfricial: i
POST IN A CONSPlC:l10US PLACE
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681•4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas
(20 % maimum lot coverage ailowed)
• 2 copies ot plan showirg beam & window sizes; poured found design, etc)
• t set of Energy Calcula6ons
• 3 copies of Tree Presenation Pian it lot platted aker 711193
• Rim Joist Detail OpUOns selection sheet (bldgs with 3 or less units)
DATE VALUATION (EXCLUDING LAND
JOB SITE ADDRESS Nd 4 iihn)v\( t,J c,njJ ? ri V-Z ?5?_q ?IVIA,i S s( 2, ?
IF MULTI-FAMIIY BUILDING, HOW MANY UNITS? -
PROPERTY OWNERk.GyJn I t n 0 NP (?4 0,/0( I(
TYPE OF WORK ?G? S P vn ?+n `? F i h 1 S/? fIREPLACE(S) _0 _X1 _2 _3
APPLICANT RcnL?I krr?r PHONE# 65?`4S6-0-7c)7
ADDRESS `_?i (A,?,,J^I1????_p _?!Jhnc?$ r)YIVP?'Giq?7h ZIPCODE
PAGER #
CELL PHONE #
01
Z ?O
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9y Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential VentilaGon Category 1 Worksheet
- Energy Envelope Calculations Submitted R?
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor:
Ylumbing Systcm Includes:
Mechanical Contractor: _
Mcch>mical Systcm Includes:
Sewer/Water Contractor:
_ WaCer Soltener _
Waler HeaCer
No. oF 13atlis
Air Conditioning
_ Hcat Recovcry Systcm
Phone #
Phone #
$90.00
P'ce: $70.00
All above information must be submitted prior to processing of applicatlon.
I hereby acknowledge that I have read this application, stafe that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant ` ?f ?%?t^ °?f7?_
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
`-
(7 al?
RemodeUReoair RequiremeMs C) ?
• 2 wpies of plan
• 7 set ol Energy Calculations for heated additions
• t site survey farextenor additions 8 decks
Phone #:
Lawii Sprinkler
No. of R.I. Batlis
Updated 1/01
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened)
? OS 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 30 Accessory Bldg
? 31 ExL Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
p 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Oemolition (Entire Bldg only) - Give PCA handout to applicant
Valuation g/'O!'J Occupancy /Q --? MC1ES System
Census Code 2?/,,? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units l Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footmgs(deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace R.I. Au Test Final
0 Insulation
REQUIRED INSPECTIONS
FinaVC.O.
? FinaUNo C.O.
Plumbing
HVAC
_ Other
_ Pool Ftgs A'u/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved Byalle , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUEST FOR ELECTRICAL INSPECTION
Ee-oooai-os
110, See mshudmns ior comple0ng ihis tortn on back of yellow copy
' "X" Below Work Covered by This Request
Ne Add Rep. Type of Building A nces Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specrfy)
Farm Air Condmoner
Olher(apecify) ContractoPS Famerks
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 1 Amps
Transformers A6ove 200 Amps 700 Amps
SIJf1S Inspecmrs Use Only TOTAL
Irrigation Booms ?
?
Special Inspection L
Alarm/Communication
THIS INSTALLATION MAY BE OR ECT ED IF NOT -REV
ISCOW
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby R°°qn-'" Date
certify that ihe a6ove inspection has
been made. F,nai Date7 _ P?
!
OFFICE USE ONLY
Tnie reduest voia 18 monihs imm
0
6
867 ? s$'
?
? o?o
1 3 0? ?
Req si OaW Fre No Rui- ":nsqection ReQuiretl Inspechon O[herTh n R gh-In
(YOU must call mspector w en reatly) E] Reatly Now III Nolify Inspector
5 OYes No Date Read
IKicensed contrector ? owner hereby request inspectwn ot above electrical work at.
dob Adtlress (Sireel, Box or Rout'e N/p I Qry
Sedion No. Township Name or No, Range No County
y94
OccuPant (Pql?) L Cffq? [.iII/?.r5 /?
` Phong N./ ! 0 7??
?
Powe,ry?SUpplier /
tY4 ko -1104 G Address
/CA6C?xi/s ?bsl.
Elecincal onUac?or (COmpany Name)
?G 2 o A X-?lccT?r`C Conhactofs License No
Mailing A tlress (Cq irector or Owner MaWng Installetlon)
' 6 ?
Authotlxetl Sign ture (ContrectoROwnef Makmg InstellaM1On)
? Phone N^Jumber
?Gj Z
MINNESOTA STATE BOAqO OF EIECTflICITY
Gtlggs-MiEwey Bidg. - Room S128
I
II
?
?
I
?
?I
I?
I
I THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BV THE STATE BOFRO
1821 University Ave., SL Peul, MN 55109
Phone(612)6i2-0800 . . . UNLESS PROPEP INSPECTION FEE IS
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ? ee-ooooi-os
See instmctions lor completmg tlus Porm on back of yellow copy
--?- ??"X" Below Wark Covered by This Request
Ne Add Rep, ype oi Building -Appliarises Wired Equipment Wired
Home Range Temporary Service
Duplez Water Heater Elecvic Heahng
Apt. Building Dryer Load Management
Comm /Indusinal Furnace Other (Specify)
Farm Air CondiLOner
Dther (speaty) Contraclore Remarks'
Compute Inspecfion Fee Below:
# Other Fee # Service Entrance Size Fee # Circurts/Feeders Fee
Swimming Pool 0 to 200 Amps 4 0 to 100 Amps o0
Transformers Above 200 Amps Above 100 -Amps
SignS inspecror's Use Oniy TOTAL
Irrigation Booms Gr L 9U
Special Inspection
AIarMCommunication n"nhJHPPTPn
THIS INSTALLATION MAY BE ORDEREIF NOT
O[her Fee COMPLETED WITHIN 78 MONTHS.
f
I, the Electncal Inspector, hereby Aouqn-st oat
certify ttiat the above inspection has
6een made. F,nai o
?a
OFFICE USE ONLY
This request voitl 18 months irom
d .SCS?57.?
0-
$ 6 6E
'
? ?
s
3
lieques Oale
'/,?Q?
? Fre N Rou h-In InSpecUOn Requrtetl Inspeclmn OlherThan R uqh-In
(Vaum ; cay,inspector when reatly) 0 Reatly Now ll Notdy Inspector
0 7 Yes ? No Date Fead
I pilicensed contractor ?owner hereby request inspection of above electrical work at:
Job Atldress (SVeet, BoK or Ro [e No )
,S'?S?' f??awf.Co.e? cdatad.r P2 Qry
64A(
Secbon No. Township Name or No Range No County
Dccupar
M RINTJ
PM1One No.
P5y-o ys?
Power Sup jber
:6/4Kd Gl ??GcfC.CisZ pddress
14:;?Fir-'00? ii1 K 'L
Elecirical Connacmr (Company Name)
,?.?; zc,, cD. Conlractors L¢ense No
Ma?bng Adtlress (COnVacto? o, Owner Malung Installebon) -Z?c D.7 C'a '4?'j-e-
Author¢ed Siqnature (ConlracrodUvner Making Installation)
? l ? Phone Number
J
MINNESOTA STATE BOARD OF ECTPICRV
Gtlggs-Mitlway Bltlg. - Room 5128 1
1111
111
11
111111
111
111
I?
I THIS INSPECTION REQUEST WILL NOT
BE ACCEP7ED BY THE STATE BOARD
1821 Unlversity Ave., S1. Paul, MN SStOd
Phonef6121642-OB00 . UNLESS PROPER INSPECTION FEE IS
ENCLOSEO
Address 558 HAWniORM woons nRIVE Zip 5512 3
<
Lot 1 Blk 3 Sub AAWItIORtE k17oDS 2AID
THESE I'fEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 49 S Yes No Inspecror:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of waier supply to
the oufside lawn fauce[ before freeze potential exists.
Con[act engineering division at 681-4645 before working in righbof-way or installing underground sprinklet sys[em. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy
? ??0\7
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ? / q / (? J
Site Street Address Won dS !F)e1 Unit #
Property Owner knd` I' N"? ?( U C?'1 Telephone #( f? 6 01U ?
H.P. PIpEWORKS
Contractor 3670 DODD ROAD 7elephone # ( )
Address p+GAN, MN 55123 City State Zip
VJ J7' ?
/
Contractor _Other
The Applicant is: _ Owner "
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
_ new ` replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
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 required to be reviewed and approved.
M Inr,,? E?k,l,l
ApplicanYs Printed Name'
?U
?
u
2005
ApplicanYs Signature
PERMIT #
RECEIPT DATE: '2 J Y O 1
M1DER7I*L f'LUli3BING PEgMIT APPLICATIOIV
cnYoF F-AsM
3830 PILOT KFOB IiD
£A&AA, MlY 551 E8
851-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: SS ? 1'(-OIk,4kU0Ne uJC9DdC' 4J7c'
OWNER NAME: : /1N in ?41-JC /a^TELEPHONE #:
(AREA CODE)
INSTALLER NAME:
HONE#: t(JSI -e -?e?DaJ?o
?,aRea coo >
STREET ADDRESS:
CITY: ? A -70oJ V STATE: (`N ZIP: SJ % R
Place a check mark next to the ermit work t e
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
. new installationlrepairlrebuild of RPZ
• lawn irrigation system
• waterturnaround
WU?? i?(l??
??Cl
?
,
Nature of work:
_R.
Septic System, newlrefurbished - $ 225.00
. includes County & Consulting Inspector fees
• requires MPC license
State Surcharge ???? I I?? I II I $ .50
IIII t b i `-'
L Total ILII? `? $
Reminder. Be sure to schedule inspections of alterations, :e: water-h , softeners, etc.
I hereby acknowledge that I have read this application, state that the information is corred, and agree to complywith all applicable Cityof Eagan ordinances. It
is the applicanPS responsibility to nohfy the proparty owner lhat the City of Eagan assumes no liability for any damages caused by [he City during its normal
operational and maintenance activities to the facilitles constructed under this permit within City property/right-of-way/easement.
SIGNATURE OF PERMITTEE
Updated 1f01
?i? RESIDENTIAL
UILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
657-681-4675
Naw Conetructlon Aeaulremente
. 3 regMered site surveys showing sq, fl. of bt, sq, tt. of housa; antl ?II roofed areas
(20%mazhnum lot coverage allowed)
• 2 copies of plan showbg beam & window sixes; poured fountl tlesign, em.)
. 1 set ol Enargy Cakuletlons
• 3 copies of Tree Preservation Plen 8 bi plattetl afler 711/93
. RIm,bISlDetailOptbnssalectlonsheet(btlgswilh3orlesSUniLa)
DATE - I " t2'aZ
SITE ADDRESS S 5'c( fI m?7N o- u---,? /)? • MULiI-FAMILY BLDG _Y 'FI
TYPE OF WORK tl H"FIREPLACE(S) :f_0 _ 1_ 2
American Bwlding C°nuactors
APPLICANT 12247 Niwllet Ave. So.
STREET ADDRESS Burnsville, MN 55337 - STATE _ZIP
_ c? nr-
k
TELEPHONE # CELL PHONE # FAX # f-
cri
PROPERTYOWNER TELEPHONE# ysb'
---------- -------------°---°---------° °---------°-------°---------°--------------
COMPLETE THIS SECTION FOR °NEW11 RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Venliletion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Enveiope Calculatlons Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Wafer Contractor:
Fee: $90.00
171' ??
7lp, 4?I'?' ?',i
ScP 1 3 2002 ?i
Phone # II p
Phone #
U
Fee: $70.00
--
I hereby acknowledge that I have read ihis application, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordin_ ances. p
Signalure of Applicant 1J??Vl?U
OFFICE USE ONLY
?
VALUATION JP' Water Softener
_ Water Heater
_ No. of Baths
pemodeVReoair Neauiremente
• 2 copiesof plan
. 7 set of Energy Calculations for heatetl addilbns
. 1 site survey for exlerror additions & decks
• Indiple H hane served by septlc system for add'Abns
Phone #
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY . .
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Att - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Poroh (screened) O 36 Multi
O OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 StormDamage
? 06 04plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicaM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type af Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Pertnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
- RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
?5 3,7? 3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New Construetion ReauhemeMs
• 3 regislered sne surveys snowing sq. ft ol bt, sq, tt. M house; antl gll mofed areas
(20% mexknum bt coverage albwed)
• 2 copies of plan showing heam & wuWOw sizes; pouretl found design, etc.)
• 1 set W Energy Cabulatbns
• 3 copies of Trea Presenatbn Plan tl bt platled atter 7l1/93
• Rim ,bisl Detall Optbns selectlon shaet (Dklgs wAh 3 or less units)
DATE q 1,? I Z'(r2,
I y G,as
NemodeVHeoair Heauiremenb
• 2 oopies of plan
• lsetofEnergyCakulalmnsbrheatedaddRbns
• lsitewrveyfore)terbradAAbns&decks
. Intlicate H twme servetl by sepC?c system for add0bns
VALUATION :q ??•?
SITEADDRESS 55% Nqw7'I{o-`?^/u•?S D-:w- MULTI-FAMILYBLDG_Y "N
TYPE OF WORK FIREPLACE(S) `0 _ 1_ 2
?-- - -- - - -- --?
i American Bung Contractors '
APPLICANT 12247 Nicollet Ave. So.
STREET ADDRESS Bumsville, MN 55337
TELEPHONE #`+5 z- 7°-l-C-y r 5 CELL PHONE #
6Sr r
PROPERTYOWNER IZmrr-o? TELEPHONE# ys6- 074'7
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Coniractor:
Plumbing system includes:
Mechonical Conhactor:
Mechanical system includes:
Sewer/Water Conhacfor.
_ Air Conditioning
_ Heat Recovery System
STATE _ ZIP
FAX # 4 r-- l Serw
Phone #
Phone #
r.---_--
!. Fee:r $90.00 '-"
S'P i
IL?LI
-------------------- °---°---------° --°------------° --------------°------°----------°------------------°----------
I hereby acknowledge that I have read thls applicatlon, state that ihe informatlon is correct, and agree to comply
wlih all appllcable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnoture ofApplicant
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
uPaacad aroz
OFFICE USE ONLY
? 01 Foundation
? 02 5F Dwelling
? 03 Otof_plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
O 31 New
13 32 Addition
E3 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex
? 08 06-plex O 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 laplex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Poroh/Addn. (4-sea.)
? 23 Poroh (screened)
O 24 Storm Damage
? 25 Miscellaneous
,
? 30 Rccessory Bldg
? 31 Ext. Ak - Multi
? 33 Ext. Aft - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg only) - Give PCA handout to appllcaM
Valuatlon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC
O
_ Footings(deck) .
.
_
FinallNo C
O
_ Footings (addition) .
.
Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _
_ Framing Final Pool Ftgs Air/Gas Tests Final
_ Fireplace _ R.I. _ Air Test Siding Stucco Stone
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 & Suroharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
? CITY OF EAGAN
3830 Pilot Khob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N._ 10-32151-010-03
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
558 HAWTHORNE WOODS DR
LOT: 1 BLOCK: 3
HAWTHORNE WOODS 2ND
B,Giltling?Permit Type SF DW6
Ouilding Wp,rk Type NEW
'UBC Occupancy''. R-3 U-1
'
`? Construction 7yrpe V-N
.`? Zoning . R-1
Building Length 69
Buildin9 Width 32
?-. 6,u,i,iding stories 2
S;qup
' ra Fset 1.783
!
F -
i t
oko ?4s t-I
BUILDING
025912
06/29/95
REMARKS:
PRV 5& W PL9R - PARSON5 PLBG
DRIVEWAY ENTRANCE MUST BE CONCRETE 9EFORE CQ WIIL BE ISSUED
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$1,127.25
$394.54
$74.00
$850.00
100
$2,445.79
$148,000
MISCELLANEOUS $1.892.50
Total Fee $4,338.29
CONTRACTOR: - Applicant - sT. LIC. OWNER:
STEINWAND BLDRS INC 18940498 0001055 STEINWANO BLDRS INC
2526 HORIZON DR 2526 HORIZON OR 102
BURNSVTLLE MN 55337 BURNSVILLE MN 55337
(612) 894-0496 (612)894-0498
I hereb'y acknowledge that I have read this application and sCate that the
infiorma 'on is correct and agree to camply with.all appliceble State of Mn.
Statute nd City af Eagan Ordinances.
?
10
A PIiC NT/ E S NATURE ?? ISSUED Y: SIG RE
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
025912
06/29/95
SITEADDRESS: P.I•N.: 1e-32151-01e-e3
LOT: 1 BLOCK:
558 HAWTNORNE WOOOS OR
HAWTHORNE WOpOS 2N0
PERMIT SUBTYPE:
SF DWG
APPLICANT:
3
STEINWAND BLDRS TNC
(612) 894-0496
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS D. .
FOUNOATION D.
FRAMING ROOFING
INSULA7ION FIREPIACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - PAR80NS PLBG
DRIVEWAY ENTRANCE MUST BE CONCRETE BEFORE CO WILL BE ISSUED
F ,
L
I
?
?
?.
? ? „
' CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATiON (RESIDENTIAL)
681-4675
. , ,
? 3 reglatered site surveys ? 2 copies W plan
? 2 capies of plans (include beam & window saes; poured fid. design; etc.) ? 2 aite surveys (exterior addttions & decks)
? 7 energy calculations ? 1 energy calwlations for heated addRions
? 3 copies W Mee preservationplen 'rf IM platted aRer 7/1193
required: _ Yes X No
DATE: June 20, 1995 CONSTRUCTION COST: $156,000.00
DESCRIPTION OF WORK: New Home Construction
STREETADDRESS: 558 Hawthorne Woods Drive - Eagan, Minnesota
LOT 1 BLOCK 3 SUBD./P.I.D. #: Hsawthnrna Woods Second Addition _
PROPERTY Name: Hancock, Randal & Diane phone #: 612/456-0707
OWNER `^°' """
5treet Address' 4468 Whitetail Way
Cjty; Eagan State: MN Zip: 55123
CONTRACTOR Company: Steinwand Builders, Inc. phone#: 612/894-0498
Street Address: 2526 Horizon Drive - 102 License #: nOnin55
Cjty: Burnsville State: MN Zjp: 55337
ARCHITECTI COmpany: Feehans Residential Arch. ph0lle #•612/494-3224
ENGINEER
Name: Tom Feehan Registration #•
Street Address, 20415 County Road 50
City: Corcoran, NIN 55340 State: MN Zip: 55340
Sewer & water licensed plumber: Parsons Plumbing &:ieating penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
applicable State of Minnesota Statutes and City of Eagan OMinances.
Signature of Appliqnt:
OPFICE USE ONLY
Certifiqtes of Survey Received v Yes
Tree Preservation Plan Received _ Yes No
is correct and
lMw?iaiq'W?
comply with all
G??
OFFICE USE ONLY
BUILDING PERMIT TYPE
? (olz
/Yx 3? = S32
? 01 Foundation ? 06 Duplex o 11 Apt.lLodging ? 16 Basement Finish
os(-02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
-0=31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 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
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Basement sq. ft. ---412Y- MCNVS System d1-
? Main level sq. ft. 72 City Water oc
/ sq. ft. /, n-7i
? Fire Sprinklered
/2-? sq. ft. PRV sS
sq. ft. Booster Pump
? sq. ft. Census Code. /p I
3y Footprint sq. ft. 7 63 SAC Code _gL
P e Census Bldg
vl 3?ii-3?h Census Unit
3
_ Building Engineering Variance
Valuation: $ lygy.v°O ?
aw,+ /rx 8. 2s ? 1 y
l2 x S/ ' (olZ
Z.zr'F3Q.f ' 89
n.?sy9g ° NN7
cawr l•sX &.xs = I z
l,
v 3, Z?
(?pvsz Ltac?
?,rX iz.s = /4
L
/Y x 3e ' S3 g
07 Sj ,=
S -71 $3 q
/Y7,?
_ ? ?..
0
zx i?.s - 33
/Bx yF-r ? s3 I
z? rs.s = 3y
Gx.s = 3
? ? x? ?
?. , LOT 87RVEY CHECRLIST FOR RESSDENTIAL
oiw , SIIILDING ERMIT APPLZCA ION
W S? PROPERTY LEGAL; .0e
?, ? ?- Dat• of 8urvep:
DOCIIMENT BTANDARDS
LA??EJ 0 • Reqistered Land Surveyor siqnature and company
19' p D • Buildinq Permit Applicant
0 • Leqal description
V ? • Address
D • North arrow and baP scale
E( ? 0 • House type (ramblez, valkout, cplit v/o, split entry,
lookout, ete.)
? D • Directional drainage nrrows vith slope/qradient t.
? 0 • Proposed/exiatinq sever and water services
? D • Street name
E' C] Q • Driverray
Existinv
iY? 0 • Sewer service
0 • Lot corners
H' 0 0 • Top oP curb at the driveway
D? 0 • Elevations of any existing adjacent homes
Brooeeed
va caraqe lloor
First floor
? Lowest axposed elevation (walkout/window)
? Property corners
n • Front and rear of home at the foundation
NG !IR
D C?'/0 • Easement line
e' • NwL
13
n ca?n ? xwL
• Pond # designation
D ? • Emerqency Overflow Elevation
31/LJ 0 • Lot lines
Q/D 0 • Riqht-of-way and sLrset width (to back of curb)
Pf D D • Propoaed home dimensions lncludinq any proposed decks,
overhangs qreater than Z', porches, etc. (i.s. all
structures requirinq permanent footiaqs)
0 D • show all easemeats of record and any City utilities within
J those easementa
D D 0 • Setbacks of proposed stzucture and setback of adjacent
exisiing homes
a Retainin r irements, if any
? Z
Rsviewed:
N e / ate
Oetober 1992
M.H.5
r • 3'RT. P.O.C.
21 +49
5?
' 6??-1/16 BEND
0 54.0S & W 0+59
As44;w34' 28
S GO 893.5
6'-I/16 BEND X
M. H. 7
,
460
.
S B W O+BZ
s42,w33'
S&W 0+68 895.7 27
90l.4?321 6"GATE VALVE
2 6"x 6" TEE 62.,
PRESSUf2E REDUCING FACILITY 6 I/ 16
8- (2) 6 GATE VALVES TO BE 'END?
INSTALLED BY CITY OF EAGAN-
REF??NOTICE TOCONTRACTORS??NOTE-
\ UPPER RIGHT. 62Or
J / \
iUCER 26
25 ?
79.0'
6"- I/16 BEND o
6/.0 .{?
GATE ?
VAWE ?
55.0 '
?-----
80.Or
?
32.0
19+13 35.5?
Z
3
- 4
4L0?
S&W Ot69
2 s47;w59'
8937
?- M. H. 6
38.5' 4'RT. P.O.C. 20+50
48.0 0
i ? saw o+3r
? s49',w57'
? 895.2
O?O ??
? ?? ???
???z
??
S Ot10
s 46; w 66 '
sszs
OPOW/ 35.5 '
_ ,.__•=
'
- C
O CU?,; i
TkE C! i Y QF EAGAfV DOES PdQi
.
.
33 3THE ACCURACY OF UTILI fY LOCAI'10?15
.5 F,iUl?/OH ELEVATIONS. THIS DATF1 IS F0R
M.H.B ? saw?+2s I?o;ORkl?ATiORI PURPOSES Oh.LY AND
s'RT P.OC s49,w59 pERSUiJS U81NG IT SHOULD ?IERIFY THE
i?+6? 905.6 INIFORWiATI01V ON'fHE SITE.
8"GATE VALVE UTII,. SF.RVLCES To s e
CONSTRUCTGD RY OTIIE RS
,,FROti IIACRMORE DRIVF, SIDE
FUTURE (BY OTHERS)
2410 U
DRiVE
.
18
7
.
I ? soz
o E.
?
?
?
`
-DIP
,
9
Lri
m
145 Lf -8'P.V.C.
SDR 35- • °?
?^n I TRdC:
M.H. 6 M.H.S
; i
(`?.
,?-b. J?,!'C` ) r ll('?F 4?" ,?C!' ,ej Q4i ?^L?.1 c
?{`I
UTILITY I_OvAT10? : i
AN-D/ R GLEVAT ONS. THI3 QE,iA C ?=C Fi
lEErO1 ti+ATiOfU URPOSES Ge:LY WI ' 7
p?p-LY !"`i Gi?S USIN IT SHOULty -??-
f"
INFC ;AA7i0PJ0 THESITE.
R.E.903 6
R.E. 901.7
`° - -
° - c
N ?_ ? - --- - -,--- _?
i 138 L.F.- "PV.C. LIOOL.F. g??%
'I SDR 35- °? ?•05 SDR 3 2.20
? i M M
? co
? I
I
? ?R?S 1
: BROt{VIV J
m
2. REe RD. PL
GITY OF EAGA
wommommm
=.XT'FP'tFi=1k F.P•1VE:L.CsF'F AVei.RAt_+c "ll° 1,0Sh1'='!JT'A7IOh!
C1WIVl=:t;.... ......... The H{zr-?coc-E:: h'eresid. f='L(?IV PdU._ '?-C>;;?ib-b
SITE ADDR I'.JS
C:C1NTRAGFt) fr-----------5tienwand N1tjrs. i)F.1'L------ ----------, f'H(.?hiE-----
DE'fE:fiMJhlE 4Jr',Rh::]:NG sUURRE F-OLi'Rl,t
3253.16
t, Tcatal e:>;nused wail area 3317.48 sq<+t. ., .11 :364,9228
2, 'f'otal r-oofir..eilinU N.rE.,a 1201 eq.+t :. .U:''u 31.226
_.. Tcaia1 floor carite area ia sqeft. :. U.C':t'h i?
inver LtYthP_at('rj enclosed areas)
4. iGt-el.1 flObY" Ltitl't'. =1rec1 I9 SQo'f"t'.. ;. Cl.(>R 1.5:
(ft'Y'?r unheatec.1 e:.p{]SE''Cj aY'Ea5)
5. Tnte.l e;,posed wa7..l area above th e fl.nor- --------- -- 2936.16
z. -fol-a1 wai 1 wi ndoUi area........... ., • - . e . ,, , e 331.771'
b. -Co±al dnor a.rerM .e.,. u...e.,....?...?..,..,? ::7,81P4'
c. Total s7.iding g 7.a.ss door area .........,,,e. 77.7722
d, l"atal fi.rep:tace aren , ..„.,..,....,,?........ v`
a. Tot.al wa11 fram inq a rea tave, ii>; 1... .. .,. 293.616
f e Tat.al net wa11 area ahove• the FZGG!'....... ;:195. 152
q, Tot.zl rim _7cist area .....,.,e...a..,...... =317
l'C1TAL E_XPOSED f"OtJNi7F?TILN ARE.A ., . . . ? , . . ... . . • . 64.0:
h. Total fG:lrtda'F.lC;I'i window area.......,....... p
i.. Tot_al net foundatiuri area., e . .. .... ... . . , . 64.32
DPtrai'fTil.nP "U" .Vaillf? C?'f L'aCh Wall seyinent
a, 311.7713 ,. "L!" +>D 39 = 124. iS`108
b. 37.8189 ;<. "U" 0.06 = 2.269134
C. 77.7722 ., nUn fJ.39 -. 'U.':?} }.6
d. !_) ° u° f } = f.l
f:e 293.616 ;', "U" 0.090334 - 26.5235c;-S
f. 2195.1£3:' :, "tJ" 0.043215 = 94,36521.
n. 'i: ;: "Ll" O,O4O68:; = 12,89666
h. _ "U" 0.39 -
-
-
i. 64.32 "U" 0.076161 _. 4.B93705
b.....,..n.? ..............?...,..,..,..Tata1 301.1753
_
If item #_h is t.he samE: ?=. nr l?ss th??.n item #k1 vou havF met the current
ener-gy ccades. 2 MCAfi 1.16008 A AIUll Cl.
3-0'('FiL. EXF"f)3GL; F'<CIOF; L=L1L7:NG F1HEH 1201
j. Total s4::y7. ighY are,a . . .. . . . . . . . . . . . o . . . . . e . . q
4: , Total f 1. at r-oof i r_ei 1 x ng frami n?.? ar Ea ...... 120.1
1. '('nt ak net f 1 at roo F /cet. ]. i nq areaa . . . . . . . . . . 1080.9
DetE-rmieie "t}" value foi- each roo{/clg. se!7rnent
.1 . 0 ;. " L1 ° Q =.. o
k. 120.1 ., "U" 0.026925 = 3.23371
1. 1080.9 ;: ??U" 0.022795 = 24.63871
7 ...................>...eu.....a.... Tota3. 27e8724;'
I'f i.tem 07 :LSi tk'iP_ 5i3flYFiY a5 f7I' lE?Eo? thElfl ltEii7 #2 you h"etY'E.?"' (TIE:t tfi£
enerey code. ... MCAR 1.16008 A AND Oe
? TOTAI_ F"I_[)Ct#; CAIUT. AREA (enc7os*d) . i'
o. iotal f3.aor can±. framirig area (ave. ii>%). t,
p. Total r7ei insuAaieri #loor/cant. aresx...... 0
Deter-mine "U" value for each i loor-fca.n±. =seoment.
n. 0 ;; °Ll" 0.064 LA.4 = q
p, ii i; "V.J" 0.029386 - t>
8.e........n.e.................e....To±a1 p
If iterri #8 is thEs samE• as c;!^ less tha.n 1tPITi #3 vou have m2t the
Eaner-*ly cnde=. :'. MCAFl i.lraE?i» A (-11VD 0.
TCJTHL FLO01=tlCAIV'T. GRE.A (exposed) 19
n. Total flcaor/cant. framtnn area (cxve. 10"/.). 1•9
r. Total net insulated sleor-Jc<tnt.. area ...... l;.i
DC-'{':.E'Y'(117.C?P "ll" va1ue for eac:ii floorlr..ant, seqmcnt..
qa , 1.9 ,. "LI" f>.f1:Jrr43+'? - 0.10913'
r. 17.1 ,. "U" 0.027894 = 0.476997
9.,e,,....,...,,..........,....e....,,,fu'La1 4?.b861:'
IF item #4 is t;ie same as ar 1ess than it.em 44 you have met t.he
enFaryy coiie. 2 MCAR 1.16008 Fl HNI} 0.
I HC:Ftl=B1' i_ERl"1:F1' 'fHA'I" 't FiA4'E Cf3LLUI_.Fi" S7 '1"NC "?J FA"TCiFt? F1ND ??R''
VRL.I.JES IiFRE3:M1l F,14i> THRT "'H.F.. B.iTL.T1.T.NG ti . tL. DF:? C nR G(XCEED:
'fHE: Sl'F?l"F_ L?' MINNESCI'TA -::NERGY' C;C31*IS["ItV IOIV A'
-- - ----.
tsicnaturj)
_ ?. . 5
-----?__.---------_....___.--
(dare)
, . Di_"fEt:MIIVG "Li" VRLIrE'S':
TFIf,U STUI) Wi.'f`H S):DTNf :y S?F'.
Interior aii-...,.. 0.68
Shie.ei_ Roc:k:.,a..,.. 0,45
"I'hermrl--Bi-eak...... Q
Stu[i,,.,......,,_.,, 6.93
Shea{:hir7n. , e . . , . . . 2.06
Siding .,....,,.... o,78
1=:>;tertnr Axr.... - 0,17
Total °Fi" Value .... .,...... 11.07
1/R - "U" Vall{E'.... ....... ,I).fl9fj.'•.'4
THr-,u IraSuLFTlON W):TH szuIr3r & S.R.
]ntr-arior Air.a.... 0.68
=_;heE± Roc:F:.. , . . . . . e 0.45
Thermia-HrPaE:. .. . . . , ri
Snsul. iti on, . , . . . . . 19
S hB dtfl 1. i'1 Cj . . . . . . . ., . 2.06
Sidtnq............ 0.78
Exter:i.ur Alr...... 0,17
Total "R" Va1ue....... ? .. . . 20.14
fiR _ "U" Valuh....... ,.... tr,q4;:i't:1°;
THRU C;C T f_ I NG rIE:MBEF:
Interzor- Aii-...... 0.68
Stieet Rnc4:. . . .. ,. . , 0.08
C:eiliny MerrEher.... 4.35
Insulati.on,,....., 30„9:3
St:i.ll Ai.r•......... 0.61
jnt<al. "F•" Ual.ue. ,, e. .. a.. ... 37.14
1:fi =- °U' Ufl1UE3.......e..,,,t1,[l2.;]ii_5
TI-IRU CE I L.. I NG T N5iJLA"(1 QIq
T.nterinr Air,..a., 0.63
Sheet Roc4:......... 0.58
T r-c su1 at i ari . . .. . . . . 42
S+,il1 F1i.r.....,.v. 0,61.
Total "F<" Va1ue , . .. . , . . . . . . 43.87
i /R _ "U" VnJ. i.ie, , . . . . . . . . .. 0.022795
THF1U CCiNC;REI"E rtL.OC1::
Fnterirr Air ,...,.
c:onc. Fi16:. . e... ...
In=,ulatiorn..... e , ,
She.ei_ Ir4;. (opt.).
f-_'::t.eri.or Air.,....
0.69
L,.G8
1'?.
C!
0.17
Total "i." Value . . . , . ? . . . . . D 13. 1 _:
I/R = "L}....... ,,....e..,.oe.O:,ii76161
inrci! nj.re .!a..vtzi i
Ir1tE'.rlOr i`-ilY'„..e.. (V.Lid "
f.nsi_ilat:inn „e..?„ 14
F'i!n .7ais#..,,,...... 1.Hv
Sheathina......... 2.Q6
S;di.nq..a,.......e 0.78
Ext.erior Ai.r..,.,. 0,17
l"crt.at "W." Vaiue ,...- .,s.,e 24.58
1/R _ "U".,,.e...,.e..,,.o 0.04068`
iJ" vsai ue f ar wi ndnw. .,.,,.. rr. ":9
L" va7 uF fr:r dnor<.s...... . , . 0.06
U" .v.al?!.e 4or Pat.io lirs..... fie..,9
THkU CANT. 4b h3f:.MBER (ETt{.-..I.i7sEd)
i.iitE?Y'].C}Y' <3].Y'„„„. .a E.)o!Sci
Finish f 7nprinn...
lJnde; laY'Ri.F.i7F.,,„..„„
I-'lY1n+C1t7d......„..„. C),?.?
,7cri.=..t,.,,..>....e. 11.50
Sheej'. Etiorl:........ 0.58
Sta3.}. Atr,.,.?...a. 0.,61
7'nhal Va:lttc-....... ..... 15.54
1fFi -- "U".,,..o.....e...,,,,a.0.Q4u41.t44
T}iRl.1 CF1h!1'. @ IiVSt1t_A7IC]IV (encln,ed)
Litericar Ai.r..,...
Fi. m. sh F=1 ocii^ i. nc7. ..
;_lnderiaymcnt.„.....
F'1 ywcic:d 7 , . . . . . . . . .
Insula+.ian..?..,?.
:;heek. Rcxt.F:, e a „. e . .
Sti11 Hir...,,.„,.,
0. f.il
1, i'.'
()
0. 9..`_
_';0
0. W-)
0.61
Fntal "R" VG7iue.,.,.o..,..?
1iF1 = "i;"e.......,.,,..,w,,..0.n;;9,;86
THfzIJ CAIVI". t@ MG:!`1Ht.h .car.pnse:di
3nt.eri.or Air,..... 0.68
Finish !=l.nnrinq... 1.2:=
Underl. z,iyment, .. . , . i,
r'.L vwood .... .e. ?... 0. y.T
.TOis+,.,ee<<<..,.. 11?5L,
Sheathinc?.,.,.e,.., .-_.cit,
SnFf.'tt....,........ O.7H
Er.ter-ior G'3i.r...,,,, 0.17
T'u@.al 'r.t" Va1uE. . . - - , . o . . 17.41
? /R __ "fJ". . _ . . . .. . . .. .. . e . .?!., 057438
T1-iR11 S_:APJF, {a INvs",s_1L.Al"TClN (E:<pn=_:E:?tJ)
Inter-ic?r- Air...... 0.68
Finish F.I.i:)!]t'1.nCie.e J ,'y7".
iindr>r7.e.ymenl-..,.rt. ti
F' 1 Y4NG{-rCi .. ..,.,,
n.a e x v. v e v .Jlf
„41iiF•athinc7.,......e 2. pf.,
Soffita........... 0.78
E:xteriqr, Air.. ,o.. O.j;
TotE31 ":fi" Va1 iae. . . , . . . . e . . e 35.83
f /R _ "V ..... . . . . . . . .. . .. . , e 0. 027894
i?:¢;:;YW.?fi?<Nc?8•??t%?m:t<X?:dY,iY??YCae?z 8<W;r?::?Ca?MY?Yr>KW:;c?l?;;(YCx..?;
r...i.rY r.ir- F:nGAM
C;fl;iii-fCEI't:: S Wt1:Cn!n!. NO: K?
nA1f:u I:li':14,/97 t7.Mf::c MW':i1r'
iD:
MAMlii:,; 131"1'_INHAND 1:!_I?iiS .f?C
32:1.0 9001 558 HANH'1'III;NE. SQ,.(]f]
2155 900:I 558 NAbl! ITII?NG: 0.50
k
117I:a1 IieCe:iu1; A.;r'?t u SO.-i0
CFt1i:3F;ti? .
USEn M tdP.NC'd
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, ..
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-32151-010-03
PERMIT
PERMITTYPE: aurLosNG
Permit Number: 030416
Date Issued: 0 7/ 14 / 9 7
558 HAWTHORNE WOODS DR
LOT: 1 BLOCK: 3
HAWTHORNE WOODS 2ND
DESCRIPTION:
,,..,„.._
B,ui],cliri4,Permit Type
/Buziding t4,r,k Type
?CensusrCode }
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REMARKS:
DECK
NEW
434 ALT. RESIDENTIAL
FEE SUMMARY:
Base Fee $50.00
Surcharge $•50
Total Fee $50.50
CONTRACTOR: - Flpplicant - ST. LzC OWNER:
STEINWAND BLDRS INC 19855111 0001055 HANCOCK RANDY
23080 PILLSBURY AVE 558 HAWTHORNE W0005 DR
LAKEVILLE MN 55044 EAGAN MN
(612) 894-0498 (612)456-0707
I L
i
T hereby acknowlerJge Chat I Mava re?,ad,this
informatian is corract and agree to comgly
StatuCes and City of agan Ordinancts:
=APPPLICA L? /PERMI GNATURE
a-pFliaation and state tMat the,
with all applicahle State vf Mn.
ISSUED BV: IGNATU E
?
3b y?'? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) `4?50 S 0
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
iw Construclion Reouirements RamodeUReoeir ReauiremeMS
? 3 registered s@e surveys • 2 eopies M plan
• 2 wpies of plans (indude beam & window saes; poured fid. dealgn; etc.) ? 2 site suneys (exterior ed0itions 8 tledcs)
? 7 energy cslculationa ? 1 erreryy oalwlations for heetetl adtlitions
? 3 copies ot hee preservation plan if IM pletted efter 7N193
required: _ Yee _ No "
DATE: July 1, 1997 CONSTRUCTIONCOST: O$4 00.00
DESCRIPTION OF WORK: 12' x18' Deck
STRE?TADDRESS: 558 Aawthorne Woods Drive - Eag an, MN
?
LOT 1 BLOCK 3 SUBD./P.I.D.#: Hawthorne Wo ods 2nd Addition
PROPERTY NBme: Hancock, Randy and Diane PhOne#: 612/456-0707
OWNER
StfeetAddreSS: 558 Hawthorne Woods Drive
Clty: Eagan State: MN Zjp: 55122
CONTRACTOR Company: Steinwand Builders, Inc. Phone#: 812/985-5111
StreetAddress: 23055 Pillsbury Avenue License#: 1055
City: Lakeville, Stete: Minnesota Zjp: 55044
ARCHtrECTI Company:
ENGINEER
Name:
Phone #:
Registration #:
Street Address:
City:
Sewer 8 water Iicer.ned plumber (new construction only):
and lot change are ?equested once permit is issued.
State: Zip:
Penalty applies when address change
I hereby acknowledge that 1 have read this application and state that the inTortnation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
CeRificates of Survey Received
_ Yes _ No
Tree Preservation Plan Received - Yes - No
OFFICE USE ONLY
0 11 Apt./Lodging o
0 12 Multi RepaidRem. ?
n 13 Garage/Accessory o
n 14 Fireplace n
A 15 Deck
...-, ?
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
? 05 SF Misc. 0 10 _-plex
WORK TYPE
X 31 New o 33 Alterations
? 32 Addition a 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
a 36 Move
0 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Planning Building , F!'V)
Permit Fee
Surcharge
Plan Review
license
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
r
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Misceilaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump ?
Census Code.
SAC Code (01_
Census Bldg 1
Census Unft _6
Engineering Variance
Valuation: $
% SAC
5AC Units
"r \
L t BL 2 ciTV use oNLr
SUBD. lTa7h/T?7o/Ri(12 Vacqc --zd
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
RECEIPT #:
DATE: // O/95
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Ges Piping Outlet ' minimum - 1
Rough Openings
Water Softener
Private Disposal ' Dakota Cty. license
U.G. Sprlnklet * home under const.
Alterations * to existin9
Water Turn Around
EACH
x
x
x
x
x
x
x
x
x
X
x
x
NO.
TOTAL
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
9
?
T
3
?-
?-?
.50
DO
SITE ADDRI
OWNER NA
_ INSTALLER
STREET ADDRESS: -30d A / .S?)o l/I
CITY: D?_ i Y.° Qc STATE:? ZIP: ??626 /
PHONE #: (G/-Z'-) kt?;)` e PERMITrEE
/
?
?
?
?
i ?
L _ BL _
SUBD.
RECEIPT #:
DATE:
1895 PLUMBING 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 = required
for each dwelling unit.
DATE:
ADD ON REPAIR
WORK TYPE: _ NEW CONSTRUCTION
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 1% of contract 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 ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
SIGNATURE:
APPLICANT
STATE: ZIP:
CITY USE ONLY
CONTRACT PRICE:
STE. #
CITY OF EAGAN
L 1 BL 3 CITY USE ONLY
SUBD. ?#alt//f?DAU'L°_ VUd.'?9 ?Nu
RECEIPT #:
DATE: Y//v 9 S
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -1675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? New construction Add-on furnace
Add-on air conditioning Fireplace conversion (to existing fireplace)
Date: ? L? 9.5J
FEES
? 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)3 j,DD
? State Surcharge .50
TOTAL
SITE ADDRI
OWNER NA
INSTALLER
STREET AC
PHONE #:
CITY: /-! a A.? ! 1O!'flCit21?STATE:? ZIP:,TG?? 9
PHONE #: (li/;?-) 3G J4 "606?1
(P,4
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 68114675
Please complete for: ? all commercial/industrial buildings.
? mutti-family buildings when separate permits are not required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: .$25.00 minlmum fee Q 1% of contract price, whichever is greater.
p Processed piping - $25.00
? State surcharge of $.50 per $1,000 of pgrpA fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (InnPROVennENTS oNLv)
INSTALLER:
ADDRESS:_
cinr:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE
STATE: ZIP:
CITY INSPECTOR
? ** *
* PIO4MlfR
* ena nserl
. *
? Certificate of Survey for:
AND
tntro aL
2422 Enterpriae Drive
Mendota Heights, MN 55120
(812) 887-1914 FAX:881-9488
pR5 ? qNl ENGINffR9 --
. uNascAvc utanhcrs 625 Highway 10 N.E.
Bloine. MN 6543M1
(e12) 783-188Q FAXs783-1883
558
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,
/
912,5 « ?2
"o
1 /?? SJ
C.B- ?
16J ?
tS.S, ?o
t-,\2 < i ????py
`?h
( ``\
a
BENCHMARK
TOP OF IRON -'' ? \ 91fi 1
ELEV=917.96
cn a? \ ?? •
?.•
`0
\--...
00 y?l$,4 9?4.6
?
'00 ?
!0
6%
SX
? 909.4
\
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?
eASEMENT PER UTILITY ??\h
- ` PLAT -c--'-' \
?.AG/?6?! .,? ...___.____.._____ `,?____
s?s.7
REdIEWEp 921.1
S87°54'25"E 140.71
i?
: rr G $? fr
PROP9SED HOUSE-E,Uql10N
NOIE: PROPOSEO GRAOES SNO`hN PER ORADINO PLAN BY: MFR
N01E! BV4DING OIMCNSONS SHOWN ARE FON HORIYONTAI AND VERTICAL LOCATON LOWEST FLOpR ELEVATION: 91z'o
OF $TAl1CNRES ONIY. SEE ARCHI7ECIUAL PLANS i0R BUILpING AND ? zU ??
FWNDAPON DIMENSIONS TOP OF BLOCK ELEVATION:
NOTEt NO SPEaFlC 5COL5 INyF51iGA11oN HA4 BEEN COMPLCTED DN 1NIS l0T BY iHE
SURVEYOR, TNE SUITqBR1TV Of SWLS TD SUPPORT THE SPEpFlC HWSf GARAGE SLAB EIEVATtON: l•
PRCPOSED I5 N0T 7NE RESPON5IBILI7Y OF iNE SURVEYOR•
Notl: THIS CER17flCATE OOES N07 PURPORT TO SMOW EAS[MEN13 OTHER tF1AN X OOP•00 DENOTES E)fISTINC ELEVA710N
THOSE 5NON4 01! TNE RECOfSDEO PIAT. ( 000.00 ) DENOTES PROPOSED EIEVATION
DENOTES DRAINACE IMD U11U7Y EASENfNT
NOtf; CONTRACTqR AIUST VERIFV DRIVEWAT DESIGN. _.._? pENOTES DRAIHAfiE fIOW DIRfC110N
N07f_ BEARINGS SHOWN ARE BASED ON AN ASSUMEO DANM --?-- DENOTES MONVMEHf
-=Q-- DENOTES OFFSE7 HUB
WE HERfBY CER7iFY 70 StEINWAND BUILDERS, INC. THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
o?orA couBTMOCKSOT? HAWTHORNE WOODS 2ND ADDITION
iT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED 6Y ME OR
UNDER MY DIRECT SUPERVISION THIS 15TH OAY OF JUNE, 1993. ,,.w
SCALE : 1 INCN = 30 FEET
PIONEER ENGWEERiNC? P.A.
r
ED
po°a?
$IDEWALK
BENCHMARK
TOP Of IRON
ELEV=916.26
912.5
? ?
• • ?* i('
* PIONMMR
* en0 neer np
**?*
? Certif(cate of Survey for:
/
i
/
911.S?f(
558 MAWTHORNE WOODS pRIVE
SIOEWALK
(giZ
C.B.
t6.7
l0
17,2
cpt`
?e
BENCHMARK ?`!
TdP OF IRON "
ELEV=917.96 z?i
2422 Enterprise Drfve
Mendota Heiqhte, MN 55120
(812) 881-1914 FAX:881-9488
PLANNERS• LANDSCMf ARC1M1EGT9 625 HighwaY 10 N.E.
9laine, MN 55434
(812) 793-1880 FAX:783-18$3
?
/
l'
?'v\
?
!p
00
_-TOPCOf IRON ?
?-_ELEV=916.26
?
JIKL?905.6
/ V0.
tOa
r 2
i'!'U? t?6• -p..? j
?o a? Q.?pv 912.8 ? 812,5 fperfE$
96.0 ? + LAM964159
Z A404to qlAW.
908.5
916.1,. 14. " ?,^ \?? ? ??aa?? •s?i
909.4
\\ DRAINAGE ANQ UTIIITY
5 eASEMEN7 PEri PLAT
- - _.....-- ,.___.,....,___.- ---a...._.?....___._._? ?
921,1
(q-p.ll S87°J4'25*E
NOYE: PROPOSEO GRAOES SNONN PER GRAOINO PLAN BY; AIFR
NoTE: BUIlDINO DIMfN510N5 SHOYM AFtE FOR HORIYONTAL ANO VERiICAL LOCATON
OF STRIICNRES ONLY. SEE pRCNITECNAL PIANS FOtt BUIi.OINC AND
FWNDAiION bIMEN510NS
NOTE: SURVEYOR. ME15t/RAHIIIT' M SOII.Sg70ESUPPORiL EDSPE FlC MWSfY THE
PROPOSEO i5 NOT THE RESPONSIBIUT( oF 1ME S1RVEYbR.
140.71
97 2.7
( qi2.
PROPOSED HOUSE F? V.?A71N
LOWEST FLOpR ELEVATION: z• b
TOP Or' 6LOCK ELEVATIOH: ?7U•6
GARAGE SLAB ELEVATION: ?
HoiE: THIS CERT1f1CATE oDES NOT PURPORi M SMOW EASEMENTS OiHER 7HAN X OOO.OD DENOTES E%1571N0 ELEVAMk7
Tti05E SN01k1 oN 1N6 RECO{tDED PIAT. ( 000.00 ) OENOT£5 PRdFO5E0 ElEVA110N
DENOTES ORAINAGE d140 u11Utt EASEMfNT
NOTf: CON7RACTOR 1AUSi WRIFY DRI'XWAT OESIGN. OENOTES ORAINAGE FLOW DIRfCTION
NOTE BEAPoNGS SHONTI ARE BASED ON AN ASSUMED UANM --?--DCNOTE$ MONUMp1T
----13- DENOTES OFFSE7 HUB
`ME NEREBY CERTiFY 70 STEINWAND BUILDERS, INC. THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF A
SURVEY OF 7HE 60UNDARIES OF:
o?or? couBTLOCKsoT? HAW7HORNE WOODS 2ND ADDITION
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCNROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED 9Y ME OR
UNDER MY DiREC7 SUPERVISIqN 1HtS 157H OAV OF JUNE, 1995. r-r,
SCALE : 1 INGH n 30 FEET
PIONEER ENGyQEERING{ P.A.
t
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162485
Date Issued:07/16/2020
Permit Category:ePermit
Site Address: 558 Hawthorne Woods Dr
Lot:1 Block: 3 Addition: Hawthorne Woods 2nd
PID:10-32151-03-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Randal S Hancock
558 Hawthorne Woods Dr
Eagan MN 55123
(612) 801-6689
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162486
Date Issued:07/16/2020
Permit Category:ePermit
Site Address: 558 Hawthorne Woods Dr
Lot:1 Block: 3 Addition: Hawthorne Woods 2nd
PID:10-32151-03-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Randal S Hancock
558 Hawthorne Woods Dr
Eagan MN 55123
(612) 801-6689
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167925
Date Issued:04/02/2021
Permit Category:ePermit
Site Address: 558 Hawthorne Woods Dr
Lot:1 Block: 3 Addition: Hawthorne Woods 2nd
PID:10-32151-03-010
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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.
Valuation: 15,000.00
Fee Summary:BL - Base Fee $15K $265.50 0801.4085
Surcharge - Based on Valuation $15K $7.50 9001.2195
$273.00 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 -
Randal S & Diane K Hancock
558 Hawthorne Woods Dr
Eagan MN 55123--305
(612) 801-6689
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature