570 Hawthorne Woods DrCITY OF EAGAN
3830 Pilot Knob Road
Eaqan, Minnesota 55123
PERMIT TYPE:
Permit Number. '
Date Issued:
i SITE ADDRESS:
? 590 . . uC?i?E1:? l?t:
PERMIT SUBTYPE:
APPLICANT:
w
TYPE OF WORK: ?
INSPECTION ..
r;
n T Ml
r
Permk No. Permit Holder Dete Telephone N
S/W
PLUMBING
HVAC
ELEC IC
ELECTRIC .
Inspectlon Date Insp. Commenb
Footings I
Foundation
Framing
RooHng
Rough Plbg.
Rough Htg. 1
isui. 1?!
Fireplace
Final Htg.
Orset Test /( r .
Final Plbg. Plbg. Inspector - Notify Piumber
Const. Meter
EngrJPlan
Bldg. Final ?a3 Q Np CO unjeSS dTiVeSJd entrance 15 COTICT'2t
Deck Ftg.
Deck Final
Well
Pr. Disp.
Ad'
C,',e./ LT.'y ISIQ `f T ,f- ??er' 6Gw
.
I;
C?
WeL`ttfiCQt¢ of CCC1tpQnC4
Witv of Cf agatt
zepartmettt of 13Kiibiag 3xOoection
This Certifrcate fssued pursuant to the requirements of the Uniform Building Code
certifying that at the tinre of issuance ?his structurr was in compliance with the various
orrlinances of the Ciry regulating building construction or use. For the fo!lowrng:
'i llu C7assifiatioo:SE LWC B{dg. Pertnii No. 2253.r1
I ?
a-m-Y TYPe R3M l - Zoning Dimict R I Type Consi.
( Owner of Buiiding ARI .Trl''iT7J Rf 7Y! IYY1P neerem 14551 = RD-I6-B' VTT T?-
S-wh-g Aam-
uilding O(ficial
l.acaliry
Dmr
POST IN A CONSPICUOUS PLACE
REQUEST FOR ELECTRICAL INSPECTION
<< ? See inatmctions for complehng this brm on back of yellow copy
P9 2314 5- `'X" Be/ow Work Covered by This Request
EB-0OPR?jI@F
? /lJ
L
Re
e A Rep 7ypeoiBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heatef EleCtriC Heating
Apt. Building Dryer Load Management
CommJlndushial FUrnace Other (Speciry)
Farm Air Conditioner
Olher (speody)
Compu[e Inspechon Fee 8elow Contractor5 RemaeYS:
"
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 100 Amps
Transformers Above 200 _ Amps ove _ Amps
SIgnS Insp clora Uae Only TOTAL
Irrigation Booms
/
13?
^•?
? r
Sp
Special Inspection ?3?P
Alarm/COmmunication THIS INSTALLATION MAY RED DISCONN CTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby
Rou9h-m ?
`'
Date
•y
certify that the above mspection has
been made. F,nei oa
OFFICE USE ONLV
Thia requast witl 18 monihs fmm
3? ?2 €3/
?s 9? ?23 9 f ? i2. i7 0/d'
M 23145.
Rcque/st Dqate J J ire No. Rough-n Inspection
pequ n I Must Call Eleclncel Inspeclor
NOTICE: YouR
ior??
es ? No ratl.
Is R
CK y
I hcensed contractor ? owner hereby request inspechon of abov? lectrical rk h-"
JoE Add% Str? , ? r Route No
? v vA.qi Ciry i `
Section No Township Name or No Range No Caunty
Occupan
t(PFINT) Phone No.
/?Q
G
z?
` a
t-pp'cr AddreSS ? ??Qe?(ry„/ ,[/?'
oz
u.
J ..? w . ..rso?
ElecVical ConVactor (Campeny Name? ?
?
Gz" Conlre?cto ??nse N
cej?o
/ / ? 1741
?
.
i ?.C? C.?
Malmg Atlaress (COntroctor or ner Making Instellation)
,2.31,2 Z@.• 'I "'/ioi
Aulhonied SI nV cbrNwner l/abon) Phone Num er /?J
_
M % d
MINNESOTA STATE BOAPU OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
GHggs-Mldway Bltlg. - Foom S173 BE ACCEPTED BV THE STATE BOARD
1821 Unlversiry Ave., St. Paul, MN 55104 UNLESS PPOPER INSPECTION FEE IS
Phone (812) 642-0800 ENCIASED
Addre? 570 [?Awni? wuons nxrvE Zip 5512 3
Lot 5 Blk i Sub xnwnmrmE wrms 2nm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ,?9 Yes No Inspector: 46l
Final grade (" from siding) t/"
Permanent steps (garage) V?
Pertnanent steps (main entry) ?
Permanent driveway 1,111?
Permanent gas 41,11,
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 lhe shut-off of wafer supply to
the outside lawn faucet before freeze potenlial exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New ConsWCtion Reauirements
3 registered stte surveys shaving sq. ft. of lot sq. ft of house; and all roofed areas
(20% maximum lot ooverage allowed)
2 copies of plan showing heam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 wpies of Tree Preservation Plan'rf lat platled a(ler 711193
Rim JoistDehail Options selection sheet (hldgs with 3 orless unils
Office Use Onlr
Cert of Survey Reoi
Tree Pres Plan Recd
Tree Pres Not Reqd
_ On-site Septic System
S ",)Z Cc.?A
nate J? /-7- / ,9 1 con5tructioa co5t 2 z, o e e T
Site Address 3"70 /Q 6,_,f "?? ?w Gv? Z!?_ ? UniUSte #
Description of Work X /z C_l d?
Multi-Family Bldg _ Y_L- N Fireplace(s) _ 0 _ 1 _ 2
Property Owner .s? " Telephone # ( )
Contractor /?, K
Address 75-0 5 ?o?1sJ?.._„ -4?'2 Z? City
State /GfA/ Zip -9-573 6'% Telephone # ( )
I
I 5v-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submitted
• Energy Env Ic?
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge 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
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
RemodeVReoair Reouiremenis
2 copies of plan
1 set of Energy Calculations tor heated additions
1 site survey for addilions & decks
Adddion -indicafe if onsde septic system
& ae- " 'l/ ad?
Applican Ys Printed Name Appli t's Signature
OFFICE USE ONLY i S
Suh Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex 17 Garage ? 22 Porch/Addn. (4-sea.)
? ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex j
,y?s. 18 Deck 19 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 17 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ribg_,Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
x 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) - Give PCA handout to applicant
Valuation Occupancy R°3 MC/ES System
Census Code LI 3 y Zoning City Water ?
SAC Units " Stories ? Booster Pump
Nbr. of Units Sq. Ft. ?yk PRV ?
Nbr. of Bldgs -' Length Fire Sprinklered ?
Type of Const -5) Width 33
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
? Footings (deck) FinallNo C.O.
Footings (addition) _ P1umbm8
Foundarion _ HVAC
Drain Tile Other
RooF Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
? Framing _ Siding Stucco _ Stone
Air Test
R.I.
Fireplace Final _ Windows (new/replacement)
_
_
Insulation _
_ Retaining Wall
Approved By , Building Inspector
-- ------------------------------------------ - -- - ------ --------- -- ------?----------- ------------- -- --
Base Fee / ?`
r
+ 7~
Surcharge l1d4 C14
C
Plan Review
d f c k ?
MC/ES SAC
g ?! 38
ciry sac
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT
CITY bF VAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
suzLozNG
022535
11/18/93
SITE ADDRESS:
P.I.N.: 10-32151-050-01
570 HAWTHORNE WOODS DR
Lor: 5 sLocK: 1
MawrMORNe woops zNn
\'6\q3
pu D\/\
DESCRIPTION:
B,tf1l•d3:Pf4.,Permit Type
ouilding WrQ,rk Type
,-AlHC O ccupan,cy'`,,
rf? CansCruCtian TYpe
Zaning
r'8uilding Gehgth /
C4 BviIda.ttg Width
3 -
SF DWG
NEW
R-3 M-1
V-N
R-1
71
45
?.,
REMARKS:
PRV S& W PLBR---DRESHER EXCAVflTING
FEE SUMMARY:
vALuArznN
Base Fee
Plan Review
5urcharge
SAC
SAC &
SAC Units
Subtotal
$944.00
$613.60
$93.50
$750.00
100
$2,401,10
$1 V! 40Y/ G
MISCELLANEOUS _,$1.744.50
Total Fee $4,145.60
CONTRACTOR: - APPxicant - sT. tIC. pyyNER:
ARLINGTON HOMES 14329725 0003200 ARLINGTON BLpG CORP
13774 PRINCETON CT 14551 CQUNTY ROAO 11
SHVAGE MN 55378 BURNSVILIE MN 55337
(612) 432-9725 (612)432-9725
T tter$bp ackno•wledge that T have read this applicatian end State theti t•he
informatian is ctxrrecL and agree to corhpl,y with all applicabi2 9xate af Mn.
Statutes and City af Eegan Ordittances.l
APPLI NT/PERMITEESIGNATURE UE BV.SGNATURE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: aurLplNG
3830 Pilot Knob Road Permit Number: 622535
Eagan, Minnesota 55123 Date Issued: 11 J 18 / 9 3
(612) 681-4675
SITE ADDRESS: Lo T: 5 aLQ c K e 1 APPLICANT:
670 HAWTHORNE WOQDS DR flRLING70N HOMES
HAWTHORNE WOOOS 2ND (612) 432-9725
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION
FOOTINGS D. .
FOUNIJATION ,.
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN H7G
FINAL PLBG FINAL
REMARKSa PRV S& W PI.BR - DRESHER EXCAVATING
? I
,??? ? •,
, , , 1 .,
?
?
REACT1jATE _ ??;?-, ,'i"v?? ? CI1Y OF EAGAN ?
$,1?{?, t?Q
PEk:°9?IT f' 1993 BWLDING PERMITAPPLICATlON 4
vt 1993 681-4675
114
SIN6LE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAI 2 sets of architectural Q structural plans, I set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2} address is changed or 3) lot change is requested once permit
is issued.
Date Yaluation of work
Site Address: ..?7?AkeG4U'd1?2?lGrl??'?`"?'
STREET fUITE /
Tenant Name: (commercial only)
IAT Jr SLOCK ? SIIBD. •I.D. *
Descri tion of work:
The applicant is: ? Owner 1irContractor ? Other iDeccribe>
Name Phone
Property LA5, ?IRST
Owner Address
SIREET STE I
City 5tate Zip
company ?Phone
Contractor Address /4/; _51_ License N ,4?6?t'? Exp. ai 22_
/?
City?,?.!/?-?-?i..??.?-? - State 7-k-d ZiP
ArchitecU
Engtneer Company Phone
Name Registration f
Address
City State C?-s? Z i p
Sewer & water licensed plumber. Prucessing time for
sewer & water permits is two days once area as been appro d.
I hereby acknowledge that 1 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: Alv-
a°
OFFICE USE ONLY
. t
BUILDING PERMIT TYPE
" ?
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
Hr 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ' ? 17 Swim Pool
? 03 SF Additivn ? OB B-Plex 0 13 Garage/Accessory 0 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comn.JInd. Misc.
p 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
OZ 31 New C] 33 Alterations O 35 Tenant Flnish ? 37 Demolish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System Y?
(Allowable) lst F1. sq. ft. City Mater ?
UBC Occupancy ?( 2nd F1. sq. ft. ARY Required yEs
Zoning R-I Sq. Ft. total Booster Pum p
! of Stories Footprint Sq. ft. Fire Sprink ler
Length• __Tf? On-site well Census Code /6/
Depth 4S, On-site sewage SAC Code ?
APPROVALS ?
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS '
0 5ite ? Footing ? Framing 0 Insulation
? Wallboard ? F inal ? Draintile ? Fireplace
Permit Fee ww.cid,: S 0OC)""
Surcharge
Plan Review CsARA/-,b: 3,4x 2y= g1b
license
MWCC SAC z x 12- = (L4)
WaterSConn. zx 2 y2x2'/Z,"=?
Water Meter gsn?cT; ?$9 -A 16= 1ZbZ?f .?-??
Acct. Deposit
5/W Permit 31 x3z.? Il??f ZNaF?_ooQ',
S/W Surcharge x ?1 ?= iZI -
Treatment Pl. 3yx3q;: /f.s(a ,
RoadUnit 5Xj=5 Ix il_ (10
Park Ded.
Trails Ded. 3K?'r(Q) lflX+:o? 2r?u'°?_??
Copies `Z).2'1ax2'l?:?3) zxP= ?_"`_ 5 ?'rGNt
Other
Tota1: ?ygl ?o? 1
SAC % 1p0 ISS
SAC Units
Zu?KZs _?B b(o
u SV
W ? 41
m
c
8, 0 0
a ?o
C?? D
.H' ? 0
Bf ? 0
e?o 0
$?0 ?
ELEVATIONS
Existina
D 0-1? • Sewer service
PJ? ? ? • Lot corners
{r D 0 • Top of curb at the driveway
0? 0 • Elevations of any existing adjacent homes
Proeosed
?0 ? • Garage floor
?0 0 • First floor
,0'?? 0 • Lowest exposed elevation (walkout/window)
@? 0 ? • Property corners
H?0 0 • Front and rear of home at the foundation
PONDING AREA3 (if apDlicable)
D 0?0 • Easement line
[3 0--? 0 • NwL
r3 .@? ? • H47L
0 8?r ? • Pond # designation
D Cd' 0 • Emargency Overflow Elevation
0 ?
?-n o
Pf ? ?
D 0 0
I.OT BIIRVEY CSECRLIST FOR REBIDENTIAL
BDI;
YROPERTY LEGAL•
CIIM_E_NTSTANDARDS
• Registered Land &urveyor s3gnature and company
• Building Permit Applicant '
• Legal description
• Address
• North arzow and bar scale
• House type (rambler, walkout, split w/o, split
lookout, etc.)
• Directional drainaqe arrows with slope/gradient 8.
• Proposed/existing sewer and water services
• Street name
• Driveway
entry,
DIMEN6ION6
• Lot lines
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
• Show all easements of record and any City utilities within
those easements
• Setbacks of proposed structure and setback of adjacent
Revie,
October 1992
Date of Surveys /4/ii/ Z,7
J ?
7%
, . . EX'PERIOR ENVE1',ppE AVERAGE "U" COMPU'CA'CION
()WNER :?
SI'CE ADDRE55 : I..c>"T !7 13i.uC-k
CQN:CRAC'.C()R: DA'CEY- ll?1f q? PHONE:
DE'CERMINE WORKING SOUARE' FOO'CAGE UF EACH:
1. TO'CAI., EXPUSED WA7.7. AREA _4'1,?37+? SQ. F:C. X r!1 = ?ZIrI
2. '.CO`.CA]', ROOF/CEIMNG AREA T(Oflo(01. SQ. F'.C. X tD
3. T(7`.CA7.. EXPOSED WA7,L AREA CALCUI,A'CIONS:
'Cotal exposed wall
ar.ea above.floot
a) 'Cotal wall wi.ndow area
b) 'Cotal doo)r ar.c#a
' v
3, . . SQ.F'r. X „U„
37?7 SQ.F•r. x -U- c07 = Z?
c) 'COtal sli,di ng glass door area ?,v SQ. F'.C. X"U" r/? = G?' 47
d) :Cotal fiteplace wall ai:ea U SQ.I".C. X""U" ' _p_
e) 'Cotal wall framinq area SQ.F'C. X°U°
(average 10%) "
f) :Cotal net wall area above SQ.F'.C. X"U" rOf3 = l.!&7i1-
iloor (insulated)
'7
c?) '.:ccal j:i.m joi.st area 7
???, Sp.F'C.
:Cotal _
i
foundati.on aj:ea q
(?+?
,>Q.F'C.
(exposed) '
h) 'Cotal foundati.on wi.ndow area ?2_ SQ.F'C.
i.) 'Cotal net foundati.on area SQ.F'C.
above qr.ade
`O',CAI:, a )
X "U" I f
-0?=!ZV --
X ?lU ll ._-_ _ (D
X „v„
thr.ouclh i.)
li i.tem 4± I.s the same as,' oi- less than i.tem #1, you have met
the i.ntent of 2 MCAR 1.16008 A and 0.
4 -*0 1 <oG"5Z1 (f ?
PAGE 2
, .
9. TO`CA1, EXVOSEU ROOF CEI],TNG CA1:,CQLA'PIONS:
'Cotal exposed roo£/ I SQ.F'C.
tei.li.n<J area
j? 'Cotal skylicfht area
k) 'COtal i:oof/cei.li.nq
frami.nq ar.ea
(averaqe 10%)
C-" sQ.r••c. x "a"
? = Q
1 (0 f-9 sQ.F,c. x .-U-, oz6 = 4,3
1) 'Cotal net i.nsulated ke?,O SQ.F'.C. X"U" (C)ZZ-=
roof/cei.li.ng avea
4. :CO'CA]'., j ) through 1
If total of $4 i.s thc same as, or less than #2, ou have met
the intent of 2 MCAR 1.16008 A and 0.
42io 6P
A7,'CERNA'CE AUI]'.DING ENVGLOPE DF.SIGN
:Co uti.li.ze the total envelope system methoo, the values
established by the sum of #3 and #4 shall not be greater
than the sum of i.tems 4kl and #2.
1'.
3.
+2.
+9.
CER'CIFICA'CION
I hereby cer.ti.fy that I have calculated the "U" factors and
"R" values herei.n and that the bui.ldi.nq hei:e descri.bed meets
or. exceeds the State of Mi.nnesota Eneircly Conservati.on Act. ?
Si.?jnati).i-e
?
PAGE 2
?
W„
2 v 5 Studa
tITAUCTIDM
?lAll SECTIOH (INSULAtED)
-{)
-(2
R YALUE
tl,?
U ? 1/R ? .f}43
RIM J015T SECTIOtI;
--(1 Interlor alr fllm n_RR
?
IC
14
(d Exterior air fllm
FOUNDA710N INSULATIOtI REQUIREU: , ? ?4•6•
Min. R-5 on entire wall OR 1/R _04
a,n•;•,4 Min. R-10 down Lo frost depth ,
.
FOUNDATIOM SELTION:
1 Interlor slr f11m I R,RB
ti.on 1.0
?••.s_ ..:, , 2 iood F. 3? Insul I ?
., ! ocic .
. 3
?%a:??. ? q E x t e r or a r m
a? ??.d •/•', ?! ? t;
TOTAL Rm
72.96
TF R ' . 08
SLAB ON GMDE U I/R -
d• -
:A`•
.?
• '4! •: ° d'.. '?? A ?•:
.4_ •4
o•
Heated Slahs:
Minimun R ¦ 8.5
. ., . a.
Ur.heated Siabs:
.
•? Winimum R =
6.2
..4,.? 1?.
4•?Q.?'.a•,'a . ?, ???.
,, ? .. ? Q • ',•'t `• p
.- ?.•..?i?i'a .• ? .rF.•.Q?q.?
: f4 •? . ? . ,.,.
. i ? ?: ?; •Q ? .'??? ??'???c)
,.Q . . . ? ..
d ?
{,j.'?• ? '? ??..? •
.
r . .? '' : .. . • •. ' 4•
.
4l?. ,
, , , . .,. . ?
,.Q. ? •'
. • ? V • d ''''
, . q, . . . ?
. . ?'
% p..:. ?.
? .'
:d.. :.a?, . .
. . ? ,..?
Pase 3
W11NG SEC?lON:
CUNiI ^iitt._ t0?
_s A 1 ? UC
teiLiNr, secrinN (trIJutnitb)t
1 Interlor alr fllm ? F
2 ?!R ST .56
3
4 Exter?or alr film Mill n. 1
TorAL R -4L. ?78
U•1/k¦ r^
?
• ' . ?
CEtLIHr, FRAMING SECTIDN:
1 Interlor a{ ff Ini f1,6
2 , -.5
3 na at m • ?T?!
b nter or a r film istill)
S?h - nches so t wooA Ta. ?
d a 1/11 - &2-6
,
? -
? •
? 2 L@
4 5
VENTED
CEILING SEf,T10N (tNSULATED):
1' Interlor alr ftlm 11.61
2
M f.xter or a r m (still) Ii.
TOTAL ?
Ua 1/R
CEILINr, FRANINr, SELTION: 1- leterior air;fllm f1,R1 .
z- i
j - ?
4 Exter or a r m st
S nche so t wood
; TOTAL R ? I
U- 1/Il•;
?
?yr., . .
1 Inslde air.film ' ?.f+l
2
3
A '
S uts de a r 71 m n.17
TO1AL R ?
• tl?
r ?s?., ,,
cr.rv nr Encah
CASH[t=F;. JS TF:FtMINAL N(l;: 693
llFl'fEe 07f21/99 rrMw.:e Mss:;at
IUr
NAME;; SUBl1FHFlN L;ROI.II="2 INC.
300 9001 570 HAWTH[]I1NF W 167.25
2155 9001 570 HANTHQf:NF:: W 4a50
Tf]'h,].I. Rf?C:P].pt Amauni;: M. i';
C{'i :1.133'7 4
iJSER IDc 1FlN
7KXCYX7K?X?N???W#?kYF?(k(?F?C??(?(?tJX?C 'M.JkXtM 'M 'M1k1K ?h?'M'MW?1X?X
1S99 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 di
3 659-681-4675 .1?
?
w Conahucflo R i ienfs
? 3 reglatered sMe surveys showing sq. fl. of lot, sq. ft. of house
and JI rooled areas (204b maximum bt coveraae allowed)
D 2 copiet ot plana (show beam 6 window sizes; pvured Ind. design; etc.)
? 7 sef of energy calculations
D S copies of hee preservatlon plan -iF lof plaNed alter 7/1/93
DATE: ? "/ ? ' g ?
DESCRIPTION OF 1
STREET ADDRESS:
py )os
Bgmodel/ReoaU Reaulreme?h
2 coples of plan --7, 1
1 sei ot energy caleulaFlOna tor heWed addMions
7 sNe survey for exfedor addNlons 5 decW
CONSTRUCTION COST: U? `?rP 3? ?
a
LOT: BLOCK: ? SUBD./P.I.D. #: ?t'Ytg? "l VLr.. ???CTO (tn a?
Name: ? .1ZmMa-t n'1 QJL,o--0..0.. Phone #:
PROPERTY Last FGst
OWNER 5. ,? b (\.l Q??rC.X?-tTvn2.
Street Address: ? rJ ui
Cffy ??rv` State: a.?
Company: e," Phone #•
(area code)
CONTRACTOR Q n o
Street Address: ?/0 7 License # Qa c?f Exp.
City I7 LXI?,tm m. ?, state: M N Zip: Sys? 3 I
ARCHITECT/
ENGINEER
Company;
Telephone #: area code ( )
Street
City State:
Sewer & water Ilcensed plumber (reaulred for new conshucflon onlvl:
Penalty applles when address change and lo} chonge is requested once permff Is issued.
Zip:
I heiehy acknowledge that I have read this applicaHOn, state that the tnformafion is cortect, and agree to compty wifh all applicabl
State nf Minnesota Statutes and Cly of Eagan Ordinances.
Signafure of AppllcanY.
• OFFICE USE ONLY Il I?'" -" --
i,
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes ? No
_ Yes _ No _ Not Required
Name:
Regisfration #:
- - -- - --- - '
BUILDING PERMIT TYPE
OFFICE U5E ONLY
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex O 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
Q 04 2-plex ? 09 7-plex ? 14 ApartmeEits ? 79 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Sofflts/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire 5prinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies _
Total: 1-1 1 • -) s-
Valuation: $
.
SAC Units
°k SAC
1993 MECHANICAL PERMIT (RESIDENTTAL)
CTfY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLIIdGS. AISO, FOR TOWNHOMES AND
COND05 WHEN FERMITS ARfi REQUIRED FOR EACH UNTT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE 1 ?- '" ?? tD ' 5 _:?
NVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OU7LETS (MINIMUM 1@$3.00 EACH) 3
ADD-ON/REMODEL (ExisnNC coNSrxucrloN)
STATE SURCHARGE
TOTAL
FEES
$ 24.00
6.00
.--2
$ 15.00
.50
SITE ADDRESS: S
OWNER
TELEPHONE #:
1NST
CITY: 17 C? I?D 0 -' STATE:ZIP CODE: ?.C -
TELEPHONE #:
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS Wf-IEN SEPARATE
PERMTI'S ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRAC'T PRICE:
FEES
1% OF CONTRACT FEE $_
PROCES3ED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF !.'EKMTT FEE.
TOTAL $
STIE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENfS ONLY)
INST,
ADDRESS:
CITY:
TELEPHONB #:
STATE: ZIP CODE:
SIGNATURr OF PERMITTEE "1TY INSPECTOR
1993 MECHANICAL PERMIT (COMMERCIAL) .
CI'IY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII..Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf.
10. FIX1'URES k:ACH TOTAL
I SHOWER 3.00 3. ? O
WATER CLOSET 3.00
SL BATH TUB 3.00 f. c? o
` LAVATORY 3.00
1 KITCHEN SINK 3.00 3 . ? o
_L LAUNDRY TRAY 3.00 3. c? o
HOT TUB/SPA 3.00
WATER HEATER . 3.00 -O o
? FLOOR DRAIN 3.00 3.00
? GAS PIPING OiITLET • m;?um - 1 3.00 3 c) o
? ROUGH OPENINGS 1.50 Ll. 5 0
WATER SOFTENER 5.00
PRIVATE DISP. • DaLCry. lic. 15.00
U.G. SPRINKLER • tome uneer consi. 3.00
ALTERATIONS ' w atisting 15.00
WATER TURN AROU2vTD 15.00
S?.So
STATE SURCHARGE .50
TOTAL:
Si i E AI'iDFcESS:
OWNER
ADDRESS: °n 1 P 7 ?r ?-\ u S ,
CITY: STAT$: \-\r-,^?l ZIP CODE: fYSL))?r?
PHONE #: ( L 1`U
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDEIVIZAL)
CITY OF FAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
1993 PLUMBING PERMIT (COMA4:RCIAL)
CITY OF EAGAN
3830 PILOT INOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COIvIMERCIAUINDUSTRIAL BUII.DINGS. AISO FOR MULTI-
FAMILY BUI._DINGS WHEN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH
DWELLING U:::T.
_ NEW CONSTRUCl'ION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACf FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF pERl1if!' FEE.
MINIMUM FEE $ 25.00 ? ? '
CONTRAGT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENAIVT NAH'IE: STE. #
OWA'ER NA114E:
INSTALLER:
ADDRESS:
CITY:
PHOA'E #:
STA1'E:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
$cl?-( , kftv?S-?-6ro.v1 c.aJ6ori° Z •4 4-
CxTY oP EACAta Page 1 of S
YEAISIY
TO WOAK 1tITHIN CI1'Y P80PFEtTY/RIC9T•0Y-YAY/EASE9ENTS
.1. LOCaC10A
2. Hature of Nork
3. Trdickfe below l?tam?a t?o be ffectsd aL?d'include • dketeh or plan of vork 2e ba done. .
Curh & Gutter Straet Surfacs
xrail/Sidewalk Trses:
Pond/Watlends ' Public
Tra£fic Contsol Denices/51gne Ysivate '
Drelnage ' Vtilities
• h ? ? ?
• ;':;z Structuxer/Huildings qther U?-?"
/
6. 1[tthod of InatsllaLion ox Constxuation
S, pork to ¦tari on ar aftar:0 snd shai1 bh completed by: -3 unlsie an ;.,
axtansion granted to: by: _ •
DAiE STAFF/DATE
6. Will detouring of traffic be nsceesary? f'1 0 . Ii necssrary to detour traffic,
deaeriba sugganted routa: DETOURS: '1'he Dixeetor of Publtc Works thall be ??,fied i?,vzitinR at leest 72
hgurl in edvance of sny detour being estnb2ished, changed or discontirnaed.
NAHE OF APPLICANT (aIT?PHONE ?2 ' ?9 7 ?
P4EASE PRINT
annxEs/ ?55 / ? ?I /1/?i?? - .? 5-9-37
5TREET Clxy . S2AiE 2IP
NAliE OF PAR'f'Y OR DRGANIZATION P ORHINC WQAK
CONTAC?' YER50N: cEHE0.GENCY (24 liR. ) FHONS 0:.
DAY PHONE
.lllU.'Cl wti v.n... ?
The =derolgned h6rawith accepta the terma and conditlons of thia permit by the City of Engsn ,
•aa harain contsined and agree to fully comply thereWith to the satiefactlon of the City of
ERgan.
Signed: Titla: ??.? pATE.?_.----•-
FOR CITY USE ONLY AtR7i0RIUTION OF. PERHIT
FI2iANC1AL S8C11&ITY: ??? AMOUNT: TYPE:
(Cash,bond,lAC,etc.)
Fea: a Az At- Recelpt No. Yexmit No. KW- me' ? oL•s-
In eoruideration of agreemsnt to eomply !n all tecpeeiir vitb the :eaulations nf the City of
Eagan coverirg sucb operatiotu, and puttuant to authorizstion duly givrn bq ¦sid City oP
Eagan; pasmisaion 1o bersby grantcd for the wnrk to be dons as describad in tha-above ?
applicatlon, ssid vork to be done in aceord+nas with speeial prwisions as hesebp statbd: ?
' J?YPROVEb 8$: DEPT OF YUSL7C VORSLS
"`
ax/D TtJ
- - . ? EA ;
VI?TNlEC 1?1?E DAT6 ? QORlt ISCOltP].ET?fib H[1 T E $E ? REPORSEU YO E IHE FACAN I OITY S FNCINE?R"LI
Yssmit No. Yage 2 of 5 ;
PEATIHENT RECUTATIONS .
Safoty '
1. Traffic shall be a2lowed to pasc snd to be protected at a1: times. If it ia aot
pvssib2s to allow traific to pass, a suicsbls detoux mvsa bc provided aad plans
submittad to ttia D1rQetor of Publie iioxka 72 LouYS in advsnce,
2. Barricades shell be e=eeteB in a manner vhtoh will ysavide auiubla visibility in all
diraotiona. All barricadea ahall Da ia good eendition, u+d a11 signs ahall be of auch
•1ze and legibility to provida adeqoate varnSng to encominY traPfic. At least two 7'
, flashing amber lighu ohall be arounted on eaeh erd berriasde with one on an advance
rarnSng aiga,' .
3, Eueavatios+a must be shored ox sheetad vfien nsceASSry to prevent under-nining of
raadway, trailvays, utLlitier, or fos safety reasons.
4. 4uys oi stays shall not be attached to txeea on rigbt-of-vay or private property
vithous rrrtttea permireten.
5. , Flagmsn shell be furnished by the party ox erganization performing the werk vheaever
" the wozk being done creatas a hazard eithes to the traffic urirLg said soad or the
personhel angaged in the construction, or when dixac[ed to do so by the City.
oYERAiIOKS • .
1, Pa:mit on Job--4ermite or copies ihal]sbp kspt on the site of the uoxk wt?ile it ie in '
progrene in the custody of the individual in charge, and ahall ba"exhibited'upon
request made by any City official. '
2, Provisions and Specificatlons--Theae ganarRl psovisiors, spscifieatiotu and Std. Plate
P-1 shsll be eoasidered as forming an intagxal pax[ of each and every permit lesued for
opsrationa vithin Eagan. The ++ork suthorized by thio permis shall be done aG iuch [ime
and !a such matmex as ahall be C07iASAtlriL vlth the safety of the public And shall
aeaforo to all requiromenta'snd ¦taadsrds of•the•City. If at any time it shall be found by the City that the work ia not beirtg or haQ not been pxoperly performed, the
pexmitcee, upon being notifisd bq the City, shall 1umedistely take the neeessarq otepa, ,
at his Own expense, tv plsce the irork ta eondit3en to con£arm to oaid r.quiraments er
staadarde.
3. Fatecution--1'he permittee ihall use diligsnee in tha exseution of che work outherized
under thls pesmit ln order nat to sndanger or vanecessari2y obctruct travel along any
soad er trailwsy. Operations ahall be so ConducLed at all timec as to permit safs and
resaonable free travel over the roads u+d tr&ilvays vlthin the lioits ef the work
berein pr4scribed. Ail safety measureA Yor the fres movsment of traffic shall be
providad by the permittee at hir om evos• •
4. Coaformity to Lao--Tba insullation ihall be atda in eonformity witb all applicaDls
levr, segulations and aodes cavering said inosalietions. A31 insiallations rhall be
made ir con£ormity vith regulotiocu of gaveramantal ageneits foT the proteetion of.tlte
public. • .
a. The applicant shall, fuTnieh a bond or fiaaticiel guarentee Sn thn amount to be
Qetermined by tbe City whieh is teqaited te eswure adequate 6 simely comyletion
ef sapair. Thi4 bond or financial guaYantee shall remain in effact for 2 ysars !
subsequent to completion af strest sepair to psoteet the City £rom defsct4 in
Osteiial, roXkmanship o7c non-eomplisnee vish G1ty Scandards or specificstios+e. ?
01-29-95 01:50FM fROM CIPY OF EAGAN TO 94329?20 ?004/006
Yezmlt No. Page 3 of 5
b. -..She applicant shsll furnish avidenee of putlic Iisbilitp insurance of noc less
than $100,000/300,000 and propezcy damdF,f lit not less Chan $25,000 lsousd by an
ituurance company authorized to do bualinekE Yn the Stata of Minn*eota on xhich
Che City L namsd sa an edditional inrUrrd:plsxty.
C. Sxcept for the negligsnt acts of thb oicy; its agents anE its smployees, the
parmittae shall aseume all lisbility for4 ?'snd ssde the City, its agenCr and its
employaes, harmlea¦ and dsfend same at tto l+ole coot' as+d expenoe frem anp and all
alsims foz damsges, ostions er cauaes of actlon srioing out of !he vork to be
.done hereln and the eontinuing uaee by the pexmittes, ieeluding but net limilad
to the plscing, conatrucLing,.aad zeconstructing, msintaiaing, proLscting ead we
of aaid facility undex thio applieation and pe=m1t for conetzuction.
S. Existing Facilitiss•-The vtility fscility and installstionc oHall not interfete vith
any oxisting utility facility on eha City's right•of-way or easements. It is the
reapoaclbility of the applieant to call fox necessary loeations of sxisting utilltiea.
(Gopher ons 454-0002) '
5. P=ivste Yropext7l--1ha vozk permSt or permit for construction aII Sroued doea rot in any
srtay Smply an easement ON psivate property.
7. ' quality oP Nork--Flniahed svrfaoe,, base and oub-baea of road or txailvsy upon
eompletion of vork shell be et lesst equal to or beites than speoifieations of
orlginallq provided road or trsilway in aceerdsnce vith CitywStandard Spenificatlone.
?...
8. Cutting Treeo•-The permioaion hersin granted doss•not corfer upon the permittse the
right to ovt, ramone or destroy treee or stiiubbery Nithin the Iegal limitm of thq
righL•of-way, eaaemaoea that ere eot apseificklly identified on the plsn ateeehed so
thio patmit or telieve permittee from obtaining sny consent othetwiae requlxed from the
evner ef the propezey adiaceat thereto.
9. Draisuge•-All watsrweya and lines oE 8rainage shall remain opezstiva.
10. Po2• Anchoro-•Pole enchozd, anchoxr, braces ot othsr construation xtll be permitted
xithin sight-of•wsy ot •asements and aill bs approvsd on a ease by case Desis.
11. Dziving Limitations.
•, Driving or parking on City ltails os sldavplkr ahall enly be parmitted for those
oparations rsqu!=ing di:ect acceat to the boalsvazd area.
b. Vshieles operatins or paxked viLhftt tba right-of-vRq asea shall atiliza their
Marning flashers st all timeR. •
e. Vehlcle¦ driving oa trsili or sidevalks thall t?ot aperase in oacess of 5 miles
par t+eux. Vehialse shall opazwie at slover speeds vlhen Mlather conlltions, tiail
eonditions, poex visibility, obstructed pightliner or otber eonditlons requirs
speeial prscaatiocu to e=uura the safaRy of trall wezs aad the 6eneral public.
d. Driving ohall not be pernitted within t!?ors bou]evarQ areu vheYe damage to tuzf '
Lrsllvays er ether infrastrueturs esy occur. ?
s. ' Vehiclat shsll trot ba parked on traill or iidevalka in such ? masmes ae to.
unneeesserily loped• t]w oafe and effieient we ot trailvaya bq the genersl
publlc, • .
PAGE 5 OF 5
PROPERTY LINE
1
?
. ?
. '
I
? TRAtLwav
SAM1E AS REMONED
(3" WfuMUM)
SAME AS AEIAOVED
(6' MINiMWA)
i, CurD and Gutter shall be removed only sfter saw cutting at loincs and repisesd
•ceording to specifications or Standard Plate. y, Bituminous pavement aree removed shall ba sav tut priot to patahing.
3, $oulevard sod removed shall be rcpleced vith minimwa 4" of tepsoil and aultured sod.
4 permanen pat h, wT mporaryecold mix paich sh uld be used No e ber 16tthmto Ap 11 20ch ;
(or as permitted by veethet).
5. Claes 5, 100% orushed aggregate base.
6. Roaduay closures Sn aecordance vith Appendix B-?raffic Control for street ox hi$hvay
wark zones - MnDOT/MU7CD.
7, Hituminous trailway closure requirements same as roadway in {16 above. •
8, Sackfill shall be thoroughly compacted by Lhs "Specified Density Method" of compaecion.
All suiiable backfill materidl pleeed baloa r depth of five (5) feet below the final
pavement auTfaes shall be placed in maximum lifts ?e• ?eof ASTH Speeificasion D698,
inches and compactee to a minimwn alnecy-five (95%) pe
64T (Stendard Prootos Density), mexho3 "A". All suitable Dackfill macesial placed
vichin flvs (5) foet belov ehe final paveroant surface shall be placed in lifts aot to
exeeed tvelve (12) lnches and compacted to a minimum oT one-hundred (100x) pereene ef
ths above ASTM Spscifieation. • city of eagan
? PUaLtC
woa?cs
pEPAR7MEt
?
I
p\+?
sTp?u+?errwewousrnuWwAY apProved: plaMte' #'
ExCAVAT10N1PATCM OETAIL
S/63 ' p-i
7pAFFIC GOmnOl PmQUIREMENT$
NOU lE '93 16:3EiT0 4329720 FR019 FRnBE EIIGIIIE[RIII_r, ?-595 F.02
.
_ _ .............. .._._........._.,.._
.._..-°...._._.. __\ s,,•-?----, ...____. ,
consu??tqo Ei1n?Nt6n3 ,??.: A,?u,v67vvrV /?or?jE9
?pBE • rLnn Fns end nr+a lunvtvons i:,
` Bx, 178
'CaMrnNy, INc. M, m
- iboo tAer Nem erpEkr, bviaisvn_L't, MINNtgOi?? dd>!t rll 432-30000 - •
CCPTIMp?T'E C,IF SUIiVL-Y
Legal bescri tion:
,:.
?-
flcnlp 1 P - ao,
T 5, ,gGOC,k' /
dt-NO;I'r-5 CXIS'T'INGI El.EV11710N
(1oZti, z ) UFNd?'t5 t?tI?I?oS?U ?I.EV1?tIC1N
---- INniC?-tr--s dinP-c-r1oN Or suhPnct bMINAUi
PINisijrzti UAnAGE FwUti I?LIvAtIUN
14LL.? = 130EIV1EN i' hLt7qt1 KLEVA1'ION
A 'i'Up Of' r-l7UNt)AI"I0N FLr--VI1tI0N
11-91417
s/o,?V? WODlJS
,40Fr. r-Rotir 9viI-oiN6 (sZa;? . o - ? - -
?E76ACK [<iiVE" ' ` -- ?3?5>0
4 ? --?
r1oe ?.e) ?S? L??
9z'4,74 ti°IS? 00
\v ? \)
-*t%..k.tiw jv?*J?L
-to tx itr„st 11?
Q 50 cc+aalffiL 4ar
' Io PRo??
N NousE
? m
?,?22.b;?g $5.°°
'ILh5 ° ?
? 6Aa.n6F
? 17,00
?23
I5
s
$ $
N
\J
x ?Ia
/9ssaz-j ? ZL,
bAYU?Ola'r ?
W i NvoW 5
. ..e??
L0 7_
t2
r
6
?-
?
?
ra, /o q
A1,996054 "E
N7 o
\
?
?r
.y
i
? i
?v
DRA/N,966 AVp
07IL17y F"s9SEihgwv7'
' liereby C9ktiEY L•tiat tliig ia n true and corr.eot: repregeiil:ation of ? tYacl:
hd a.d alwrrii 2nd clnc;r?r' Ibed lAazc!ofi. Ari ?,rnE?nreci !?Y mc? Lh?.?1 drlV
A ? i rNr mon . ., n ?
R CONSUlTINO 6N0INEEIIE
RO'?? Pl11NNE11S ond LfiHD
? funv?vons d660B6,0?
` EddGINCERING gX, r?8
eONlPA6VY, IIdG. ? P(4, eZ
t 1000 EAST 1?61h 9TREET, BURNSVILLE, MINNESOTA 66337 PH 432-3000
CERTiFICATE OF SURVEY
Legal Description: ?T?
D[NOTES EXISTINQ ELEVAT{ON
(l02b,Z) pENOTES PROPOSED ELEYATION
.....? iNDICATES DIRECTION OF SURFACB pRAINA(dE
10 ZL. = FINISMED QARAGE FLOOH P-LEVATION
o , 60 = BASEMEN7 FLpOR ELEVATiON
102.7,11 = TOP OF FOUNUATfON ELEYATION
SCALE : t' s 30'
#xN/T,?/ORA/? WOD.OS
-?7- ,•
- 130
3o F7' FRONT BviGDiniG
SETBACK G/NE
ty? ?
\j_
?
r
h ?
r,
? ! ? ?
*Ww?*w v-jvw
Ta 6 it,%316 eiM
O Sa1 cc+aML tor
S
T ???_?: p
-?L
/au.z
! '8
?
1? ,E
L4L1
f ?
PRoPoSrEv ? BARASE
HousE
`,,,,w ,_--_- 3 r?31 --&)
pAYLI(oNT /
1?/INDOWS 10
.
? I
?O iT
LJ L
5' ?--
/
1 ? ?9q,5 J?
rqz-? 6
5? ?
J
? AJ
.
?
`.
y ` I
28,/O q
'v B9°a5'9b
n'ui.Vn.. rll?(
DRA/N,466 AAvD
UT/L/TY 6A:S6yJ9'/1-
? ?.
t'D [ hereby certify that this ie a true an?3Y'x's??EP'r P °of a traot
land as shown and desoribed hereon. Ag prepared by me this ? day
Noye?,?e , 19:a_.
Minn. Reg. No.f/n4$5
_ .r.
-. ,a,.,.__.•,,, .._..?:?-=
---
"__',-... _ _ . -. -r.^. . . _. ._ .. . .. . . ,
NOU lE '93 15:3%T0 4329720
s
?-.
????NE?nlt?a
?CoMPnNy,
? I000 EA9T 1481h
CorySVlilHa tlta t6113 N'1?88YY, '?`?'?'??
rLn?rNFns and ?Nni+a lunvRVOnn8
INC.
9TIiEk1, ?UIIH9vIL??, (.11NN?b0i?? dd3j1 hfl qE2-3oOp
CERTIFICATE. QF SUHVt-:Y
Leya{ descri lion:
(l?Z!U). nLNvi?'r-s r--xis-riNCa ELEv010N
( loZb, z ) bENbrtS PHohoSIEU F-I.r-VAtIt7N
(NdICAt'E5 blMMTIoN tlr• SUqI!!AGt 04AINAGk
.IQZ..G.,so = plNisl-115U GAnAGE Ft_odt# P-MAtIbN
1oi.&, 6.0- = 13A8tMp-N1' 1'L00h I?LEvnfiloN
I P Z-7, J1. A '1'C)p q? MUNUlAt lON t:Lr-VA'1'I0N
BcnlI! i 1• - ao•
U ?tZZ,z ? 114!1/71
ylD, p?V? WODlJS
? - D---- .? .-._
?
r9Z3.z'7
'j?
??
-40 F7: FRON7" BfIILD/NG 9z2,?
0T9.9CX G/ME
!
1?yi l5
9Zb, 11 Al55 37.00 ?c..,; 17,00 $ 9ts,55
o PRnpoS?D ? 6ARA6-=
N '
m ?Dll$E ?` _? 17,ao N '? f
V ? f ?8.na
? ?.2L,b;?
r ?zr,s z?,s N .
z??` ?`-
y bAYiNvoW?
? f Z_ T
N
t? tk i?a? u? hs,? 1/ DKA/ Al 6 AA1,V
4 StJ tvRWk. ter l' ? LJ (. -?• ?? ?\ ! U7'/L/Ty F•9SE%11?W7"
?.8. /O Z8. ?
5f ' ? N 89°67s'4G ?E
6A-? p l'' E'
T hereby certify that thig !.s atrue and correot repregplirdt3.on of et tJ:act ?
nd ao pliowti and dpgCribed liernoti. Ari prepnr.ecl by me t1ili4
_[L dAy ?
FR019 FRngE FIIGIIIEERIII_r, T-585 p.02
I-C
iaa?
•..?..
-
it' :
4612 FROM PROHE ETXiINEERiNG T-033 P.02
6EAW-
LONfU ?O tlf D &W. e
'
llqN11Np Bt anNA [NANEIb iURVtYQRS N%L za i3Z/.Q/
ef
NcOMPANY, ' INC.
• _ wo on 1460 lTII[LT,
. e?,i Description:
?
ecALe I r • ar .
,qoDR640j: 572 ?4^w7HOlb* wooC's WZ.
Zo9
oG. 57
WRN{VIILt , MlNtlflOTA 65337 PH 4111,3000 "ll
IFICATE OF SURVEY
.
(zA-10 DENOTES EXISTINtI ELEVATION
(9z5.2. ) DEN07E8 PROPOSED ELEVATION
?.---- INDICATES DIRECTION OF SURFACE DRAINAC3E
92 61 5-0 m FINiSHED OAqAQE FLOOR ELEVA710N
917. /Z .a BA8EMENT FLOOR ELEVATION
9Z5,83 m TOP OF FOUNDATION ELEVATION
BENCN MARKt TOP SAN. MN IN PRdaj
Oc I,p717' ew4m L.
E16V- a 907A0 ?'O+. • d
e
00 6'1,, ae,
?? •?
, . -? . • ?raj?-?? ?,
l? C9tS,Z? (?E
. io? ?? .. . . „ .
.
.f)
mn,r7
? i
. ,
'.?
GKiSTrnr6
HoVsE
D
(r EAGAN EN INEERIN D,F?PT.
. ?
- ? ?
EA"N?? s ??
?t[VIEWEti , - _ .:7 / PY
`? '
D'l?19 ?,?io? ?, v b1 • 9 ?y 0??. ?. V . ? i6a ??' ",' :; ,,.fl
(9to?7 ? 6'1
hareby aertiEy that thie is a true and aorrooe representation of a traot of
an as ahown and deear bed hereon. As preparad by. me this 29? day o!
?OR ? 19 . ' ? .
74-
vi%v 5-5-94: *vcw -WA+? se+?2 /Pr ? Minn. Reg. No. / D
?ps?,Y'uTrU7YEASE+*?*?. ?qt PT.
,? [+?JE?6u-'Y o?,¢am? FcEV., A?G.
? R6V?D 5-6-94' ,?FvR?n+?ovea a HFRow5a nn bTgeer.--- --• -- --
ACL?
' p6tlT6'O.PAYLr6i?T.!?`??N?`^^?
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office Use
City Ol Ea lnn Permit#:
I I
LLA11 as
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Re eived: 1~7 20
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
r
Name: Amy V1i~i~ Phone: G (o, , dL
RESIDENT /
a
OWNER Address / City / Zip a3'
S
Applicant is: Owner .-Y- Contractor
TYPE OF WORK Description of work: h5* 1 \ 5 SS C- 2,Jls <J
Construction Cost: 1 6b Multi-Family Building: (Yes / No
Company: Contact: 1) `
Address: ~o+) n-- r- City:
CONTRACTOR
State: / ,Zip: 5S4a Phone:
License <)5-7d359 Lead Certificate M NA-1 -026
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 they are trade secrets. N ___1
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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 x
Applicant's Printed Name Applica-016 Sign re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114967
Date Issued:09/20/2013
Permit Category:ePermit
Site Address: 570 Hawthorne Woods Dr
Lot:5 Block: 1 Addition: Hawthorne Woods 2nd
PID:10-32151-01-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 -
Timothy J Stepan
570 Hawthorne Woods Dr
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
t � 2/3/2015 11:54 AM FROM: Fax T0: 1-651-675-5699 PAGE: 002 OF 009
Use BLUE or BLACK Ink
------------------
� Fo�ONiCe Use �
� 1 � ` ''� I
Clt� Of����Il 1 Permd�. 30 �
� Permit Fee: �
3830 Pilot Knob Road � �� �� �
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 I I
Fax:(651�675-5694 � Staft: �'� �
�------------ ---�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � Site Address:��AI�/� �IGYYJS J�� unit�:
Name: I 1 m �� " -r''✓� Phorte: ����,�'�—.��y
Resident/ 5�b �� ` s�a3
Owner Address/City/Zip: l.( l)A'd/� !�f
Applicant is: Owner � Conuactor
T e of Work �g��ption of work: I� ` I�
YP
Construction Cost: ��� Multi-Family Building: (Yes /No
Company:����_`�,�,�y�'� / Contact:��C��
Contractor Address��,�LG(�t (.� Ciry: ���
State:�/ Zip:i�►`��. Phone: 7���Email: ��Zt� �holA✓�l�q���
License#:��lilJNO� Lead Certificate#:,�f'c��y3���
If the project is exempt from lead certification, please explain why: (see Page 3 for additional informaiian)
�' 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
in the last 12 months,has the City of Eagan issued a pem�it 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:
Sewe�8 Water Contractor: Phone:
NOTE:P/ans and supportfng documents that you submit are considered to be public information. Portions of
the Information may be c/asslfred as non public 1t yqu provide speci�c reasons that woutd permit the City to
conclude that tlie are trade secrets.
CALL BEFORE YOU DIG. Calt Gopher SWte One Call at�651)454-0002 for p�otection againsl undergrou�d utility damage. Call 48 hours
before you iMend to dig to receive locates o(underground utiGties. www.aooherstateonecall.org
I hereby acknovdedge Ihat this informalion is complele and accurale:that the work will be in conformance wilh the ordinances and codes oI the City of
Eagan;that I understand this is nW a permil, bul only an ap�ication for a permit, and work is not to staA without a permit; fhal the work will be in
accordance wiM the approved ptan in lhe case of wak which requires a review and approva!of pla�s.
Exterior work authoraed by a building partnit Issued in accordance with the MinnesoW SWte BuIIdI�g Code must be completed wlthln 180
days of pem►tt issuance.
Ap tieanCs�ted Nams Ap icanYs gnature
Page 1 of 3
� � 2/3/2015 11:59 AM FROM: Fax T0: 1-651-675-5694 PAGE: 003 OF 004
��V �`-1�^-��[.�! ��- L/�,/Uc��s �l� j
DO NOT WRITE BELOW THIS LiNE l C�'�3��
SU8 TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exte�ior Alteration(Single Family)
� Single Family _ Garage _ Porch(4�eason) _ Exte�ior Alteration(Multi)
_ Multi ! Oeck _ Porch(ScreenlGazebolPergola) _ Miscelfaneous
_ 01 of_Plex _ Lower Level _ Poo! _ Accessory Building
WORK TYPES �t'�`v► f�`I.L Pv�+���- I"I��-- ,
� New _ Interior Improvement _ Siding _, Demolish Building'
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repai� _ Wl�dows _ Demolish Foundation
_ Replace _ Repafr � Egress Window _ Water Damage
_ Retafning Wall •Demolltlon oi entlre bullding—give PCA handout to applicant
DESCRIPTION
Valuation D�d- � Occupancy ��Z MCES System
Plan Review Code Edition ?1"I1�1n5f3� SAC Units
(25%_100%� Zoning �;� City Wate�
Census Code Stories Booster Pump
#of Units Square Feet PRV i
#of Buildings length Fire Suppression Required '
Type of Construction ,�_ Width
RE�UIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) � Final I No C.O. Required
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice 8 Water _Final Pool:_Footings Air/Gas Tests _Final
Frami�g �Q Drain Tile
Fireplace:____Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulatian Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Cont�ol
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Othe�:
ReYiewed By: _ Building Inspector
RESIDENTIAL FEES
ease Fee \ f ����� ���� (� �. S(�b
Surcharge ��
Plan Review (� ��
MCES SAC �Ci�,��•t,�'1n-. �� 1� O�7 U •
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies 3
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143735
Date Issued:06/26/2017
Permit Category:ePermit
Site Address: 570 Hawthorne Woods Dr
Lot:5 Block: 1 Addition: Hawthorne Woods 2nd
PID:10-32151-01-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
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 -
Timothy J Stepan
570 Hawthorne Woods Dr
Eagan MN 55123
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(651) 430-1388
Applicant/Permitee: Signature Issued By: Signature