574 Hawthorne Woods Dr' CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
?
' if!1Ld1 Nilk Nt 111111 f)
• : + i'i+i !?' f tiii tlI ', '
PERMIT SUBTYPE:
i Il .,,'? iNI;.
s
PERMIT TYPE: F ??? ? rar?
Permit 13umber: Date Issued:
«' 1:0 "I
APPUCANT:
fl I, l11' K r UIt ? i. ? r. i-! ? f;
q ll!
TYPE OF WORK:
I *? NrwI
Permit No. Permit Holder ` Oate Telsphone !t
ELEC7RlC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBINC3
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSM7 R.I.
BSMT FINAL
DECK FTG G 17kir • ? ?? "r
?? Q Z
DECK FINAL ?/????
, ..
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
? SITE ADDRESS:
I II(\i.Jil1(1llhlF Idllllli., , :'PrIJ
PERMIT SUBTYPE:
INSPECTI
r
i !ii !1I I
i I???II?'. 4.4ti
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
? APPLICANT:
TYPE OF WORK:
i3+1 1 II tall
vl.'q?, I ts
G)SI (?' I /114
. .. . .A
t
? rd•.t?? ?: I r„1? ; ? ? ; d t i;? ?
? I;'t1lLWF1Y
E, V
?
?
i fd f 12A1V1..1: hHl•, t i; l 1 l,1Nt:ki` ft
S?. t,1 ?'' ?, Ii 1•: t.1 l w.' I I F' 1 F3 t{
Filltt l/1# 11! I 1 IiF I•.,.Ut (
Permlt No. Permit Moltler Date Telephone #
S!W
PLUMBING /?0?7 f?,??S?iS
HVAC M ?-f
ELECTRIC
ELECTRIC
Inspectfon Date Insp. Comments
Footings I
Foundation
Framing ?v
Roofing
Rough Plbg. - % ,1 -? • ?
Fough Htg. ?
Isul. !4?zTl?
Fireptace
Finaf Htg.
Orsat Test
Final Pibg.
d Plbg. Inspector - Notily Plumber
Const. Meter
Engr./Plan
Bidg. Final '1/?k9y
Deck Ftg.
Deck Final
Well
Pr. Disp.
.b . _. ?
WeL'ttfiCQte 0f CCC1tpQnC4
w't" of Cfagan
?oulment .f 13maing ano"don
This Certicate issued pursuant to rhe requirer?eents of rhe Uniform Burlding Code
certifying that at the tinte of issuance rhis structurr was in cornpliance with 1he various
ordinances of the City regulating building corutruction or use. For the following:
Uu ClassiFication: -W Lj,?," Bldg. Permit No. 24618
pocaPmcy Type R3A11 Zoning Disuict R It Type Const- UN
owner or Buaaing SIEP[+--AN HaES naams 4130 NAM?erarRD, F,t1(?„AN
8uildiog Address ;74 NALThB1T1WF: LYYYLC WD7R l.ocaliry i'i n I uer.rnvio+.g crM 2hai
Date: "
Buildiag Offioial
POST IN A CONSPICLIOUS PIACE
??O?l?/?? ^ G?EQIIEST FOR E LEC9 RICAL INSPECTION
U ?+ J See insirucoons for com lelin Ihis Porm on back oi ellow copy
_ a "X" Below WorN Coi:ered by This Request
EB-00001-09
?_??
?; ?a 9y,/
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Renge porary Service
Duplex Water Heater tric Heating
Apt. Building Dryer Management
+
Comm./Industrial X Furnace (Specify)
Other
Farm Air Conditioner
Other(specify) Contractor's Remarks
Compufe InspecLOn Fee Below:
# Other Fee N Service Entrance Size Fee N Circuits/Feeders Fee
Swimming Pool 0 to 200 Am s ta 100 Amps
Transformers Abova 200-Amps Above 100 -Amps
Signs Inspecmr's Use Onry TOTAL
Irrigation eooms
? $93. 50
S ecial Inspection
AlarmlCommunication THIS INSTALLA710N MAY B HD 0 DISCONNEC7ED IF NO7
Other Fee COMPLETED WITHI MON 5
I, the Electriral Inspecror, hereby Rough-in oe?
cedity that ihe above inspection has
been made.
Final ?
Oat fr? p
.-?
OFFICE U3E ONLV r ?
This request void 18 moMhs Irom
/?? OOy?245 ?
?v
n
Raquest Date I No
10 / 10 / 9 4
1 1 Rougn-In Ihspec0on Requiratl
(You musl call Inspeclor when re ady) Ins ecLOnReatly OlharTnan Roughdn
? Now ? Wdl No?iy Inspecmr
y
? No
oate Reatl
1R licensed contractor ? owner hereby requesi inspection of above electrical work at
Job Atltlress (Streel, Box ar Route No I Cuy
574 Hawthrone Wood Eagan
Seclion No
Township Name or No,
Fange No
Counry
I I Dakota
Occupant(PFINT)
StephAn Homes Phone No
681-9777
Power Supp6er . AtlOress
Daktoa Electric 4300 220th St. W. Farmington
Elecincal Conlrector (COmpeny Name) Contracmrs License No
.7oos Electric Co. CA 00961
Maling Atltlraw (COniracror or Owner Making InsWllation)
3980 Beau D' Rue D've Eagan, MN 55122
ANhonzatl SignaWre (ContracrodOwner Making Inst Uon) Phone Number
C 688-6180
MINNESOTA STATE BDAFD OP ELECTPICITV TNIS INSPECTION REOUEST WILL NOT
Grigga-Mitlwey Bltlg. - Foom 5-128 BE ACCEPTEO 6V THE STATE BOARD
1821 University Ave., St. Paul, MN 55100 UNLESS PROPEti INSPECTION FEE IS
Phone (612) 84P-0800 ENCLOSED
Address 574 H.4wMxrE woODS D?tivE Zip 5512 3
Lot._;_3- Blk i Sub ?mpM wooDs 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: /?,Zf?' ?' Yes No Inspector: ?
Fina] grade (6" f m siding) V"
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway V/
Permanent gas
Sod/Seeded grass
TraiVcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
While - City Copy Yellow - Resident Copy Pink - Contractor Copy
? CITY OFe EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-32151-030-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
574 HAWTHORNE WOODS pR
1.p7: 3 BLOCK: 1
HAWTHORNE WOODS 2ND
mo /?3_Lz1
BUILDING
025796
06/12/95
DESCRIPTION:
W6'ildiir'j,„Permit Type DECK
§ui,ictkng'rWp.rok Type NEW
? ,.
E?d
r?ryp.a h f
A n
ua Ed #
REMARKS:
FEE SUMMARY:
8ase Pee $30.00
Surcharge .50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
VIOLA MIKE
574 HAWTHORNE W00D5 DR
EAGAN MN 55123
(612)894-9010
. ; S hereby acknowI , edge_that••I_?have read thais applicatiari and state iha.t the?
infQrmatiQnas eor_re:ot" an.d a:gree; tro, carnpZy With, a2Z applleable eState 'o"f- Mn..-
Stetute,s_ gnd C3Cy.o-f Eeg-an Q;rdirianaes. ? n -
SIG TUR
? APP CANIrPEI MITEE SIGNATl1RE ISSUED BI
N
1NSYEC;'1'lUN llE(;O.Nll
CITYOFEAGAN PERMlTTYPE: eurLorrdG
3830 Pilot Knob Road Permit Number:
025796
Eagan, MinneSOta 55122-1897 Date Issued: 0 6/ 12 / 9 5
(612) 681-4675
SITE ADDRESS: p- I• N.: 10-32151-030-61 APPLICANT:
L07c 3 BLOCK: 1
574 MAWTHORNE WOOp5 DR VIOLA MTKE
HAWTHORNE WOODS 2ND (612) $94-9010
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
r
?
CITY OF EAGAN
i519L 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPUCATION (RESIDENTIAL)
B81 -4675
pjsw Gonstruction ReouiremeMs RemodeUReoair Reauirements
? 3 registereE sde wrveys ? 2 copies of plan
? 2 copies of plans (inGude beam & window sizes; poured fid. design; etc.) ? 2 sRe surveys (ezlerror addidone & dedca)
? t energy celculatiwis ? 1 energy celculations for heatod addklons
? 3 copks ot trea proservadon plen ff bt platted after 7/1l93
rcqufred: _ Yes No
DATE: I'11o I Q S CONSTRUCTION GOST: 9?sn?nn
DESCRIPTION OF WORK: I ,Ff Ll
STREET ADDRESS: ' OA 1.oT-V n t2 ti)L I Onn r1S ner i),5-
LOT 3 BLOCK I SUBD./P.I.D. #: 411,j4nn• rulm1f6 4m
01-8304 t-+o(nE-
PROPERTY Name: V I() I-A rn? KE Phone #: ?W-2010 X 15 R
OWNER ?• , f .Is• WoR.I?
Street Address- 1`??lA??Mn,2n)F lA)nnnS AL .
City: ??4 -,AK) State: ?1bL Zip:
CONTRACTOR Company: ?)Ej-r Phone #:
Street Address:
Ciry: State:
ARCHITEC71 Company: SELF
ENGINEER
Name:
License #•
Zip:
Phone #:
Registration #4
Street Address•
City:
State:
Zip:
Sewer 8 water licensed plumber: t,)? A Penalty applies when address change and lot
change are requested once pertnit is issued.
I hereby acknowiedge thaf I have read this application and state that the infqgnatiq? is
applicable State of Minnesota Statutes and City of Eagan Ordinances. j??f?? 1
Signature of
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
, Yes _ o J U? y Z r$95
Yes No
comply with all
v E
MAY 2 6 1995
OFFICE USE ONLY
BUILDING PERMIT TYPE
n 01 Foundation o OB Duplex
0 02 SF Dweliing ? 07 4-plex
0 03 SF Addition ? 08 8-plex
0 04 SF Porch o 09 12-plex
n 05 SF Misc. a 10 = plex
WORK TYPE
?31 Wew ? 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Staries
Length
Depth
APPROVALS
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
.??
,.y . ,. 0 .
W?.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCNNS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
?3Y
°L
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
5/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging o
0 12 Multi Repair/Rem. ?
0 13 Garage/Accessory o
? 14 Fireplace ?
-v--15 Deck
p
Valuation: $ lZoo "
% SAC
SAC Units
?-
? f
_ s0 ..tED?
r?
?
i
l:
67Z
?CdF'' bL:oc.lG_ GL., 9Z5. ? IV tK ? µp?{pRkG- woo05 bR.
P?6.+?C MG-y i E?. 9t7,7 ?
r
? ?u.•? •?
5 53°? o o-f"t_:1 __, T.4, o No.P
?c-
s? t,
J
P\q3,.3d,r 33g w??S
` ?QI
V
,,,., nS• Y? ?/ f ? Y ?3?2j aK?,."
?
,?•? UjM *
?
? ,ok ?' •??? `•• i?? ?
Av° No /
101
J
?
?
?
,^^ b?
2
, S 3ka gq78"E ! 4?,
eX•.1L1pYko.N, ?C __
LoT 5t bLoc.m- li q;?
' ' F?Aw ? µOitNE w ooOS ??.'
' 2 1A0 AODITioNj
II D4K-D'fA GoVNYYi
.. MINw1E50'CP
Q o
G?4y ^? ~y a
?\~ 44
'ha/
m 9?1 N?•
N
I ryf i Ns?S?
?
N
h ?
,
?
N
% yaA?.6.1"? 30'
?
A?.4 ?FAR?N4S ASS?MED
od?? ?ao?y uIoNUMENr
T hereby certify that this survey was prepareC Ry me or
under my direct supervision and that I am a duly Registered
Land Surveyar under tha laws o£ the tate of Minneseta.
Date:? '6.?r7,Itf 94 ?U z?
LeRoy ohlen
Registex'ed Land Surveyox' No. 10795
CITY OF EAGAN
3830 PMot Kriob Road
Eagan, Minnesota 55723
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
024618
09/27J9A
SITE ADDRESS:
574 HAWTHORNE WOODS DR
LOT: 3 BLOCK: 1
HAWTHORNE WOODS 2N0
P.I.N.: 10-32151-030-01
DESCRIPTION:
`_-
6ailding?Permit Type SF DWG
Building Wo,rk Type NEW
UBC Occupancy \
? R-3 M-1
Constructian Type V-N
? Zoning ? R-1
Building Length ! 67
Building Wzdth ` 51
Building stories 2
qua?e Feet .-.. ?r'
?
. 3,975
,
??
?? ?t ?'t ^
?\
U? C! I C??1?
C
IXEMARKS
DRIVEWAY ENTRANCE MU3T BE CONCRETE BEFORE C/0 WILL BE ISSUED
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
5ubtotal
$853.00
$554.45
$80.5@
$800.00
1@0
1
$2,287.95
$161,000
MISCELLANEOU5 $1R828.50
Total Fee $4,116.45
CONTRACTOR: - Applicant - sT. LIC. OWNER:
STEPH-AN HOMES 16819777 0001457 STEPH-AN HOMES
4130 BLACKHAWK RD 114 4130 BLACKHAWK RD
EAGAN MN 55122 EAGAN MN
(612) 681-9777 (612)681-9177
?
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State ofi Mn.
Statutss and City of Eagen Ordinances.,
?dd4-!? ? i , ' !
APPLICA /PE
SSUE?BY: IG14TURE I ?
?
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(672) 681-4675
SITEADDRESS: Lor: 3 aLocK:
574 HAWTHORNE WOOpS DR
HAWTHORNE WOODS 2ND
PERMIT SUBTYPE:
SF DWG
PERMITTYPE: auzLozNc
Permit Number 024618
Date Issued: 9 g/2 7/g q
APPLICANT:
1
STEPH-AN HOMES
(612) 681-9777
TYPE OF WORK:
NEW
INSPECTION
FOOTIN6S .A .
FOUMDATION ,.
FRAMING ROOFING
INSULATTON FIREPLACE
ROUGH IN PL66 ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: DRIVEWAY ENTRANCE MUST BE CONCRETE BEFORE C/0 WILL BE ZSSUED
PRV S& W PLBR - WENZEL PLBG
F ?
?. - --- ---- - - ---- -- - - -
:p ,
.
?
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
r I! fG q-,lq
SEP 2
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, c -"
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
F
Pen altyapplies: 1) when permit is typed, but not picked up by last working day of month
which request is made, 2) address is changed or 3) lot change is requested once permit
s
issued.
Date d f Valuation of work c7v:?OUej
Site Address:_ 6-7Y /dka? k2a444-o[lL
SiREET SUITE #
Tenant Name: (commercial only)
LOT ? BLO
?
CK ,. 5UBD. 9,11y
?..?..?.? P.I.D. #
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE /t
City State Zip
Company Phone 6(f1-?27 ;7
Contractor Address 7???U 1.7???r? ?? License # yO Exp.25
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
19
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have ead this application and state that the information is
correct and agree to comply wit a 1 app icable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE U5E ONLY
BUIL DING PERMIT TYPE
w r, sawa„
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
V 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Parch 0 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. 0 10 Mu1Li. Add'7. ? 15 Deck ? 20 Pub11c Facility
? 21 Miscellaneous
WORK TYPE
IN 31 New ? 33 ATterations ? 35 Tenant Finish ? 37 Demolish
? 32 Additian ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC 5ystem ?
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy K- M-j 2nd F1. sq. ft. 4?o PRV Required ?
Zoning 5q. Ft. total Booster Pump
# of Stories w/f3s+s?n,s.rrFootprint Sq. ft. , ?? Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
Census Bldg ?
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ?I Footing Framing I Insulation
? Wallboard ?J Final ?Draintile ? Fireplace
Permit Fee Vai„ati,,,; g /G/ 000
Surcharge
Plan Review I? Y 1 0? ?
? ?° ?
?-u3
License 37? / = s/?r
MWCC SAC Ga9,?Xsy= sr
city sAC
Water Conn.
?I X?j = SG? $79?'Z,"
1y?f5?2
Water Meter LsY„
Acct. Oeposit
S/W Permit 3x4,16 = 0 7,/,?
3/W 5urcharge
Treatme
t Pl ?y ag - 32.Z
n
.
95>_ C39\
1
Road Unit
Park Ded.
Trails Ded
.
Tlo?-
;,2,33X 30,33= 6 77. ZL
Copies ??kay?6 = s?z3
? ? zx,o> _ Z=o>
Other
Total: ,
SAC %
SAC Units
\
3;7 ?9?,a?
? ?.?GK/6•
?
l
• ? IAT BIIRVEY CHECRLIST FOR RESIDENTIAL
'
? BUIL
?
ERMIT ]IPPLICATION
!:;
?
BROPERTY LEGAL•
Dats of 8urvays ZX/ Z?
pOCIIMENT STANDARDS
Y???000 0 • ReqiStered Land Surveyor signature and company
? D • Building Persnit Applicant
0 • Leqal description
d • Address
0 • North arrow and-bar scale
D 0 • House type (rambler, malkout, split w/o, split entry,
? lookout, etc.)
fd'?E! 0 • Directional drainage arrows with slope/grndient $.
8' ) 13 • . Proposed/existing eewer and water services
LY 13 • Street name
0 0 • Driveway
ELEVATIOliB
Exiatina
8'? 0 • Sewer Bervice
I?D 0 • Lot corners
ttY? D • Top of curb at the driveway
6Y D 0 • £levations of any existing adjacent homes
4ropogeC
?,0 0 • Garage floor
D • First floor
D 0 • Lowest exposed elevation (walkout/window)
13 0 • Froperty corners
D 0 • Front and rear of home at the foundation
P9NDING AREAS (if aanlicable)
0 W"A0 • Easement line
n [Y? • NwL
n C4?17 • HWL
0 [3?,? • Pond # designation
D D?0 • Emezgency Overflow Elevation
DIMEN8I0118
yY?J 0 • Lot lines
ID 0 • Right-oP-way and street width (to back of curb)
0 0 • Proposed home dimensions includinq any proposed decks,
overhangs greater thnn 21, porches, etc. (i.e. all
structures requiring permanent footings)
n D 0 • Show all easements of record and any City uiilities within
?? those easements
S' II 0 • Setbacks of pzoposed atructure and setback of adjacent
/ existinq homes
13 D? 0 • Retaininq wall 3rements, if any
Reviewed• Z
Name / Date
October 1992
M.H.15
Po.c.
io+ie
r
2
4EMOVE PLUG FROM
S'
roa uTn.. seav.
ON i.0'I' 14
14
8°-I/16 BE?
;I NP. 8°D.I.P 8 BEGIN ?
`N EW WATERMAIN ? ?`
?C ONSTRUCTION , ?
?
6
- ?
3 O.C.r
122
1
4
w 5
HAWTHORNE
.H. 15 M H. 16
«
-
-
-- --
----
------
? ---
? RE921
MI I \
?
J
- - ?
?. - -
-
- - - -
-` - ?
? ? l
-- --_ -_ I ! ?
? -
L
195L C
F-8"PV . I
SDR .
35=0.40 0
?
I I I I
? I
? I I I
M
H
, 15 I ?
I ? ?
? ? ,
? ? ?
I I
.
. M!H. 15 i ,
17
I I
I ? L I
I I
I i R.E.92L? i i RE 9244
?
? I` / I I ? I I
i
I •
,
?-r- ,,, o
! ,? - -
; I ? I ; I
I 195LJF,-8"PV.C. 1"
?--?t50 ?
?
SDR 135-0.40?y, LF.-8
PV.C.
? o
? SDR 35 -Ii.60/, j
I ?
I
I II ,' r ?
4 }c
I P:IVi
rr,J:?? . I I
I {I.
i
I II?.. ?_: ...:..._`...,... ..___ _
Ni p I
pip a:)Ip I I O
O?
i m
?
. ? .. . ? !
. . ?
..
? I . . ? .. ?? .. ? ?
.
... I ? ... . ?? .
. ? . .
I . .....
I ..
?.. . ..?.. ?. . I;?;.?... .. . _ ..
. .. I
I
. I
' 16.0 RT.
C
p
P.O.C.10+48 '
is.o' .
14
O. . 12+03
P
` R. . 921.36
T. 917.38
922.0 32 L.F- 12"R.G.F
CL5-2.0%
T 2
? 8 -- -
C. B.14
16.0' RT. ? > ?_?
P.O.C 12r0?
QVERFLOW EL.
AT BLDG. S.B.L.
922.2 C. . 13
4 16. ? RT.
rj P.O. .13+46
? INP 15RC.P W/ d'RCP
.
/ APRON ON OUTLET.
' HAWTHORNE
... _ . . _ ...I '
.. . ,... ?. ?l. .f`. il/
/•'
(_`n.? . . .. •.
? .
.,. . ? , .. ,
•
'
... .. . ...... .... .. ......?i ? lFl_I. ?`"
..... .. .. C.•.• ? i '^ "
1 1..1 ( 1 ' !. ?
.
. ? .... ...
.. _. .... __?.v.
? ?...,..,. ...? . .. . ,
„ ? .,-,
.,. .
,
... ._._.... ._..... -? -?
. ..... ........._?... . .,??, ?
?v_.? ... . _
.
ti ?'n:
_ `.. 'iu
..... ....... ... . ..' 1 '_ ' ? ' ' '
? 14
G
C.B. 17 C.B. 16
.
_ H.E, Z8.30
ti
w.. .. . ..., m
?. .
?
?? .. . ..
M.5 t:E 12?"R.c.e cL 5 _ ...... __ _ _ . .,
.
:.... . ....._... ._._
:.:...::: .: ::. ........2:56
fo
::
... .........
... . .. 146L
F-21''R_C F
.
_
... ..._
.
............ .
...... ..
Cl:
, - 0:8Q% 24. L. F. -247 R C:f' G R. 4 Q
:.. :
- ,70°/
.
o
. ... .-
_.. ..
d
.. .
? ..:.:..:. .... ..
W . . :.:..... ..
_ .
_? za . (n..i .... ..... ..... ..: .
_
.....
i
................
.... ......... ..... . ...... .... . ..... .........
...
..
?.
... . .. ...
?_?
.... .? fp : ?
::.... ... .
-
a
::
?
,
....
i
. ...................... ........ ..
. ......
-
..
.
..
.
... .... ..
w.?. .......... ..
o
a
.
q?
m.: .:
. 9?:vs.. .... . .. _
_ .....
.
. ,,.
. ?
. .. . .. _. ,
,
?
.
_
.........
: .:...........:::
........
?.
$:::
...............
?.
. . ._
.
!
f•
,(`'f
`
..
?
..................
.. .... .
......... . ..................
::
.. ..
... . ..
... ... .
' ?
?..
_
9
„
........
I....
??
?
. . . I ?: .
?
i .?. . ? •
?
...
.................
. ......
...... .......................
............. ............
. .............. ............._..
_ ... ..
.... ...
? ...........
.
.. . .............
. ..... .. .
.. .........
_. .
!? Z? 3Q .........
. .
.... „
? . . ,
c
_ ..., :
,
_
. . .
.. . r
-
,?
.
i-
FtJt
.
-
. ,
?
.. . ....... ... .
............ . ..........
.,7'
CJ'
.......................
...........
..
..........
.......
.......... .... . .....
........ ........ _...
..........
.._
.. ... ..........._.........
?? ......_........ . .. .
r
'•? ^
(?????
,
, ..
? y? ..........
?a
. ..
i. . - _._.
?? .. l
....?
'
?
.......... ..........
.......................
. ... ..........................
......... . ....................
?
.. .... ............
CP' . .. _.. . .....
r
... .. _....
, tYSst' (?'t?.i..-• :.,. .'v?r
^C
' _ . ......
... ... ....
..
:
.
................
....... ..........
.......................
....
. ..
?..
.... ...-..?.... ,........?..?..?
.......... ......... ....
.... .............. ..
.. ........ .
? ..
...... ... .....
........ ............ .....
.
.... . . ,
. .. ?
.. . ...
. .
?
...
. ... ? „
..
.. ..
.. .... . ....... ........ .
. . . .. . ... . ......
..... . ........ ....... .....
7NE:IP5D:°lq ::
..... ...... .......
:::::::: I??..R:.....p
3 .I,..•..F.:-. .. . ...
..
, ....... ...
............... .......... ............... .. . ........
........
..................
9 I O ....... .
....... ...... .......... ]BfL...S.IS.4.Q.T. OI?IFlRM7 ..
............ ? t..5.
_?...D..g,o.....
_. ,
.....?............. ..._..
...
'x
. .
_.._ _.
.••. ...•••.•.. .. :
::-..
.
:::.-........8
?r...:-- ::............
:. .
.
. .. .. .. ... .
....................................FT3R::::.SAL.'. "::::::::::::::::
:
::::::::
..... ....._.............. :9t6;74°::_:::::::.::::::::.'
:::::
:
::
::::::
::::............ ............. ..........................
::::
...........:.....:........
...........................................
.. .............................
_.........._ ......................_ . .........
..........._........................ .
... _... ....
: .
?,. .
...............................? . ..?yc: :?w?:::::::
:::::::::::::::::::: .
....
:::::::::
:::
-:
......._................................
.......
. .
.............
_......_......_...................._................ ...... .........
:::_ . ...... . .. ..... .............
. . ................. . .. ...
................._.
.. ..................................... ......................
.
.
..
...... .... .
........
..........
......... : .... ...... ........ ...................... .......... .
...... . . ......................
............
.
.
............ . ................
::::::::::::::::::::
......
_ ..... .....................
......
............,?...................................::::::::::::::::::
:
:::::::::::::::
::::...... .. .......... ...............
........ ............... . ....
... . .............
.......
... .......... ........ ............ .......... ...... .......
:
::::::::
::::::::: ::::.::::
.
:::::::::::::::
.
::::::::::: ::::::.:.:.::.::_:::::.
:::::
.........
. ....._ -. -
: .
.
- . _.
...... .....?.:
........_..................................
:?::::::::?:::
.........:::::
: . .... ..
..
.................
::....
.......... ...... .......... ...... ....::::::::::::::::::::::::::
::::::::
-::::::
::
:::::::::
::::::::
... ............................. ....
.................. ,........_.................:
:.::::::.:::.: .
::
::::::::::::::::?m::..:.:._........:...:...::.:::::::::::::::.::::::::::::: .
::::::::..... . .
_
.
..
.............
.
.
.......................... ....... ....... ............::..::::::...:::::.:.:::::::::::::::::::::::::::::::................................ ........... .
1 MENEBY CERTIFY TMAT TMI$ PLAN WA$ PqEpqqED 8V ME OR
G. D. H. UNDER MV DIRECTSUFER VISION AND TMAT I AM A DULY REGISTER-
kk,yN ED PqOFESSION ENGINEER UND,5?+ TFIE?n N5 OF THE STATE OF
APPROVED MINNESOTA.
M.R.J. A.A _ ?1 1 n, A
?_?f?l McCombs Frank Roos l4
15050 92ml 4vo N Eru
owner
Slte Address_
ltitltlU-0'L'IL,S_TbTP'e-EItFlriL c? _?BI,r?1_LBTLUS
AASCD OII CIIAPTER 5 OF TIIG
FLOIIEL-MiF?r,Y CoRF-n 1487 EQITIo11
Adoption Effective
- Ph ;e Date
--
Contractor % I(- r IT I V /_7/1)M Ci 7(W, phon
[lullding clacsiPicaklons Type Ai (Single Fnmily & Duplex)?
'Pype A2 (Residential, 3 etories or less)_(OVer ] atories) (Other)
119TE:Sd2m[21pt"H9e83_t1 t1d_4_fl.rfLt • •
??t1?138ILIt1foIIL18TI4t1. =??Y ti • ,
i. ouildinq Perimeter W ft. ..
,
2. {9a11 liaiqlit (qround to pave) i7 ft. '
]. 1. X 2. (above) gross wall area 7579 eq.ft.
4. Duildinq dimenelone (L) X(W) d.1 &14_eq.ft.roof 6 floor area
5. Sq. faot orea oE rim jolst - Floor joi ? F?ylze (2 X)??/X ,
X"(F?er?meter) ? Cl sq.ft.
6. poors - Area -71 ?
Thickness in U. taaot , ?
Type oE constructlon Perlmeter ft.
. 17anuEuchurer
7. Totnl door's perlmeter ft.
e, t,lindows: Ilanufacturer state approved
U factar "1i?.4
, TYPE BIZE AREA (Bq.Ft. ) t1UHDER OF TpTAI,
'i i t ^H
,", i-.?,'_ . ;j ,j 7 g't EACII UUI'P9 3Q FEET
.
t'??
i
9. Total sq.ft. Glass 30--,
lo. Flreplace area: Widt11 X Iieight - l{ ? sq.ft.
11. Exposed foundatlon: lieight H Perimeter i(g X'1BQ - l)4 sq.ft.
COHPLETIOtI OF TIII9 FORM Ip REQUIREI7 FOR ALG NEii COt{9TRUCTION , tIAJOA
REFIODELItIG AtID OUIGDI1IG9 BEIfIG FtOVED W11ERE EIIERGY, OT!!ER TIIAtI TIIE t1It1I1tAL
COUE ALLOWAtICE, I9 USED.
9
-1- ,
12. Framliig ?ren = lo$ of groe g wull erea.
17. Gross wall area sq.ft.
Wlndow area A sq.ft. U windows UxA =
Rlm joist area A-4116_sq,ft. U r1m jolst= . l UxA =
Door area A sq.ft. ' U door aren= UxA = 7
otlier doore area A W eq.ft, U other doore=j*7 UxA =
Exposed fndli A I% sq.ft. q, ft. U foundation= #d ? UxA =Framinq ?ren A /i U framing area=UxA = Lt _
Het w411 nroa A eq.ft. U Wall- •UxA =
(ian) ToTt+U . : . . . . . . . uxr. _ ?43
14. Groes wall nrea x o.ll (A-1 slhqle famlly 6 duplex) = ttllowable UxA/Code--
(13. above)
x 0.27 (A-2 othor realdentiel) • - _
x .23 (other bulldinqe) x .zo (ovar 3 ntoriea) /n /? l UTUII muet be lnrgar than or same
1+ ?vx U Coda °F:- us 13D aUove
15. ceiling framing nraQ (A,) aquale lOt oE oelllnq area
15A. Grose ceiling area =(L) ? x(W) sq.ft.
15I1. Jolst area (AE) - 10} ceillltq pte4 sq,tt,
15C. Itet ceiling area (A )(15A - 1513) eq.ft.
U ceiling x A.
U frnming x A t = I,?Q x . Oti e 4
15D. TOTAL U x R ..............
????:?..•......?
16. aeillnq nren (15A) x 0.026 (A-1 eingle Family & duplex)
= nllawable UxA/ C Is oda
x 0.037 (A-2 other reeidentiel)
x 0.06 (other)
???? D,CUII muet be larqer tlian or seme
A(15A) x U Code = °F. ae 15C7 ebove
IIOTEt Use U nm! A vnlues obtalned Erom pagee.l, a and 4.
CfR'LJFI-QnTI411 1 I heroby certify that I h4ve calculated tho ??Ull factore and
"R" valuaa hereln an4 L•hat tho hulldlnq here descrlUed maote or exceode tlte
9tnte of Hinnesuta LitoCqy ConnnCVatlon Aat.
6
?A 9 gnature --
-21
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
SITE
OWN
INST?
ADDF
CITY:
NO. FIXTiJRES EACH TOTAL
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET ' minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00 .?'i. nc>
PRIVATE DISP. • Dak.Cry. lic. 20.00
U.G. SPRINKLER • home under wnst. 3.00
ALTERATIONS • to «isting 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
STATE: IAA ZIP CODE: ?5S 34''Z
PHONE #: (6 k23 Q33 - I RSSO
74 ??6L?
SIGNATU E OF P MITTEE
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
TOTAL: 5-50
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
X NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPI'ION:
CONTRACT PRICE:
FisC: 19c OF CONTRA(°T FEE.
STATI: SURCHARGE: $.50 FOR EACH $1,000 OF "??T FEE.
11i1NIAfUTt FEE: $ 25.00 " '
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
TEN.ANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STE. #
$
$
STA1'E:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
1994 PLUMBING PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACFi UNIT.
X NEW CONSTRUCTION
_ ADD-ON A/C
ADr!'011 FU12NFiLE
FII2EPLACE INSERT
DA'j'E October 10, 1994
HVAC: 0-100 M BTU
ADDTTIONAL 50 M BTU
Installing Lennox G20Q3/4E-125 furnace, Amana RCA36
air conditioner, Vannee air-to-air exchanger, gas
pi_ping to ficeplace anci venting 4 hath fans.
GAS OUTLETS (tvtirrIMUM i @ $3.00 EACH)
ADD-ON/REMODEL (ExIS'1'IING CoNSTRUGT[oN)
STATE SURCHARGE
TOTAL
FEES
$ 24.00
6.00
6.00
$ 20.00
.50
92.50
SITE ADDRESS: 574 Hawthorne Woods Drive
OWNER NAME: steph-Aa Homes 7'FT.F.PHONE #:
681-9777
IN$TAi.i,F.R' Kleve Heating and A/C
ADDRESS• 13075 Pioneer Trail
CITY: Eden Prairie STATE: MN ZIP CODE: 55347
TELEPHONE #: 941-4211
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL,/INDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTI-IER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICE:
1% OF !,;ip: .;? FEE
PROCESSED PIPING:
MINIMUM FEE:
STATESURCHARGE
TOTAL
FEES
$
$25.00
$25.00
$.50 FOR EACH $1,000 OF F?? FEE.
?.??..
$
SIT'E ADpgFcS:
OWNER NAME: TELEpHONE #:
TENANT NAME: (IMPROVEMENTS oNL1)
INSTALLER:
ADDRESS:
C1TI': STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHQfiES AND
CONDOS WHEN PERMTTS ARE REQUIl2ED F'OR EACH UN1T. -
STTE
NO. FIXT[JRES EACH TOTAL
? SHOWER 3.00 3•OD
? WATER CLOSET 3.00 .O.
BATH TUB 3.00 < Q. _= .
? LAVATORY 3.00
KITCHEN SIlVK 3.00 , 6
? LAUNDRY TRAY 3.00 ia, 0C3 - "
HOT TUB/SPA 3.00
WATER HEATER 3.00 3-0 6
..
? FLOOR DRAIN 3.00 7, 00 _
GAS PIPING OL7TLET • minimum - 1 3.00 D_a ?_--. _,
3 ROUGH OPENINGS 1.50 v'o
WATER SOFTENER 5.00
?
PRIVATE DISP. • naLcxy. uc. 20.00
/ U.G. SPRINKLER • home unda ooost 3.00 ?
ALTERATIONS • w edaimg 20.00 =
WATER TURN AROUND 20.00
STATE SURCHARGE .SO_
TOTAL: S3<.dC7'
nnuF?c. 9 7 V - /w_?_A A-. ,
OWNER
INST.
CTTY: (9"ww STATE: I1'I ? ZIP CODE*?
PHONE #: ( lo /02) ySoZ W66.
SIGNATURE F PERMITTEE
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN -
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMALETE FOR .ALL CO NII?MEtCIAI:JINDUS'I1tIAL.BtJILD.INGS. ALSO?FOR-MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERM.TTS ARE NOT REQUIlZED'FQR BACH
DWELLING LTNTT.
_ NE9V CONSTRUCfION
ADD ON
_ REPAIR
WORK DESCRIPTION:
CONTRACT PRICEs
FEE: 1% OF CONTBACC FEF.
STATE SURCHARGE: 5.50 FOR EACH $1;000 OF' FEE.
MIIMMUM FEE: $15.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$
a
$
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITl':
PHONE #:
STATE:
ZIP CODE:
FOR:
CI'1'Y OF EAGAN APPLICANT
1994 PLUMBIIYG PERMIT (COMMERGIAI.)
CITY ,OF EAGAN
3830*'PIIsUT KNOB RD
EAGAN 1GfN 55122
(612),6814675
Cities Di i._? tal Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Cities Digital Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
?ti'.el?Jr ? ? a.. ?: ? : n . ..? . ? :.(? . ,.'?" ?.:..
? ??F?'. ... .1 ` "('.- .:a.? •'n.?, id,??., ,.? ??
-r
:
y
?
...
,
•
Tl
.,r,. ...-
r.?
-' a.'• _t.. ..? _ ? , .. .,
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
b CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?J
651-681-4675
..--
New ConshucHon Reauiremenfs Remodel/Reoah ReaolremeMa
D S regMered sRe surveya showing sq. lt. of lot, sq. ft ol house 2 copies of plan
and pll roofed aeaa 12095 mnxlmum lot coveraae allowed) 7 aeT of energy cakulallons lor heafed addfliom
D 2 coNies oi pbns (show beam 3 window sher, poured fnd. deaign; etc.) 1 sHe suney tw exterlor addiNons 8 deeks
? 1 set oi energy calculaNOna
D 9 coples of free preaervafion plan q lot plaMed affer 7/1/93
DATE: !D" tZ," R?I CONSTRUCDON COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: ?
BLOCK:
Name: \ I 1 Ci 6a Phone #: S(05 /` 0
PROPERTY Las? FtFst
OWNER ,??
StreetAddresr ?/ '
City Ef6mj State: Zi): sr-, L12,_
Company : &g4dolM 6I q G.l '(a«{?9_ Phone #: W )Z 70-7 6q7"/ _
(area code)
CONTRACTOR Sheet Address:?' ? Z2y? 4V ?C6? ? liceme ? /•?,?? ??? P ?
? #?(? I
Ciry ?L !til k State: Mn/ Zfp: 55/X7
ARCHITECT/
ENGINEER Company: Name:
Talephone k: area code (
Stree't Address: Re9isToHa^ #:
City
Sewer i water Ilcensed plumber (reaulred for new conshuction onN1:
State:
penolFy appl{es when addreu ehange and lot change Is requesfed once permR is Issued.
Zip:
hhereby acknowledge that I have read Mis application, state thaf the IMormaHon is cortect, and agree fo eomply wRh all applicabl
atate of Mlnnesota STatutes and CiFy of Eagan Ordlnances.
t SignaFure W ApplfcaM:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plari Received __ Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 &plex ? 15 Lodging ? 20 Pool C3 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Ndtit
APPROVALS
Planning
Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 RProof
" Give PCA handout to appli(;ant for demolition permit
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 Sprinklered
Variance
Permit Fee
Surcharge _
Plan Review
License
MC/ES SAC City SAC _
Water Conn. _
Water Meter _
Acct. Deposit _
SNV Permit
S/W Surcharge _
Treatment PI. _
Park Ded. _
Trails Ded.
Other
Copies _
Total:
Valuation: $
?
.
SAC Units
°k SAC
ys'r NNi 5tr 21 1 y4 e r: N r
?
<o P g 1_ae.IC..
P? 6--+i ?' M G-??','
? 4?O zp?3 0•F
If) 91a,1 ?
.
A J +o„?.
?o
° ?e wo
0
a?
N N /?
, K 2? ?
J/,
P y? mf ?
5,?
1%
\ ' .?
\
5 r73?1/O DC'1??L'-
(O I ? V r..r.? -? 1
?.J
Vn ?
F?1?loRNG- WooOS tait,
Y.a,
,721.05
??d'? 33
f
. : i.
Z N
O
IOYoo?
/ ? i
\2,,, „
?YH l?'fa•y ?
r
?
i-• ? ?
\
\
v` ^^
G? > Iv\
Y\ Sl?z Qti
ti 00
Zo 3 \ r' ?
. ?.-°
:;;?,_???--?`. ?$ •• ? ? / ? O
fy ? ?•?io
37?
1.4
?
N
rv
F:AGAiVEidGiNL"`;v'? .l`
1?v ?C •.3 , b 4ac.?. I °? ?°?
N,AW ? N ot?t.?? w oa DS `??+? A?,? ?j?AR I Nl,S R6SJ MC-D
2 ND AODI-Yto+.1?
DC.K-o?a. GoVt?'?Y R - n ?ro,prc+an-?s,, i¢.o?J MoNJMEK"?;
Mt?-?T4 ? P 1 A. ' ?o?ol/o P= , `,U?4u? I
T hereby certify that this survey was prepared by me or
under my direct supervision and that I am a du].y Registered
Land Surve'yor under the laws of the tate of Minnesota.
D at e : 5Ir.c
LeRoy ohlen
RegisteTed Land 5urveyor No. 10795
?
F /1/
?s 7
(r ?rZ,q ??? ? ? ? M i1 Wous?"-
\ n/?
-.,43
?
Sep 20 13 02:43p Avalon Construction 6125484592 p.1
Use BLUE or BLACK Ink
! For Office Use 1
~I~5053
4011100 I Permit I
I Permit Fee: I
City of Eap~
I I
3830 Pilot Knob Road Date Received: 3 ( I
Eagan MN 55122 I
Phone: (651) 675-5675 I
Fax: (651) 673-5694 I staff: i~
013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: d + Site Address: J ~ r ' d W -~~Q rore VV UD t1nit
Name: Or °SS a~ Phone:
Residentl 4µ o rti Z ~Vwd S
Owner Address I City Zip: t
Applicant is: -*owner Contractor
Description of work: 1 N
Type of Work
Construction Cost: 00 d Multi-Family Building: (Yes / No Company-, Avato iv Coo-Is tt'c4c!I Qa/ Contact: b ct ~~tgChLj
Address: 2 O city: S T r~CA~
Contractor State. N Zip. SS~ ~C Phone: 2 r y
License M C Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i
f
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I 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.
CALL BEFORE YOU DIG. Cap Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 46 hours
before you intend to dig to receive locates of underground utilities. www gopherstateonecaLM
1 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 orly 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 TL of 7 akit c~N x
Applicant's Printed Name Applicants ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117559
Date Issued:10/21/2013
Permit Category:ePermit
Site Address: 574 Hawthorne Woods Dr
Lot:3 Block: 1 Addition: Hawthorne Woods 2nd
PID:10-32151-01-030
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Alex Grossman
574 Hawthorne Woods Dr
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140268
Date Issued:12/06/2016
Permit Category:ePermit
Site Address: 574 Hawthorne Woods Dr
Lot:3 Block: 1 Addition: Hawthorne Woods 2nd
PID:10-32151-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Alex Grossman
574 Hawthorne Woods Dr
Eagan MN 55123
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172908
Date Issued:10/21/2021
Permit Category:ePermit
Site Address: 574 Hawthorne Woods Dr
Lot:3 Block: 1 Addition: Hawthorne Woods 2nd
PID:10-32151-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Alex & Roza Grossman
574 Hawthorne Woods Dr
Eagan MN 55123--305
(651) 210-6187
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177851
Date Issued:07/21/2022
Permit Category:ePermit
Site Address: 574 Hawthorne Woods Dr
Lot:3 Block: 1 Addition: Hawthorne Woods 2nd
PID:10-32151-01-030
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Alex & Roza Grossman
574 Hawthorne Woods Dr
Eagan MN 55123--305
(651) 210-6183
Clearwater Plumbing & Heating
19260 Mushtown Rd
Prior Lake MN 55372
(952) 440-3779
Applicant/Permitee: Signature Issued By: Signature