577 Hawthorne Woods Dr. INSPECZ
' ?C1tY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
; ?? i ???; ,?i ??. ?•
PERMIT SUBTYPE:
,
PERMIT TYPE:
Permit Number:
Date Issued:
APPUCANT:
F.
TYPE OF WORK:
r+f 0,
?Y c?) 1 ? ? . ? .•?
INSPECTION .. . ..
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? ?- -- -- -- - - -- -- - - - - - - -- - ? - - -- -- - - - -- - --- - - -- - - -??
Pennn No. aa.mn Holde. Daa TeMprione N
S/VU
PLUMBING
HVAC
ELECTRIC, ? ov
ELECTRIC
Inspecdon Dab Insp. Com rnsnts
Footings I
Foundatfon
Fm" 3_60-p-3 ?
Rooting
Rough Pbg.
Rough Htg. Z _ Z3,
Isul.
Fireplace
Fnal Htg.
Orsat Test
Finel Plbg. J/
.7 Plbg. Inspec.tor - Notiiy Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg. 5193
Deck Final
weli
Pr. Disp.
.
>....r v .
gemficate nf Cccupanc?
?itv o? ???
??? ? ?? ?0"fift
This Certificate issued pursuant to the nequirentents of the Uniform Building Code
certifying that at the time of issuance this structwe was in compliance with the various
orrlinances of the City regulating building construction or use. For the foUowing:
osc G7assification: SF MU Bas. Pexmit No. M4
occ,pancy 'type zoning nisn;ct R 1 t W t?IY AVE, ?T PAUL
Owxr of Building Addest
Bwiding Address Sn ? waos uRTVE ,?,,;? ib, B4, ?? wooos isr
? ? . ,..,
..?? °%W. 05/05/93
auMng oMcW
POST IN A CONSPICUOUS PLACE
L 0 1 5 V 0
REQUEST FOR ELECTRICAL INSPECTION
? See mstmcnons br compietmg Rns lorm on back ol yellow copy.
"X" Below Work Covered by This Request
E13-00001-08
e Aa'0 Rep. TypeofBwlding AppliancesWired EquipmeniWned
Home Ranqe Temporary Service
Duplex Water Heater Electric Heating
Apc BuAding Dryer Othar-(Specify)
Comm./Industrial Furnaca
Farm Air Conditioner
Other (spenly) Gomrnctor5 Remarks:
Compute Inspecnon Fee Below: I
# Other Fee # ServiceEntranceSize Fee # CircuifyFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transbrmers Above 200 _ Amps A6ove 100 _ Amps
Signs Inspector9 Usa Only TOTAL c??
Irrigation eooms
Special Inspechon
AlarmlCOmmunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Ofher Fee f COMPLETED WITHIN 78 NTHS.
I, the Electrical Inspector, hereby
tif
h Rough.in o7 _22 ?
cer
y t
at the above inspection has
been made. F,,,ai ?
r ?? _ ? oero ?
K r
OFFICE USE DNLV - ?
This request voitl 18 momhs Irom
Req st Date
' Fre No. Raughin Inspeclion
Reqwre 7 '
0 Reedy Now AffVg' ill Notiy Inspector
- ? e5 G No WM1an Peatly9
ensed contractor D owner hereby request inspection of above electrical work at:
Job Atltlress I SVeet Box or Rou?e N Cily
5 0
Section No. Townsnip Name or No R9nge No Cou
Ocwpan??P Phone No.
PowerSUp Atltlress ?
Elear¢al actor ICOmpany Name) / Conhactor5 4cenae No 9
/
Maenq n eress ?(3traqorr pwner Makmg mstallaLOn)
J ?
AuthAignature iContracbllOwner Mebn Installauonl Phone Number
l
O
g
o
'
e
MINNESOTA STATE BOAHD OF ELEGTflICITY v ? THIS INSPECTION REOUEST WILI NOT
Gtlggs-Mitlway BICg - Room 5793 BE ACCEPTEO BV THE STATE BOARD
1821 Vnlversity Ave., 51. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Prtone(612)Bd4-0800 ENCLOSED
Address 577 HAw1x0ItNE kOons nxlvE Zip 5512 3
L"ut' * '16 Blk 4 Sub HawnHORNe woODS 1ST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: OS OS 93 Yes No Inspector. ?
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway V,
Permanent gas
Sod/Seeded gass LI-01
TraiUcurb damage
Porch
Basement finish V/
Deck S
Pleasa verffy with the builder the removal of roof test caps from the pllmbing system and the shuboff of water supply to
the outside lawn faucet before freeze porential exists.
Contad engineering division at 681-4645 6efore working in right-of-way or installing underground sprinkler system.
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?(4 651-681-4675
New ConeW cdon Reauiremanta
• 3 regislered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed a2as
(20% maximum lot coverage allowed)
• 2 copies of pWn showvig beam 8 vnndow saes; Poured fouiM desgn, etc.)
. 1 sel ot Energy Calculations
• 3 copies of Tree Preservation Plan i11ot platled aRer7/7l93
• Rim Joist Oetail Options seleGian sheet (bldgs with 3 orless units)
DATE
SITE ADDRESS
TYPE OF WO
APPLICANT
RemodellReoair ReauiremeMs
• 2 co0ies of plan
• 1 set of Energy Calculations for heated additions
. 1 sile survey for exterwr additions 8 decks
. Indicate if home served by sept¢ system for addilions
q ?
VALUATION '-
i
MULTFAMIIY BLDG _ Y ?N
FIREPLACE(S) _ 0 _ 1 _ 2
et?l'?S
STREET ADDRESS 2-?3? 8?i 1? Y Y?uo-. CITY ZO'e-bS?'rSTATEk ZIP SSo
TELEPHONE # Z??:CZ CELL PHONE # ?a12^?v? -`??/v FAX # 2'???
PROPERTYOWNER NS/ kCC)V_ aY-4l,t--) eJ3 TELEPHONE#??? ,,L 19-4"7&
---------------------------------------°------------------------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y(INNE50'CA RULF.S 7670 CATCGORY 1 _ MINNESO"CA RL"I.F.S 7672
(J su6mission type) • Residentlal Ventila[ion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Su6mitted
Plumbing Conhactor: ____
Plumbing system includes:
Mechanical Contractor:
Nlcchutical syslcm includes:
Sewer/Water Conhactor:
Air Con<litioning
Hea[ Recovcry System
-------°------------------------°----------------------------
I hereby acknowledge that I have read this application, state that ihe
with all applicable State of Minnesota Statutes and City of Eagan Orc
.
Signature of Applicant
OFFICE USE ONLY
Water Softener
_ Waler Heater _
No. of Baths
_ Phone #
I.awn Sprinkler
No. of R.I. Baths
Phone #
7P ?? ? ?
Pee: $90.00
? W^
JUN 18 2002 I?
-------- -------- - - -
c , _ ee o comply
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
UOdated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? OS 03-plez ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12_plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 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 applicant
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 of Const W idth
REQUIRED INSPECTIONS
_
Foohngs (new bldg) FinaUC
O
_ Footings (deck) .
.
FinaUNo C
O
_ Footings (addition) .
.
Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof
I
& W
_
ce
ater
_ Fraroing _ Final Pool Ftgs Air/Gas Tests Final
_ Fireplace _ R.I.
_ Air Test _
Final Siding S[ucco Stone
Windows (new/replacement)
_ Insutation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
ities Di2ital
? 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.
t
PERMIT
,CII1 OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 6814675
PERMITTYPE: 8uyLG:izriG
Permit Number: 0019211
Date Issued: i 2/ 31 / 9 2
SITE ADDRESS:
P.TaN.: 10-3275O-160-414
Buildibg Permit Type
Bull.ding _bJorl: TyDe
Ut3C Ocr..upanr:y
CcanGtruction 'Fyp2
Zoning 9uild.ing l_angth ;
Building Width ?
DESCRIPTION:
:3F UWG
niFw
R- 3 hl -1
J - PJ
R -1
42
?. .
REMARKS:
??C C , P T +r (6 '0a I?y? ?R V
S.? Ul C'C1MTttACTOft - b'ALLF-Y Pl S[3
FEE SUMMARY:
bdos; FfSf'
I' I P;il Fe'.'jw!"
Sui'ctiar'ge
5 fi C
sr,c ur???s
<?i,t?ror.,,l
577 HH6JTHORN£ IJOUpS L7R
C(JTw +?^.016 BLOCK: 0004
HAWl hIURIVE 6dOGDS 1.5'P
VALUIkI"I.UN
$3i'1..5N
$b93..13
4:85.4)0
$700 .0P)
100
i
----1z.<<,?a.6?
,£178..UUN
1+11SCLI LRP!'rOU;i 1.6141.5G1
1 or,e.l i'e (--, $3.905.13
CONTRACTOR: - Ar> pJsoan q. - s r. CMOWNER:
i=wFNnWoov iiOme?D 161u6529 0001519 bi<ENIwouo i3umEs
)56Q Urd'JVEt2;SrY' A'Jt IJ 1564 W UhlI1IERSITY AVE
;i PW!11_ MN Ph1G4 S7 PAUI. hiN 55104
(672) 64E-6529
I Piereby acknowledge L'hat T have read this appli.catiqn and staT.e T.hat the
i.n7ormation is corrsct arid agree 1:n comply with a1l appl.ieab.le SCate of Mn•
Statutes and C.ity o'f Eagan Ordanances.,
? -
?'
PL T/PERMITEE SIGNATURE ISSUED 13Y IGNATURE?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
,r? H,aW rt
lil'rlll I1UitCdF I,J (1(10`;
PERMIT SUBTYPE:
; F 1) wG
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
[-OT: 0016 „i_och: 0 0 0 ,APPLICANT:
0 r3niE C) n^ oF? HreErvTw001) f,oM-s
1_til (t7?2) 646 --ti1:%1 1+
TYPE OF WORK:
N e ?A
t;uiI ?ir,!n
L?viS' .
f2i :1'.1 /3.(
INSPECTION
FnoTrNG ,.
.
?KnriTNG
.,
cN suL A 'iroN F L N nI
;-IRi f'l_ACk
tiMr9r1F? P:S? RF,rETi'T I#
?
?
FRV , & I-I C:UIVl12AC'i0;ll - AJ,<1LLE"y t>Lf;?;
`? ?
PERMIT N
REACTIVATE _
,
.I
CITY OF EAGAN 431? j?
1992 BUILDING PERMIT APPLICATION '
681-4675 u ?
"!° 'F'A I d' '1 ?l! ' S JY, ) r4 1P`,,
r? I I 'I
?
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date IZ -4 / qZ Valuation of work -k /c_?0, 00d
Site Address: `-J?7-1 I4-L%?J11AC424Q1L wOoCS
STREET SUITE !
Jenant Name: (commercial only)
IAT BIACK 4 SUSD.PAwR}pQj#j9!T wOO1?S P.I.D. o
?ac
Descri tian of work: `.AI`0cPL-F- ???1 L.7'
The applicant is: O Owner Contractor O Other coea«iee)
Name E3 L?1=.? k4grnf-=S Phoike Co S2°1
Property L.ST F,pST . 7
Own¢f Address 1S(o4 W• LrJ LU EeSiT`1(
STREE7 STE I
City hr_ State Mtv Zip
Company Henry?S Phone (4vqfo - ?S Zg
Contractor Address vK3tUCe-9?t'1Y Al1Lat'icense N OCCISIct Exp. 3 3/ R3
City 5-C•5tate M??-? Zip SSICrC-I
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber B nx- . Processing time for
sewer Q water permits is two days once area as een approve .
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
)W02 5F Dwg.
? 03 Sf Addition
O 04 SF Porch
? 05 SF Misc.
WORK TYPE
)5 31 New
? 32 Addition
GENERAL INI
Const. (Actual)
(Allowable)
UBC bccupancy
Zoning
?' of Stories
Length
Depth
APPROVALS
? 06 Duplex
O 07 4-Plex
El 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
=ORMATION
V-t`l Basement sq. ft.
? lst F1. sq. ft.
9-,3 NI-? 2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
?3. On-site well
y?• On-site sewage
Planning Building
Engineering Varlance
REGIUIRED INSPECTIONS '
? Site ? Footing O Framing
? Wallboard ? Final ? Draintile
? Insulation
? Fireplace
Permi t Fee v.iuacta,: 8
Surcharge
Plan Review _
(S ARAGE; 32)e;?y>'](.9
,
License a / i?L: (ay)
MWCC SAC
City SAC gsMT; 2vzf ty= :? I,
Nater Conn. 909 x I6= I1I 3yy
Nater Meter X 153 5
Acct. Deposit I 3'l2Y,1,4 = C199?)
S/W Permit
?u ? «
S/W Surcharge 1 X
Treatment Pl , j3-? Zo? yOv
Road Unit
Park Ded.
Ist F`°°R;
Trails Ded. rSSr.nT=
Copies
Other ZXg?. 16
2 ?
Total :
V r?
SAC % ? 2ND ?OJ?;
SAC Units 3i"xWb'/i_ lyedi?
4- 17xlez lo
z
?
)45 =
=
y
`
2 ? ?
?Z
z xN
? 50
1
53 1'41
x
. ?
?i
O 16-8asdMbnt'Fi nfish
O 17 Swim Pool
? 18 Cortan./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System YF-S
City Nater
PRY Required ?
Booster Pump
fire Sprinkler
Census Code
SAC Code D?
Assessments
y .. _ .. .. ._... _ ? ? ' . .., .. ., ..
I
•T• EXTERIOR ENVELOPE AVERAG£ "U"'COMPLITATION
owxex?P F c?rr?,?,r-,r,cl I._In nn ? S
SzTE ADDRESS 5-7-7 uAuD ru o pa.? v.?oon 5 i?2.?vE
ODNTRACTOR ROFI.Ti"1&?0O1'7 LLo(Y1E.? DATE 2 kcrxorE C424(o- CoSZ?i
Determine working square footage of each_
1. Total exposed wall area . _ . . . 2-2.2$ .13[sq_ ft. X . -i - -
2. lbtal roof/ceiling area . . _ _ . IR64_sa. ft. X + Uz"W - ?U • (?
A. Total wall window area .......................... 2-0 t - O2
B. Total door area ................. ................ 2-9
C. 2bta1 sliding glass door area . .. .. . .. . . . . . .. . . . . $g
D. Total fireplace wall area....... .............••. n1A
E. Total wall framing area (average 108)........... 2110.2'7
F. Total Rim joist area............ ................ ?LfK*
G. Total Net wall area above floor- ---------------- m4Co• 4
Total exposed £oundation area - 12.jp
H. 'fotal foundation window area .............. :..... r7A
I. Total net foundation area above grade----------- Mp
Determine "U" value of each wali segcrent_
a. 2o4.az x --U?- t st_ = 7(0 -38
b . ? X .•o.. ,6(,'7 = l,lo7S
c. $d{ x ..u.. . 19'D = 42
a. N q x..U„ NA = N A
e. Z}t,.277 x "u^ , ('?. = ZCo
f. 2c?S' x "v" .04 = t0• t-v
q. t9 4b .4 X,-u.- . 04 = '7"1 • a?
h. 1-,S A x"U" .?4 = N Ih-
i. IZC? x"o"
3 .............................?----.Total = ZC:C?,1C5
If item N3 is the same as, or lcss than item 41, you have :net the intent of
SBC 6006(c)2.
.
...,
Total exposed roof/ceiling area = - I E3r'j3
j. Total skyliqht azea ................................. tJA
k. 7bta1 roof/ceiling framinq area (average lOt)...... LAS,, 3
1. Total net insulated roof/ceilinq area .............. Lfi y'7 7
Detennine "U" value for each roof/ceiling segment.
] - . X U. - _ _
k. 1$5 • 3 x..u- .03 =19 S.h
i_ x^o^ _ p'7 -= 33 . 3S
a ...................................... TOtal = 3g.°t
If total of 94 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1_
Alternate Huildinq Envelope Design
7b utilize the total envelope system method, the values established by the
svm of items #3 and #4 shall not be greater than the sum of items #1 and #2.
1.
+ 2_
"s_ + 4.
CITY USE ONLY I? 2
L BL p ry RECEIPT #: ry J
SUBD. ??,D1(ln.e' w„CN S (" RECEIPT DATE: V' '
PERMIT# ?
1999 PLUMBINC PEiMT1' (REsIDEN17AL)
CITYOF EAfiAN
S$SO PILOT KNO$ RD
EA&/kN, MN 55122 /
(657) 6$1-4675
Please complete for: ? single family dwellings C?-U , L`-'"V l
> townhomes and condos when permits are required for each unit
: backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Ga5 i in OUtlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
W8t8f SoftBnef if dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e ----> ----> $ 50
rotal --> --> ----> .... > $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
'---------------------------- --------- ------- ------------------- ------- - - ------ - - - --- - ------------------
I hereby acknowledge-that I have- -read-this applicalion, state tha[ the lnformation is correct, and agree to wmply with all applicable Ciry of Eagan ordinances.
It is the applicanPS responsibdiry to notify the property owner tha[ the City of Eagan assumes no liability for any damages caused by the City du(ng its
normal operational and maintenance activities to the facilities constructed under this permit wrthin City propertylright-of-way/easement.
a? ?71 f / // A? 'n h.. _
SITE ADDRESS: '. I-) l / r
OWNER NAME: : TELEPHONE #:
INSTALLER NAME:
STREETADD SS e Lx ? %cnc/J /J
CITY: STATE:
-w?-2
- ZIP:
S IG NATU RE
• .:_
? PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMFS AND
CONDOS WHEN PERMITS ARE .REQUIRED FOR EACH UNIT.
NO. FIXTURES
SHOWER
? WATER CLOSET
BATH TUB
LAVATORY
I KITCHEN SINK
T I,qUNDRY TRAY
HOT TUB/SPA
1 WATER HEATER
I FLOOR DRAIN
T GAS PIPING OUTLET • minimum - i
ROUGH OPENINGS
• WATER SOPTENER
PRIVATE DISP. • natcry. sa
U.G. SPRINKLER • 6ome under consL
ALTERATIONS • ta adstiog
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
EACH TOTAL
3.00 D
3.00 n ?1?1L-
3.00 0
3.00 OJ?
3.00 ?3, -0-0?
3.00
3.00
3.00
3.00 l?
3.00 , D
1.50
5.00
15.00
3.W
15.00
15.00
.50
?
SiT'E RDDRESS: 577 Hawthorne Drive
OWNER NAME: BRENTWOOD xOMEs
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
ADDRESS: 14745 South Robert Trail
L.7'y; Rosemount STATE: MN ZIP CODE: 55068
PHONE #: (612 ) 423-1144
0
?
MECHANICAL PERMIT (RESIDENI7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIItED FOR EACH UNTT.
XY NEW C^:t;STRLT:.'::L.'N
ADD-ON A/C
ADD-ON FURNACE
DATE February 12, 1993
FEES
HVAC: 0.100 M BTU $ 24•00
ADDTTIONAL 50 M BTU 6.00
.JAS OL1TI..ETS (MINIMUM 1 @ $3.00 EACH) ? 0c)
ADD-ON/REMODEL (ExISTiNG CoNSTRUCTioN) $ 15.00
STATE SURCHARGE .50
TOTAL J,? •?v
SITE ADDRESS: 577 Hawthorne Drive
OWNER NAME: BRETwOOD HOMFS TELEPHONE #:
646-6529
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
ADDRESS: 14745 South Robert Trail
CITy. Rosemount
STATE: MN
ZIP CODE: 55068
TELEPHONE #: (612) 423-1144
?
?
??013 o
(Y 0 0
D 8'0
8l- ,0 0
I?Y D 0
9? 0 D
0zw 0
f" ?
EY? 0 0
LOT BIIRVEY CHECICLIST !OR REBIDENTIAL
• Registered I,and Surveyor siqnature and company
• Buildinq Permit Applicant
• Legal description
• Address
• North arrow and bar acale
• House type (rambler, walkout, split w/o, split
lookout, etc.)
• Directional drainage arrows with slope/qradient t.
• Proposed/existing sewer and water aervices
• Street name
• Driveway
SLEVATIONS
Exiatina
D 0' 0 • Sewer service
B? 0
fl 0 0
0 •
• Lot corners
' Top of curb at the driveway
0"
0 13 • Elevations of any existing adjacent homes
Prooosed
• Garage floor
Q ? ? • First floor
D?0
0' 0 ?
0 • Lowest exposed elevation (walkout/window)
• Property corners
D? 0 0 • Front and rear of home at the foundation
• PONDING AREAB tif auDlicable)
Easement line
0 Ca' 0 • rrwL
O 0" 0 • xwL
D [d' D • Pond # designation
D V 0 • Emerqency Overflow Elevation
DIMENSIONB
ently,
,
0"? 0 0 • Lot lines
D' D 0 • Right-of-way and street width (to back of curb)
E' 0 0 • Proposed home dimensions including any proposed decks,
overhangs greatez than 21, porches, etc. (i.e. all
-/ structures requirinq permanent footinqs)
II D? • Show all easements of record and any City utilities within
1 those easements
D 0 0 • Setbacks of proposed structure and setback of adjacent
existing homes
13 0 • Retaining wa irem nts, if any
- Reviewed:
October 1992
Date of Surveys z _
p9COMENT BTA*D R B
11.24.92 17:21 - ---g eiz asz aazz --
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SIQiMA
SURVEYINI'3
SRRVICE9 INC.
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-LEQEND-
7A
o Denote5 Iron MDnument
a Denotes Wood Hub Set
x93y,o Denotes Existing Spot Elevatlon
tx9yo,5 ? Denotes Proposed Spot Elevation
?---- Denotes Drainage Direction
-PROPERTY, DE8CRtPT10N-
Lot 16, Block 4, HAWTNORNE WOODS
1ST ADDITION, according to the
reCOrded plat thereof, Dakota
County, Minnesota,
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1? qt4o.5
PRSJPOSE9 GARACE FLOCR ELEYATION=
PROPOSED TOP OF BLOCK ELEYATION= 9 If o. 16.
PROPOSEO BASEMENT FLOOR ELEVATION= R32.8 W?(
*NOTE: Verify alt Bldg. Oimensions and
Floor Neights w9th Final House Plans.
-SURVEYORS CERTIFICATION-
1 hereby certify that this survey, plan or
report aas prepared by me or under my
direct supervis9on and that I am a duly
Registered Land Surveyor under the laws of
the State o?i esote.
A? Date: I?W CqZ'
?
Nayne . Cordes. Minn. Reg. Ho. 14676
191 1 ssseaa wsA -swfa EP, 6StJ ? 4S2?v1077
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SIGMR SURVEYING P.01
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RESIDENT OWNER
Name: 6 Phone: 0
Address City Zip: U a'YYV__. P 5 9 3
CONTRACTOR
Name: License 2 (7 -7
0 PM
champion
Address:
City: 3674 006 At 0100 State: Zip:
00156123.1 J
`C
Phone: Contact Person: i V
TYPE OF WORK
New v' Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work: LV C t g 1! J
PERMIT TYPE
RESIDENTIAL
l Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
"Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) SU W
TOTAL FEES W
Tenant:
C!ty of Eakait
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
S Date; 2� V l Site Address: 77 I W -f rh t'i woak
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances an codes of the Crty 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.
ections
evi+
=furies 6-
Applicant's Printed Name
FOROFFICE U
Required Ins
;_7
IVA fl i t
2 8 2009
x
Applica
For Calf
Permit Q
Permit Fee:
Date Received:
Staff:
Suite
3 l 7
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133297
Date Issued:10/05/2015
Permit Category:ePermit
Site Address: 577 Hawthorne Woods Dr
Lot:16 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-160
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Anthony J Kamarainen
577 Hawthorne Woods Dr
Eagan MN 55123
(651) 686-6721
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152010
Date Issued:09/24/2018
Permit Category:ePermit
Site Address: 577 Hawthorne Woods Dr
Lot:16 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-160
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Anthony J Kamarainen
577 Hawthorne Woods Dr
Eagan MN 55123
(651) 338-4597
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152419
Date Issued:10/15/2018
Permit Category:ePermit
Site Address: 577 Hawthorne Woods Dr
Lot:16 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Anthony J Kamarainen
577 Hawthorne Woods Dr
Eagan MN 55123
(651) 338-4597
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152432
Date Issued:10/15/2018
Permit Category:ePermit
Site Address: 577 Hawthorne Woods Dr
Lot:16 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Anthony J Kamarainen
577 Hawthorne Woods Dr
Eagan MN 55123
(651) 338-4597
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153102
Date Issued:11/21/2018
Permit Category:ePermit
Site Address: 577 Hawthorne Woods Dr
Lot:16 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-160
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 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 -
Anthony J Kamarainen
577 Hawthorne Woods Dr
Eagan MN 55123
(651) 338-4597
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA164838
Date Issued:10/09/2020
Permit Category:ePermit
Site Address: 577 Hawthorne Woods Dr
Lot:16 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-160
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Anthony J & Amy L Kamarainen
577 Hawthorne Woods Dr
Eagan MN 55123--306
Roelson Plumbing Services Inc
10924 Pioneer Drive
Burnsville MN 55337
(952) 288-1486
Applicant/Permitee: Signature Issued By: Signature