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578 Hawthorne Woods Dr
CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTID RECORD PERMIT TYPE: Permit Number: Date Issued: p•`.,/1 tJ+4 SITE ADDRESS: i4:1t: , i?ral-Il llu<<PJ4 4l?i?f11:, .?pU PERMIT SUBTYPE: #Ilt)i:h, • ? --- - --------- Ci F; ? i:?'? 1 Y I f N[IMF: ', I N(. 7 it 1; 1=. ? TYPE OF WORK: N i I.r INSPECTION .. . .• f r?AM 1 M:, rri•,?I i r,I i?,?? 1.4 I't i•?. I:?;tl{?iil ? f.l II i I? t1r11 ! I l+k. f Y l?l:l. I pr;v k, s: w P zEsp I l?t,br.,.,41a 11 1.14 DRIVEWAY ENTRAKCE MUST BE CONCRETE BEFORE C/U WII.L 8E ISSUED ? L? -1 ParmR No. PermR Holder Dete Telephone I1 S/1N PLUMBING HVAC ELECT ELECTRIC InspectFon Date Insp. CommeMs Footings I r7 v Foundation 5 3 f l Framing 6,.2 r Rooflng Rough Pibg. Rough Htg. a ? lsul. Rreplace Final Fttg. Orsat Test Final Plbg. U Pibg. Inspeclor - Noti(y Plumber Const. Meter a G ? EngrJPian Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. ,/ 0 QC;t:* %ertificate vf Cccupanc4 (Fing of Wagan r? Tcp+trtucat v f 8n"* ?u?rectioa ,:- _- This Certificate issued pursuant to the requirements of the Uniform Building Code certefying that at the tinte of issuance this stntrturr was in cornpliance wrth the various ordinances of the City regulatlrtg building construclion or use. For the following: Use Qassificmion: SF DW. Bldg. Permit No. 23565 Oocapancy Type R3M I Zanin6 District RI TYPe Const. VN Ovoer of Baiidiug 1.•IFF= 10M IM /?ddiess 148q LAKE PARK .riIR. iM 2ND Buildieg Address 578 ?? MM MW l.acaliry L I, B ? ?'MM Data (J? ?. //=1 Baildiog Official ' POST IN A CONSPICUQUS PLACE RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? ? ?? • ?"? 651-681-4675 v_Construetion Reauiremenb RemodelfReuair Reauirements 3 regislered 'site surveys showing sq. ft of lol, sq. R of house; and all mofed a2as • 2 copies of plan (20% manimum lot wve2ge allmved) • 1 set of Energy CalcWations for heated additlons 2 coples of plan showing 6eam 8 window s¢es; poured found design, etc.) • 1 site survey forezterior addillons 8decks 1 set of Eneryy Calculatbns . Indicate if home served by septic system for addihons 3 copies of Tree Preservation Plan'rf lol plafled after 7!1/93 Rim Joist Detail Options selection sheet (bldgs vrilh 3 or less units) 4TE ?D_ 1 S -0 ( VALUATION IL, 0 a O_ ? CJ )B SITE ADDRESS ? 7% 14rtk-+ `-' o°Y' ??- MULTI-FAMILY BUILDING, HOW MANY UNITS? ;OPERTYOWNER Ck,'"dY 09 4-SS0 PE OF WORK L.0-V. t kA ?J ?--, FIREPLACE(S) _0 _7 _2 _3 'PLICANT PC, v i d ,SG ?ve"L'-" (f -e>0 S-)" 1 *7 ?- PHONE #-75-2 `L((-7' 3z Z 2- )DRESS Z1716 /T ,r-- ri'Lk-C A-VQ• ?471-GV'l?-? YnO, ZIPCODE 5302 \GER # fAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY =nergy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Conhactor. Plumbing System Includes: Mechanical Conhactor: Mechanical System Includes: Sewer/Water Conhactor. Phone # Phone # Fec: $90.00 ree: $70.00 above information must 6e submitted prior to processing of application. ereby acknowiedge that I have read this application, state that the information is applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant :rtificates of Survey Received CELL PHONE # _ Water Softener WaLer Heatcr ? No. oCBarhs _ Air Conditioning Heat Recovery System Phone #: Lawn Sprinklcr No. of R.I. Baths In0.? Jz?/ and with Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY 01 Foundation 02 SF Dwelling 03 01 of _ plex 04 02-plex 05 03-plex 06 04-plex I 1731 New 32 Addition 33 Alteration 34 Replacement ? 07 05-plex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ,. , ., ? 30 Accessory Bldg ? 31 6ct. Alt - Multi ? 33 Ent. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors `Demolitlon (Entire Bldg only) - Give PCA handout to applicant / O duation !n, 0 Occupancy MC/ES System _ ansus Code Zoning City Water _ kC Units Stories Booster Pump _ )r. of Units ? Sq. Ft. PRV _ ir. of Bldgs Length Fire Sprinklered _ pe of Const W idth REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. Footings (deck) ?J FinaUNo C.O. Footings (addition) Plumbing ? Foundation _ HVAC ? Drain Tile Roof Ice & Water Final Other ? FraminB _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test Final Siding Stucco Stone ?O Insulation _ _ Windows (new/replacement) Approved By GLU , Buiiding Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ise Fee ? ?-"?• a-? 19,4 /J ircharge 3n Review "/ES SAC ty SAC ater Supply & Storage :W Permit & Surcharge eatment Plant imbing Permit :chanical Permit :ense Search )pies her ital 1 a- L. a T5- 4 ?/?9 ? ol ?'0173 Request Deta r Fne No, I 1 RougRln InOeectmn Raqurted (VOU must call Inspeclor when reatly) Inspec0on OMer TM1an Raugh-In 0 qeatly Now ? WAi Nalify Inspaclar /?.i f.'K 0 Yes ? No OaleRead I? hcensed contrector p owner hereby request inspection of above electncal work at: Job Atlaress (SVeet Box or qoute No I Qry 571 77tO.P ' - OCAS : ?N Section N. Townsnip Name or No Range No. Coun/p?? // Ak?' Occupant(PRINT) Phone No. F6 rY<E .?o,?.?s 5'511 - 7&16. Power ppber AK t E r ? ' Adtlre /ss- % F oTI LL /? L , ti. ON P/n/N(n / f Elecm Convactor ICompany Namel Contractor5 License No. diy?z ?Sr ,c MaiLng Atltlress iLo Iractor o, Owne, Maiinq InstallaLOn? ? ? it«Ey S?izy o?. ?o<r D AZ SiqnaWre iGOmrecto?1Ow r Making Installalia,, Phone Number MINNESOLI STATE BOARD OF EIECTRICITY THIS INSPECTION REQUEST WILL NOT Grlggs-MlCwey BIGg. - Haam 5-173 6E ACCEPTEO BV THE STATE BOAPD 1831 Unrverslry Ave., SL Paul. MN 5510C UNLESS PqOPER MSPECTION FEE IS Phone (612) 6E2-0800 ENCLOSED REQUE$T FOR'ELECTRICAL INSPECTION M ? See mstrutlmns tor cOmpleting !"?J5 form on beck of yellaw copy p? Z94,82 X" Below Work Covered by This Request 6??<" EB-00001-08 ew Atld Rep TypeoiBUildmg AppliancesWired EquipmeMWiretl Home Range Temporery Service Duplex Water Heater ElectriC Heetlng Apt Bmldin9 Dryer LoaO Management Comm /Industrial Furnace Other (Specify) Farm Av Conditioner Ot?er(specity? ConVactors Femarks Compufe fnspection Fee Below. # Other Fee # Service EntranceSize Fee # Circurts/Feetlers Fee Swimming Pool 0 to 200 Amps ?Q 0 to 100 Amps Q Transformers Above 200 _ Amps Above 700 _ Amps Signs Insvector's use Onry TOTAL C?ir-r Irrigation Booms ? O Special Inspec[ion W AlarmiCommun¢ation THIS INSTALLATION MAY BE, ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO?. I, the Elechical Inspedor, hereby Rouyn-'n certify that ihe above inspection has been made. F,,,ai / / ? ' n OFFICE USE ?NLV '? TNS requast voitl 18 months Irom Address 578 HnwnioRNE wpons DRivE Zip 5512 3 Lot I Blk i Sub xntnRnRW, c.mnS 2nm THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON. Date: ??¢ Q Yes No Inspector: Final grade (6" ftom siding) ? - Permanent steps (garage) Permanent steps (main entry) i/ Permanent driveway ? Permanent gas ? Sod/Seeded grass ? TraiUcurb damage ? Porch Basement finish i/ Deck t? Please verify with the builder the removal of roof test caps from the plumbing system and Ihe 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. White - City Copy Yellow - Resident Copy Pink - Contractor Copy G) PERMIT# D? ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigatlon system RESIDEPTLAL PLUM$IRG PERM1T APPLICATtON crrYog E?sLAx 3830 PILOT KFOB RD SASRN, MIV 551 YY 651-6$1-4675 Please complete for: SITE ADDRESS: OWNER NAME: : 7O Olli?.J w RECEIPTDATE: 7- ??L <? r TELEPHONE #: giv _ (AREA CODE) INSTALLER NAME: S? I?wCG(.?C CGv?Yd'c?c 7'? TELEPHONE #: STREET ADDRESS: (AREA CODE) CITY: IW ?f?n itk" .? v STATE: WL(,l _ ZIP: SS 37;L Place a check mark next to the oermit work tvoe New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repairlrebuild of RPZ ? / • lawn irrigation system • water turnaround Nature of work: , Septic System, new/refurbished - $ 225.00 • includes County & Consuiting Inspector fees • requires MPC license State Surcharge $ .50 l $ Tota Rem)nder: Be sure to schedule inspections of aiteretions, i.e. water heaters, water softeners, etc. I hereby acknowledge Nat I have read this applicatlon, state fhat the infortnation is correcl, and agree to complywith all applipble Cityof Eagan ordinances. It is the applicanPs responsibiliry b notiTy the property owner that the City of Eagan assumes n t ility fy dam4 es caused by [he City during its normal operational and maintenance activities to the facilities consWCted under this permit with' Ci p of- y/ease t. NATURE OF PERMITTEE Updated 1/Ot -?OCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: ? -13 -y? BUILDING 023565 05/11/94 SITE ADDRESS: P.I.N.: 10-32151-010-01 578 HAWTHORNE WOODS DR LOT: 1 BLOCK: 1 HAWTHORNE WOOD3 2ND DESCRIPTION: Building-Permit Type Building Work Type ?"UBC Occupancy ,,, i Construction Type Zoning ? Build3ng LengCh 7 Building Width Bu : ilding stories ," ? ? t SF pWG NEW R-3 M-1 V-N R-1 65 50 2 ajr rr ' ????i?'S???ii ??'i? ?? ?C I( ??L? ??tt 'tiL?.?SJ?' ? REMARKS: DRIVEwnY ENTRANCE MUST BF, CONCRF,TE AEr'ORE C/0 WILL BF, ISSUED PRV S& W PGBR - 7HOMPSON PLBG FEE SUMMARY: VAIUATION Base Fee plan Review Surcharge SAC SAC ? SAC Units Subtotal $790.@0 $513.50 $71.50 $800.00 100 1 $2,175.90 $143,000 MISCELLANEOUS $1,828.50 Total Fee $4,003.50 CONTRACTOR: - Applicant - sT. LIC. OWNER: LIFESTYLE HOMES INC 14547866 0001288 LIFES7YLE HOMES INC 1469 LAKE pARK CTR 1489 LAKE PARK CIR EAGAN MN 55122 EAGAN MN 55122 (612) 454-7866 (612)954-7866 I hereby acknowledge that I have read ttiis application and state that the infiormatinn is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. IL pla APPLICANT/PERMSI ?ED YSIGNA? ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LoT: 1 BLOCK: 1 APPLICANT: 578 HAWTHORNE WOOpS DR LIFESTYLE HOMES INC HAWTHORNE W0005 2ND (612) 454-7866 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW BUILDING 023565 05/li/94 INSPECTION FOOTINGS „ . FOUNDA7ION .. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FIMAL PLBG FINA1. REMARKS: pRV r- L .r i S& W PLBR - THOMPSON PLBG DRIVEWAY F.NTRANCE MUST BE CONCRETE BEFORE C/0 WILL BE ISSUED ..e ,? . hi':ii ? ? t CITY OF EAGAN 1994 BUILDING PERMIT PPLICATION 681-4675 ?ECE4VED i•.,,'( i1 ts !494 e'u 6A SINGLE & MULTI-FAMILY 2 sets of plans, 3 regi eredsite_sua^.ace,ys 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 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 / / Valuation of work Site Address: ±(?71p4r1oYY1P 1VI ,I1'c STREET SLIITE d Tenant Name: (cammercial only) IAT I BIACK I SUBD. ? fr)??' P.I.D. # Descri tion of mork: The applicant is: Owner Contractor ? Other (Describe) VYti?PS, jYl?'. Phone ??"7c?P?a Name L,*1 U . (C ::U? Property , , LAST T FIRST Owner Address WV?l C 0--1CQ P Q?'lC 0 LrcU STREET STE # City C QCl('f Vl State Zip Company ?YY?g4 TY?(', Phone ?'Sti1r7?t2`f' Contractor Address L?5?1 ??? NQ4?1?P1.YCA0 License #OU?Z? Exp. City pG?j State 1?1.1?1 Zip 5IZz Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once atrea has een approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all a plicable 5?ate of Minnesota Statutes and City of di `' ? ? Eagan Or nances. L. cJ (P (?yY?C s) ?J V . C?, Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging )9 02 SF Dwg. ? 07 4-Plex ? 12 Mutti. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE W31 New 1:1 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. O 20 Public Facility O 21 Miscellaneous ? 37 Demolish Const. (Actual) All bl ? ? Basement sq. ft. /`/Ps MWCC 5ystem ( owa e) ? lst F1. sq. ft. ? City Water ? UBC Occupancy 2nd F1. sq. ft. S y? PRV Required Zoning ? Sq. ft. total Booster Pump # of Stories z Footprin t Sq. ft. Fire Sprinkler Length 61- On-site well Census Code Depth 5-n On-site sewage SAC Code ? APPROVALS Census Undt Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site M faoting AD Framing E3 Insul ation ? Wallboard la Final O Draintile O Firep lace Permit Fee Surcharge Plan Review License MWCC SAC c; ty sac Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Va4atim- (35.« o- ?S 7 B? 3. sk S 1Y3, otlo ? 5`? ? /3r/Y ?Q * l? ? Ioz,O? 3 X2O_ // z 3$ s ( ?.? /.S = 2S.S lY?'Y,S6kGs? /DZ?ysv?,y I Xa0 -_z_?_ ?SS,So 2 M (F 2S>- lb.S ? 5' l?f ? 5 ? /z6 ?- S ?/G, 5 bkS=Y = kib ?- 1dP6?' IYz? p?3.?y 2 <<? SAC % SAC Units . ?• ? w / m y m a ? ? S F ? s? LL3?0 0 • ?? ? • p?? p . ao 0 • [?' ? ? • 9-0 0 • ? o : ?0 0 H' D ? • LOT 8URVEY CHECRLIST FOR RESIDENTIAL BOII pROPERTY LEGAL• DOCIIMENT STANDARDS Reqistered Land Surveyor signature and company Building Permit Applicant Legal description Address North arrow and-baf scale House type (rambler, walkout, split w/o, split lookout, etc.) Directional drainage arrows with slope/gradient $. Proposed/existing sewer and water services Street name Driveway Existina C?0 0 • Sewer service 0'' 0 0 • Lot corners [3' 0-/? • Top of curb at the driveway l?6' 0 • Elevations of any existing adjacent homes prooosed Q D ? ? 0 0 • • Garage floor First floor ? ? 0 • Lowest exposed elevation (walkout/window) p?? ? • Property corners p/ ?? • Front and rear of home at the foundation gONDING AREAS (if apvlicable) ? :? • Easement line 0 Er' a • HwL ? [?? • Pond # designation p p' O • Emergency Overflow Elevation entry, I?IMENSIONB 6 ? ? • Lot lines Q??- p : Right-of-way and street width (to back of curb) 0? 0 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all ? structures requizing permanent footings) Cd' 0 0 • Show all easements of record and any City utilities within those easements 0?-b 0 • Setbacks of proposed structure and setback of adjacent existing homes 0 0,-'13 • Retaining w 1 requirements, if any Reviewed: October 1992 9' Date of Survey: ?l / / ? ? ? ? M.H.15 ?- Po.c. io+ie REMOVE PLUG FROM INP 8 11 D.1 P Q BEGIN NEW WATERMAIN CONSTRUCTION 2 3 i i;c CI iY OF EAGAM DOES ND"i GUPJ;i?!T-z: ACCURACY OF UTIUTY IOCAi t01!S !,P!C/OR ELEVATIONS. THIS DAfr1 iS FOR I:,.i7'"RittATlON PURPOSES ORL`l ANQ i'Z:s ?:O;1S UcoING IT SHOULD @1?R;;= 7 THE l.•'i=;,;;???;',-t{OPJ ?N THE SITE H.f 15 ..... ", i ". ? srav. i.oc. oN LOT 13 "x 6° TE E 13 L , 8°- I/16 BEND-, N i6 J . RT. 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I',?I?'t1?i??lilltj ., , ' ?!!!y'S? ? , f ? . ? d ? ......._.......,....»._.ti/........'__ _. ._...__ ..... .... .... .. . . w . .-_ ? .,.... .... .?- ? ;,, .., r ,., ' ..s.? ' ,?3?`' i'?i -:i??(? d ? . . ? . ? i: „ i a Y ; s7 ?r i.5 7ar.rP:;V t'ar3ifi' thAt !'heudc .:+,1ri;'nt+d t..?;t t4=ti R°td FrRr; ,. tp?u^_i ia+-9:5: s?•,k S;1?St Ihe hv??rllr,R !•f.C4 t't,?cLr3?.?:i N+Ctri? nC Our.llci??b '??t? S?R?BC ef liSnr::?>er.. Cn=ra? tonseraatlen Ai.t.. ?f t?i ns ?iF?)? / (Rb1tC?4 S '? c ...?«......,....«...H,»r?,* , a ..+, _ , ??.. ?, PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNFiOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NO. FIXT[JRES EACH TOTAL I SHOWER 3.00 '??? ? WATER CLOSET 3.00 . ? ? BAT'H T[JB 3.00 cn. LAVATORY 3.00 g 1 KITCHEN SINK 3.00 $, ol? LAUNDRY TRAY 3.00 3, tn?k HOT TUB/SPA 3.00 WATER HEATER 3.00 _L FLOOR DRAIN 3.00 1 GAS PIPING OUTLET • minimum - 1 3.00 ? ROUGH OPENINGS 1.50 WATER SOFfENER 5.00 PRIVAT'E DISP. • Dak.Cry, lic. 20.00 U.G. SPRINKLER • nome under const. 3.00 ALTERATIONS • to wsting 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS:_ 5'?I A? a?carv?? U?ocyN%Q\)Ral ? ` OWNER INST. ADDRESS:I tS c& Vtla°iwr,r.t',m,.ll?,??-..?L?-c? - CITY: STATE: M? ZIP CODE: ?59"A PHONE #: ( (d ? ) 233 - ''7 '11 ?7 ::Q."4)A, E&n4an SIGNATURE OF PERMITTEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRI:AL BUILD.INGS. AI.SO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ NEW CONSTRUCI'ION ADD ON REPA7A WORK DESCRIPTION: CONTRACT PRICE: $ FEG: 1% OF CONTRACT FEE. STATE SURCHARGE: $.SO FOR FACH $1,000 OF e„E,Tt?3?"1! FEE. 11tINI11fUT1 FF.E: $ 25.00 ' ` :': ' CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL S SITE ADDRESS: TENAN?' IyAME: - - STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CUDE: _ FOR: CITY OF EAGAN APPLICANT 1994 PLUMBING PERMTf (COMMERCIAL) CITY OF EAGAN 3530 PILOT KNOB RD EAGAN.MN 55I22 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTf. ? NEW CONSTRUCTION ADD-^?!T A/C ADD-ON FLIRNACE FIREPLACE 7SEn'r DATE ?Y HVAC: 0.100 M BTU ADDTTIONAL 50 M BTU GAS OUTLETS (MIIVnvtuNt i @ $s.oo Ewcx) ADD-ON/REMODEL (ExISTIlVG CoNSTRUCI'ION) STATE SURCHARGE TOTAL o ? STTE OWNER N FEES 64_a?_aD 6.00 2 !0 ? $ 20.00 TELEPHONE #: ?s ?/ ? fr4? ca HEATING & AIR CTTY: `°"' "°"''°°°° STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMTITEE 1994 MECIIAriICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 53122 (612) 6514675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUII,DINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: <f CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF 99FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ff.,.?<? ., . ;' `? FEE. TOTAL $ SI'TE ADDRFSS: OWNER NAME: TELEPHONE #: TENANT NAME: (MPROVEMErrrs otvt.Y) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (CObIIVIERCIAL) CITY OF EAGAN 3530 PIIAT KNOB RD EAGAN MN 55122 (612) 6814673 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ?0 po City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfwn Reauirements RemodeVReoair Renuirements Office Use Onlv 3 registe2d ske surveys showing sq. ft ot IoL sq. fl. of twuse, and all raofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%mazimum lot coverage allmved) 1 setof Energy Calculations forheated add'N"ons Tree Pres Plan Recd _Y _ N, 2 copies of plan showing beam & window s¢es; poured found design, etc. 7 site survey for atlditions & decks Tree Pres Required _ Y_ N isetofEnergyCalculations Add'dion-indiceteilon•sitesep6csystem OnsiteSepOcSystem '_Y _N 3 copies of Tree P2servatlon Plan'rf lot platted after 711193 Rim Joist Oel2il OpCwns seledion sheel (6utd'mgs with 3 or less unfts) Date Construction Cost Site Address ??^ ? T'? G.l1J?'f1(1(Q?]-? (. A?OpcC S{, Unit/Ste # DescriptionofWork'?,00?a C,Q Q(D W a?1? W! I? C.??&cS kPO-, Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 1 ?. Property Owner ,? YYl 1 1aSS d Telephone #(???) RENEWAL BY ANDERSEN Cootractor _ 1920 COiJNTY RD "C" WEST Address _ ROSEVILLE, MN 55113 City State 651-264-4777 Telephooe # ( ) - LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Wwksheef • New Energy Code Worksheet (Jsubmissiontype) Submitted Submittad • Energy Envelope Caiculations Submitted In the last 12 months, has the Cify of Eagan issued a permit for a similar pian based on a master plan? _ Y _ N IF yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 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 permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval pf plans. ? / "'N Appkfcant's Printed Name Applica[ft's Sigriature OFFICE USV ONLY Sub Types ? 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 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg Y or _ N ? 25 MiScellane0u5 Work Types ? 31 New ?_ 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolifion (Entire Bldg) - Glve PCA handout to appliwnt Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of B1dgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Fina]/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Ice & Water Roof Final Pool _ Ftgs _ Air/Gas Tests Final _ _ Framing _ _ _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Capies Other Total Building Inspector ••v...r,mav.e. tttv ai.oV ° tnd roy D71 44ttD ??hts t3Y&l(fJ?jSn . . ?e ad - . ?AM rune 7 2001 - C? of ERM - 3836 PiIcrt Saob'Road ' &$M MN 55122 To Whom 7t May Concern: Eider7ones is anthorized m p? b??gP?its forReneqrai by Andeis? Please alIow Eldcr Jon?stopioyidethisservice for ns in 8sgan. 'Titis . date ?a? bY bcyond 616101. untiI a authorizatirm is vaiid for any to the GYty_ Andersenmausgnreqxas1Y nevokes tt in wiift I rcquest this autvorizgtiou be a?? . I ' - ..our buTaing P?nmi? aay R,?, ?? ttI c,? ?not detay in the P?CSSing of r coIIhacted at'f63-502-,47Q6_ . anY Yuesd9ns-. I can be _ ,. ° ?. - YOUL 31T1II1GdlgAG 8L2CIltI0A TA fhiS IllBtLCY i3 ahm. - Sinceinly> . ? Ymo nd R "Rau o ?stallation Managcr Rcnowal bY Andastn CatFvraLiQn C's.: TCm?n F.fdea?7nne? - . Received Time Jan. ]. I.01PU? 0 UU 2006 RESIDENTIAL PLUMBING PeRMiT aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55 2 651-675-5675 Please complete for modifications to existing residential dwellings. FE B 2 7 2om Date z I2 I U-7 Site Street Address 5-715 Na.u7"b^Ortie? WODL45 1) f. aM Unit # PropertyOwner ?ivI,., MasSV Telephone# (&51) 406 805'.5 Contractor T)YCLA"? ?ro P1UvL, bihq Telephone# (q5? ) 4&9 (oc1aR Address 0815 2D R-ttn St . city La l-'ev i I I e State M Q Zip -CD5aq-+ The Applicant is: _ Owner ? Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onl a water softener and/or water - heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Tumaround (add $130.00 if a 5/8" meter is required) Other. Water Softener ? Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 15,50 I hereby apply for a Residential Plumbing Permit and acknowledge mat the information Is complete anq accura[e; ma[ [ne work wili be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. , rak Lrz v>o ?1 's Signature P. * * 2422 Enterprle0 Drive 20 ? Mando4a Nalqhte. MN 961 ? (4+2) effl-1914 FAX:881-94ae * ?IONl?A w+o ?? • ? DIGINJURB * wm wAmrne? ?vc uro"'Mn 625 Mighway 10 N.E. ? neer ny 61aiYlA. 1AN 55434 (812) 783--1860 FAX 783-1863 Certificata of Survey for: L1FE STYJ..E HOMES, INC 578 HAWTHD E WOODS DRIVE WOODS ? DRi E HA?? a N? = coNC. smewaLK-,., ? f?` n? ??• - ??-•'_'C??? 25! •929.0: 931. 7 ' Ca3 ? i +? _? BENCH MARK 'fOP OF HUB ELEV: 93Q67 ?- ?--? "'.sERVICE t o " INV.z911.8 ? ?' ?? 5 ?-- W 9301 . ro?GARAGE Q 1? t 303 o ? '• .p 1 N ? { m I a•7) i ? 9R9.8 1 A,67 ` :\ cn i szs_za ? 9z8F ppCk 92E 2 " ' 0 1 y ? ?pRA1NA6E 8 uTLITY 5 EASEMEM' PER PIAT-;;Z? .?` ?-?..-- 926.7 ICl07"E yz9,3) ?£LEC,TELE. d TV. PEDS. ? BENCM MARK TOP OF HU8 ? 0.EV.=928.84 924.87 G O x I 111 925.7 ? ,. ? ? GAN I ??,lf9e.WED ?5 > _ . ¦ 9z6.i t _ FU ?as &?AGAN E iU;? ERI G DEP'A'. p0? PROPOSEO GRADE9 SHONN PEFt QRADPIC PIAN BY: MCCOMBS FRANIf R00S ?* ?i ND7E: 6UIIAING PIMENSIDNS SHON'N APf FDR HDPoZONTAL NtD VEitACAL ?a ?? o '?-'? ?,? p U? r , IACh?oN aF 51RUCtURES aN1.Y. SEE MwIlEC1UAL PUNS FOR BuLwNG nND FWNOAnWI on?o?a0N3. N07E: CtlN7RACTOR MU57 ARIM ORIVEWAY OESGfI• pTMYMIS ? µ TM? ?? ?R? qEW??q pj,?A7??? NplEo NO SPEqF1C 5?43 WVE571GA1I0N HAS BEEN COAMI.EIED aN lHS TABIL" SPECIFlC HWSE PROPOSmEISN10f iF1E RES'OtSBI OFPiNE SURVEYOR B?? ?? M A?? x 000.00 Denotes Existing Elevation ( ooo,po ) Danotes Proposed Elevation Lowest Floor Elavation: gZ 4'6 - Denotes Drainaga de UtAfty 60sement ?? ¢. Denotes Droinoge Flow Dlrectlon 7op of Blodc Elewtbn: --ji.- Denotes Monumant ----Er--- Dano[es Offset Hub Goraqa Slab Elevatton: LOT ? , BLOCK, DdKOTA CDUN7Y, NNNNESOTA HAWTHORNE WOODS 2rlD AbDITION Wa harcby cvlliy that tNS ?rvey, plon M report wos?rspared by ?+?e a urMv mr airoCt wq?e a+ud t)7111 dulY ro9lsted uneer Lha la+a m me Stale of uinnaota. Datta thte?dav of ?.AY --AD• ?f , ScaCe: 1 inch = 30 feet ? g-979; 05-10-94 03:11PM P001 #04 Mendota tHBlyhte,DMrive N 53120 ?IIrA (41881-1914 FAX:881-•0488 . ,? dn? neer np iNiD ""'"' ' ,,,,,,. ematemB * * ?o ??s• ?? ""??0T8 629 Mlghway f 6 N,E. 81ainB, MN 55434 (812) 783-.1880 FAX:783-1883 Certificate of 5urvey for: LIFE STYLE HOMES INC 578 HAWTNpR E W000.5 DRIVE ? AWT QR ? WQ,ODS _ DRIVE CAcoNC. sIoewa?K?, ? ?=405.00 ? ° ? L?12°1223_ 920 S53910'07 tE ssi.4 _ ..•....•-•?zso;•a?2A. .. - - • - . .1.'-t?-'?• ...1]72 931. 7' ?q3i 11 ? ? o 'NCH MARK n g P OF HU8 ; ?930 .EVF 930.67.-._ 1 ~? ? •? ' . 92922 ? WI 0 ? ?BEHV?CE f o IN??9173 i I r?- OP0.9ED N IVEWAY 2-b 93QJ --- ~-T?? ? , 3 2(166.^ b T i ? \ \ ? r• 7 i o I 3a - 6ARA6E luow Om 0) ? 10 N? ? x \ 929.8 I o t P N V? .10 p w ? ROPOSED t?2? ?cn HOU 9E N \ ? ;i sza4 `aecK 9a?? L 922 2 x ? 1 ' -? ? ?-?OR4INARE & UT0..ITY 5 EASEMEkf PER pLqT--,;? ? .` -'-- ..---_ - TELE. d TY. PEDS. ? ?-- BENCH MARK TOP OF HUB 0.EV..926.84 ?----? s2asr 2 926.7I x ? 925.7 I M ? EAGAN I IRE VIEWED _ ?5 -A&ZE 926.1 R EAGAN I; ?u qIV?EP?Ti?{G DEPTD8t? - ?OSEO GwES SHOVM PER ORA091C iLAN BN MCCOweS FRpNK ROpy ' 6UILOMC UWEN90NS SHONN NtE FOR NOPoZONTAL NID VER11ChL pp++?? @.? . '- 1ICU1 OF S1HUC7URES ONLY. SEE MCMIEC7UAL PLANS FOR BU0.01NG Ck67 g.?y ? r-? . r':z ^". c' •?; "+ rOUNOAIIpN DIMENSIONg, CONIRACTOR ? m?A MUSY 4ERIFY ORI4EWAY DE51(71, ` Y 1HE?SURVEYOR. THE?SU TAAgn1T' OF SON.E$ TO SUPP?T TlI?E ?S Tii3 CER161CA1E 7H04F DtlE$ NOi PURPORT Ta SHOW EASEiAFNi4 ?C HWSE PROPOSED IS NOT THE Rf5PON51BILIN OF THE SURVEYpR, OiHER 7MAN SWNN ON THE flECORDED PUT. BEAWNC3 MOwN ARE ASSUMED x ooo.oo penote8 Existing Elevotion ( 000.00 ) Denotea Proposed Elewttqn - -? - Denotas 6ratnoqe k Utpiiy Epsem.ent Denntes Droinpge Flow Dlrection -?--- Denotes Monumaat ^?3-- DanoFes Oifsat Hub BL,4CK ? HAWTHORNE WOODS 2MD ADDITION ---?_. ? DAR6TA COUN7Y, MINNESOTA by cerqfy that tNa tvrrey, plan pr rport woy prepond 6y ma w undo? my uiroCt ey ra lavs oi IM Slote af ainnnota. Oaled tM1h-9T H• anv ofM -??A^- YA.D. afe: 1 inch - so feefi f .A. 05-10-94 03:11pM P007 tt04 PRaPOS ? HO AflD ? Lowest Floor Eiovot;o,,: 9z 4•6 rap of Block Elevation: 33. °t Goraga Slab Elevct(on: 3rz 5 1}?m du[y te91etvd i City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 578 Hawthorne Woods Dr Lot: 1 Block: 1 Addition: Hawthorne Woods 2nd PID:10- 32151- 010 -01 Use: Description: Sub Type: e- Reroof & Siding Work Type: Reroof & Siding Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 6,000.00 Contractor: Krech Exteriors Corporation 5866 Blackshire Path Inver Grove Hgts MN 55076 (651) 688 -6368 Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. William Krech BL - Base Fee $6K Surcharge - Based on Valuation $6K Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: $132.75 $3.00 $135.75 Owner: Timothy Masso 578 Hawthorne Woods Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA084252 07/14/2008 ePermit PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109160 Date Issued:02/13/2013 Permit Category:ePermit Site Address: 578 Hawthorne Woods Dr Lot:1 Block: 1 Addition: Hawthorne Woods 2nd PID:10-32151-01-010 Use: Description: Sub Type:Residential Work Type:New Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952) 445-2840 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Timothy Masso 578 Hawthorne Woods Dr Eagan MN 55123 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature !" #$%&'()' *+*, -./$%'"&0-1D3$2>$,+ -./$%'53/4-.1 6789:B7 <*%-'!==3->1?7@?A@B?7: -./$%'#*%-+(.&1- -./$% C$%-'6>>.-==1''AM;''O*L%N(.,-'F((>='<.'' 5$% &' ((5*++, , - ((C2Q M B-.(A +9(!-+ 134 5"6#!5756"56"5"( 89. <-=G.$0%$(,1 :;<(=>?. A,-+ Q9T4 B9O -9 B;& , -(=>?. A B'(=>?. @.?%2&. 4.9&B,? , - =Q ( B(D B.(A,-+ Q9T4 B9 O.-9;9(O +. )#)(6(Z&&;?2-&> ^ -,-0 :P;2B.(R.. " 3H?B X.H.- 9( ( M.(M H.(B.P;,B.(9H '.(+. .& B9(,-(2%%(<.+B H9N(3F(2% .B,-0(Q,-+ Q( ?.-,-09( B(,-9 2%%,-0($2>( B($ Q( #(//-,%=1 Q,-+ Q9\\(&2%%(F B(FB2H,-0(,-9?.& , -N(O2%%(F B(F,-2%(,-9?.& , -(2F .B(,-9 2%%2 , -N O2B< -(H - /,+.(+. .& B9(2B.(B.P;,B.+(Q, M,-(5"(F.. ( F(2%%(9%..?,-0(B H( ?.-,-09(,-(B.9,+.- ,2%(M H.9(ID,--.9 2(: 2 .( $ (6($29.(R..(U)\[U5"#N!7("W"5N)"W7 H--'C3//*.&1 :;B&M2B0.(6($29.+( -(_2%;2 , -(U)\[U!N""(V""5N!5V7 _2%;2 , - (()\\"""N"" "(%*21I7?AJBA' #(,%.*G%(.1KL,-.1 6((*??%,&2- ((6 @.-.Q2%(*-+.B9.-=,H M>(D299 5V!"(O ;- >(@ 2+(O(A.9 7LW(C2Q M B-.(A +9(4B @ 9.X,%%.(DG((7755#Y202-(DG((775!# IJ75K(!J)6)LLL 3(M.B.<>(2&'- Q%.+0.( M2 (3(M2X.(B.2+( M,9(2??%,&2 , -(2-+(9 2 .( M2 ( M.(,-F BH2 , -(,9(& BB.& (2-+(20B..( (& H?%>(Q, M(2%%(2??%,&2<%.(: 2 .( F(D,--.9 2(: 2 ; .9(2-+(O, >( F(Y202-(ZB+,-2-&.9N *??%,&2- T1.BH, .. (:,0-2 ;B.399;.+($> (:,0-2 ;B. Use BLUE or BLACK Ink r For Office Use 1113 City of Eaall ::::e: CJ 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax: (651)675-5694 Staff: Ali_ 2017 RESIDENTIAL BUILDING/ PERMIT APPLICATION Date: 6 /-{ li Site Address: y / I/ GSL' (110(1)5 Jr. Unit#: Name: AN, #14 SS(� Phone:___65_1_7_045_:125 den Resit/ den Address/City/Zip: 51) . 'Th i e ( d S h f) I u 55"f)� Applicant is: Owner x Contractor Type of Work Description of work: Qje .rocJ kOVC , c)-C,I ie �'c Construction Cost: I(D/p0/ ict) Multi-Family Building:(Yes /No ) • Company: 1)5t'llit 1 K"►'7 SO/UliCA/\I Contact: itiVidow )Jei iir soi/1 Contractor Address:bOV Fc b fi k �,(/� J�� / - City: ,q,„, P 1D State:A_AL Zip: 557-N(1 Phone: 6«-a3 J- 76 Email: 64,rims ©bec)h c COv+i License#: &_63)pp 3 Lead Certificate#: )14f & / If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public in formation 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. 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.qopherstateonecall.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 140101 ►1e/i 111sa1 x N,ll Applicant's Printed Name Applic 's Sign r 7- / Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176237 Date Issued:05/09/2022 Permit Category:ePermit Site Address: 578 Hawthorne Woods Dr Lot:1 Block: 1 Addition: Hawthorne Woods 2nd PID:10-32151-01-010 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 - Devin Hunter Stapf 578 Hawthorne Woods Dr Eagan MN 55123 Warner Stellian Co Inc 550 Atwater Circle St Paul MN 55103 (651) 222-0011 Applicant/Permitee: Signature Issued By: Signature