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581 Hawthorne Woods DrCity of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 3 Use BLUE or BLACK Ink r For Office Use Permit #: Permit Fee: 105 ds Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Resident/ Owner Name: Site Address: Qti.�..•.� (— Address / City / Zip: Bt 1,0,5011) Applicant is: Owner X Contractor Phone: Unit #: O 114 — a __ 6T123 Type of Work Contractor Description of work: Construction Cost: < eb Company: . ( �. _ Contact: hahid) Address: -51?----9.--541---14-kr City: State: MV Zip: 55 1 Phone: 6?/ � 7Z.2.-4 410 Multi -Family Building: (Yes / No X ) License #: 8C-2,07'3 V( Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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. 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.orq 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 Minn- State Building Code must be completed within 180 days of permit issuance. x u athr Applicants Printed Name x Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA111971 Date Issued:07/22/2013 Permit Category:ePermit Site Address: 581 Hawthorne Woods Dr Lot:15 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Tiffany Kline 4000 Winnetka Ave N Suite 100 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 - Andrew Gerrish 581 Hawthorne Woods Dr Eagan MN 55123 (612) 850-3839 Total Comfort Heating & Cooling 4000 Winnetka Ave. N #100 Golden Valley MN 55427 (763) 383-8383 Applicant/Permitee: Signature Issued By: Signature 12/2812010 10:06 7634326391 SERVPRO PAGE 61/15 I Use BLUE or BLACK ink I ; Permit g City of Permit Fes: I 3830 Pilot Knob Road Ewan MN 55922 R E C E I V E Q Data Received: Phone: (651) 575-5675 I l Fax: (659) 675-5694 DEC 2 8 2010 Staff.. _ E 2010.RESIDENTIAL BUILDING PERMIT APPLICATION Date: -2- 10 Site Address: o- 6 1-n O S Tenant, a t'''} riG1~ Suite RESIDENTI OWNER Name: Phone: ~p$71 -q q/ Address / City / Zip_ Ho, W t d S . Appllcant Is, Owner _ Contractor TYPE OF WORK Description of work: o i 4-(-n 5~ r wr Construction Cost: r Multi-Family Building: (Yes _ l No /X/ I r CONTRACTOR Name: f cu rC e-.11 _ ,6' c. License # (0 M Address: f f d f- , city: o 's a State: ~Ia Zip: I Phone: 1, 57 - '-7b Contact: 4 t° Email; COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a rnaster plan? Yes _No If yes, date and address of master plan: Licensed Plumber_ Phone: Mechanical Contractor: Phone: sewer & water Contractor: Phone: saE_ - 01 CALL BEFORE YOU DIG. Call Gopher State One Call at. (659) 454-0002 for protection against underground utility damage Call 48 hours before you intend to dig to receive tocates of under jround utilities. www.nooheetateonecall.or4 I hereby acknowledge that this Informailon Is complete and accurate; that the work will be in conformance with the ordinances and codes of the of Eagan; that I understand this is not a permit, but only an application far a pannit, and work is not to start without a permit; that the work will in accordance with the approved plan in the case of work which requires a review and approval of p1an6- J n / t vt e. Applicant's Printed Name ApplEc t'$ Signs ure Paget if 3 i 1212812616 16:66 7634326391 5ERVPRO PAGE 62/15 I 00 NOT WRITE BELOW THIS LINE SUB TYPES Foundation - Fireplace _ Porch ($-Season) _ Storm Damage "Y Single Family - Garage _ Porch (4-Season) _ Exterior Alteration (single Fami ) Multi - Deck _ Porch (ScreenlGazeholPergola) _ Exterior Alteration (Multi) 01 of _ Plex _ lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New interior Improvement Siding _ Demolish Building" Addition _ Move Building ` Reroof Demolish Interior Alteration _ Fire Repair Windows Demolish Foundation _ Replace _ Repair - Egress Window Water Damage Retaining Wall ; `Demolition of entire building -give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition! SAC Units (25%--100° Zoning City Water Census Code Stories Booster Pump # of Units Square Feet ; PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock I Footings (Deck) Final / C.O. Required Footings (Addition) L /X Final 1 No C.O. Required Foundation HVAC Drain Tile Other; Roof: -ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath „Stone Lath -Brick _ Fireplace: -Rough In -Air TBS# Final Windows Insulation Retaining Wall: _ Foa#ings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Pemilt & Surcharge Treatment Plant Copies TOTAL Page 2 a f 7' I fltl II.Yt?[i CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ? ? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , , , .. SITE ADDRESS: APPLICANT: Io's4J1 ii1il-N1W?1?)U': tr?i r, i:,. 1 i Ir.l hli? trr i I:t,{iW, (c,I. i 1r47 PERMIT SUBTYPE: I TYPE OF WORK: ;; I rF aa r r oN rb1.4ti A i ini I I st-iti rn Pi H1 f INAI. I r1N REVTF Wff) NY .1Of' V(lE"1. ,, ''AkA l"f Nt-Npl r l' kG UUI kt f) F ? I? iNY PI,IIIMEi.iN!, L.i110I 0-1i•Ai t>f=RM1 I 't.,ifl -1 J i11111111 PermR Holder Date Telephone M PIUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PWMBING PLBG AIR TEST ROUGH HEATING ?? GAS SVC TEST iNSUL GYP BOARD FIREPLACE D ?}Z C?7 FIREPLACE AIR TEST FINALPL9G FINAL HTG ORSAT TEST ? 1CPSov-Z- BLDG FINAL DOMESTIC METER IRRIGATION METER - - - - - - FLUSH MAINS - - - - - coNOUCnwrv TEST ` HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTIO 'Cl-rY'OF EAGAN 3830 Pilot Knob Road Eagan, h9innesota 55123 (612) 681-4675 SiTE ADDRESS: . , ? If; ? $8l ?;:.? ; _ ?? ?? . ?.?>>r??t?•, ??;. ' PERMIT SUBTYPE: ., APPLICANT: AC6 _r- TYPE OF 1NORK: ? INSPECTION .. . .. r,, Pt;V W F'k.lif* . I.AW, ()ri! f XCAVAIi 1NII'r l. RECORD PERNIIT TYPE: Permit Number: Qate Issued: Permit No. Permfl Holder Date Telephone # SNV PLUMBING 7 ? •(?a? ?? HVAC , L? J/d(J q? ? ?" ?? ELEC ELECTRIC Inspection Date Insp. Comments Footings I ? Foundation 3? m Framing Roofing Rough Pibg. J ` 2 - - 4ilz F Rough Htg. ?S :L ?.?... k l5u,. ",s ?- v 1 z rs 3- -?e 4 ccea Fireplace 71W Final Ht9• Orsat Test Final Pibg. ? C Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bidg. Final l,? 4r / Deck Ftg. Deck Final weu Pr. Dlsp. ? . . y, 0'.. ? Wertificate vf cccuvanc4 (Fio of ?agatt ZOarhncar of lb¦itbiug 3x?pection This Certificate issued pursuant to tfre requirements of the Uniform Building Code certifyireg that at the time of issuance tkis strucrure was in compliance with the various ordinances of the City ?iegulating building construction or use. For 1he following: uu a.;fi.mio,,: SF DWG B1dg. Permil No. 222142 0-P-Y TYP- 1-13 m I ZooinB pistrin R 1 Typc Const. VN Oweer of Bw7ding ??? NST 1W- Addms,201 W ZTAVEL-ERS IRf BMSV91,E euikting Addtess 581 HAU3HCM Gn( IDS DM147F. LacalityL 15, B4, HM4nmE Gx.ODS 4 Buildng Ofrieial POST IN A CONSPICUDUS PLACE REQUEST FOR FLECTRICAL INSPECTION p? p p ? See msimclions for S?M1?SIeting ihis fortn on back of yellow copy lol 28288 "X" Below Work Covered by This Request 44,0 5 93 ? a03 7s_ '2w Adtl 9ep Typeatemlding AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Hea6ng Apt. Building Dryer Load Management Comm./Industrial rnaCe Other (Specify) Farm Air Conditioner Other (speciry) ConVacror§ RemaBr Compufe lnspection Fee Befow: # Other Fee # SermceEntrenceSize Fee # Circuits/Feeders Fee Swimming Pool O to 200 Amps o to 100 Amps Transfarmers Above 200 _ Amps Above 100 _ Amps Signs inspeclors Uu? Q oN T A K(? Irrigation Booms ry?; ? rU jAu-%?O?"J v //r?y !//? ? Special Inspection , / (/` } ; Alarm/Communication THIS INSTALLATION MAY 8E DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electncal Inspector, hereby Rouqn-in oate certify that the above inspection has been made. oate / OFFICE USE ONLY This request vmE 18 months irom 28288 Fequ sl te Fire o Rogh-in Inspeclion Re mre W s ? No NOTICE: You Mus1 C.f?EI?¢al Inspector If A Rou91aW? d Is Reqmre p? I censed contractor ? owner here6y request inspection of a6ov lect al wor at: Job Atl ress ($([eet Boz ar R ute o) V iry SecGOn No Townshi Name or No Fange No Counry Occ t(P T) Pn i ? 1 Power pp6a? AOGress Ele ri I Conbactor (Company Name) • ? Contractor's Lmense No Maib ress Co ra o r Making InslallaLOn) AuthOr¢etl Signawre (Conhac r/0 er Makmg Installation) Pho u MINNESOT BOAqD OF ELECTHICITY THIS INSPECTIDN REQUEST WILL NOT Griggs-Mltlway 61Cg. - RoOm S173 BE ACCEPTEO BYTHE STATE 80AFD 1821 Universiiy Ava., St. Paul, MN 55104 UNLESS PROPER INSPECTIDN FEE IS Phane(612)602-OBOD ENCLOSED 1? ??8236 REUUEST FOR ELECTRICAL INSPECTION f See inslrudions lor completing Ihis form on back of yellow copy "7C" Below Work Covered by This Request ?6a'??"A' E0-OOODi-08 e Add Rep. TypeofBwlding AppliancesWrted EqwpmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Buildmg Dryer Other-(Speciy) Comm /Industrial Fumace Farm Air CondiM1Oner ' Other (syecity) ConVacrorS Remarks .,/? (... ? y?p !?? u.c= s r Compute Inspechon Fee Below: /t/OYT # Other Fee M ServiceEnlrance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 7 Amps SignS inspector5 Use Only ?"`? TOTAL ?y? Irrigation Booms 1 ? Special Inspection I" Alarm/COmmunication THIS INSTALLATION MAY 8E ORD ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, Ihe Electncal Inspector, hereby floughan oWe certify ihat the above in5pection has been made. Final oa? OFFICE USE ONLY Tors reQUesl vm0 1B months Imm . Requasl Date f/ Fire No Rouq'-in Inspedion tl7 R ? ReatlY ? n'qeaayPector Wh ? No 7 Yes e \ I' licensed contractor ? owner hereby request inspechon of above electncal work at: Job Atltleess (Sireet. Box or Rouie No.) Ciry [V Secton No. Town nip Name or No. Range No Counry k?T OccuOantIPRINTI Phone No Power Suppliar J` O Atltlress Eletlncal Coniractor ICOmpany Namel ? CoMratla5l?cense N. rn V .0- k-C c eo MaiLng Ad ss (G ha r or Owner Making Insteli6lion) " 1 S . 7 r .sa7 Authonza n nvador:Ow r Maki n5,n? Phone Number 1-?6 06 MINNESOTA STATE BOARO OF ELECTRICITY TMIS INSPECTION REOUEST WILL NOT GrIgps-Mitlway BICg. - RoOm 5-173 BE ACGEPTED BY iHE STATE BOARD 1831 Unrversity Ava., St Paul. MN 55104 UNLE$$ PROPER INSPECTION FEE IS Phane(81Y)BOY-0B00 ENCLOSED Address 581 xawtxo?m wooDs nxivs Zip 55123_ Lof ' Is Blk 4 Sub wmwnmz rxnns THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: $'W9 Yes No Inspector: Final grade (6" from siding) v Pennanent steps (gazage) V Permanent steps (main entry) ? Permanentdriveway Permanent gas Sod/Seeded grass TraiUcurb damage ? Porch Basement finish v Deck Please verify with the builder the removal of roof test caps fmm the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineeting division at 681-4645 before working in rightof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contrecror Copy 0 cirv oP eAcaN L;AS1i1Efi: S TEF:MINAL N0: 7£33 DATF^ 07!1.4/98 7IME: 15:50:04 ID: NAt1E: DONALU D. SAECEFt 3210 9001 581 HAW7HORNE W 50.00 2155 9001 581 NAWTH(]RNL PI 0.50 ..? ? To+,az Recei.p+ Amaunt: 50.50 CRf134938 USER LDe KtANCY ?C#X??kX? ?kXCX?XcXc???Xt?C?C%t?k X?Xc?Xc#?kXt%??k?x#?k?kXt?c?c?Xc #?k?k op w CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 FERMIT PERMITTYPE: euzLolNG Permit Number: 0 3 2 5 2 8 Date Issued: 0 7/14 /9 8 SITE ADDRESS: P.I.N.: 10-32150-150-04 581 HAWTHORNE WOODS DR LOT: 15 BLOCKs 4 HAWTHORNE WOODS DESCRIPTION: Bufildi"tYy Permit Type &duilding'F4Rrk Type ,'Census Code- j1 BASEMENT FINISN AL7ERATTON 434 ALT. RESIDENTIAL ....,- .? .=?...,.b? REMARKS: PLAN REVIEWED BY JOE VOELS SEPARA7E PERMZT REQUIRED FOR ANY PLUMBING WORK CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - APPZxcant - sr. Lzc fp,,LLIED BUILDING CONT 18847747 0003078 2334 WELLSWpOD CURVE LOOMINGTON MN 55431 612) 884-7747 OWNER: SANDRES RICH 581 HAWTHORNE W00D3 OR EAGAN MN (651)689-7476 I hereby acknowledge that I have read this information is correct and agrse to com,pl,y StatuCes antf CiCy vP Eagari Ordinances. ? IL ??. ?-- PP ICANT/PERMIT=IGN RE applicatian and state that the with ell applioable State of Mn. e ,. ISSUED B `SIG Mt: - TS21b8 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAC}AN 3830 PII.OT KNOB RD - 65122 681-4675 New Construction Reauirements ? 3 registered sae surveys ? 2 copies of plans (inGude Deam 8 windax sizes; poured fid. design: etc.) ? 4 energy plwiations ? 3 copies oi tree preservatlan plan if lot platted after 711/93 required: _ Yes _ No DATE: ?1 S`'??"1 9 g ? DESCRIPTION OF WORK: ..,_ q'. ^ V?:ih STREET ADDRESS: LOT: ? BLOCK: SUBD./P.I.D. #: RemodeUReoair Reauirements ? 2 copies of plan ? 2 site surveys (ezterior additions 8 decks) ? 1 energy calalations Por heatetl adddiona W CONSTRUCTION COST; 020i 4ty.''o W Cfu'eA Name: ?ti +4Er1 /C. -, G.$\ Phone #: b9? '7"1 76 PROPERTY 1.asc F'vst - OWNER ? Q ? L-?w ?on+o W?DS Street Address: ''? City C State: kv% h Zip: Company: U 1I'4 CS c•L. IcpPf I Phone : vo7- ? CONTRACTOR /-? ? Stteet Address: G? 3 Jq ?:C C S ?tJ U b[ir :, +/ ( L?cense # City State: Y?\ v,. Zip: ARCHITECT! ?/y A ENGINEER Company: V t/Phone Registration #: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penaity applies when address chang I hereby acknowledge that I have read this appliqtion and state that the infortnation is correct and agree to comply with all applicabl y of Eagan Ordinances. Signature af Applicant: Vin u USE ONLY _ Yes _ No _ Yes _ No State: Not Required Tree Preservation Plan Received OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition 0 08 8-plex ? 04 SF Porch O 09 12-piex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New 0403 ARerations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) _ (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning s G ? . ? 11 Apt./Lodging AE?'16 Basement Finish ? 12 Multi RepaidRem. ? 17 .Swim Pool 0 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace O 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolftion Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq. ft. sq. ft. Footprint sq. ft. Building Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bidg Census Unit / Engineering Variance Valuation: ? o/ -L ?. i °k SAC SAC Units ?_CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: auzLorNG? 022292 10/22/93 SITE ADDRESS: P.I.N.: 10-32150-150-04 DESCRIPTION: 581 HAW7HORNE WOODS OR LpT: 15 BLOCK: 4 HAWTHORNE WQODS B,ki-ildingi, Permit Type Building 'Work Type ?-'UBC Occupanc3, : Construction T?pe Zoning Building Length ; Building Width ,?? ' •" ??-" SF OWG NEW R-3 M-1 V-N R-i 66 43 Coi aDia'(m REMARKS: PRV S& W PLBR - LARSON EXCAVATING FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Un3ts Subtotal VALUATION $961.50 $624.98 $96.00 $750.00 100 $2,432.48 $192,000 MISCELLANEOUS $1,744.50 Totel Fee $4,176.98 ?ONTRACTOR: - APPlicent - sr. LIc AURER CONST INC, GEORGE 18948904 0001315 201 W TRAVELERS TR BURNSVTLLE MN 55337 (612) 894-8904 OWNER: GEORGE MAURER CONST INC 201 W TRAVELERS TR BURNSVILLE MN 55337 (612)894-8904 I here6y acknowledge thet I have read th3s application and stete that the Ynformetion is correct and agree to comply with all applicable State nf Mn. Statutes and City of Eagan Ordinances. ? J ". A?? ?&ti 841' ' 'l APPLICANT/PER GNAT RE ISSUED BY: IG ATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: Bu i Lo z N G 3830 Pilot Knob Road Permit Number: 022292 Eagan, Minnesota 55123 Date Issued: 10 / 2 2 J 9 3 (612) 681-4675 SITE ADDRESS: LoT : 15 B L 0 C K: q APPLICANT: 581 HAWTMORNE WOODS DR MAURER CONST INC, GEQRGE HAWTHORNE WOpDS (612) 894-8904 PERMIT SUBTYPE: TYPE OF WORK: sF owG NEW INSPECTION FOOTING .. . FRAMING ,. INSULATION FINAL FIREPLACE REMARKS: PRV S& W PLBR - LARSON EXCAVATING F ? - - .. ? ,n i . ?' .. . , _ i . lill , ? . • ? , ; ? ? . (?i jl ? ? % : ??,?? REACTIVATE _ ?' PERMIT•? r ? - 5 1993 CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION ?? {''?f.•?? 681-4675 r, O G: p1 ir? -) 9 SINGLE & 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: 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 i ued. Dat / ? / r?i? Valuation of work 60 Site Address: Sg? 7?QLe-?5LE&)fi_- &vr, SiREET SUITE I Tenant Name: (commercial only) LOT BLOCK SIIBD.-AU_T1'-/0R4_)e1L=C P.I.D. 0 Descri tion of work: The appl i cant i s: ? Owner Contractor ? Other (Deseribe) Name Phone Property LAST FIRSt Owner Address STREET STE 1 . City State Zip Company Phone ? Contractor ? ?_ License #?1?5 Exp Addre City /l/r State ArAi Zip US Company Phone ArchitecU Engineer Name Registration # Address City State ZiP Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has bee approved. I here6y acknowledge th I have read this aPplication and state that the information is f correct and agree to c mply ith all applicable State of Minnesota Statutes and City o Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILQING PERMIT TYPE ? 01 Foundation ?9 02 SF Dwg. ? 03 SF Addition ? 04 5F Porch 0 OS SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 WORK TYPE JR 31 New ? 32 Addition ? 33 Alterations ? 34 Repair '°"$1??,??? ? 11 Apt./Lodging sEflltTffTinish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory ? 18 Comn./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish ? 36 Move GENERAL INFORMATION Const. (Actual) v- N Basement sq. ft. MWCC System (Allowable) v-N l.st F1. sq. ft. City Water yG UBC Occupancy g.3 M_? 2nd F1. sq. ft. PRV Requi red o n ? Sq. F ? a? Pump t r # of Stories - F rint S ft. oot S inkler Fire Pr Length ? On-site well Census Code or Depth 43, On-site sewage SAC Code APPRQVALS . ? Planning Building Assessments Engineering Variance REQUIRED IN SPECTION S ? Site ? Footing ? Framing ? Insul ation ? Wallboard 13 Final ? Draintile ? Fireplace Permit Fee veiuac;d,: g(?j L 00-) Surcharge Plan Review G42Ab¢.; 3z? y?? - gzs' License MWCC SAC 3 l City SAC Water Conn. RSMT; Water Meter 33X2'8- IZV Acct. Deposit (4 y 4 2 ? 4B S/W Permit S/W Surcharge 2-1 x ?9 1)1 ^ 3ra 8 - Treatment Pl. I360X 15= Zo, yvu Road Unit Park Ded. IST FLoo 2; ? 373 y?y ; Trails Ded. Copies p?G . /yX?y_ ? ?-1 ; -!g(? xs'y= S 84 Other Total: 2NOF'??cxz; arDxzB: il2o SAC % I nfl 14 X 11.5 = '1f? SAC Units -T'- I?y,? _ (33) h6'_` vNF?ti?s? <n.ac.? ,3Zo,*X gy ? /ob ,c?iSNJ • Lir' IAT BIIRVEY CHECRLIST FOR RES2DENTIAL ? ? SIIILDING PERMIT APPLICA ON m c m 52 ? PROPERTY LE(iAL: ?< N Date of 8urvey: nocvriErrr sTaxnARDs .0?0 ? • Registered Land Surveyor signature and company $?'? ? • Building Permit Applicant ' B? 0 ? • Legal description 0 0?? Address ?? ? : North arrow and bar scale e---0 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) F?0 ? • Directional drainage arrows with slope/gradient $. - 0? O • Proposed/existing sewer and water services El? 0 D • street name t3? 0 ? • Driveway ELEVATIONS Exiatina ?1 PJ?? • Sewer service p ? ? • Lot corners 0?-? ? • Top of curb at the driveway ?3?-? • Elevations of any existing adjacent homes Prooosed H 0 0 • Garage floor 0' ? ? • First floor Q----? ? • Lowest exposed elevation (walkout/window) ? ? ? • Property corners ?0 ? • Front and rear of home at the foundation PONDING AREAS (if apvlicable) 0 0'?-0 • Easement line ? 0? ? • NWL ? ? ? ? • HWL p p ? • Pond # designation ? C? ? • Emergency Overflow Elevation DIMENSIONS 2-'0 0 • Lot lines ?? • Right-of-way and street width (to back of curb) ?? ? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all ? structures requiring permanent footings) i i ? ? • Show all easements of record and any City n utilities w th ` those easements ?1 p? • Setbacks of proposed structure and setback of adjacent -/ existing homes ? p? D • RetainingArS;B rements, if any Reviewed: October 1992 Page 1 '- E\TERIOR ENYELOPE AVEIUCE ^U" COHPUiATION Owne 7 Address / one U IT Cf *4"&?DLesal Desc[ipelon of Pr1operty: Loc 1 t7 glock ? Add?i[lo a[e !V ?? Sice nddresscJCJI 7'(NIY/7'/NCM1)G ViGJIA./S / "?` A lL AVERAf:E LIRFAL FEET OF FSPOSED L'ALL AREA ASOVE GRADE?.S PER1iI'L NO. .i3. 5 -1 --7S ?lain level 86.r7 8•0 ?092. ?? Lineal f[. of framed wall above gcade[-ICO.Q height of va11 ?•? ? '?? Rim joisc area ? ' Q ,[Q. ? Lineal ft. aE rim ?' x height of ri m Lover level 270. ?Q Lineal E[. of framed vall above grade x height of wall G7?._? Lineal f[. of masonry vall above grade i x height above ginde Dlf FAGK- 7?.`1•7 03 tOiAL vall area above grade including vindovs and doors YINDOWS: Are "Ul. (U) (A) Nake 6 [ype ??u.. (U) (A) „ 11 (P)(A) ? .u.. (L•) (N ?.. (n) (n) ?L(U) (A) ..V (ti) (Al . ..U.- (U) (A) .. ..ull (l) (A) ,??U?? (L')(A) , ,?U.? (l)(A) . ; ..U,(U) (A) -u(C) (A) „ .U. (U) (A) ?.v(G)(A) ? s Ec. x ?L(?J (A) ?s4- fc. . .. X ??.. (L')(A) sa. fc. x 5 3, o(p . 31 10.31 DOORS: Aiea x "U" value ? Make 5[ype •L? SERVIC? sq. fc. ?7•8? x0•• .? '? .?0?'3 (II)(A) „ . 2? =?cuT sq. ft. 20•Q? xU?? .09 ,?O (u)(n) .. n 2 F??VCb"' sq. f[. x nU?? COS (ll)(A) .. ?? s fc. • (U)(A) Q x "U" ?2.417 OPAQllE Y1ALL CONSTRUCTIOH; Area z"V" value - FRAlf..D 17ALL (toGal area Less opening, Framing rembers in De[ail zefez- vall, rim joisc area 6 maSOnTy) (?) (A) ence From sq. ft.?R?t,1?LL x11 ???? JVIL accached Framine members Sn vall _sy• fc. ?i1?3.(o'LO x'U" ????A? shee[s s ft. 3GL'o-00 xU? ?U)(A) Rie ioist aa - q• q p(q?)(A) _ eb., n sq. fc. 22?710?X "U" ,104 TOTAL i:all Area IncludinR J1 /?_ ?i0'CAL (tl) (A) Vindovs 6 Doors Uwr TOTAL (U) (A) VAUIES L??7 AV •. OZVIDED BY TOTAL NALL AR&1 ?-?'?'?• ??? AVERAGE "U" Ninimum .11 or less for 1 S? Eamily duellings Yiaimum .27 or less for all other buildings NOTE: If average "U" values as cal<ulaced above da noc meec che Energv Code requirements, [he "Alernate Envelope Des1¢n" as indicated on PaRe 5-y be used. , UAl,L SECfION5 ' NOTE:• Usc 10% of opaquc ?all area for framinq members FRA11INC riE2I8ERS IN ItALLS Ex[ertoT al f11m 'staing Sheathing 2412n YS,t?,tY1'Q-l? 'Jf/ZNvo SOEL wOCd zzz L?"„r!.ry vall In[eriar air film Page 2. R-Value .77 •? 1 ? ?• l .4$ .68 TO'CAL R OIFN U = 1/A U ' 019 pgAM 47ALL Exterior air film -17 SidinR 2 a? Sheaching I0 Lac[ insulacion 45 k" dry wa11 .68 Incecior air film 23•15 U - 1/R U - • ??J' RIH JOISt ARF4 $xcerior air film ??-1-79 Siding . ---?-"'-? Sheachin 1.88 1" sof[ vo lQ O In .68 Inter:or air ES m 7CTAL 4 = 2?,e5. U - 1/A U . . Q"t'I HASONRY uALL _17 Exterlor air filn 12" concrece Llock -?- Insula[ion Interior air film '68 n - , 10 TOTAL R .. - •'"'I Top Vlev PaRe 3 Oucslde air f11m .61 Insu3acloa y" Orywall - -45 .61 Ln[erior air film TOTAL A - ll - 1/R U - ?fv? T-?-'c??? l T I . Z3 . fdG . tr2 ? . (c8 ? GhKPG? ? RI?TB?R?"P?cfl ??2? Pt-Ykl? -- '_ air film Insula2lon .1' gzyvall In[eriot air film ?Cft r I TOTAL R 1 1- I LJ I/R ?. 024 Oucside air film .17 Bui1Lss° T^nf3n?? .33 Insulation i ? i liood decking Interior air film U - 1/R ROOF/CCZLING: ?, G TOTAL AFEA= ?N? v ?ecail reference "U" x sq. from a6ove. ?/%?-'.?`= '=?7"1 x sq. . x Describe openings U s9' ,.U.. x sq. iu roof uU° F Sq. ?u.. x sq. .u.. x sq. .61 TOTAL R - u - fc. (U) (A) fc. (L')(A) f c. CU1 (A) fc_ (U)(n) fc. (n)(A) fc. CL')(n) EC. (n) SOTALS ZL/&• i so.. E[. ?. !j G'% (U)(A) TOTAL (U) (A) VALUES 6 ,7Li ? G.,... J AVG. ..L'° DIVLDED BY TOTAL FOQF/ CEILLNC ARFA S pVEMGE "U" .02 for vencilated roofs 11 h r cons[cuc[ion .0J3 fot a ot e "U" values as calculated a6ove do noc meec [he EnP.-er};Y Code requicements, che :IOTE: IF average ".llcerna[e Envelape Design" as indica[ed on Page 5 may 6e used. P.00° CF.IL1146 %" Otyvall Ou[side ais film '61 Insulation ?J1.= PaRe J .45 .61 Incerior air [Slm SOTAL R r u - I,R .61 _ Outside air film Insula[ion .45 I?^ Dryvall - In[erior ait £ilm .61 TOTAL R = L'-1/R U? .17 Ou[side air film 73 Bu ile.uP-rnoEia?*-----'- Insulation Haod decking Lncerior air film .61 TOTAL R - U-1/R U - ROOF/CCZLLNG: I?2? / ? sq, fc. ' (U)(A) SOTAL ARFa: Decail leference J U ,.,, , L "U" x sq. d22 x sq. fc._? fc. ? (l')(A) 1?)(p) ftom above. ` Y ? ••U.. x sq. ? . -(p) (A) Describe openings V "z sq. fc.? (11) (p) iu rooE ..U•• x sq. fi.?:- (y.)<A) ..L.. x sq. fc.--? (ll) (A) .U,, x s9. Ec.? ? -Z . sn. E[. ? ? Z 2.?L--j (U)(A) OT.1L5 I 1 ? TOTAL (U) (A) YALUES ?.? OLVLDEO 8Y TOTAL FCQF/ AVG. °11 ?.n CEILIN(: ARFiA f AYERAGE "U" .02 for vencila[ed reo s ,033 far all ocher conscruccion ` Code req?icemencs, che not ;70TE: tf xveragc "S" values as calazlin i?ced onoPage ??ybe usedtry "?11Cerna[e EnveloQe Design? ; F PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTI'. X, NEW CONSTRUCfION ADD-ON A/C ADD-ON FURNACE DATE I I '29 "q 3 FEES I-IVAC: 0-100 M BTU $ 24•00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ??.Uo ADD-ON/REMODEL (ExIS'nNG CoNSnzUCT1oN) $ 15.00 STATE SURCHARGE .50 TOTAL 3 ? SITfi ADDRESS: S?S OWNER NAME: MCa i)r?o r TELEPHONE #: <:?63 Ll 92 L-1 INSTALLER: -P? ?- `" ADDRESS: 1_?,l )1S) P? 0m Q CITY: F C? " P'r"?Lr C_a STATE: YVl`!v ZIP CODE: TELEPHONE #: qY'LI ZI I ?2v?S?9_A?-n9 (\leu.? U-rnUX ?ZC??31yE-?ac? FuY??cs_, ?ev?n?X 4sa5-4l1 3?6 n flU- Cvnc,li{-iorLcr- I uzn-tL"n5 3 bc'-vh ?c.nC001LV?Dp??' Or?.er- , 1993 MECHANICAL PERMIT (RESIDENTTAL) , CITY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 6814675 . 1993 MECHANICAL PERMTT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COIvIIvIERCLALJWDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: CONTRACT PRICE: $ 1% OF CONTI2ACT FEE PROCESSED PIPING: MINIMUM FEE: STATE SURCHARGE TOTAL SITE FEES $ $25.00 $25.00 $.50 FOR EACH $1,000 OF I'ERItilTf FEE. $ OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMEN7S ONLY) INST, ADDRESS: CITY: TELEPHONE STA' ZIP CODE: SIGNATUP.F OF PERMITTEE '"T'r'Y INSPECTOR PLUMBING PERMTP (RESIDENTIAL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSq FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTT. NO. _1- SHOWER Z_ WA,TER CLCISET 2 BAT'I? TUB 151- LAVATORY ?. KTTCHEN SINK ? LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • g)-ROUGH OPENINGS WATER SOFTENER PRNATE DISP. • n?.cxy. u. U.G. SPRINKLER • eome wav coosc ALTERATIONS • io u?ting WATER TURN AROUND STATESURCHARGE TOTAL: STTE OWNER EACH TOTAL 3.00 3.00 ? o 3.00 ? 3.00 / 5-U 62 3.00 , Ci C' 3.00 3 C,2 3.00 3.00 ? 3.0(1 ? 3.00 1.50 T, ? O 5.00 15.00 3.00 15.00 15.00 .50 / 1? c) ? C1LLiCM.JJ: < '/ / "/ J - - / :::i/ % - - Kti7/ CITY:TI?/Jrl?r?i? STATE: ZIP CODE:Zai-660 PHONE #: ', 0_ 16a6 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN la 3830 PILOT KNOB RD - 55122 651-681-4675 New Construcilon Reauirements D 3 registered sNe suneys showing sq. M. of lot, sq. M. of house and all roofed areas (20%maximum lof coveraae allowed) > 2 copies ot plans (show beam R window sizes; poured Ind. desfgn; efc.) : 1 set o1 energy calculations > 3 coples ol hee presenatlon plan H lot platled afler 7/1/93 DATE: C_Ll?1?I? r ? Remodel/Reoair Reaulrements 2 copies ot plan 1 se} of energy calculations for heated addRions 1 aRe survey for exterlor addRfons 8 decks CONSTRUCTION COST: DESCRIPTION OF WORK:T Tit6N* A'-'-L pote?`tr ? i ?1 G STREET ADDRESS: W LOT: --LS7 BLOCK: '-4_ SUBD./P.I.D. #: Name's? A"v Phone#: Covg- ??-76 PROPERTY lcsf First OWNER C Street Address: City State: Zip: 5srO 9ELA ROOFING & REMODELINC=, INC. / a ? ? COfT1pa11y: ,?(?0 FX('FT RT(1R Ri VD Phone #: Co 1a C.??3 -?aojI? ST. I,OUIS PARK, MN 55416 (area code) CONTRACTOR ID 00001060 ??,?/? Sheet Address: Lfcense # ?Exp. Cify State: ARCHITECT/ ENGINEER Telephone #: area code ( ) Name: Zip: Street Address: Registration #: City State: Sewer 8 water Ilcensed plumber reaulred for new construction onlv): Penalty applies when address change and lot change is requested once permit Is issued. I hereby acknowledge that I have read this applicaNon, atate ihat the State of Minnesota Stafutes and CMy of Eogan Ordlnonces. Slgnafure of Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes OFFICE USE ONLY _ No Zfp: is cortect, aqd agree to comply with all applicable No - Not Required ;-S r- t V ? u OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-ptex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartmerts ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Basement sq. ft. Main level sq. ft. sq. ft. sq.ft. sq. ft. sq.ft. Footprint sq. ft. Census Code SAC Code No. of Units No. of Bidgs MClES System City Water Booster Pump PRV Fire Sprinklered Building Engineering Variance Valuation: $ % SAC . - - -w ` OCT715 '93 08:30 TO 8948891 FROM PROBE ENGINEERING T-495 P.02 - ' ???? /YIRUKe ?DaF COrini+?bns° e anNO sfunvevons .## 6D?¢7,0/ pNGINEEAING . COMPt?NY, lNC. ? - 1000 [AST 148M BiREET, BURNSVIILE, IAINNESOTA 66337 PN 4!2'5000 CERTIFICATE OF SURVEY Legal Description: ? BCALE i 1• u aW D,p4IN466 4W.D UrIL/TY Ff19f.?39ENr a ? ^ N :%o? J ? I CON$'r ( j??1) D[NOTES EXISTINCi ELEVATION ( 9 ¢,,c,-J ) pENOTES PROPOSED ELEVATION _,,.,---- ItJD1CA7E3 DIRECTION OF SURFACE DRAINAGE jg4400 e FINISHED (3ARAQE FLOOR ELEVATION 90- 30 a BASEMENY fLUOR ELEVATION 178.? m 70P OF FOUNUA710N ELEVATION 04a,p S 4y 80.90 k ? r,FN? 1 a? +,??,. Il ?947,21 i? 4d1.1? ?/ew_ ? ? r PHoov? . ' GARA6E i,naov-3c - - M zz, t7 : r - -0' . ..-, ,,.n,, s.7 ? ? m 4s,? ' ?-?--- ? °E (93G,c? I =`V ? ? .? ??. I ? 1 30 f7:FJWN7 SUlLDru& SE7$ACK LlN6 DEPT• I hersby oertiPy that this is a true and aorreat representation oP a tranti c land as shown and di90? ibe?d hereon. As prepsred by me thie daY c ?;?, . ?o--a- Minn. Reg. No. .4605