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