592 Hawthorne Woods Dr
Use BLUE or BLACK Ink
r
I For Office Use
Permit
City of Eao~ I o
d Rd Permit Fee: l 61
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 5 / 2, ff4t-,,, M o1A e c__)oods Py
Tenant: Suite
RESIDENT/OWNER Name: 5-f QC t/4 Re5 rdr-,-7 ce Phone: 7b 3
Address / City / Zip: 512- f7Gf (~cl/ ~~d► c2oc,1S Or tefQci'l
Applicant is: Owner X Contractor
TYPE OF WORK Description of work: Re, - /F y v c
Construction Cost: _1 4 do o Multi-Family Building: (Yes No )
CONTRACTOR Name: A// 57 l / .D S 7Lr'z1G75U x'1 License ZO JI 5 77
Address: 51/ S Zi2d 1s~r;41 5_I1 - City: o lC{ ,F14 in
State: / Zip: ~ 35 1 Phone: 7&3-1179- Moe
y2co
Contact: J0rl n Email: Y C to4-,
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:
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 the 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.goi)herstateonecall.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 approv I of pl ns.
x ~ 0 jj V rA CAC401i t x
Applicant's Printed Name Ap a t' ignature
V Page 1 of 3
V? INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I.?? fi'±:..' !',4 f+4
PERMIT SUBTYPE:
TYPE OF WORK:
, . :
INSPECTION D. . DA
; ?"-.I . ! 1 I r, 1 ? ? 1 ??.3 ; 1 ?! ',. 1 . . • '
R F FA A t"t C t: : Ft F i: F'' 1 f 7 N
pf?V I 551,! r} }ZH Pl/1 f HI i Nf f') F3fi
' F- --1
J
mm
v
ParmR No. Permk Holder Data Telephons M
SAN
PLUMBING ' - ojyl pG ??r?
Hvnc ' el9 9.-
ELECTRIC
42
ELECTRIC
Inspsction Dete insp. Commarits
Footings I 2• ?/
7-S'-y3
Fournlation ?
- k
Framing
Roofing
Rough Plbg- A
Rough Htg. 3/.t
ls,l. 3
kzm
Fireplace
B / o'?-t IL4/!
Fnal Ht9. /2 93 ?
orsat rest X
Fnel Plbg. Plbg. Inspector - NotHy Plumber
Const. Meter t e
/h
EngrJPlen
Bidg. Final
Dedc Ftg.
Deck Final
Well
Pr. Disp.
WtL'lifiCQt¢ 0f cCCiipQite4
Wit4 of Cfagan
mtwxtmcat oF tuabing axt-vtdian
This Certifrcate issued pursreanr to the requirements vf rhe URifonn BurldiRg Code
certifying that at !he time of issuance this structure was in conrplrance with the various
orrlinances of the City regulating building construction or use. For the following:
S'F I7WG
20278
vse c?assifictmoo: sw& Pbraril No-
oaupa-yTYre zoT;og Dismct 14565 ?.,?
?
Owrer of Build???g,.,?Addness
?"?.G tfAM1?? ?- f s
Bui g Alddress I.oca[ity
i ?
\%'
/ Date:
Burimiug O cial
PaST IN A CONSPICUOUS PLACE
?
\ '?? ?
I oi C C(1 1 (1
4??yS?? %7vq ?' .
?J
Reques? Date rte No.
l ? 11 ?(? ?] Rough-in Inspeclian
Requiretl?
? Reatly Nax f}?4A1 Noety Inspectw
J $1 Ves ? N. When fleetly?
I? hcensetl contractor ? owner hereby request inspechon of above elearical work at
Job AtlOress (Strcet. Bw or Route No ) Ciy
592 Iiawthrone Woods Dr. Ea an
Senion No Township Name or No Fange No Counry
D k
OccuparH (PRINT) Phone No
A. Maas Construction 892-5469
Power Suppher neeres:
Dakota Electric 4300 220th St. W. Farm'zigton
Eleclnwl ConVacror (Gompany Name) Comrenm5 Litense No
Joos Electric Co.
Maninq ndtlrass iCOmracmr or Owner Making instailatwn)
2104 Great Oaks Dri se Burnsv'
Aufhonze0 SignaWre IGOmractorpOwner Making allatronl Phone Number
431-4755
MINNESOTA STATE BOARO OF ELECTRICITY
Griggs-Mbway BIOg - Roam S113
1821 Ilnivenity Rve., SL Geul. MN 55104
Pnona (612) 642-O900
TMIS INSPECTION REOUEST WILL NOT
BE /GCEPTED 0V THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ee.ooom-oe
a 55.019 See insvuc0ons for rom0leLng this lorm on Oack ol yellow topy
rX` &/ow Work Covered by Thrs Request ??`•?
ew Add Rep TypeoiBwltlinq AppliancesWired EquipmemWired
Home X Range Temporary Service
Dupiex Water Heater Electnc Heating
Apt. Building Dryer Other (Specify)
Comm./Industnal g Fumace
Farm Av CondiOOner
Other(syqcAy) Conlmclor5 Remarks
Compute lnspecfion Fee Below.
# Other Fee # ServiceEniranceSrze Fee A Circuits/Feetlers Fee
Swimming Pool 1 0 to 200 Amps 1$ 1 o to I00 Amps IL7
Transformer5 A6ove 200 _ Amps Ab Amps
Signs Inspecrors Use Only. / OTAL
trrigauon eooms CPI?'? 65. 50
Spepal Inspection ;
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby Rogn-m
? oate
certifythattheaboveinspecUOnhas
been made. F,nai
• oei
OFFICE USE ONLV
This rKuest vaitl 18 months irom
Address 592 HAwIHORW woons nuJvE Zip 5512 3
Lot b Blk 3 Sub HAWIMPM WOWs
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: /Q p_.-,_ Yes No Inspector.
Final grade (6" from siding) V/ ~
Permanentsteps (gatage) t/
Permanent steps (main entry) ?
Permanent driveway
Permanentgas
Sod/Seeded grass
TraiUcurb damage ?
Porch ?
Basement finish V'
Deck
Please verffy with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the ouLSide lawn faucet before freeze potential exists.
Contact engineering divisioa at 681-4645 before working in righhof-way or installing underground sprinkler system. ?
White • City Copy Yellow • Resident Copy Pink - Contractor Copy
? `• r
U-^
V
ICT
a
J
t? :y
- ?.
/'
o? a
- ?
o ?-
a
V J
. ?,
o- ?
?
_ o
-M o-
.
(L1 ? ? o
°
? ' c*
,o o
? r
r
N
7
n
?
0
?
'
? v
^ N
? .
M N
v
e -?-s
o p a? o Q ??
m o- ? . J
K
cr r°-o 9 ? 0 d
?J e. Q ?/' cA W m
41
o , .
?i c` tn gF ? %89'0 ? ?669i
?t- N v
r'o ('? ' 9 ?- In n? ? ? m
C. ? Op
o J iY ?7 ?0 r?? c 6'0) `%5L'0? •\°/nS
x ?^
,
?
o-'
'7
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NawConsWCUon Reoulremenh
• 7 registered siie surveys snowng sq. N. of Io1, sq. R. of house; aM all roofed areas
(20°6 masunum bl coverage allowed)
. 2 co0ies of plan showing beam 8 window s¢es; poured found desgn, elc )
. t set of Energy Calculatrons
• 3 copies of Tree Preservation Plan d lol platted after 711193
. Rim Joist Detail Op6ons selection sheet (bldgs with 3 or less units)
DATE ) o - a -G ?
Phone #
SITE ADDRESS s q a Oq;,i.. )A.r, s'2ASc_ l0 00c.YS MUlil-FAMILY BLDG _Y _N
TYPE OF WORK `CC' V `lLCLC •Q_ lA 01dk j? FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT -50"l?vll' ?cl-?CSCn'1 Gn' 5?1 -
STREET ADDRESS
TELEPHONE #
VALUATION ' 1;?:OoO.c`
CELL PHONE #
FAX
PROPERTYOWNER >N-P?.Vr? TELEPHONE# 117:5'17- 91 S'?7
----------------------------------------------------- "'°---'---'-------'-'-------'-'-----'---
COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ MINVlSO'I'A RtiLE'S 7670 G\TEGORY I MIrNESO"C:\ RL;Lliti 7672
(,i submission type) • Residenlial VenUlatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Contractor:
Plumbing system includes:
Mechanieal Contractor:
Mcchanical svs[cm includes:
Sewer/Water Contractor:
Air Conditioning
Hcat Recovcn Systcm
,? 5 K 7-':>
ATE _ ZIP
Fee: $90.00
Fee: 1)70.00
,
Phone #
--•------------------------°--------------------------....-------------°-°-°.._.....---°--°-------------------------
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to compiy
with all applicable Stote of Minnesofa Statutes and City of Eagan?Ordinances.
Sfgnature of Appl(cant
OFFICE USE ONLY
_ Water Softener
Water Heater
No. of Baths
RertwdellRewir Reuuirements
. 2 wpies of plan
. t set of Energy CalculaGons far heated aaditions
• 1 sde survey for extenor adAitions & aecks
. Indiwte if home served by septic system for additions
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Oamage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundalion) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED IN SPECTIONS
_ Footings (new bldg) FuvallC.O:
_ Footings (deck) FinalNo C.O.
_ Footings (addition) Plum6ing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs AuiGas Tes[s Fuial
_ Framing Siding Sacco S[one
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ [nsulation _ Retainutg Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
license Search
Copies
Other
Total
Building Inspector
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construcfion Reouiremnts
• 3 regrstered site suneys showirig sq. ft of lot, sq. R of fause; and al mated areas
(20% mazimum lat coverage allowed)
• 2 co0ies of plan showing beam 8 wintlow s¢es; poured found design, etc.)
• 1 sel of Ener9y Calculatiom
• 3 capies of Tree PreservaUOn Plan 'rf lot platted aRer 711193
. Rim Jaist Delail Options selectbn sheel (Wdgs wiM J w less umis)
DATE 1-
SITE ADC
TYPE OF
APPLICANT -
STREET ADDRESS
TELEPHONE #1
CELL PHONE #
iULTI-FAMILY BLDG _Y yX
FIREPLACE(S) _ 0 _ 1 _ 2
7ZGr(1 STATE?ZIP??3°Z
Fa,x # -2103 S? 6Co"7CD
PROPERTYOWNER TELEPHONE# Gl?'51 U7" 9zS7
------.-------------------.-----------°-------------.----.---------------.--------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNFSOTA RULES 7670 CATEGORY 1 h?[?j ioiz
(J submission type) • Residential Venlila6on Category 1 Worksheet SubmiCed xr Yheet Submitted
• Energy Envelope Calculations Submitted n 1 2002
Plumbing Contractor:
Plumbing system includes:
Mechanieal Conhactor.
M echaniril system includes:
Sewer/Water Confractor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Condiaoning
Heat Recovery System
Phone #
-----------------°--• °---°------------------°--°-.....---°--------------------°-----°-------- °-------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
,,Ordinances. A
with ail applicable State of Minnesota Siatutes and City of Eaga*t
S(gnature of Appllcanf
OFFICE USE ONLY
t / ?/ 7' C
RemodellRaoair Reauinmenb
. 2 copies of plan
• 1 sel of Eneryy CakWalbns for heated additiore
• 1 sile survey for ezterior additbns & decks
. Indcate'rf Iqme served by sephc system (w additions
VALUATION
Phone u"
Lawn Sp .
No. of R.I. B s
Phone #
$90.00
Fee: $70.00
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? Ot Foundation 0 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? OB Ofi-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIU
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Oamage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Atteration ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demalidon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning CityWater
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Fina]/C.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Capies
Other
Total
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
S'2 HAW'i"Ii ORN t` l•JODl7S UN A Hf-'rFlS I;ONST INC
WOOUS (611) 892-5464
PERMIT SUBTYPE:
?" F OW6
TYPE OF WORK:
NL=W
Su.t1-orn!G
0'? 0 2 I ',
0'LJh3/9:;
INSPECTION
FU!I'I'1 P!li „ O
FRl31q ING .,
IP•lfULrITf.OP! FINAL
REMARKS: RECESP'f #t PftV S&W PL6R - MAlNL7NF PLL'G
F
L
_.. . - --- I ---------?_?_._??
CITY OF EAGAN
3830 Pilot Knob Fioad
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
1-1 .1DP!e': 1 0 -Ci;_1'5 0-0 b0 -!9'3
PERMIT
PERMIT TYPE: Bu i i. u a n (,'
Permit Number: 0 2 0 27 8
Date Issued: 02/ Qi 3/ 9.3
ss"? H awlFioRN e ?Anous oR
LOT: 6 C3LOC:K:
NAbJ I V,URnfC WDUUS
DESCRIPTION:
13ui1din « Nr:rmi.l? Typ?-
6 u ildxng I•Jorl: Iype
UBC Occupaney
Conetruction 9"ypv
Zari iny ?
ksua,ldi.ng Lenyth
Build.ing 4.fidth ,
?: F DWG
NEb!,
k-s m-i
V IV
R -1
?3
4d
REMARKS:
r:i_J:I'l' #k
p;i`J SNW PI_BR - PtASNILINE PLl3C
FEE SUMMARY:
dni_unrlur!
,' " EC f't= -
Ptar, RcavIew
SurchaI'aE
SqC ?
sac
Subf:oi al.
w7L;'4.BA
?'N.5t9
$'?;Vi,9r0
1 4? 0
i
"1a1,(ao 0
M1SC FEt.S
7oY.al f'ee
?
??.0?
CONTRACTOR: - a n p].i c a n r. - s r. L:i cOWNER:
A NAAS CUNS'I S.i!C 58925a69 0 0 0 L395 pIFlA S CON ST A
9QhiftAP!U A'Jc 5 74P.;5 GRANIJ RVE S
FUf;id°VI L l F MN 65337 6URNSVI!_LE M19N 55 3 37
(67:') HUZ-5459 f612 )89?--G463
I,lior ehy acknnwlvdge tf7at I have re,?d this apolication and sCatE thaC the
ini?,..' n is correct and aqree to coinoly withi al] applicxble State. oi' Mn.
St.,;r„? , r£ity Qf E2;Gari Ordlna r7t;b s.
,rQ ?
-x-7L
APPLIC NT/PERMITFF sinnie RE ISSUED : IGNA RE?
?
?
11
?
X
-!,
REACTIVATE _
PERMIT N
.-
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675 -, ? S? ?; . ! S
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 issued.
Date 3 Valuation of work
Site Address:
STREET L5C? ?QI.c?I lC??P W(JO!>C?IT?/C,IV?
r
Tenant Name: (commercial only)
IAT BLOCK ? SIISD_ (,?U-?ne ?}Do?
?`? P.I.D. k
Descri tion of work:
The applicant is: ? Owner CE Contractor ? Otll@I' (Deseri6e)
Name ?.? ?dr2 Phone
Property LAST FIRST
Owner
qddress
STREET STE M
City State Zip
Company A RYrS C, W ST. Phone 99z- sy?9
Contractor Address /f6_45__ 647AW16 Aue Sa? License #D0016K Exp.
S 5337
City BuRN411;4/t State h ?V• Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber A,rJ L-;Ne- p urv.,h?;?A . Processing time for
sewer & water permits is two days once area has b n approve .
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with all appli ble State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE I
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging
9 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex 0 14 Fireplace
El 05 SF Misc. ? 10 Multi. Add'1. ? 15 Oeck
WORK TYPE
a 31 New ? 33 Alterations O 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
0 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Lonst. (Actual) v-N Basement sq. ft. MWCC System YEs
(Allowable) Y- N lst F1. sq. ft. City Water YF-_
UBC Occupancy R-3 M-? 2nd F1. sq. ft. PRV Required ES
Zoning R-I Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length _3? On-site well Census Code !nl
Depth y p' On-site sewage SAC Code -0/_
6?sL,Ls bld
APPROVALS
'C.a-A5us u n ;t
?
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
0 Site
0 Wallboard
? Footing
0 Final
? Framing
? Oraintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % (Ov
SAC Units I
_
v.tuac;a,: g ILI 1, 000
6aR.4GE? 2yK36=86y
12x 2= (2y)
B5m7; xp 16 = 13, yLlo
3Gx65_ 13yo
Iz?i?: Cz??)
Gxiz_Chz)
?4 X6= (B4)
9K4 - (32)
4?9= 3G
r
1$(04{ X I5- 27,960
lsY F"uq;
E35mf= 1964 Xg3 = 48992
?----
?40i 19?_
LOT BIIROEY CBECKLSBT :Ox RLBIDEliTI11L
? BIIILDING DER![IT 71ppL2 ION
pR0?ERTY .r.rs».2
? Date o! suzvay s 4/ 43
DOCVnNT BTAND nB
?0 0 • Reqistered I,and Surveyor signatura and company
?0 0 • Buildinq Permit 1lpplicant •
B/ D/ 0 • Legal descziptioa
0 Ef D • Address
5/0 G • North arrow and bar scale •
B`D 0 • House type (rambiar, waikout, split v/o, spiit sntry,_
lookout, otc.)
ar-?0 0 • Directional drainaqe arrows With slope/qradient 4.
D 0A
0 • Proposed/axietinq sewer and vater servicee
V D 0 • Street name
!d'^0 0 • Driveway
L"LEVATI ONB
Exiatina
0 0/ ? • Sewer service
D: 0 ? • Lot corners
D 0 • Top of curb at the driveway
[? 0 • Elevations of any existing adjacent homes
4roooaed
0? D 0 • Garage floor
0-"0 ? • First floor
D' 0 0 • Lowest exposed elevation (walkout/vindow)
D? 0 0 • Property corners
? 0 0 • Front and rear of home at the foundation
P4NDING I?REAB (if aDgliCable)
0 ?( 0 . ?Lement line
O C( O • HwL
0 01? 0 • Pond A desiqaation
D Y? 0 • Emerqency Overflow Elevation
aMxsioxs •
? 0 0 • Lot lines
? o D • Right-of-way and street width (to back of curb)
? D 0 • Proposed home dimensions including any propoaed decks,
overnangs qreater than 21, porches, ttc. (i.e. all
structures requiring permanent footings)
it'D 0 • Show all easements of record and any City utilitias within
1 those easements
D D • Setbacks of proposed structure and setback of adjacent
existing home
D D • Retaining ?irem s, if any
- Reviewed• -? ?
Name / Date
OctoDer 1992
E*TERICR `tNVFLOPEAVERAGE _U _ COMPU?ATION
GW;aER
SITE ADDRESS ?L+S.Sf- ? /Ati O
CONTRACTOR 9' -NIOJ COAJ57 DATE /- z 9- 9 3 PHONE 9 I' SY ?? ?
Determine working square footage of each
1. Total exposed wall area. L-g7" s,f. x 3/(??•_?s
2. Total roof/ceiling area. s.f. x
A. Total wall window are a . . . . . . . . . . . 7y
3 "
B. Total door area . . . . . . . . . . . . . .
C. Total sliding glass d oor area . . . . . . .
D. Total fire place wall area . . . . . . . . . ?
E. Total rim joist area . . . . . . . . . . . .
Total e xposed foundation area
F. Total foundation window area . . . . . . . . ?
G. Total net foundation area above grade ...
ZD
H. Total wall framing ar ea (ave. 10%) .. ...
I. Total net wall area above floor ... ...
Determine " U" value of each wall segment
3q 2- x ..U..
a.
39 ..
.. ?S = Is
b. x ,
U
C X ..U.. . ?7y
.
-- .
.. , y-7
d. X U
?
v ..
.. c Y' _ ?- 2
e. 0
x U
` '
'
f. x U
,?, ..
.. d
s x ?
?
-?c,? ?/
L?
'
'
?%
. C
- /?- ?
h. n U ?
x ..U..
3
, C' V >
TOTAL =
lY item #3 is the same as. or less than itein x1
SR(' nn(1Fi r ) 7
C
_ (,
Z ?7 7
. you have me" the intent of
Total exposed roof/ceiling area =
J. Total skylight area . . . . . . . . . .
K. Total roof/ceiling framing area (ave 10%)
L. Total net insulated roof/ceiling area. .
i .
k.
7.
/cy"o
/7 /L
Determine "U" value for each roof/ceiling segment
- x "U" -
X ..U..
x.. U..
?-?z?-
2.7-
.7
4, TOTAL = ? 0•
If total of #4 is the same as, or less than #2, you ave met the intent of
SBC 6006(c)1.
• Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items #3 and #4 shall not be greater than tha sum of items #1 and #2.
1. ? + 2. _
3. + 4. _
/9661
• r1ALL 6BCTiONS
(-m-_ pc?- lsg of opaque wall area for
£rame construction
Construction . R-Value
1, ' -nterior iz film 0.68
2. '/? " (oU PD `15
3. 54/7,inches soft wood 68q
4. ZS 3 z'' Sfrcyt-1N'??Cr ?• p lv
5. L SiDI !r
6. Exterior air film : 0.17
^^_... - --=-.7bta1//•/S = .o S 9
.`._. ? ... _ _...':?! . -
i
3. _
4.:.
S.
.
6.
?
? ?? k
' ?
-
? '? r-
,
?-
j
ir • .. _
. .
;
•
in • , • ' ?r? '
FZG. H4
I(1 o ?
.:7
l!! ? '? X
/I ( = 1! f : , ??? _ .
NOTE: Indicate Cyne, "R" value, denth and
..i ?..,........ ? ..F ... ?..t ?a:..n _
I
,75
:
0.17
----
?
1. Interior air film 0.68
2. G` F. G. MTS / 9. a o
3. 4?F2'' GJooD -_ '_?_ .
. 4. 2S 37-
'"
_rot1=5?'? • S/Dl.J6 ??, . _<9 _
^6. .
Exterior air film ,`' • 0.17
; -`i>?:Total, Z? 73 =
. o y
------- - ,
?i (A,1:t
. ? ,' j 1 r j ?•. ??
?
' '_.'__'._• • ?
?'
1. .
Interior air film ? 0.68
2. Z" Go , : , - - , 7-
3 . y? . BAT7-S o o • .
• 4. '
5.
' 6. Exterior air film 0.17
, Total 3=• o$
i GRADE
. ?
:G. #3
• o '
. • o _ ' r? •
. ? ? .
ROOF/CEILING
1fCf.1T (C /i?????141?{1111l11tL?\?L',11/'
?L\1 \ . ?
Venced Heat flow
up
FIG. #5 ?
Construction (Use for Item L) x-Value
1. Intcrio= air film 0.61
2. S 8'` u- . Stv
4. £xterior air film (still) 0.
Total ??g = ,py
. -
• :?. l ?. ... . ij ?
CLG. '
FRAMING(Use
for Item K) :'i :;'.
1. Interior Air film, 0.61
s.
3. Inches soft wood
?
3
4. Inches insul above framing 3/• S ?
5. Air Film 0.61
'
;
' -
_. ....._.__ _
•
_ • S/.'??i - ` p? _ __ '
1. Inierior air film -- ----- 0.61 -
•
2. ' _ . .
3. ? .. _,
4. Exterior aix film (still) 0.61 `
Total
Heat flocr up _. . . , _ _ • vented
..FZG. #6 .
1. Inside air_film •' 0.61
2.
's.
4. S. Outside air film 0.17
Total
Nnl:c: Usc a9di.tional shcuts if more sFacc is
):ecded for dotails aud calcuZutions.
Frr„ 47
• ' y RUIV-Y1:lYlLU ?
. HenL
, flov up '
,
PLUMBING PERMPf (RESIDENTTAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf.
NO. FIXT[JRES EACH TOTAL
SHOWER 3.00 3 c,:
.3 WA'>'EA C*-OSET 3 M 7•?
-4? BATH TUB 3.00 ga
r LAVATORY 3.00 S? 0
? KI'fCHEN SINK 3.00
LAUNDRY TRAY 3.00 ?
HOT TUB/SPA 3.00 `
/ WATER HEATER 3.00 c? C.?
? FLOOR DRAIN 3.00
?
-- GAS PIPING OUTLET • m?? - ? 3.00
? ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
? PRIVATE DISP. • neLay. uG 15.00
U.G. SPRINKLER • nome wneer cona. 3.00 --
ALTERATIONS • co austinq 15.00 _?-
WATER TURN AROUND 15.00
STATE SURCHARGE
TOTAL:
STI'EADDRESS: S,eI•? 5
OWNER NAME: 4
SZ .50
ADDRESS: -1y16e( s? 'Z?
CTTY: -&lQt- STA
ZIP CODE: `SSc77 Zl
PHONE #: (G/? ) 2A? `" 3s ?? %/
SIGNATURE OF PERMITTEE
0
PLEASE COMPLETE FOR ALL COIvIIv1ERCLAl/IM)USTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUII.,DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIltED FOR EACH
DWELLING UNIT.
_ NER' CONSTRUCI'ION
ADD ON
_ REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1% OF CONIRACI' FEE,
STATE SURCAARGE: $.50 FOR EACH $1,000 OF KW?' FE&
MINI113UM FE& $ 25.00 ' , ;•
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
'!'Er1?.AIT NTA.r?dE: ?TE #
OWNER NAME:
INSTAI,LER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN ,,ppIJCANT
PLUMBING PERMIT (COMNiERCIAI.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
( .
CTTY OF EAGAN
L-?o- B?:?n MECHANICAL PIItMIT RECEIPT #
SUBD. (612) 681-4675 DATE
` RESIDEN'17AL -
PLELSE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAhfIIY DWELi.INGS. ALSO, COMPLEfE FOR
TOR'NHOMFS/CONDOS WHEN SEPARATE PIIIMTIS ARE REQUIRED FOR EACH DR'ELLING UNIT.
FEES
SiTE ADDRFSS:
"? \ W ?- ??yo c? ADD ON/REMODEL (EXISTING
CONSTRUCI'ION ONLl) $ 15.00
WSTALLER = .,? HVAC: 0-100 M BTU 24.00
PHONE #: ADDT[TONAL 50 M BTU 6.00
ADDRESS: GAS OUTLEfS • MINIhIUM 1@ $:{ EA. 31 Cjl?j
CP11': ZIP' ?I c4 SUACHARGE: $ .50
SIGNATURE: TOTAL: $ R • ??
COMMERCIAL
PLEASE COMPLEfE TffiS PORTION FOR ALL COMMERCLWINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMIINT BUILDINGS OR OTHER MTJLTI-FAMILY BUIZDINGS VYI&-tic I SEt ARi' ?PERRRiT3 euZE N^vT a^a^cQU^'...EID FCR
EACH DWELLING UNTf.
WORK DFSCRIPTION:
CONTRAGT PRICE FEES
196 OF CONTRACT FEE.
STATE SURCAARGE IS $.SO FOR EACA
S1,000 OF PERMIT FEE. $
PROCESSED PIPING • $25•00
HIINII1?fUM FEE - $25.00
Fs
*dtV oF eegen
L? ,
Au st 22 1995 THOMAS EGAN
? > Mayor
MR AN1L DEOD.AHR PATRICIA AWADA
SHAWN HUNTER
592 HAWTHORNE WOODS DR r b ? Z ? 5 O o 6 fo O? SANDRA A. MASIN
EAGAN MN 55123 THEODORE WACHTER
WsedjpundlMembers
THOMAS HEDGES
Re: Contract 93-12, Hawthome Woods Drive Sidewaik cirv ndmininro+er
Claim For Driveway Repair E. J. VAN OVERBEKE
Ciry Clerk
Dear Mr. Deodahr:
As we have been talldng over the past several weeks, the City of Eagan and your home builder, A. Maas
Construction have jointly agreed to finance the removal and reconstruction of your driveway to coaect the
drainage problem that you currently aze experiencing. Both parties solicited four independent quotations to
determine the cost of removal and replacement of your driveway. As a result of those quotations, it was
determined that the best quality/economical job could be performed by your builder's subcontractor, Dale
Greippe of Best Blacktopping, Inc. A1 Maas has informed me that this work can be scheduled within the next
20-30 days.
Correspondingly, the City of Eagan has issued a check payable to both you and Dale Greippe/Best
Blacktopping in the amount of $1,425. Once the work has been completed to your satisfaction, you can
endorse this check and forward it to Dale Greippe for payment in full. The remaining obligation will be
covered by A. Maas Construction. In addition, the enclosed release form should be signed, notarized and
returned to my attention.
I sincerely apologize for the inconvenience you have endured while we have tried to provide you with a
restored driveway that meets you satisfaction. Your patience through this process is commendable and very
much appreciated. Hopefully, this Snal resolution will provide you with a quality driveway free from drainage
problems and provide you with a quality end product that can be expected from both your builder and your
City.
If you have any questions regarding the scheduling of your driveway reconstruction, please feel free to contact
Mr. Dale Crreippe directly at 881- 3514 or Mr. Al Maas at 892-5469.
Again, thank you for your patience and cooperation in allowing us to serve you.
Sincerel
?
Thomas A. Colbert, P.E. cc: A. Maas Construction
Director of Public Works Enc. Check #018679
Release Form
MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY
3830 PILOi KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT
EAGAN, MINNESOTA 55122-1897 EAGAN. MINNESOTA 55122
PHONE: (612) 681-4600 PHONE: (612) 601-4300
FAX: (612) 6e1-4612 Equal OpportuNty/Afflrmatlve Acflon Employer FAx: (612) 681-4360
iDO:(612) 454-8535 iDD:(612)454-8535
0F!16.45 12118 ANII UEUUAHR ANO DALE 6RE1PPEY8018674ACKf
:II i t?I 1 PC:F1f? 111 !n I'll UI ICt1UR IIVA I7 • FAG/1N. MINNESOfA 55122
IfP.np;?ijip.qqq IfEMUFSGnIPfION PONUMOER
_ 1JFTAMOUNT
08J09/95
001362
CONTRACT 93-12 _____" _'_
1,425.00
i
RF.MIi1M1NCf V pUCHEfI DETACH BEFORE USING AMOVNT 1,425.00
1415 MSTRUMENT. WHEN SIGNED BV THE 018679 17-2
CIiY UF EAGAN tfiF.ASURF.R, SHALL BECOlAE A CHECK 970
PAVABLE Tp iHE OFf1ER OF THE PAYEE NIIM9FF
3830 Pll.qr KNUB RQAD NAMED FOR THE AMOUNI' STATED 018679
EAti/??I, MII'INFSOTA 55122
DAIE AMOUNT
PAY 08/16/95 ?rt*40s1,425.00
ONE Thousand FOUR Mundred TYENTY FIVE Dollara
and ZERO Canta
T°r"F • ANIL DEODAHR AND DALE CREIPPE/BEBT BLACKTOPPINC
onnFn .
nr ,
Fire1 BeM
Eagan Onia . . . MAVOR
:f529 NrosMwE . " . ..
EapAn, Minnaeota 55127 ff TF7EASURER
11'Oi8679n' 1:091000022':iii9i9438528II9
0. ?'.
c.
F
STATE OF MINNESOTA )
) SS.
COUNTY OF DAKOTA )
RELEASE OF ALL CLAIMS
In consideration of payment of One-thousand Four-hundred Twenty-five and NO/100ths ($1,425.00)
Doilars in hand paid by the CITY OF EAGAN, the undersigned, on behalf of itself, and its predecessors,
successors, assigns, administrators, agents, and other representatives, does hereby release and forever
discharge said CTTY OF EAGAN from any and all actions, causes of actions, interests, penalties, claims and
demand for, arising out of or in any way relating to the installation of a sidewalk and subsequent damage to
the driveway located at 592 Hawthome Woods Drive, in the City of Eagan, State of Mnnesota.
This Release extends and applies to, and also covers and inciudes, all unknown, unforeseen,
unvrticipated and unsuspected injuries, dainages, loss and liability, and consequences thereof, as well as those
now disclosed and ]mown to exist. The provisions of any state, federal, local or territorial law or statute
providing in substance that Releases shall not extend to claims, demands, injuries or damages which are
unknown or unsuspected to exist at the time, to the person executing such Release, the undersigned hereby
expressly waives.
It is further agreed and understood that such payment is not to be construed as an admission of any
liability.
Dated:
1995
By:
Anil Deodahr
STATE OF NIINNESOTA )
) SS.
COUNTY OF DAKOTA )
The foregoing instrument was acknowledged before me, a Notary Public, on the day of
August, 1995, by
Notary Public
TGltelesae.ajw
MEMO
TO: PARCEL FILE:.LOT 6, BLOCK 3, HAWTHORNE WOODS 1 ADDN
CONTRACT 93-12 (HAWTHORNE WOODS DR SIDEWALK)
FROM: TOM COLBERT, DIRECTOR OF PUBLIC WORKS
DATE: AUGUST 9, 1995
SUBJECT: CLAIM FOR DRIVEWAY REPAIR
During the construction of a public sidewalk under the above-referenced contract, the
drainage of the newly constructed driveway at 592 Hawthorne Woods Drive was adversely
affected. A signficant portion of the driveway (appro)imately 50%) had to be removed and
reconstructed to provide positive drainage irrto the public right-of-way. However, after three
unsuccessful attempts by the driveway subcontractor, a drainage concern still existed for
the homeowner. Subsequent attempts to reconstruct and patch smailer portions of the
driveway could not resolve the drainage concern.
After detailed field evaluations by Engineering personnel, it was discovered that the original
driveway installation under the building permit was not constructed fully in compliance with
the site plan approved with the building permit issuance. Subsequently, after review by
Street Mairrtenance personnel and private driveway contractors, it was determined that the
ultimate correction would require removal and reconstruction of the entire driveway.
After negotiations with the builder, Mr. AI Maas, a negotiated settlement was reached
whereby the builder and the Ciry will spiit the cost of this reconstruction 50/50. The City
obtained three independent quotations and the builder obtained one from his
subcontractor. An average of the quotations was used to determine the value of the claim.
It is agreed that both the City and the builder issue a check to the homeowner, Mr. Anil
Deodahr, along with the quotations received allowing him to retain the contractor of his
choice and have the work performed at his time scheduie. The homeowner has selected
the original buiider's subcontractor, Dale Greippe of Best Blacktopping.
In consideration of this payment for this drainage claim, the City wiil be receiving a simple
release relieving it of any liability for any claims up to the date of this claim payment.
The amourrt of the Ciry's 50% share is $1,425 which will be financed equally by the Park Trail
Fund and the City's Major Street Fund. The check should be made out to : Mil Deodahr
and Dale Greippe/Best Blacktopping, and forwarded to my attention for processing in
exchange for receiving the release.
In addition to considering the cost of potentiai litigation, both the builder and the City staff
feei that this is a proper resolution in correcting the problem incurred by one of our citizens
as a resuR of his new home construction and the subsequent public improvement project.
Ji
Director of Pu61ic Wor <s
TAC/jj
cc: Ken Vraa, Director of Parks & Recreation
Gene VanOverbeke, Director of Finance
Enclosure: Quotations
07721/1995 69:16 4324263
! • ?
4324263
VALLEY BLACKTOPPING
PAGE 02
VALLEY BLACKTOPPING, INC.
E8TIMATE 94T Gardernhw DAw P.O.
Appls VoINy, MMl B6124
Phone: (812) 432-4283 or 4524I846
Estimate Suamitted 70: DeM July 21 . 1995
Pale Ronnincj
592 Hatrthorne
Eayan, MN 55122
Faa 681-4360
Oescriptfon of job: Plans dateA:
Location of job:
" TYPE OF MATERIAL TO EE FURHi8HE0 AND iNBTALLED
ARE4 ANp/OR SERVICE TO BE PFRPORMED DEPTH
Ra,:,ove axisting driveway, raplace
Install pase as nee6ed, not to er.ceed 4 inches/linestone
Insta11 asphalt 2? inches/2341 wear
75' X 28'
Wa Propoae hereby to fumish material and labor-complete in accordanca wlth above speclfkcatfons, for the Sum ot:
Two thoueand six hundred & no/l OQ-------------------dollars rS 2,600.06------- ?
Payment to be me0c as follows
ACCeptanCe of Prop09ll -tne abora OYiCBS. BpBGI}iGaU0n6
ana condinons are satisfeceory ancf ere hareby aCCepted We havB
reatl tha conditions on Ihe raverse aidB Peymant will be metla es
outlined abave - TERMS' Account5 due end payable upon
/BCB1pt of invOiCB All Tatenpla 3nd 581VlCB 94bjecl to lien Iqwe. A
flnance cherge of 1-112% per month or 18% per annum wdi be
addBd to ecCOUnt9 30 tleys past due
Authonzetl
Signature -
Note, Thie prOposei may b0 with-17
by ua d not acceptW with{n daye from the
pate herBOi. 30 tlays unleae othelwlaB atetetl.
DetB of AcCBptenC6
?
.
?
PrA#iDBFil
ACE BLACKTOP, IMBC.
7280 Dlekman Trall
Inver Greve Melyhq. MN 55078
Phar 650.1257
PROPOSAL SUBMITTED TO CHONEGg1-/F3GJ OATE
o 4; i 9r . 7"? `? - 9S
STREET
iDB NAME
'?+? NT
CiTV.STwTE ANO LD?ODE JOB LOCATION
?A6.a.? "71 ?S/7-Z .oGd O Q,wQS DIP, 46 6AAI
I JOB PHOrvE
OA<E ,?aN?,u aoc?
W. hareby wbmlt spselil<btions antl eillmatu far:
.
- - -?? --- ?---- - ?- _. ._ _
F
-
-- - - - 9r----
- -- - - --
- -
_---
r
- _---- --
-
- - --
-- --
- - - --
_+7
_--- ?
-
S
v
- ----- - ---- ---------- -----
_ ? -- _
-- - - ---
- ---
v, --- -- ----- --- ---
--
?f _
- ° - --
-- --- - - ----- -------- -
- -- ---- ----
- n --
` --
- -- - - ----
?
- ---- ---
------- ------------ ------
---- - ---- - ----- ------ ------- ----- -----
JOp ftpp08t Fereby to furnish material and Iab
oc - eomplete in accordanee with above specifications, for the sum of:
dollars ($ -S7 72' },
Payment due uDOn completion of job or teceipf of etetement. A charpe of 1 112% par moMh will be made on dl paet due belancee
.
Thia cherps epplies ta all aocounte 30 deye paeS dua.
CONTMCtORS NOTICE TO ONMER
IA1 ANY PE0.SON OR COMPANY SWPLYINQ LABOH OR MATEWALS FOfl TW9 AYt110[i1e
. IMPROVEMENT TO YOUR PROVFRTY MAY FLE A LIEN A6AINST YOUF PROPERTY SignsWre --? ??
IF TNAT P91SON Oq LOMVANV J6 NOT PAIO FOq iNE CONTXIBU110N3.
PARTIES AGREE AlL LABON.WD MATEfiIK$ SUPPLIED PURSUqNT TO tHig Notl: This Droposdl Tdy be
A611EEMENTME IMP110VFMENT3, NOT MNNTENANLE. M'?LpGnwll by p3 if hOt iCqp[Ctl wlMin tlDyS.
.L'?itpyft"It Vt firOpn,8la -The ebove pnees, specilitations
and condibons are sahy4ctery and are hereby accepDetl. You are authonted
fo tlo the wOrk as splcifietl PaymeM will be metle as autlined ahove.
Da[. oi AK00bnCl: .
IOd Itid c0 2I 96-OZ-10
612 424 6896
ti 07/20i95 09:16 $612 424 6896 M9S1'ER ASPHALT
MASTER ASPHALT COMPANY
GENERAL CONTR.4CTOR:
PiiOJECT DESCRfPTION:,,`µl„
PROJECTNO:
ES7IMATOR:
T?;r ;UC-
BID DATE: 7- zo-95
BID TtME:
PAGE 1 C7F 7
¢UNu INULuoEp oR DEDUCT 1% FqR BOND TOTAL
NO TA,qFFIC CONTROL Z?• Q?
PRICE 1NCLUDES T,4x
REf'AINAGE HELD PER OWNERS SPECIFICATiONS
THIS QUOTE IS PEp THE AGC 57ANDARD SUB-CON7RACT AGREEMENT FOR HIGFiWAY
HEAVY INDUSTRIAL DIVlSION (1956 EDI7fON, REVISEB 1966,1980 AND RIDEFt 7986 REVISION)
COMMENTS:
PRICE INCLUDES
MOBILfZA710NS FOA CLASS 5
MOBII.IZATIONS FOR BITUMIIVOUS BASE
MOBILlZATIONS FOR BITUMINDUS WEAR
EACH ADDITIONAL MOBILIZATION IS $400.00
NO ADJUSTS INCLUDED
NO PATCHING IS INCLUDED UNLESS ITEMIZED
16002/002
PLEASE ACCEP7 OUR SUB-pUOTE FOR THE FQLLOWING PROJECT.
?in'+Q?Ic?nR_ vrd ??L51?.•p?nG
i..C,l? c,?-•_ rCmoVCI O? ??`?U....??--av= t]do?n.l GLS
1
???.,?•.??oa°_ ?w=r
6128920241
AUG-70-95 17:01 FROM:KINKOS COPY CENTER ID:6128920241
DALE GRIEPP & SUNS tsts i esLAi;K i ur
3220 NORTt{ LOOP ROAD
BURNSVILLE, MINNESOTA 55337
881-3514 • 435-5671
<
- Builder ?I /D4/g,?z Phane
Job Address ? ! eZ CRy
Directions 0& ?1)csGG.c_w GU•? Map
Lot Block Addition
- '.
sp. feet
?*. yards
?a ?7
,
? F"?25y
?
lg
?-
RE_,"" p??
?C,Rt'-,? ; o P
PAGE 2/2
,
Complete by Closing
Paved --
JAN 28 '93 14:34 TO E1289254E9 FRuPi PF:OBE ENGINEERINr,
. .?.
??? F C PINNNEBS ond?lpND SUqYEyOpS
NClNEERIIdG
COeVIPANY, IPlC.
? IOpO EAS7 1461h STREE7, BURNSVILLE, MINNESOTA 65337
T-74? P.02
A. RAA9 CoN.rr?a?rio,V
Bx, /9a
P,a. 68
PM 432-3000
CERT'FICATF ?? -
?oO????
Legal Description:
pENOTES EXISTING ELEVATION
( 9`iSz) DENQTES PROPOSED ELEVA7iON
-.s---- INDICATES DIRECTION OF SURFACE dRA1NAGE
pINISHED GARAGE FLOOR ELEVATION
' jz = BASEi1fiEMT FLOOR ELEVATION
9¢B, 83 = TOP OF FOUNDATIdFd ELEVAT{ON
SCALE : 1' = 30'
S
?
%s
certify that thie is a trua
shown and dascribed hareon.
, l9?3 ?
Da:a°'?
EAG?? ?NGrNEERIATG DEPT
and corr'6crL' i%present?atf8n of a tract oP
As prapared by me this 9070 day of
Reg. No. 16085
Use BLUE or BLACK Ink
r________________�
� For Office Use �� �� �
� � Permit#:�_ �
Clt of �� �� � . ��—�
Y � � Permit Fee. I
3830 Pilot Knob Road � I
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fax; (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
r ,.,':= Name: ���C� / �����-c/Z°-��� Phone:
`� Residentl � � ��i
�= O,wner ` ; , `? Address�city�zip: S <� 1����'�� ��l� 7� ��
` Applicant is: Owner �Contractor
;T�/�e Of WOI'IC Description of work: �� ��
�"`�' °� Construction Cost: 7 � �G�� Multi-Family Building: (Yes /No_)
.�' � �� �;
��� = Company: L����j�,�'�`�-,� Contact:
�
p M r,
y.: ��
` Contractor� � Address: • City: - �
�,i �� �S�.N�l�"Z� �
- State: �/ " Zip: Phone: -�P,/�`�����ya�mail: Zu����,��t7�.�L��f�rr� '
: License#: 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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NpTE:Plans;and supp,orting.documents that you sutimit are:cons�alereal fo be publi�information; Portions,.of:
�the informafion may be classified as non publ�c if you pro�ide spec�fic reasons thaf would permit the Cify to
_,,>':= conc/ude ttiat the� are traale'secrefs.;
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 Minnesota State Building Code must be completed within 180
days of permit issuance.
X��.���. ��.,f� ,��--- X
ApplicanYs Printed Name Appl' s Signature
Page 1 of 3
v''
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132681
Date Issued:08/28/2015
Permit Category:ePermit
Site Address: 592 Hawthorne Woods Dr
Lot:6 Block: 3 Addition: Hawthorne Woods 1st
PID:10-32150-03-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Darrell K Stewart
592 Hawthorne Woods Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA169510
Date Issued:05/28/2021
Permit Category:ePermit
Site Address: 592 Hawthorne Woods Dr
Lot:6 Block: 3 Addition: Hawthorne Woods 1st
PID:10-32150-03-060
Use:
Description:
Sub Type:Residential
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 -
David J & Jennifer A Rech
592 Hawthorne Woods Dr
Eagan MN 55123
Red Wing Plumbing & Heating Llc
1615 Old West Main Street
Red Wing MN 55066
(651) 388-9692
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170352
Date Issued:06/29/2021
Permit Category:ePermit
Site Address: 592 Hawthorne Woods Dr
Lot:6 Block: 3 Addition: Hawthorne Woods 1st
PID:10-32150-03-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
David J & Jennifer A Rech
592 Hawthorne Woods Dr
Eagan MN 55123
(952) 250-3040
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature