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593 Hawthorne Woods DrCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 J RECORD PERMIT TYPE: ?.J..:: Permit Number: Date Issued: (.' SITE ADDRESS: a 111 +rr t , .; ? t Ii ?IrNt W??U[)'Y Uft f I Ifilli I I Ilt:IdI Ili?llli'- 4 AW 1 i NI,I E11V Ni?Mt S (fil.') qS.'.-Lll:_'h PERMIT SUBTYPE: , TYPE OF WORK: INSPECTION .. . . , ? .. I OF ranti;l, •. - •; r. ii E t KR -... 6 i H?-if 6 r 0 K', i hRv Psrmit No. Permk Holder Date Telephone If S/W PLUMBING HVAC ELECTRIC ? ELECTRIC Inspectlon Oate Insp. Commerrts Footings I ! Foundation Framing d? 3 Roofing Roug, Plbg. Rough Htg. ? ,gul. F'ep'ece ?` /s 93 ?- Z ?? .-o Q ???l Ht9. Orsat Test Final Plbg. Z? ? 2 Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bidg. Final Deck Ftg. 2 DeCk Final Well Pr. Oisp. ?-'^ /a •? ?- /.5 ? /?'??i/??P (? U " . a -. ccemticate vf cccupanc? „ IKitV of (Pagan ??? ? ??i" 3""COM This Certificate issued pursuant to the rsquirements of the Uniform Building Code certifying that at rhe time of issuance this structurc was in compliance with the varioas orrlinances of the City regulating building cortstruction or use. For the following: 21468 use 0assirumt;oat: SF DWG Bag_ Pennit rro. o-ups-y Type R3/M1 zoning visa;a ryve coitst Owrcr of Bud&ng ARf.TNGDCN BLilG OOV. Addms 14551 rIY 1611, B. . g Addnm 593 DRM I.ocaliry s f ?/?/q3 Date: Buildios Off'ci'I?% , POST IN A CONSPICUDUS PLACE y;?lq/G+ 1 REQUEST FOR ELECTRICAL INSPECTION ? 7 d? D, See msvuclions for tomplenng mis lorm on back ol yellow copy 0 7 7 U 6 "X" Below Work Covered by This Request EB-00001-08 14? ew d Rep TypeofBmlding AppliancesWiretl EqmpmeniWned 6.11 Home Range Temporary Service Duplex Water Heater Electric Heating Apt Builaing Dryer Other (SpeCify) CommJlndustnal Furnace Farm Air CondM1ioner Other (syeciry) Conhaclork Ramarks: Compute Inspection Fee Below: # Olher Fee # ServiceEmrance5ae Fee # CircunsiFeeders Fee Swimming Pool 0 ta 200 Amps ?bL / 0 to 100 Amps/$94LfO Transformers Above 200 _ Amps A6ave-10 Amps S9ns InspectorS Use Only rc? OTAL Irngalion Booms Speaal Inspection Aiarm/COmmumcation ORDER D SCONNECTED IF NOT THIS INSTALLATION MAY BE Other Fee ? COMPLETED WITHIN,Y8 MONT S. I, the Electrical Inspector, hereby R°"gnin P,a I / . certify ihat the above inspection has been matle. F,,,ai ' OFFICE USE ONLY This repuesl voitl 18 manNS irom 7 0 l??a? Re est Da?e J 9? S? Fire No Rouqh-in Inspection Requrt ? Reatly Now ?r.ni ,.,'..?Nouly Inspecror Wh R tl 7 _, es C No en ee y ? I??censed contrector O owner hereby request inspection of above electrical work at: Job Adtlress Sirgel eox o R I N? ?? Sedion No Township Name or No Range No Counly Occupa (PFINT) - Al?? Phone N. Power plie? ? ? ?; ? AOOre/?ss • ?!'9 ` y - } .? y- , {y ? ? ?? /??ww.'`.CC?' ?L?/UI7Z//lC y, .y 7L? .//f? ? J?J??T Elxv¢al onlracor (Campany Name) n ? ? Conlractor5 LicBnse No ? ??? l ?! ,? ,.c,v M iling AOaress ICOr,VdttO Or Owner MabOy In?staillation) l ' ? ? ?J OI? '? IUI /G ?ifi[e- ,Cu.? {?- .? • P. Aul?onze0 igna e I nVacror,Owner Maki s I ? 7 „"a? Phone N ber MINNESOTA 5TATE BOARD OF EIECTflICITY TNIS INSPECTION fiEOUEST WILL NOT Grlggs,Mltlway BIEg. - Haom S-173 BE ACCEPTED 8V THE $TATE BOARD 1821 Univerelty Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE I$ phone(61Y)66R-0800 ENCLOSED, Address 593 t3awIIto?tNE woODS DRIVE Zip 5512 3 L.dt "' '4 Blk 4 Sub HnwtxotaE t,roovs lsr THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECIION. Date: 09/2q/()3 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) ? Permanent steps (main entry) Pennanentdriveway ? Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck ? ? ..? , C o ' /E .e Please verify with [he builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy w ?----------------- ? ?Of QIfiCE USC/? ? ? Pertnit ?,2316-1 I I Permit Fee: ? Date Received I Staff: ? I I ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S o??-&1r SiteAddresx ?S/? r/+9wrsYe.PA/? i'1?0005' 4C Tenant: Suite #: RESIDENT 1 OWNER Name: 4O!!('r- Phone: 9'/a -e/6- e Address I City 1 Zip: S/ ? JTAGd >?OiQ??? ?'° ?d??' ?R Applicant is. _ Owner A Contractor TYPE OF WORK Descnption ofwork: Construction Cost: Z O?O Multi-Family Building: (Yes No i- CONTRACTOR Name: (r-iF?oTS6'i? CO License #: // "117 Address: City: e? S State: -00? Zip: s.?'?c2?? Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet C8t0gOry Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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 8 Water Contractor: Phone: NOTE::Pfans and supporting documents that you submit are considered to be public information. =Portions of be classified as non-public if yoo` provide specirc reasons that would permit the City fo the informafion may , conclude ttiat the are `frade secrets ?;;v : • .. _. :.__ , .. I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance wRh 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?+? . p Zmr X ?ir/ 1 /EL- SE.Q X Applic nYs Printed Name ApplicanYs Signatu Page 1 of 3 0ll? ? CITY QF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.S.N.: 10-32150-040-64 PERMIT PERMIT TYPE Permit Number Date Issued: 593 HAWTHORNE WOOpS pR LOT: 4 BLQCK: 4 HAW7HORNE W0003 1ST BU_ DZNG 021468 07/15/93 DESCRIPTION: ?t ,b ?• _, Btuildi•rig?vPermit 7ype ?u3lding `Wgrk 7ype IiBC •4ccupart6q'\, Constructi4n 'fype ZoAlng t Elmikdfng EettYjCl^r Sw31da',ng Width 7 vnLuarxnN $986.00 $640.90 $99.50 $750.00 10B 1 72 34 L(?fj'? ,'?u? ?? ( ??" V REMARKS: S& W PLBR = OLBER6 CONS7 PRV u FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAG % SAC Units Subtotal $2,476.40 SF OWG NEW R-3 M-1 V-N R-1 $199,000 MISCELLANEOUS $1,744.50 Total Fee $4,220.90 CONTRACTOR: - Applicant - ST. LIC OWNER: ARLTNGTON HOMES 14329725 0003200 ARLINGTON BIOG CORP 13774 PRINCETON CT 14551 COUNTY ROAO 11 SAVAGE MN 55378 BURNSVILLE MN 55937 (612) 432-9725 (612)432-9725 l I hereby acknnwisdge that S have read t1afs appXicat3on and staCe Chat t'he informatian is correct and agt'ee tA oompi,y with all mppl3cable StatO af Mii. Statutes and City q'f Eagan 15rsfinanees. ? (- ? _ - - ?? APPLIC NT/PERMITEE SIGNATURE ISSUED S NATU E INSPECTION RECORD CITYOF EAGAN PERMITTYPE: euiLoxnG 3830 Pilot Knoh Road Permit Number: 021468 Eagan, Minnesota 55123 Dace Issued: 0 7/ 15 / 9 3 (612) 687-4675 SITEADDRESS: LoT: 4 BIOCK: 4 APPLICANT: 593 HAWTHORNE WOQpS pR ARLZNGTON HOMES HAWTHORNE WOODS 1ST (612) 432-9725 PERMIT SUBTYPE: TYPE OF WORK: SF OWG NEW INSPECTION FOQTING .. . FRAMING „ INSULATION PTNAL FIREPLACE REMARKS: S& W PLBR -- OLBERG CONST PRV F ?. Rilru,? r?1,[i {)?QriG?tll A N??71<id.?,{ ;,`•?-uni' iAli h i'14'. 1N•'....:'(d`='ldid 0 Q 1, 1 !1 VI V i P1 ? 6 L? I' 1 C, n HV r9I HOfsNt- f10 r) i)? i=.; i-.`lIVMIHIi i<IdC M0111 ,, Uli . . 4?fl t ?ff ( Iqi; ? ? ` ° i REACTIYATE « iIz- c E ? v ?ED PERMiT +k ttqL J U L 0 7 1993 ------------- CITY OF EAGAN 1993 BUILDING PERMITAPPLICATION ?????z?.9D 681-4675 LPLI q-i SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of ener9Y 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 thange is requested once permit is issued. Date 7 ?7_ /?,Y Valuation of work e ' °'? &/ ?L? ? r5?9 4 ' ; 4 5ite Address: - STREET SUITE 0 Tenant Name: (commercial only) IAT ? BIACK ? SOBDp?/4G?/?? h P.I.D. M Descri tion of work: The applicant is: ? Owner 'Ercontractor ? Other (Describe) Name Q'ac? Phone ?{3a- 9705' Property LAST RST Owner pddress STREET STE M City State ZiP Company Phone ?f3c9- 97A,5- Contractor Address /S?S,T/ License # 0740 Exp. City State ? Zip Company Phone d09/- 5?G'6,3 Archttect/ Engineer Name Registration M Address ???/? - /?lv ?'?? ? Ss?a City State Z i p ? . ?? ??° ??? ?• Processing time for Sewer & water licensed plumber. , sewer & water permits is two days once aro6a as been appriKed C/iJ?ar I hereby acknowledge that I have read this aPplication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:i???J? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 B i fne*t firil%%- ?02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 5wim Pool 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. D 04 SF Porch ? 09 12-Plex O 14 Fireplace O 19 Comm./Ind. Misc. O 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ?9 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish 0 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ' Const. (Actual) V- N Basement sq. ft. MWCC System Y45S (Allawable) v- N lst F1. sq. ft. City Water UBC Occupancy _1 2nd F1. sq. ft. PRY Required ? Zoning R-? Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkl er Length On-site well Census Code o/ Depth _i.L On-site sewage SAC Code aL APPROVALS ? Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? footing ? Final ? Framing ? Draintile ? 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 96 ioD SAC Units ? g 9 9, OL)J ? valuacton: GARAGE : 32 ?tZO= 6vo o z x 20 = yo yo?r 3z 13Sw1T; 66aX16= oi$v 14K12:. L40)(30 = Izou 2 yc7 -, Ix(0 = CG) Zx4x= 9? 240 IsT FLovRJ, r3smT- z x IZ'r, _ 9 x2- I s?o u /S ISSo 2S rsql x ?= c 1 85 = I 28 0 (jS ? l462 K 5H _ ? • ? •,? ? m ? 0 ? ? V0 B'? 0 ? v? D D C? ? ?? 0 rr? o ? LOT SURVEY CHECRLIST FOR RESZDE''.':AL HUI PROPERTY LEC3AL: CUMENT STANDAR pate of 8urvey: • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and bar scale • House type (rambler, walkout, split w/o, split lookout, etc.) • Directional drainage arrows with slope/gradient $. • Proposed/existing sewer and water services • Street name • Driveway ELEVATION6 Exiatina ? RI 0 • Sewer service D?- ? ? • Lot carners G-"0 „z • Top of curb at the driveway n o, ? • Elevations of any existing adjacent homes Yrocosed g D 0 • Garage floor ?f ? 0 • First floor ?! ? ? • Lowest exposed elevation (walkout/window) ??C1 ? • Property corners p' ?? • Front and rear of homa at the foundation PONDINa AREAS (if applicablel 0 0?0 • Easement line ? CY' 0 • NWL O ir ? • HWL p C?- • Pond p designation ? • Emergency overflow Elevation DIMENBIOttB entry, ..l? ?0 0 Lot lines ? 0 0 : Right-of-way and street width (to back of curb) I,Y ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e., all structures requiring permanent footings) ?? ? • Show all easements of record and any City utilities within those easements ..0' ? ? • Setbacks of proposed structure and setback of adjacent existing homes ? • Retaining w ire n s, if any Reviewed• Na e / at Octob er 1992 I rxTr•.aiOa r•.uVrLni>e AvrRZ,cF "o^ coMPoTn'('70N ` owNEa : i%21A'N A J Uu6- Wujk]UICo `I'CE ADDRC55: CON'CRAC'COR:_ PCL?N(pTw i.Nj?'J' QA'Cg: pF[QNE : DG`CERMINE WpRKING 50UARE FOO'CAGF OF EACN: 1. 'CO'CA7", EXPQSED WA1:,1, AREA .?3757?- ,Q. F'C. X tl( 2. 'CO`CAI.. ROOF/CEILING AREA tl1fJiD ,O . F`C. X LNto 3. ',C(7'CAI', EXPOSED WA1.,1., ARFA CAf.,CUL,A'CIONS: 'Cotal exposed wall Wrea above floor a) 'Cotal wa11 %ii.ndow ai:ea ? e?J SQ.F'C. b) 'Cotal dooc area SQ.FT. c) 'Cotal slidi.ng qlass door ar.ea SQ.F'C. d) '.Cotal fi.replace wall area % r(D SQ.I"C. e) 'Cot<i1 wall frami.ng area SQ.F`.C. ( aveiracse 10%) f) `.Cotal n.;; crall area above ,c,Q.F'C. f .loo?: (insulated) ri.m joi.st ai:ea ? SQ. 'Cotal foundztion area ?Q SQ.F'C. (expose:i) 13 x „U„ , ? = t-Z? I X--U- ,07 X U.. X ??--- X "U" lol - n X ?lU?. , 5 -, X ??u " ? p = I Z?' -'75 n) 'Cotal foundati.on rori.ndoc; area rZJ SQ.F'C. X"U" r5Z = i1 i. )'Cotal net Eoundation area SQ.F`.C. X"U" abovc grade 'CO'CAI:, a ) throucftt i. ) If i.tem #3 i.s the same as, or less than i.tem #1, you have met the i.ntent of 2 MCAR 1 16008 rl 0 PnGE 1 ?1. 'CO'CAI. i;XPOST;D RDOf'/CCT1,?NG C'A1,CU1,,A'CIO_._ !t_ '`0 'Cotal cxposed roof/ aQ. F'C. ceili.ng area j) 'CoCal slcyliqhC acea ? SQ.P"C. X"U" -? _ k) `CoCal coof/cei.li.nq Yl? sq.r•'C. X"U"' f rami.ng airea (avecaqe 10%) C) 4"3 1) 'CoL-al neL i.nsulated (5/SQ.P'C. X"U" tOZZ?' = y'?-1 r.ooL/ceiliny ai:ea 4. 'co"rAI., j) tiu: ouc3n i) = 1?' If total of #9 i.s the same as, or less than #2, you have met the i.ntent of 2 MCAR 1.1 and 0. ?o G AI','PF:RNA'CE BUII,DING ENVE1.,OPE DESIGN . :Co uti.li.ze the total envelope system method, the values establi.shed by thc sum of ;3 ane #q shall not be qr.eater than the sum of i.L-ems #1 and #2. 1. +2. 3. +9. _ CER`CIFICA'CIUN I hereby cer.ti.fy that I have calculatec: the 'U" factoes and "R" values herei.n and that the bui.ldi.nc7 hece deseri.bed meets oc exceeds the State of Mi.nnesota Energy Conservati.on Act. . , rr .o (Si.c;natute) , Dzte PAGE 2 :;;; :.? < :??5?' ??.'? :?ff:.Z.? . :?'a..'rY:i3°3C•e:j"' ' .. ,. . . ,...,. ?.. ....... ! y? .. .y. . ..v ....,...... .....:.:.,c:>o:.!:i.Ya.. ? ,z.'?°'>ta;:.a„b£,?.A? °;Xi:`?i3:<'.:(::;'•, .. . . ... >.: ..e. . ` ?` ' ??/ "°$? ?? .:.?Z..• ?a- .. . _... . .: . ,.:t.......at s t .. . .. : . , . . ...'.?, ; ':.,-.y..'..? .. . . . % ...<;...,._;.:-; { ??t . , . ,. .. ..:.. ..,.... e' k?3.. > <>;Ps;. ?'<'1'?J' "}"'$?Td?':#ya....?::Y?:th ? :? ?:f?i?.•tT`.?v. c , ?.? .. ..: ...... . n:. ... ??e :v:.::nvL . . . ..: ..:n Y.:. [ .. ? ::..:. . ?::,... ...: . . . ' ' .. o- ,y: ?. ';" " .;iwm •. ., c? ; ^ Gi` y. ,.3a.?:8 ? ... ... . ? ??'.???.' .. .. .. . . :... :... ?.5?'*..?;.?1!..Qir!:'„? ' .?.a°:. ?.. s:s.:•. '. PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIIZED FOR EACH UNIT. 'O. FIXTURES EACH TOT? ? ER SHOW 0 0 3. ? '?.O ? ? n /? ?'' WA^? 11./D I?LJSv''?^ i ?(\ ( "•'J'? , ? cl??yL? BAT'H TUB 3.00 LAVATORY 3.00 i HITCHEN SINK 3.00 12).00 ? LALTNDRY TRAY 3.00 m)-00 HOT TUB/SPA 3•00 1 WATER HEATER 3.00 3•0 ? I FLOOR DRAIN 3•00 ?- o(D / GAS PIPING OUTLET • minimum • t 3.00 3.c? O 3 ROUGH OPENINGS 1.50 ?I •? <`? WATER SOFTENER 5•00 PRIVATE DISP. • DakCry. lia 15.00 U.G. SPRINKI..ER • 6ome under const. 3•00 ALTERATIONS • co cdsting 15.00 WATER TURN AROUND 15.00 +I ?i 5 0 STATE SURCHARGE .50 TOTAL: _C,5() STTE ADDRESS: S 9 -:?) Ld Mz' ? "? c'rJ<kh Z?' • u lws INST ADDRESS: 'l l91 n ,-? c? ? \'llaiv.?VA,.\ ? 'D STATE:. V\ 11 ZIP CODE: `? Ln PHONE #: ( Ln?? ?A cL C) -nSC) L 1993 PLLTMBING PERMIT (RESIDENTIAL) CITY OF FAGAN 3830 PIIAT KNUB RD EAGAN MN 55122 (612) 681-4675 ? $I: . ???: ?... . .? ... ,.... 1993 PLUMBING PERMIT (COMIII4IERCIAL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE CQMPLETE FOR ALL COMAERCIAIJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U: ? :T. _ NEW CONSTRUCIION- ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FEE: 1% OF COA'TRACT FEE. STATE SURCHARGE $•50 FOR FACH $1,000 OF PE"Tt FEE MINIMUM FEE S 25.00 CONTRACf PRICE X 1% STATESURCHARGE TOTAL SITE ADDRESS: TENAN'T NAME: OWNER NA117E: INSTALLER: ADDRESS: CI7'Y: PHON'E #: STE. # $ $ $ STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRTJCTION ADD-ON q/C ADD-ON FLTRNACE DATE l ` ^1 @ -c1 3 HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ? ADD-ON/REMODEL (ExtsTtNG CoNSTRUCI'ION) STATE SURCHARGE TOTAL SITE ADDRE OWNER NAh INSTALLER: I ADDR SSJ CITY: TELEPHONE ? .. FEES $ 24.00 6.00 q'o $ 15.00 .50 < - SC? ; b? TELEPHONE #: 'i ?3c-? - ? -7 ilS STATE: ? N ZIP CODE: ?- 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 . ? 1993 MECHANICAL PERMTP (CObIIMERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL CONMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OT14ER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES COIVTRACT PRICE: $ 1% OF CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF r,4nTTf FEE. TOTAL $ STTE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENT'S ONLY) INSTALLER: ADDRESS: CTl"Y: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR ._? 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Canstruc[ion Repuirements 3 registered site surveys showing sq. ft. o( lot, sq, ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of pian showing beam 8 windowsizes; poured found design, etc. 1 sel of Energy Calculations 3 copies of Tree Preservation Pian if lot piatted aRer 717/93 Rim Joist Detail Options selecfion sheet (6uildings with 3 a less units) Mmuegasco mechanical ventilation form Date / Site Address RemodeVReoair ReauiremenGs 2 copies of plan showing footings, beams, pisGs 1 set of Energy Calculahons forheated additbns 7 site survey for additbns & decks Adddian - indicate i(on-site septic system Construction Cost _7 0 ° ° Office Use Onlv CeAofSurveyReoi _Y _N Tree Pres Plan Recd y N Tree Pres Required Y_ N On-site SepGc System _ y_ N UniUSte # Descrip[ion of Work (NJ57f?L(i ? ,? ?,'? /' Multi-Family Bldg _ y& N Fireplace(s) PropertyOwner Telephone # ( L-)1i LfS? (p?J3 Contractor Ffreside Hear±h & Home - 14399 Huntington Avenue nddress _ Savage, MN 55378 State 952.736.7761 License#20512060 _ city 'elephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cate orv 1 _ Minneso[a Rules 7672 (d submission type) • Residential Venttlation Category 1 Worksheel . New Energy Code Worksheet Submitted Submided ' • Energy Envelope Calculations Submitted In the last 12 months, has }he City of Eagan issued a permit for a similar plan based on a master plan6 - Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply far a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan ' the case work which requires a review and approval of plans. R Applican s Prmted Name L Applicant,s Signat' DO NOT WRITE BELOW THIS LINE Sub Tvpes - r . ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-piex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demoiish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bld g) - Give PCA handout to applicant D05Cflptl011: WaterDamage_ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ Sheetrock _ Footings (deck) _ FinaVC.O. _ Footings (addition) _ FinaVNo C.O. Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Ai r Tes[ _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector I r1??1 2006 RESIDENTIAL BUILDING rEiuvnT arrLicATiorr City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Reouiremenls 3 registered site surveys showing sq. ft. ot lot, sq. A. of house; and all roofed areas 120% mazimum lot coverage 211owed) 2 copies of plan showing beam 8 window s'¢es; poured found design, etc. 1 set oi Energy Caiwlations 3 copies of Trez Preservation Plan rf lot plaHed after 7/1193 Rim Joisl Detail Options selection sheet (buildingswiih 3 or less unifs) Minnegasco mechanical ventilation form RemodellReoair ReauiremenLs 2 copies of plan showing foolings, beams, pisls / 1 set oi Energy CalcuWtions for heated additions 7 site survey for additions & decks Adddion ? indicate i(on-sde sepfrc Sysfem $-lo.ern r . a?? CO ' ?- otfice use Onlv CeRafSurveyRecd _Y _N Tree Pres Plan Recd _ Y_ N. Tree Pres Required _ Y_ N On-s'deSepticSystem _Y _N La,lt?t.d ?? -7 Qj1- • Date '12, /?/ 2?? ContructionCost dress ( # # ?U? S 1'I O";?-? Unit/Ste Description of Work -el V'e G4Ge Multi-Family Bldg _ Y Fireplace(s) _ 0 2 Property Owner `? ?p pN Telephone # 6,-5/ ) > -,?P .J Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submilted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on o master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, nd work is not to start permit; that the work will be in accordance with the approved plan in the case ovork 4ich^er approval of plans. ? ? F?8 Q g 20?6 Applica 's Printed Name pp icant's Sj n ture (?? DO NOT WRITE BELOW THIS LINE Sub Tvues ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweliing ? DB 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AR - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ezt. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvnes O 31 New ? 35 Int Improvement ? 38 Demolish Interior 0, 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair )il- 33 Alteretion ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applieant D05CrIptlOtl: WaterDamage_Yes Valuation ? Occupancy MCES System Plan Review 100%or 25% Census Code _4 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? Width _ Footings (new bldg) _ Footings (duk) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final Framing ? Fireplace 4 R.I. )?, Air Test I Final ? Insulation Approved By: REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. FinaVNo C.O. ? HVAC Other _ Pool Ftgs Air/Gas Tesu Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ W indows _ Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total )t?? ? 1'70 ? CONSUITIHO EN61NEE11f 1 "<z, ARL/A/Fi7?O?L/ f?oMES P?O'Be PIANNE11f ond LqND 9UpYlY00f ENGINE6RING a:BK. 189 . COMPRNY, INC. P6.(0S IOQO EAST 146th STREET, BURNSVILLE, MINNESOTA 54337 PN 432'3000 CERTIFICATE OF SURVEY Legal Description: SCALE : 1' a 30' DRAINAGE LfNO vriZ-lTY EASEi ;-Y-, , ? \ J o M. 1 ? ?J ?v y2_3) DENOTES EXISTING ELEVATION <9¢,7, o ) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE ,947,33 = FINISHED GARAGE FLOOR ELEVATION 939, 67- = BASEMENT FLOOR ELEVA710N 9 -j7.(o 6 = TOP OF FOUNDATION ELEVATION 795o.3 SI iJ i ? ?99-e, 9? ? C _ ?,• ?,-, ? _ ? ? ?. ? I?- ` 6 S ?947 %, a ? • ? ?1L.3 ?! ¢7.0) I??I l9.cb ? ? riysz, m H?USE D r ??1 I o P"?oPoJ? o i°° 1 6 a, _ /9,3/ os ?o / L= ` ' /y,, ?O? ? G°??G?o?o r DEP°r' I hereby oartify that ttiis is a true and correct representation of a tract of land as shown and described liereon. As prepared by me this ? day of ,J?.z'y , 19 93 ?j , n 4 ? s N' , ^ . ? ? ? ?i V H?p, Qs°O9?'3? 30FT. F2OAIT BUILDtNG ?. , . Minn. Req. No. ?ho85 Use BLUE or BLACK Ink For Office Use. I /Cl C~ ~ Permit I City 0 Eajan ~~5 . 41 3830 Pilot Knob Road I Permit Fee: 1 Eagan MN 55122 I j Date Received: Phone: (651) 675-5675 I l Fax: (651) 675-5694 Staff: l 2011 MECHANICAL PE/R/-MIT APPLICATION Date: Site Address: 1 t i 1 oro ~ 0oI's D Tenant: Suite I - C~ S RESIDENT/OWNER Name: DbLt Phone: (0/9- U Address/ City/ Zip: f•V J c~+~~ pv ~S Ci~f~ CONTRACTOR Name: y -f- Y License Address: 6 `7 b C ra4_ i ✓ i-el _ City: Ls±' foat'State: ~1 v Zip: S ~ Phone: &s ' -7g L " O 1 Contact: Q_5GQ YY70417 4k-,O- Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: ~GZ c~ l~tGt_C~ NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE / RESIDENTIAL COMMERCIAL `o` Furnace New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas ` Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE 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. wwwopherstateonecall.or 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 pla ,':~6~Vn4O Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date Required Inspections: -Under Ground Rough In Air Test -Gas Service Test -1n-floor Heat Final' Exterior HVAC Screening Inspection Use BLUE or BLACK Ink �-----------------, � For Office Use � ��} ���� �p � j Permit#: ��� �J C./ i � Permit Fee: I b Qil (���'�� i 3830 Pilot Knob Road � I Eagan MN 55122 JUN 13 2094 j Date Received: — � �� Phone:(651)675-5675 � I Fax:(657)675-5694 � gY. � � Staff:��� ------------ ----� 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: Site Address: Tenant: Suite#: ��sr�������, � Name: Douq Gibson Pnone: 612-616-6615 Address i c�ty i z��:_593 Hawthorne Woods Dr. Eaqan, MN 55129 rvame: St. Paul Plumbing Heating and Air License#: , �a�����o�, address: 640 Grand Ave aty: St. Paul ' State: M N zip: 55107 Phone:_ _651-228-9200 co�taot: Nabil Mohamed Ema�i: New X Replacement Additional Alteration Demolition � Type������of�ll��xCc � Description of work: Install replacement A/C �� � �OTE':Rocaf maunted antl ground mbunted mecha�ical e�uipment�s f�i�i,i�ed#o�e screened by Gi�y ; Code. pfease contae�#he Mechanical Insp�cto4�for�nfprtttaf�c�ti cit��ermitted sereening me�ads, RES/DENT/AL COMMERCIAL _Fumace New Construction _Interior Improvement X Air Conditioner �Install Pi in Processed � ��ClTllt�Tj/�� — p g — _Air Exchanger _Gas _Exterior HVAC Unit I _Heat Pump Under/Above ground Tank (_Install!_Remove) li Other RES/DENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge* "*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 ***If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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. X Nabil Mohamed X ����'���,,� ApplicanYs Printed Name Applicant's Signature FOR OFF�CE US�' '`�t �' :� �.� �af��_�= , Required Inspeatiions ' _ � Rev�e��d;�y� � ; Unde�grQUnd I Rn�rg�in ��r Test !,,,,=G��S�n�lce Tes�=,"_�r�#(a�r{�eat - '�`inal ,�.��AC��'�nr�� ° 401°City atEagau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit#: / O7 Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BBUILDINGPERMIT �APPLICATION Date: 01///'4 Site Address: (5/3 44141?WegoP.N.E MAO © J I2I Unit #: ReSiee ¢ yy K y Name: /9,1/.644-•41 CT/Bc$D/✓ Phone: ‘t�--4/d --414s q Address / City / Zip: .. Y 7 ,0/1/7-,,,v ei1/4 Mov,O.S ,iP Applicant is: Owner X Contractor e Description of work: 71;.:4101e 0,45 c>"4,1e� -vPOG1,c— Construction Cost: /.3/ OOD Multi -Family Building: (Yes / NoX_ ) 5 r } ontrac#or r r� Company: (T`/A5:0€77 f 1r.✓ CD Contact: , // /EL -s Address: 83r$ --/1 �' 4%2 4/ City: U -O L0, -0c/ l�9-•�,Cey 102'"%Q3(50,Email: "ed1//s'%AW/L`'Q>`.Sif/CD, cow State:/ % Zip: (...0-9017Phone:6 License #: /7 Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: braS and su orcin documen 131# 1t a ®o ®red o ptrlbli n st, e the rrlfo ma be classi as n - ublic r# oueaso s that wou3d perm, too that they a " '. 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 compl •ted within 180 days of permit is9uance. Applicant's Printed Name x Appticant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175422 Date Issued:04/04/2022 Permit Category:ePermit Site Address: 593 Hawthorne Woods Dr Lot:4 Block: 4 Addition: Hawthorne Woods 1st PID:10-32150-04-040 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Douglas A & Angela R Gibson 593 Hawthorne Wood Dr Saint Paul MN 55123--305 (612) 616-6615 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature