596 Hawthorne Woods Dr
Use BLUE or BLACK Ink
For Of" Use
I
I
City of Eaefl nUi Permit#:
Permit Fee: 12n -
3830 Pilot Knob Road
Eagan MN 55122 r
j Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 i st : - _ - - J
2010 MECHANICAL PERMIT APPLICATION
Date: / Site Address: Aura
Tenant: fercl M CS Z Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: _ 9C/fYit,14/ f ill/lct L license
Address: City:~,-i-?a A'1 x'
State:fil (U Zip: Phone: '2&3-
Contact:/ LvS ✓LA,~!Q Email: J!/ 6D&~
TYPE OF WORK New 14 Replacement Additional Alteration Demolition
Description of work: v~°'ev~ (-r✓ terxcl
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.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank Install / _ Remove)
Other When installing/removing tank(s), call for inspection by Fire
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)
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 Permit Fee
- If the Permit Lee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 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. www.aoaherstateonecall.ora
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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a it; 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 ~4 ML)-s S J ~ ~'1Sy r1 x ,I~K Applicant's Printed Name Applicant's Sign re
FFOR OFFICE USE Reviewed By: Date:
Use BLUE or BLACK Ink
For Office Use
City of Ea aPermit s`r I
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff:
-
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: a Site Address: k V WV-( } ~ (!~\1` >~jk~
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip: V~, 2
Applicant is: Owner Contractor
TYPE OF WORK Description of work: to (7 1) L j, lL,& J/_ iV
nv~
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name:
Address: ity:
Stater Zip: Phone:
Contact: Email: A-J,1 • WM
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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved' plan in the case of work which requires a review and approval of plans.
xi ►I C S~t 1,'~ x
Applicant's Printed Name Applicant's ig T ture
Page 1 of 2
. INSPECTION RECORD Control No.- 1197
' CITY 4F EAGAN PERMIT TYPE: ft"' +of m"
3830 Pilot Knob Road Permit Number: of 16 42
Eagan, Minnesota 55123 Date Issued: 3?/ 1 ti 197
(612) 681-4675
SITE ADDRESS: APPLICANT:
f,Wv+ ?IRU7NOkNE W(tOpS [tk kOt IIqMES R A
HA4lTHURNt b1008S 1ST (612) 697-$513
PERMIT SUBTYPE:
TYPE OF WORK:
NFW
INSPECTION
t rir? I iN', ., .
FRAMTNIr .•
[ Mr,U! A i l(tN F'IMAI.
rrr;rr'1 Al't .
ilEMAIiY:9 s PRV
I ?... -
S& WCGM1"fiACTON - MIATtMEUi UANIVLS PlBB
?
Pwmh No. Permft HoMlsr Dew TMspIqtK #
S14V
PLUMBINQ
HVAC
ELECTRtC ??? ' i:? ??i'?•
?
ELECTRIC
mspwtlon Orx Insp. Comments
Footings 1 Q,Z? S
Fotndation
Framing 2 /Aw ?
Roofing
Rouo Pft•
?
V
Rough Htg. j
Isul.
2IS L ?
FffW ft -?-'CJ ?
orsaTest
Finai pbo• ? Ptbg• irqxa« - roby Pk~
corxit. Meter
ErtiprJPtetn
Bldg. Final
Deck Ftg.
Deck Rnal
Well
W. D{sp.
a?? C ? ` 3?? ? ?i-
• ?? ?
Westificate nf cccuoancv _
WU4 of Cfa??
?? ? ?? 3w4wdion
77tis Certificate issued pursuant to the requirements of the U?eiform Buildireg Code
certifying that at the time of issuarice this strerctune was in compliance with tiee variorrs
ordinances of the City regulating building corrstruction or use. For the folfowing:
SF DWG/GAR 1642
use cimificaeon: awE. r+ont i Na
Oc-p-y Typ` Wg D'rn;`t - - -. . ., . , PPLE VAL
! Osvner of Buildiog
W- , , 1ST
Building A l.ocatiry
AR(M 16, 1993
L) Lk M
N;?Ilj_ nare:
eui X ofFxisl
POST IN A CONSPICUOUS PLACE
REQUEST FOR ELECTRICAL INSPECTION
05801 • See mstmctions fp' complajv 11y [his lorm on back of yellow copy.
?„ ..?, X" Below Work Covered by rhis Request
EB-00001-08
. ?.a
ew Add Rep. 7ypeoBUiltling ApphancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heaung
ApL Building Dry er Other (Specdy)
Comm./Industnal Furnace
? Farm ' Air Condihoner
Orner (syxiry) Contractore RemaMs
Compute Inspection Fee Below:
# OMer Fee # ServiceEniranceSae Fee # Qrcuns/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Translormers Above 200 _ Amps Above 1 Amps
SIgnS Inspeclor's Use Only OTAL ?
Irngation Booms l?j 5
Special Inspecnon
AlarmlCommunicanon THIS INSTALLATION MAV BE ORDE D ONNECTED IF NOT
Other Fee , 5O COMPLETEO WITHIN 18 MONTHS.
I, the Electrical Inspector, here6y Roriyn,m ? oeie
certify that the above inspechon has
been made. F,,,ai
o
OFFICE IISE ONLY
This reQUesl voi0 18 monihs Irom
? 05801
Repuesl Date Fre No Rough-in InspecLOn
Feqwretl'+
`?Reatly Now t] Will Notdy Inspeclor
p?] 9,Z Yes ? No When Reatly+
I5( iwensed contractor p owner hereby request inspection of above electncal work at:
Job AtlOress (SVeel Box or Roule No )
rb Clry
t
5 t. Tuo2ne o00 r. .
Secuon No Townsnip Name or No Renge N. Cou
n
ry
"
'
?
VA1= `UTA
OccupanllPRINT; Phone No
` ^• A. oT Om b$n -951
PowerSupOher
E Adtlress
r
K 7?0
c.ECra 4llem41j i
Eieclncal Connacmr ICompany Namel
?t?? Ei.FCr,ewc, -:Tnc. Confrador's License No
c.a z
Matling Aotlress IConvactor orp? oer Maxmg Instellationj
/8G C:ovint,ta7
Gn• ?.y?,?
Sslzz
Autnonzea Sign e (Comramoo0wner M;'ning Instaliazion?
/ \ Phone Numb
er
/1
l ?CY ?,? -
?eg3 o?
MINNESOTA STATE B011RD OF ELECTRICITY THIS INSPECTION FEOUEST WILI. NOT
Grlggs-Mitlway Bltlg - Roam 5-173 BE ACCEPTED BV THE STATE BOARD
1821 Univerm[y Ave, St Veul. MN 55104 , UNLESS PROPEF INSPECTION FEE IS
Phone(612) 642-0800 ? ENCLOSED
i??4s
Reques[ Dale
' ire No - Rouqh-in Inspecuon
Requiretl?
? Raetly Now ?Will NotAy Inspedor
?BS I r, ryo When ReadyP
IYClicensed contractor ? owner hereby request inspecuon of above electrical work aT
Jab Atltlress (Sheet. Box or Foute No I
. City
"?
. le- ??C:?
Sei No Township Name or No Ranqe Na Lounly
) A
`
Occupant(PRINT)t--? Phone No
I?. Q. r rti-?p Lc$h-S513
Power S her Atltlres?
}3 {?yYl1 Yl L.?kO'
Elaclnr.al C Vqcim ?Company Name7 Conlractor5 License Na.
ia. - c 14132
Mading Aotlress iGOnlraclor or Omner Maimg Ins?allal I1
Aumonzed S, nawre ICOn[raclori `ne• Ma'eing instaliation) Phone NumOer
.?.7?Grf
MINNESOTA STATE B04RD OF ELELTPICITY THIS INSPECTION RWUEST WILL NOT
Griggs.Mitlway BIOg - Hoom 5-113 9E ACCEPTED BV TNE STATE 80ARD
1821 Unrversny Ave.. St Veul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)662-0600 ENGLOSED
C3- 05823
REQUEST FOR ELECTRICAL INSPECTION
? See instmcUOns for compleMg Ihis form on Oack oi yellow copy
"X" Below Work Eorered by This Request
EB-00001-08
?.,?.
ew Add Rep - TypeofBwlding AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Bmltling Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other(specify) Gontrector's Remarks
Compute Inspection Fee Below
# Other Fee # ServiceEnlrance5rze Fee # Circuits/Feeders Fee
Swimming Pool O to 200 Amps O to 100 Amps (e
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspectors use Onry TOTAL p
Ircigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY ROE ISObNNECTED IP NOT
Other Fee .'pp COMPLETED WITHIN 1 HS.
I, ihe Electrical Inspector, hereby Rouqn-io aie . fi
certrfy that the above inspection has
been made Final oa+e G U
OFFICE IISE ONLV ? i
Tnis reduest vaitl 18 monfis imm '
Address 596 HAWTHORNE WOODS DR Zip 5512_
Lot • • S Blk
Sub
HAWTHORNE WOODS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 3/17/93 Yes No Inspector. S
Final grade (6" from siding)
Permanent steps (garage)
Peimanent steps (main entry) ?
Permanent driveway
Permanent gas
Sod/Seeded grass i/
Trail/curb damage i/
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 651-4645 before working in rightof-way or installing underground sprinkler sys[em.
White - City Copy Yellow - Residcnt Copy Pink - CoNractor Copy w
City of BapIl
3830 Pllot IGwb Road
E6gan MN 55122
anone:(65t)676-s675
Feu: (651) 875-5694
2008 RESIDENTIAL/ BUIILDINGp PERMIT
DaM s[te Addroee: ??w 1lIi4cN? , r?' `? (/?
Tansnt:
RE.RIDEM I OWNER I Name:
TYPE OF WORK
CONTRACTOR
-z'
?-----------------
; ? I
j Pertnkd?: I
? Permil Fae: ?
? Date Hacefved: j
I ?
i stett: i
I
SuftB #:
Pharre:
Address/CitylZip: (.:;>Lw I7LUw??
Appkant Is: Y-i-Owner _ Contractor
Descrlptlon uE work: _
ConsWCtlon Cos1?
Address:
City: _
Phone:
?
J Muhf-Famify BuNding? (Yea
CONFPLETE TtE1S AREA ONLY IF CdNSTRUCTING A NEW BUILpING
_ Mlnnq,sota Flulgg 7670 Cateaorv 1 _ Minnesota Rules 7672
Flt819y l'Ad8 • Residarrtial Yentllatlon Cstegory t Wmksheet • New Energy Code Worksheal
L`al9gpry SubmiRetl Sudnitted
(4 subrniseWn 1wo) • Energy ErrveWpa Calalatlons Submitted
In tlM last 12 months, has the CNy of Eagan Issued a pertnk far a simller plan beeed on a rtwter plan?
_Yes _No H yes, date end addreas of inestsr
Licensed Plumbar:
MaohaNcal Contreetor:
Sower & Watar CoiArector:
Phorre:
Phone:
I hareby ackmle0pe ttmt tlYS IMOrtna0.lon Is complete antl accurete; tFmt Ma work wI0 be In contwmance wlTh tha ordlnancea and cotles M the Gry of
Eepan: thet I urWerstanA thia is rrot a pertnit but only en apPlIcaUOn fw a pertnN, and worlc is not m aten without a , lhat tlie wak wIA be in
ce wiM thp spproved Ign In the caBe oi xvrk wHch raqulres a revlew arW approv s.
x ` '? t =
AppYCanPe Prln Neme ApPlicert's Slgrmtu
Page t o13
j•d XdJ 13C213StiI dH WdZb:6 BOOZ TZ J&W
5,A-3Po RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construeflon Reauirements
• 3 registered site surveys ahowirg sq. tt. of lot, sq. ft of houu; and all roofed areas
(20% max'unum lat coverage allowed)
. 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculalions
• 3 copies of Tree Preservalion Plan if lot platted atter 717/93
• Rim Joist DeGil Oplions selec6on sheet (Wdgs vrith 3 or less units)
DATE
SITE ADDRESS' I
TYPE OF WORK_
APPLICANTJ2
STREET ADDRESS
TELEPHONE &
_ Water Softener
_ Water Heater
No. of Baths
PROPERTYOWNER ?/ / f D/Z- TELEPHONE# ?655-7
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNT?SO'1'A RULES 7670 C ? INNESOTA RULF-S 7672
(4 submission lype) • Residential Ventilation Category 1 I?ee?ubmil?ed? New Energy Code Worksheet Submitted
. Energy Envelope Calculations Sub i d
p A U G 12 2002
Plumbing Contractor: ___
Plumbing systcm includes:
Mechanical Contractor:
Mechanical system includcs:
Sewer/Water Contractor:
Air Condilionirig
_ Heat Recovcry System
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signafure of
OFFICE USE ONLY
v?/Vte-J MULTI•FAMILY BLDG _Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
E #?/ '?? -77.5-0??g FAX #1ZI51 -r'6q'
RemodellReoair ReauiremeMs
. 2 coples of plan
• 1 set of Energy CalcWations far heated addiM1Ons
• 1 sile survey tor exlerior additbns & decks
. Indicate if home served by septic sys[em for additions
VALUATIO ! 2?60' ?
Phone #
_ No. of R.I. Baths
Phone #
Phone #
fhation is
/'S?? ---1S
Fee: $90.00
rce: $70.00
and
to
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? Ot Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 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 Damage
? 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 AReration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'DemoliHon (Entire 81dg 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 INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Foorings(deck) FinaUNo C.O.
_ Footings (addition) _ pluinbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
PERMIT Control No. 1197
CITY OF EAGAN
?
3830 Pilot Knob Road PERMIT TYPE: a u x Lo z NG
Eagan, Minnesota 55123 Permit Number: 0016112
(612) 681-4675 Date Issued: 10 / 16 / 9 2
SITE ADDRESS:
596 HAWTHORNE WOODS DR
LOT: 5 BLOCK: 3
HHWI'HORNE WOOpS 15"i
DESCRIPTION:
$uildin_g Permit Type
Bui.lding"Wnrk Typa
UBC Occupancy
Construction T,ype
7aning
Building Length %
Building Width
SF DWG
NFW
R-3 M-1
V-N
R-1
68
55
?
REMARKS: C Dal31J
PRV s& w r,uNFRACrok - MAr'rHEw uFaNzei.s ??BG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
.Siircharqe,
SflL
sac x
SAC Units
SubCo1°al
$915.00
$595.40
$89, SFl
$700.00
100
i
$?,30?A.941
$179 . 000
hIISCELLANE0U8 $1,610.50
Total Pee ?$3r911.4Vi
CONTRACTOR: - ApPlicant °- ST• Lr'OWNER:
KOT NOI+iFS R fl L6879513 0001503 R A KOf HOMES SNC
7901 UPPER HAMLE7 CT 7901 UP{'ER HAMLET CT
APPI.E VALLEY MN 55124 FlPFI.E VALLEY MN 55174
(692) 587-9513 (61.2)687-9513
I hereby acknowledge thaL- 2 I^iave read th3,s applieataan end state L'hat the
information is correct and agree to comply with all applicabl.e State ot Mn.
Statutes and City of Eag- Ordinances.
? -
APPLICAN /PEFMI E SI ATUR ? ISSUED BY31GNATUR6??
` V INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: i_ o r : s B L O C K : 3 APPLICANT:
596 HAWTHORNE WOODS DR KO7 HOMES R A
HAWTHORNE WOODS 1ST (612) 687-9513
PERMIT SUBTYPE:
SF I]WG
TYPE OF WORK:
Control No. 1197
h3lil l t]IN6
0 4'1 1 ti q:'
10/16/92
NEW
INSPECTION
PUUI'J;Nti .. .
FRAMTNG .,
INSULATIDN FINAL
FTREPLACE
REMARKS; PRV S& W CONTRACiQR - MAT'7HEW DANI£L5 PIBG
I
?
PERMIT # CITY OF EAGAN ?_5' Q2t.4 ,
REACT:vA7E ' 1992 BU(LDING PERMIT APPLICATION
? ? It 42 681-4675 ffcT 1 !?, RECu
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 when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested ance ermit is issued.
Date rf? Ct ?__ Valuation of work ,;? 2e?cve?)
Site Address: 55?v
STREET ` ?? 7Ed,ne '? ? /2-IKSVIIEN
d
Tenant Name: (commercial only)
IAT s BLOCR 3 SUBD?.f?j??_ P.I.D. iF
s
.
Descri tion of work: O+-.% s a..
The applicant is: L'9-0?wner ontractor ? Other (Describe)
Name ?•/`??i1r7- hL;'Lt?' ..;?? Phorie 647-75/3
Property LAST FIRST . ?
Owner Address -790C ??-
?
- (4-
?
/
STREE7 STE R
City 7?LC Glc+/(?y ? State `tifn-) 2ip
Company Phone
Contractor Address License #0001So?z Exp.
City State Zip
Company / ' 1/ . Phone
ArchitecU
Engtneer Name 64t sraP?f / Regist ation #
Address ?(or) ?uaw i It??O ?
City a. State dM AJ Zip L-j
Sewer 8 water licensed plumber 114 4 L6uD 4SQ'i-I (r c-z L?u;, Processing time for
sewer & water permits is two days once area as een approve . C)
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all p licable State of Minnesota Statutes and City of
Eagan Ordinances.
'
Q
??
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation
;9?02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
O 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
O 10 Multi. Add'1
WORK TYPE
0 31 New
? 32 Addition
O 33 Alterations
? 34 Repair
? 11 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
0 35 Tenant Finish
? 36 Move
•<:
? 1'6 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
O 20 Public Facility
0 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System Y3
(Allowable)
v-?.?
lst F1. sq. ft.
City Water _
UBC bccupancy R- 3 M-1 2nd F1. sq. ft. PRV Required E
Zoni
h ? t
B of
5tories Sq? ft.
Footprlnt Fire
Sprinkler
Length ? On-site well Census Code /oi
Depth j
?S On-site sewage SAC Code oi
APPROVALS
Planning Building Assessments
Engineering Yariance
RE('aUIRED INSPECTIONS
? Site ? Footing ? Framing - ? Insulation
? Wallboard ? Final ? Draintile ? fireplace
Permi t Fee veiLmtim: S ? 19,r??`? ?
Surcharge
Pl an Review 6? ARAG 61, 32 x24 ='J68 2"D FL0c2;
License )WY11= r544
MWCC SAC 14'/LKZ = Ca`? 3x3xli.(5)
City SAC gsMT; -.?-"` „
Mater Conn. 919 x/6 /, Soy °` 4K 12. 396
Nater Meter 12W0- 120 ` ' 1bs
Acct. Deposit 32xZZ: ")O4 2 0 %2x ;ZZ': uS' l
S/4f Permit `I K?j ? 81 L yc , /8
S/VI Surcharge lo?t? ; ?No c??? ?
Treatment P1. o
Park Dedt 26'X 16?2 ' w2`1 ? x?o? ?
Traits Ded.
Copies I z x v=?v
Other S X 2= C? oJ i 2$ 2?c ss ?
Total: 5=lLid-7s
SAC 9G 100 Isr +i.,ri
SAC Units gSmT- +44yS
I'/zx9 s^114? e r? ?°r??'? ) 9 ?? L/ S ?
?4s9 ?h 3!' '1
, ?--t-
HOr1FS, 1'Nr. UATE___.__09/29/92 PHONE 687-951::
DETEf'tMII`1E l•JORI::IIWG SWUARF_ F(JQTAGE
4480.041
1. Total e;;po,ed oial.l area4555,965 sq.ft. :. .ii. 501.1451
2. Total roof/ceiliny area 1757 sq.ft >: .026 45,682 ?
3. Total fl.oor cant. area 259 sq.it. :; J:ire4'.+?'
(over unheated enrlosed area s) ' 0s
4. Total floor esint, area 33.5 sq.ft. :, y+hB- 1,69"
(ovpr i_inMeated es:posed areas) . OtL ?
5. Total e;:pa>ad wall area abovF the floor.
a. Total uial.l window area ....................522.6228
b. Total door ar•ea ........................... 37.8189
c. Total slidi.ny gl.a,s dnor area .............126.6G33
d. Total fireplace area ...................... U
e. Total wall framzny a?•ea (ave. lt7'/,>........410.2041
i. Totnl net 1+137l li'Pa abuve the floor....... 3004.7,7,w
g. Total rim ,joist area ...................... 378
OWNER Bob a
SITE AUURE55,__J
CONtRACTOR R.A
EXT'ERIOFt EhdVEI.OPE AVEFIAGE "U" COMPU7ATION
nd liathy Hammond ,, PLAN NO.._9-0e12-2
4102.041
TOT'AL EXP[]SFD FOLINI)ATII]N AREA ................ 75.8239
t
-•
h. Total foundation aiindoi.i area ..............
i. Total net foiandai;ion area ................. 75.8239
Determine "U" value ofi each wall segment.
a. 522.6728 ;: "U" 0.32 =
b. 37.E1189 x "U" 0.06 ,.;
c. 126.6633 :< "U" 0.32 =
d. 0 „ "LI" 0 =
P. 41,p.2041 ,. °U" 0.090334 =
f. 3004.732 .. "U" 0.043219 =
g. 379 ''LI'' 0.040683 _
n. 0 .: „U„ ;,,32 =
i. 75 . B?: 9 .: "U" 0.076161 =
167.239'a
2.269134
4ii.5322(,
i?
37.05548
129.8501
15.37836
0
5.774899
b ................. Total 3sT95
Ii-item 1#6 zs the same a, O1' IP?es tti:xn Atem #i you bal current
energy codes. 2 M[:AR 1.16008 A ANll ?.
TC)TAL F_XF'OSEI) RO[lF'/l:F1l,.T.NG AREA
14,
1757
j. Total sF:yliyht area ....................... O
4::. Tota1, flat rnof/cei)i.ng framiny area...... 175,7
1. Total net flat roof/r_a_a.liny area.......... 1581.3
Determine "U" val.ue fnr each roof/clg. seyment
J. Q „ U., q ii
4;. 175.7 ,. "U" 0.026925 - 4.730749
1. 1581.3 "U" 0.022795 = 36.04513
7 r.-,t?i ai? ?7s
:?1f i.tem #7 is the same as or less than item #2 ynu have met the
;;pnergy r.ode. 2 MC:AR i. 1.bO0E3 A AND Ll.
TOTAL_ FLOUR CAN'T. AftEA (enr_1osed). 259
o. 1'otal Pl.oor r_ant. frami.ng arpa (ave. 10Y.). 25.9
G? p. Total net insul.ated floor/cant. area...... 233.1
Determine "U" valup tar each flcaor/cant. segment.
0, 25 , 9 „"LI" 0.043879 = 1.1364671
p. 213.1 „ "U" 0.024254 = 5.65365
8 ...................................'fotal 6.79qiih
If item #B is the same as or ].ess the?n item #3 yoi.i have met t
energy code. ^ MCAR 7.16008 A f-1NU ?.
TOTAL FLOOR/CANT. AREFl (e>:pnsed) 33.5
q. Total floar/i-aril;, framinG area (ave. 107.). 3.35
r. Total net insiilated filnor•/cant. area...... 30.15
Determi.ne "t.J" vali_ie far P3CF7 filoor/cant, segrnerit.
q, 3.75 „ "U" 0,044346 - 0.148559
r. 30.15 x "LI" 0.024396 - 0.735545
9 ................................... i'ntal S :08 8 41ii4
Ifi item #9 is tfie eaiae as or ).ess than item 04 ynu Fiave met the
eneryy code. 2 h1CAR 1.16V08 A AND U.
?
I HEREBY CERTIFY 'T'HAl' I HAVE CAI_CULAl"ED THE "U" FACTORS AND "R"
VALUES HEREIN AND 1'NAT THE HUILDI G HERE DESCRIPED MEETS OR,EI CEED5
Th1E BTATE OF MINNF_SOTA F_NFRGY COERVATI0?1 ACT. %
siynature>
tdate)
DEl'ERMINF "U" VALUEB"
THRU STUD WITH SIDINC R.< S.R.
Interior Air...... 0.68
5heet Roc4::........ 0.45
Thermo-Prea4;...... O
Stud .............. 6.93
Sheathing.......,. 2.06
Bitling............ 0.78
Exterinr Air....,. 0.17
Tota]. "R" Value..... ....... 11.07
1/R = "U" Value..... ....... 0.0903:,4
THRU INSIJLATION WI'i'N SII)ING 8< G.R.
terior Air.,.... 0.68
y8hc?et Rock ........ 0.45
' j/ Thermo-Hreak.... . . . 0
, Insulation........ 19
, Sheathing........, 2.06
Siding............ 0.78
E::terior Air...... 0.17
7ntal "Fi" Value............ 21.14
1/R = "U" Value............ 0.043215
THRU CEILTNG MEMBER
Interiar Air...... 0.60
Sheet Roc1::........ 0.5E1
Ceiling Member.... 4.05
Insialation........ 30.92
Still Air......... 0.61
Total "R" Value............ 37.14
1/R = "U" Value............ p.0^b9.5
THRU CEILING INSULA?'ION
IntPrior Azr ...... Q.6E9
Sheet Roc4:........ 0,58
Irrei.tlation........ 42
Still Air......... 0,61
Total "R" ValuP............ 43.87
1/R = "U" Value............ 0.02279S
THRLJ CONCRETF_' HLOCk:
Interior pir...... 0.68
cUnc. B14::......... 1.243
Snsulation........ 11
Sheet R4-. (opt.). n
E:ateri.nr l41r...... 0.17
Total "R" Value ............ 13.13
1/R _ "U................... 0.07h1.61
THRU RIM 70I5T
Interior Ai.r...... 0.68
Insulation........ 19
Rim Soist......... 1,89
5heathing......... 2.06
Siding............ 0.7B
? E:;terior RAr...,., 0,17
T'otal "R" Value............ 24.58
1/R = "U................. 0.040683
U" value for wi.ndoui........ 0.32
U" value for doC)1• y......... (7.06
???? __...- `- .. . . .. _._
THRU CANT. @ MEMBER (enclosed)
. ?
Interior air...... 0.68
, Finish rlaoriny... 1.23
Sheathi.ng......... 7.2
Plyuioad........... 0.9;
i?
' 7nist ............. 11.56
Sheet RocF::........ 0.5p
Still Air......... 0.61.
Tntal "R" Val.ue..........., 22.79
IlR = ??U ...................p.O4;5879
THRLI CANT. @ IMSI.It_ATION {enrlnsed)
Interior Air...... 0.66
Finish Flnoriny... 1.2ZS
Sheatfiing......... 7.2
Plywood........... 0.9'
Insialeti.on........ D?
Sheet Roc4;........ 0.58
5ti11 Air......... 0.61
Total "R" Value............ 41.23
1/R = "U................... 0.c]:4254
THRU CAN7. @ MEMBER (e:;pnsed)
Interior Air...... 0.68
?
Finish Flooriny... 1.23
Underlayment'...... 0
Plyi.iood........... 0.915
Joist ............. 11.56
Sheathing......... 7.2
5offit............ 0.78
E:;terior Air...... 0,17
7nta1 "R" Valt.te.... ........ ?:2.`.'i5
1/R - ??U?? ..................0.044346
THRU CANT. @ INSUlATION (e;:posed)
Interior Ai.r...... 0.68
Finish Floori.ny... 1.23
Underlayment...... C)
Plyuiood........... 0.93
Insulation........ 30
Sheathinq......... 7.2
Saffiit............ 0.78
E::terior Air....., 0.17
7ota1 "R" Ualue.......,.... 40.99
1/R = "U................... 0.024:a96
?::
LOT BLOCK 3 SUBD.
RECEIPT # 10611711 & DATE
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PERMIT
1993
Application Date:
_ Commercial project
r2r96 hl4 U)
_ Residential praject (sprinkler systems for development pmjects)
? Existing msidence
Area/address to be sprinklered:
Installer: fl,
Street address:
City, state & zip:
Tnlnnhnnn ,i#•
Owner name•
Street address:
City, state & zip:
Phone #:
Irrigation contrai
Phone #:
I hereby acknowledge that I have read this application and state that the
to comply with all applicable City of Eagan ordinances. ?
New service required \?_
Fee due: $1'5• 5 0 Calculated
is conect and agree
u ?L
7,z o-a
Gallons per minute/commercial oniy
LvoQ'?(
dvd
r ?? ?/
CITY OF EAGAN
UNDERGROUND SPRINKLER. SYSTEM PROCEDURE
1993
1. A plan must be submitted to the City's Engineering Department for approval before
installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit
may be required.
2. Once plan is approved, it will be presented to the City's Plumbing Inspector for sizing
of the meter.
3. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial project: $ 25.50 underground sprinkler permit.
$ 50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by C7ty. Please consult with
Engineering Department regarding feasibility of City
installation (City will only instal] taps up to 1").
b. Residential_proiect: $ 15.50 underground sprinkler permit.
$ 50.50 water permit fee if new service is installed.
$695.00 per connection - WAC.
$324.00 per connection - water treatment plant.
c. Fxisting residence: $15.50 underground sprinkler permit -(fee not required
if backflow preventor previously installed); however, plan
must still be presented for approval and an application
must be filled out.
4. Once meter size is determined, Protective Inspections Clerk Typist will contact Utility
Billing Clerk for cost and notify installer of all costs associated with project. If new
service lines are not re uired, one check may be written for meter and permit costs.
No meter will be sold befom all sewer and water inspections are complete on a new
service-(Engineering Depariment will advise Utility Billing Clerk when meter can be
sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy
forwazded to Utility Billing Clerk.
5. The installer is to contact Protective Inspections at 681-4675 for inspection of the
inside water line and backflow preventor. The Public Works Department may be
reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are
8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should
be made on the preceding work day. k2equests for PM inspections will be accepted
until 12:00 noon that day.
l??• _ BL ? CITY OF EAGAN
---L P(612)N681E4675
SUBD . IfiYIA?
R88IDSNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
CITY USE ONLY
RECEIPT #
DATE
ALSO, FOR TOWNHOMES AND CONDOS
OWNER NAME : I , r1 ` S CO'I'
SITE ADDRESS: Sq (O
INSTALLER: I-0.^ ? ¢-? $
ADDRESS: K5
CITY: ZIP:
PHONE #: 412> '?6_? 30
L c?y '?b c
l OF PERMITTEE
STATE SURCHARGE .50
TOTAL: $ ?°Z• ° J
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS: _
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
ZIP:
COYTRnCT PRiCE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
COMPLETE THE FOLiAWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
l SHOWER 3.00 ? -
? WATER CIASET 3.00
BATH TUB 3.00 b -
? IAVATORY 3.00
? KITCHEN SINK 3.00 3 -
-
I IAUNDRY TRAY 3.00 ?
HOT TUB/SPA 3.00
_
? WATER HEATER 3.00 '? -
? xI.^OR DP,AIN 3.00
?
? GAS PIPING OUT.
?Z
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
_ OTHER
WATER SOFfENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
L ? B MECHANICAL PERMIT
SUBD. (612) 681-4675
RESIDENI7AL
xECErnr # C.O 2, ( 6'I q 5
DATE / S1 9?
PLEASE COMPLEl'E UPPER PORTION ONLY FOR SWGLE FAMII.Y DWELIJNGS. AISO, COMPLETE FOR
TOWNHOMES/CONDOS R'HEN SEPARATE PEItMT15 ARE REQUIRID FOR EACH DWELLING UNTf.
OR'NER FEES
SITE ADDRFSS:
r, ADD ON/REMODEL (EX[STING
CONSTRUGTION ONLI) $ 15.00
INSTALLER: ,? c_, HVAC: 0.100 M BTU 24.00
PHONE #: qr)- ? ADDITIONAL SO M BTU 6.00
ADDRFSS: E . GAS OUTLETS • bIINIMi7M 1@ $3 EA.
CM: )IGVJ /it, ? n ZW: ?- 5?CHARGE: $
SIGNATURE: TOTAL: $
COMMERCIAL
PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCLAUINDUSTRIAL BUILDINGS. AISO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTT-FAMILY BUILDINGS R'HEN SEPARATE PERMTTS ARE NOT REQUIRED FOR
EACH DR'ELLING UNIT.
R'ORK DFSCRIPTION: CONTRACf PRICE
196 OF CONTRACf FEE. FEES
STATE SURCHARGE IS $.50 FOR EACH
S1,000 OF PERMIT FEE.
$
PROCFSSED PIPING - $25.00
MIIYIMUM FEE - $25.00
$
OWNER TOTAL• $
SI7'E ADDRFSS:
1'ENANT:
SU11'E #: _ _
INSTALLER:
ADDRESS: .
CITP: ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE:
Qj LOT SIIRVEY CHECRLIBT FOR REBIDENTIAL
BIIILDING PERMIT APPLIC ION
PROPERTY LEGAL:
?
Date of Surve
: /0
11%1 7
y
1
DOCIIMENT STANDARDS
/?
U
0 0 : Registered Land Surveyor signature and company
C???EI ? Building Permit Applicant
/
? ? . Legal description
-
?/ 6? ? • Address
/?
H ? • North arrow and bar scale
-
fd ? ? • House type (rambler, walkout, split w/o, split entry,
( lookout, etc.)
?
E ? • Directional drainage arrows with slope/gradient t.
?/? ? • Proposed/existing sewer and water services
Q/"? ? • Street name
L'f ? ? • Driveway
ELEVATIONS
Eaistinc
?/ fl
0 • Sewer service
}?
Q ? • Lot corners
_,
9
L9"/ / ? • Top of curb at the driveway
9' ? ? • Elevations of any existing adjacent homes
Proposed
G?-0
? ? • Garage floor
El
/ ? ? • First floor
C?`/ ? ? • Lowest exposed elevation (walkout/window)
v ? Property corners
? : Front and rear of home at the foundation
PONDING AREA3 (if applicable)
? • Easement line
? ? ? • NWL
L7? ? ? • HWL
C3? ?/ ? • Pond # designation
0 CX ? • Emergency Overflow Elevation
DIMENSION6
D ? • Lot lines
F ? • 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
13 ? ? • n
Show all easements of record and any City utilities with
those easements
8? ? ? • Setbacks of proposed structure and setback of adjacent
/ existing homes
? 3" .0 • Retainin re rements, if any
Z----
Rev iewed:
Na e / Date
October 1992
SIJpVEYOR'S CERTIFICATE R•A KOT HoNSs
931.6
?
NOTE:
?--- DENOTES PROPOSED SURFACE DRAINAGE
O dENOTES IRON MONUMENT SET
r DENOTES IRON MONUMENT FOUND
X000.0 DENpTES EXISTINO ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
WE HEREBY CERTIFY TO R.A. KOT HOMES
REPRIE5ENTATION OF A SURVEY QF THE 80UNDARIES
Lot 5, Black 3, HAWTHORNE WOODS IST
plat ihereof, DokoTa County, Minnesata.
NOT TNE R6SPONSIBILITY OF THfi SURYEYOR
SCALE:IINCH - 30 FEET
PROPOSED GARAGE KLOOR - q 4(0 .9 FEET
PROPOSED LOWEST FLOOR - 93*0 FEET
PROPOSED TOP OF BLbCK - q 413 FEET
THAT THIS IS A TRUE AND CORFiECT
OF
ADDITION, accordinq to f he reaarded
IT DOES NOT PUfiPORT TO SNOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A5 SHpWN. AS
SUHVEYEd BY ME QR UNDEFi MY DIRECT SUPERVISIONi THIS 14TH DAY OF OCT. , 1992.
PROPOSEU GtiAOES sHVwrr weRE SIGNED: HiLL, INC.
TqKgN FqOM TME GRADING 9 11
bEVEtAp? T AN FOR HMNTHOFtNE -
S. IS`I' ?TION PREPARED 9Y
Mc h?13.F? R0o3 A390C., INC.,
LA T DATEb 6-25-92, BY:
HAROLD C. PETERSON LAND SURVEYOR
MINNESdTA LICENSE NUMBF-R 12294
m
?
-n T
cU p
? o
?
?
]n
inc.
James R. Hill
b
N m
O
W
?
O p
y D ,
o m
? o `N° ? •`ji D z ? m x? PLANNERS / ENGINEERS ! SURVEYORS
T ?. -1 ? W m N N W
2500 W. C7Y. RD. 42 & BUFiNSVILLE, MN. 55337 4 612-890-8044
Use BLUE or BLACK Ink
r_________________
I For Office Use
Permit#:
City of Eap ! b I Permit Fee:
3830 Pilot Knob Road I I
I I l I
~ I Jeceive
MN (651) 55122 675-5675 Date
Ea 9an Phone:
Fax: (651) 675-5694 Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICDate: Site Address: Unit L
Name: L) Z Phone: tiYS -3--TI
t1
RESIDENT / \
OWNER Address/ City/ Zip:
Applicant is: Owner 1` Contractor gQ''
TYPE OF WORK Description of work: l~y~'
Construction Cost`. Multi-Family Building: (Yes / No )
r
Company: ' tact:
CONTRACTOR Address: jd) ' City:
Stater \U Zip: Phone:
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as nonpublic 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.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
~S6_JL x
App ant's Printed Name Applicant's Signat e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116634
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 596 Hawthorne Woods Dr
Lot:5 Block: 3 Addition: Hawthorne Woods 1st
PID:10-32150-03-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Beth Smith
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 -
Erik P Kolz
596 Hawthorne Woods Dr
Eagan MN 55123
Anderson Building & Remodeling
13713 Parkwood Lane
Burnsville MN 55337
(612) 616-0283
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144372
Date Issued:07/24/2017
Permit Category:ePermit
Site Address: 596 Hawthorne Woods Dr
Lot:5 Block: 3 Addition: Hawthorne Woods 1st
PID:10-32150-03-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Erik P Kolz
596 Hawthorne Woods Dr
Eagan MN 55123
(612) 810-3230
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169970
Date Issued:06/16/2021
Permit Category:ePermit
Site Address: 596 Hawthorne Woods Dr
Lot:5 Block: 3 Addition: Hawthorne Woods 1st
PID:10-32150-03-050
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Erik P Kolz
596 Hawthorne Woods Dr
Saint Paul MN 55123--305
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174913
Date Issued:02/28/2022
Permit Category:ePermit
Site Address: 596 Hawthorne Woods Dr
Lot:5 Block: 3 Addition: Hawthorne Woods 1st
PID:10-32150-03-050
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 -
Erik P Kolz
596 Hawthorne Woods Dr
Saint Paul MN 55123--305
(612) 578-5454
Dana Hoagland Plumbing Inc
410 Regency Lane W
Hopkins MN 55343
(952) 935-5150
Applicant/Permitee: Signature Issued By: Signature