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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