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4711 Hazeltine LaneCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: tiit 1 1 i? 1 hl4i (h !?? f t (t ! ? ? ?I SITE ADDRESS: 1„ 1 PERMIT SUBTYPE: ?>l I i INSPECTION RECORD li t APPLICANT: ! ? ??M?trla 11c7Mi ?. , .4. t? I I ? ?. i . ? A?.r? ? ???r. TYPE OF 1N4RK: Mr i I (1l11 l NFi`. I I I, I i4Ai Permft No. PermR Holder Dete Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectton Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Firepiace Final Htg. Orsat Test Final Pibg. Plbg. InspeCtor - Nofify Piumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. s Deck Finai Well Pr. Disp. l CITY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: ( ; .. i I 1 I tJf I iit , 1 4 i s t tIt(I . i PERMIT SUBTYPE: 14 TYPE QF WORK: I I tI r?0 iNIII N:tAds s H : l414 /crll hl;?? I 1t? ai f? ?iarliiN INSPECTION rA . .. i ,. i Arr it E v 1 i L1 F I ti H Y i r, rlio, N I)vArI'r r i F`f F2A ! l: I`F Rt4 I 1 I,'h 011 t Ftf 11 1i+f; ANY F- PERMIT TYPE: Permit Number: Date Issued: APPLICANT: ANh 'i6 F' I ilMit ! W, tlf?{?Y 1! t: iI AI t'1 14 11 1 1 AND I ta .l'! i' I if?NS J Permit Hokler Date Telephone ! SEWERI WATER PLUMBING HVAC Inapectlon Date Insp. CommeMs FOOTINGS FOUND FRAMING ROOFING ROUGH PIUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG OECK FINAL -? _? - --- CASH RECEIPT ' CITY OF EAGAN `r ? 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 . oare ' -, "FROMo AMOUNT S - - & DOLLARS 100 ? CASH ? CHECK BY C 016636 VvN«ayers ?„ vd?--ao? cooy & a:*-fae copy Thank You . . . . , . .. .. . . . . . . . _. . . , , SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 01/06/92 3830 Pilot Knob Rd. 12476 Eagan, MN 55122-1897;# " cHiP # PERMIT # I F B P RE IPT #' ?? I?' tO ? , • METER SIZE o . -- . CE A ISSUE DATE B.P. RECEIPT DATE 12 30 91 . 1991 DATE DEC _ PRV _. BOOSTER PUMP SITE ADDRESS '++ 1 1 ?fA?ELTINE LtJ PERMIT REQUESTED LOT? BLaCK 1 SEC/SUB FAIRWAY HII,LS 3RD APPLICANT: ADDRESS:_ CITY, STATE PHONE: _ PLUMBER: VALLEY PLUMBING CO INC ADDRESS: 610 CREEK LN CITY, STATE JORDAN MN Zip 55352 PHONE: 492-2121 OWNER: BRENTWOOD HOHBS ADDRESS: 1564 W UNIVERSITY AVE CITY, STATE ST PAUL MN Zip 55104 PHONE: 646-6529 X. SEWER X WATER - TAPS j COMM/IND _1_ RESIDENTIAL ZIP XL NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. . Cred' ILL NOT bC,g?en for Deduct Meters. ? 1 AI&REE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE AILOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMfT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 _ DATE DEC lb, 1991 _ PRV _ BOOSTER PUMP OFFICE USE ONLY METER #qY? ??0 / ?° 3 PERMIT DATE 01/06/92 C?{Ip # oI 3 y/a 7y pERMIT # 12476 - METER SIZE TR 5,e A1.s ?S i 1° 0 ?o B.P. RECEIPT # 5 ISSUE DATE. 3- B.P. RECEIPT DATE 12 30 91 SITE ADDRESS 4711 HAZELTINE LN LOT 2 BLOCK i SEC/SUB FAIRiJAY HILLS 3111) ? APPLICANT: I ADDRESS: _ ? CITY, STATE PHONE: PERMIT REQUESTED X SEWER X WATER - TAPS - COMMlIND X RESIDENTIAL ZIP X NEW - EXISTING PtUMBER: VALLEY PLUMBING CO INC ADDRESS: 610 CREEK LN CITY, STATE JORDAN MIIV Zjp 55352 PHONE: 492-2121 Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Cre X IL NOT b iven for Deduct Meters. ' ? 4 1- ozff"tJ I REE TO COMPLY WITH CITY QF ? OWNER: BRENTWOOD HOMES . EAGAN QgDlNqCES ADDRESS: 1564 `i UNIVERSITY AVE uC? CITY, STATE ST PAUL MN ZIp 55104 PHONE: 646-6529 SIGNATURE WHEN METER ISSUED PLEASE ALLOVIC `'f(IV?O WbRKINd bAYS FOR PROCESSINr.. CAIL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGtNEERING DEPT. 46 4t - a B'f ???#tftra#r uf (O.rr??aury Citp of Cagan ]lppwftmd rf Wu0ing 3tcwrii.nn This Cutifraate issued pursuaat to tlre rrquirernaus of Sodion 306 of tJre Ilrriform Buildi?rg Code cenilJ'inS lhat at the tlme of issuance this slrucurn ms in compliance with !he various , ordinances ol the City regulating buildinS conoucdon or use For the jollowin8:' , un cbuwwadm SF DWG/GAR W4.MiN.. 1q47p O-VI-7 Trve R3/A'1 ? Zoeiag okU;a R I rype cmw VN B&IVTWOM wff'S .,._ 1564 W lII1rMtSI'IY AVE. ST. PA 03/17/q2 Daic POST IN A CONSPICUOUS PUCE _M BUILDING PERMIT To be used for SF DI , ??.?..?. ., -a; ? , ,. - • - ? . .,. - . - CITY OF EAGAN ?? ??„?? 3$30 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 681-4675 ., . 1 00- Receipt # A*.? Est. Value :131.000 Date JEC 16 , 1991. SiteAddress 41u KAZgLTil'IE LP Lot 2 Block i SeC/SUbFAIRVAY 1?ILLS 3l:D _ ?FIC E USE ONLY FEES Parcel No. o`cuPa"cy R-3 btil 7y8 00 Rr1 . ?9• ? zoning Name BREii'!'kOOD ti0ls6S (act") const V? Sucharge 63,50 w Address 1564 id 1JAI1iLrNSITY AVE (Allowable) V-8 Plan aavtew _4 .OQ.. City ST PAUL !!p zp ss ioa ?e ot Stories Sal „oense o Phone 64"529 ? wVlh Depth ? sac. city 100000 cc Nwp@ SAME S.F. Total - SAC, MCWCC 630•00 Q S.F. Footprints - -?- Address On Sile Sewage _ 660.00 Water Conn Cjh/ Zjp On site well - water Meter 95.00 ? P ' MWCC System X ? ? ? I 10f1G Ciry water X ? Acct. Deposit ?? # PRV Required _ S/W Permit ??? I hereby acknowlege that I have read this application and state that the Baoster Pump - S/yy gurcharge •50 information is correct and agree to comp y with all applicable State of Minnesola Statutes and City of Eag ?n qo s.?f 7reatment PI 276.00 Signature of Permitee APPROVALS Road Unit 370•00 A Building Permit is issued to: $R$NTWQQd HOM$ Planner - Park Ded. on the express condition that all work shall be done in accordanoe with all Cou^cil -- r? applicable State of Minnesota Statutes and City of Eagan Ordinances. g?, pry. _ Copies • 8uilding Official Variance - TOTAL 3 i 3t i•? . Permit No. Permk Fldder Date Tefephone # SAN ? ? /r?-- PLUMB?NG i-ivac ELEcTRi ELEcrRic hmpectia+ Date Msp. Comments Foorngs 1 z-3B? S Foundation Framing 121 , 4 floofing Rough Plbg. Rough Htg. 4.%,y I5ul. ?- y- Z Fireplace Final Htg• G=- Orsat Test S-/ Final Plbg- Plbg. Inspector - Noli(y Plumber Gonst. Meter EngrJPlan Bldg. Final ? 17 DeCk Ftg. Dedc Final Well Pr. Disp. if d 0'' 400:r 4u ff-.f Viv DATE: JAN 6. 1992 RE: 4711 HAZELTINE LN (BRENTWOOD HOMES) _X_ Your Sewer & Water Permit for the above properly has been completed. It will 6e held at the Public WorkS Garage (3501 Coachman Road) until the meter is picked up. 8E SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer & Water Permit for the above property cannot be completed for the tollowing reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot 6e issued or occupancy allowed until further notice. _ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Aildre'ss:4711 HAZELTINE UyM Lot 2 Blk I Sec/Sub FAIIbIAY F1IITS 3RD These items were/were not complete at the time of the final inspection. Date: 03/17/92 Yes No ? Final grade (6" from siding) Permanent steps - garage I.? Permanent steps - main entry ? Permanent driveway ? Permanent gas Sod/seeded grass Trail/curb damage j? ? Porch ? Basement finish Deck Please verify vith the builde= 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. s White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 Ng 1997 1 PHONE: 681 -4675 BUILDING PERMIT . Receipt d Tobeusedfor SF DW6/GAR EstValue $131,000 Date DEC 16 Site Address 4711 HAZEliTINE LN Lot Z Block 1 Sec/SutiFAIRWAY HILLS 3RD OFFICE USE ONLV FEES Parcel No. Occupancy R-3 M1 _ R 1 748.00 Bldg. Pertnd 2oning = NB7178 _ BRENTWOOD HOMES (qctuapconst V-N e 65.50 Surchar ? AddreSS 1564 W IINIVERSITY AVE (Allowa6le) V=N g plan qeview 486.00. ? C,jty ST PAUL MN Z'jp 55104 en9 h?ories 58 Lkense Phone 646-6529 Depth 29' snc.ciry 100.00 ? Narne SAM s.F. rocai - snc, Mcwcc h sn _ 0n 0 S.F. Foolprinls _ ? Addf2SS O sire S water Conn 660_ nn n ewage _ Cjty ZP On Sile Well - Water Mater 95.00 ? PhO? MWCC System x_ Acct 0eposit 30-00 8 City Water X Vcef1SB # PRV Requirad _ SNJ Permit 30_ 00 I hereby acknowlege Ihat 1 have read this application and stale that tha Booster Pump - SM/ Surcharge .90 information is correct a with all applica6le State ol Minnesota Statutes and eEq Treatment PI 97Fi - nn UZA?f'> SignaWre of Permitee APPROVALS Road Unit 170 _ nn A Building Permit is issu d to: BRENTWOOD HOMES Planner - park Ded. on the ezpress condition thal all work shall be tlone in accordance with all Council -- applicable ( Slate ot Minn?esota Statutes an d ity of Eagan Ordinances. C gla9, pp. _ 50 Copies . y , ? Official . { ?D(1/j R,Q,U,?, I 1111 Building rI Variance - TOTAL 3,$11 _ 5(1 REQUEST FOR ELECTRICAL INSPECTION ? See insVUMions for completing Ibis lonn on back ot yellow copy. ?'X" Below Work Covered by This Request Q? ?'?^+ E&00001-08 ?'??"' /D f<3 S 9 e Adtl Rep. Type of Building AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommJlndustrial Fumace Farm Air Conditioner Omer (syeciry) Conrcaaor's Femarks: Compute lnspectian Fee Below: k . Other Fee # ServiceEntranceSize Fee M Circuits/Feeder5 Fee Swimming Pool 0 to 200 Amps ? yal o to 100 Amps Transformers Above 200 _ Amps Above ?00 _ Amps SignS Inspedor5 Use Only. TOTAL '? Irrigation Booms ?.0 ?? Specialinspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee j?Z COMPLETED WITHIN 78 MO S. I, the Electrical Inspector, hereby ni th t th b i i h Rouqn-m oate ry a e a ove ce nspect on as been made. F??ei oa?e ) rs' OFFICE USE ONLY Tpis repuest voitl 18 montns irom h ?? - ReQUest Date Fire No. ug - in I paction R - tl? ? Reatly Now illNotity Inspector R tl ? W Ves _ ? Na hen y ea licen5ed contraclor ? owner hereby request inspection of above electrical work at: Job AaGress (Street. Box or Raute 2 ?L T//V ? .?nl City ?l9 ?91? Section No. Townsliip Name or No. Range No. Couny ?/WL Oc ant(PRINT) Ppone No. Power Su lier ? ,? Atltlress /?2rn<n??--ah1 ElecMCal Gontractor ICompanyI Name) _ /V ConVdMOr's L/icense ?NoJ. ` Mailinq Atltlress ICOnVaclor or Owner Making Installationj r, - ?? 7`S , i 3 Authwizeo - nature IConvaqonOwner Makmg Installation; 1^?" _??. ne Number y? :?/! TPI MINNESOTA STAIL BOAHD OF ELECTRICITY ? THIS WSPECTION REOUEST WILL NOT Grlggs-Mltlway BIEg. - Paom 5-179 BE HCCEPTED 8V THE STATE BOARD 1821 University Ave., St. Paul. MN 55100 UNLESS PROPER WSPECTION FEE IS Vhone (612) 642-0800 ENCLOSEO. 11101W REQUEST FOR ELECTRICAL INSPECTION ? Sxe inslmttions for completing Ihis torm on oack ol yallow copy M11283 ^ "X" Below Work Covered by This Request ?•?w? N-?9 -9? eN Atld llap. TypeoiBuilding AppliancesWired EquipmentWiretl Home Range - Temporary Service Duplex Water Heater Elec[ric Heafing Apc Building Dryer Load Manegement F ommJlndustrial Furnace Olher (Specity) arm Air Conditioner Otherlspacityl ConVacror§ Remarks!.?C? Compute Inspection Fee Belo-w: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pooi 0 10 200 Amps o to ioo Amps Transformers Above 200 _ Amps A6ove 700 _ Amps SignS Inspecror5 Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communicalion THIS INSTALLATION MAY BE ORO DISCONNECTED IF NOT Other Fee COMPLETED WITMIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final ? ata ? `"F'2 6' OFFICE USE ONLY ThiS request void 18 months tmm r '?? 8 3?,? l R¢quest D te - Fire No. F ug In npsecUOn Req?ired usl rall Impettor when veaEy) Ins ecimn Other Then Roughdn ? qeatly Now ? Will Notify Inspector ? Ves ? No DateReatly 1'?licensed contrector ? owner hereby request inspection of above electrical work at: JoC Aptlress (SVBeI. Box or Route Na.) " ' HA ML7i Ciry EA6A Senion a. Townsnip Name or No. Range No. Counry A Occupenl(PPINT) (IIFDM 0 Phone No. ry'n ,w fl??? v Y ?1' Y Power SupDlier Atltlress s -I 5I2?. Elec? I I Conrcaclor ICOmOany Nnm ' Co acto License No. • Matli 0 re G ?ac ror ner Making Inslallatian) Amno i e0 Signawre ? onnatl n0 ner MaWng Installationl n P n N ber MINNESOtyyTAIE BOARD OF ELECTHICITV ? TNIS INSPECTION FEOUEST WILL NOT Griggs.Mltlway BICg. - Room S173 BE NCCEPTED BV THE STATE BOARO 1821 UnYarelty qve., SL Peul, MN 55106 G UNLES$ PROPER INSPECTION FEE IS Phone1611) 6C2-011100 ENCIOSED. (, 9?3 7 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslmdion Reouiremenis RemodellRepair RequjremeNs 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas 2 capies ot plan (20% maximum lot coverage allowed) 7 set otEnergy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, eta 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicafe i( on-sife septic system 3 copies of Tree Preservation Plan if lol platted atter 7/1l93 Rim Joist Detail Options selectian sheet (buildings wiih 3 or less units) -/ II,' UAR 2 12005 Datc 1 Construction Cost Site Address Unit/Ste # C?s ?? /`??'1/ ?S/7 c%wh 14 dureH,eh bv dvfe E.y? Descriptiou of Work ?-hc, I.i. a? f' l/,-_ ?? ?? t f/4 ? ?v fv ? C ? Multi-Family Bldg _ Y V N Fireplace(s) _ y 0 _ 1 _ 2 Property Owner - "X,rire?s ? Z!?q<- (e ?S Telephone # ( 6S? Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Miimesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a builaJMg in Eagan with a similar plan? _ Y _ N fee applies. ' Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Conhactor Telephone #( Telephone #( If so, 2517o plan review lJ 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, 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. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ali- 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Sitling ? 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 Bldg) -Give PCA handout to applicant Valuation Oao Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV , # of Bldgs Length Fire Sprinklered Type of Const Width _ Foo[ings (new bldg) _ FooGngs(deck) _ Foo[ings (addition) _ Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Tes[ _ Final ? Insulation REQUIRED INSPECTIONS FinallC.O. ? Final/No C.O. Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: 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 ),? 0C?00 ? 70' 6w3 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 JOW y? 06 New Construdion Reauirements RemodeUReoa'v Reaviremenfs 3 registered sAe surveys shouring sq. ft of lot sq. ft o( house; and all roofed areas 2 copies of plan (20% meximum bt coverage allaxed) 7 setof Energy Calculations farheated additbns 2 apies of plan showing beam & window Srzes; poured found design, etc. 1 site survey for additions & decks lsetofEnergyCalalatlons Add'rfion-indicateilonsttesepticsystem . _., ..... 3 coples of Tree Preservation Plan if lot platted aRer711193 Rim,bist DeplOptions selection sheet (bldgs with 3 or less units 9 / 20 255b ?`o Date Construction Cast ? Site Address 4111 TlK GG?-I, N' l.Ci UniUSte # ?I ?L Description of Work IV ls-[ Q, Ik+w (IF UAYCJ? iwu W :? u'Q? ??? ? P Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telep6one #b5j)?'f Contractor Address Advancx:d Waterproofirg g FW?? p?irs. Inc. Ci t3' State 15789 idand Vie"' Road Priw Leke, MN 55372 Telephone # 1 / div COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Ivlinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee appties. Licensed Telephone #( Telephone # ( Telephone #( I hereby appiy for a Residential Building Permit and aclmowledge 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 appr ved plan i the case f work which requires a review and approval of plans. t?W ? , ApplicanYs Printed Name pplicanYs S ture OFFICE USE ONLY Sub Types ? 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. AK - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 38 MuIN Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex Q 12 72-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair -H 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors '-'B' 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # af Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Foo[ings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ AidGas T esu Final _ Framing Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4875 Ltew Conetruction ReautrameMs • 3 repistered she surveys showing sq. N, of bt, sq, tt. of house; antl all roofed areas (20Y< maxhnum bt coverage albwed) • 2 coDies of plan sliowing beam 8 window sizes; poured found design, eta) • 1 set af Enargy Calalatlans • 3 copies of Tree Preservatlon Plan d bt pletted afler 7/7/93 • Rim ,bist Deteil Optbns selectron sheet (Oklgs wAh 3 or less units) d no _ DATE VALUATION SITE ADDRESS TYPE OF ? -- MULTI-FAMILY BLDG _ Y ? N _ FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT 0_p-y1 SJ-Y? STREET ADDRESS _3o?,Sq T?Y r?t,-,c.. I??`ao 1arvC G a.,- STATEm!v ZIPs? ? a I a3 TELEPHON€# (65 ?NSa - IqDaCELL PHONE # FA)?#' (9 S I)4 3 a j-40 PROPERN OWNER ?2???? ?^^ S TELEPHONE ?qS a' Ssq ---------------------------------------------------------------------------------------°--°-- COMPLETE THIS SECTION FOR °'NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI,ES 7670 CATEGORY 1 MINNFSOTA RUI.FS 7672 submiasion type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Cotle Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: ___ Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Conhactor: ? Air Condi[ioning Heat Recovery System Phone # Fee: $90.00 Fee: $70.00 ? aT m JUN 2 7 2002 I hereby acknowledge That I have read this applicatlon, state mat the informati n7s orr ct, and agree t comply with all appllcable State of Minnesota Statutes and City of Eaga inances. g? SignalureofApplin ?r- OFFICE USE ONLY Certificates of Survey Received _ _ Water Softener _ Water Heater _ _ No. of Baths ?a 8 a ? .? RemodeVHeoah NeauiremeMs . 2 coples of plan • 1 setMEnergyCakulatbnsforheatetladd8bns • 1sResurveyforexaerbradtlAionsBtlecks • IndMate N home serretl by sepik system tor addttbns _ Phone # I.awn Spruikler No. of R.I. Baths Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundatbn ? 07 OSplex ? 13 16-plex ? 20 Poal ? 30 Accessory Bldg O 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. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) 0 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? OB 04-plex O 12 12-plex Pibg_YOr_ N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair 0 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement `Demolltion (Entire Bldg only) - Give PCA handout !o 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 bidg) _ FinaVC.O. _ Foatings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Stucco _ Stone _ Fireplacc _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulaaon _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Buikiing Inspector CITV QF EAGAN (;ASHIF_Ri u TERMINAL Nt]: 674 DATE. 0:3l04/99 TIME: 14:33:23 IU? NAME: MAfiTIN E fiACKIJS 32:I.0 3001 471.1 WAZFLTSNF 60.00 2155 9001 4711 1-IAZ.EL TINE 0.50 ? r/l Tota7. Rereir-t, Arti0l1n+," 60.50 CR10.i65S3 usER zD: NaNcv PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: i'.Z.N.e 10 -2Fiu!b7-0 70 -0 1 DESCRIPTION: 471 i iiA zr i i rN , LOTa 2 6LOC1<; ]. 1=AJR14 AY Hf.I LS :31? f7 Si.a-t1c;lnermit TVpe d;.nfi Wcirk TVpc % i f PERMIT TYPE: Permit Number: Date Issued: ' AN1= 13ASFMFNT FINI:;H l1L1'ERAI'LOP{ ?134 F1!_I-. RE5'I:GEN7tF1L eu?iiut r.c ?n:i 4 4'.t 3 G'1;i/C14r9g /: , r ?? '? _ _ . ?• . _. . . . . . _ . . '. ./ . . -? _ REMARKS: PIAn 14 ,E1l7F6dE0 BY CHATG I10VACZYI<. S'LPEftAlL" Pi_RhhIlREGIJ'SRr;q FOR FIP,I`! FI_Uf+i[i:11'dG C/tl t (6S11 495 "iiA?ti RCGARDIN'Pi I f Cll?Sf:NL P?itl°'i?7 HI'JU :i:P!tiALCI"IOIyS. FEE SUMMARY odsts f-ec: :p6?.30 Sul'chai-tie 1"0tal f-ee CONTRACTOR: r I -d L OWNER: - Flpplic:ailt - rsAci<us mAkI I n? 47 7] HF17?1_I;CN E LIaNE CAGFlN I+IIV bSl?s i6571:36-5660 i ?-.n. c'-a?- A c;?now' ed(1 ,=. t 3;;.av?' rr:?d Lh i. ? app l;.r,at.. on and ?, I::? to i.L. - C t:,.. inYarnj..c,.on s coi-ract. e,ri?i cercr to torn?1? with ?i 1I applicnL) le t1Cct.c• SL?.tLl't-, ej? C1;.,r ot t??aan Urd, nenre, s_ APPLICANT7PERMITEE SIGNATURE 104?? - S(jSSUEff SNZATUlKL- J __j INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: Lor: 2 BLOCK: 4711 HAZELTINE LANE FAIRWAY HILLS 3R0 PERMIT TYPE: Permit Number: Date Issued: BUILDING 023588 05J16/94 PERMIT SUBTYPE: DECK 1 APPLICANT: LEONARD HOMES, SCOTT (612) 454-7992 TYPE OF WORK: NEW INSPECTION ., . ,. FOOTINGS FINAL F L ? PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Datelssued: cR 24'(39 -61111% BUILDIN6 023588 05/16/94 SITE ADDRESS: 4711 HAZELTINE LANE LOT: 2 BLOCK: 1 FAIRWAY HILLS 3RD P.I.N.: 10-25692-020-01 DESCRIPTION: B,uilding?-.Permit Type DECK Building Work Type NEW ; . ; , , o ? • , - ? • ? ??y \ n ? ? REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: - LEONARD HOMES, SCOTT 12084 GANTRY LN APPLE VALLEY MN (612) 454-7992 APpiioant - sT. Lrc. OWNER: 14547992 20004369 SPLITTSTOESSER BOB 4711 WAZELTINE LN 55124 EAGAN MN 55122 (612)544-1999 ? I hereby acknowledge thet i have read this application and stete thet the information is correct and a9ree to comply with all applicable State of Mn. Statutes arrd City ofi Eagan Ordinances. J /J ('d j? `-?Z APP I A PERMITEE SIGNATURE ?l? Q,'r,l I m ? -? D B : SI NATURE T .? CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 $xKQ RECEdMED !IAY 1 2 1994 --------------- SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 5-1,? -?iv Valuation of work aQ?? Site Address: -41711 Lr? 'm? J-A.J STREET SUITE # Tenant Name: (commercial only) LOT ?_ BLOCK ? SUBD. 77/faJ,(,,y'? t&5 7 .I.D. # P Descri tion of work: L The applicant is: ? Owner ontractor ? Other (Describe) Name SPL..?-T(-,5'TDLS j:{7 FQf3 Phone S'fzf-1997 Property LaST FIRST ? Owner pddress -4f7// ??Md,E c.,,cJ STREET STE # City rth:54-? State M ?" Zip Company SCO-G1 Phone 1-1Sq'7 `12127-- Contractor Address /r&'t?c/ 64YJVI,?, LC/ License #o?009'f36`1' Exp. 3 3 City " Vaz4_ State WZ Zip SS Company SC2Li?'f' Phone 7 °l` Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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: s OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 5F Porch ? 05 3F Misc. WORK TYPE p 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Ptex O 09 12-Plex D 10 Multi. Add'1 ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. 0 13 Garage/Accessory 0 14 Fireplace ,I!"15 Deck ? 35 Tenant Finish ? 36 Move V . ,.. ? 16 Basement finish ? 17 Swim Pool ? 18 Comm./Ind. 0 19 Comm./Ind. Misc. 0 20 Public Facility ? 21 Miscellaneous ? 37 Demolish GENERAL 1NFORMATION Const. (Actual) (Allawable) UBC Occupancy Zoning I of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site O Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance Footing final MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code 5AC Cade e/ Census Bldg i Census Unit ? Assessments ? Framing ? Insulation ? Draintile ? Fireplace Permit Fee veiuae;d,: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Tra91s Ded. Copies Other Total: SAC % 5AC Units , ? M 8 z v1 U' ? ? lx O z w O a - - - - - ,?i --?? N o g i..oT P x o 2 9 ? a 6.S x - o --- ?a?Q A? .o a N ` a9 rB? -+?- ilp _` 5 890 W ?II ? 1- D T ? ? ,o 141. ZO ??r6 ? ;.-IO.O I N I ? ' ' Ib / 30 I ui ?o f A .41 A 8 00 o- ,? O ??Y 0 I z a W ?H a N x I 0 y X ` 30 . vI - c lk&4?? -LEGEND- , } c?i ?:?- 102`t,U o Denotes Iron Monument qqp?Q?ED,G,QRAGE fC06R ELEVATION= f; t.L.,., . o Denotes Wood Hub Set PROPOSED TOP OF BLOCK ELE`lA7ION= 102 5•5 Fiazi.e Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= 02- "S (00z9.o) Denotes Proposed Spot Elevation -I Denotes Drainage Direction *NOTE -PROPERTY DESCRIPTION- Lot 2, Block 1, FAIRWAY HILLS 3RD ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. SIGMA SU RV EYINa 3ERVICE3 INC. 3730 PNot Knob Road EaWn, MInwl018 85122 Phorw: (812) 4523077 OSAwA69 ANO YTILITY LAf[YLNT{ ull fHown rnus, • -? alM4 6 /[LT IN WIOTM.YNI[f? OTHt11Mq[ MDI[Ai[0, ANO AOJOW IMO l0T lIN[3 4M0 101![t IM MIOTN ANO AOJOIMINO gTI1((T l N1[ S. A! SNOMN OM TX[ IL4T. I I) 1 I Ilio?ob A iP .I r t ? Ih Y O 1 ., + I d a P C? Q L_J L AIN ?zy V C $cale-: I'`=3o' v T , ? 89° l3'-f1" E. I4l.7.0 1 F ? w ? v O N Y I LL I ? I T ? Verify all Bldg. Dimensions and Floor Heights with final House Plans. -SURVEYORS CERTIFICATION- 8- ? -.Date: r5?9L. I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Wayne . Cordes, Minn. Reg. No. 14675 ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) crrY oF Eaawx 3830 PII.OT KNOB RD - 55122 ?(a0 SU (651) 681-4675 New Construdion Reauirements ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured fid. design; etc.) ? 1 energy calculations ? 3 copies af tree preservation plan if lot platted after 7/1/93 required: Yes No DATE: q°I DESCRIPTI N OF WORK: RemodeUReoalr Reauirements Calid ?? 2?p6pies af plan ???f ske surveys (exterior additions 8 decks) ? 7 energy calcutations for heated additions CONSTRUCTION COST: N ?S aod STREET ADDRESS: J0--j711 1-le7ZE' I r1 y7? Lq•7d- -(F-?Vy 4V 0) LOT: ?'- BLOCK ? SUBD./P.I.D. #: a ?„ 3y() Nazne:99 c4-vS Phonetl: 6S/?'?fSZ^ ??? i-m ''+E., PROPERTY Lazt Firsc OWNER [? 1 Street Address: T ??? ?9 ZG /?/nP Ciry Feoe' (?h. State: Zip: Company: _ Phone #: CON7RACTOR Sueet Address. l „ City State: ARCHITECT/ ENGINEER Company: Street Ciry Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address I hereby acknowiedge that I have read this application, state that the information is cor;e t, and agree to co piy ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: \J '-= D ? tl!I I OFFICE USE ONLY I1 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Requilred---- -- ? License t! Exp. Zip: Phone #: Registration #: _ State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) S-? Basement sq. ft. (Allowable) s-?- Main level sq. ft. UBC Occupancy (L sq. ft. Zoning 2"_ I sq. ft. # of Stories - sq. ft. Length - sq.ft. Width - Footprint sq. ft. APPROVALS ` Planning Building Engineering Census Code SAC Code Census Units Census Bidg MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance o/ 1 0 Permit Fee Surcharge Plan Review License MC/ES SAC Ciry SAC Water Conn: Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units . 7 =Ft4•0U? •s0? o ' 5 rF>?r?•????- +. 22 1 i •50 u•SUr i.; 748 -00?j - yy•5p+- 4iiont)+ o•SiJ+ 2,'LIl•50F 3, 511•50?Z _-_-_._... _ ?i 1991 BUILDING PERMIT ! PLICATION CITY OF EAGAN I SZNGLE FAMILY DWELLINGS TNLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTIIRAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQl1ESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: S/N(,aLt-,- ??Mj?yaluation: Site Address N'llLbpt I4.4i-s:l (- Lot ?/ Block ? k4(,{f5 3RD Parcel/Sub F4'1pjw?- Owner Address pg City/Zip Code ??A&A14 rvll't ;/?j J'2?7? Phone +"?Z - r 45 1'v Contractor f59 e---yt/Pp17 plnjv1t5i-3 Address City/Zip Code m Phone 1p440 Arch./Engr. S(1M15 Address City/Zip Code Date: g OFFICE USE ONLY . Occupancy R-3 M-1 Zoning R -1 Actual Const V -N Allowable V-N # of stories Length $$ Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System V City water PRV Booster Pump _ APPROVALS Planner _ Council Bldg. Off. tS/Z /J91 Variance FEES t? Bldg. Permit Surcharge 6 .Sb Plan Review ?OV sAC, cicy 100,00 SAC, MWCC ' UO Water Conn. 60,0 Water Meter 9s,0 o Acct. Deposit 30,40 S/w Permit S/W Surcharge _)}T Treatment P1. ,DD Road Unit ID, Park Ded. Trail Ded. Copies lSo SUBTOTAL Penalty Lot Change TOTAL Phone # -/ agr8es that all work shall be done in accordance with (Si ature of Contractor) _ all applicable State of Minnesota Statutes and City of Eagan Ordinances. `?fll.UA'l9C44 +: GA24Gt - y8y x726a ?sMr r--- a 8 x 3b =/oo? x / k / 2= _---- Jz> zox/y: ly 2kv I sT ?F-,-mw.. 135MT= ?v210 1 yoD XS.3 = 5S' I? ZNn l.o OP, 13sr7T= l- ? ?30 72`? ? , SIGMA SURVEYINQ SERVICE3 INC. 3730 PYW Knob Fioad Eapan. Mlnnaeota 55122 anorw: (e12) 462•3077 OIIAIMAO[ ANO YTILITY (Af[Y{MTS Ml ? fMOwN TNY{: ? J ?. Q ?? 0 -_L_J L_ uIMa a r[[r tx wIoTH,uHL[sf orw[ewq[ ?MOICAT[D, ANO AOJOINIIp LOT LIN[f ANO 0It[T IM WIOTM LNO ?0?01NiN0 L W(3, Af SNOWN OM TM( K1T, fT11[[T 1IQY $c.ale-: I"=30' r: r- M • I / ? G1" z 1_ I ? y Y?.1 AI b I sx i o ?+l ?y0- ? n °e _m 6 P ? _ ? V? ,y K V i n• ?ti -??11.0 3? Q? I ? ro.o t? I;,-?ao I 4 ;1.eQ an.o I ? A ? ? ? I U I N Ld \ a to a/ct? O ......... . .... T a ---- ' _ /? O0 W ,Or N/? N?I?4? lI? Oy F?1 \ to.?'Sl--_ 16 1 5 890 l3''tl" W p I'fI.ZO ?" o ? I 6?3 ? x I? H ? ? ? . t'C? ?? ???' ?? ??'?'t ? ?f;•. ;? ?E ? '???? ? 0t -LEGEND- o Denotes Iron Monument o Denotes Wood Hub Set xiazi•8 Denotes Existing Spot Elevatio (Yioz9.o) Denotes Proposed Spot Elevation ?? Denotes Drainage Direction ? ! f -? ??.., .? __.?..? ..? t?? ??,1,) ,? ,s k.P,R.OPOSEd.•:G14RAGE+'?L'0_012 ELEVATION= PROPOSED TOP OF BLOCK ELEVATION= I02`?5 n PROPOSED BASEMENT FLOOR ELEVATION= *NOTE: Verify all Bldg. Dimensions and floor Heights with Final House Plans. --- - - - - -SURVEYORS CERTIFICATION- I hereby certify that this survey, plan or Lot 2, Block 1, FAIRWAY HILLS report was prepared by me or under my 3RD ADDITION, according,to the?^,,..,. direct supervision and that I am a duly recorded plat thereof;-?Dakota...:.;..,=?. Registered Land Surveyor under the laws of County, Minnesota. . ,. '.the State of Minnesota. ? -Date: ? Wayne . Cordes, Minn. Reg. No. 14675 ? -PROPERTY DESCRIPTION- e . _ ?? ?.. , .. ___. ... EXTERIOR ENVELAPE AVERAGE "II"'COMPUTATION oWNEA SZTE ADDRESS /`-('1 h} ? ?+? I 7 CONTRACTOR??/Jg PJyt DATE PHONE Determine working square footage of each_ 1. Total exposed wall area ..... sq. ft_ Xill 2. Total roof/ceiling area ...... 1,5_sa. ft. X_,7. A. Total wall window area .......................... q -LI S. Total door area........................ ......... C. Total sliding glass door area ................... D. E. Total Total fireplace wall area .................... .. wall framing area (average 108)__.._._... F. 1bta1 Rim joist area•---•---•• ................. Ju G'. Total Net wall area above floor................ Total exposed foundation area H. Total foundation window area .................... ? I. Total net foundation area above grade........... Determine "U" value of each wali segment. a- ?f ?, 7/ X„u,- b._7? X „U„ C. A X..u,. a. X ,.u., e.X .,U., . /p v = ti?•? ? f. v7g. ?3 x ?,,,, C) ? g. X „U„ ( z2`1, ?P , ? h_ ? ,Z7X ..U,. = X„v.. .07 \ S?- 3 ---------------------- ..._._. .._.Total If item 43 is the same as, or l.ess than item #l, you have :net the intent of SSC 6006(c)2. ? j. Total skylight area ................................. ?- k. 1bta1 roof/ceiling framing area (average 106)...... 1. Total net insulated roof/ceilinq area.............. ---Jf?Q? ? ,. Determine "U" value for each roof/ceilinq segment_ j_ . X ..U. x_ x 1: X -u- .?v = I-7N71i a...................................... xotai = ?. O Zf total of #4 is the same as, or less than 92, you have met the intent of SBC 6006(c)1_ - Alternate Building Envelope Design To utilize the total envelope system method, the values established by.the svm of items #3 and #4 shall not be greater than thesum of items #1 and #2_ 1•_ + 2. _ s- + 4. _ ^ - CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454 8100 W1iANC?T ?sxn??xxsz. ; FOR CITY USE ONLY PERMIT # RECEIPT # /O O?- DATE: 4 9 Ll- PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE F TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON REPAIR _ OWNER NAME: DWELLINGS 6 FEES SITE ADDRESS: LOT:? BLOCK SUBD. lX.ed ?? INSTALLER: (MNZ-RYAN PLUMBING & HEA G COMPANY ADDRESS: 14745 South Robert Trail CITY:_ RoSemount ZIp; 55068 PHONE #: 423-1144 ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU ADDITIONAL 50 M BTU 0 GAS OUTLETS - MINIMUM .00 OF 1 PER PERMIT SUBTDTAL : $_33 "3 STATE SURCHARGE: .50 a? So TOTAI.: SIGNATURE OF PERINITTEE PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------------------------ _____°____-°__--_-___------___ CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. FRuGnSSED FIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERPiIT # PHONE. (612) 454-8100 RECEIPT tmA1G,.,mm DATE: PLEASE COMPLETE UPYER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. --------- ------------------------------------------------------°- WORK DESCRIPTION I COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ? ADD-ON MINIMUM 15.00 ADD ON ( SHOWER 3.00 3- REPAIR ? WATER CLOSET 3.00 9- OWNER NAME: a $ATH TUB 3.00 L ? 3 LAVATORY 3.00 `?- I KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRES HOT TUB/SPA 3.00 1 WATER HEATER 3.00 3- LOT: FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: i (MINIMUM - 1) 3.00 3 - ? ROUGH OPENINGS 1.50 V•?? ADDRESS: c7 G2tc?C L? _ OTHER WATER SOFTENER 5.00 CITY: e? Ut ckA - ZIP: ?> > S ?- _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE #: SUBTOTAL S 4 3- ST. SURCHARGE .50 TURE QF PERMITTEE y`' TOTAL: $ _t PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE g $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN 7 o SS i 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 0 8 3105 D ate / / , Site Street Addres: BACtcus. MnRriN Unit # 4711 HAZELTINE LANE ? EAGAN, MN 55123 Property Owner _ (651) 452-4611 Telephone it ( ) NOknwnn rLunnr:$INV cv. Contractor Telephone # ( ) Address City State Zip MINNEAPOUS, M N?5540? Th A li i h P ? _ e er p cant s: Owner ontrac or Ot Alterations to existing dweliing $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heate r--complete next section if installing these appliances). _Septic System Abandonment _WaterTurnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener X Water Heater $ 15.00 _ new ? teplacement. Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 1S. SD I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but oniy an appHcation for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. -Je-(F Na'fblwm AppiicanYs Printed Name Applica s Signature ° "`- , , ,i:.. ? Use BLUE or BLACK Ink ---------i � For Office Use � � I ��6� �1 �� a:; � '' � Permit#: � I � � �� ^ � ,,,�� ( Permit Fee: � 3830 Pilot Knob Road j� ,r � �, ,� ,� � � Eagan MN 55122 I Phone:(651)675-5675 I Date Received: � Fax:(651)675-5694 � I , � Staff: ---------------�LJI,{.,, �O �� 2014 MECHANICAL PERMIT APPLICATION � ,.-�- ❑ Please submit two(2)sets of plans with all commercial applications. �( �� Date: Site Address: Tenant: Suite#: ReSiderl�/OW11�1' Name: ��/� �C'��I'C�{ � Phone: - N=� ' � ��✓ /�� ,(, � Address/City/Zip: F7 � ( J '�; �-� � r/{v' �G7�� _ � ` --�� ' f T� C `�`�� Name: %�� ' f' License#: ��'� Address: i � • City: �� Contra�for � � � � �y .�y State:��Zip: � Phone: J 1 — �' 1�j' J l��;�' �j u' Contact: �C I��,r� Email: �G"' ^�� '� �i ' �C. V� . •� New Replacement Additional Alteration Demolition Type�fi Wc��k Description of work: �� '`' �v�Y��C> PJOTE:Roof mourrtet!�nd ground moitnted mechanical�qr�ip�ent�s requ�red t4 e�cre+��1�Sy _ity ? Code. please cantact the M�chanicat Ins ect�sr�ar�nformation n�`ermitted sereenm ' : ,s P .�� . _: g�rz�thods� RESIDENT/AL COMMERCIAL , �Fumace New Construction _Interior Improvement P@rmit�-j/�@ —Air Conditioner _Install Piping _Processed Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank �Install/_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(inciudes$5.00 State Surcharge) f .� � $100.00 Residential New(includes$5.00 State Surcharge) _$ ? 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� � ` � '�... 1�� x�' �1.+ -�.� �-t Applicant's rinted Name Applicant's ignature � �4R;OFFI�E[ISE �`�� P��'' �r � ��,�;��'�'� ' ��r.�� equired Inspe�tEOns. _� � F�einswed E3y: ��at�. � ��_�*� �, _ � .. . '� ' � ... .. 4 u: �8�G � i ' '�6.�`r+= , i�nderg€ound Rciii�Ft fn = �,X�i�:T�st ��s Ser�tiC�'T�� [r��l�e F�eat A �. ' Finaf,��,i�t��c��enr�� .�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`-#*+-&.+- E;-1*##-&TZ&&VV55HY.J.+&TZ&&VV5'H S8V5\\&8H!7HH6X 3&N-/->@&.$%+C#-)J-&N.&3&N.1-&/-.)&N*;&.AA#*$.*+&.+)&;.-&N.&N-&*+P/M.*+&*;&$//-$&.+)&.J/--&&$MA#@&C*N&.##&.AA#*$.>#-&<.-& P&T*++-;.&<.=-;&.+)&,*@&P&Y.J.+&F/)*+.+$-;O (AA#*$.+D2-/M*-- &<*J+.=/-3;;=-)&"@ &<*J+.=/- PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA146597 Date Issued:11/02/2017 Permit Category:ePermit Site Address: 4711 Hazeltine Lane Lot:2 Block: 1 Addition: Fairway Hills 3rd PID:10-25602-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Martin E Backus 4711 Hazeltine Lane Eagan MN 55123 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature