4714 Hazeltine Lane? SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-18,97
DATE -JULY 10, 1991
OFFICE USE ONLY
METER #qy? PERMIT DATE ?? 1??91
CHIP # 4.,? If,??-3 ! PERMIT # 12129
METER SIZE fte-AI U B.P. RECEIPT # - 14425
ISSUE DATE B.P. RECEIPT DATE 7/111?1
- PRV _ BOOSTER PUMP
? SITEADDRESS 4014 E'..?ZRiLTINE lANF
LOT 1 BLOCK 2 SEC/SUB i AIRWAF HILLS 3RD
APPLICANT: KEYLAND liOMES
ADDRESS: 14450 BURNSVILLF, PKWY
, CITY,STATE B'VILLE ZIP 55337
PHONE:
PHONE: 447-23 PERMIT REQUESTED
PLUMBER: D.C. ME;;HANICAL
ADDRESS: 13845 DAN P,AT;;H Lr1
CITY, STATE `>AVf'1GE ZIP 55:573
X SEWER ? WATER - TAPS
? COMM/IND x RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be giyen for Deduct Meters.
l
Y WVf'H CITY OF
?
OWNER: '•!1"='' AS APPLICANT EAG L]I'1fANGt5
ADDRESS:
CITY, STATE ZIP
PHQNE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS Fda PROCESSING. CALL 454-5220 FOR INSPECTiONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. ,
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilat Knob Rd.
Eagan, MN 55122-18j97
DATE IfLY 10, 1991
OFFICE USE ONLY
1 ? 10/41
METER # PERMIT DATE
CHIP # PERMIT # 12124
METER SIZE B.P. RECEIPT # '14G1? ?
ISSUE DATE B.P. RECEIPT DATE
- PRV - BOOSTER PUMP
SITEADDRESS 4714 t3Ai.ELTZNE I.AN$
LOT 1 BLOCK ? SEC/SUB r 41RWAY HILLS 3RD
APPUCANT: ??YLANA WHE5
ADDRESS: 14450 BltRNSV1Ll.8 PKFR'
CITY, STATE B' VI1.1.G ZIp 55337
PHONE: 894"2435
PLUMBER: D•ru'• MEC11AN1.^,AL
ADDRESS: 13845 DMl pA?Cki LN
CITY, STATE SAVAGg ZIp 53378
PHONE: 447-2323
OWNER: SAINE AS AYPLICA@I'f
ADDRESS:
PERMIT RE('aUESTED
_SEWER X WATER -TAPS
..
? COMM/IND - RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be giyen for Deduct Meters.
CITY OF
CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
? - +r
?
` (ter#ifiratp uf (Orcupanry
Ctp of Cagan
igppttl'#mpltY Af l1tdb1rig JttS}1PIftDtt ; ? - '
.?
nis Certifrcate issued pursuant to the requirements of Section 306 of the Unijorm Building
Code certifying that at the time of issuance this structure was irt compliance wilh the various
ordinances of rhe City regulating 6uilding carrstruction or use. For the fo!lowing:
u? cuwircau-' Sm = 4flR- BW ft.ft rb. 19341
Occuwrcr TYax R-3 4m1 zoaing nuw R I Type c-• VN
owm or suua???? H[IY4ES Add,,. 14450 B' V= P1aJY, B' VILIE
euiwing naam?+714 HA?,TIlNE LAI? Locahry L I, SZ, FAR61AY HILLS 3RD
au
POST IN A CONSPICUOUS PLACE
BUILDING PERMIT
To 6e used for SF P
Site Address ' ?
Lot i Block
Parcel No.
¢
z
3
0
?T
CITY OF EAGAN ; i? 19311
?0 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
` PHONE: 454-8100
Receipt # f ?
Est. Value :1479Q00 Date JtiLY 10 9i .
LnNE i,uue
Sec/Sub.
zo Name s?
OU Q Address
cc
City Phone
Name _
Address
CIty _
I hereby acknowlege that I have read
information is correct and agree t0 c
Minnesota Statutes and City 91,09an 4
Signature of Permit f?+n
A Building Permit is issued to: ?
i and state that the
applicable State of
Occupancy
Zoning
(Aclual) Const
(Allowable)
0 of Stories
Length
Depih
S.F. Total
S.F. Footprints
On Site Sewage
on site weli
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Ptanner
CounCil
Bldg. Off.
Variance
OFFICE USE ONLY
R"3• M"i FEES
R-1
ft
? "+*00 ;
- Bidg. Permit i
will- Surcharge ?? oso '
323000 ;
sQ Plan Review ?-
100
00 .
?
- SAC, City 4
eso•oo
SAC, MCWCC
Water Conn b?.oc
95000
- waterMeter
?
30.00
?_ Acct. Deposil 30.00
S/W Permit 00
276
- S/W Surcharge .
370*00
Treatmenl PI
Road Unit
= Park Ded.
Copies ?
1131,612.50
- TOTAL v
Permit No. PermR Holdw Date Telophone #
WATER ??y-I y? ' ` • 7 /D
SEWER
PLUMBING
H.VA.C. 7 ? a
ELECTRIC kOI& 9 o-o
Inspection Date Insp. Comments '
Footings I Cv!
Foundation
Framing r
64
Rooting
Rough Pibg. ?7106?/
Rough Htg.
Isul.
?
Fireplace
Final Htg.
Orstat Test
Final PI
b9. ?
Plbg. inspector - Natify Plumber ?
Const. Meter '
EngrJPlan
Bldg. Fnal
Oedt Ftg.
Dedc Final
weli
Pr. Disp.
-Z$%?/ ,Q?
A3dress:4714 pAZELTIM LANE yot j Blk 2 Sec/SubFAIRWAY HILL,S 3RD
These items were/were not complete at the time of tha final inspection.
Q 91 Yes No S
Final grade (6" from siding) f./?
Permanent steps - garage
Permanent steps - main entry Ll?
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system andthe shut-ofE of water aupply tothe outside lawn faucet before
freeze potential exists. 4
uuaEOruen
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN ?? 19391
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100
BUIL ?t
? 5
/ tt q
DING PERMIT Receipt # ( ? '
Tobeusedfor SE DWG/GAR Est.Value $147,000 paie JULY 10 9 91
Site Address 4714 HAZELTINE LANE
Lot 1 Block 2 Sec/SubFAIRWAY HILLS 3
. OFFICE U5E ONLY
Parcel No. occupancy R=3 , M-1 FEES
1
R
Zoning =
W KEYLAND HOMES
Name (acmap const YIL Bldg
Permit $ $04.00
3 Address 14450 BURNSVILLE PKWY
(Allowable)
y? .
73.50
° Ciry B' VILLE phone $94-2636 x ot Srodes
50 surchar9
e
Plan Review 523.00
Lenglh
F Name SAME Depth 41 SAGCit 100.00
i
ga Address S.F. To[al -
- y 00
650
? SAC. MCWCC .
City Phone S.F. FoOtprints _
C
W
660. 00
? On Site Sewage _ ater
onn
ww Name OnSiteWell 95.00
?a Address MwCCSystem -
? WaterMeter 00
30
Acct Deposit .
`a W City Phone cay wacar ?? 30.00
PRV Required _ SAN Permit
I hereby acknowleqe that I have read this applicalion antl state Ihat the BoosterPUmp _
SNJ Surcharge 27fi.00
iniortnalion is correct and a r to comply with all applicable Slate o(
Mi
? 00
370
nnesota SlaWtes and Ci
an Ordinanc . Treatmant PI .
SignaWre ol Permit APPHOVALS Road Unit
A BUilding Permil is issUed to: KEYL HO $ Pla""ar - Park Ded.
on the express condition Ihat al work sh be done accordance with all Council .50
applicable State of Minnesota atutes and City o gan Or inances. Bldg. ON.
- Copies
^
Building Ofticial variance - T07AL ? 4i3' 612. I'4
?
?4?3 8 8 9 j 16.l
o0
p _
Requesi Date Fire No. Rou9h-i n pedion
pqq ,
DAeady Now i I Nollty Inspector
- _Ves C No WI en Reatly?
I licensed contractor -1 owner hereby request inspection of above elecirical work at
Job Atltlress (SUeeL Ba or Rou? N , ?
Clty >
Section No.
Township Nam or Nc
e
Range No.
Cou
Occupam ?P INT) Phone No.
a er her Maress
Elec nca tractor (GOmpeny NBme ? ctoPS LI
GoNq2
se ? y?
?
/
Mai odfesc ICO raolor or Owner Making Ins1e11a9on) ?6f IEL
Aulhorized i oaWre iGOnVamonO nar Makin
, Installallon? PM1One Number
4? 3? ?
MINNESOTA STATE 60ABD OF ELECTRICITY / THIS INSPECTION FEOUEST WILL NOT
Griqgs-Midway Bltlg. - Room 5-173 BE ACCEPTED BV THE STATE BOARD
1821 University Ave., SL Paul. MN 55104 UNLESS PROPER MSPECTION FEE IS
Phone(614) 662-0800 ENCLOSED
.
REQUEST FOR ELECTRICAL lNSPECTION
7 i See insff ctions tor completing IDIS form on i ot yeliow 143889 X" Below Work Covered by This f7equest
EB-OOD0Iy-OB
ew Add Rep. ' TypeotBUilding AppliancesWired EquipmentWired
Horae Range ITemporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
aher(syecity) GonVactorS Remarks'.
Compute Inspecrion Fee Below:
# Oiher Fee # Service Enirance5ize Fee # CircuitsiFeeders Fee
Swimming Pool 0 to 200 Amps 0 t0 100 Amps
I Transformers Above 200 _ Amps Amps
SignS inspeqor's Use Only. ?r/' 7pTpL
Irrigation Booms j ?/ Q
Special Inspection
AIarMCommunication THIS WSTALLATION MAY BE ORDERED DISCONNLCTED IF NOT
Other Fee / COMPLETED WITHIN 18 MON7'FiS:-P-
?j
1. ihe Electrical Inspector, hereby R0°qnm , __
`
'
,? oa?g7 Lj
certify that the above inspection has
been made. Fiinai .
*
,
OFFICE USE ONLY -- ?
This request voirl 18 months imm
CITY OF EAGAN
3830 PILOT KNOS ROAD
' EAGAN, MN 55122
PAONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT
RECEIPT #
# O
DATE: 9
lt?'$,p??ZAx:'F PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS:,'I,?iq LA?c.
LOT:BLOCK ?- SIIBD. irL.sx? zJrA
INSTALLER:
ADDRESS:??`b?S
CITY: ZIP: `3`J?71<?C
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00
WATER CLOSET 3.00 ?
a BATH TUB 3.00 ?•UJ
? LAVATORY 3.00 X.!S,
1 KITCHEN SINK 3.00
\ LAUNDRY TRAY 3.00 ?
HOT TUB/SPA 3.00
I WATER HEATER 3.00 00
I FIAOR DRAIN 3.00
GAS PIPING OUT.
? (MINIMUM - 1) 3.00
? ROUGH OPENINGS 1.50 .So
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15,00
U.G. SPRINKLER 3.00
SUBTOTAL $ L)ft'SO
ST. SURCHARGE .50
TOTAL: S
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:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE @ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
PHONE #: LI,L-C-1 ' a??-?
CITY OF EAGAN
3830 PILOT KNOB ROAD
" EAGAN, MN 55122
PHONE: (612) 454 8100
m
FOR CITY USE ONLY
PERMZT #
RECEIPT # ??aUlo
DATE; 9
j?SIDEI`71'IAI.;;. PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS: y7/y ilfF2ELT//?IE LR,1lE ?
LOT: I BLOCK ? SUBD.J ???
INSTALLER: n'leT2c /Qif' ?rlC -
ADDRESS: /1' 176 o'e-le on? 19cJ • s• ? •
CITY: Pt"el ??kC zir: 55 37.1?
PNONE #: ?_(?7 - 115?:(f
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ a 7• ta
STATE SURCHARGE: .50
TOTAL: $ o?7•c5a
`•? ??PY..a?eYr:1%?`?" ?'
SIGNATURE OF PERMITTEE
?441MERCIAL/NDti`5TKIPiL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPAAATE PERMITS ARE
NOT REQiIIRED FOR EACH DWELLING IINIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS;
IAT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SDRCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
UNDERGROUND SPRINKI.ER SYSTEM
PLUMBING PERMTT
Date: 9- ,3U- 9 / Permit #
Date f4Z??9 l
Receipt # / 0?30? `?'S
_ Commercial: $25.50 + water tap if re-..quired. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
k Existing residential: $15.50 (Plumbing permit not required if backtlow preventor was
previously installed).
Res;dent;a; deveiopments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
(A ress to be spru ered)
Homeowner/Plumber: 112
-?
Phone #: ?L q _ y q ? ?
Street Address:
City, State, Zip:
Owner Name:
Street Address: y 2
Phone #:
Irrigation Contractor:
Phone #: YS Z
4? -z-7z ,lr.,'?s
?Ya
I er by lm ledge that I have read this application and state that the information is
c?ne t an ae to comkly with all applicable City of Eagan Ordinances
r. ?
cc: Engineering Department
• . 1991 BIINnPF1ALNj ATION /
CITY OF EAGAN
SINCLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
. ?
COt41ERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & SIRUCTURAL PIANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCF. BUILDING PERMIT IS I65if°"
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PI r
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For :"?c 46( , Valuation: Date?l,
Site Address 4V(A
Lot ? Block ?
Parcel/Sub
o, M-% o
Owner
Address
^? c
City/Zip Code T?C.lifv?SJt??y?
Phone 5194
Contractor ?}v---?
Address
City/Zip Code
Phone
Arch./Engr,
Address
City/Zip Code
Phone # "
r y9, oa8-
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE USE ONLY
R-3 M-,
2-i
V- N
Y-N
0
On site sewage_
On site well
MWCC System ?
City water t/
PRV
Booster Pump _
APPROnALS
Planner _
Council
Bldg. Off. IJ$ ? z 9Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Pexmit
S/W Surcharg
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
/?e ??L'
9v`f, o0
7?, $O
523,00
Joa,oo
6$h,00
(, , o0
si C?J
OioO
0.OJ
e ,$O
276,00
r10,00
1$O
??IJ..C,r^??utyf?yy? agrees that all work shall he done in accordance with
(Signature of Contractor)
all applicable State of .!innesota Statutes and City of Eagan Ordinances.
G A RAGE
? k 6 ? 36
?-
W36
?
asx 3?= e?o x ?4; 1?,??0
IsT Fc.,5o4.
?-?--
6SMT=
!y X ??;t 23? ? A
?7•?.`I ? 53 = G3re? Z
?+Y?D F.pon-
??rPr = I 20 4
,?..
12?2?cs?,= 64236 -
/ y?-
o,Q 14 71 00 0 1?
EXTERIOR ENVELOPE AVf:RAGE uumi I) iI I un
ZycO
' oWNER: ? ___ ---------?----?-- nnrr:_-L'z-13^8FC
STTE FDD?ESS: ??14 ?AR:"?--21CJVl ??___ PNO^IE: ^?? -_C3
C0NTRAC?OR: ?_E 1tQC) PLAN
Determine working square foota9e of each
sq: ft. x .11 = 3ZZ????
1. Total exposed wall area.....
5-6 sq. ft. x.D26 =
1 7 L°l? 3 Z
2. Total -
rooi/ceiling area..... I
Total exposed wall area above.floor=__Z.S Co .
I 53,`'??
Total wzll w'indow area ..........................................
.... .
. 3 S
b. Total door area ............... . . . . . . . . . . . . .:.................
.............. . ? Z?
c. Total sliding glass door.area .....................
d. Total rireplace rrall area .......................................
..............
. • • • • • • • •
area C3Vpl'dge 10% •
i . ?
•
Total ng
wall fram
.......... . 31
i. Total rim'joist area .................................. z Z$ 2.' 4
o. net wall area a5ove floor ............... :..............._.... .
h. wall area a5ove floor ...................................
. .
i. .. ...................
wall area a6ove floor .... ........... .
i. frzme wall area a-c =ounoation .............:.................... .
Total zxposed foundation area=
r. Total TOURddL1Jf1 window area .................••••••
70
1. Total ,
net Toundation area above grade .......... ...._
Determine "u" value of each wall segment ?? .
(e.9. window, door, each separate wail section)
?y7 =-7 z, I
i5 3Af x r
_
z.
'
h. X null
? ? -
37-- x „U„
c
_
.
d X „u„
.
.
2S 3? b Xl.ul. i b107 = f(G L91
e.
3?7 x u„ ?n37 11??3
T.
9 ZLI X„Ul„ t0
n X ?lull _
. __-
X ituit _
i. ----
X ?? U"
j. - .
7, ??u"
,
1 707-- X IIUII ? 1q
3. .......... . ...............Total = ZZ4,3 S
Ii item 7-3 is the sa
as, or less than ite
rl, you have met tfie
intent of SBC 6006 (
' 1z - 39'n ?S
. _otal exposecl roof/ceil.inry area
' a.' Sbta? skyli.ght zrea ............................ ?
... ^ct=_1 roo_/cei'_inr,framing a_ea (average 10?):
112??- • • ?
_. ^otal .
.
r.et i^su.zted roof/ceiling ,rrc:a..
Deternii:e "U" value Por each roof/cciling segnent
?. x
.^.- I1'z1 U x -.-L.i
x.
= ........... • ':_ .
................ 2bta1
co_a_ c= -_ is t?:2 Sam2 as, or less t:han if2, you have met the intent o= . ,
Alteraate Building Enve).ope Desiqn •
=-o u=__±:e --^e total e.^.velooe'system method, the values established by the s_n o£ '
ztz.s -D znn -4 shzll ^ot be greeter than the sum of,items °1 and ,'-r2. '
+ 2.L9, 33 = 351-?
3.
?3?: .
?.ZIG ??a ;- 4. Z3 ? C?I = Z-L
PLAx #
* LzrrEu. FEeT EXPosID wnLL
sr,ocx: z ? -+ 418 + y , (d `7 -t 1 '-t 4- + t y + 10 + Zts- - i S"1
KNEE:
w.o..
FuLI, 1- z (4,t- t( S•1 ` ( ,r.e I + I 4 ? t-n + 10, '3 w ?r 1 ? ?-10 ?- Z $ = I .$ 7
FU.t, 2: Lco 4- 1 is-q Lr 16 'k- 3, G7 c0 -s + 14 Z-'& 4-l,;s =
r? c
FIREPLACE: i ? L'-.u Oc= U
RIM:
* SQUARE FEf,T EXPOSID WAI,L AREA '
BLOCK: t S-] x .5 = -7 S5'-
KNEE: x 5=
W.O.: X g _
FULL 1: i$' ? x 8=
FULL 2: (? p x 8= 1? g D
FIREPLACE: X =
RIM: -5 1 -1 x 1= 31
7
iuiiul
2°? 3 I, S
* SQUARE £Ef.'T E}POSED CEILING I I Z?
? w in?ca-..VS
?111 . -2947
7-1 '0?
?
It - l9 S'S _ '7.?g : 1sS?
?_- 4?57
.-z 3'13 =C, ? ? ? Co FS
_ 1~S Li ?
* DOORS
Z a 1?6 3 $
3 s Z0
s? PAT20 DOORS
? L?- 3Z.y
* 6ASIIMEN'f UNi'PS
t1? -Z??y =2,Co =??Y
: liSE 10$ OF
?''tiP?-E CONS
I?
t
i
sA.SSC ?
??? ??t--------?
i,
FIG. =1 TOPVIEW OF
FRPIE WALL
(S)
'ii+" !I I r1
-2
? r ? --?--?
? ?7 %
,-J, ?
? ? -----' CL)
----- -4)
f
I
??
? ?
/ I -?
? /?
? d u •'n ? ,r?
..
, ;, • ? lA ? ---....-- - ?
n .
„
r?
,•. ? ?, f(! - '
.??? ` llf
? ? . .r
. `
47ALL AP,EA FOR
1. INTERIOR AIR FIIlf
?
2. Y?, I . ?,Y P. B? f? ±(? t
3. 5 yL. soFr wa
4.
5 .
IIM
x-vAtzrE ?rp0
6. AIR F ?•??
1.
INTERIOR AIR
FIIM mI'AL . t `i 1-7 9
?1 = . oco~r
0.68
2 pD+ M? P ?., V 8•?_ '
3.
4.
5. .
6. EXTMIOR R FILIM
.
"e
i n-?
INTERIOR ATR
ILM TOTAT, a 3
y = -7 Z
0.68
2. ?9 ,oo
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NOTE: USE ADDITIONAL S'tIg.TS IF I4ORE S?ACE IS
NEEDED FOR DETAILS AND CA,CUTAT=ONS..
-IG. =7
4714 HAZELTINE LANE
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SURVEYOR'S CERTIFICATE KEYLAND HOMES
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NOTE: NO SPECIFlC SOILS INVESTIGATION
HAS BEEN COMPLETID ON TMIS
LOT BY TItE SURVEYOR. THE
SUITAlN.lTY OF SOqS 70 SUFPORf
T?# VECFIC HOUSE PNOP09ED
13 1i0T TME RpPONSIdItTY OF TME lUMEYOR.
NOTE: BUILDINfi qMENSIONS SHONfN ARE
FOH F10RIZ01(rAL 8 VERTICAt: LOC-
ATION OF STRUCTURE Of1LY. 3EE
ARCNI7ECfUf4l, pLAN$ (dl OUILDING
8 FOUNDAT,ION DIMENSIONS.
+ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IFiON MONUMENT SET SCALE: 1 INCH - 30 fEET
0 DENOTES IRpN MONUMENT FOUND PROPOSED GARAGE FLOOR - IoZ9.3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 1021.` FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 10Z4,1 FEET
WE HEREBY CERTIFY TO W-YLPND HOMES . THAT THIS IS A TRUE AND CURRECT
REPRESENTATION OF A SURVEY dF THE BOUNDARIES OF: -
Lot I, Blodc 2, FAIRWAY HILLS 3RD ADDITION, occording to the recarded plai
ihereof, Dokota CounTy, Minnesata_
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS„EXGEPrT ASi Sk1QWNf
SURVEYED BY ME OR UNOER MY DIRECT SUPERVISION THIS 21ST DAY Qk? UtJW ?. ?? ,=199?P
PROPOSED GRADES SHQWN WERE
TAKEN FROM THE GRADING PLAN
FOR FAIRWAV HILLS 3RD ADDITION
PREPAREO 8Y PitOBE ENG.
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R. HILL,INC.
?
L/? e' d R `-? r
JOHN C. LARSON, LAN02S1"JRVEYOREN
MINNESOTA LICENSE NUM6ER 19828
SSUd
?F'k
Jam'es R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890•6044
2004 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.
Date -Lt- / 1 . ? I ?CJ'i
Site Street Address ?? ??-1
?Oru_???1 Ln
Unit #
Property Owner ! Telephone # `-t
Contractor ??
Address ?_?? °f vt pj A ?Crn A? i1?? Telephone #( t17 )
P3 ? City_ State-u:?L Zip'ILL4
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5l8" meter is required)
Other: $ 50.00
Water Softener
? replacement _ _ Water Heater
additional $ 15.00
_ Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00
State Surcharge $ 50
Total
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 only an application 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 pian is required to be reviewed and approved.
ApplicanYs Printed Name A p canYs _ nature 4JI ? I II II
APR 14 2004
_ -?-( M
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pertni[s are required for each unit
Date/d / 7 / dJ
Site Address AM
Y 2
&7)V& ./, r/ A/C
Unit k
Property Owner 0
CU (?[ C(7 D? k'j I5?966ephone # ( ??°I ) ?? ? - S ? I7?
Cootractor
Street Address City
State
Bond #: 7 ?01?'( '0 Zip 65L/0 Telephone# (
?l QL
Expires: b??) uS ?u?
The Applicant is _ Owner _ Contractor _ Other
Add-oo or alteration to existing dwelling unit
----?furnace _Additional "Replacement $ 30.00
air exchanger
air conditioner _New _Replacement
other
State Surcharge $ 50
Total $ ?
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accueate; that the work will
6e in conformance with the ordinances and codes of the City of Eagan and with ttie Mechanical Codes; that I understand this is not a
permit, but only an application For a permit, and work is not to start without a permrt• the work will be in accor ce with the
approved plan in the ase of work which requires a review and approval of plans. ,•
r1 ? (?d cfO ff ?h.
App icant s Printed Name Applicant's Signature
i
i ?? , r ?? ???,;•,??_
?
?
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commerciaVindustrial buildings
multi-family buildings when sepazate pertnits aze not required for each dwelling unit
Date l /
Site Street Address Uoit #
Tenant Name (ifapplicable) Previous Tenaot Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove **see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
"When instaf!!ng/removing underground tank, calf for inspection by Fire Marshal and Plumbing lnspector
Permit Fees: $70.50 Underground tank installaT'onhemovai
$50.50 Minimum (includes Sta[e Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If e?rmit fee is $1,000 or less, add $.50 => $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 nermit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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.
ApplicanYs Printed Name
ApplicanPs Signature
Approved By: , Inspector
7_-? %5/
2006 RESIDENTIAL MECHANICAL rEUMIT nPrLicnTiorr
City Of Eagan
3830 Pilot Knub Road, Eagan MN 55122
Telephone # 651-675-5675
Please comp(ete for: single family dwellings & WHmhomes/condos when pcnni[s are required for essch unit
30-?Sv
Date ? / /6 146
Sit
Add
Ze /
eT1
G ??
C?
Unit #
c
ress ?7 N
N
Property Owner ( ' ? 'Telephone # (
-I
Convactor
Street Address %(?
G ? L Yl ?? l? (
(?l?f Ll2 Cit J,
.. y y
State Zip SS?lb 7 Telephone#
Rond#: Expires: A_ dn_/J&
C
The Applicant is _ Owner __ ontractor _ O
V_/ ther
Add-on or alteration to exuting dwelling unit $ 30.00
furnace _Additional V Replacement _ New
air exchanger
i
diti
?
r con
a
oner
heat pump
other
S[ate Surcharge
I; $ .50
ot,i
2
? ?I
?j U ?
?-
I here6y apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that [he work will
be in conformance with [he ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I unders[and this is not a
perniit, but only an application for a permit, vid work is not to star[ without a permit; tha e work will be i?l?accordance wi[h Ihe
approved plan in the c se of work which requires a review and approval of plans., ?
vda , J2•
Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA093188
Date Issued: 03/23/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4714 Hazeltine Lane
Lot: I Block: 2 Addition: Fairway Hills 3rd
PID:10-25602-010-02
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Atlas Remodeling Corr C Pistulka
1208 Locust St 4714 Hazeltine Lane
Fm7nington NIN 55024 Eagan NIN 55123
(612) 598-9122
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
For Office Use I
I ~ I
I Permit
I
I I
City i~ll! of Eiillryn~~
I
Permit Fee: I
3830 Pilot.Knob Road I
Eagan MN 55122 1 Date Received:
Phone: 651 675-5675 1 I
Fax: (651) 675-5694 Staff
J
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:.~qHm ?ci 4.1, L~ ay.r?
Tenant: Suite
Resident/Owner Name: (,,brV (1 COI Phone: 1k1,)- V72q"6;25';?
Address / City / Zip: e01q6M/M/V2iL23
Name: Wenzel-Plymouth Plumbing, LLC License#: 061555
Contractor Address: 1710 Alexander Road City: Eagan
State: MN Zip: 55121 Phone: 651-452-1565
Contact: Carl Michels Email: cmichels@wppmn.com
Type of Work -New _Replacement -Repair _Rebuild _ Modify Space - Work in R.O.W.
Description of work: Demo Pressure Booster
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation L- RPZ PVB)
Permit Type Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
X Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ N/A
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.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 no to start without a permit; fiat the work will be in
accordance with the approved plan in the case of work which requires a review and approval of
x Carl Michels x
Applicant's Printed Name Ap cant's ignature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151343
Date Issued:08/20/2018
Permit Category:ePermit
Site Address: 4714 Hazeltine Lane
Lot:1 Block: 2 Addition: Fairway Hills 3rd
PID:10-25602-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Cory C Pistulka
4714 Hazeltine Lane
Eagan MN 55123
(612) 834-5252
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167404
Date Issued:03/12/2021
Permit Category:ePermit
Site Address: 4714 Hazeltine Lane
Lot:1 Block: 2 Addition: Fairway Hills 3rd
PID:10-25602-02-010
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.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Cory C Pistulka
4714 Hazeltine Ln
Eagan MN 55123
(612) 834-5252
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176795
Date Issued:06/02/2022
Permit Category:ePermit
Site Address: 4714 Hazeltine Lane
Lot:1 Block: 2 Addition: Fairway Hills 3rd
PID:10-25602-02-010
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Dion Barrier
4714 Hazeltine Ln
Eagan MN 55123
(651) 246-3432
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178504
Date Issued:08/22/2022
Permit Category:ePermit
Site Address: 4714 Hazeltine Lane
Lot:1 Block: 2 Addition: Fairway Hills 3rd
PID:10-25602-02-010
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Tankless 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 -
Dion Barrier
4714 Hazeltine Ln
Eagan MN 55123
(651) 246-3432
Water Heaters Now Inc
6432 Penn Ave S
Richfield MN 55423
(952) 688-2222
Applicant/Permitee: Signature Issued By: Signature