Loading...
4715 Hazeltine Lane Use BLUE or BLACK Ink % IC alt of E, Permit ~ , (9s Permit Fee: ~ 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 i I Fax: (651) 675-5694 1 Staff: I I , V 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 401e;, ~0f~F471-,0/c LA A455- unit Narne: &WC CR~Lsc Phone tote - V49 . RESIDENT / OWNER Address i City / Zip: / Caf~!✓~ Applicant is: Owner L Contractor TYPE OF WORK Description of work: 'RCPt f4L,4a Construction Cost: "FlIe /Y-r cx~ Multi-Family Building: (Yes / No Company: 17 ~f &OqM L7-1 >460 Contact: St&LIE sr*eo y/Z ,N t; CONTRACTOR Address: J_ /`P®~Bg~wJ~1.~~ City: State: hA Zip: /079 Phone: License Lead Certificate AMT- 'Z 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 :Plank end suppo~rtlr~g o10:u~lsnt~ 4t #4/~' o,;b publJc l ot'maoc RQr#lons:of the lnfonnatlon ~ ~ s_ f J Mill 00Ath~ ^`ft '/(~Ry"to :>,ti• .a,;f~.R~i "'bh .~~NYM.'Tn.r'~' nV 8 +1 ,~t CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, mmrv ctooherstateonecaii 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; Mat I understand this is not a permit, out 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. A52=:~ x d x x5rA pplicant's Printed ame Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Tppe: Building Eagan. Permit Number: EA096767 Date Issued: 11/01/2010 OR Permit Categorp: ePermit 41~ it~ of E3 E Site Address: 4715 Hazeltine Lane Lot: 3 Block: I Addition: Fairway Hills 3rd PID:10-25602-030-01 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: 6.211.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Pella Windows & Doors Turnkey Sales Gregory- S Carlson 1300 25th Ave N =100 471 Hazeltine Lane Ply-mouth MN 55447 Eagan MN 55123 (763) 74-1400 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 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SPECTIO RECORD PERMIT TYPE: Permit Number: Date Issued: f<ti .r i ta r ai 0,11 s1q @4 l1 v % y6 SITE ADDRESS: 0 •'''" '' "''A 4 I r, I : c tcl,ii 11, Ni i nNi: I f A! t•:t.IpY 1411 I:!+!r PERMIT SUBTYPE: 1,,, . , . , . , .> V ,I i,ti'i i r ' I f tMF1i APPLICANT: 1 ??( c? 1 t, 1? ?"? - fC1 Il ( TYPE OF WORK: i {:'AM 1 Nl. ; RF MAKV S s A";i F'ARA 1 1 F'I I:M t i t`, 11! 011 1 fcF 1t t??1i NNr i 1 1= c i it 1 i AI !-lijlrp I. k r? ?? ?IP I I I Il,, Permit No. Permit Holder Date Telephone # ELEGTRIC O' PLUMBING ? HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND ! FRAMING z?o ?J ROOFING ROUGH PLUMBING PLBG AtR TEST ROUGH HEATING GAS SVC TEST iNSUL GYP BOARD • FIREPLACE FIREPLACE AIR TEST FINAL PLBG F1NAL HTG ORSAT TEST BLOG FINAL & BSMT R.I. BSMT FINAL DECK FfG DF_CK F1NAL CITY OF EQGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE ; `I. =; , 1991 ? OFFICE USE ONLY METER # PERMIT DATE CHIP # 69,07 3 Q'2 F PERMIT # 1? 1 15 METER SIZE h?g 5 B.P. RECEIPT # C 1432?'_ ISSUE DATE " Z3" Ft B.P. RECEIPT DATE 07 Ci3 91 - PRV -L- BOOSTER PUMP SITE ADDRESS r. % t. ='' =.:i: LAi . LOT-BLOCK I SEC/SUB T'AIR'+rE,i 14i1.I.,: 3JRJ j APPLICANT: ? ADDRESS:_ CITY, STATE ZIP PHONE: PLUMBER; R C PLL1tt13IPiG ADDRESS: 5910 CI'E ;Tt::?. AV1; CITY, STATE NORTtiPZELD t1T! Zip 55:;57 PHONE: 461-2006 OWNER: SONS CONSTRUCTIOiv f'C! ADDRESS: 4600 k'AII'.•JAY ItILLS I+R CITY, STATE FAGAN ;% Zlp 551 21 3 PERMIT REQUESTED X SEWER ? 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 given for Deduct Meters. COMPLY WITH CITY OF TURE WHEN ME1"ER ISSUED WORKING DAYS ?OR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM TACT ENGINEERING DEPT. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Aeceipt # To be used tor sr DYG/GAII Est Value $94000 Dat •1I1I• . e -- ?Lw 19 3 37 Site Address 4715 HAZEL?I1QR LM Lot 3 BIoCk _I SeCJSub. FAIBYAY AII.LS ; Parcel No. RD occuPancy R-3 OFFICE USE ONLY M-1 FEES W Name ?? COl?3TR1JCTI0?1 Zoning (Actual) Const ? V-? Bld Permit 613?00 o AddfBSS 4? 1?AI1tIJAY ?iILIS (AUoWania) ? g. ? 47 City ?N Phone 432-5333 +r of stories 400 Surchar 9e Pl R i ? "8+? Q p $? Name Length th De ? 43 an ev ew S C ?/? ? Z p A , City ._!?p[,1p? c.) a AddfeSS S.F. Total _ 6? ¢ City Phone S.F. Footprints _ ?? s,ac, nncwcc 60•oo ?. ? W W Name On Site Sewage On Site well _ Water Conn 95.00 ? ' W ? ; Address MWCC System ? water nneter ?. ¢ W 4 City Phone Ciry water ? _ Acct. Deposit 110000 oo ? ^?+ 1n hereby acknowlege that I have read this application and state that the ? iformation is correct and agree to comply with all applicable State of ? Minnesota Statutes and City ot Eagan Ordina 9res. PRV Required Booster Pump x . S/W Permit S/yy Surcharge ?sQ Treatment PI 276•00 Signature of Permitee ApPROYAIS Road Unit 370.00 A Building Permit is issued to: ?C=Tffl=10N , on the express condition that all work shall be done in accordance wiih ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Ofticial Pia^^ef Council gidg, pN. Variance - ? _ - Park Ded. Copies TOTAL ,264 .30 I Permk No. PermR Holde? Date Tebphone # WAiER SEWER PItUMBING H.V.A.C. ELECTRIC h0d Mspsction Date 1 Comments Footings I Foundation 2 Framing Roofing Rough Plbg. 7/ ? ?Y Rough Htg. .. Isul. K ? FirePlace 9 ? Fin81 Htg. Orstat Test Final Plbg. Plbg.Inspeclor-No6tyPlumber Const. Meter EngrJPlan 81dg. Final 7?4 !Z LJ Dedc Ftg. Dedc Rnal Wall Pr. Disp. . ?+ lb -••• '? (Itrti#ira#t uf Mrru?anxy titp of (tagan iorpwftrnt n# Nuilaatg imwrrtioa M Cenffuate fssued pursuaxt to Me requirernents ojSeclion 306 of 1he Unijorns Building Cade catil!'M8 thal at the &e of lssuanae rhis strucwne w= tn conrpliaxce wilh tJie various ordinmrcrs ojrhe Cr1y negula&g building cnxs&ucfion or rrse For tlre following: uk a.umcwoo. `'? DWG/gar st. Pa uo. 19367 O-wxr TY" R37M 1 Z,;,g nidr? R? TM. c?? VN owm d saft SONS ORN5TRICTIUN Addtm 4600 FAIIddAY fuIIIS, EAGAN ??? 4715 HA7FZ,TIM LANE L3, B!, FAIRWAY HIIIS 3!2D i 7/16/c)2 POST IN A CONSPICUOUS PLACE MOUSE HEATING TEST RECORD / "A , 41 F M ADDRE55 61p, • APT._-FIOOR 1 -CITY_, _p"UBURB 1 OCGUPANT Curlso OWNER , HEAT LOSS DATE HTG. I NST. 11-w -yw , SOLD BY fw? i 4 -L?l G_ . INSTALLED BY --?'• '? L, EI•crrieal Wwk 8r 51- Go• lin• Br ?i. i` TYPE Of HEAT GA _ FA _ MW ?STEAM __. SPACE HTR. _UNIT MTR. -OTNER G?S DESIGN CONVERSION ?IAKE ? A MAKE OP BURMER Moe.i Gx Pr mos.l _ Swiol MpY. g711 Q 1 INPUT 10i0A4 _-MAKE QF FUQUI['F ? Mod.l _ CONTROLS THERMOSTAT H.nt Plup V•nt Si:. Y limil .___?P1'Q rr KIND OF LINER SIZE NONE , Droh Moed -? VRepulamr 7 ?p Limit $eMiny 1 ?V" ? ._ Fi11HS Siso ?? - NV ?r Fan $ettin9 O+lmMy LoeaNen (nsid? Ou1side ?n M M Pitee Typo atrudion Chi e C _ mn y on Pilar Mob _ ??O:?Y • Piler Modd _ Smoke Bomb . ?? / Wiriny U° Pilot Timin9 -=;0 ! 7,?C" Drah ? Tesf Top L.W. Cw Ofl Dew Preasuro Liyht ny Imt. l Porcen1 C0 Daf. TesIod ? ( 2 Input CFM.. 70 - Pere?ne OZ (?Lr . Compeny Teati g ?e? IIIC° Sbck Temp. ''? Pxe??f CO d Name, of T*siN BUILDING PERMIT To be used for SF DWG/GAR Est Site Address 4715 HAZELTINE i N Lot 3 Block 1 Sec/Sub. FAIRWAY H7r T S Parcel No. 3RD w Name SONS CONSTRUCTION ? Address 4600 FAIRWAY HILLS ° City EAGAN Phone 452-5355 F Name S? i a 0 Address , ? City Phone ?w Name t?W 7c ; Address <W Ciry Phone I hereby acknowlege thal I have read Ihis application and stale Ihat the inlormation is correct and agree t comply with all applicable State of Minnesola Slatutes and City ot E?na es. Signature of Permitee ?( ??n A Building Permif is issued lo: SON4 CONSTRIICTION on Ihe express wntlilion that all work shall be done in accordance with all applicable State of Minneso"la {S?tatut?es antl City of Eagan Ordinances. BuiltlingOfficial ??(?,?q.vllAlTl? i ` CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8700 94,000 Receipt # Id° 19367 OFFICE USE ONLY Occupancy R- 3 -M-1 FEES Zoning R-1 . (Aduaq Const Bldg. Permit 613.00 (Alloweble) ?N Surcharge 47.00 Y otStories length 40' PlanReview 398.00 Dapih 43 ? SAq City 1 00 - 0 0 S.P.Tolal - SAC,MCWCC 650.00 S.F. Footprint5 - on site sewage _ water conn 660.00 OnSiteWell WaterMater 95.00 MWCC System X X Acct. Deposit 3?. ?? City Waler PRV Requiretl - S/W Permit 30.00 Booster Pump ?- S/W Surcharqe _ SO TreatmeniPl 9 7 r+_nn APPROVALS qoad Unit 'A 70 _ nn Plenner - park D80. Council BIAg.Off. _ CoPies Variance - TOTAL 3. 269. ?? Address:'4715 HAZELTINE LANE Lot g Blk I Sec/Sub FAIRWAY HILS.S 3RD These items were/were not complete at the time of the final inspection. p Yes No TnspPrrnr* Final grade (6" from siding) Petmanent steps - garage ? Permanent stepa - main entry i/ Permanent driveway ? Permanent gas Sod/seeded grass V Trail/curb damage l? Porch j? Sasement finish ? Deck ? Please verify vith the builder the removal of roof test aaps from the plvmbing system and the shut-off of water supply to the outside lawn faucet bafota freeze potential exists. ? ??..?. White - City copy Yellow - Resident copy Pink.- Contractor copy II I II ?II 1111111111 RE?U soTa EST FOR ELECTRICAL INSPECTION d3?*; ? Minne State Board of Electricity 1821 University Ave., Rm. 42 , St. Paul, MN 55104 I- ?? ?k 0 2 7 3 2 3 4 5 *- Phone (612) sa2-0eoo,?/g 9(r Home up e: Apt. Bldg. Other: New Addn Commerciol Indusfrial Fartn Remod Re air Air Cond. Hig. Equip. Wafer Hfr. Load Mgmt. Other. D er Ran e Elec. Heof Tem . Service "R' above the work covered by this request Enter remorks in this space ond on ihe back oi the white copy only. Calcufafe Inspeciion Fee - 7his Inspection Requesf will not be accepted without fhe mrrect fee: Other Fee # $ervice Erdmnce Size Fee aF Circuits/Feeders F. Mobile Home Park Sfoll 0 to 200 Amps 0 to 100 Amps Sheet Ltg./Troffic Sig. Above 20D Amps Above 100 Amps Tronsformer/Generofor INSPECTOR'S USE ONLY 1 TAL 7 $ign/Oufline Lig. Xfmr. ao O • Alarm/Remote Con}rol f Swimming Pool lednml insl hercin on tha dvles s ted nif thm I i s Po I h reb Irrigafion Boom e ce n e e Rough-In Da1e41 Special Inspedion Invesiigotive Fee Finol ?%i Dax THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 2 1 J- 2 3 4 0 ?? E USE ONLY This request void 1 B monlhs hom validoMan dok pnnled in ihiz hox .55?649 PLEASE PRINT OR PE Request Dare ? -k n ??? ? Roughin inspxlion quired2 N. (Yaa mus? call Ihe inspedor wfim ready) In:petlion OMar Than Ro.gh-Im 0 Reody Now IR'Will Call Oore 0.eody: I, C] licensed confracfor Gyl-?-rer hereby request inspection of the above electrical work at: Job Pddrtss ?Streel, Box, or Rouk No.? Ciry 2ip Code - ?s ? ' Z Secfion No. Township Name ar No. Range No. Firc No. County DA?o Oaupant Phone No. ? Power Suppiler Pddrcss Elednml Conwcror (Company Name) Gonhmnar timnse No. Mmter Lic No. (Planf Eletl. Only) Mailing Pddmss (Commcbr or Owner Perfarming InnMllation) Auihod 5ignanm (Connoeor o er P orming Insmllanon) Phone No. EB-OWOINK 6/95 / STIITEBOMUCOPY-SEEINSTRUCiIONSONWCKOF9ELLOWCOPY O 70 5?? " 3 `? Request aie Fire No. Ro Inspection qeq i'+ ?eatly Now GWIII Notiry Inspedor > wh R d ? as ? en ea y I icensed contrector ? owner hereby request inspection of above electrical work at: Job qtldress ($lreal. Boxy ?r Route No.t / i `f /? /7'AL / 'T ,(? ! 1 Ciry 6 e / n t 1 G 4 A rl Senion No. Township Name or No. Rarge No. Coun Q /_o 44 % OccupentlPRIMt Gve ? a ? lS o Pppne No. ?" 7f PowerSUpd' of 4- AGdre , ElecCincal onlr pa ecto ICOmny?Jame)/ ?+ ? / 1 ? ConVaqaS License No. 3 ?? C Cc vt Ca / 7 ec? T/?S a vIC d-2G C Mailing Aatlress IConVactor or Owner Meking stallatqni Aum ed ignaWrelCon cmr?0 _ PnoneNUmber ?, - (b 1- Cor MINNESOTR STpTE BOAND OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-MlCway BIEp. - floom 5173 BE AGCEPTED BV THE STATE BOAqD 1821 Unlvwsity Ave., SL Paul. MN 55100 UNLESS PHOPER INSPECTION FEE IS _ Ppone (612) 662-0800 ENCLOSED. /a /? f,2 REQUEST FOR ELECTRICAL INSPECTION K„ 17 311 , See instmctions 1Dr completing t0is brm on beck ot yellow copy. . "X" Below Work Covered by This Request ar"" ee.00001-0e y.^?! /O 7D 40 9, ?yg ew Add R p. Typeoi8uilding AppliancesWiretl EquipmentWiretl Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Other.(Specity) Comm./Industrial Furnace Farm Air Contlitioner 01?er ?syxify) Gontmctor5 Re arks: Compute Inspection Fee Below: "//e wA/C # Other Fee # ServiceEmranceSize Fee X Circuhs/Feetlers Fee Swimminq Pool 0 to 200 Amps ? 0 to 100 Amps Y.o Transiormers Above 200 _ Amps Above 100 _ Amps ns Si inspectors use ony: TOT(? 9 trri ation eooms ? ? Special InspeC[ion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT . Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby f Rouqh-in Date certi y that the above inspection has been made. F;,,ei ? a oa? OFFICE USE ONLY This requast voiE 18 monMS bom ;' 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ,? 7a.= New ConsWcfion Reauiremenis Remodelhieoair Reauiremenb Offce:UseAnlv 3 2gistered site surveys showing sq. ft. oF l06 sq. fl. of house; and all roofed areas 2 wpies of plan CeR of Survey Recd _ Y _ N (20% maximum lot coverege allowed) 1 set of Energy Calculations for healed additions Tree Pres Plaa Recd Y _ N 2 copies o( plan showing beam 8 window s¢es; poured found design, etc. 7 site survey for addrtwns 8 decks 7ree Pres Required _ Y _ N lsetofEnergyCalculaGons Addilion-IrMicateifonsdesepUCSystem O"ReSepticSystem _Y _N 3 copies of Tree Preservatbn Plan if lot plaked aRer 711N3 Rim Joist Delail Optbns selectbn sheet (buildings with 3 or less uniGC) Date I I /?/ dS O? Construction Cost ?,0W Site Address 5 IJA -Gl?'1 YYC sD.r...¢.. Uniuste # Description of Work ?FlrtQk0. C-e. GJ W`?(?pC.uS W?i(v Xi5'71a!'.? 09-fYN;Y.YJ• Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner C G.0S O Yt ayy., Telephone #((05" I)? 8lp -?-4 (0 3 PELLA WINDOWS & DOORS Contractor 15300-25TH AVE. N. STE. 4100 nddress pLYMOUTH, MN 55447 City State 763-745-1400 telephone # ( ) LICENSE420165884 COMPLETE THIS AREA ONLY IF A NEW BUI - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submiried Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planB fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( N If so, 25% plan review 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_no1 to start without a permit; that the work will be in accordance with the approved plan in the case of work wfiich'requires a?- r€u icwFa_jnd approval of plans. I, III 'II I?v1AY 13 2005 U A0.C0? Sor1 Applicant's Printed Name App icanYs Signature IE;;, _ OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-pIOx ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `DemollUon (Entire Bldg) - Give PCA handout to applicant Valuation 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 _ Footings (new bldg) _ Footings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Final/C.O. FinaVNo C.O. _ Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick W indows Retaining Wall Building Inspector PeF1a Wiadows & Doors - Twin Cities, Inc. ? ?o Wd9E:1 '.g •unp amil paniaaaa 1530015TH AVE. N. STB. #lOQ PLYMQLJTIi, MN 55447 76sn4s-iaoo PTATS 1-800-462-5359 FAx 763f145-1401 7une 8, 2001 Ciry of Sagan 3836 Pilot Knob Road Eagan, MN 55122 I3ear Jan: Elder Jones Corporation is authorized to pull huilding permits for Pella Windows & Doors -'Itvin Ciries, Inc. Please allow their representative to provide fhat service for us in Eagan. This authorization shall be valid until such time as the dzvision manager expressly revokes it, in writing to'the City. I request thai this authorizadon be accepted expeditiously, so as to not delay the processing of our building permits any further. Please call me if there are any questions, I canbe contaeted at 763-745-1432. Your ircunediate attention to this matter is appreciated. ' cerely, ? Y ``' ? ?11NEF1E ? Hryan . May. Replacement Saies Manager ?yaorem?rqnFttwa4a9b?G06 cc: Kaza-E1dcr7ones Denna ICzafty - ReplacetnenY Sales Process Coordinator ?-? Wiadows, I}oors, & Skylights 7nn Ffi carrrn Urur TIA.7 aixr exi 7ru vw.r JT:CT rus Tnionion RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements • 3 r=gisterea srte surveys showing sq. fl. ol lol, sq. ft. of house; and all roofed areas (20 o maximum Int coverage allowed) •? cccies of plan showing Oeam 3 windcw sizes; poured found desfgn, etc.) • 1 set of Eneqy Calculations • 7 copies of T!ee Preservation Plan if lot platted after 711193 • Rim Joist Oelad ODtions selecGon sheet (61dgs with 3 oi less units) DATE q,- 3 - oa J? RemodellReoair Reauiraments • 2 co0ies o( plan . 1 set of Energy Calculatians for heated addiUons • 1 site survey tor exterior additions 8 decks • Indicale if home served 6y sep[ic system for addifions ? VALUATION SITE ADDRESS 41 'S ' ` 4 '? ' ? V 'c?,"? MULTI-FAMILY BLDG Y N TYPE OF WORK__ JA - L° c--- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDREJ,S ?R -lar 0-?? "aaD 1 CI?STA? z?5 ) a I TELEPHONE??o51 19a'a'CELL PHONE # '-" F,?#to??t-?a. y 6a3 PROPERTYOWNER (U.2SQGI TELEPHO IE#(oS1 l00- ---------------------?' -------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW^ RESIDENTIAL BUILDINGS ONLY Energy Code Category _ M IV NE50'1':\ RCLES 7670 C:\TI:GONY ! MI\NL• SO'l':\ Ri'L1:5 7672 (J submission rype) . Residential Ventllatlon Cate9ory 1 Worksheet Submitted • New Energy Code Worksheet Submittetl • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing systcm includes: Mechanical Conhactor: Ndcch:uiic.il s%stcm includcs Sewer/Water Conhactor: Air Condiuoning -- Hcat Rccovcn 5ystcm Fee: $90.00 ? o T'T ??? ° ? # SEP 0 3 2002 D e ... - ----....---- ------------------------------------°---------------------------ngimz! I hereby acknowledge fhat I have read this application, statog e to comply with oll applicable State of Minnesota Statufes and City of E Signature of Appli '---- - ------------------------------------------- ---___..---------------------- ------------- -°---_ .-°----------•----??.. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4l02 _ Water SoFtencr Water Heater _ No. of Baths _ Phone ik Laim Spnnl:ler No. of R.I. Baths OFFICE USE ONLY ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Multi ? 03 01 of _ plex p 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Eut. Alt- SF ? 04 02-plex ? 70 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? OS 03-plex ? 11 tp-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 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entlre Bldg anly) - Give PCA handout to applicant Valuation Occupancy MClES 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 W idth ' • ' REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaLNo C.O. _ Footings (addition) _ Plumbing Foundadon INAC Drain Tile Other Roof _ Icz & Water _ F inal _ Pool _ Ftgs _ AiriGas Tzsts _ Final _ Framing _ Siding Smcco Stone _ Fireplace _ R.I. _ Air rest _ Final _ Windows (new/replacement) _ Insutation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector Sa c RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Canatrudion Renuiramanta • J reg¢tered site surveys slrowing sq. fl. of lot, sq. ft. of house; and all roo(ed areas 120% maximum bl coverage allaxed) • 2 copies of plan shoxring Ceam 8 window saes: poured found design, etc.) • 1 set of Energy Calculations • 3 capies of Tree Preservatian Plan i( lot platted after 71193 • Rim Joist Detail Options selection sheet (61dgs with 3 or less units) DATE 1S-A?Oa aIs -?S RemodaVReoair Reauirements . 2 co0iN of Olan . 7 set of Energy Calculauons for heated additions • 1 site survey `or extenor additions 8 tlecks . Intlicare if home served hy septic system for aCditions VALUAiION 11. '5103 ?z ? SITE ADDRESS MULTI-FAMILY BLDG _Y fC?q _ . ... . . , TYPE OF APPLICANT STREET ADDRESS TELEPHONE#ISA3,_+?LS•ILUX') CELI Pella Windows & Doors 15300-25th Ave. N. Ste. #100 Plymouth, MN 55447 fiREPLACE(5) _ 0 _ 1 _ 2 _STATE _ ZIP i# PROPERTYOWNER C,fM?Spt?1 Z 1•1eASAK0rr,n TELEPHONE#IaSl+to$(c•JI(0A --------------------------------------------------------°------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIYVLSOTA RCLES 7670 CATEGORI' I MI:YNESO'CA RULL•'S 7672 (d submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Conhactor. Mcc}?lnical sys[cm includes: Sewer/Water Confractor: -- Air Conditioniu; Hcat Rccoven Systcm Phone # Fee: $90.00 s7o.oo ---------------------•-----.......-------------------------•----------°°---..•,.-_...-•-°-------------....--------•----- I hereby acknowledge that I have read this application, state that the in rmation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ' ances. SlgnatureofAppl(canf „?/?`/? Denjs, OFFICE USE OvLY Water Softener Water Heater No. of Baths _ Phone # L1rni Sprinkler No. of R.I. Baths ,;; AU6 2 ? 2?02 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4J02 . , OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. AIf - Multi ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Ping_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding ? 32 Addition • ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration Ci37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy r . MC/ES System A 1 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) _ FinaVC.O. _ Footings(deck) _ FinaWo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ AiriGas Tests _ Final _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/repiacement) _ Insula[ion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Canstmclion Reauiremen[s • 3 registered site surveys showiig sq. tt. of lot, sq. A. of house; and all roofed areas (20 % maximum lot coverage allowed) • 2 copies of plan showing beam 8 winaow sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preserva6on Plan if lol piatted afler 711193 . Rim Joist Detail Options selec(ion sheet (bidgs with 3 or less units) DATE o ? SITE ADDRES TYPE OF WO APPLICANT ULTI-FAMILYBLDG _Y Y_ N FIREPLACE(S) _ 0 ?( 1 _ 2 STREET ADDRESS ???'I 576Z 7INL CITY STATE N%V ZIP TELEPHONE #Go;7'k6 - 216CELL PHONE # G?GS^(- ?06 -0 I q 4' FAX # ?,f2 - PROPERTY OWNER S, C?L.LSUV TELEPHONE# ??I' IW?_7%?67 ------------------------------------- ---------------------------------------------------------- COMPLETE THIS SECTION fOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ \[I\NLSO'I'A KUI.1:5 7670 CATliGOItY l \IINNLSOT:\ RULHS 7672 (J submission rype) . Residential Ventilatlon Category 1 Worksheet 5ubmitted • New Energy Code Worksheet Submilted • Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbing systcm includcs: Mechanical Contractor: Vlcckianical syslcm includcs: Sewer/Water Contractor: Phone # Phone # I'ce: $90.00 P'cc: $70.00 -------------------°--------------------------°-°-------------------°...----------...--------------------------------- i hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ances. Signature of Applicant ??? OFFICE USE ONLY W,ucr So[tcncr Walcr EIcatcr No. oC l3atfis ?q4--73 ,I .II II 0 5 7007 II J RemodeVReoair Reauirements IBy J? J, . 2 copies of plan • 1 set of Energy Calculalions for heated additions C, . 1 site survey for extenor additions & decks . Indicate if home served by septic system Por addiGons a 7-1? ?S VALUATION Phonc # I.awn Sprinkler No. oF R.I. 13aths -- Air Canditioning -- Heal Rccovcry Systctn Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updated 4102 CA 4ac0 e_LY S . CA-,,'-L5;&7V OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 OS-plex ? 73 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool -lif 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Eut. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding X 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire B ldg only) - Give PCA handout to applicant Valuation LeeU Occupancy ' 3 MC/ES System l Census Code Zoning 1-i City Water ? SAC Units ? Stories / Booster Pump r Nbr. of Units ? Sq. Ft. IG? PRV ? Nbr. of Bldgs ? Length j If Fire Sprinklered ? Type of Const W idth f;_ REQUIRED IN SPECTIONS Footings (new bldg) FinaL'C.O. ? Footings (deck) ? Final/Na C.O. _ Footings (addition) Plumbing _ Foundation ?- HVAC Drain Tile O[her Roof ? Ice & Warer ? Final Pool Ftgs AiriGas Tests _ Final ? Framing Stone Sidin, Stucco _ Eireplace ? R.I. _,KAir Test ;&Final _ _ W indows (newheplacement) ? Insulation - Re[aining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Tatal 3 Building Inspector /G ? ll5 9 t`° = ?'?zo Cbvsr,PU?7?a?1 ? . N\P49 VS 365 flOt36 CoN1U i a gNaIHEE11f ENGlN??fllNG pIAH???t anJ ANp CaMpFlNY, INC. IUUU EAST 118fi 6iflEHT, dURH6YILI.Co HINNEi01A PN Certificate of?uruey Legal Descr t?.ion:GOT3. B[OCK /, FA/RW9Y H14 L6 -4w AW/T/ON, R4KOTA COVN7Y, M/NNESoTiI. (%o2--2.a) DENOTES EXISTINQ ELEYATION ' (/030. o) DENOTEB PROPOSED ELEVATION SCALE t 1' - 30' m? Q ? Vi ? o, ? o . o ? h INDICATE6 DIRECTION OP' 6UPFACE DRAINAGE a3? o, 33 ma FINlSHED {iARAQE FLOOFi ELEVATION 02 , = BASEMENT FLOOR ELEVATION pl .3o.bbm TUP OR BLOCK ELEVA710N DRAlNr76E An/D IJrlclrY EkSWENr `2 N 89• ?21,'?% /?jl•ZD ,30 fT. FkoNT BUILDJN6. SET446K L/NE ''J ?`_•? w W,s al ?obo?? 24a0 loia? o?` ? .r+ ? ? ?,/ ? •..` _+??? ?- ,,.u ?J ? y? ? 64NA6F ?. J ? 39,00 `A J ?l,oL"f?3; !p I ? ? • ? .?'- ? ?? L ?!- ! .-- _--- - -- -'_' ,'/035_.)> i ' E /?/ B9' /3' 41 r ? ? ?, 4 ? L_??,.1?;:?, ?. ? . y? ,a I W3o,o) I '°tp 9 t 7Ze °' io -?ro BOOSTER PUMp 2 ? . REG?UIRED i heroby aes111y Utal this 1s e irue and oonQOt tspl41s41nl5llmi ol 0 tioal ol IanJ 66 dlown Z.TMday ol aitd deaocibad h•rwa. As poepued by'me ou 11de ' r?, 1 4 ? ? . i? b ?' h ? ?r e PERMIT 0"5S5L99 . CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u z Lo z rv G Eagan, Minnesota 55122-1897 Permit Number: 027314 (612) 681-4675 Date Issued: 0 4/ 19 / 9 6 SITE ADDRESS: 4715 WAZELTINE LANE LOT: 3 BLOCK: 1 FAIRWAY HIILS 3RD , P.I.N.: 10-25602-030-01 DESCRIPTION: Building-?Permit Type Buildin9 W'42!?k TYPe Cer?;sus code GARAGE/ACCESSORY ADDI7ION 438 ALT. GARAGE i ? z ?,- ? F / ' a` k REMARKS: A SEPARATE PERMIT IS REQUIRED FqR ANY ELECTRICAL WORK FEE SUMMARY: VALUA7ION $6,000 Base Fee $112.25 Surcharge $3.00 Total Fee $115.25 CONTRACTOR: OWNER: - Applicant - CARLSOM GREG 4715 HAZELTINE LN EAGAN MN 55123 (612)686-7963 I I 15ereby acknawledge that X have read!` tfiis application arttl state that the information is correct and agree to comply with a11 applicable State of'Mn. ? Statutes and City pf Eayan Ord3,nances. a oa .? `C11. APPLI ANT/PERMITEE IGNATURE I _ BY:ta.n SI,NA E •-1 143' CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPUCATION (RESIDENTIAL) 681 -4675 New Conshudion Raouirements RemodeUReoefr Reaukements ? 3 iagisterod tite wrveys ? 2 copks of ptan ? 2 copies of plans (indude beam 8 window a¢es; pouied fid. design: ete.) ? 2 ske surveys (enterior addidons 8 decks) * I enerOY calWlafim ? 1 energy plwlations for heated addkions ? 3 copks o} tree preaenation plan 'rf lot pla@ed eRer 7/1l93 mqufred: _ es No DATE: ? ,6 kT lp l? O O, o"D CONSTRUCTION COST: ? DESCRIPTION OF WORK: STREET ADDRESS: - 67/;7??'c// l i A/0'40'// /51;k) `f 41116? I.OT 3 BLOCK / SUBD./P.I.D. #: 69 - 4??-r66 Z? d 3d - 6 PROPERTY Name: Phone . Z?b OWNER Street Address- City: state: zip• 5?S/Z 3 CONTRACTOR Company: Phone #: Street Address: License #: City: State: ARCHITECT! Company: ENGINEER ' Name: Zip: Phone #• Registration #• Street Address• City: State: Zip: Sewer 6 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowiedge that I have read this application and shate that the information is coRect and agree to comply with all applicable State of MinnesoNa Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY 7A (?,r?'( ?? Certificates of Survey Received _ Yes _ No R 7$ j9g6 Tree Preservation Plan Received _ Yes _ No _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex 0 02 SF Dwelling o 07 4-plex a 03 SF Addition ? 08 8-plex a 04 SF Porch ? 09 12-plex 0 05 SF Misc. 0 10 = plex WORK TYPE 0 31 New v,-?2 Addition 0 33 Alterations 0 34 Repair GENERAL INFORMATION OFFICE USE ONLY 0 11 Apt./Lodging o 0 12 Multi RepaidRem. o 3 Garage/Accessory o 0 14 Fireplace ? ? 15 Deck 0 37 Demolition ^. 0 36 Move ? 16 Basement Finish 17 Swim Pool ZO Public Facility 21 Miscellaneous Const. (Actual) Basement sq. ft. MCIWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ?/37 Depth Footprint sq. ft. SAC Code ? Census Bldg / Census Unit ? APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 6 i vaD ^ • Surcharge Pian Review License MCNVS SAC City SAC Water Conn. WaterMeter 2 f/x 2- 7 S/XlG Acct. Deposft S/W Permit S/W Surcharge Treatment PI. Road UnR Park Ded. Trails Ded. Other Copies Total: ..?: :? . % SAC SAC Units , -ZS?o 2 a 36 ° / `? . Lot Survey for. GREG CARLSON I L 0 r onsnNC ' 2 I I HOUSE ,.- N89°13'41"E 741.20 ?'' Q i n Pvim aMUld Eosemanb...... __ °l -___ D0-_'- _____t_______ `•. ?i ; r____-_ lo ¢ ' 10 ? Q a I C u I ?g a Lo 5,a?-?i 3 w r L ? ? ? ?' EXlSANG 7,1 i9 ?i I "? { o5 5 + HOUSE ?pa I L ?- O 2 ? I (? .?p ?-'F Fbn ' I?j .i J I to 1 ? I ^ VL I l L_______________ __ ,n I . I ' . S89°1341'W 147.20 .. 4 7 ? ou E I r i s L 0 I S LEGAL DESCRIP710N ? I Lot 3, B(ock 7, FAlRWAY HILLS 3R0 ADDITION, ottording to the recorded plat thereol, Dokoto County, Minnesota. I Ar<o = 72.002 squorc leet (0.276 ocre) I Scale: 1 inch = 20 feet N O Denotes Iron Monument Set I ? • Denote5 Iton Monument Found I '.Z ` LL.. r- I Li' I hercby certify thot this is a lme ond corred represenlation . I of a survey of the boundaries ol the bnd abwe describe0 and ? of the locotion ot all buildings on said lond. ? 1 DateO this 22ntl day of March, 7996. 1 REHDER & ASSOCWTES. INC. 60 AMn R. Rehder, l,onE Surveyor Minnesoto Registrotion No. 13295 Rehder and Associates, Inc. I GVrt ExWMEEI+S AND lANO SURvEY0F5 a..e r?.a o:.. sw zw . r,y.? w?m . rm. (na) ua-sos? ? Lot Survey for: GREG CARLSON 2 L O T EXISTfNG % HOUSE ? N89013'41 "E 141.20 Q :• l v? •_.Drainage and Utility EasemenA.-........, i - - - - - - - - - - - - - , r - - - - - - - - - - - - - - - - - I 10 ? 10 ? I Q • ? ?, i C?. ; f i i ? ? .; ? ,- -? 3 L EXISTING ? I HOUSE < < . :-.. i .,_ ;. ; .: -•.. ............................ .... ....... 30.16 O -T rc< ? S l.l O a ? : I I : o Fireplace t ?..? J C6 6 - i ? 10 i W.o? ----? ,a 4 L -- ----------------- ? ?--" --- S89°13'41 "W 141.20 EXISTING ? ? Q T NOUSE ';. P 4 1991 BUILDI A ? In.n?? ' LICATION CITY OF EAGAN SINGLE FAMILY DWELLZNGS 2 SETS OF PIANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS 19ULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (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 IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED 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. f?UL ? ' ° "A To Be Used For: /aMF ' Valuation: ? Date: 7-/ "?i/ Site Address Loc 3 alock L {????I Parcel/Sub FAigujA4 Owner SO/i/ j l?p}?S1'RlLC7f70N Address 00 City/Zip Code grG'cu, '0,l Phone Contractor S d,US C6N1jMU_(+`n00 Address 4-(pO PAI2vw 4,LLf b2 City/Zip Code 9-{&AIS'JA? Phone Arch./Engr. ?;?l^)kd /}ST/"j 6- 9y/ Ju J? OFFICE USE ONLY Dccupancy R-3M-I Zoning R'1 Actual Const V-N Allowable V-N # of stories Length ?ld Depth ? S.F. Total Footprint S.F. On site sewage_ On site well MWCC System City water PRV - Booster Pump ? APPROVALS Planner _ Council Bldg. Dff. =9/ Variance FEES Bldg. Permit G13100 Surcharge 4 ,0O Plan Review 398,00 SAC, City 0 O?DO SAC, MWCC 650000 Water Conn. 100,00 Water Meter 9S Oc) Acct. Deposit 301ce S/w Permit 3a, W S/W Surcharge i50 Treatment P1. 296,00 Road Unit nD,OD Park Ded. Trail Ded. Copies SUBTOTAL Penalty I.ot Change TOTAL SMILT. ( agrees that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Address ,6OU PAI2l/1AUi&s 6r City/Zip Code .. wo, . . 1 ' sy t : VALUATIt3N?` .? Ga aG zzx2z= yey x?s- ?z?o $SM T, f8K2y_ y? ot,?17=3?y y k ?1 = .2kq_ le r 868 ? ry: 12?J'2. ? ?JT ?LOUr'L .?..?c66 ? 2w?z= 3 ? . , 22nz2s y?? 1349 X 53? ?yly7 ?-? 9 o,c 9 y, o 00 '? . ? . , gQ,y,? Cav.s?u?"/iaN ?36590/ • 4 % fl 0 B C consuI,T1po ?no NeEns eK ENG1NCEfllNG PlflNN6RS and LAND ?URViY0N3 p COMPANY, INC. L??,I?OU LABT 148fi BIAfiBT? 9UflN6VILl.L, MINNE80TA 50331 PM 432'1000 Certificate ofi Su_ rmy - Lgal Descr ttt ion 9 LOT 3, BGOCK 1, FA/RWAY N/LLS .?D /?LPIr/On! pQKDYA 40Y/N7Y, M/NN00TII. (T2,?.o) DENOTES EXISTINQ ELEVATION ' (I030. o) DENOTEB PROPOSED ELBVATION ?. - INDICATES DIRECTION OF 6URFACE DRAINAGE 1630.3 p FINISHEq GARAQE FLOOH ELEVATION 102 , = BASEMENT FLOOR ELEVATION oL3o,bbm TOP OF BLOCK E1.EVATION SCALE t i' + 30' pRA/N46E AND (/T/LITY EA.SE'MENT 00 I Q h ? (e33.3) ?038_30? O ? N gq• /4l•ZD -wfT. FRoNT BU/LDiN6. SETA4CX L/NE ? ? (030?07 l`~ e ? .- qi i 6ARA6E8 I r ? ?' (?030.07I 1 -?? 1 10 I 3-)/ l-?_.,--------" (?c?s•i> ?ozs:? N gg. /3' 41'E % L_4'-ar, ' GAftf) ? y? l0 I W W3o. o) 'Q? 1a2??q' 0 \ 7,W °o lk? F ??. ?Ll ?o ? i ? ? I? 14 V ? ? . ?r . ?. ir i? \ ...?.? . . ses.? ... f \.. _ . , {? B17 BOOSTEy U PUMp rrc EnT ??QUREE) 1 hareby oarl{ly Iliat Ilils Is a true and aoneot "p'"all1aUon ol o Irool ol land as shown TM and deaarlbsJ Mrwn. As peapated by'me on 11ds'? daY o( ?l)u.NE -'19 /?"_" _ Mha?, Rey. No. ??° ?._- d?--',?--? S4X6 ri Y ' E1(TERIOR EMYELOPE AVERAGE "U" COMPUTATION i. OuF1ER: Sons Consturction - ADQRE55: Lot 3 Block 1 Fairway Hills 3rd Addition CONTRACTOR: Sons Construction Co. DATE: 7/2/91 PHONE: 452-5355 , DETERMfNE NORKINf SOUARE FOOTAGE OF EACH: ;. TOTAL E%POSEO UAIL AREA228-7 sq ft x"U" .11 . •••••• 251,5-) t. TOTAL ROOF/CEILING AREA,,,,,,,, __ sq ft x"U" .026 ¦--??? 2,}2 1. TOTAL EXPOSEO NALL AREA CALCULATIONS: Total exposed wal) aroa.above fioor,,,,,,,, sq ft • a) Tota1 wall window ares: ?T- glazed...... _ 122 sq ft x"U" ,5°I • ?i.qg -r_ qla2ed...... !q f[ x "Ull ? b) Total door area ,,,,,,,. ?D sq ft x"U" 2,g0 c) Total slidTng glass door area: d) ?_9I azed...... sq ft x'oUn 23.20 _ giazed...... sq ft x "U" . Total fireplace well area sq ft x"U" . e) Total wall framing area (Average IOR)............... _ 2?S aq ft x"U" f) Total net wal) area above .ID .. . ZZ,&O floor (Insulated)........ Ilo9'7 sq ft x"U" ,a?- . co? 9) Total rim Jolst area...... I2-(40 ' sq ft x"U" _ Total foundatlon area (Exposed)........., s ft q h) Total foundatlon • wlndow area ............. aq ft x?fUll ' i) Tota) net foundatlon area above qrade........ S? sq ft x"U" ? ,0'7 ? TOTAL a) thru i) f Item 03 is the same as, or less 2 tICpR 1.16008 A and 0. than Item ?1. you have met the intent of , .. Page 1 • '. .4., TOTAL EXPOSEG ROOF/CEILING CALCUlAT10NS: Total exposed - rooi/cetling area ........ I sq ft . J) Total skylight area........ sq ft x"U" ? k) Total roof/ceilinq framinq ` area (Averaae 1f1R)....., 1Z'? sq ft x"U" •02'Ilo • 3.L45 1) Total net tnsulpted roof/ceilinq area....... ll 22 sq ft,x "U" -0 2• ' 4. , TOTAI 1) thrw ) 30. If total of 04 Is the same as, or less tkan 02, rou haw met'tla Intent of 2 MCAA 1.16008 A end 0. , ` . ALTERNATE BUILDING ENVELOPE DESIGN To utlltze the total envelope system method, the values eftabllshed by the tua of ttems 93 and p4 shall not be greater than tM sum af.itaas 11 and 02. 1. + 2. • 3. + 4. ? CERTIFICATION I hereby certify that I have calculated the "U" faetors and "R" values Aerein and that the bulldlnq here descrlbed aeett or exceeds the Stats of Minnesota Energy Conservatton Act. gnature (Data) , Page 2 czrv aF .r:.FlrnN rA5hI7:fR: JS t'L.:RMINAI_ Nn? Of)? DATE; 07f15/99 T'IMI"^ i0:29.58 ID: NAMENQME FNHANCERS :I:MC, 3210 9001 4 i l.°i HA7EI_TINE 60.00 2155 9001. 4715 HA7EI..1'INE D..`.;Q , 1 . To+,a7. Peceipt Artioun+„ 60.50 Ck113435 115Efi SLi: .JAN 1999 Bl11LDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?irb ? E830 PILOT KNOB RD - 55122 q651-681-4675 r, _ n p l1 6o', q q c.:??.ensi ! Remodel/Reoalr Reaulremen}s Non ReauUem D 3 registered sNe surveys showing sq. tl. o( tof, :q. H. W house and Q rooled areas (2096 maximum lof coveraae apowed) D 4 eopies of plans (ihow beam i wlndow ilzes; poured ind. design; etc.) D 1 set of energy calculaNons D 3 copies o} hee presenalbn plan B loT plalfed aMer 7/1 /93 DATE: DESCRIPTION Of WORK: STREET ADDRESS: LOT: ?J BLOCK: ? SUBD./P.I.D. N: 1::?0.?. A, W 0._, t?l ? l S ?J Y'k) Name: Ll's r/S C3,IJ 9 Phone #: ?l-' ?,?'?• 7?/G 3 PROPERTY ? F?? OWNER y7?? Sheet Address: dl.Zc City Fzt:!7 06-h, State: ??. Zip: Company: rL aa-?tC&?S ?GLG Phone #: /? . ?? (area code)--? CONTRACTOR /? .?E Sheet Address: ?d ?e. /VUCS aO ? License #Exp? } Ciiy State: 1/±t1.- Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Sheet Address: Regishation IR: City State: Zip: Sewer 3 water Iicensed plumber (reauired for new conshucHon onHl: . Penaly applles when address change and lot change Is requested once permN ia issued. , I hereby acknowledge that I have read ihis appBcaHon, sfate that the informatl is cortect, and agree to comply wNh all applicabl ?ate of Minnesofa StWufes and CNy of Eagan Ordtnances. /? . ? / Signafure of Applicant: ..?i+.. -?o ? r----/,? OFFICE USE ONLY f ? rV ? Certificates of Survey Received _ Yes _ No 2 igc)9 Tree Preservation Plan Received _ Yes _ No _ NotRequired I??L 2 copia of plan 1 sef of energy cakulaHOns la heated addlNOns 1 sMe survey far exterlor addHions 6 decks CONSTRUCTION COST: ?? ? 4:7- -1 e OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex 0 11 10-plex 13 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex 0 13 16-plex ? 18 Deck ? 23 ' Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Levei ? 24 Storm Damage ? 05 3-piex 0 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr q 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Atteration ? 37 Demolish Bldg' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ` Give PCA handout to appiicant for demolition permit GENERAL INFORMATION , Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building 13W Census Code SAC Code &/_ No. of Units G No. of Bldgs ? MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review License MClES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Valuation: $ /2? 1 . % SAC CTTY USE OtiLY LOT _?_ BL RECEIPT #: 11033 SUBD. f:jVY W fla.? H`?S ? RECEIPT DATE: MECHANICAL PERMIT 1999 MEcHANICAL PERMtT (REsinErrrIAW CIi'Y OF £AfiHN SSSO PILOT KFOB RD gA6AP MN 5S1 £E (651)681-4675 . Date• Complete this section on if you are installing HVAC in a single family dwelling, townhome or condo under • FiVAC: 0-100 B T U $ 30.00 ADDI NAL 50 M BTU 6.00 • Gas outlets (minimum of one re uired @$3.00 ea.) State Surchazge .50 Total $ Complete this section aelv if you are remodel g, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate iFit is a new it , alterafion, or repair. _ New Alteration Repair V' Other Reminder.• Ca11681- (75 for inspections. Fumace _ Air exchanger BSRf 64M%sk, d'a e'Z1W'0J(e.Fmsl Gc???° ? vU?t OPAJ? ?Pe ?e SITE ADDRESS OWNER NAME: _ INSTALLER NAME: STREET ADDRESS: CITY: FZt Air conditioning ? Other V140q $ 30.00 State urchazge Minimu?Total Due $ 30.50 PHONE #: Xt4; f -/Ows- 7w (A?E) _ PHONE (AREA CODE) STATE: P7 ZIP:25iW _. • . CITY USE ONLY L BL RECEIPT#: SUBD. RECEIPT DATE: APPROVED BY: . INSPECTOR MECHANICAL PERMIT #: 1999 MEctAviCAl. PERMrr (coMME[tClAL) cm'of' EAeAx 3$30 PILOT KNOB ftD EA6AN, hIN 55122 (651) s81-4s95 Please complete for: all commerciai/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK Tl'PE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank (Minimum Fee) _ Processed Piping (Minimum Fee) "*NOTE: When installing/removing underground tank, ca11 65 1-681-4675 for inspection by fire mazshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, wluchever is greater. CONTRACT PRICE x 1°/a PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IIvfPROVEMENTS ONL7): INSTALLER: ADDRESS: ` CITY: ($.50 per $1,000 of permit fee due on all pe:miu.) PHONE #: (AREA CODE) PHUNE #: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITIEE CLA1M VOUCHER- REFUND REQUEST CITY OF EACAN MAKE CHECK PAYABLE TO: Centraire Heating & A/C Inc. ADDRESS: 7402 Washington Ave Eden Prairie, MN 55344 LOCATION: 4715 Hazeltine Lane P.LD./LEGAL: Lt 3, BI 1, Fairway Hills 3rd RECEIPT #/DATE: 114833/8-4-99 VALUATIOfY: REASON FOR REFUND: Permit Not Needed PERMIT #: 37129 TYPE OF REFUND: Elechical Permit 3211-9001 $ Plumbing Permit 3212-9001 $ Mechanical Permi[ 3213-9001 $ 30.00 Building Permit Fee 3210-9001 $ Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 $ SAC (Ciry) 3866-9379 $ SAC (Admin) 3446-9001 $ Water Connection 3865-9220 $ Sewer Permit 3743-9220 S Water Permit 3713-9220 $ Account Deposit 2252-9220 $ Water Meter 3716-9220 $ Water Treatment 3868-9220 s Surchazge 2155-9001 $ .50 Utility Acct Overpayment 2250-9220 S Curb Box Deposit Refund 2253-9220 $ Construction Meter Dep Refund 2254-9220 S Water Usage Chazge 3711-9220 $ Other $ TOTAL $ 30.50 I declare under the penalties of law that this account, claim, or demand isjust and that no part of it has been paid. DATE QV,NATURE S-f L BL CITY USE ONLY RECEIPT #: J?P_154P d SUBD. DATE: 4A 9 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit _ New construction 1,"?'Add-on furnaee- Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 sIV TOTAL a0 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 FEES SITE ADDRESS: :17/5- /?zeNke4ue OWNER PHONE #: 6?103 INSTALLER NAM STREET CITY: 15Em' kwffe STATE:1-11(r ZIP: PHONE #: (?,/Z) q¢? lD? 1:-z-12- 5 7 14 1 CITY USE ONLY L BL Sl1BD. RECEIPT #: DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee 4C 1% of contract price, whichever is greater. ? Pracessed piping - $25.00 ? State surcharge of $.50 per $1,000 of r i fee due on all permits. CQNTRACT PRIGE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL INTERIOR IMPROVEMENT SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: _ CITY: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE TELEPHONE #: STATE: ZIP: CITY INSPECTOR 40" City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ? [;??Ti ?L' OCT 14 2008 ?. J ------------ ? FoF;??,tl? ' ??3 ? I Permit #: ' I Pertnit Fee: i ?D v i ? Date Received: ? I ? ? Staff: -------- ---------J , 2008 MECHANICAL PERMIT APPLICATION Date: 1R V? Site Address: u'12 ? Tenant: Suite #: RESIDENT / OWNER Name: Phone: (D `S i, - Address / City / Zip: CONTRACTOR Name: ?License #: Address: mu ?' IV ? `? i C? L4' Q City: .;?' t,4' State:1A?v?j_Zip: ?--?7 Phone: ntact Person: TYPE OF WORK - New -Neplacement _ Additional _ Altera'on D molition Descrlption of work: i"A NOTE: Both roof mounted and gr und mounfed mechanfcal equfpment is requlred fa - be screened by City Code, Please contact the MechaniCal Inspecfor oY one oi the Planners for information on- ermitted screenin`.methads:? ; - PERMIT TYPE RESIDENTIAL COMMERCIAL F Interior Improvement New Consfruction ? umace _ _ Air Conditioner _ Jnstall Piping _ Processed Air Exchanger _ Gas _ Erzterior HVAC Unit ?leat Pum ` HVAC units must be screened p Under / Above ground Tank (_ Install / Remove) Other " When installing/removing tank(s), call for inspection by Fre Marshal and Plumbin Ins ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Flre r8pdir (replace burned out appliances, ductwork, etc.) (inCludes $.50 State Surcharge) $-? TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) _$ Permit Fee - If Permit g is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each =$ State Surcharge $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). $ TOTAL FEE i nereoy acKnowieqge ihat this iniorrnation is complete and accurate; that the work will be in corNormance wifh the ordinances and codes of the City of Eagan; tha[ I understand ihis is not a permd, but only an application for a permit, and work is not to start wilhout a permit; that ihe work will. e i?tlance with the approved plan in the case of work which requir@S a review and approval ot plans. X l ? Applic?ant's rio ° Name ? Aoo?tiCa" 's i re FOR OPFICE USE Required inspections: _Under Ground _ Rough In -Air Test Gas Service Test PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147808 Date Issued:02/06/2018 Permit Category:ePermit Site Address: 4715 Hazeltine Lane Lot:3 Block: 1 Addition: Fairway Hills 3rd PID:10-25602-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Nicholas Leatherman 4715 Hazeltine Lane Eagan MN 55123 (906) 370-1385 Centraire Heating & Air Conditioning 7402 Washington Ave Eden Prairie MN 55344 (952) 941-1044 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA178307 Date Issued:08/10/2022 Permit Category:ePermit Site Address: 4715 Hazeltine Lane Lot:3 Block: 1 Addition: Fairway Hills 3rd PID:10-25602-01-030 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 - Nicolas & Emily Leatherman 4715 Hazeltine Ln Eagan MN 55123 S & R Appliance Repair 4118 Hoffman Road White Bear Lake MN 55110 (651) 429-0001 Applicant/Permitee: Signature Issued By: Signature