4719 Hazeltine LaneI CITY OF EAGAN PERMIT TYPE: .1111 DI"h
3830 Pilot Knob Road Permit Number:
Eagan, MinnesOta 55122-1897 Date Issued:
(612) 681-4675
7 77
SITE ADDRESS: APPLICANT:
ret I A f4 1 • r???,; ? ? ; ??N , t. h u{; i
?
PERMIT SUBTYPE:
11 . I ; I , fI
TYPE OF WORK:
? ?!
INSPECTION .• . DA
1 f 1;/11
I liRtl
kMI i 1 1. ?rr-i) uf
Vf I1114f;lN6 f)k i:l 1+ ff:ICAI W7ftl
IF ?
? ?
-------------------------
Pennit No. Pertnit Holder Teleplwne M
ELECTRIC ,a7 XUAk
d
PLUMBING
HVAC .c
In:pecn«, oabs Insp. commonts
FOOTINGS +
FOUND . ? '
t
FRAMING ? f/ •
ROOFING "
ROUGH
PLUMBING
x- •
'
PLBG
AIR TEST ,
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL .
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
zEFT' AqAaer/w N077 Yl c3 lon
l-*P,
riv? ?
I CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
I I i r,i
PERMIT SUBTYPE:
INSPECTIQN RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
1 AW
TYPE OF WORK:
lst? i I Nn,. I I I I I NAI
iii? i i a i Nii
N:'.{s•141
Nt,/A1.; 1 4
?
J
Permk No. Permlt Holder Dato Telephone M
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commenb
Footings I
Foundation
Framing
Raofing "
Rough Plbg.
Rou9h Ht9•
Isul.
Freplece
Fnal Htg.
orsat rest
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Fnal 1 ? u-e
1
1vd
weli
Pr. Disp.
CASH RECEIPT 0.
CITY UF EAGAN
3830 PILOT KNOB ROAD ,
EAGAN, MINNESOTA 55122
onre ??`- ?.-' • ie ?
C ?
aec?o r t 1 ? 1 .
sno4 • } i • (' (,, •
AMOUNT S ' ( f' ?
+ & +oo DOLIARS
O CASH ?CHECK
? --
????"'•?l --
! j
(; 15n97 Whda-P."m Cbp„ ?/?`{?
Yellow-Rpstirg Copy ?`?f
Pink--f'Ya Copy v~
Thank You ,, ;sv :; f
SEWER & WATER PERMIT
CITY'OF EAbAN
3830 Pilot Knob Rd.
Eagan, MN 55122;48?7
f,
DATE Auc zo, 1yy1
METER #
CHIP #
METER SIZE
ISSUE DATE
- PRV x'
SITEADDRESS 4711? I Ar..°.1,2'ItIE Llv
LOT '?' BLOCK 1 SEC/SUB FAIkWAY HILLS 3RD
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: _
PLUMBER: NYBO-pETERSON PLUMBING CO
ADDRESS: 6606 2E0TH SY
CITY, STATE
PHONE: UEBsTF.R P41 Zlp 55068
461-2744
OWNER: SONS COH5T&UCTIUN C0
ADDRESS: 4600 gA I kWAY li I I.LS DF
CITY, STATE
PHONE: EAGAN N.N Zip 55123
452-89b4
ZIP
E. vna. I
PERMITDATE 0$/26/91
PERMIT # 12231
B.P. RECEIPT # C 1509 i
B.P. RECEIPT DATE 0823 gl
PERMIT REQUESTED
x SEWER X WATER TAPS
- COMM/IND ? RESIDENTIAL
k NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of D.amestic Meters on Water Line.
Eredit WILL; NQT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKINC3 DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE AUG 20. 1991
OFfICE USE ONLY
METER # yy 9??% 6.S PERMIT DATE 08 /2 U i'l1
CHIP # 4,4 3 111 ?7 yO PERMIT # 122 : 1
METER SIZE p'v u 5? B.P. RECEIPT # C 1 5;?') i
ISSUE DATE B.P. RECEIPT DATE ?-' 2?
_ PRV Y BOOSTER PUMPgo6 sf?T PA-" n
SITE ADDRESS 471', ;,AZELTIptE LN
, LOT `* BLOCK 1 SEC/SUB FAIRWAY HILLS 3R ;
I APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
? PLUMBER: NYBO-PETERSON PLU;4BING CO
I ADDRESS: 6606 2$07H 5T
' CITY, STATE
PHONE: k'F.BSTI:R Iffd ZIP Sro` g
461-2749
?
? OWNER:
SGNS CONSTRUCTION CJ
' ADDRESS: 4600 FAIRWAY HILLS Blt
CITY, STATE
' PHONE: EAGAN I;!r' "- • Zfp -- 5.5123
452-8984
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL
SEWER PERMITS, CONTACT ENGINEERING DEPT.
PERMIT REUUESTED
X SEWER - WATER _ TAPS
_ COMM'IND
X NEW
X RESIDENTIAL
EXISTING
Lawn Sprinkter Meters are to be Instailed
Ahead of. QoMestic Meters on Water Line.
Creoit WIL4 NOT be given for Deduct Meters.
i
TO COMPIY WITH CITY OF
?
TURE WHEN METM ISSUED
454-5220 FOA INSPECTIONS. FOR STORM
# • a aw
O
(In#i#irafP of (Orrupanry
titp of (tagan
arpwrtrnrttt a# Wwlding iwtnimt
This Cenifica[e issued pursuant to the requirements of Section 306 of the Uniform Buildrng
Code certifying that at the tinre of usuarrce this structure was in complia?rce with the various
ondinairces of the City regulating building corrstnrctiox vr use. For the following.•
? ?mbm AF DOGAR 14574
R3 I z?? Disma RI ?. ? H?. VN
o??e ?9U35 !7QV5II??LTIQd ?JO ? 4600 FAIE?n1FAII1.S IR., EAGAN
&,?kng AM? 471q HAXEL.TINE LW L-amy L4, BI, FAIRWAY HII1S 3RD
1 t/ 12/91
POST IN A CONSPICUOUS PLACE
c , '_'*?'
BUILDING
_,;. .
`? :1' . •r""•' f
Site Address _ 4719 ELwXt!t?
Lot -9? Biock _I Se
Parcel No.
CITY OF EAGAN 1 - :?
Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt # 4?- ` 0,:: t - 7
Name gOM COMS7'QT1C'1'ICEN . M_
Address _4fiM P.AISVAY RT1.L4 DIc-
Ciry ?AGAN . Phone 652..8984
. o Name SA1E
z i-
04 Address
U¢
_ ? City Phone
i and state that the
applicable State of
on the express condition that all wark shall 6e done in accordance with all
OFFIC E USE ONLY
Occupancy R-3 -N--1 FEES
Zoning j&--1
(Actual) Const --? Bldg. Permit 801,
?
(Allowable) -?? 3
W
Surcharge 1
.j
# of Stories -
Length _fal Plan Review 520• ?
Depth SAC. City 100,?
S.F. Total - SAC, MCVM?_q__ 650,?
S.F. Footprints -
On Site Sewage _ Water Conn 6W.?
On Sfte well water Meter 95.00
MWCC System x
?
City Water ? .oo
Acct. Deposil
PRV Required _ S1W Permil 30-?
Booster Pump -?- S!W Surcharge - ?
Treatment PI 27b.Qd
APPROVALS Road Unit 370•00
Planner - Park Ded.
Council
BIdg.Off. _ Copies
Uariance - TOTAL 3,605.
?
Permit No. Permit Holder Date Telephone #
WATER
SEWEfl
PLUMBING
r
H.V.A.C. , yI /7 J ' /Az
ELECTRIC
,
tnspection Date Insp. Comments
Footings I f Q ,(&J,l?
Foundation d9 ?l 44&
Framing ? Q &J
Roofing
Rough PI6g.
Rough Htg.
251, , /i
I5ul. o- o ?, Ds
Fireplace JO !'s ; / P f -4- Z < ? Id ,S
Final Htg.
Orstat Test
Final Pibg_ Plbg. Inspector - Natity Plumber
Const. Meter
Engr.lPlan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
DATE:
AUG 26, 1991
.. , .-?;
RE: 4719,FiAZELTINE LN (SONS CONSTBUCTION CO)
X- Your Sewer & WaterAermit for the above properry has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE 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 following
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
_ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
conllrmed by Bill Adams or Dirk House (Plumbing Inspectors - 454•8100) betore issuance.
i
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICV.
Secretary, Building lnspections Dept.
Address: 4719 HAZELTINE LgE Lot 4 Blk ] Sec/Sub FAEBWAY HIfS.S 3RD
These items were/were not complete at the time of t e final inspection.
1 /]2/91 Yes No
Fina1 grade (b" from siding)
Permanent steps - garage '
Permanent steps - main entry
Permanent dxiveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basemant finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-ofE of water supply to the outside lawn faucet before
freeze potentlal exists. ?
eameo?.rtn
White - City copy Yellow - Resident copy Pink.- Contractor copy
CITY OF EAGAN N2 19579
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55127
PHONE: 454,6100 -7
BUICDING PERMIT Receipt #
Tobeusedtor SF°DWG/GAR Est.Value $146,000 Date AUG 20 19 91
Site Address 4719 HAZELTINE LN
lot 4 Block 1 SeGSUbFAIRWAY HILLS 3R1
Parcel No.
W I Name SONS CONSTRUCTION CO
o Address 4600 FAIRWAY HILLS DR
City EAGAN Phone 452-8984
Name _
Address
Phone
Name _
Address
clry _
Phone
I hre
eby acknowlege tve reais applicalion antl state that the
nbrmation s correct e lo ly i? all applicable Slate of
Mnnesota Statutes g ?r\ ?
SignaWre ol Permilee 1 U°
A euilding Permit is issued to: SONS ONSTRUCTION CO
on Ihe express condition ihat all work shall be tlone in accordance wiih all
applicabla Sta1e of Mi? nesota Slalutes and City of Eagan Ordinances.
Building Olticiai
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning R-1
fAcmaq Const V-N Bldg. Parmit 801.00
(Allowable) V-N Surcharge 73•00
M ol Stories
§2 ?
Plan Review
520.00
Length
Depth 3 $? SAC, Ciry 100.00
S.F. mtai - sac. McwCC 650.00
S.F. Footprinis -
On Site Sewage _ Water Conn 660.0
0
On Sile Well Water Mater 95.00
MWCCSystem X
X
A?t. Depasit
30.00
City Water
PRV Required _ SPN Permil 30- nn
Baoster Pump SM! Surcharge - 50
Trealment PI
0
276.0
APPROVALS RoadUnit 370.00
Planner - park Ded.
Council
eldg.Ofl. _ Capies
Vanance - TOTAL 1, 605.5
0
.., ,?-
/0/- 8-7/
? 3 8
2 2 0 0° B 1 ,, , , 3`f ? 015 `°
ReQuest Date ? No.
n"e Raugh-in In tion
Requiretl?
?eetly Now ? Will NoH ' br
?Yes No ?Y
I. licensed contractor ? owner hereby requast inspection of above electriral wor at:
JopAtlUre (SIr9M.? orRoute J .
9 Cr A,,- Cm,
6C( C
Sec(On . Town8hip ame or No. Renge N0. Cou 1
?L
CC r l
Occupant INT)
? L( 4.e ? Pharw No.
Po SuPOlier qddrqys
U
Elecmc onveclor (Canpeny Name) ?.,
C "?'( ?i1 C?t"f' Y d a.? L Coni t x § Licansa No. ?
C?
Mailing AGtl (COnttazror ar Ow Making Installalion)
?
U `
'
Au1M ze Sgnature fC mr9ctor/Ow?r 9kiNg I sWllaf n Phone LmOer
?
?
NIN q STpTE?RqD OFLLECT111GfY - THIS INSPECTION REOUEST WILL NpT .. .
G B bway 6Wq. - Raom S17J BE ACCEPTED BY THE SiATE 00ARD
1l21 UnlverYy Aw., St Paul, MN 55101 UNLESS PROPER INSPECTION FEE IS -
Phone (812) 642?0800 ENGlOSED.
7 2
7
y d
p
5
1 ,L
,
o0
Repuest Date
9/ 16/ 91 Fre No. Ro gh-in Inspeclion
R wretl?
? Featly Now ?Will Noti?y Inspector
- ves ?`: nlo Wnen Ready?
I7X licensed contractor ] owner hereby request inspection of above electrical work at:
Job Atltlress IStreet Box or Roule Noj City
4719 Hazeltine Eagan
SecUOn No. TownSM1ip Name or No. Range No. Counly
Dakota
OccupantlPRINTt Phone No.
Sons Construction 452-5355
Powei Suppher Atlaress
Dakota Electric 4300 220 St. W., Farmington, MN 5
EIecV¢al Conhacror (Compeny Name) Conttac[or's Lcense No.
Joos Electric Co. AM01895
Mailing Aotlress iCOmracmr or Owner Makinq Installation,
2104 Great Oaks Drive Burnsville, MN 55337
AuOOrizec $ignature iCOmrettn.Owner Ma'cing s?allati ?J Poone Number
i? 431-4755
MINNESOTA STATE BOAflD OF ELECTqICITY THIS INSPEGTION REOUEST WILL NOT
Gtlggs-Mitlway Bldg. - Room 5-1]3 • BE ACCEPTED BV THE STATE BOARp
1821 Universily Ave.. St. Paul, MN 55104 . UNLESS PROPER MSPEGTION PEE IS
Phonef612)60b0800 ENCLOSED.
,2,3/j/ J REQUEST FOR ELECTRICAL INSPECTION ee-oooovoa
? ? See'mimctions lor WmpleOng thls torm on Deck of yallaw mpy. s Vi?' ?I' /
QS 72-1 -] "X" Below Work Eovered.by This Request
eri Atld Rep. TypeotBuilding AppliancesWired EquipmentWired
X Home Range Temporary Service
Duplex Water Heater Electric Hea[ing
Apt Building Dryer Other(Specify)
Comm./Industrial Fumace
Farm Alr Condltioner
OIM1er(syeaty) ConVecto:'sRemaBS.
Compute lnspectian Fee 8elow:
# Other Fee # ServiceEnlrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 1 0 to 200 Amps 1 0 to 100 Amps
Transtormers Above 200 Amps Amps
Si9n5 InspectorY Use Only. TO7AL
Irrigation 8ooms $65.50
Special Inspection
Alarm/Communica[ion THIS tNSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee . COMPLETED WITHIN 1 NTHS
I, the Electrical Inspector, hereby Ro?9n-m o
^
certify that ihe above inspection has
been made. F;oai , f oa?e
OFFICE USE ONLV
Th4 2quB51 voitl 18 moNhs Irom
9s REQUEST FOR ELECTRICAL INSPECTION ; ee-ooooi-os
10o See instrur,llons tor completing Ihis torm on back oi yellow copy. ?
00 787 ? ?f
. "X" Below.Work Covered by This Request -k
Ne Add Rep. Type of Building ?Rppiiahces Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specity)
Farm Air Contlitioner
Othm (specily) Gomnctor'.s Remnrks:
Campute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Paol 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps 100 -Amps
Slgns insperrors Use onry: r ` TOTAtp,
Irngation Booms
Special InspecUOn
AlarmlCommunication THIS INSTALLATION MAY BE SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rmign-irr
cedify that the above inspection has
been made. F".3i oaie
OFFICE USE ONLY
This request voitl 18 monlhs fmm
XL/?G '7'7 I
0 0 W
Request Dfite F e No. Rough-In In ?ion Reqviretl
(`?u mus z specbr when reatly)
I 1 Inspec?ion Olher Tpan Roughln
? Ready Now E] Will Notify Inspeclor
? Ves ? N. Date Read
I? licensed coniractor ?owner hereby request inspection of above electrical work at:
Job Aatlress (SYreel, eox or Rome Na.) . Ciry
?7I9 #or- (Z
Seclion No. Towaship Namo or No. Range No. ? Counly ?
?
Ocw ant , PqINn
?
'"
? Phone No.
( <<,C w S U la/
I
?. /
Pawer Supplier Atloress
n"
Eleclncal Contraclor (COmpany Name)
LE FRAM+.;? El-F.C.1NC CoNrador's License No.
C. :
Mailing AdOress (Conlrador or Owner Making Instaliation)
? OR1Dt? LAr1E APPl.E VALIEY PA9d 55 i 24
3
Aulhorizatl Signalu onlr , in? Installation) Phone Numtier
'
1639-6364
MINNESOTA S?91TEkOAq? OF ELECTflICITY THIS INSPECTION REOl1E5T WILL NOT
Gnggs-MiOway Bltlg. - Hoom Sd28 BE ACCEPTFD BY THE STATE BOARD
1821 University Ave., SL Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Vhone(612)6CY-0800 ENCLOSED.
RESIDF,%TIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conetruction Rwuiremanls
• 3 registered sile surveys showing sq. ft. of lot sq. ft of hause; aM all ruofed areas
(20°h mmimum lot coverage allawed)
• 2 copies of plan showirg beam 8 window s¢es; poured found design, etc.)
• 1 set of Energy Calalations
. 3 copies of Tree Preservatian Plan if lot patted aRer 7/1193
• Run Joisl Defail Optiore selection sheet (61dgs wBh 3 or lesa units)
DATE I (0 - O C v. .Q 2L
aa S >s
RemodellReoair ReauiremeMe
. 2 copies of plan
• 1 set of Energy CakuWUons for heated add'Rians
• iskewrvayforexterioradditions&decks
• Indicate rf home sened by sep6c system for additiore
VALUATION
SITE ADDRESS Li N-9- LQ._P? MULTI-FAMILY BLDG _ Y ?C N
TYPE OP
APPUCANT
STREET ADDRESS
TELEPHONE# ??S•?y5•I4C`D CE
PROPERTY OWNER
Yeila Winclows & Doors
15300-25tlh .Ave. N. Ste. #100
Plyanoutlx, MN 55447
COMPLETE POR "NEW" RESIDENTIAL
0 1 2
STATE _ ZIP
kX #
TELEPHONE #
NT
Energy Code Category _ MINNCSOTA RULES 9670 CATEGORY 1
(J suhmission type) • Residentlal Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _
P1umUing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that 1 have read this appiication, state that the'6formation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan r inances.
SlgnWureofApplicant? ( ? I ???? ?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Water Softener
Water Heatcr
_ No. of Baths
New Energy Code
Submitted
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
OEEICE USE ONLY
0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Poroh (3-sea.) ? 31 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 p&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
O 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demalish (Bldg)' ? 43 Reroof O 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handaut to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ FIaminB _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Pertnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
Wd9C:l `8 •unp awil paniaaaa
Pd1a Wiadows Sc Doors _ Twin Ciries> Ina 15300 25TH AVE. N. STE. #100
PLYMOU'I'H, MN 55447
? 763/745-1400
?
?r
June 8, 2001
Ciry of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
Dear Jan:
Elder Jones Corporation is authorized to pull building permits for Pella Windows &
Doors - 'Itwin Ciries, Inc. Please allow their representative to provide that service for us
in Eagan. This authorization shall be valid untii such rime as the division manager
expressly revokes it, in writing to the City.
I request that this authorization be accepted expeditiously, so as to not delay the
processing of'our building permits any further. Please call me if thete aze any questions,
1 can be conYacted at 763-745-1432.
Your iirunediate attention to this matter is appreciated.
' cerely, ?
---?.
Bryan . May
Replacement Salex Manager
TIEW,
Mh
?ore?na?nm.u.woe
cc: Kaza - Eldcr 7ones
Denna Krafly - ReplacemenY Sales Process Coordinator
Windows, Doors,
& Skyt,ghrs
WATS 1-800-062-5359
FAX 763(145-1401
7nnfiT CATTTn AIT11T?II.I bIRT Cb/ 7TO VHa lTiCT TUJ TIl/O!1/0!1
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55722
14 ? 651-687-4875
NewConaWCtlon Reauirements
• 3 registered site suneys showing sq. 8, of lot, sq. fl. of house; and all roofed areas
(20% mauimum lot coverege allowed)
• 2 copies af plan showing 6eam & window sizes; poured found design, elc.)
• 1 set af Energy Calculatiore
• 3 copies of Tree Preservation Plan rf lot plaCed after 711193
• Rim Joist Detail Options seleGion sheet (bidgs wBh 3 or less unils)
DATE 1?? q - v 0'
SITE
TYPF
iULTI-FAMILY BLDG _Y $s1V
FIREPLACE(S) _ 0 _ 1 _ 2
APPUCANT , 1C.Q0 C ? ; I t'(x (?TU
STREETADDRESS ( CITY r.3 -i(STATEALZIP 5533
TELEPHONE ?jd747-6999 CELL PHONE # FAX #Cf?J?? -7 "1 L) a?S
PROPERTYOWNER IC fC'_K TELEPHONE4(GSI) L(06^<j 1 tG
COMPLETE THIS SECTION FOR KNEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MIi?.l? ??(/f
(J submission lype) . Residential Ventilation Category t Worksheet Submitted • Tn y d?V?ks4fee
• Energy Envelope Calculations Su6mitted JUN 0 6 2002
Plumbing Conhactor: _
Plumbing syslem includes:
Mechanical Contractor.
Mcchanical system includes:
Sewer/W ater Confractor.
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $70.00
----°---------------------------------°-----°----°------------------------------------°-------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eogan OrytinanGes. Al) n _
Sfgnature of Applicant
--------°°------------------ °--°-------------------------------------------------------- -------------- ------------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
_ Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
I.awn Sprinklcr
No. of R.I. Baths
i yQ >s-
RemodeUReoair Reouiremenls
• 2 cnpies of plan
• 1 set o( Energy Calculations for healed addiUOns
. 1 site survey for e#erior adddians 8 decks
. Indicate if home served hy sepGC system for eddNOns
/_ aU
VALUATION lU, ? ?? •
OFFICE USE ONLY
.
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 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 only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ piwnbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
- FraminB Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ 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
Building Inspector
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: a BLOCK: 1 APPLICANT:
4719 HA2ELTINE LANE LEONARD HOMES, SCOTT
FAIRWAY HILLS 3R0 (612) 454-7992
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
BUSLDING
023501
05/05/94
INSPECTION .. . ..
FOOTINGS FTNAL
? ?
4CITY OF EAGId?N PERMIT CJ?/? a3
u ? o r N?
3830 Pilot Knob Road PERMIT TvPE:
Eagan, Minnesota 55123 Permit Number: 023501
(612) 681-4675 Date Issued: 0 5/ 0 5 J 9 4
SITE ADDRESS:
4719 HAZELTINE LANE
LOT: 4 BLOCK: 1
FAIftWAY HILL3 3RD
P.I.N.: 10-25602-040-01
DESCRIPTION:
Bu'ild?ing` permit Type DECK
Building lJo`rk Type NEW
\
?
` ?,-
'
??L! ? `-?
?G???
REMARKS
FEE SUMMARY
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
LEONRRD HQMES, SCOTT
12084 GANTRY LN
APPLE VALLEY MN
(612) 454-7992
- Applicant - ST. LIC
14547992 2000436
55124
OWNER:
STAUBER ALAN
9719 HAZELTINE LN
EA6AN MN 55122
(612)688-7704
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ofi Mn.
Statutes and City ofi Eagan Ordinances.
APPLICANTIPEFMITEE SIGNATURE ISSUED B. SI ATUR
?
,
236
CITY OF EAGAN
of 1994 BUILDING PERMIT APPLICATION
fi81-4675
?3 0 IZ) 0
3 1994
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date .S / _3 / ? Valuation of work .2G'C?Ge 0_0
Site Address: '?F7I9 M'AZ?-? Lk)
SiREEi SUtTE M
Tenant Name: (cammercial only)
LOT BLOCK SIIBD. ?.ov?Y?faZL$ P.I.D. #
Descri tion of mork: Cf
The applicant is: )Fro'wner ? Contractor ? Other (Describe)
Name 57-F}ti(ZF4z AL? Phone lnF3R-77
Property LAST FIRST
Own@I' Address L{7l ? Lvt1
STREET STE #
City ?-GA-A) State '?"IN Zip 5S(o2d--
one
Company SC077J LEQAJ442.t) 1}{e2MPS Ph
Contractor I?
?/.O/1?I y? ?V
Address /9e?,4-/ G4-A? L-A,/ License Exp.3-30S
SS?
City 4a? Vqt? State ?*V Z i p
Company Phone
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:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O OI Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
10 31New
? 32 Addition
O 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
P 15 Deck
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Staries
Length
Depth
APPROVALS
Planning
fngineering
REQUIRED INSPECTIONS
?.Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint 5q. ft.
On-site well
On-site sewage
Building
Variance
153 Faoting
[0 Final
? Framing
? Draintile
? Insulation
? fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
velLmtim: $
?
.
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code o/
Census Bldg /
Census Unit o
Assessments
SAC %
5AC Units
NUti 09 '91 12:14 T0 4525355 FROh1 PROBE EPIGINEERIN'i T-511 R.01
fl0 8 6 p *.?
7zs al ? P?RNN?Ni gi1JD?Anp:;uqVfYoA; B,C /63 '
I.INGINGGRING
COMPAIVY, INC. pb 3?
? IUNU EABi I46m BTflEBT, BUflNBVl44E, MINHE60IA 06311 PN iD3'ODt1Q
Certificate af Surve_y . ?
Lega Descr?ptlan: coT 4, ar.ac,e i, Fa.eway ,c?ius A4a av071441,
DA"Tq CAr/NN M/NNESdTA.
DENOTES EXISTINQ ELEYATION '
DENOT68 PROPOSED ELEYATION
,.. INDICATES DIRECTION QF BUFiFACE QRAINAtiE
0.3/ /-83 R FIN{8NED GARAQE F1.00Fi EI.EVATION
49z4• 6 s BASEMENT FLOOFI ELEYATION
1,03Z,14 ? TOP OP BLOCK ELEVATION
SCALfi l 1' - 39'
D94/N46E AND
UT/L/TY E9SEMENT
?cas,
L ?
Cj
r ;
?
r ?I
? J
r`
?
? J
?
I
D
I
I
W?
? o
e? o
e ?
0 ?
h ?
?
i
?
'D
Qo?•??
-o- DENOTES RiGHT OF ACCESS
DEDICATEP TO QAKQTA CQONTY
1 ( 1'!" -1
L -.' 1 J
N 89' ?3' 41 ? E
f 4!. ?
BOOSTER PUMP
REQUIRED
Io ? ??o? •
g ?.?
e
?
? a --
(3
I ? ???•3l kj
( {\ ? ? ? - t2._a
,.
io I? ?/??yZ.93 5) E
?' s N 1 n° 51 G.%
? t
1 ? / I
l.-J 1
Z?.? •
A
?
?031?s 0 JI
6'94/'
N? Ni
. wo i,ecivr avicoiN6
SETa9CK L/NE
r
. • ?---?.:--?
•'.%j;3tiiY EtJixT ?;f
1 t?e?o?y oortlly lliul IIJa Is w Iium ruJ ooneol topNsePlalluu ol P Uaol u'.
. . _-
.I?W,ii' .. . .
oi
1NSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:P'I'N.: 1e-25ee2-e4e-e1 APPLICANT:
LOT: 4 BLQCK: 1
4719 HAZELTINE LANE M0HLIS CONST, KURT
FAIRWAY HILLS 3RD (612) 469-5797
PERMIT SUBTYPE:
BASEMENT FINISH
TYPE OF WORK:
BUILDING
026127
07/28/95
ALTERATION
INSPECTION
FRAMING .. •
INSULATION D.
OUGH TN PLBG FTNAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAI. WORK
?
?
?
`?
PERMIT
MY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
026127
07J2$/95
SITE ADDRESS:
4719 HAZELTINE LANE
LOT: 4 BLOCK: 1
FAIRWAY HILLS 3RD
P.I.N.: 10-25682-040-01
DESCRIPTION:
Bw'ildinjf?!_P,ermit Type
Building Wo?rk Type
f'
`t
E
-?
`a^
?.
9
.{i
BASEMENT FINISH
ALTERATION
li
? t ?i-
'? t
,. .._ \`. ... ?. . _ ,., a .... , .,
-
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: - Applicant - 5T. LIc. OWNER:
MOHLIS CONS7, KURT 14695797 20012946 MUN50N RICH
24930 CEDAF2 AVE WILDERNESS RUN RD
FARMINGTON MN 55024 EA6AN MN 55123
(612) 469-5797 (612)452-0020
I hereby acknowledge that I have read this application and state that the
irtformation is correct and agree to comply with a11 applicable $tate of Mn.
Statutes and City of Eagart Ordinances.
L ?
A LICANT/P MITEE SIGNATURE ISSUED BY: IGNT? ???
lif CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1895 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 repiMerod ske aurveYg ?2 coPiea of plan
? 2 copiea of plena (undude beam & windav sizes; poured fid. design; etc.) ? 2 site surveys (exlerior addklona 8 dedcs) ? 7 energy calalatiOnS ? 1 energy plculeUons tnt heeted additions
? 3 copiea M tree preaerveUon plan iF lot plaked after 7l7/83
required: _ Ves No
DATE: CONSTRUCTIONCOST:?/ ZZ 06-16:1 oo?d?
DESCRIPTION OF WORK: ?kz??'?'?r i`?i•c.1/$y/
STREET ADDRESS:
LOT I? BLOCK Q ? 12
___
SUBD./P.I.D. #: L .
J
?
PROPERTY Name: l? 19O?'J DAJ C tL Phone #: QSZ' 00z-s2
OWNER ?* M^
e
StreetAddress- l?u 126.
City: State: 19il.v ZiP: ?S/z 3
CoNTRACTOrt Company: !'"f' ?wfL i 5 Phone #: 4(e`Ls797
Street Address: zq9 3 v 2,5?' AU License #- I Z`t4CP
City: State: ,dlM-) Zip• 55ciZ4
ARCHITECT/ Company: Phone #
ENGINEER
Name: Registration #Street Address-
City: State: Zip:
Sewer & water licensed plumber.???i??C.?ro? ?L-?."i Py,?G. ? HE4f7A/4-_Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the infortnation is correct and agrce to comply wfth all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certifiptes of Survey Received
Tree Preservation Plan Received
Signature of Applicant:
_ Yes _ No
_ Yes _ No
r?
???EN/ED
.(UL 2 6 1995
--------- -----
OFFICE USE ONLY
R
ti
? . '
BUILDING PERMIT TYPE ` . •- r
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o-Aa4A6 Basement Finish
0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
? 31 New -e=?13 Akerations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MCNVS System
(Allowable) Main ieve l 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. Y
Depth Footprint sq. ft. SAC Code
Census Bldg _L
Census Unit
APPROVALS
Planning Building Engineering Variance
?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
valuation: $ 13-?z
% SAC
SAC Units
y 1991 BAG119PLZCATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MULTIPLE DWELLINGS
OuIU1l
;\?1-p
CO?II4EERCIAL J
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 CALCULP.TIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
YENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 7 Fam. nPt_ Valuation: msm= Date: _34-91
Site Address 4719 Ha7.alt;na-R.- jn
Lot 4 Block 1
Parcel/Sub
Fairway Hills 3Rd. Addn.
Owi12T SnnG Cnnct_ ("n_
Address 9600 Fairway Hills Dr.
City/Zip Code Eagan Mn. 55123
Phone 452-8984
Contractor
Addres
City/Z
Phone
Arch./Engr. 8rian Austing
Address 4600 Fairway Hills Dr.
cicy/zip
452-5355
N6, o00 -
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE USE ONLY
9-3 n1-1
R-I
V-N
V -1.1
b?. 50
3A, OO
On site sewage_
On site well
MWCC System ?
City water
PRV ?
Booster Pump
FEES
Bldg. Permit e O1,OO
Surcharge 73,cx7
Plan Review 5'L O,aa
SAC, City o oo
o
SAC, MWCC 650,0
Water Conn. ,oJ
Water Meter 9 SrUp
Acct. Deposit 3 J,nJ
S/w Permit 30.00
S/W Surcharge a"D
Treatment P1. rlb,o.?
Road Unit 0 oD
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change ?J
TOTAL
APPROVALS
Planner _
Council
Bldg. Off, d' =U;
Variance
S4r w=?ly?
agrees that all work shall be done in accordance with
0
all applicable S4ate of Minnesota Statutes and City of Eagan Ordinances.
uA r 7
GR RAGE
22 yclo =: ZZo
I9'zn2y= y68
Ga i5= /a,2,o
IS X1o ~ 150
20 k32_ = gqG
/ny (o X 14 = lybU?/
10
?ST, ?LOor2,
CiShIT, = ! D 4L
z Xf f = Z2
ZX/?= 20
?
/088 x s'3 = S7,GG?l
Z rJ.D ?l-oar? _ ?
1S' x 19??2 = -Z
Y. 118e x?3= ?2?qn
IA4s1 ?K l yG,Ow?
FLJG 09 191 12:14 T0 4525355
FROM PROBE ENGINEERING T-511 P.01
'AfloBe .;. ,
ENGlNCEflIIYG
COMPANY, INt.
SavS Cavs??cTioN
CoNfU?T N0 iN0 NEEAf
PIRNN?flf anJ ?At10 iLAYfYaRS B,C /63 '
P6 37
L?.? J?OU LABi 146fi 6iflE6T, BUANBVILLL's IAIN14E6014 663Sf PH 439•acno'411hum.
Certificate of Survey .
Legal Descriptlon: t.oT ¢, acocK iFai,ewar //ras AW .qvwr?aq,
DA"TA e4WN7,Y M/NNESUTA.
DENOTES EXISTINCi ELEVATlON '
DENOTES PROPOSED ELEVATION
BCALfi & 1' - 30'
OR4/NA6E ANO
UT/UTY E44E'1
L,
? i
•.,
/ iJ
? J
.C`
?
L?
? J
? -;
?
--?I
D
I
I
V I? ?
? D
I
?
I
?
'D
loAs.s; I
???•??
?
.. INDICATES OIRECTION OF 6URFACE DRAINAQE
03/ /,83 m FINISFiED GARAQE FLOOR FIEVATION
l02¢•(6 o BASEMENT FLOOR ELEVATION
039. . TOP OF BLOCK ELBYATION _
-0- DENOTES RKiMT OF ACCESS
DEDICATED TO DAKOTA COUNTY
1 (0)!r =1
L??' 1 ?
,?_, N sq•?3'4r'E
L - 141.10
.? ,. . .. ? e g.....
BOOSTER? .PV Ods?P -Y
REOUIRED
?n - ? _._.
--o?,s -
to ? L??, •
1 J A0.AD
? 1\ ???•? ? ? ?
? Pt.oo
L3irz',
I qp
?;
I I ? / ? y2.93 ?? ?
? s 70'
J
?f?i ?
?
;/029./? ?NI
?
l3/
)
W
,s I?
90. 33
po3/, v
6.94/ I
,
.ioAl F,ecwr evicoiN6
SETB4CK UNE
c
: AGA-',V ENG1AE;
l Heteby aer0ly thal thls h o tws yiJ awssot np1essnlalla, of s 464910
_?, . .
oi
EXTBAIOR.ENVBLOPB EN88GY COpB COUP.VTATiON WORKSHSBT
7.b Determine aa?pliance with Yhe Minnesota Fnerqy Oode
(Secticn 502 oE the Stabe Amerded 1983 ?lodel Enesgy Code)
PtOjeCt T1t1E Stauber Job
Site Address 4919 Hazeltine Dr. Eagan Mn.
1. EXPOSED WALL CALCULATiONB
AM '0" WiLUE ARFA X 'U"
A. Opaque Wall .
l. Masonry/Concrete .
b. x =
c. x ?
2. Foutr]at on Wa Gt
a. W' ZS x .01 ? 4. 7 ?
b. x .
3. Wocd Frame kT&U
a. Inatlated Area x • D4 a 4179
b. Framing Area (Ave. 158 at 160 oc) '-JA0.1 x ?n m 31.1
aming
4? ??
Y ?
4. Perira7.Floor Fdge/Rim Joist
a. 22A x ? ¦ b.8
b. x ¦
B. Glazing
1. Windaws
a. ?39L^ x .+'?3 ¦ 14(c,
b. 40 x .47 ¦ tR..Fi
2. Doors x ¦
C. Doors
l. Wood
a. Solid
- 2n x , 0(0 ¦ 1• Z
b. With storm acFor x ¦
2. Metal x ' ¦ __
3. Overhead x ?
4. Other _,.x ¦
D. Z+OPAL VAIL ARFA, sq. ft ......:............. Z?11P?
E. 7OTAL o£ AIiFA x"U" ................................................... ZLoZ 1U
II. 800F/CFILING CALCULAT10N8
A. Roof/Ceiling Insulated Area I[n 14. (e x • D L a Z• Z
B. Aoof/Ceiling Framing (Ave. 158 at 16" x) x n
C. Roof/Ceilirg Fnazaing (Ave. 10i at 24' x) l'Iq • Q Y . o Z
D. Skylight Y ?
E. TDTAL P[bF/CEII+ItG ARFA Sq. Pt .............. I-j'j 4-
F. TO'1'AAL OF AIiFA x'U" .................... .............................. 3? .$7.
I1L BUiLDING ENV8LOP8 88QUiR8M8NT8
TpML APJ96 racunm "(J• ALLOWASLB
, IFsrm I.D i II.q (8ccm V.)• (A[ea x'U")
A. Fscposea wau: x
S. Roof/Ceiling: x __707T;.
C. TO1'AI. ALIaiABi.E HUILDIIdG IIQVIIJDPE ('lbtal of A& B abwe)... ?14 S.(oZ
IV. ACTUAL BUILDIIi(i 8NY8LOPB
ACTUAL
(Area x '0")
A. Expwed Wdll (FcOm I.E)
B. Roof/CeilirxJ Iftam II.F1
C. TOTAL ACiUAL BUILDIIM FiNVIIDPL (Zbta1 oF A i 8) ............ 2 ."'1
•(Nnts code nqrle=esu if 1•:t tW III•C)
V. REQUiBED "U" YALUSS
1,9I3.9 I130F/(LING
Detached onB and two fatoily dwellings .11 ..026 .
* Multi-Fami.ly Residential Bui]dings •238 •033
(3 stacies az less in height)
* All Other Qonstruction TAes (3 storias or less) .238 .06
* A]l Orher Crnstruction Types (More than 3 atoties) .28 • .06
• Based an 8007 bestiny dayreo dsys (lpls/St. PaYI)
Ad,iust OU• rilws accoidiayly for otJrr loeattuas
CERTIFICATiON
I t:,?ceby certify that I have
Minrwsota Statie Enetyy Code.
tt?e above inEormati+on and &At ie carplies with L
1-f
BCSD 3-89
CC/Shi/6573
,
?/ CITY OF EAG ,
I- ?" MECHANICAL PERMIT RECEIPT #/O o20 /
SUBD. (612) 681-4675 DATE B' Co 9a-
RESIDENT7AL
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. AISO, COMPLETE FOR
TOR'NHOMES/CONDOS R'HEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OR'NER: I ?? FEES
srrE annREss: qa(°(
oa L6-flf-
i"N N S ? 2- pDD ON/REMODEL (EX[STING
CONSTRUCI'ION ONM
nvsrar.tEx: -- c xvnc: aioo M BTv 24.00
PHONE #: 4%-? ADDITIONAL 50 M BTU 6.00
ADDRE55: i GAS OU'I'LEfS - MINIMUM 1@ $:i EA.
=
v? v? l e ?. Z?:55 S?C?GE: • . ?
$
LEA=- TOTAL: $
?i ?v U It, ,, -?- ?,. . . ..
coWIExciai. A)/6 /44e?_/?"p ?-
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. AISO COMPLETE FOR
APARTMENT BUII,DINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTT.
WORK DFSCRIPI'ION: CONTRACI' PRICE FEES
196 OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMTf FEE. $
PROCFSSED PIPING • $25.00
$
MNBPJM .r'IEE s v2$.430
OWNER: TOTAL: $
SI1'E ADDRFSS:
TENAIVT:
SUTI'E
INSI'AI.LER:
ADDRFSS:
CTIY: ZIP:
PHONE #: CITY SIGNATURE
SIGNATURE
„ CITY OF EAGAN
-• 3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454 8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # 9/
DATE:
AES?AE?7TIAL",; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
<. .... . _ ... .... ... ... . . .. .... . ?,
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
---------------------°- -----------------------------°-------------
WORK DESCRIPTION FEES
NEW CONST ? I ADD-ON MINIMUM
ADD ON HVAC 0-100 M BTU
REPAIR ADDITIONAL 50 M BTU
OWNER NAME: c OYL<? ?iY??'N
SITE ADDRESS:
LOT:_ BLOCK I SUBD 3/y
INSTALLER: GQdZ-RYAN PLUP9BING & HEATING COMPANY
ADDRESS: 14745 South Robert Trail
CITY: Rosemount ZIP: 55068
PHONE #: 423-1144
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
TOTAL:
DWELLINGS &
$15.00
24.00?
6.00
3.00 ?
$7-v
.50
$ ??S U
G TURE OF PERMITTE^
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIYING = $25.00
IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE #:
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN
,. 3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE (612) 454-8100
mmgt7G.Im
FOR CITY USE ONLY
PERMIT #
RECEIPT #??-
DATE: i ?
NggpEogM PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-------------------
WDRK DESCRIPTION
NEW CONST x
ADD ON _
REPAIR _
owNEA NAME: Sone Conetruction
SITE ADDRESS: 4719 Ha2eltine I,a-ae
LOT:_e?_/ SL4CK __L ST?BD. ( +?.
INSTALLER: R C Plumbing
ADDRESS: 5910 Chester Ave
CITY: Northfie2d ZIP: 55057
DWELLINGS &
•_--_-°----------------°-----
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
L SHDWER 3.00 3_
3 WATER CLOSET 3.00 9, _
a BATH TUB 3.00 & '
? I,AVATORY 3.00 ia- -
1 KITCHEN SINK 3.00 3-
? LAUNDRY TRAY 3.00 .3 -
HOT TOB/SPA 3.00
1 WATER HEATER 3.00 3-
L FIAOR DRAIN 3.00 3-
GAS PIPING OUT.
? (MINIMiIM - 1) 3.00 3. -
? ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL ?S ?7 y S-D
ST. SURCHARGE .50
TOTAL: $ -?? f-?b
YLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUZRED 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.6 $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE $
TOTAL:
(SIGNATUKE)
CITY OF EAGAN
PxorrE #: 461-2096
? ciTr use oNLY '/
L 8L ? RECEIPT #: 7??a'37-
SUBD. Jla:?? /JA DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? singie family dweilings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
k
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet ' minimum -1
Rough Openings
Water Softener
Private Disposal ` Dakota Cty. license
U.G. Sprinkler' home under const.
Alterations ` to existin9
Water Turn Around
EACH NO.
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
x
x
x
x
x
x
x
x
x
x
x
x
STATE SURCHARGE
TOTAL
SITE ADDRESS: ? 111 I'tQ Z -C
TOTAL
-c(>. QO
.50
11?1D4-6
OWNER NAME:
INSTALLER
?
?F
STREET ADDRESS: ?? ?Si C-k;Re-e?,da(k-
CITY: Zcervvi r,?A.'-d--? STATE: YV\vi ZIP: "?SO aC?
-? ,
PHONE #:
x.,A
SIGNATURL aF-pERIVrI TTEt:
OFFICE USE ONLY
L BL RECEIPT #:
SUBD.
DATE*
1895 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . all commerciaUndustrial buildings.
? multi-family buildings when separate permits are ppl required for each dwelling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WtLL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of V&032 fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS: _
CITY: STATE:
PHONE
SIGNATURE:
OFFICE USE ONLY
STE. #
APPLICANT
ZIP:
METER SIZE: " DATE: INSPECTOR:
,
Clty of Eapn
383p Pllat Knob Road .
Eagan MN 55122
Phane: (651) 675-5675
Faz: (681) 675-5694
2008 ME
Date: ? ?. p Site Address:
Tenant:
RESIDENT / OWNER I Name:
Phone:
Address / City / Zip: N 3
CONTRACTOR Nane: 1 ?# 97Cf
Adtfress: (f Q 1 ?
Ciry: State: L17 N_ Zap: Eboga
Phone:?5 -) ?3q^y?0 Con[ac[ PerSOn?, h,
TYPE OF WpRK - New tReplaeemant _Additional _ Alteration _Demolition
Uescdpeion ;ot.woHi: PERMIT TYpE RE51DEN7`/AL ' CpMlNERCIAL
4 Fumace NeW COrlstructi0n ? Inlerior Ilttprovement
Air Condkioner ? Install Piping 4 ProCessed ,- z Air Zxchanger ? Gas E7cteii0r HVAC Unit.
HVAC unhs must be scresned
- Heat Pump
? Undet / Above ground Tank (_ Install /_ Remova}
Othar ': When installlrtg/removing tank(s), call tor inspeption by Fire
RESIDEM/AL FEES:
$50.50 Minlmum Add-on or alteraiion to an existing unii (indudes $-5o State Surchazge)
$90.50 Fire repaif (repiace pumed out appiiances, ducivrorc, erc.) (includes $.5U State Surcharge) - $ 7DTqLFEE COMMERCIAL FPES:
$70.50 Underground tank installatioNremoval OH Contract Vaiue g xy%
$50.50 Minimum (ineludes State Surcharge)
- If erm?Y Ea is lesy tiian j1,000, surcharge is $,50. -$ Permit Fee
• lf Pertnit Fee is > S1,000, surcharge increases by §.50 for each =$ St8f0 SurChafge
$1.000 Parmit Fea (i,e. a S1 ,00142,000 Permit Fee requites a$1.00 surcharge). $ TOTALFEE
APPlicanYs Prtnted Name . .- --- .._-_ • C?t?
I herepy acknowleCgo ma1 fhis irrlorma[fon is compleCe and acwrste; mat Me xark will 6a'rn conformance witn Me ordinaroes and codes of the Clry of Eagan; that
I undErstaM Ihls is nat a permQ, but oniy art applicffilon for a pettiri[, and Nbrk is not to start witho it; tha[ tfie WDIk In accoitlanca with the appfoVed
pian in the case of work whith requires a review anE ppprovy of plyns. YD e
, - ----------,
i Ppr?'?'Uss i
; POrmit?:
? PertnlT Fee:
I OateRgceiyed: 1
? Staff? ..?. i
-----------------
' APPLICA710N
Sulte #!
I
I d tiOE ON VdULE:OI 8006 '8Z'l3nu
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4719 Hazeltine Lane
Lot: 4 Block: 1 Addition: Fairway Hills 3rd
PID:10- 25602- 040 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
e- Windows/Doors
Windows/Doors-New/Replacement
House & Garage
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Frederick C Anderson
4719 Hazeltine Lane
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA085646
08/28/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
!"
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(AA#*$.+ D2-/M* -- &<*J+. =/-3;;=-)&"@ &<*J+. =/-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143885
Date Issued:06/30/2017
Permit Category:ePermit
Site Address: 4719 Hazeltine Lane
Lot:4 Block: 1 Addition: Fairway Hills 3rd
PID:10-25602-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Frederick C Anderson
4719 Hazeltine Lane
Eagan MN 55123
Overhead Door Company of the Northland
3195 Terminal Drive
Eagan MN 55121
(651) 683-0307
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157258
Date Issued:08/12/2019
Permit Category:ePermit
Site Address: 4719 Hazeltine Lane
Lot:4 Block: 1 Addition: Fairway Hills 3rd
PID:10-25602-01-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Frederick C Anderson
4719 Hazeltine Lane
Eagan MN 55123
(612) 363-7443
Anchor Roofing And Exteriors
101 Bridgepoint Way, Suite 140
South St Paul MN 55075
(612) 363-7443
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165067
Date Issued:10/15/2020
Permit Category:ePermit
Site Address: 4719 Hazeltine Lane
Lot:4 Block: 1 Addition: Fairway Hills 3rd
PID:10-25602-01-040
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Frederick C Anderson
4719 Hazeltine Ln
Saint Paul MN 55123--217
(612) 209-5685
Anchor Roofing And Exteriors
101 Bridgepoint Way, Suite 140
South St Paul MN 55075
(612) 363-7443
Applicant/Permitee: Signature Issued By: Signature
Permit # 168446Helical pier installation report for the extention of the deckReceived 05/07/2021
Received 05/07/2021
Received 05/07/2021
Received 05/07/2021
Received 05/07/2021
Received 05/07/2021
Received 05/07/2021
Received 05/07/2021
Received 05/07/2021
Received 05/07/2021
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179837
Date Issued:10/24/2022
Permit Category:ePermit
Site Address: 4719 Hazeltine Lane
Lot:4 Block: 1 Addition: Fairway Hills 3rd
PID:10-25602-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Frederick C Anderson
4719 Hazeltine Ln
Saint Paul MN 55123--217
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature