4727 Hazeltine LaneSEXYER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
d
DATE pCT 23. 19.91
METER #
CHIP #
OFFICE USE
METER SIZE
ISSUE DATE
SITE ADDRESS 4727 HAZEL?IIiE LN
LOT 6 BLOCK 1 SECJSU6 F/ITitiIAY AILI.a 3RD
APPLICANT:
ADDRESS:_
CITY, STATE ZIP
PHONE: ^
PLUMBER: STAR PLS]tiHING
ADDRESS: 1018 NOilHD &PRINGS TERit
'
CITY, STATE SLOOMING
IQZI lfff ZIP 55420
PHONE: 88"149
OWNER: WILLIAH HUT!'HE1t CONS1'
ADDRESS: 960 WATERFORD DR it
CITY, STATE ZIP 55123
?
PHONE: 8 ?8 72?-4161
PERMIT DATE 14/24/91
PERMIT # 12357
B.P. RECEIPT #
B.P. RECEIPT DATE 10/24/9I
_ PRV X BOOSTER PUMP
PERMIT REQUESTED
-X SEWER X WATER - TAPS
COMM/IND X RESIDENTIAL
x NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILIe?VOT be gi n(or, qeduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CASH RECEIPT
CITY QF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
FIECEMo .
snw
AMOUNT $
8 DOLLARS
,oo
? CASN CHECK
'l
? r L J
roa '? i `
?
BY
\
C 15933 YYhite-PaY? ?PY
Ya,????? ?
P4*-File C-opy
Thank You
SEWER & WATER PERMIT ` OFFICE USE ONLY
CITY OF EAGAN qq4 10/24/91
METER # PEAMIT DATE
3830 Pilot Knob Rd.
Z2357
Eagan, MN 55122-1897 CHIP # PERMIT #
' `J
METER SI2E B.P. RECEIPT #
3 2
" 10/24/92
DATE OCI 2-3 5 1991 ISSUE DATE B.P. RECEIPT DATE
-
- PRV Y BOOSTER PUMP
SITEADDRESS 4727 HAZiLTTNE LN
LOT 6 BLOCK LSEC/SUB FAIRWAY HII,LB 3RD
APPLICANT:
ADDRES5:_
CITY, STATE
PHONE: -
ZIP
PLUMBER: STAA PLUldBING
ADDRESS: 1018 P'fOUPRD SPRINGS TERR
CITY, STATE BLOOMINGTON kNfiV z1P 5.i420
PHONE: E64-4149
OWNER: WILLIAAi Hl1TTNER CONST
AdDRESS: 960 WATERFORD UR W
CITY, STATE ?,A?30 $ OR 723-4161 ZIP 55123
PHONE:
PERMIT REQUESTED
x SEWER X WATER - TAPS
- COMM/IND X RESIDENTIAL
R NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Metgrs on Water Line.
Credit WI?VNOT be gi n fo Qerduct Meters.
.\ ,?!f? f ??- '•'? ? , ?
r?
I AGREE TO COMPLY WITH CITY aF ?
EAG D NCES
?
IGN TURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. ??;
'; • w. ?
• i • ?
A
?
(grrtiftra#e of (Orrupanry
titp of Cagan
lurpartmMt af wuniag imwrrtimt
This Cem'ficwe imedpurseuuri to ilie requiremenls of Seclion 306 of the Unifonri Buildirtg
Code certillin8 that ct tJre rime af issuance this srructure ww in compliaraae with fke mrious
ordinanc+a ojrhe City regulating building caumrction or use For the jollowirig.?
trwab,m,ek. SF DWG/CAR ewa. PC rio. 14R21
O-UP,-7 Type R3/M 1 Zoo* DW,;p R 1 r,,a Go" VN
Add,,.4727 HAXELTIlM LANE L.y;y L6, B 1. FAIHI,IAY HMS 3RD
5/11/92
POST IN A CONSPICUOUS PLACE
....? .
" . CITY OF EAGAN ? ?, ?3 ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan
MN 55121
,
• PHONE: 454-8100
BUILDING PE6MI?
' i?
, Receipt #
To be used for tF DIdG/GAR . Est. Value :128s000 Date OCT 2s , 1g?1
Site Address 6727 1U7?LTI?1E Lt?1
LOt 6 BloCk L_ SeC/Sub.Fwi?awY HiLLS 3R OFFICE USE ONLY
Parcel No. occuPancy R-3 b-1 FEES
R
1
Zoning -
¢
w Name wiLL.iAM HtrTT+!Eg C-ONST
(?tua1) Const
81dg
Permit 738.00
3 Address 96A MATERPORa DP li (Allowable) 14 .
64
00
o 1i
'
? Surcharge ,
-n[
-A
City
1 Phone 452-3088 * ot Srories
1
Plan Review
474,00
p Name SAME Lenglh
Depth Q! SAC
Cit 100•00
= y
,
? Addf@SS S.F. Total - 630
00
? CIt
Ph S
F
Foot
ints SAC, MCWCC 0
Y
one .
pr
. _
C
W 660•00
On Site Sewage _ ater
onn .?
W W Name on siie weu 95.00
?,w
??
Address
Mwcc system
? Water Meter
00 ?
3
sii
accc
o 0.
a W City Phone ciry water j- .
epo
30*00
PRV Required S/W Permit
I hereby acknowlege that I have read this application and state that the
i
f
i
i Booster Pump xx SNV Surcharge •50 '
n
ormat
on
s correct and agree to comply with a"pplicable State of
Minnesota Statutes and City of?"? n Ordina es.?! ?
Treatment PI ?
Z76.00
Signature of Pertnitee ,? t- ?
,
APPROYALS
Road Unit ?
370•04
?
A Building Permit is issued to: WILLIAM HUTTM CC*= Pla^^er - Park Ded.
on the express condition Ihat all work shall be done in accordance with all Council ?
applicable State of Minnesota Stalutes and City of Eagan Ordmances. gldg. pn. _ Copies .?
Building Official Variance - TOTAL 3.492.50
? Permk No. PermH Holder Date Tetephone #
WATEH
SEWER
PLUMBING
H.v.a.c. ?
I ? /? / DGZ25
?crRic J
Inspection Dste Insp. Comments
Footings I 1r!? ?C' -6?? ? S
Foundation
Framing
Rooling
Rough Plbg.
Rough Htg. ?/-c//
Isul.
Fireplace
Final Htg.
Orstat Test /( ?.
Final Pibg. ?/^ Q?` ? Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg.
Dedc Final ?!s 9 a !c/?
Well
Pr. Disp. .z - /.1 - y'? d ' a?i • .,i ? •
? t2- _?
f xo,?e, 4?
•k ?
.4
i
*
F}` ' : a
DATE:
OCT 24, 1991
RE: 4727 NAZELTINH Lii (blILLIAM AUTTIiSR CONST)
x
Your Sewer & WAter PVfiit for the above property has peen completed. It will be held at the
Public Works Garage Z3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WCf7KS (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. Meler size must be
confirmed by Bill Adams or Dirk House (Plum6ing Inspectors- 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICV.
Secretary, Buiiding Inspections Dept.
Address: 4727 HAZQ,Tj[E LANE Lot 6 Blk I Sec/SubgAIid.7Ay kII,[S 3RD
These items were/were not complete et the time of the final inspection.
Date: • 5/11/92 Yes No 1 _
Final grade (6" from siding) ?
Permanent steps - garage ?
Permanent steps - main entry
Permanent diiveway ?
Permanent gas ?
Sod/seeded grass v-
Trail/curb damage (J
Porch V
Basement finish
Deck ?
Please verify vith the builder tha removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lavn faucet befoze
freeze potential exists. ?
White - City copy Yellow - Resident copy Pink.- Contractor copy
CITY OF EAGAN No 1983 1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT ' PHONE: 454-8100 Receipt # C -1 I
y
Tobeusedfor SF DWG/GAR EscValue $128,000 Date OCT 23 , ?g91
Site Address 4727 HAZELTINE LN
Lol 6 Block 1 Sec/Sub.FAIRWAY HILLS 3R]
Parcel No. _
W IName WILLIAM HUTTNER CONST
o Address 960 WATERFORD DR W
City EAGAN Phone 452-3088
o Name SAME
0a Address
? City Phone
1.?U='111ame
w ? ; Address
i W Cily Phone
I hereby acknowlege Ihat I have read this application and state Ihat the
infortnalion is correct and agree to comply kh aI pplicable State of
Minnesota Statutes and City of gan Ordin ces. ,?
Signawre of Permitee ? ?-A euilding Permit is issued to: WILLIAM HUTTNER CONST
on the express condition ihat all work shall 6e done in accordance wich all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Builtling Oflicial
OFFICE USE ONLY
Occupancy R-3 M=1 FEES
zaning R=1
(AC1uaI) Const -V-- Z'1 Bldg. Permit 738.00
(Allowable) V=N Surcharge 64.00
R of stories - 479
00
Length 70' Plan Raview .
Depth 3? SAQ Cily 100.00
S.P.7otal - SAC, MCWCC 650.00
S.F. Foolprinls -
00
660
On site Sewage _ water conn .
On Site Well - Water Meter 95.00
MWCCSystem XX 00
30
Cily Water ? AccL Deposit .
PRV Required SAN Permit 30.00
Booster Pump XX SNJ Surcharqe • $0
7reatment PI 276 . 00
APPROYALS RoadUnit 37(1_0
(1
Planner - park Oed.
Cauncil -
BIdg.Olt. _ Copies
Variance - TOTAL
0
3,492.5
• d /os<?zo7
p
?
3 ? s??5"? oa
54465
Fequesl Da*.e "'? Flre No. Ro qhin Inspeclion
R uiretl4
? Reatly Now+9?pljuNalify Inspedor
. es L No ` 1?en Reatly4
I? f ensed contracbr ] owner hereby request inspection of above electrical work at:
Job AOaress (Slreet Box or qoute No.) ` City
7 Z7 / ?--?
SectiOn No. Townshlp Name or ND. Range No. County
Occopan!IPRINTI
C ? ph ne No.
Power uppll r qtlCress
EIB<tri<al rtvacl0! IGOmpBny Na ?
7 C.On1rdGY0%{. Lica05B N0.
M Jiny Addr 551COnVeclor or Owner Mdking Installation,
(/H
/l
V ?
Amnoriz ign u:e iComracio?iOwne: Ymg stanavon? Pnone Number
G-!a ?
MI OTA STATE B ARD OF ELECTRICITV ?I THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bldg. - Hoom 5-173 _ BE ACCEPTED BY THE STATE 80AR0
1821 Universify Ave., 51. Vaul. MN 55104 - UNLESS PROPER INSPEGTION FEE IS
Phone(612)64Y-OB00 - ENCLOSEO.
?_9/?i2/?/ ;EQUESToFOrR EP ECTRI?CA?L?NSPECTION
??f??
Q 1 :'Y" Below Work Covered by 7'his Request
??
ee-ooom-oe
e Adtl Rep. TypeofBwlding AppliancesWired EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Eleclric Heating .
Apt Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Omer (sueary) ConVeciors Remarks'.
Compute Inspection Fee Below:
x Other Fee # ServiceEniranceSize Fee p Circuits/Feetlers Fee
Swimming Pool 0 to o0 Amps 6? 0 to mps
Transformer5 Above 200 _ Amps / A?Ai _ Amps
Slgns Inspecrors Use Only: TOTAL
Irrigation 8ooms f? O
? • s' ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY ORD E DIjSCONNECTED IF NOT
Other Fee COMPLETED WITHIN NT
I, ihe Elecirical Inspector, hereby Rouyn-m ? oa?
certify Ihat ihe above inspection has
been made.
- Dare _ r!
??
OFFICE IISE ONLY `
This request voiE t9 nonths Irom
J
6qqoq
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
(0:7o. 00
New Construdion Reauirements RemodeVReoair Reauiremenls Office Use OnH
3 regislered site surveys showing sq. ft. of l06 sq. ft, of house; and all roofed areas ?2 copies of plan CeR of Survey Recd _ Y _ N
(20% mzximum lot coversge allowed) 1 set of Energy Calculations Por healed addflions Tree Pres Plan Recd _Y _ N.
2 copies df plan showirg beam & window s¢es; poured found design, etc. 7 sfle survey for addNans & decks Tree Pres Required _ Y _ N
lsetofEnergyCalculations Addifion -indicateifon-sdesepNcsystem Oo-siteSepticSyslem. _Y _N
3 coples af Tree Preservatbn Plan if lol platted aRer 711193
Rim Joist DeUil Options selecUon sheet (buildings with 3 or less unKs)
Dare Construction Cost ti'V, qpp
Site Address u :)Z i 2C IT'ln e ? A1 UnidSte #
Description ot Work '? ?`M+? baSC.nC'^ l W 6? 17 ('S
Multi-Family Bldg _ Y?IN Fireplace(s) _ 0 _ 1 _ 2
Property Owner 'K-1 I W?? q? 1 Telephone #(GbI )? S Cs 1 y0c?
Contractor ?ONCOr CO4SI
Address `o1 yn LN',1cOE' A v(! S' City
State ? Zip ?O Telephone #(q5?) Q R$ S$ ?
?
s R 24fl? \_
MPLETE TRIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
,?3 1 -?
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
a egt'ory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
tYPe) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Pertnit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
C?A? A?.s2
Applicant's Printed Name
Applicant's Signa ure
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04, 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05; 03-plex ? 11 10-plex Pk 19 LowerLevel ? 24 Storm Damage
? 06_ 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
33;Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant
Valuation a'6"2v-0 Occupancy MCES System
v
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 [ce & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIRED INSPECTIONS
_ Final/C.O.
_K Final/No C.O.
_ Plumbing
y- HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: a -L , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
069 LD
t ?
z, Itl?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
657-681-4675
Npyr Constructbn Heaulremenm RemodeVRepalr peaulrements
• 3 repisteretl sHe aurveys growing sq. k. 01 lot, sq. fl. W hause; end II raofed areas • 2 copies o1 plan
(20%maAmumWtcoveregealbwed) • lsetofEnergyCakulationsforheatedadditions
• 2 coples ol ptan showing heem 8 wintlow sizeffi Poured found design, eic.) • 1 site suNey for exlerbr addaions & decks
• 1 set ol Energy Calculations . Indicate if home served by septic system tor additions
• 3 COpiB3 al Tree PresBrvetiUn PI2n tl lof plenetl efler 7l1193 ?^?
• Rim Jol? Detail Optbns selectian sheei (bqgs wtth 3 ar less unrts) UU
DATE ? - I a - 0
SITE ADDRESS? ? ? I
TYPE OF
VALUATION ?f 3
7 s'
MULTI-FAMILY BLDG _ Y x N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT 1 ct,h- Co UcM S? r c& C-?
STREET ADDRESS3a59 I J7_' Yvl IY'1 C,. I?r''_""-z''CIN.?STAt@" ` ZIP5?0' I
TELEPHONE #LO S I 4 TZ-) 9a-)CELL PHONE # FAX #i! () S 1 u sa - U o a3
PROPERTY OWNER TELEPHONE # ? S 1- L4 , (0
-------------------------------------------- -------------------- ---------------- ---------------
COMPLETE THIS SECTION FOR °NEW• RESIDENTIAL BUILDINGS ONLY
Eoergy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submisaion type) . Residential Ventilntion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhacfor:
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Contractor.
Phone #
Phone #
Fee: $70.00
--------------------------------°----°--------------°------------- ------------- --------------------------------------
I hereby acknowledge that I have read this application, state at e Informatio is o ct and gree to comply
with all applicable State of Minnesota Statutes and City of Ea r nances.
Signature of Ap
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
UpUated 4/D2
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
Fee: $90.00
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muki
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_YOr_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* [3 43 Reroof ? 46 Windows/Doore
? 34 Replacement •Demolition (Entire Bidg only) - Glve PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Baoster 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) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3834 PILOT KNOB RD - 55122
651-681-4675 q/
g-?
New Constructlon Reouiremenis Remodel/Reoalr Reauiremens
? 3 regfsfered stte suneys showing sq. k. of lot, sq. tt. of house 2 coptes of plan
and all roofed areas (207. maxfmum loi coveraae allowed) 1 sef of energy calculations for heated addMlons
> 2 coples of plans (show beam 3 wtndow sizes; pouretl ind. destgn; etc.) 1 sHe survey for euter(or addBlons 8 decks
> 1 set of energy calculafions
> 3 coples of tree preservation plan If lot plaffed affer 7/7/93
DATE: CONSTRUCTION COST: ?L4 • yC)
DESCRIPTION OF WORK: t-LGA C31-L GU'1Gl I1.D - AOcF„
STREET ADDRESS: `t 1
LOT: ? BLOCK: ?,--- SUBD./P.I.D.#: ??A V't,?J ol?
Name: Phone#: 9'q?
PROPERTY ?ast First
OWNER
Street Address: ?1a`1 ?C]n.?P 9 htko U.!'l •
ciN ?c stote: Mn • zp: 5.51a?-1
Company: (YIIC?IA?P?St Tlmbercx-F Phone#: ?D soR- 1 W9
(area code)
CONTRACTOR
street,4ddresr. ??? `'C • CI i` ?? ?-d . license #ZOI?I"133(c Exp.3?
city Bv.xr\svi I1e State: h1r1 , zlp: SS33?I
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City Sfate: Zip:
Sewer 8 water I(censed plumber (reauired for new conshuction onlv):
Penalty applies when address change and lot change is requested once permi} Is issued.
I hereby acknowledge that I have read this appllcation, state that fhe Information fs cortect, and agree to comply wNh all applicable
State of Minnesota Sfa}utes and City of Eagan Ordinances.
Signature of Applicant QC1.CC4ku a_ n" y?(3T_
I ?
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No JUN 0 7 1999
Tree Preservation Plan Received _ Yes _ No _ Not Required BI':
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New O 35 Tenant Impr ? 39 Gas Line Only ? 43 5iding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demoiition permit
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
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
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES 5ystem
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES 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:
% SAC
0•A
'!3?•OuF
6 =F • i) ?'?
2, _%11•5J?
S3•,JJ?
6+• i1J r
4'f ? • ?i 1 ;
L? cL I 1?50
5 J ? ?'J ? . _l •
' J1 1? j???ifl?:l
1991 BIII 1LDING 1.3 1
APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MOLTIPLE DWELLINGS COPAfERCIAL
2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOB SALE UNITS
PENALTY APPLZES i1HEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTN IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MJST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: /i ?/2 Valuation: 4? 81 Site Address ?/z7 f72ZG?//pr.e?
Lot ? Block _L LA.
Parcel/Sub v''/Jf/!!v' 3"
Owner
Address
City/Zip Code
Phone
Contractor ?J? /'(cz?? ?Jr
Address J196 /,(/dG{iJ?g-/c{ A^. ?
City/Zip Code
Phone Y5-2-300- 72-3-M?r
Arch./Engr.
Addzess
City/2ip Code
Phone #
Date:
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
OFFICE US:
R3 M-I
R-1
V-N
v- nl
53'
On site sewage_
On site well
MWCC System ?
City water ?
PRV
Booster Pump ?
APPROVALS
Planner
Council
Bldg. Off.
Variance
ONLY
FEES p?
0a
3g
Bldg. Permit '
?1
Surcharge 4jo?
Plan Review 11100
SAC, City /00000
snc, Mwcc 63F, v o
Water Conn. 460.00
Water Meter ?5, oo
Acct. Deposit 30,00
5/w Permit 0 0
S/W Surcharge , gD
Treatment Pl. 276. 00
Road Unit 0d00
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
Sewer/W er 54E r.
?
a grees that all wozk shall be done in accordance mith
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
V A
.?.9tAnAGE
s
32 x22= ?Dy X?S= ?0560
?3S MT,
..?---
3 0 x 2y = r7 2a?
-Z-3x 2(, 7-
-7
X
l?I?q x?y= Iq??12?
IST ?bu?y
TSS»'IT
I x z ?l ? Zy
?
?`?SY1 1? 5?3 ???? 32?
?PA,?tI / 0
3Rp Leue?'4153-,??I = 3-1
)
,
_J `' ?-?`1 _
1;C7113 0 12 128,/ 0 ov
METRO 1e75 Pcaza oit
SURVEYORS surTE 200
INC. . EAGAN, W 35l22
Certificate of Survey for? (612)452-7e50
HUTTNER CONSTRUCTION
LEGAL DESCRIPTION; LOT-6-,8LOCKI , FAIRWAY NILLS 3RD ADD.
ACCORDING TO THE RECORDED PLAT
TNEREOF DAKOTA COUNTY,MINNESOTA
,
? `AZELTINE _
n
1CZ.9Qa270 r
? `? 38 !6 S5n
I
. /
?; larl ?/? o
RE?
4v
?
/r
W
^?^1 i
o l?
?
/
Upe
N ?io33 ?
0)
O
? v .
N 89° I 3'4A?,k
41.8 /030
jn3iz
- -?
?V4, I
,M ? I
?
? (akV
ys _
I
4 -?o
?0?3 = c ? o?.g ? -,033= I
LOT
N
82.63
SCALE ;.I" = 30':° ~
aOoOSTER P?MAP
W LSWWED
LEGENQ
o DENOTES IRON MONIlMEN;T
a DENOTES WOOD MUB SET
DENOTES EXISTING SPOT
ELE VATI"I ' °
DENOTES PROPOSEO S`POT
ELEVATION
? DENOTES DRAlNAGE"OIMCTION
,-;-ti•.
, .. .
1 hr?qr c.rfffy fAot thia surwY,Plan or
repat wa propond OY am or undsr my
direcf suprvision and ihat I Om a duly
Reqistered Land Sulveya YndM fM
Laws of tM State of Minnosofd
Mn. Rep. No. I5233
6
?
032y
S
Q
(L
?
a !2 0 QFLT
? 10S3`
io
?
0
O
O
t?
itvG
PRoPoseo ¢ (.EvE-- spU-T-u./At.e?r
1.-?Atx ov-r gt.F?v.4'no?-? _ /o?. `
INVERT Et.EvATION A7 SERVICE ExTENS101W
PROPOSEU GARAGH FLOOR ELEVA710N• 6 3
PROPOSED FIRST FLOOR ELEVATION • ?o?•?
PROPOSED BASEAIENT. iL00R ¦ loz?.?
ELEVATION
N?0_TE?'• VERIFY AtL FLOOR HEICrMTS WITM
FINAL Fi,qUSE PLANS
Brodlsy J, wno
Date:
' ? . .. .
,•?
? . .
.
(?'o:;m Dcvcloped by thc Sca:c of T:in^csota '1Ui1e:1;9 (,occ ;i1?•151o:i/
. ZD EE SU9:1I?icD L;ITFI BUILAII;C PLRPfIT 1+PPLICATION
U:tiER:
SITE ADDRESS:
E7:TE?'.IOR F.?IVF.LOPE AVERAf.E "U" C(1.'i?UTATInN
CONTRACPOR: DATE: /O P}IONE: ?L3 ? ?
Determine Working square footage of each
1. Total exposed wall area......... Z 7F'3 aq•ft. a ?H
2. Total roof/ceiling area......... ///1 r-57 sq.ft. x<OL
3. • Total exposed c+all azea calculations:
a. Total wall windov'area .............................. Z /
b;'.. iotal door area ..................................... 5 7
e. Total sliding glass door area ....................... y O
d. Yotal fireplace wall area ........................... -
e. Total taall framing area (average 107.) ............... 243
f: Total net wall area above floor ..................... 1933
g. Total riu joist atea .............................. ./ly
Total expoaed foundation area ? 1(e n.
h. Total foundation windoca area ........................ '
I. Total net foundation area above grade ...............J (g, p
Determine "U" value of each wall segment
Total exposed vall area above flooz ? Z(o Z-??'
a. Z/,b g nU° A I
b. s ? X„U., , 3( _ 7, ?
c. ?f o XIfUll ,SS . Z2, o
d. ?--- X #fun --- ?
e. Z(o 3 x "u"
f. I 9 ?3 X ,l„st
R #,ul.
3.
h
- x uu„
•,
i. l lo t? XflUes , I O 16,0
• Torai. ` '' • - Z y, sL
If item 03 is the same as, or less than icem 01. you havc mct the intent of
SBC 6006(e)2. •
,O7
, a q,
,a4
. 7 7, 3Z.
_ y, s?
?
4. Total exposed roof/ceiling calcula[ions:
Total ezposed roof/ceiling area = / T p-57
J. Total skylight area ............. •
k. Total roof/ceiling framing area (averap,e107.)..... ... /4{8'
1. Total net insulated roof/ceiling area ................. 133 7
Detersaine "0" value for each roof/ceiling segaent
j? _. . X uDu
k. ) qS- x„U„ , o z _ z. '94-
1. )337. x„U„ , pZ - . ZG ? 7
4. ' TOTAL ? Z 7 O
If total of 64 is the saae as, or•less than 02, you have net the intcnt
of SBC'6006(c)1.
.
Alternate Building Envelope Design
.,: , , . . . .
•i.'?. ... '. ..
To utilize the total envelope system method, the values establislied by the sum of items 03 and 04 shall not be greater than the sum af items 41
and C2.
1. + 2. ?
3. + 4
:
C E R T I F I C A T I O N
I here6y certify that I have calculated the "U" factors and R values
herein and that the building hera described meeta oi exceeds the State of
Ninnesota Energy Conservation Act.
` (Signature),
P?o L2V_
. (Aate) '
'?? ? .
rcl??for.
` Construcfi
I
F;
aa
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?
2 ;' •?yN????`?
?t„?ru?,?7tt?7t,5??n;,;_ra.?;;ti?.:z.,t? e?.!.r.?..°.N..ee.ar?^t•_:?.r:.n;
?
i.. ?
R-Valuc '
n1..L r " ,46
d.; '
4#:;0
sofr.'wnnB ?3E?-
??? 1?0? . .
0 :17
e ? ? ?? .Totals =
3.?
q
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,
t '
Iirt?i ?l
5
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=•? ?
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.5
y
.
V?
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VdT.T' . .
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? f'a "?xk .?
y
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°
° ?
-f
9?
°,?A"' ?i?
? u I ti 1 ' #?'
R.,
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Yd$ ?O ?k ?.
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s^I J". s
?`k5?
504
, V'??"? ?IV ??Y
9.
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? y, e;A6
IN
1,?
i f1 ? •--v 6. Erteiior'aar "film . 0.17
-
• . Toto? ? Z4. $4
,? c,
.
. ?..
. .
D. .
. . ,.
,
.., . , .
? ? ??
1 Interior air film 0.68
,-?`_°•^ .
,?, a.
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_
? lWfff , 0,1 t r'1RGrJt-_ 7.eao
.
t? ? n. _?
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--z, • • s,
4. fZ" iSc.a?K
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. ?
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6?t?d[ -
. . S.
. .
. .
.
. .
G. Exter3or air film - t 0.17
f '.4+ ?`Y '.?.` S a d ?Y-
x ,.. t t w r ,y > 4-,
?t C . •? 6 ! ? i ?? . w y 'F'- T -? ?i.°Ve. ,?'4.? s ?Y a1Gs. 4 ? a •ihY v ? ?. .
%,
3 • ?
???f?'E ht??V ?'2 (?.? . •1 ? m?+kA?Z
) ? ? V t • s, e ?.•fr
Vf?,e p? z++???? ? ? ??? 1 ?? "`i?? ,?, <- ,4. ?^? ,?n: s ? ' "r ? • ' ?? ? ? l ?
?-. ,,. ' • v? ???: t :, ./[I ? .*u . •n ,? ? ?? ?'''
-? r f? (l?, . .? ? "y '' • '` ?? ? . ' ??,r/ . '
? . r" . FIG ' 14
?I'G 113 °
u , ` //? = Iff /il _ -
NOTEs Indicatr. tyna, "R" valuo, deptfi and
? ;'.•? ` .?• ? . placenent of insnlation. .
..t P , ?, ? -? . . . . . . . .
: C;.
ly .
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r 5 _
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:h„"i' x ,• i k ,'` A . I . i
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u '-t
1...,.Interior
r ? ? 3 n ?gN ?LtjWN?=??NSi
4
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x , . ,.
3 `?% -
ar?ayb y`+SSC ;'..,- r . I
?4 t . t e 'i ..... . . . . '. ' t ? 1. .. :
l;eat floa vp = vented `
1?`a ? "? r d? ? 4_ • ? t?' L t y^b l?s .i1 G f"" r? ..?n,? ?
f"nnff' vt 'i..? M1?n a'4 [ i `?j ?+ +F ?'$ v? A N3r, l T r'Y"? U m}14 3
[A `dt? ?'?m . y } a," e? .a`,.
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wa?.? 'a,??+ : 9r" z , ? { e .e "•? ?. . . ? ? x ? ?'"F ':? d x . sJ'_`° '^ i? r , ? j ' r ? ??, .
J OurSitle a1r,?Eilm?w:. ... ? • ? 0 17 ?s.
,a? ? ? Total` ? {
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?Ip
\ F 4 Y i? d
o g( n?
Sq • vr _ ,?G? i.' ) ?J) .e
N f ? ?.. , r • . ..
• _ N?te: ? Urc additional t.heets' if morn ?pace is
IIO.? . Vi:t:Te.''D
ncededj'for dctpil- aud calculation?.
e- t
r . -., : _'.::., .. . • . NCCL- ;: .... ;.. _ :;.?.. y.,'. • ?.?". . . . ' .
, ...
` '. ; :,. .. . flov uP. • : : , .
, .
Fir,. 07
,?.
q n ...!I:•Y
o
i
Z
. CITY OF EACAN -FOA-CITY USE ONLY ` 3890 PILOT KNOB kOAD
- EACAN, ;^: 55122 PERMIT # ,
PHONE: (612) 454-8100 RECEIPT M v ? LUHBIN6. ' PER?fI1' • DATE:
? ..::::: .... . ....., ...M. hESfDEN'1'TAr:;
:?.?.s ........ .: .......?.,.....
WORK DESCRIPTION
PLEASE COMPLETE UPPER YORTION ONLY FOR SINGLE FAlfILY
TOWNtiOtiES/CONDOS VltEN PERHITS ARE REQUIRED FOR EACH UNIT.
------------------- -----------------------------------------
1
NEW CONST X
ADD ON _
REPAIR
OWNER NAME: i4u,-7rNER (dnSTeQ_c-k) Ua
r
SITE ADDRESS: 41 --L-1 HRZe 14
LOT:_69 BLOCK ? SUBD.?
IJL&
INSTALLCR: r_1R7IttEl?] _bNiEH
ADDRESS: u3i E3? Co.''-cl ",Sc) J-jF}?.J
CITY:_?ROS? rno....r 2IP: SS??41
PlIONE z: `4 __13-3_)3a
C.4 d-o--?
D4IELLINGS ' b
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00 (v• o0
3 WATER CIASET 3.00 9.:o 0
? BATII ' TUB 3.00 3. 00
'-? IAVATORY 3.00 IZ:?
? KITCHEN SINK 3.00 oo
l LAUNDRY TRAY 3.00 3;0 0
HOT TUB/SPA 3.00
1 WATER HEATER 3.00 '?•Oo
? FIAOR DRAIN 3.00 3,.90
GAS PIPINC OUT.
t (MINIMUM - 1) 3.00 pO
ROUCH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.04 . '
U.G. SPRlNKLER 3.00
yS 0?
SUBTOTAL S
ST. SURCHARCE .50
TOTAL:
COMMERCIAL/INDUSTRIAL: PLEASE COHPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
, .. .: _ . . ... _ ..
MULTI-FAHILY EUZLDINCS WFtEN SEPARATE PERHITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICEt
OWNER.NAME:
SITE ADDRESS:
LOT: BLOCK _ SUED.
INSTALLER:
ADDRESS:
CITY: _ ZIP:
PHONE
FOR:
CI1'Y OF EAGAN
FEES
1B OF CONTRACT FEE. '
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHHRGE $
TOTAL:
(SIGNATURE)
i
$
;
f
cAY oP- Eacata N80
0
3830 PIIAT &NOB &OAD
; Nb Encr+N, rN 55122
? •2'? PHONE (612) 454 8100
`? !lECfiBNICAT?, YERMI'?
FOR CITY DSE ONLY
PERMIT M
RECEIPT # ? 9
DATE: ? 020 9
Qp$'iD8N2IAI;;;
cLT..,.-<. .._ .:<:;.,
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS i1HEN PERMITS ARE REQIIIRED FOR EACH IINIT.
WORK DESCRIPTION
FEES
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: ?/ly/• ?/'?on? C.l?
SITE ADDRESS: r/
IAT: $IACK - SUBD. r
`
IrtsTAU.?c: Burnsville Heating & A/C, ?
1 0 '..
ADDRSSS: Savage, M N 55378-1122
-0005
CITY:
PHONE #
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU ?'14_00?
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM .00
OF 1 PER PERMIT
SUBTOTAL: $ 00
STATE SURCHARGE: ?
TGTAL : $_az7-_sO
42YJr? ?+14
SIGNPERMI TEE
ZIP:
P0?II4ERCiAL%iNbUSTRiAL[.! PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BVILDINGS,
APARTMENT BUILDINGS, AND MULTI-FATSSLY BDILDINGS i1HEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNEA NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
1$ OF CONTRACT FEE.
STATE SUitCIiARGE -- .^7. SC F0:2
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE 5URCHARGE
TOTAL:
(SIGNATURE)
*1dtV oF engan
THOMASEGAN
Mayor
' September 2,1994
Mr. AI Hermann
AI Hermann Construction
535 Stone Road
Mendota Heights, MN 55120
Re: Lots 6 and 7 Block 1 Fairway Hills 3rd Addition and
Lot 4, Block 1 Fairway Hills 4th Addition
Dear AI:
PATRICIA AWADA
SHpWN HUNTER
SANDRA A. MASIN
THEODORE WACHTER
Councll Members
TNOMAS HEDGES
CIN Adminishator
E.J. VANOVERBEKE
CBy Cleik
Please be aware that Bill Huttner has completed the drainage swale in order to resolve the
drainage problem for the above mentioned properties. I did inspect the work upon
completion and shortiy after a significant rain and found the corrective action to work quite
well.
Please contact me at 681-4646 if you have any questions.
Sincer
raig Knudsen
'
Engineering Technician
cc Bill Huttner
mg/hermann.kr
MUNICIPAL CENTER
3830 PIIOT KNOB ROAO
EAGAN. MINNESQfA 551221697
PHONE: (612) 601-4600
FAX: (612) 681-4612
iDD: (612) 45E-8535
THE IONE OAK 7REE
THE SYMBOL OF STRENGIH AND GROWTH IN OUR COMMUNRY
Equal OpporlunltylAllhmallve Actlon Emptoyer
MAINTENANCE FACIIITY
3501 COACHMAN POINi
EAGAN.MINNESOiA 55121
PHONE: (612) 681-4300
FAX:(612)681-4360
1DD: (612) 4548535
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4727 Hazeltine Lane
Lot: 6 Block: 1 Addition: Fairway Hills 3rd
PID:10- 25602- 060 -01
Use:
Description:
Sub Type:
Work Type: Gas Fireplace (new)
Description:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Applicant/Permitee: Signature
PERMIT
City of Eaan
e- Fireplace Construction Type:
Census Code: 434 - Occupancy:
Chimney /flue must be inspected prior to concealing. 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.
Andrew Hoffman
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
William K Wright
4727 Hazeltine Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA086374
09/24/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4727 Hazeltine Lane
Lot: 6 Block: 1 Addition: Fairway Hills 3rd
PID:10- 25602- 060 -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
434-
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- 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:
William K Wright
4727 Hazeltine Lane
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
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
Issued By: Signature
Building
EA087614
12/01/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4727 Hazeltine Lane
Lot: 6 Block: 1 Addition: Fairway Hills 3rd
PID:10- 25602- 060 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Crew2 Inc
2650 Minnehaha Ave
Minneapolis MN 55406
(612) 276 -1680
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- 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:
William K Wright
4727 Hazeltine Lane
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA087822
12/18/2008
ePermit
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Use BLUE or BLACK Ink
For Office Use I
City of EaEan I Permit
I i
I Permit Fee: I
3830 Pilot.Knob Road I
Eagan MN 55122 1 Date Received: 4 I
Phone: (651) 675-5675
Staff-
Fax: (651) 675-5694 L---------------
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: U-I 7 Site Address:
Tenant: Suite
~B' ~7Dq
Resident/Owner Name: 1 u W1rl GI Phone: L9,4 5P
Address / City / Zip: ru G N
Name: Wenzel-Plymouth Plumbing, LLC License#: 061555
Contractor Address: 1710 Alexander Road City: Eagan
State: MN Zip: 55121 Phone: 651-452-1565
Contact: Carl Michels Email: cmichels@wppmn.com
Type of Work - New _ Replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: Demo Pressure Booster
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation L_ RPZ PVB)
Permit Type Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
X Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ N/A
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work'is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Carl Michels x
Applicant's Printed Name Applicant's Signature
I
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157312
Date Issued:08/13/2019
Permit Category:ePermit
Site Address: 4727 Hazeltine Lane
Lot:6 Block: 1 Addition: Fairway Hills 3rd
PID:10-25602-01-060
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 -
William K Wright
4727 Hazeltine Lane
Eagan MN 55123
(612) 281-4323
Kat Construction Llc
8833 79th St
Annandale MN 55302
(320) 266-3455
Applicant/Permitee: Signature Issued By: Signature