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4730 Hazeltine LaneINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: '' `'•' I (612) 681-4675 SITE ADDRESS: APPLICANT: , iirti. t iI I r11 t ;:W ?- FAlfil-lAY Ii l t I', si<li PERMIT SUBTYPE: I - M i w, 1lci1l{1;Fi ihf Plf1(3 iF L . TYPE OF WORK: 1 W,ttl A f i (iN 0) 4?j100 e 9 =€?,r ?I ? r... Permit Nc. Pertnit Holdar Dats Telephone M ELECTRIC 0985/.? ?? ? O ? PLUMBINC3 /O 9 7 HVAC Inapectlon Date Insp. Commente FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING ?j PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD ' FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDC3 FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL -? CASH RECEIPT ? . CfTY OF EAGAN • 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? DATE ? V 1? ? rnow AMOUNT ? Fs :?(lJ ? ?I _ ? I? ? CASH XCHECK 3$ 4 ? - 8 DOIIAHS ,m C 12797 „??, SEWgR & W?4TER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 '. DATE f'??'K gS, 1991 OFFICE USE ONLY MEfER # CHIP # METER SIZE ISSUE DATE -PRV •-I PERMIT DATE 04 % &?/ `' ° PERMIT# B.P. RECEIPT # B.P. RECEIPT DATE PUMP • .=.L-V; tiE I.N SITE AODRESS 47''1 3'A LOT ' BLOCK ` SEC/SUB FAI RWAY H I L1_._, APPLICANT ADDRESS:. 'CITY, STATE ' PHONE: ZIP ? PLUMBER: ADDRESS: r:V F? CITY, STATE PHONE: ZIp 5117 4<1-7344 ' OWNER: "NSC'NAL BUTI.DERS AdDRESS: '152 •TEFFERSOfd L:. CITY, STATE PHONE: Zip 55122 PERMIT REQUESTED x SEWER ? WATER - TAPS _ COMM/IND X RESIDENTIAL x NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ,t?-L" l. , -- • ;?"?-?... 1 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. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE APR.S, 1991 OFFICE USE ONLY METER# 0? °(P$ PERMITDATE 04/08/91 CHIP # O 10 Q6 9' 3 I PERMIT # 11909 METER SIZE S'f B.P. RECEIPT # ISSUE DATE 5- B.P. RECEIPT DATE 0-4/08/ 1 - PRV x BOOSTER PUMPJL-? S=Lo -91 SITE ADDRESS 473(6 i±Ai r,,TINE LN LOT 3 BLOCK 2 SEC/SUB FAIRWAY HTLLS 3RD APPLICANT: ADDRESS:_ CITY, STATE PHONE: _ ZIP ? PLUMBER: ? - : - - , - ' ? ? i; . • . ADDRESS: 320FRONT AVE CITY, STATE ST PAUL MN Zip ? 5117 PHONE: 489-7344 PERMIT REGIUESTED X SEWER X WATER - TAPS - COMM/IND _Y_ 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. OWNER: SEASONAL BUILllERS INC EAtUM ADDRESS: 952 JEFI'ERSQN J.N CITY, STATE EHG?N MN Zip S5122 PHONE: G Al PLEASE ALLONf TWO WORKIN?,` DAYS FOR PR4CESSING. GALL 454-5220 SEWER PERMITS, CONTACT ENGINEERING DEPT. ; TO COMPLY WITH CITY OF JRE WHEN METER ISSUED FOR INSPECTIONS. FOR STORM Site Ac Lot _ Parcel '?I'.Y" . _- . . - .... . ? .T'? , ?' • ;?"'?!.. . ? .. . . „',_"?'? . ., . , . ? :x R DE(K 04/09/92 ?b86-9838 ?;CITY OF EAGAN ' J3 18838 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 M6 Receipt # ' 5E' 11S:G/CAR Est. Value $143,000 Date APR S 1g 91 d73 a bAZILTIM 1.E = Phone application and state that the y with all applicable State oi Signature of Pertnitee I `'` ,I '- A Building Permft is issued to: 8EA50NAI. 3UtLDERb ItiC on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official i ' ? OFFICE USE ONLY R-3Va-I Occupancy FEES Zoning 7?000 (Actual)Consl ? BIdg.Permit (Albwable) 7I 050 # of Stories - Surcharge 314 00 Length PlanReview , ??? i Depth SAC. City S.F.7otal - SAC, MCWCC 650.00 S.F. Footprinls - 660.00 0n Site Sewage _ Water Conn 95.04 on sita wan -? waler Metar MWCC System ? Aa,y Deposit 34.00 City Water _ ? .oo . PRV Required S/W Permit .50 Booster Pump - 51W 5urcharge 275,00 Treatment PI APPROVALS Road Unit ?70' ? Planner Council Bidg.Olf. - -_ - Park Ded. ? s.? ?.,?taij .?. 30.00 - - 0 3 7. , 00 Variance - TOTAL &:r#ffira#p af (O.crupaury Citp of tagan arprbnm# of iuildwg jtt,pertiun T7ris Certffrcate iO'ed pursuant to 1he requirwwnts of Section 306 of the Uniform Building Code certi. fJ'i?i8lhat at !he lhm of iuuarrce lhisstrucrune xw in cornplimrce wilh the variaus ordinanaer ojtlre City regulatiRg building oonsrraaion or use For the following: tt.e aowicsuo. S'' UaG/Cx4R sws. % no. 18838 0-wa-7 TYa R3/I'il Zosivgokm;cl RI rrac?g VN o? dsaaaw SEAMMI. B[TIIMS ZNQ Add? QSZ .]EElEi.9Q1 LM? F1W.W ?OST IN A CONSPICUOUS PLACE f'" ??r. ? ? ' , > sl'?r ? rp,• •-???? .'?,F'??,r?•-?. . .. ? CITY OF EAGAN • 454-8100 - DEPT. OF BUILDING INSPECTIO.NS y Correction Notice at ? - ) '%) ,?/ . - -' ` ' !?? ? Located I have this day inspected fhis structure and these premises and have found the following violations of city codes governing same: When corrections have been made, please call 454-8100 for inspection. Date Inspector City of Eagan DO NOT REMOVE THIS TAG . y > ¢? DATE: RE: APB E, 1991 4730 AA2ELTIPIE LA1 (SEASOHAL BUILDERS INC) ?rr X Your Sewer t3i'JVater Permit for the above property has been completed. It will be held at the Public Wgrlis Garage (3501 Coachman Road).until the meter is picked up. BE SURE TO CALL Pl1BLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. Your Sewei & Water Permit for the above property cannot be completed for the following reasons: I . ? i - I h Your Sewer & Water Permit for the above property?'as been completed, but the meter cannot be issued or occupancy allowed until further netice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN NO 18838 3830 Pilot Knob Road, P.O. Box 27-799, Eagan, MN 55121 BUILDWG PERMIT PHONE:454-8700 Receipt # °Tobeusedfor , SF DWG/GAR Est.Value $143,000 Site Address 47110 HtkZELTj:NE:j,N__: Lot 3 Block 2"- SeGSub. FAIRWAY HILLS 3E Parcel No. w Name SEASONAL BUILDERS INC ? Address 952 JEFFERSON LN City EAGAN Phone ?o Name 5? I g¢ Address `- City Phone Name _ Address Clty _ Phone I hereby acknowlege lhat I have read this appliCalion and State ihat Ihe information is correct and agree lo comply with all applicable State of Minnesota Statules and Cof Eagnan Ordinances. Signature ot Permitee _ A Building Permit is issued to: SEASONAI. A IT D RR TN on the ezpress condilion that all work shall be done in accortlance with all applicable State of Minneso?ta Spta?tures aynyd? City of Eagan Ortlinances. Building Official 4? ?lll (18.21,?,? ill? Tr t9-u OFFICE USE ONLY Occupancy R-3 M-1 FEFS Zoning R_ 1 (ACtual) Const V-N Bldg. Permit 0 790.0 (Allowable) y- Surcharge 71.50 # of S?Ones - Length _fLLl PlanReview 514.00 Depth 36? SA0.Cily 100-00 S.F.Total - SAC,MCWCC 650-0 n S.F. Footprints - On Site Sewage _ Water Conn 0 660.0 on Sita well warer Meter 95.00 MWCCSyslem X 30 00 City Water X qctt.Deposit . PRV Paquire0 SN? Permit ? 30.0 Baosler Pump X SiW Surcharge .$? 7realment PI 0 275.0 APPROVALS RoadUnit 370.00 Planner - park Ded. Council ? PEnal 50. 00 t?r BIdg.011. _ variance - ro7AL 3,637,0 0 I Address:4730 Ht1ZELTINE T.ANR Lot 3 Blk Z Sec/SubFAIRWAY IiILLS 3RD These items were/wex'e not co Da • 9?? I Final grade (6" from siding) I Permanent steps - garage Pexmanent steps - main entry Permanent driveway Permanent gas Sod/seeded Rrass Porch Basement finish Deck te at the time of the flnal Yes No ? ? Pleasa verlfy vith the builder the removal of roof test caps from the plvmbing system and the shut-off of water supply to the outside lawn Esucet befo=e freeze potential exists. ? RF41C4fUMMR White - City copy Yellow - Resident copy Pink.- Contractor copy REQUEST FOR ELECTRICAL INSPECTION " ?? t. Ee.ooao,- ll / See insimctions for completing ihis tofm on back of yeilow copy. /OQB ? ? H64209 -°x' 6e/ow Work Covered by This Request '?+ ,?•? - ew Add Rep. Typeof8uilding AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner OMer fsPecMl ConVactrn§ flemaMS: Compute Inspection Fee Bebw: # Other Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transtormars Above 200 _ Amps A e 700 _ Amps SignS inspector§ Usa Ony: MTAL Irrigation 8ooms ? Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT OMer Fee COMPLETED WITHIN 18 MONTMS. I, the Electrical Inspector, hereby certity that the above inspection has been made. p019n-m Finai ? oata oe?e ?, -'? OFFICE USE ONLY ? This requesl witl 18 rtroMhs fmm - a - oa a 6420? o ?,J ? ? /3 - ReQU st Uale [iJ Fire No. Rough-i nsp ' n p? ? q ? ReaOy Now i N IAy Inspepa Wh R E ? ? s ? ? an ee y I Q:IiEensed contrector p owner hereby request inspection of above electrical work at: JOU trey1. BW w e No.) Ciy I V ion . Tovmship Na No. Renge No. CounN n ? if/w d? l?lJ'-w%C1 tfP I 1 ? Z h NS S O 124 Power S Z FtlEress Ekcumal Co lr or (COmpany Neme) ConV d . • • W9 t 9 Meiling r s I rn Oxrrer kirg Instailation) AuNOnz g?Nre ? nVactorlO.vner Making In9tallation) NINNESOTR STATE BOARU OF ECEGT111GRY - THIS INSPEGTION flE0UE5T WILL NOT GtlpWMMwey BICy. - Room 5173 BE ACCEPTED BV THE STFTE BOARO t821 UnlvnNly Ave., St. Pwl, MN 65104 UNLE55 PROPER INSPECTION FEE IS Pluro (612) 6/24000 ENCLOSED. S14r19/ - lo/ro/4/ -P.5?/9/ loa86?d'/-1015G/ J 00 r' LL p 7327 ?l05 J RBQll89' Fd0 N0. F gh l1 109pBCtlan R ci, ? ? G Ready Now ?(W'ill Notily Inspector Wh R O d . es -No en ea ? I licensed contractor i] owner hereby request inspection of above ctrical work 69- 5.Aoft Job Aa ss (Steeel Box or qo e No.l ? 73D n Seain Towp.NVNo. Parge Na 3? ? uumy ? 05 '"'SO?ffL GS. Pn? r Powe Supplicr Atltlress & EIecV S ? GonVector5 Icense No- Meiling Adar ss IGOmr Ioror Own king Inslalialion, ? Awnorize gna?or iCOmrac[o' w er n ki ?1? ng Irstalla0on) Pnone um?er MINNESOTA STATI(BOARD OF ELEDTqICITY THIS INSPECTION REQUEST WILL NOT Grigqs-Mitlway Blag. - Room S-173 flE ACCEPTED BY THE STATE BOARD 1921 University Ave.,-St. Paul. MN 55104 UNLE55 PFOPER INSPECTION FEE IS Phane(611)642-0800 ENGLOSED . ?-??/?/ REQUEST FOR ELECTRICAL INSPECTION II, See msVUC!ions for completing this lonn on bacR ol yellow copy ?n7"l 2 7 =X" Below Work Covered by This Request lo/ 713 ew Atltl Rep. TypeofBuiltling AppliancesWired EquipmeniWired -] _ Home Ranqe Temporary Service Duplez Water Hea[er EleCtric Heating Apt Building Dryer Other (Specify) Comm./Industrial Furnace - ' Farm Air Conditioner Otner Isuacifyi Gontraalor'6 Remarks: ' Compute Inspection Fee Below: # Other Fee # ServiceEntrenceSize Fa # CirwitslFeeders Fee Swimming Pool 0 to 200 Amps / Vdg 0 to 100 Amps Transformers Above 200 _ Amps Amps , B Signs insvecror§ Use only. (,j) TOTAL `a Irrigation Booms ? ? Special Inspection AlarmlCommunication THIS INSTALLATION MAV BE ORDEFIED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. 1. the Electrical Inspector, hereby R°i oat ... ' p 11>6 ' certify that the a6ove inspection has been made. Finai te C... OFFICE USE ]NLY ?~ Tnis request voitl 18 momns irom ?f ~ 5??i/9 7 0 098 513 7'1.2.90 ,4 zlt-O ' Requesl DuB' Fire o. ough-In Inspecfon uirea Ins ectlon Other Tnan Raugroln (YOU musf call inspe hen reatly) '? ? Aeatly Now U Will Notity Inspedor ves No Dele Ready I M,licensed contractor ? owner hereby request inspection of above electrical work at: Job Aaarese (Sheat. eox ur Foute Na.) Ciry 03() n.2G?;?•'?Q., ah r L?a aYl Sec[ion No. Tovm,M1ip Nnmc or No. Range No. Counry Q n??q OccupantlPRINTI Pa+ e. Phone No. b Sro ' 983 ? Power Suppl'rer Adpress Elecvical CoNracbr (GOmpany Name) Contractors License No, tx),x l? er I:ke Gi i, • C C i9 o I S4 `7 Mrilling Atldress (COnlracbr or Onner Making Inelalla0on) - N ;" - R 1 670 S reea NE ' . S fYa-1`l 53 AWhorizetl SignaWee (ConhactorlOwner A9akin9 Install (ion Phone Number MINNESOTA STATE BDAFD OF ELECTRICITY THIS INSPECTION FEQUEST WILL NOT Grigqs-Mitlway Bltlg. - Poom 5?128 BE ACCEPTED BY THE STATE 60AflD 1821 Univarsity Ave.. SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 9-7 .?4? Ea.oryooo, 09 11- Po See ins"ctions lor compleling Ihis fefm on back of yBllow copy. 0 098 513 "X" Below_Wark .lovered by Th/s Request Nev, Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service., Duplex Watar Heater Elactric Heatinq Apt. Building Dryer Load Management Comm./Industrial Furnace Other Specify) Farm Air Conditioner l OtM1er(speci;y) OonlractorsRemerks: ?r6 p?SCp'?Q./?T Compute lnspectian Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 _Amps SignS 1nspeVar's Use Opry: TOTAL Irrigation Booms yD o 4s- Special Inspection Alarm/Communication THIS INSTALLATIQy..M E ORDERED DISCONNECTED IF NOT Other Fee COMPLETE . MO HS. I, the Electrical Inspector, hereby tif th i h Rough-in Dat ? cer y a e above inspection has t been made. Foai ,?h -? 0+?, ?g cJ OFFICE USE ONLV This requesl voitl 1 9 monNS trom City of Eapn 3830 Pllot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 F ---lf ic-e-us-e ----------i For O ? ? ? Permft#. ? Permi[ Fee: -/ L-? •[J?? 1 ? Date Received: J 1 1 Statt: C2, I i ---------------- LDING PERMIT APPLICATION Date: S gfteAddrass: --J?? Tenant: PcUf- 6ec.2 ,o_„e- sufte #: RESIDENTlOWNER Name: k' f"tPhone: Address / City / 2ip: S%l1Vq 6L? ???')/ ) ?(L. Applicant is: _ Owner -XCoMractor TYPEOFWORK Descriptionofuvork: T/ol'ZS/ 4' &-ILDC:ir Constructan Cost: ?7[X?D • C.? C? Mutti-Family Building: (Yes _/ No CONTRACTOR Name: IC ['Yl k' ??L'?/ CLC Liccense #: ?0M'710 address: %074,/!? ?-A/'t?J City: State: J?L1t_ Zip: Phone:?5-?'?'J- ?70 ContactPerson: I?G(d 741yl.50'0 COMPLETE THIS AHEA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Cocle . Residen6al Venulauon Category 1 Worksheet i • New Energy Gade Wmksheet .. " CBtCgOYy SuDmitted Submitled (4 submission type) • Energy Envelope Calculalior5 Submitted In the last 12 mwMhs, has ttie Ci[y of Eagan issued a permit for a similer plan based on a master plan7 _Yes _NO If yes, date and address of master plan: Licensed Plumber: Phone: AAechanicalConVactor: Phone: Sewer & Water Comractor: ?'' °'!v 1) 7 J 008 -' Phone: NOTE: Plans artd supporiing documents that you subm/t ane considered to be pubflc iniom?atfon. Portfons of the informaffon may be classffled as non pubNc N you provlde speciNc reesarrs that would permit the City to CorfCtude that the are tnde SECrets. 1 hereby aduawledge that M's irrformaiion is complete and accurate; tlhat the xvAc will be in conformarice with the ordinances antl codes of tha City of Eagan; tliat I urxlwstarW this is not a permR, Wd onty an applipfion for a permi[, arx) work is rro[ to start without a permd; Nhat the work will be in accordance vrtth the approved plan in tt+e case at wwk whch requires a review and approval of plam. 7 ? ApplicaM's Med Name lcaM's Sig ' ure Page t of 3 c=? ?, Ut?, DO NOT WRRE BELOW THIS LINE SUB TYPES ? Foundatlon ? OSplex ? 76-plex ? Acoessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-sesson) ? Ext. AIL - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4season) ? Exf. AM. - SF ? 02-Plex ? 08-plex ? Declc ? Porch (screeNgazeboipergola) ? Multi Misc. ? 03-Plex ? 10.plex ? Lower Level ? S[orm Damage ? 04PIex ? 72-plex ? Miscelleneous WORK TYPES ? Wew ? Interlor Improvement ? Siding ? Demolish Building' ? Addifiort ? Move BuiWing ? Reroof ? Demdish Interiar ? Atteration ? Fire Repair D Windows ? Demolish FoundaNon ? Replacement ? Egress Window O Water Damage ` Demolilion (emire buAdinJ) - 9ive PCA handou[ to applicant DESCRIPTION: Valuation pccupancy MCES System Plan Review Code Edition SAC Units (259l6_1DO°/ Zoning City Water Census Code Storfes Booster Pump # of Units Square Feet PRV $ oE Buildimgs L¢ngth Fre Sprinkters rype w conse. wkim Footings (near bld9) Sfieetrodc Footings (dedc) FinaUC.O. Footings (addition) FinaUNO C.O. Foundation HVAC ? Drain Tile Other. ? Roof: _Ice8 Water _Final Paol: _FOOtings _AidGas TesGS Fnal Framing Slding: _SYucco Latli Storie Lath _Brick Fireplace:_R.I. Air Test _Final Windows Insulation Retaining Wall Reviewed By: . Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC Cily SAC Wility Con++ectiw} Chazge 5&W Permit & Surcharge Treatment PIsM Coples Total :IT:Y,.`P?' _#?•.°•?Y . NQ?.xl?? .? 4 . , > . . . ., ? Ci, . , .• °' . ..?4 . f`A.BKSC!£ C T+rt:WR4.tt ` '- < 3' 1 4730 HA?F'.?.'?'IN'c": 3 p .? 4.'.s(', . ..,t_ '` . '. ? .. . .. ., , . :,.,. .. o'? • rti 74a7b . ., •,, ? t ? . . . ? . . . . ? CITY-OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: auzLoznG Permit Number: 029580 Date Issued: 0 3 J 0 7/ 9 7 4730 HAZELTINE LANE LOT: 3 BLOCK: 2 FATRWAY HILLS 3ftD P.I.N.: 10-25602-030-02 DESCRIPTION: ermit 7ype o,r,k, TYPE REMARKS: BASEMENT FINISH RLTERATION 434 ALT. RESIDENTI-AL 1 `u, MF FEE SUMMARY: Base Fee Surcharge Tvtal Fee CONTRACTOR: r `.5 t d"t t3 t-e s` -e Fi L /]"" $50.00 $.50 $50.50 OWNER: -- Applicant - DEWANE PA7RICK 4736 HAZELTINE LANE EAGAN MN 55123 (612)348-1895 t 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ??D 5? ? CITY OF EAGAN ??7 ? ??- ?? 5830 PILOT KNOB RD - 65122 B81-4675 Naw Construetion ReauiremeMa ? 3 registered ske sunreys ? 2 coPb$ o{ plan ? 2 coplee of plana pndude 6eam 8 wlndow sizes; poured fnd. tlesign; etcJ ? 2 alte surveys (exterior etldkbns & tledca) ? 1 energy calalations ? 1 enaigy calaletions for heated adCitions ? 3 eopies ot tree preservation plan fl IM platted after 7/1183 required: _Yes _ No = DATE: g-/ I, S I CONSTRUCTION COST: DESCRIPTION OF WORK ? ? STREET ADDRESS: LOT 3 BLOCK 22? SUBD./P.I.D. #: /`'f Eo d°!P - 9 ''' 3 ?Q I,IJ A-,?-.t ?G w Jp"13? PROPERTY Name: Phone #: OWNER Street Address: 'y7J ° City: ; -? State: /14 iL) Zip: coNrw?cTOR Company: Phone #: Street Address: License #: City: State: Zip: a?tcHtTEcT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construdion only): and bt change are requested once permit is issued. _ Yes _ No I hereby acknowledge that I have read this appliption and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received 3 Penalry applies when address change MAR 0 4 7997 Tree Preservation Plan Received - Yes - No - Not OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging z"' 16 Basement Finish 0 02 SF Dweiling a 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Poal 0 03 SF Addition o 08 8-plex n 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex D 14 Fireplace ? 21 Miscellaneous a 05 SF Misc. ? 10 _-plex o 15 Deck WORK TYPE 0 31 New O'?'33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq.ft. Footprint sq. ft. MCJWS System ? City Water ? Fire Sprinklered PRV Booster Pump Census Code. v3 y SAC Code 01 Census Bldg ? Census Unit o Planning Building M, Engineering Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ Variance °k SAC SAC Units CITY OF EAGAN 3830 PIIAT RNOB ROAD EAGAN MN 55222 PHONE (612) 454 8100 "CWI99mm" ??(.!? ? PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR _ OWNEK NAME: SITE ADDRESS:/Y730 fS?? 14W LOT:J BIACK xt SUBD. a... A?..3 INSTALLER CITY PHONE # FOR CITY USE ONLY PERMIT # RECEIPT # DATE: FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT 0 SUBTOTAL: ,'1 / STATE SURCHARGE: .50 TOTAL: Q-? ? C//za"x / SIGNATURE OF PERMI EE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING iTNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS:_.?_____ IAT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN 3830 PILOT RNOB ROAD EAGAN, MN 55122 PHONE: .(612) 454-8100 FOR CITY USE ONLY PERMIT # /Y3'7zr RECEIPT # C f3 U o3' DATE: s -14 91 g"5MqM PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT. - ---------------------------------- WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS : 7 7-/ o // Oa F I*A) tr 641V ? LOT: .3 BIACK -1 SUBD. INSTALLER: `fl'OlAn ADDRESS: CITY: -19- v OLP? ZIP: SS`I / PNONE #: W5- 737Y COMPLETE THE FOLLOWING; N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 3 SHOWER 3.00 WATER CLOSET 3.00 9 v2 BATH TUB 3.00 69 3 LAVATORY 3.00 ? ? KITCHEN SINK 3.00 ? LAUNDRY TRAY 3.00 3°'O HOT TUB/SPA 3.00 ? WATER HEATER 3.00 ? FLADR DRAIN 3.00 3O° GAS PIPING OUT. L (MINIM[JM - 1) 3.00 3? 3 ROUGH OPENINGS 1.50 ? _ OTHER WATER SOFTENER 5.00 ` PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 ?o SUBTOTAL $ ffa ST. SURCHARGE .50 TOTAL: $ s3 ?Jo COMME?tGIAL?IHnSTIMAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT; BI.OCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN ZIP: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: (SIGNATURE) $ . . , 0•.y, 7`30'l70i' 71•501- 514•00+ 2,211•50+ 3, 587•Oa* 790 • 00+ Il•5U+ 514•00+ 2,211•S0+ 3, SE37•00* 1991 BUILDI G PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECTFICATIONS 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 LATS - CONTRACTOR/HOMEOWNER MUST 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 LICENSF.? PT.IIMRF.R. To Be Used For: Q h Valuation IK90 }?[?zE e 1n Site Address Lot 19 Block ?`9l Parcel/Sub I?P'f?v //•/? q 9 Owner Address City/Zip Code Phone Contractor _ Address City/Zip Code Phone Arch./Engr Address 4AAR 2 5 RECo ? Date : I.? ?/ JOFFICE US -f J Occupancy rC-3 M-1 Zoning ? Actual Const V-N Allowable V - N # of stories Length ? Depth 36 S.F. Total Footprint S.F. On site sewage_ On site well MWCC System r/ City water / PRV Booster Pump ?olh.r ?./?ud?y- ..?•c.?. i City/Zip Code Phone # t'6J O ?$ 3-2.0 - 5/ ONLY FEES Bldg. Permit ?90•00 Surcharge !,$p Plan Review 514. OJ SAd, City J? O,JO SAC, MWCC p D Water Conn. bD,OD Water Meter V J Acet. Deposit 3'0,00 S/w Permit 3,0, va S/W Surcharge i 5U Treatment P1. 2r)6,0 a Roa-d-.Unit 5 4, vD Park Ded: '-.,, Trail Ded. Copies SUBTOTAL Penalty Lot Change So.oe TOTAL "- / ,3(0 ,37, o 0 J agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?W K 30 = r1 lDu`6= ? ..._-- ?O?l°xis?= 1600 43.?a->m r ?---- zt3 x3'? = lo6 y,c ?? = I L I IsT -Ft, ooI2 ZOxW Zx-7 x2= ? `l 1n= .:,. / 06 y ?- I i '12 x 53 = Gzirt, ZNa 4:.0o 2 e x3$ - l ob?f ?S 3 = 5631 2 ?-" ?y3,oo4 METRO 1875 PLAZA D7 SURVEYDRS suirE 200 ?NC. EAGAN, MIY. 55122 Certificate of Survey for? (612)452-7850 SEASONAL BUILDERS LEGAL OESCRIPTION: LOT 3,BLOCK.2 , FAIRWAY HILLS 3RD ADD ACCORDING TO THE RECORDED PLAT TNEREOF DAKOTA COUNTY,MINNESOTA 9,55'. E 102 0) (D ? e ? 2 z l03 13.35 ?? M`?F 0 13.356O R"T , U) lo3i ?'? a gg? ? ' I r ? 5? I ? ? I i 93.b1 ?? ? 1? ; ? ? ; n 5I -----?,y? - J S 89° 13' 41" Vy s 163oZ 75.23 loz7 s - N (D l030`' 4. W l1.Ss U ? 0 O lo'D ? s Z R ? "tiu41d ENGAdEEAIPjc; DEt?T HAZELTINE LANE ?? OSTER Pum ? SCALE: I ° = 30? ,.. . : ,. t, RE , Ou_,L-BA'sE1?7 w?ta4-yu? w???o , LEGEND INVERT ELEVATION AT SERVICE EXTENSION- o DENOTES IRON MONUMENT PROPOSEO GARAGE FLOOR ELEVATION• ?o?-• o DENOTES W000 MU9 SET PROPOSED FIRST FLOOR ELEVATION• DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR • ? ELE VATION EI.E VAT 1 ON DENOTES PROPOSfG SPOT ELEVATION ? DENOTES DRAINAGE'DIRECTION I Mnbr certffy tlwt this surwy, plan or report ras prepanA by ms or under my direct suprvision and fhaf 1 om a duly Reqistered Land Surv*yor undM tM Lawa of tM Stafe ot Minnesofa N? VERIFY ALL FLQOR HEIGItTS WITM FINAL H WSE PLANS &odley J. Dott ' / Req. No. 15235 r / .._;:PL'::P=;IOi;, r!`d'JF...LQf'E AVEF2F1i'E ";.J" CQNIPill'Fi'fl'OI`d Pl<=r, #k ";L;rti----Date_.'__';-1_yi.. i:)w...?er _ --------- ----°-- -- - __ _ _ __.__ ---•-°-------- Cnntr actor Seasonal ri?,i i dc?;?? -----------.__._... __..-----------------.._.._____ k?!ite ar_idr'oa=. 7 .-?-r ^, ?+'?-,?? -.., ?7 C'n.n: ..... u -..,_ ?. _ ._. i) Tcatctl exr,o;.ei7 44c;1.I area ::. '4,._V ?•o-'- .i ? _- 2) Tota7. e:;posed roof %cei.; inq --i i.74---so_ft __026= 30,5 • Wall cnlcula.tinn Total window area Total cloor- area Total glass cioor area Total +i.rapiacP area Total wa:l. ]. f'rami ng area Pdet invul.a.ted wal1 area Tnt a]. ri. m,ioi at area Total +c7unda.t:ioi7 area Total roundati.an 4vindaw ^51 _-T8 --4? ? --38 21' 19.^ir _Y?^ _28c na _s9_ft_-_u7 --?.7-- _?9_?t=-_'=t= 7-- --`?-9-.f `?-- _G.?Js? -??= ? -=?=¢-t =- J----^-1 ?"'? 3? Tot.al /^^?^_?> 1 C?_-=-' _ If item ._, i= f.he rame as, or less ihan iLem i, Yau. have met thr.:? intent of 2 MCAFt1., 160UB H and O Roof:'cF>,i.l.ina ca:.cul.ation Tot::l sky7. i gtit ar ea. T,:,t.ri:L rcyr;rlcE>i.7.i.ng +raminq Not 7.1"tsL41at(=Ci p.C)o'E dY'E'2 ---02 ..... °'J=ft-.__.•' _ ' 17.1 sa.-`t.,..?,^,?.f----;:--- _ a , -1='- Ir t<-?1 ? ? 1:f it.ert? a'} ,.:. >ame a=y or less than , vou rnei tt'cointcnt nf 2 Nlt_:r`,?`Fi 1.1600B ra and 0 .. A].4:t=rn ..t=, t?uilding enve].opE design to uti.:l.ize thr= t.otal enve7.ope s=.tem methad 'che =um uf items 1:and 2 -ha].l be ?reateirthar? t.Fie sum c?t i.tems _ <?:u`i d ,?. J ]. i +2 ? - "} _. .___ ---------.?._- --------....._...__.-._..---- _.. y4, ---------17- _.......____--- --------- I her"G?:? cerh;h.?y tha'.: the buil?ino er-e_.de=scr-ibe;i rrre=et= or- t:<cer=d=_ t.he state nf minnespta energ•.• r..onser,3tion ac±. Si gned -----------? --- -----y-- - ZJ wau_....r;aNS?-?ucrrnr? -------- --- -----. _.. 2%:6 w: Fti.ldrite CEzt_rraG cOraSrhucTa:oN R- 72. 0 61 own i. ns. F_'r°amQq _ectign Frarnir:g secti.gn ].. Interiar s;ii- film .6S J.. Cnterior air film .bB <. 1r..?" Q,''p. t]{j. .45 i. J1B" gJp bd. .Jf] -.e 5 1: ^" nf =,c+' t waod 6.87 _.. 3 1,•"2" wood 4.37 4. 25l32 6ildri.tE 2,08 4, 10" i.ns. 33.24 5. gidinci .u]. Tuta l F; 38.85 o. ex'teri.c,r air film .17 lJ = 7.f'h .028 Tnta1 Fi ll.On ------ Insula.ted ser_tinn -..._.._.._...__._.___._.__._..._._.:-- ].. Interi.or ai.i• film .68 f.l = 7.'R _09 2. 5?8" gyp hd. eSb - _.. 14" insulaiion 42.00 Insul?ite?? sec.t.ion - -- --. _..._..... _ Total R 4:.24 - -- i. Interi.ar a:.r film .E,e, U= lIR - - .02' ^. 1J2" gYp. hd. .45 _. 55;9 L',att: i.ns. 19.0 ;;P--ciai conditi.or? e---- 4. 25/32 t±i ldri. te 2.08 n,'a 5. si.di.nq 81 6. e:;ter'inr aar film .17 Tntal R _'.19 U = i/R t;.0q3 i,;i_m ioi.st <_e_yction J. Snteriar air film .68 _.. 5 1,•'2" hatt :ins_ 19.0 3. Y 1!2" wood 1.89 tl. 25:'32 bildrite 2.iig 5. _;iclinq .81 b. exterior ai.r- film .17 Total. R 2 4. n U = ].!R .04 Fauridat:i.on section 1. int.erior air film .68 _.. 1" =_stvra i.ns. 5,.00 . 12" ccanc blF::. ?,?B 4. exterior a4.r film .17 Total. fi 7.13 - - u = l/R , xa . PERMIT CITY OF EAGAN `'?$3? 1992 BUILDING PERMIT APPUCATION 681-4675 APR 3 RECd SINGLE 8 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 epergy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day af month in which re uest is made or lot chan e is re uested once ermit is issued. Date on /03 / 92 Valuation of work $1,800.00 Site Address: 4730 Hazeltine Lane STREET ' STE t Tenant Name: t'atrick G. De wane Lot sLaK i.1.D. / Descri tion of work: peck The applicant is: 13 Owner ? Contractor 0 Other (nes«ix) Name De wane, Patrick G. Phone 686-9838 Property usT ?IRST Owner pddress 4730 Hazeltine Lane STREET ' STE / City _Ea9an State MN ZjP 55123 Company Phone COntrBCtOC Address License # Exp. Liiy Lip Company Phone Architect/ Engtneer Name Registration N 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 wi all applicable State of Minnesota Statutes and City of Eagan Ordinances. Si f A li gnature o pp cant: Y urrmoc uat unLr BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg E3 09 Basement finish O 02 SF Dwg. ? 06 Garage/Accessory O 10 Swim Pool ? 03 Two family O 07 Fireplace 0 11 Res. Add./Porch ? 04 Multi-fam. T.H. % 08 Deck ? 12 Comm./Ind. WORK TYPE lpl 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION 0 37 Demolish ? 99 Undefined Const. (Actual) Basement sq. ft. (Allowabie) ? -' isi f'i. sq. ri. UBC Occupancy R-3 2nd F1. sq. ft. Zoning Sq. Ft. total # of 5tories footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building Engineering Variance REDUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile 3` ? Insulation ? Fireplace Permit Fee --??' Surcharge _.??;-?---- Plan Review License MWCC SAC i.iLy SAC - Mater Conn. - Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total : 71T sac x SAC Units Yeluetim: f : ? ". ? . .,?., .r ,,r •r - , ? ?1? [3 13-Public'fac. ? 14 Agricultural ? 15 Miscellaneous MWCC System city iiater PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? ME'TRO reis rtara mt SURVEYORS swrE Roo IJYG FA aft sr Cerliftcate of Survey for• 52-7e50, SEA50NAl. BUtLpERS . LEGAL DESCRIPTION; LOT 3,gLOCK2, fAtRWRY HILLS 3RD ADD, ACCOiDING TOTHEqECOflpED PLA7 TFIEREOF naKOTn _ COUPlTY.Y6MIESOTA fOa yrJc .. . ?TS _.sc5" E 5°1 ? t0 7C????'3?? \ -t gy 28 ..r?'` +a ? 3 I f? 800 r. -- o- 1: q ISW56? - W p,'dD , a .. ? p.Lt 'Q1 0 A%9n ? ih5? lse. :? M ro?7 i _ La+Mig l 6 22 = . ??? t Ra160.0 A . 2• 86' 38" S B4• 13' 41" Ie3e7 78 . e .23 ? HAZELTiNE LANE _,. . ....._ %' . •SCALL, lo- 30' " ?.? .?. .. E c• ? ? ?p/ayEO Ftl1.L ?jS?Jj" u?t1L1N/Te M7+74/ . e OENOTES iR ON yO1NUE11T ? DEMOTES Y/O O p ?1{ ?g gET 01YEffT EtEV0.TbM AY SEWOM ExTEM$OCF o P?P06FL BIWAB[ FIOQR CLEV4ilOq. ? ? y OENGTES EElE?A710MSPOT /ppppSED FM9T iLOON fIEWITIOM. P710POfFD BA5'imv1T Ft+00R OfiNOTFB PROPOdED SROT lLEYATidM . ELEMpTiOM ? GFMOTES pRANM? (pqaTIpN NOTE' VENIiY ALL FLOOR NEIOITY INT1/ ° . .. ,;, • . IWM. NOYBE M,AYB I MrIft c.nuy tnat w. wveRVwu er ? r.pere ... w.oana ? w a reer ryr dlr?cf wD?lom md IAm t sw adWr BfadM7 J. 9w N/lle ? pWHirsA WM Swwfo?wt4?1M / lan efnw Sean M Wa"wra Di71: . .,? ., . ,;. m. i% ?? . ' h W ? d y ? . C i I? _J L ? BL ? CITY USE ONLY RECEIPT #: 7'm7 SUBD. Gt.v? RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (692) 681-4675 Please complete for: . single family dwellings . townhomesand condos when permits are required for each unit • backflow preventer for underground sprinkler system FIXTURES EACH NQ„ TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Ta6/Spa 100 x = WaterHeater 3:00 x = Floor Drain 3.00 x = GaS Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1:50 x = Water Softener * for awenin9s under conswaion 5.00 x = Water Softener 'torsxistlng dwelling 20:00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler "MrexisBngdwelling 20.00 _ Alt2fetlOtlS 'to:existing resideace 20.00. = J.'Da Water Turn Around 20.00 = Rrivate Disposal System ' DakCty lic: 65:00 = (new antl refurhished systems) Private Disposal5ystems'Abandonment 20.00 = STATE SURCHARGE .50 TOTAL JiLl-0 ; I hereby acknowledge that I have read this applica6on, state that theiMormation is correct and agiee tocomply wilh all applicable Ciryof EaganoWinances. ttis theapplicanPS rasponsiblliry to notfry the property ownerthat theCiry of Eagan assumes no lia6iliry for snydamagescausedbytheCity duringits.noimal:ope2tlonelandmaintenancesCivNesSOthe.Tadlides.construUedunderthis;permd.witliin City .property/rigAtof-wayleasement SITE ADDRESS. lsv G-e-- i OWNER NAME: 4" +0 vV, G. JO 2 INSTALLER NAME: TELEPHONE#: STREET ADDRESS: ciTV: ?-??-? 4---?. STATE /14 /,? ZIP: SIGNATURE OF PERMITTEE OFFICE USE ONLY PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160597 Date Issued:03/24/2020 Permit Category:ePermit Site Address: 4730 Hazeltine Lane Lot:3 Block: 2 Addition: Fairway Hills 3rd PID:10-25602-02-030 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 - Paola Mulford-zifko 4730 Hazeltine Lane Eagan MN 55123 (218) 428-3244 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160598 Date Issued:03/24/2020 Permit Category:ePermit Site Address: 4730 Hazeltine Lane Lot:3 Block: 2 Addition: Fairway Hills 3rd PID:10-25602-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Paola Mulford-zifko 4730 Hazeltine Lane Eagan MN 55123 (218) 428-3244 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173911 Date Issued:12/13/2021 Permit Category:ePermit Site Address: 4730 Hazeltine Lane Lot:3 Block: 2 Addition: Fairway Hills 3rd PID:10-25602-02-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Garage Heater Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Paola Mulford-zifko 4730 Hazeltine Ln Eagan MN 55123 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature