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4734 Hazeltine Lane? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1 : .1 1 1 t ? i r, i i:???, , ?I i i i ..?•t? i PERMIT SUBTYPE: INSPECTIUN RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: ? r, i.' 1 +, F.: t ?•i TYPE OF WORK: ti ll) i 11 114-1y N.' n.' r.rl H/ 09/')4 i,,i I r ir+M if 14 INSPECTION .. . .• . F ? ? ..? Permit No. PermR Holder Date Telephone ii SNV PLUMBING HVAC ELECTRIC ELECTRIC Inapectlon Date Insp. Commsnts Footingsl Foundation Freming Roofing Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Dedc Ftg. Deck Final wen Pr. Disp. .-,- y ? . Y CASH RECEIPT 0 ' ? -• CITY OF EAGAN, 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 1'. OA7E 19 rWCEMo FlIOIA AMOUNT a , & OOILAFIS ?oo O CASH [yCHECK wn r BY C 7? 4 Y"e-peyers Copy ? Yelkr?sLre Copy Pink-F#a Copy Thank You SEW?R & VICATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. # Eagan, MN 55122-1897 ? 'i ? DATE OC? 8. 1491 OFfICE USE ONLY METER # PERMIT DATE 10/09/91 CHIP # PERMIT # 12334 METER SIZE B.P. RECEIPT # C 15724 ISSUE DATE B.P. RECEIPT DATE -IDJUL91 - PRV -X- 6005TER PUMP SITE ADDRESS 4734 HAZgt_TIl1E LtI LOT 4 BLOCK 2 SEC/SUB FAI1tLTAY gIlL9 3EtD APPLICANT: ADDRESS: CITY, STATE ZIP PHONE: PLUMBER: BLGENCY PLU"ING ADDRESS: 320 lRONT AVIE CITY, STATE ST PAIiL liri Zip 55117 PHONE: 459-7344 OWNER: CITY, STATE 9A 10 iy N ZIP SS1Z1 PHONE: 454-5471 PERMIT REOUESTED X SEWER X WATER - TAPS _ COMM/IND X RESIDENTIAL XL NEW ? EXISTING Lawn Sprinkler Meters are to be Installed Rhead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ? I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED j 454-5220 FOR INSPECTIONS. FOR STORM kSE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL ER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE QCT El, ] 991 METER #qy y 7' 7.W-7?1 PERMIT DATE 1C109191 cHiP # 47-2 059 2-0 PERMIT # 12334 METER SIZE ?(r 4-4SK-5 B.P. RECEIPT # C 15724 ISSUE DATE ZZ^ y_'VJ B.P. RECEIPT DATE 1010121 1 _ PRV ti BOOSTER PUMP ' a?s?fr uprip i ss4wor 1z-y- q? SITE ADDRESS 1+: -.4 'l INL LN LOT '!BLOCK " SEC'SUB FA.IRWAY 'tiILLS 3i'i' APPLIGANT: ADDRE55:_ C1TY, STATE PHONE: - PLUMBER: REGENCY PLUMBING ADDRESS: 320 FROtd't' AVE CITY, STATE ZIP 17 PHONE: ; r rtHMi r RtuutS i tu X SEWER y . WATER _ TAPS ? COMM/IND - RESIDENTiAL NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. V I AWEE TO COMPLY WITH CITY UF OWNER: 51:.4SQNAL BUILllERS IIiC N oRDINA CE5 ADDRESS: 6s5°tl SCUTT TR STH 21- CITY, STATE FAIAN '=N ZIP 1?j 22 PHONE: 5 4 - -I fiGTU E WHEN METER ISSUED ? . , i PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ' SEWER PERMITS, CONTACT ENGINEERING DEPT. ZIP ?-b88-7434 ?? ? (gor#ifiratt of (O.r.cu?aury Citp of Cagari Erprhttptd nf Iw1d'acg itcspertinri T7?'s Cardfrcate issuad pursuaxl to the raquirrments of Seaon 306 ojlhe Uniforrn Building Code oairfying tltat at the dnre of issuance lhirstrudure xws in rnrnpliance with the vaiious orrtinwwes of the City regulalrng building conouedon ar um For the foUowing. the anur,oom S6 LLG/M ma& Paw: rb. 19781 O-V-r 7Yx 6/8 1 - z..ic owWa R 1 rya caw VN o,-w,t&,wft SF1y.9QVAL BIJIIZ'RS INQ. A&,. 4580 9!7DTT Ilt;. EA['?1N bad Add= 4734 HAZEf.TIIm LAHI? L-aw L4, B2. FAIIW EIII3S 3RD POST IN A CANSPKMUS PLACE WpLIA%:Y?AM-688r7439 CITY OF EAGAN • 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE• 454-8100 1,01.00 19 7'7 1 BUILDING PERMiT ?? •. •° Receipt # To be used fnr SF mK:11rAn t• r-r t1L7 eY?A n...,, Lot 4_ Block 2 Parcel No. pFFICE USE ONLY W Name 1ILDR?B IlIC ?e Address -4-SM SCO?T TR STE 212 0 City E1?CAl1 Phone 454-5971 Address City Phone i O¢ Name - W W ? ? ; Address ? < W City Phone ? I hereby acknowlege that I have read this application and state that the information is correct and agree to Comply with all applicable State ot f Minnesota Statutes and City ol Eagan Ordinances. Signature of Permitee A Building Permit is issued to: s??-w.S?t?UL ?l1ILDEAS INC on the express condition that all woAc shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Building Official ' .K-3 1im1. -an1 s1 ? ? r ? . . FEES . Bldg. Permit _&34.W surcnarga 73_SA S?9 Op Length JQ I Pian Review Depth SAC. City 1OD.M S.F.ToWI - SAC.MCWCC 630.? S.F. Footprints _ ? M On Site Sewage _ Water Conn ?t?YY On Site Well - Water Meter 93•? Mwcc syste„ ., 1L City water R ?1cct.oeposil 30.? PRV Requirad S1W Permit 30, Booster Pump X S1W Surcharge _!? Treatmenl PI 276.? APPROYALS Road Unit 370•00 Planner - Park Ded. Council BIdg.Off. _ Copies Variance _ TOTAL 3.612 •? ' parmit No, permit Holder oate Tekphone # WATER SEWER PLUMeING H.V.A.C. ELECTRIC tnspsction Dste Inap. Comments Foolings I Foundation Framing .?• f' Rooling Rough Plbg. - -7 C? 77 ? ? Rough Htg. Isul. Fireplace Final Htg. Orstat Test ? Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter Fial /U fl CITY OF EAGAN •, ? 681-4675 ' I DEPT. OF BUILDING INSPECTIONS Correction Notice I have inspected this structure and these premises and have found the following violations of city codes: When corrections have been made, please call 681-4675 for inspection. Date A? Inspector City of Eagan DO NOT REMOVE THIS TAG ? INSPECTION RECORD CITY OF EAGAN PERNIIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: f ? ? i : •, I ," I ? 1 r? t I ri ta f PERMIT SUBTYPE: (440 ` APPLICANT: ?at t?? ? i. TYPE OF WORK: I!I ',i : t t i I liIt I I . iA1hi I, I I ''rm 1M 1'l F+E, 1 PI `:1 i i Ft f l I'ON ! 1NA1 114111 1t I. hiA (?:ly4FiH p?/)Al?t7 V! I 1 1! fl t7 Al I'l- ancI oN (tINE ESF.DHtinlll I !11RkS: A"iF F'F1kAf h F't F>M1 1 I'; fti QfilfiFO I ilfi nN'f E! vl:1H!('A1 ilk P1 I)MHlMIi 410RE ? _? ?? PsrtnR No. Permk Moltlar Dete Telephone N ELECTRIC fIlo PLUMBING HVAC Inspection Date Insp. Commenb FOOTINGS FOUND FRAMING Z L ROOFING ROUGH PLUMBING Z ? PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE O• L' 7D W / I ? L FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I' . .r _ v _ t. DATE: OCT 9, 1991 RE: 4734 HAZHLTIN6 LN (SEA60NAI. BUILDERS INC) X ' - Your Ser & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CAIL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer 8 Water Permit tor 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 he issued or occupancy allowed until further notice. _ 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. y- REQUIRED BV LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Addzess:4734 HA7,ELTIIdE L,ANE Lot 4 Blk 2 Sec/Sub FAIRWAY EIIIS.S 3RD These items were/were not complete at the time of the final inspection. 12 17 q1 Yes No Final grade (6" from?siding) Permanent steps - garage Permanent steps - main entry Permanent driveway ?' Permanent gas Sod/seeded gYass Trail/curb damage o S P?Ov Porch Basement finish ? Deck Please verify vith the builder the removal of roof test caps from the plumbing system and-the shut-off of water supply to the outside lawn faucet before freeze potentlal exists. anaeuru. White - City copy Yellow - Resident copy Pink.- Contractor copy CITY OF EAGAN Np 19781 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT ' Receipt i1 G? 'A 7obeusedtor SF DWG/GAR Est.Value $147,000 Date OCT 8 ,1g91 Site Address 4734 a t TT ' Lot 4 Block Z Sec/Sub. FAIRWAY HILLS 3R Parcel No. Im IName SEASONAL BUILDERS INC 3 Address 4580 SCOTT TR STE 212 ° Cit EAGAN y Phone 454-5971 o Name SAME $? Address City Phone ? ?w Name 'T ; Address aW City Phone .? 1hereby acknowlege ihat I hav read this pli tion and state that the information is correct to compl all applicable State of Minnesata StaNtes and Cit ces. ? Signature of Permitee A Building Permit is issuedto: INC on the express condilion that all work shall be done in accordance with all applicable Stale of Minnesota Statutes anyd?? City ot Eaqan Ordinances. BuildingONicial ,'? ?n A01?.' -y IIIS OFFICE USE ONLY Occupancy R- 3 -H=1 FEES Zoning R-1 (AcWaq Const V-N 81dg. Permit R06 _(1f1 (Allowable) Surcharge 73.5? Y ofslones _ Length 1Q' Plan Review 0 523.0 Depih SAC. City 100.00 S.F.Total - SAC.MCWCC 6$0.00 S.F. Footprints - On Sire Sewage _ Water Conn 660.00 On Site Well _ Water Meter 95.00 MWCCSystem X Ciry Watar X Accl. Deposit 3n. n0 PRV Requirad ShV Permil 30.00 Booster Pump X SrW Surcharga 0 .5 Treatmant PI 276.00 APPROVALS qoadUnit 370.00 Planner - park Ded. Council BIdg.Ofl. _ Copies Variance - TOTAL 3. 612.0? ? /03G G,3' ? 44vv4/(?Q? J? ?/_?oa s. o+ cv ?? ? Requesi Date re No. ov h?in qe ir ?InsOection . es ? No ?.w rl Reaay Now yrvv?il Noti?yatlInspector When Rey? I icensed contractor ] owner hereby request inspection of above electrical work at: - Jab A d 55 r$ir¢e? or Roule No.? . 73 Cny SectioR No . ? nsbip Nam r No. 41 qange No. ?? J Coun (PRINT? so Pno?e? -S9 7/ _ Power SuppM1er Atltliess Elecmca . t cw IC mparry Na ) ? j Ma? in g N tlrass (GO aqor o ar Mek 'n9 Inslstauo A J/?•}y?Q_ I ? 1,nrectors License s • Amno tl 5'9 awrc o a O e? akmq Instaliauon' ?i lca . I Phone vmber a-5o?36-- MINN 0 ST/TE 60Aq0 OF ELECTPICI > THIS INSPEGTION REQUEST WILL NOT Grigg -Mitlway Bltlg. - Poom S173 • BE ACGEPTED BV TME STATE BOARD 1821 Universiry Ave.. St. Vaul, MN 55104 . UNLE55 PROPER INSPECTION FEE IS PhoneJ612)6d]-0800 ENCLOSEO. REOUEST FOR ELECTRICAL lNSPECTION T li? See InstmcLOns for compleunq tais lorrn or. back ol yellow copy. 144884 "X" 8elow Work Covered by This Aequest EB-00001-08 ? >?? ?, /0?3GG $ ew A d Rep TypeofBuilding AppliancesWired EquipmeniWiretl Home Range Temporary Service ? Duplex Water Heater Eleciric Heating Apt. Building Dryer Other (Specify) Comm,!Industrial Furnace Farm Air Conditioner O?nar (syeci(y? Comracmrs Remarks' Compute Inspectian Fee Below, # Other Fee # Service Enirence5ize ? Fee # Circuits/Feeders Fe Swimming Pool 0 to 200 Amps ? 0 to 100 Amps :n Transformers Above 200 _ Amps A ve i00 _ Amps Signs Inspeclors use Only. ?, TOT L ? Irrigation Booms ? Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPIETED WITHIN 18 MO T . I, ihe Electrical Inspector, hereby ROOqn"" ? ? certity that the above inspeciion has been made. F;,,ai e OFFICE USE ONLY , ?_.. ......... - This requesl voi0 18 monlhs irom a041'9;7 4i6--•172 51 REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity 1821 Universiry Ave., Rm. 5-128, St. Paul, MN 55104 Ph (at2 cn ,.._.... ? .. 2-0800 Home Duplex A t. 81dg. Olher: New Addn Commercial Industrial Farm Remod Re ir Air Cond. H. Equi . Woler Htr. Load Mgmt. Other D er Ronge Elec. Heaf Temp. $ervice ?? "X" obove tiie work covered by Ihis requesf. Enter remorks in fhis space and on the 6ack oi llre white copy only. Calculate Inspecfion Fee - This Inspection Requesf will nat be accepted wiihout Ihe wrrect ke: Other Fee N Service Entrance Size Fee B Circuifs/Feedere Fee Mobile Home Park Slall 0 to 200 Amps 0 to 100 Amps Sheet Lfg./Traffic Sig. Above 200_ Am s Above 10 Amps Tronsformer/Genemtar INSPECTON'S USE ONLY ^ fJ 7 TAL f? Sign/Oudine Lig. Xfmr. ? O-?1 Alorm/Remole Conhol L? Swimming Pool 1 hereb <eni thor I ins ect ihe el cal insmllmi euribed he. n& e,Joies ami Irrigotion Boom g.gMo oce Speciallnspection Investigative Fee THIS INSTALLATION MAV 6E ORD Er) SCONNFCTEO IF 07 COMPLETED WRNI 78 ON HS. OFFICE USE ONLY This reque9wid 18 monihs from volidafion dole printad in this 6ox. h., I) -007n A) C * 0 4 1 6 1 7 2 5* PLEASE PRINT OR TYPE ?% Reqoesf Daee Rooghin inepecnon reqviredx Yes ? N. Inspenion Olher Than Roughln: ? Reoby Now WiII Call l1'ou must mll the inspecror when ready) Dore Beody: I, ? licensed conhocior E,owner hereby requesl inspection of the above electrical work at: Jo6 Address (Sheel, Boz, or RoWe No.) Ciy Zip Code 9'734 u.l f-tt? 55 17-3 Secfwn No. Township Name or No. Rmge No_ Fire No. Cwny 3) R ir--bTA Occupant Phona No. rowe. suMce, naa?e,s t A CtEC?Mtc- Elechical Conkoqor (COmpony Name] Sel?- Connacmr licenu Na. Masler 6s. Na. (%ant Ekc1. Only) i,nmrmy aaamst (coutimio, a, owne, redo,miny in.mnmwn) S arAe AuiMrized ignoNrp Connodor or? erOyn PeAmnieo InwllaHOn) ? Phona No. 93? 8 ? (AM I ?;-ti___ ; w ? t 8 I E840001 A-11 8/96 ?rera wneon enov _ eec ?uc?vurnnuc nu nnrv nc vei i nw rnov PERMIT # 5 S ? K0 RECEIPT DATE: 2002 REESIDEN7'IAL PLiJMBIN6 PERMIT APPLICA'd'ION CITYOf £A6AN S$SO PILOT KNOB RD Elt6Ek1V, MN 55122 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: 4-I--z4 NA OWNER NAME: : CI ?LE. ? V Ct/yt TELEPHONE 14S I - toiE '-1 4Sc1 (AREA CODE) INSTALLER NAME: d P Pi newor KS TELEPHONE #: IM1S I:2_i.S- I?4G STREET ADDRESS: DO D b Q(AREA CODE) CITY: LGtgL{/1/l STATE: m IV ZIP: 5-S. 12-5 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters . $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5!8" meter if needed -$118) _ Other: - _ RPZ: new installatioNrepaidrebuild OCT 0 1 2002 $ 30.00 _ lawn irrigation system rn„ ReplacemenUadditional: _ water softener L water heater $ 15.00 State Surcharge $ .50 T t l $1 ? o a - I hereby acknowledge that I have read this appliration, state thatthe information is conect, and agree to complywith all applipble City of Eagan ordinances. It istheapplicanPsresponsibilitytonotiythepropertyownerthattheCityofEaganassumesnp?liability foranyda agesc^usedbytheCityduringitsnormal operational and maiMenance activities to the 4cilities constructed under this permit wt¢in (16 proeerty/right?of4ay/geVrrje. ,,? PERMITTEE ?3?7 New Construction ReauiremeMs • 3 registered sile surveys show(ing sq. ft, of lot, sq. tt. of house; and II roofed areas (20%maximum lof coverage allowed) • 2 copies of plan showing beam & window saes; poured found desigq etc.) • iselofEnergyCalculalions • 3 copies af iree Preservatbn Plan if lot platted after 711193 . Rim Jast DeUil Oplions selection sheet (bldgs wilh 3 arless units) DATE 3' Z G. -o 2/ JOB SITE AD IF MULTI-FAMIIY BUILDING, HOW(?M?A?NY UNITS? PROPERTYOWNER_ P «(- f?-$''Lc' TYPE OF APPLICANT f ADDRESS 3 PAGER # PHONE # a S FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGOR ???''r ? (check one) - Residential Ventilation Category 1 Worksheet iWR 2,0 - Energy Envelope Calculations Submitted -- _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor. _ Air Condirioning _ Heat Recovery System FIREPLACE(S) _ 0 _ 1 _ 2 PHONE#1 ZZ- ZIPCODE Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. 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 Eagan Ordinances. Signature of Applicant 6 ?J C66L` \'' Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ bl vc_z' C-'1 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 _ Watcr Softcncr _ Watcr Heater No. of Badis RemodelfRaoair Reauiremants . 2 copies of plan . 1 set of Eneqy Calculations tar heated additions • 1 site survey forexterior additions &decks . Indicate if home served by septic system for additions 171, 7 -e:-., VALUATIOX S?? 7 Phone I,awn Sprinkler No. of R.I. Baths JIv L. { ; -, Updatetl 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - 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 Porch (screened) ? 36 Multl ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-p{ex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) 0 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolitlon (Entire 61dg 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 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 pther Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ InsulaNon _ 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 b. . . . . .. . ? . ' •. ? . . C'SfY (7F Eh1bAid:; ` C(aEiHa"'F.R: S ~ eER"iSPfAL„ :NC': 31 L?7'E- > . ?,'°t'JcF/J7 7<','_`t:. :P9 . .. < . . . NAr5_..- +.!.rLt,aaM !-;aNC c?3 a5 9DCtA' 4 f 3 t W.AZLt,TINE ?.5O ,?tt r.JC7?s'. 4?34 s?fax1I? ?L; 3h lE' . :: € 1 ., - .U q ?y •rt .p?f./ki?u?4.HA?y ilG1?.1 ? 4?4TIi?!-.u n i 1 ? JJs'.J '?.'i1;3taCli 4784_N.AM,.TIMa ' ' 40:.t7"?} 3f?i? ?Qs 4734 l'QEUT.iN t 20,00 P; ,r • - ".. . . .. . . , •? ?.:.'. ' . . . . . ?o-LaA,3t???eiF'# •Arnr.an+.'': ;,.?oui) CaN:t?l`' ?,b : . ?,?,• i Yn'9`?d7?4??Y5?.`1??tY'nRS?k.XYc?k?'t?f+4?±i?k3w+it.k #1R`fl? ?>i XX,fl?SY::+S'ih":R4Y?f? - , ? ? .? , i ?. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERIVIIT PERMIT TYPE: Permit Number: Date issued: 4734 HAZELTINE LANE LOT: 4 BLOCKs 2 FAIRWAY MILLS 3RD P.T<N.: 10-25602-040-02 DESCRIPTION: (ONE BEOROOM) rmit Type BFISEMENT FTNISH ?.??C T,yps ALTERATION -;-? 434 ALT. RESIDENTTAL ? $w€a1A4 k? g?gwi ? ?- 3? ?r SUIIDING 029488 02/24/97 REMARKS: A SEPARATE PERMIT ISftEQUTRED FOR RNY ELEC7RICAL OR PLUMBIN6 WORK FEE SUMMARY: Base Fee Surcharge Total Fee CONTRACTOR: ? I _ a I her'e-iy.,aok= infarmation... St4tertss ?'ntl $50.00 $.50 $50.50 APPLICANT/PERM EE SIGNATURE OWNER: - Rpplicant - KANE WILLIflM 4734 HAZELTINE LN EAGAN MN 55123 (612)688-7439 :i C tl?e ''cr"f °JI?'.;? _ rx,a ?.??1 ml?- I UED Y: SIGNA lJ?- ?? 4 6151996 GITY OF EAGAN 3830 PILOT KNOB RD - 55122 BUILDING PERMIT .APPLICATION (RESIDENTIAL) 681 -4675 ca.???j ?4 ? 3 repietered sile surveye ? Z cnpiee W plen ? 2 oopks of pians hnduda esam 6 window sizea; poursd fnd, desqn; eKJ ? 2 sHe surveys (exterior adERiom 6 decks) • 1 energy plcubtbns ? t anergy eakulattons tor heated adGitlona ? 3 copks of trae pressnstWn plen N bt pkned aRer 711199 mqulred: _ Yee _ No DATE: t D Ct ?- CONSTRUCTION COST: ? ? ? ? Do b DESCRIPTION OF WORK: ??s E?"?? T? ? rJ ? 5 H STREET ADDRESS: 4 - 4 7 34 H A z CzIT I ni E LP.1 ?R E?P.?I M nl S S i Z 3 LOT ? BLOCK SUBD./P.I.D. #: FPa ! R'vJPi<1 t1 ILLS ?? ?? op6 (, c) 2_ 04 U o? PROPERTY Name:_J \f'kr,lf- ? 6 Ll.,rcT-A Phone #: L2- 688 7931 OYVNER W• Street Address- 47 3 4 uj Ciry: 6NC? State: K nJ Zip. 551z. 3 _ CON'rRACTOR Company: ME- ?hor.e #.: Street Address: License #- CitY: State: " Zip• ARCHITECTI Compeny: S02SML Phone M ENGINEER Name: Registration #Street Address• C?tY: State: Zip. Sewer & water iieensed plumber: Penalty applies when address change and lot change are roquested once pertnit is Issued. • I hereby edcnowledge Mat 1 have read this applipNon and state fhat the fnfortnation is correet and ag compty with all appiieable State of Minnesota Statutes and Clty of Eagan Ordtnances. Stgnature of Applicant: 7100" ? I ? OFFICE USE ONLY amr, _ _ r.ertifiptes of Survey Receivea _ Yes No 1997, Tree Preservation Plan Received _ Yes _ No ?'•-- -__ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex o 11 Apt./Lodging .0' 16 Basement Finish r; 02 SF Dwelling o 07 4-plex o 12 Mtdti Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o OS 8-plex o 13 GEtrage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Firepiace o 21 Miscellaneous 0 05 SF Misc. ? 10 _ plex o 15 Deck WORK TYPE 0 31 New 0'33 Alterations o 36 Move 0 32 Addition ? 34 Repair o 37 Uemolition GENERAL INFORMATION Ccrost (Actual) Basement sq. ft. MC/WS System ? (Allowable) Main level sq. ft. City Water ? UI3C Occupancy sq. ft. ? Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Dnpth Footprint sq. ft. SAC Code o? Census Bldg ? Census Unit D APPROVALS Planning Building M?R- Engineering Variance Pertnit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units INSPECTION RECORD CITY OF EAGAN PERMITTYPE: au=LozNe 3830 Pilot Knob Road Permit Number: 0 Z 4 2 6 4 Eagan, Minnesota 55123 Date Issued: 07/29/94 (672) 681-4675 SITEADDRESS: LoT: a BLOCK: z APPLICANT: 4734 HflZELTINE LANE KANE WILLIAM FAIRWAY HIILS 9R? (612) 688-7439 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION D. . D. FOOTINGS FTNAL F L ? PERMIT CITY-OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 OX, ?o f 0 7 PERMIT TYPE: Permit Number: Date Issued: 7,?? -9 y BUILDING 024264 07/29/94 SITE ADDRESS: 4734 HAZELTINE LANE LOT: 4 BLOCK: 2 FAIRWAY HILLS 3RD P.S.N.: 10-25602-040-02 DESCRIPTION: efiild'ine Bui,Iding ;- 1. I" ? i _?. ermit Type DECK b;rk 7ype NEW uw???? REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $30.00 $.50 $30.50 CONTRACTOR: OWNER: - Applicant - KANE WILLIAM 4734 NAZELTINE LN EAGAN MN 55123 (612)688-7439 I hereby eckn•owledge that I hav2 read this i.nfarmati4n is correet and agree to camply StaCutes and Gity af Eagan Ordirrances. ? "klzs ` ?-?4 GUP--?. APPLICANT/PERMITE SIGNATURE application arid state that ths wi.th all appli,cab}e State Of Mn, 4L ISS ED B . GNATURE A -i ? CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si e surveys, 1 copy f energy Cd1C5. iaa,} COMMERCIAL 2 sets of arch9tectural & struct ra,l_.plans>.1_sg? o specifications, 1 copy of energy . 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 4UL-4 7 Valuation of work dC) site Address: -1734 Az€Gti,J& c-q„j c, , 6F'r&-?4j(l' STREET SUITE # Tenant Name: (commercial only) LOT 4 BLOCK ?)' SUBD. P.I.D. # 4'pa•'5(P0 204ecaa-- Descri tion of work: 73Iir ' The applicant is: SOwner ? Contractor ? Other (Describe) Name K/}n/f- l.cl (??IA,,A , Phone 6613 -143'7°f- Property LAST FIRST Owner qddress A734 HA-z_?«'jrs?. c..P1 STREET 5TE H City State Zi p 5 512? Company a L-J 1?j ? Phone Contracfor Address License # Exp. City State Zip Company c w,,lk.fL- Phone Architect/ Engineer Name Registration # Address ` City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area nas 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: ? 1_F ? ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck WORK TYPE P3'31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance P'Footing 0 Final ? Framing ? Draintile i D ? Insulation 11 Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded, Trails Ded. Gopies Other Total: Yaluatim: M a ? ? • - '? . ? '? "iy,.dR' ,.? . ? .:..•,r. ???y,awy.. ? 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 5AC Code Census Bldg Census Unit Assessments SAC % SAC Units ML'TRO SURVEYORS 1875 PLAIA DR. INC, suirE 200 EAGpN, MN, 5?1pp Certificate of Survey fori (61z1452-7eao SEASONAL BUILDERS LEGAL DESCRIPTION: LOT 4 fBLOCK 2, FAIRWAY HILLS 3RD ADD ACCORDING 70 THE RECORDED PLAT 'fHERECF_QAKOTA COUNTY,MINNESOTA iml ?.? ?.._ 3 i 'N'ft t ? ? i .?; Y s?. _ -." • 4 7 N d' l0 ? ? ,• .... I?il' `7$.i9?sQ 1A ? • IM? 6oe \ h 2F . S SCALEt i°= 30' /Q . /C/TJ' \'? 6 • \`... l?30 " O /S ? r 4 .,.? /0.361 / N? ?, ?? a.`? ? 1032 D I ? IDU'?? / i .o?"' .,•° e ro3;? ? +?r rG?hPr ? ? O r (v3 e L_ r? T 5 ?yr o ? Ic-R4_ 7 ?ci1q2E??:`? rs ?oa „ 7 N,? ?r'z2" ? MN 4?mbPb6F1D 1:--ULL ?l}'a?MF.RIt WII.IQ+> ?6.µ?K o DENOTES iRON IMONUh1ENT INVM ELEVAT!Ory AT SERVICE EXTENS0NI 3• ? e DENOTES WOpp Mg gET PNOPOSEU (iARA(iE F1.00R ELEVATION •= DENOTES EXISTINO SPOT PROpOgED FIpST F100q ELEVATION • r. ELEVATION PRQPOSED BASEMENT FL0011 ¦ o .e (105;) DENOTE8 PROPOSED SPOT ELEVATION HLEVATION 4.--DENOTES DRAINAGE DIRECTION N07E ' VERIFY ALL FLOOR HEICHTS WITN FINAL H WSE PLANS r?p «rtl': thef fAls sirwq. Plan or pPwod br nm or undor my " direcf supervlWqi and fAa1 i om o dulr R62I6fereA Land Survgyer urMw fM &o01*y J *?nson, Mn. R?¢ No.10230 Lo?n M IM 51afg of Mlnnesofo, Da?s:_Lo[ z?9 ? •. ? j?? v' I DJCl?- 7(tCkG+' 734 HQad4int. Cx,• J? . gg, wAV 4i fIS 3 ?d PERMIT N / 99-8 / REACTIYATE 6 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 L1?I??1L 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. ri!;CbM*M qI? A?L? 2 sets of architectural & structural plans, 1 set of specifications, l copy of energy calcs. P ng of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date .?uf4 f- / 1(0 / IR Valuation of work IOOO, oa 5ite Address: 4-134 HRZE-L ri,.fE (.,i}rAe- E&CrPkr4 STREET 5UI7E y Ten?nt Name: (commercial only) IAT BIACR a" SUSD. FRjaW&..) ?jL?L5 3 P.I.D. 0 tO s o QDo Descri tion of work: ? E.CtL The applicant is: fg Owner O Contractor ? Other (Deseribe) Name Kfsrlt. Y4 «yMA Phone 6?8-1439 Property _ LAST FIRST Owner pddress 4734 MZELTIgJ E LPs+.tQ--- . STREET STE K City V^G'A4 State m r4 Zip 551 a3 Company fa W4 E(L Phone C011tfeCtOr Address License N Exp. City State Zip Company Phone ArchitecU Engineer Name _ Q?I1IRegistration # Address City State Zip Sewer 6 water licensed plumber . Processing time for sewer 3 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: q?1?_ OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. 11 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. R 15 Deck WORK TYPE 31 New O 33 Alterations 0 35 Tenant Finish 32 Additlon ? 34 Repair ? 36 Move GENERAL INFORMATION • i ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy vz -3 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump ?' of Stories Footprint Sq. ft. Fire Sprinkler Length __J lyr-- On-site well Cehsus Code ? Depth i On-site sewage SAC Code APPROVALS . Planning Building 6 i}9? c? Assessments Engineering Yariance REGIUIRED INSPECTIONS ? Site Footing O Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City 5AC Water Conn. Mater Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units vaiuotim_ ?. . METRO SURVEYORS INC. Cerfificale of Survey fori SEASONAL BUILDERS 1875 PCAIA DR, i SUITE 200 EAGAN, M/y, 55122 (e12)452- 7e50 i GAL DESCRIPTION: LOT 4,BLOCK 2, FAIRWAY HILLS 3RD AD ACCORDING TO THE RECORDED PLAT `r THERECFUAKOtg, COUNTY,MINNESOTA L.0T ,?" ? ? Z ri--0O ? SCALE = I" = 30' ? ? 609 " I a \ \\ St3., ?.r Fqs^.?F ? / ? ?03p I u? L pT /s ?IY3 ? - I x ? ?3-? . ^ . Ih.29 ?s0 `? / CO . usF- 11J 1 ,jym .? f O _' a I , o '-fi•o . ? ? n9 '._ s?\ I032 - l , I ? I?UaE ? ? b Io ?O N idM, ? 3? a?9z ? I l?r? y' ? ?'•o ? ` • KecTC? Id3?' sl ID33? ? C?APr . a a p ? ?I t ? O 1o; ? L. 0 1 5 ? -r? -" ??d? //tf f ?D3? g ?>6•56..__ \° Jro ?Iq 2 C 2? , 5' ? s: o e T ?4 o,?Q E('f N Cq ? ???OP65F0 '?VI.C.. $f}'ePiMF?wlf L)?T•74 LIb?FT ) o ENOTES DENOTE RON MOHU I?NT s INi/ERT ELEVAT ON AT SERVICE ExTENStON•,?? L Pk?OgED aAtiE e J°'Si - S GENOTES WOOp NUg SET EXISTING SPOT ELEVATION F OOR ELEVATION•.J0%6.6 ?OPOSED FIRST FlOOR EIEVATION ¦ ". PROPOSED OASEMENT RL0011 . o (ID355) DENOTES PROPOSEO SPOT ,o ELEVATION . f DENOTES DRAINAGE ?pjqECTION r•paf?wa??f? flaf fAls surwy, plan or dir?cf ?upvvlWa?q? thm I amuo daly r 1111921sfered Land Swreror unOK fM Lmw M 1M Sfafe of Mlnnegutd N?OT9E ' VERIFY ALL FLOOR NEICHTS WITFI FINAL NOUSE PLANS "no Mn. Rea N0. DOh : i' . CITY OF EAGAN FOR CITY IISE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE (612) 454-5100 RECEIPT # DATE: C I ? ?S;IAEP.'1`PLEASE COMPT.ETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT. WORK DESCRIPTION NEW CONST LeV ADD ON _ REPAIR _ OWNER NAME: SEaspYfag&a44° !(?C • SITE ADDRE55: Y/.51/ /TaZv,T//? vPwt' i- . ???/]?. 2 LOT:? BIACK o2 SUBD. fdIRU/aN 1TU.?' J J INSTALLER: RZCI 6NM ADDRESS : ?'?? ' ?'?"'? 1-f'll? • v CITY:C9,. ZIP: COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 I SHOWER 3.00 ,3 ? WATER CLOSET 3.00 41 ?.. BATH TUB 3.00 ir ? LAVATORY 3.00 /;1 ? KITCHEN SINK 3.00 .9'v ? LAUNDRY TRAY 3.00 -3 HOT TiTB/SPA 3.00 ? WATER HEATER 3.00 To' ? FLOOR DRAIN 3.00 ,1"0 GAS PIYING OUT. (MINIM[JM - 1) 3.00 3 ? ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL $ 6-0 ST. SURCHARGE .50 TOTAL: S _LL) PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. GONTRACT PRICE: OWNER NAME: SITE ADDRESS: t LOT: BLOCR _ SUBD. ° INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CDNTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: ( S I GNAT'URE ) $ s Im CITY OF EAGAN 3830 PILOT K130B ROAD EAGAN, MN 55122 PHONE (612) 454 8100 "Mim"?,?, FOR CITY IISE ONLY PERMIT # RECEIPT 3 # DATE: /' PLEASE COMPLETE DPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT. WORK DESCRIPTIpN NEW CONST X ADD ON ? REPAIR _ OWNE/R' NAME; SITE A7D RSS: 40.7t'J./7'/VIP ;A::Y' BIACK 4„ SUBD. JQ?l?G?.?f /.lf.?"4 ? INSTALLER: ADDRESS CITY: PHONE #: '` ;5`s-?97 - FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 6A5 OUTLETS - MINIMiIM 3.00 OF 1 PER PERMIT ???IMERCx!lI.fTN11U5TA?AT.:;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, ... .:..:................... ... . APARTMENT BUZLDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: SIACK SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: ZIP: 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 2r, dU SUBTOTAL: $?r/ STATE SURCHARGE: .50 IIO4•00? `73•50E 523•O,J? ?,211•50v 3,612•00', 804•0'.7E 73•50+ 523•iJO? 2, 211•50? 3»12°00 ;" Y1J a'i`J1 ?ol1:i ", ?, ` 1991 BUI?? 1,11 ICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MTLTIPLE DWELLINGS C044fERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLSES WFiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MiTST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS I„atTH ?-- PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A P EN-CbM PERMIT MUST SHOW A LICENSED PLUMBER. 'D OCT 4NJ ? ? To Be llsed For: ;uGW Valuat ion: N7f 00 0 Date : ? Site Address '4734 YRiZeJ-hv?e- VL OFFICE USE ONLY Lot 4 Block z FEES Occupancy IZ-3 M-1 Bldg. Permit ga?oo ?l rd Zoning R- I Surcharge r73,s0 Parcel/Sub+"QI(lt)4.t-? ? )q&) . Actual Const v-N Plan Review 5 z3,00 u Allowable V- N SAC, City 0. 00 Owner # of stories SAC, MWCC 0100 Length Water Conn. ?j?D,? Address Depth Water Meter ,00 S.F. Total Acct. Deposit 30,00 City/Zip Code Footprint S. F. S/w Permit 0'J 30, S/W Surcharge 'r'. Vo Phone On site sewa ge_ Treatment Pl .e2976,c?0 ? ? On site well Road Unit 3 O Oa " ,• Contractor `yQ?YIC? ??L{IIda?) ?(. MWCC System ? Park Ded. ? ??' Z)Z dd ?'r () City water 7 Trail Ded. C i ress A JD ? PRV es op Booster Pump T7 City/Zip Code &qQy), rnk, SUBTOTAL APPROVALS Penalty I, Phone ??j`7-5y-]) Planner Lot Change ) Council TOTAL Arch./Engr. ? a Bldg. Off. Variance Address City/Zip Code Phone # 6/y;::agrees that all work shall be done in accordance with (S?ignature o Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. T ? ?? C. ?T??l??? :? GArz46E 3yx2(? g!? y?15? ?Z2u? Rsm7, X 30 = ?ogo X 14 = I51 ? ) =zq ycr??= 3?Z Ssn? 7= I 1 a g z ??= 12 ?- II Zo X 53= 5ri 360 ZNO hc.?orL 3vx3b ?. /oga go ?--- 112o Xs3? S?36fl j4? G(rj2 0/2 147, ooo?' METRO 1875 PLAZA DR. SURVEYORS suIrE 200 EA6AN, MIU. 33122 ?si2)452-?aso INC. Certificate of Survey for: SEASONAL BUILDERS LEGAL DESCRIPTION? LOT 4,BLOCK2 , FAIRWAY HILLS 3RD ADD ACCORDING TO THE RECORDED PLAT _ THEREOF DAKOTA COUNTY,MINNESOTA ,ml N cD i ?,-?- 1_ , :i , w ? O ro `D N KIFLT Jd34? SCALE: 13d .. b (030 , -? ? ` ?p ---- - oJm 1D31 4 ? ?756 . , NqZ 2?5816 .c? ?STER PUf?ll P E? •T/NF o3z4 Ir,.2'? UMD IEGEND o DENOTES IRON MONUMENT e I?I ? DENOTES DE OT S W000 hIUB SET M E EXiSTING SPOT ELE VATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION MFwlf U?lt7R?fL16i4tT C ? ?`'?OP650D '?ULI_ ?t? 6?S ? i.t-.>5 INVERT EIFVATION AT SERVICE ExTENS10N- PROPOSEU GARAGE FLOOR ELEVATION• 1o3iP.o PROPOSED FIRST FLOOR ELEVATION • ID3b •3 PiiOPOSED BASEME1IT FLOOR ¦ IozB.o E LE VAT I ON NOTE ? VERIFY All FLOOR ME16HTS WITH FINAL NOUSE PLANS 1 hr** coRify fAot this surwr,Plon w ?epat wos prepand br nN or undor mr dfnef superviuan and thaf I oen a duly ReOlsfored LaiM Survorer undN fM LoMn M tM Stah of Minnesota DC1f : 9 Mn. Req. No.1323S s X9? 5 ? ?g. I \ soo I ? 43 ? F I O?q/? \ ? I ??s`?'?c?}yB 'TY 2??0 I ? I c ?S oT I b_ loi9 I / m '?' ? 1031 ? ?D3o 7 8I ?o ? d D m I ? o ? ? (032 - b ?/o3j - 'f -? 5I ?D33:L-- S ? 35 ?) 34,a d?? ? ? ( s Fram : SRNUt:OIa INC. 424-6477 Oct.01.1991 03:11 PM P01 _ John Brordiey ?J Y• u 7J / ? architecturoJ tonsultants Inc. 600tl buSi. l.E. 099fO,MN. 66b6i PH, EXTERIOR ENVELOPE AVE'17AGE "U" COMPUTATION Plarr'°jL-a1-L_ Date 4 ?5-4/_..._, t7wnerl COntrQCfvfr, ? Slte Address! L pT y. ?L2?- K 2,fQ,rwaC, H'(lr 3?ee_?PHONe 1)TQTAL EXPOSED WALI. AREA - 'Z qI G-2 sq. ft. x,U"1.,L.- E?' 2}YpTAL, EXPOSEO ROQF/CEILIND AREA I I?? s4• ff. ,t'' U"•'??"' Z?. $ WA4L AREA CALCUI.ATIONB= . TOTAL WINDOW AREA TOTAL DOOR AREA GLAZ@P TOTAL GLASS DpOR AREA GLAZED TOTAL F112EPLAGE WALL AREA TOTAL WALL FRAMING QREA NET iNSUl.ATED WALL AREA 70TAL. RiM dQIST AREA , TOTAL FOUNDATION AREA(EXPOSEp) TOTAL FOUNDATION WINDOW AFtEA ? a's? sq.ft.x"U"l' L= Co4r t - a? sq.ft.z«U,U, _. Z sq.}t x'U".-I`?? = Z? ,. sq.ft.x?U"LSZjr---7L-< ZZ--r1 sq.ft.x'U" ?..= 4, 4- sq.tr, x'u" m- l 3? I sq.ft.x"U° = 3} TOTAL il liem 3 is fhe some ns, or 18ss than liem !, you hove met the lnfeni of ,2 MCAR 1,16008 A an d O. ROOF/CEILtNO CaL.CULATIDNS, TOTAL SKYi.IOHT AREA N r--nq.lt.'rW° z' L? 70TA1. RDOF/pEILING FRAMI(V4 AREq .-24 ?_ NET INSULA7ED ROOFCEiLING AREA _Mil? , 4) TOTAL .? 1f lfem 4 1s the same as,or fass tAon ilem 2, you have met the M}ent of 2 MCAR 1.16008 A ond p. ALTERNATE BUlLDiNO ENVELOPE bE310N to utilize fha tota7 envelope system mefhod, fha sum of ftems I orrd 2 ahoN 1 _ be qr9ater ?hon the sum of ftems 'J and 4. j 11 t2) - 3) ?+4) 3 ! here6y cerNfy fhat Me bulidleq here descrlbed meets or exceeds fhs State of Minnesofn Enerqy ConservaHon Aof. .. From : SRNUCt7N I hJC, 424-6487 Oct.01.1991 03:11 PM Pe2 L'ONSTRUCTION CEiuNO sEcriON (iNSULarEc) IY SlBr laMF4rl4GYK , ' . ( 3 44? (4 pxferlor•a1i film (sf111 O BI _-? . . TOtA4 R4LI& U R 1/R •DZ'2 CEILING fRAMiN(i BECTION , ( I lnrerlor olr f Im 0.61 .(2 ¢+P? £t•.yJrcrt? ?SIA 14 fnfertot oir t7fm 0.61 (5 i cnes Q coft wond 4.s S: ?. TOTAL R °• I"I U x 1/R ?D2tP CEILING SECTlON (lMSULATED) ( I fnfetlor oit film 0.61 (Z S:1s+, (31iot r3n-rr ?,D (q exlerlor ofr fflm (sf11t) 0.61 . TQTAG R W.4a U = 1/R io ZS VENTED CEILING FRAMING SECTION 1,Irtferlor olr (!Im 0.61 . (p sl,z (q 'nferlor a!r /(!m 0.61 ?g nches of o?r woad ,L) roraL e 121 .u = I/R ic)Lv EXPUSED BEAM CEILING SECTION (_I tnferlot o1r #!Im (3 (4 (Sgxjerior alr tilm 0.17 _ TOTAL R L s 1/R Fram : SANOCQh! INC. 424-6487 Oct.01.1991 03:11 PM P03 `? do:+w W I w?.i6-4-' Fr+l'R'V RAMING iECTIdN Merinr dr fllm_ • wa R..e- .ws 5 rndgc et.on .ood s, Nst,a??.fs?+? .V'E+,/" ,•,?,?? • ? ? ?xleriof oir fllm -4v tOTAL 11 ? • 0 tVA ,pI _ ECTION (INSULATED) tMeripr pir_fllm_- ' a.a? .A.& ,& 1 &.1w ?-? 19 0 , 94IL' d.+ r4,0 44-C C.DL? 6,& „ti Zal er+ef;or air film tOTAL R Z' •1 V .. 5T SEC'TION )nlir'or oir 1{Im ? • P 41-? r.+a f9• • I*v ??- Iv Q„1,v?FN-6 l e_ . jA1C/;01 Clf filIn tOTAt N L4,b' U v 1/R ,aA c. r10N 6ECSION ?ife?lo? {?irfilm 0.5B c-.ev e_w . l?fp[IDf 01/ ?j?rt1 , fl.?7 ? YOIAL R U s 1/R-Ld-- ?' L 4 gL ? CITYUSEONLY RECEIPT#: ?GCM SUBD. FR12?JM1 1-Y?t 5 ? RECEIPT DATE: aaz1 / 7 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit . backflow preventer for underground sprinkler system FIXTURES EACH tLQ, TOTAL Shower 3.00 x I_ _ 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 Tub/Spa 3.00 x = Water Heater 3.00 z = Floor Drain 3.00 x = GasPipingOutlet `minimum-1 • 3.00 x = Rough Openings 1.50 x = WaterSoftener "fordwallingeunderconsWdion 5.00 x = Water Softener " for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' tor existing dwelling 20.00 = Alterations ' to exisung residence 20.00 = Water Tum Around 20.00 = Private Disposal System ' Dak cry lic. 75.00 = (new and refurbished systems) Private Disposal Systems' atandonment 20.00 = STATE SURCHARGE .50 TOTAL U S ? 1 hereby adcnowledge that I have read this applicetion, sfete that the InfortneGon is correct, and agree to complywith all applicable City of Eagan oNinances. It is the applicanYs recponsibility to notity the property owner that the City of Eagan essumes no lia6ility for any damages puaetl by the City during fts nortnal operetional and maiMenance ectivities to tlie facilities construUed under this perrnit wdhin City property/righ4of-wayleasement. SITEADDRESS: ?-734 LA OWNERNAME: INSTALLERNAME: 51b"?4?- TELEPHONE#: STREETADDRESS: q?34 HR2ir_-ci,•l? ?.,? _ _ CITY: f-PCCr? STATE: "j ZIp; SS?Z..3 (,J,a1V-4?'a SIGNATURE OF PERMITTEE CLA1M VOUCHER-REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: WILLIAM KANE ADpRESS: 4734 HAZELTINE LANE EAGAN MN 55123 LOCATION: 4734 HAZELTINE LANE \ L4. B2. FAIRWAY HILLS 3RD RECEIPT # / DATE REASON FOR REFUND 72144/04-I5-47 VALUATION FIREPLACE COVERED UNDER PERMIT #24488 ISSUED 2/24/97 FOR BSMT FINISN. TYPE OF REFLTND ELECTRICAL PERMIT 3211-9001 $ I declare under the PLUtvIBING PExMIT 3212-9001 $ MECi-ArrICnl. PExN[rr 3213-9001 $ BUILDINGPERMITFEE li29735 3210-9001 $ 50.00 PL.aN REVtEW FEE 3422-9001 $ SAC (MC/ws) 2275-9220 $ s,aC (CI'rY) 3866-9379 $ SnG,aDn,uri 3446-9001 $ WATER CONNECTION 3865-9220 $ SEWER PERMIT 3743-9220 $ WATER PERMIT 3713-9220 $ ACCO[RN't' DEPOSIT 2252-9220 $ WATER METER 3716-9220 $ RoaD Uxcr 3860-9375 $ wnTERTREA'rMEN'r 3868-9220 $ su[tCxnRGE 2155-900 k $ .50 u'IV.I'I'Y ACCT OvERPAYMENT 2250-9220 $ CuRB BOX DEPOSIT REFUND 2253-9220 $ " CONSTRUCTION METER DEP REFUND 22549220 $ WATER USAGE CHARGE 3711-9220 $ TOTAL $ 50.50 )enalties of law that this account, claim or demand is just and that no part of it has been paid. a? ss?7 Da CLAIM.VOU PERMIT City of Eagan Permit Type:Building Permit Number:EA143041 Date Issued:05/31/2017 Permit Category:ePermit Site Address: 4734 Hazeltine Lane Lot:4 Block: 2 Addition: Fairway Hills 3rd PID:10-25602-02-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - 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: 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 - Jan B Kane 4734 Hazeltine Lane Eagan MN 55123--217 (651) 338-9550 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160666 Date Issued:04/01/2020 Permit Category:ePermit Site Address: 4734 Hazeltine Lane Lot:4 Block: 2 Addition: Fairway Hills 3rd PID:10-25602-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Jan B Kane 4734 Hazeltine Lane Eagan MN 55123--217 (651) 338-9550 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature