4108 Havenhill Cirs ^ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
A
11 1 1 I'; i? t ', J ?? tVf fl f? l f? i11 t F• l:' 1 l I K ! 1`? I
PERMIT SUBTYPE: TYPE OF WORK:
;-; ; 1 1vrta
i Iil?1 1 Mii' I I I ' i NA{
?
?
91-1 ?1 cll ,N6
N.•'1'Q Hy
gf. f:'0 146
Pertnit No. PermH Holder Dete Telephone 1I
ELECTRIC
PLUMBING
HVAC
Inspectlon Oab Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
FOUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARU
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
SEWER 3 WATER PERMIT :;
CITY OF EAGAN i.
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
Da7E \ \ - Zz - r,,:Z: t
OFFICE USE ONLY
METER # PERMIT DATE j 2/ 4 ? ? _c;'
CHIP #1 PERMIT # 11133
METER SIZE !' ` B.P. RECEIPT #
ISSUE DATS '3 -'2 2' 90 B.P. RECEIPT DATE L'
PRV - BOOSTER Pt1MP
SITE ADDRESS ''1 ! C?'%"? PERMIT REQUESTED
LOT L L-BLOCK ?SEC/SUB i CX?e_
SEWER -L WATER _ TAPS
APPUCANT: ? t? ?sv
ADDRESS: 1?t??_ • 2?u??2_ ? - COMM/IND ? RESIDENTIAL
CITY, STATE i (?t C97-r ? !` ZIP ?qt I X NEW - EXISTING
PHONE: ('?? ?I
PLUMBER:
ADDRESS: fn 10 CvPee- C?Jrc i?
CITY, STATE 21P
PHONE: 1rl 7- - 7 f 7-- (
OVYNER: -, "(?- Rc, TT( r )i<< r-> L-,
ADDRESS:
Lawn Sprinkler Meters are to be Insialled
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
CITY, STATE ZIP
PHONE: IGNATURE WHEN M ER ISSUED
PLEASE ALLOW T1N0 WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR
SEWER PERMITS? CONTACT ENGINEERING DEPT.
.7 a
INSPECTIONS. FOR STORM
I
.- - •?-.,.
i.
(gtr#i#ir?tt of Mrrupanry
titp of eagan
arparburtt n# RuilD'cag jmwrrttm
This Certtficate issued pursuanl to the require?nents of Section 306 of the Urriform Buildiag
Code certifying t/rat at the time of issuance lhrs structure was in rnmpliance with the various
ordiriances of the City regulating building comtruction or use. Fos the fo!lowing:
use ci.?u(m g' DWGIGAR elag. temit rb. 17345
oa„p„-y,ype Al/M# 1 ?" DUa PD/Rl -,ya c.. VN
oWnef of ew'tdi RDTNJNID 06. AMmm O 1 E. RIVEt RD.,FR=
AMrm I HA LCIRCE LA=Iiri . B7, HII.IS OF SIMMIDGE
p,?: MAE2?8 30, 1990
?ai? o?? POST IN A CONSPICUOUS PUCE
-? _ -.
BUILDING PERMIT
To be used for SF E
Site Address 4108
Lot 28 Block _
Parcel No.
., . .. ,;?:r.?.;... .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
CIR
fi 1L1.5 U!r
bTUMEJWLUGZ
W IName '? ?T1.UND CQ
? Address SZOI 8 8I1fSA RD
City FRIDI.EY Phone 571-0304
" Name $AME
0
'E? Address
? City Phone
?
W W Name
?
Address
<W City Phone
I hereby acknowlege that I have read Ihis appiication and state that the
information is correct and a ree to comply with all applicable State o(
Minnesota Statutes and City c? Eagar? Ordinance3. ?
. 1
Signature of Permitee '), ?l? t t s! • ?„
A euilding Permit is issued to: THE RO'I?LUA3D CO
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
?10M 17345
Receipt #
OFFICE USE ONLY ?
Occupancy R-3 m- I FEES j
Zoning p0 R-1
(Actual) Const V-N Bldg. Permit 612.00
{Allowahle} Surcharge yT • ? j
# of Stories
th
L -
?? ?
Plan Review
3? •? ?
en
Depth SAC, City 100.00
?
S.F.Total - SAC,MCWCC 575•? i
S.F. Footprints -
s?
?
On Site Sewage _ Water Conn •
I
On Site Well Water Me1er 90•00 ?
MWCC System ?
XK
Acct. Deposit
?
30.00
City Water S 20.00 ,
PRV Required _ !W Permit
Booster Pump - S/W Surcharge 1•? ,
Treatment PI
228.00
?
?
APPROYALS Raad Unit 340.00
Pianner - park Ded.
Council
Bidq.Oft.
949• oo
1
Variance - TOTAL ,
r-
Permit No. Pe?mit Holder Date Telephone X
=WATER 11 33
SEWER
PLUMBING
H.V.A.C.
ELECTRIC e-0
Inspection Date Insp. Comments
Footings I 4)B
Foundation - Q
Framin9
Roofing
Rough Plbg. ' z,?? e-' 2- - O 1-9
C ?!
Rough Htg.
lsul. a? QG i,0_
Fireplace /
Fnal Htg. . (1
Final Plbg.
ConsL Meter Pibg Inspector - Notify Plumber
Engr.lPlan
Bldq. Finai 31-946'd ef
Deck Ftg.
Oecfc Final
Well
Pr. Oisp.
BUILDING PERMIT
To be used for FIREpI"ACE
Site Address oiue HAvENRILL CI@
Lot 2a Block 7 Sec/Sub. HZ"S aF
Parcel No.
cc ?? 4108 lUVE19HILL CIS
o ?? EAGMI !?1 ZP
L--- Y5L-83<3
x Name etEJvi-R-liliAJ
C) Address 3850 W HWY 13
? e? nURliSVILLB t?9 ?p 55337
Q Phane 8 ?'"07?
U I iranca df
I hereby acknowlege 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- Ordinanoes,
Signature of Permitee f
A Building Permit is issued to: x?T?'?
on the express condition that all work shall be done in accordance with all
' appficable State of Minnesota Statutes and City of Eagan Ordinances.
Bu+Iding ptficiaJ
CITY OF EAGAN
3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121
PHONE; 681-4675
Occupancy
Zoning
(Actuaq Const
(Allowable)
# of Stories
Length
Deplh
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Wacer
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bidg. Off.
Variance
U719927
?
OFFICE USE ONLY ?
FEES
Bidg. Permft 25•Go, s?
- $ur?arge • 50 i
?
- Plan Review
- SAG City
- SAC,MCWCC
_ Water Conn
- Water Meter
ACCI. Oeposit
_ S.W Permif
- SNV Surcharge
Treatment PI
Road Unit
- Park Ded.
Copies
- TOTAL
Zs. 50
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectian Date Inap. Comments
Footings I
FoundaNon
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final .
Dedc Ftg.
Deck Final
wen
Pr. Disp.
p
CITY OF EAGAN (?Q ? 9927
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 681-4675
BUILDING PERMIT Receipt #
7o be used (or FIREPLACE Est. Value Date NOV 29 ,1991
Site Address 4108 HAVENHILL CIR
Lot Z$ Block 7 Sec/Sub. HILLS OF OFFICE USE ONLV
FEES
STONEBRIDGE
P8fC61 NO. Occupancy -
Bb9. Penrt 95_!10
Zoning _
N2Rle JOHN KELZENBERG (ACtuaq Cons1 Surchaige .50
W Address 4108 HAVENHILL CIR (Allowable) -
- Plan Review
? City EAGAN MN ZP ng? ries
` =
Liceree
e
Phone 452-8325 Dapth - SAqCiry
N2me HEAT-N-GLO S.F. Total - SAC, MCWCC
p
F
fddfgSS 3850 W IIWY 13 S.F. Footprinls
p
Sit
S _
WaterConn
? n
ewage
e _
Cky BURNSVILLE MN Z'jp 55337 OnSiteWell WatarMeter
? =
Phone 890-0758 MWCCSystem qW
Deposit
8 City Water .
_
VcellSe # PRV Required _ S?W Permit
I hereby acknowlege that I have read Ihis application and state that the 9oosler Pump - SM/ Surcharga
inFOrmation is correct and gree to comp i all applicable State of
Minnesota StaWtes and C nf Eagan Drdi
an
Treatment PI
/?
SignalurB of Permitee /
W APPR?VAL5 Road Unil
A Building Permit is issued to: HEAT-N-GLO Planner - Park Ded.
on the express condition that all work shall ba tlOne in accordance with all Council
applicable State of Minnesota StaWles and Ciry ol Eagan Ordinances. Bldg. Olf. _ Copies -
-R-,tyh
?(}?lI?L?,?ddA / 1 I I
Builtling Official
1 \
Vanance
- TOTAL 25.50
? ..r CITYOFEAGAN N2 17345
3830 Pilot Knob Road, P.O. Box 21: 199, Eagan, MN 55127
BUILDING PERMIT PHONE: 454•8100 G?f? I?
Receipt # ?
7o be used br SF DWG/GAR Est. Value $94, 000 Date DHC 1 19 89
Site Address 4108 HAVENHILL CIR
Lot 28 Block 7 Sec/Sub. HILLS OF
Parcel No. STONEBRIDGE
w Name THE ROTTL[IND CO
? Address 5201 E RIVER RD
City FRIDi.EV Phone 571-0304
_
Name _
Address
C1ty -
Phone
ww Name
? ; Address
55, Cily Phone
I hereby acknowlege ihat I have read ihis application and state ihat the
inbrmation is correct and a ree to comply with all applicable State of
Minnesota StaNtes and Ciry Eaga Or inance Signature ot Permitee G ? - ??
A Building Permii is issued to: THE ROTTLUND CO
on Ihe express condition that all work shall be tlone in accordance with all
applicable State of Minnesota StaWtes and Ciry of Eagan Ordinances.
Building Official 7 lounMal 1 'YYI
OFFICE USE ONLY
Occupanry R-3 M-1 FEFS
Zoning PD R=1
(Aaual) Const V=N Bldg. Permit 612.00
(Allowable) V-d Surcharge 47.00
# af Stories _
441
Plan Review
306.00
Lengih
Deplh 50' SAGCity . 100•00
S.F.TOIaI - SAC,MCWCC 575.00
S.F. Footprinls -
On Site Sewage _ Water Conn 580.00
On Sile Well - Waler Meter 90.00
MWCCSystem xx
XX
Accl.Deposit
30.00
CiryWater
PRV Required _ S/W Permit 20.00
Boosler Pump - SiW Surcharge 1.00
Treatment PI 228.00
APPROVALS Road Unit 340.00
Planner - park Ded.
co°"`il -- ?r?icy 20.00
BIdg.Ofl. - .
Variance - TOTAL 2L49.00
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT '
PERMIT TYPE_
Permit Number:
Date Issued:
4108 HAVENHILL CIR
LOT: 28 BLOCK: 7
MILLS QF STONEBRIDGE
P.I.N.: 10-92990-280-07
DESCRIPTION:
DECK
NEW
434 ALT. RESIDENTIAL
REMARKS:
a
x
a+%9.1' S?LtT int"4?iS w.R
ms"n ?i x T ?" .}°c ? «i "
i+ j ?
r ,
?a„n ? T r6 61 X?
$P IfiM
BUYLDSNG
027909
06/29/96
FEE SUMMARY:
8ase Fee $45.00
Surcharge $.50
Totel Fee $45.50•
CONTRACTOR:
?
Inforinal
L... Statute
APPLICANT/PERMITEE SIGNATURE
OWNER: - Applicant -
KELZENBERG JOHN
4108 HRVENNILL CYR
EA6AN MN 55123
(612)778-7191
A(14 6AIrn12- -
ISSUED BV SIG ATURE T
. . : CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ???• ??
MQ09 1996 BUILDING PEttMIT APPLICATION (RESIDENTIAL) „. p G. 1 ?
681-4675 t?l.C.?t,'il
New Construdion Reau'vements RemodeUReoair Reavirements
? 3 registered aRe eurveys ? 2 copies of plan
? 2copies of plans (inGude beam & window sizes; poured fid. design; elc.) ? 2 sile surveys (exterior addRions 8 decks)
? 1 energy caleulatlone ? 1 energy calculations tor heated additions
? 3 copies ot tree presarveUon plen H lot platled after 7N/93
required: _ Ves No
DATE: b- (?- 40 CONSTRUCTION COST:
DESCRIPTION OF WORK: ?CL ?L
STREETADDRESS: 410Z HAJEhINiLu Ci'IZ GL.P
LOT ? BLOCK ? SUBD./P.I.D. #: ' ???? ? ?? ?L)fA41,
PROPERTY Name: Phone #: yS1'B32? (10
OWNER IMe. ?-r8-'71 gl Cw?
Street Address* NAV-en h)! I C i R.cLF
City: ?-AUR?-J State: MN Zip: SSta??
CoN7w4cTOR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address•
City: State: Zip:
Sewer & water licensed plumber: 0??° . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances. /\ n ? ? r-\ n
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No
J996
?.. .,. . . _ _ I
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
0 02 SF Dwelling ? 07 4-piex
0 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-piex
? 05 SF Misc. ? 10 = plex
WORK TYPE
`f 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging ?
? 12 Multi RepairlRem. ?
0 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
,. . .
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
_ Basement sq. ft. MCNIlS System
_ Main level sq, ft. City Water
_ sq, ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Valuation: $
?
?
% SAC
SAC Units
-- ---- --
k. ?4t4??i?.v,h ll Cincc.E
-- 4? 3.??--??!-?----
"n
' - ? - --------- -
-? ------
8
? 71 Q_t-? w
?---- ----- ---
--- -- ---
-
- -
----- `
--------- -?---- --_
--- ----=='
--- -- - ----
?
..
.
?
`..
t ?
a
---- ---
, ---
---- i ?
----------==`??-? -- ------
--- ---- ------ --
----- ' -. a'O?
----------- ----------------`-? -
..---------"--
~
- ----------
? '?.
.C?
. . .___ . _ __ . .. __ __ . .. . . _` . . . .._ __ _.._...
z-----
-- -- ---------- --------- -- ---
------- ------ -------- -- --------- - -- ---_---------- --- -- ---------
--------------------__.______ _ - ---=------ .,
?.
? __----------- _ .
- ------ ?
-=-------=3- -----------
y?
• ? db
?
? :.
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SOR9EYS
7 SET OF ENERGY CALCS.
.^
1989 H[JILDIAG PERMIT 9PPLICATION ''?'-•`? P7' ? r?
CITY OF EAGAN C'
. a
NOV
MOLTIPLE DWELLINGS COMR7ERCIAL
2 SETS OF PLANS
REGISTERED SITE SIIRVEY3 -
(CHECg i1ITH BLDG DIV.)
1 SET OF ENERGY CALCS.
2 SETS OF 1RCHISECTURAL
6 STRIICTORAL PLANS
1 SET OF 3PECIFICATIONS
1 SET OF ENERGY CALCS.
MULTIPLE DWELLINGS AENTAL ONITS FOR SALE3;DNTTS # OF DNITS
, t
NOTEt ADDRES3F3 FOB CORNER LOTS - CONTAACTOR/SOMEOfiNER M[i5T DESIGNATE WHICH ADDRFSS
IS DFSIRED. NO CHANGES AILL BE 9LLONED ONCE SIIILDING PERMIT I3 ISSOED..
SEFTER & AATER PERMTT FEES AND ACCOONT DEP0.4IT FEES WII.L HE INCLIIDED ftITH THE BUILDING
PERMIT FEE. PAOCESSING TIME FOA SEWER 9ND WATER PERMITS I3 TWO DAYS ONCE A PEAMIT H93
BEEN COMPLETED INDIC6TING 6 LICENSED PLIIMffiER.
PENALTY APPLIFS fiHENs PERHIT IS NOT PAID FOR IN SAME MONTH IT IS REQQESTED.
LOT CHANGE IS REQIIESTED ONCE PEAMIT IS ISSIIED.
To Be Used For: IE;,?jreq, gqftiL,Y Valuation: Date: ( t-'2-2-?Sj
C.i
31te Address G{/p9', ?-qi.xwrx.lkl -12: (?: cl ? OFFICE IISE ONLY
Ll,Oo v
Lot 7P-?, Bloek -j_
Parcel/Sub
Owner RJO'M_101-??k3 C4D.
6ddress ??1 p-_ 'e1L*;P. ?cl•
City/Zip Code
Phone
Contractor Gp0E
Address
I i
City/Zip Code
I i
Occupancy R-'3 M-1
Zoning PD R-1
Actual Const V •N
Allowable V-N
U of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System ?
City water =
PRV required _
Booster Pump _
APPROVALS
Phone Planner
Council
Areh./Engr. Bldg. Off. ?iLIi(Zg
Variance
Address
City/Zip Code
Phone
FEES
D
Bldg. Permit 1Z.0
Sureharge y9, o0
Plan Review 306.00
SAC, City 100.00
SAC, MWCC 51S,00
Water Conn 80,0 0
ilater Meter qO.oo
Aeet. Deposit 30,00
S/W Permit 20.00
S/W Sureharge if09
Treatment P1. Z2 g,oa
Road Unit 340100
Park Ded.
Copies
SIIBTOTAL
Penalty
TOTAL . ? !)
?G D-)
CsAE ? „?, ?''" •?,,? -
Z2x22= y8y x Js = ?2,6o
BsmT'
z% x2? ? ?Zg
y
?-
?3?
He?S?
Y. 3io _ ('6a
z2xyn: ?Ya
!b `f u
a)e7:- 1`f
?--
IS?? X r?= '7?yoo
93??y
? c
,
... ,
* ** .jK
* PIONEER
* engineering..
T
cm
LqNpSCGPE PFC,H11ECf5
2422 Enterpnise Drive
Mendota Heights, MN 55120
(612) 681-1914
Certificate of Survey tor: TNG ROTTLUND CO•
ge?va ?r??,ti
--
s^.aa
'r/°y
?"A •/ ?° ? N v /O
'(?` ,'b??° ?u° V1 ? gi ? :Z•, 1 ,? ,L
-J
?o,e(
^ o ? ? lC 7
?'r•615' ?y ? c? x
. BXv'gi ? ?.. 4e' 33
,..
.?
a3s?? ?
i
?
NoQr?l
E,4 ST
h!
\ r-au 4:?.za V?EV lf? l_?
V ? ?r.,^+ pF.am
°'y
/ -?-----•?__
-?__ 46-------7
m ?
814? ? ??.
?qp?h
/ ? a
87?zy ? a?D
/
,`3ate
EAr.?.AN ENGIIVEa:,A.NG DtPT
? 900.0 Deno(es exislin? fJevafion
. yoo.o Denofes propoOd Elevotion
---- - Uenofes Drpinae j Ufrlr l Easemenf
_?- Uerrofes Drqrna e Flaw rrows
o Detlofes monumenf
Beari'11z shawn ar•e assumed
PrZUPU5E0 NUUSf ELEUA710NS
Lowesf Floor Elevai`ion = h'75 23
Top ot' 8lock fleval ion = 87?• 5/<
.riarple 5/ab Elevafiat) = B?S.Z3
LOT 28, BLOCK 7 114ltL5 oF STONEBRIDGE
QnkoTA CouNTY, MrNNfSaTA $UBJfCT 7D EASEMENTS oFRfCURp
I hCrehV [prtily that IhiS Is a trun Pnd Correct r>preuntation of a turvey ol thP. houndnrips ol Ihe above dc rriherl ln nd?) and rt Ihn Incalinn pnqf ;dl
huldings, Ihrinon, ind all visihle encraar.hmnnts, if nny, from or on SoiA land. Af surveyM by mn 2019flav of-A.O. 1?3?.
/
?+ IA /?
SC.Q(C : rrnch _ ?? --
F7112,67- nnaenr n. siKict] ?_.s. ner.. rJ.). 14811
F.,."•Fraon F,NVFr,ni•r•. nvEr,nr,ti: °u" Ci)MT'[1'1'AT10n
owr+ER `00 Z"C W
SITE ADDRESS
CONTRACTOR I/1? ?OMUAJ(' GU• pATF. PHONE
Determin vorkinrt squnre footai;e of ench.
1. Total exposed vall area .. M??1 6sq. ft. x 0.11 _
2. Total roof/ceiling area sq. ft. x e.026 _ siZ1 41ci
• .
c
.
Total exposed wall arca nbove flonr
43. /
a. Total wa11 window area . ............... ......... 9 7 .
b. Total door area .......... ................ ......... s¢?
c. Total sliding glnss door area ............ ......... '-5 2.S
d. Total fireplace va11 area ................
-'
.........
e. Total vall framing area (average lOP) .... ......... C,
- P. Total net wall area above Sloor .......... ......... / 3 9 2• 0 3
8. Total rim joist area ..... ........... .. .......... 7(i
Total exposed foundnti on arca = ? • 7 -- -
h. Total foundetion windov ar ea .............. .........
i. Total net foundation a:ea ubove grade .... .........
. ?
.
? Determine "U" value
1 of esch vall .^.rgment.
50
'
1
2,( p, o
r , 27
a• 17
b. x,.U" 0 3
C. X,.U„ ?-
d. ?-' X "ue,
? 7 ?. lJ V
e
.u
n 74
..
%
U /
1 341? x,.U,.
f o.o?'?
.
. a. ?37, G X°ur"
h. X „U„
-
„Ul.
i . ? • ?? _ ??, 7,/
. x -
3. ........................... .... . ror.,1
.. , ,.
If item N3 is the same as, or less !.h:,n iten H1,
you have met the intent
of SBC 6006(c)2 _
n
' Totnl exposed roof/ceilin? area •= I{ ?
' . *A
=
Total gross roof/ceiling area
J. Total skylight area .......................... - !1?
k. Total roof/ceiling framing area ..............
1. Total net insulated roof/ceiling area ...... ? 7!7?(? _ •
Determine "U" vnlue for ench ruof/ccilint; se6ment.
x 'lUll _ ? .
.
k: x„U„ 0. 0 z7
?. 79-( ,- X„u,, a,o2Z = 3 Z,3S 4 . ............ ................:. Totai
If total oP fi+4 is the same as, or less than N2, you have met tYLe intent of
ssc 6oo6(c)i. . .
r To utilize the total envelope system method, the values establi:hed by the sum of items N3 end Bb shall not be greater.thKn the sum of iten:s #1 and df2.
1, + 2.
' • 3-, + L . _ _ .
.
o ..
<
' . .'• O e
1991 BUI I G PERMIT APPLICATION
CITY OF EAGAN
.
SINGLE FAMILY DWELLINGS
MfJLTIPLE DWELLINGS
?2 )
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (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 APYLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - 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 LICENSED PLUMBER.
?/?,(J??
To Be Used For: ?""' ? ' Il Valuation: ? Date:
Site Address yM kz(, (;i, , OFFICE USE ONLY
Lot `' Block I _
Parcel/Sub -91 Lb 61 - jtw pkdp,
Owner a4V![j
Address
City/Zip Code
Phone 15,3 ' 0ZS
Contractor dw,/, -///' Gt'?/
Address 592 W? d
/%121 113
City/Zip Code
Phone 075£ai
Arch./Engr.
Address
City/Zip Code
Phone #
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
agrees that all work shall be done in accordance with
(Signature o Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF E:hGAN
CASW.T,1 R- 7 i TL'•:fiMINFII._ I'!0- 718
UA'TE: 07/16/93 TIME: ilJc29a58
ID;;
NAME- HOR.T.LON I:-XTrft:f.OFiS7 LI_0
3210 9001 4108 HAVI:NHSI_L 1.25.25
2155 9001 410Ci FiAVENH:LLL 3.00
7ui;a1 f;eceipt, Amoijnt,: 1.28.25
Cf;:l. t;34E35
I.ISFF ZU: :iAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?¢ R 2?j
CITY OF EAGAN <
3?g 3830 PILOT KNOB RD - 55122 I ??
651-681-4675 ,.--1 1 ? O' ?i
New Gons!mction Reauirements RemodN/Reoair ReaulremeMs ?
a 3 reglstered sMe surveys showing sq. H. of lot, sq. H. of house
and go roofed areas (20%' maxlmum toT coveraae allowed)
? 2 eopies of plans (show beam 3 wlndow shes; poured Ind. design; etc.)
? 1 seT of energy calculafions
? 3 copies of hee preservation plan iF lot plaMed after 7/1 /93
DATE: ? (otZ-Q 9 k C
DESCRIPTION OF WORK: ? Y
STREET ADDRESS:
LOT: BLOCK: ? SUBD./P.I.D. #:
2 copfes of plan
t sef of energy cakulatlona (or heafed addHions
i sRe farvey for exferlor addXions 8 decb
cosr: S95c) • co
Name: 1 ?Phone #: ?52 - + &??7
PROPERTY L°n Fl'n U
OWNER itt ? r: ?,In,., ,., ?,?'/? ?.???il
Sheet Address: !1 I CJ n 1 ! LA/Li e?r (1 L!/? t\ ,
CHY EQqw StaFe: m/V Zip:
Company: ?AoY 12trn CAI?,? 1 Qir S Phone #: ro 12 R'`7o ` 39o(0
(area code)
CONTRACTOR ? ?I ? ????S ExP
SfreetAddress:I3J?J IQArC (IX?LLS?IC3?_??L ' license#o
Ciiy \'??? 1 11 -(?, _ State:Mf\) Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Sheet
Cffy
State:
Regishatlon #:
Sewer 8 water Iicensed plumber (reautred fu new conshuction onNl:
PenaNy applies when address change and lot change is requesfed once permR fs Issued.
I hereby acknowledge thaf I have read fhis appllcatlon, state fhat the info aNon Is cortect,
State of Minnesota Statutes and Clty of Eagan Ordinanees.
Slgnalure of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
Zip:
comply wMh all applicabl
JUL 15 1999
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 ? 35 Tenant impr ? 39 Gas Line Only ? 43 Siding/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 demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee ??; ?S
Surcharge ?C)
Pian Review
License
MGES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL• I
Valuation:
,
:
SAC Units
% SAC
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109618
Date Issued:03/25/2013
Permit Category:ePermit
Site Address: 4108 Havenhill Cir
Lot:28 Block: 7 Addition: Hills Of Stonebridge
PID:10-32990-07-280
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Douglas A Bloome
4108 Havenhill Cir
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139129
Date Issued:10/11/2016
Permit Category:ePermit
Site Address: 4108 Havenhill Cir
Lot:28 Block: 7 Addition: Hills Of Stonebridge
PID:10-32990-07-280
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Douglas A Bloome
4108 Havenhill Cir
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173045
Date Issued:10/26/2021
Permit Category:ePermit
Site Address: 4108 Havenhill Cir
Lot:28 Block: 7 Addition: Hills Of Stonebridge
PID:10-32990-07-280
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Douglas A Bloome
4108 Havenhill Cir
Saint Paul MN 55123--166
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature