4111 Havenhill CirCASH RECfIPT -
? CITY OF EAGAN
q830FPILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? U
DATE 79 ' •
t?rvEO / 1 ?f ?? /
AMOUNT S
& DOLLARS
lro
? GASH pcCHECK?l
n.1
lY't?L ?``-11.{.?.? `f ???.• / - <.{?`?LL.?`"ZG??,
FUND OBJECT AMOUNT
L' ,._3
<.•: ?'
;
ThankYou
BY _
Hmite--aayere coav
veuo,p.-Posnne Coav
a;nk--Fxe copy
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Esgan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for =' ?' U?Cl SzAR
Est. Value $140000 Date
158 r1w, `" i
Receipt #
W)Y 3
19 r3;i
SiteAddress `t111 i1AV`'NtiI,?..L Glii
Lot 3 '" Block 7 Sec/Sub. ???URD6F•
Parcel No
a Name CL';TSX MONU
z Address 5459 L4nk R,)
? City i?7'kJ1 Phone 423_2135 :.'rQL)
O Name SAh(:
' ¢
?
v i Address
?'- City Phone
Name
City
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
L h"t"r'.X :?CiP'??5
A Building Permit is issued to:.
on the express condition that all work shalf be done in accordance with all
applicable Sfate of Minnesota Statutes and City of Eagan Ordinances.
Building Official__
OFFICE USE ONLY
On Site Sewage Occupancy T-j K"i
MWCC System A Zoning ?D R? 3
On Site Well (Actual) Const V-N
City Water (Allowable) Y-N
PRV Required * oF Stories
Booster Pump Length 62 '
Depth 32 '
S.F. Total
Footprint S.F.
APPROVALS FEES
f 04'00
Engr.lAssess. Permit
70'00
Pfanner 5urcharge
Council Plan Review 352.00
Bldg. Off. SAC, City 100 • 00
Variance SAC, MWCC 550.40
Water Conn. 550.00
Water Meter 67.00
Road Unit 325•00
Treatment P1 204•00
Parks
TOTAL 2 'y2 X C)
I -.
01-321
,
01-34
01- - 01-3
01-21
75-38
20-22
20-386
? 20-386
20-371
= 20-225
-- 20-371
- 20-37
Y
79-386
28-385
PERMIT NO. ?
0 Bldg. Permit
2 Plan Check
5 Surch./Adm.
6 SAC/Adm.
5 Surcharge
0 Road Unit
5 SAC
5 Water Conn.
8 Water Trmt.
6 Water Meter
2 Acct. Dep.
3 Water Permit
3 Sewer Permit
6 Sewer Conn.
5 2
344
44
5
6
7
4
Park Ded.
TOTAL
?' 1 1 1?11
?L
?r? r!
,
?
INSPECTION RECORU ?
CITY OF EAGAN PERMIT TYPE:
3830 Pitot Knob Road Permit Number. 141 7
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ? ? ? < ? ? ?? ? c? ? r: ? APPLICANT:
r . } ' : I l l C: lk . 1! . ,i'' 1 ?I.
1.") Fi loI f•? -N 4} 4 6!
PERMIT WBTYPE: TYPE OF WORK: Pl. P aI }
1;: •, i, I i.tj, tri itUnf
ni?F- i MN
?
IL
Permit Holder Date Telephone t
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRflIGATION
METER
FLUSH
MAINS
coNOUCrivirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
. PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address 4111 Hav
lot 39 Block 7 SeciSub
? Name ?%e?-? Sn P6I;
?c Address 1474'? So"1ta'? Pobrxr_ Trai1.
c City Msomount; MN Phone 423-1I44
55060
Name •eti Real E ts
3 Address 5959 .
p Ciry LriinnOhUrI}:?,, 'IN Phone 'i-783-1
0
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S!C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
? FOR: CITY OF EAGAN
BLDG. TY _`? ?, .,, WORK DESC P,TION
.`?_ . , ? .
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES .-TOTAL !
Water Closet - $3.00 $ ;? . •
TBath Tubs - $3.00 ?.?• ?
a?:Lavatory - $3.00
% Shower - $3.00 ''v
? Kitchen Sink - $3.00
UrinaV Bidet - $3.00 ? • ' '"
Z Laundry Tray - $3.00
-LFloor Drains - $1.50 ? -•-'t ?
? Water Heater - $1.50
Z Whirlpool - $3.00
? Gas Piping Outlets - $1.50 i'' :•l?
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00 y
,-Rough Openings - $1.50
FEE:
STATE S/C:
?..
GRAND TOTAL:
PERMIT # "
RECEIPT # Z
'
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAQ, EAGAN, MN 55122
PHONE:454-91D0
Site AddrQs,s
; Lot ' `Block Sec/Sub
m Name _
? Address
c Ciiy ?
/
Phone
? Name
3 Addre
p CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
Phone
I? M BTU
M BTU
M BTU
M BTU
CFM
/
FEE:
S/C:
TOTAL:
/ i PERMIT # RECEIPT #
DATE:
For Office Usd Only: ?
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMI'n
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLJES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS
BLDG.TYPE.
Res. ?
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
$24.00
6.00
:vl
1.50 EA. I
- 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
• ? '%?,/.'
SIGNATURE OF PERMI EE
?
FOR: CITY OF EAGAN
i r' • 0
/ • •
Orrtiftratr of (Orru#anry
Citp of eagan
iBpvwfttplit 11f wlltjhqi8.jttSwpttiDlt
This Certiftcate issued pursuant to the requiremenu of Section 306 of the Unifor?n Building
Code certifying that at the time of issuance tliis structure was in complrance with the various
ordinances of the City regulating building construction or use. For the fo!lowing.•
use cbL%jjjc.ooo SF DWG/GA.R e4 Rrn2;t xo. 15825
Occupancy Typt R3!+"i 2 ZDDing DigbriCt PD/R1 TYpe Const. VN
owner Of B,ikh? r'..?C HDFS Add= 5959 BAKFR R[IAD, MiRA
B77- ?? 4111 HAVIId?L ?3F ?li?, I,39, B7, HIILS OF 5'I?IDf?
p,tE: MARfli 15. 1989
POST IN A CONSPICUOUS PLACE
?-?.---
, CITY OF EAGAN
,,Vff--ftw. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHON E: 454-8100 ?
Receipt#
To be used for ?iF vti+t-'/CJI:. Est. Value 4140,C?o0 Date ?10v 3 ,196'?_
.?
SiteAddress 4111 ??rE?ILL CiH
Lot -3? BloCk 7 Sec/Sub. i
Parcel No.
m Name CF.,":i:...
z Address SL?'?? +='+•
° City KII(A Phone 413-715g (.?OE)
, o Name 5A?'?L
? q Address
'ic City Phone
) ?
y? W
Name
f
Address
Q W City Phone
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 Permittee
A Building Permit is issued to: -(AINTEX I;t'KF&
on the express condition that all work shall be done in accordance with all
applicable State of Mmnesota Statutes and City of Eagan Ordinances.
Building
OFFICE USE ONLY
On Site Sewage OccupanCy
MWCC System ? zoning PL ??
On 5ite Well (Actual) Const y-N
City Water X (Allowable)
PRV Required # of Stories
Boaster Pump Length
Depth .3 $ ?
S.F. Total
_ Footprint S.F.
APPROVALS FEES
Engr./Asgess. Permit
.to
0
Planner . Surcharge 1•00
?
Council Plan Review 352.00
BIdg.Off. _ SAC,City 100000
Variance SAC, MWCC 550•00 ?
WaterConn. 5t0•00
water Meter 67.00
Road Unit 325.00
Treatment P1 ?
Z04+00
Parks
2
922
00
?
TOTAL ,
•
- Permit No. Psrmit Holder Data Telephone ?
Plumbing
H.V.AC.
Electric
?
Softener
Inspection Date Insp. Comments
Footings I
Footings II ?
Foundation ??? ` J?w
Framing
Roofing
Rough Pibg- --:Z_ fr -7
Rough Htg_
Isul.
FirePlace v
Final Htg. -3 S ? S L ?- / 'i ?
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
383Q Piloi Knob Road
P.O. Box,21199
EagagtMN 55121
?
Owner.
Site Address: 4?j i
Plumber. r'Ivm+
Permit No:
B/.P No:
Hoisea
Zoning: _
No. of Units:
MWCC: Zoning•
City Chg: No. of Units:
Acct
Dep: ? 5 • ?'^'
. , I agree to comply wlth the City of Eagan
Permit Fee:
, Ordinances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
Conn. Chg: ocp
Acct Dep: ' - p
Permit Fee: op?'
Surcharge: 7 r
Tr. Plant r' 'i •OCrcI
Meter. `7
Misc.:
Datec 1 i. Date:
F3
I agree to comply with the City ol Eagan
Ordinances.
er
? WATER SERVICE PERMIT
CITY• OF EAGAN Permft No; Date:
3930 Ptlot Knob Road Mejer No: Size: ?
P.O. Boz 21199 Reader No: ? Date: -7 r
Eagan, MN 55121
Owner.
Centex Tionies
SiteAddress: 4111 1?_aven l,. ., irc.:_: ,;> ; s oL .? n
Piumber. T'lyr.iouth ^ tir?.niti,??r
Conn. Chg: 550•00pd Zoning: n?
Acct Dep: 1 P No. of Units:
Permit Fee:
i. !.0pd
:.
Surchar
g? I a ree to com
g ply with the City of Eayan
Tr. Plant ? i • 00Fd Ordlnances. ?
Meter.
?
Misc.: gy
WATER SERVICE PERMIT CITY OF EAGAN Permit No: Date:
3830 Pllot Knob Road Meter No: SiZe:
P.O. Box 21'99 Reader No: Date:
Eagan, MN 55121
CASK•,9FCE!PT
CITY UF EAGAN ?.
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
onre
AMOUNT ' $Qr7? ?--v
? CASH
,
FUND OBJECT
8 DOLLARS
im
6=CHECK
??-
??=?:
AMOUNT
Thank You
Lq? V \'V 6.. k YB?OyHP?IYg Cippy
Pi*-Flle Copy
CITY OF EAGAN
3830 PiIGt Knob'Road, P.O. Box 27 •199, Eagan, MN 55121 N? 15825
PH ON E: 454•8100
BUILDING PERMIT Receipt# L-'1
To be used for SF DWG/GAR Est. Value $140,000 Date NOV 3 ,1988
SiteAddress 4111 HAVENHILL CIR
Lot 39 Block 7 Sec/Sub. STONEBRIDGE
Parcel No.
a Name CENTEX HOMES
w
3z Address 5959 BAKER RD
° Ciry MTKA Phone 423-2155 (JOE)
a Name
.o
? Q Addre.
a City_
a
w Name_
w
? Address
?
w City_
i hereby acknowledge that
Minnesota Statutes and Creatl this applicalion and state ihal the
information is correct and
to comply with all applicable State ol
Signature of Permittee _
A Bullding Permit ? is ec
Building
II work shall be tlone in accortlance with all
Statutes and Ciry of Eagan Ortlinances.
OFFICE USE ONLY
On Ske Sawage _ Occupancy R-3 M-1
MWCC System X Zoning PD R-1
On Site Well _ (Actuap Const V-N
Ciry Water X (Allowable) V-N
PqV Required _ # of Stories
Booster Pump _ Length 2
Depth 321
S.F. Toial
Footprint S.F.
APPROVALS FEES
En9c/ASSess. Permit 104.00
Planner Surcharge 70.00
Council Plan Review 352.00
eldg. Off. SAQ City 100.00
Variance SAC, MWCC $50.00
WaterCOnn. 5$.Q..00
WaterMeter 67-00
RoatlUnit 395 nn
Treatment P1 2-04.00
Parks
TOTAL 2r922•00
?/?/b'S REQUEST FOR ELECTRICAL INSPECTlON ea-ooooi-os
1 See insenc:tions foe com0leling Ihis form on Gack of Yellow copy.
? ?So5o7
E*2 S2-13 , "X" Be/ow Work Covered by 7his Request
Hdd Rep. TYVe of 8uiltling Appliancea WireC Equipment WireA
Home Ranye Teniporary Service
Duplex Water Heater Lightiny fixtures
Apt. Bui?ding Dryer Elec[ric Heaun
Commercfal Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Buik Milk iank
Farm otner pr_n v Oincrisner.iivl
t nr Suu.u V ther Oiher
C'ompute lnspection hee Below
p Fee ServiceEntmnceSiie n Pee Feetlers/Subfeeders b Fee Circuits
0 to 200 Am ?s 0 to 30 qm s ` 0 ta 30 Am s
Above 200 qinps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Am s Above 100_Am s
Transiormers Irrigation Booms ? Partial.'Other Fee
Signs Speciallnspection S ^
TAL FE
Hem?rks L/
(
Rough-in `"P?/ ?a Ihe Electncal
? ?? Insoecbq hereby
certity thet ?ha above
Final
?p O:ite spection hes been
? // ? ? ? ^ 77P Ae.
r
Thie repuest voiU 1B mon[M trom
This reques[ vaid
18 mon(hs from V <J /
E 28213 ? ??
;P???>>
flenuest Date ire o. ,. Ph-in InsVectfon
nuired?
0es ?No
1:iPeady Now ,II Notitv. ???sper
?or When Ready
a Licensed Eleclrical Coilpactnr 1 hereby request inspection of ebove
?? Owner / ? electncal work installed at
SIr¢et A
d
dress, Boa or R ute Na. Cit
,
/
r /// VCY? ?CrG?//A/
ecuon o. Townshio Name or No. RanBe No. Coum
Occu = Phone Nn.
Pawer SupO er Address
EI¢c;Uical actor (COm vip`JJame C??ntrertor's License No.
Mai ? B AdJre. (CUnhactor or Owner MakinB In tallation)
///ilJ-ST/c3Z.
Au[horized ' na[ur CoNractodOwner Makinglnstallatin Phune Number
3:7214
MINNESOTA STATE 90AND OF ELECTHICIiY THIS INSPECTION PEQVEST WILL NOT
Griygs-Midway Bldg. - Hoom N•191 BE ACCEPTED 9Y TME STATE BOAPD
1827 Universitv Ave.. St. Peul. MN 55106 UNLESS PNOPEP INSPECTION FEE IS
o......., 1a1m cnvncnn ENCLOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
?( ? I I CITY OF EAGAN ?
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsWCtion Reouirements
• 3 registered sAe surveys showing sq. ft. of IoL sq. B. of house; and ?II roofed areas
(20% mazimum lot coverage allowed)
• 2 copies of plan shovnng beam 8 window s¢es; poured found desgn, etc.)
• isetofEneryyCalculations
• 3 copies of Tree Preservation Plan if lol platted afler 711193
• Rim Jo"st Oetail OpGons selection sheet (bldgs with 3 w less units)
DATE -o 'Z__
RemodellReoair Reauiremenls
. 2 copies af plan
. 7 set of Energy CalcWations tor healed additions
. t site survey for e#erior additions 8 Cecks
• Indicate H home served 6y septic system for addibans
VALUATION ? ( E; f sz5 /'
SITEADDRESS l...l/rG CQ. MULTI-FAMILYBLDG _Y _N
n , ' ..
TYPE Of
_ FIREPLACE(5) _ 0 _ 1 _ 2
SELA ROOFING & REMODELING
APPLICANT 4100 EXCELSIOR BLVD.
ST. LOUIS PARK, MN 55416
STREET ADDRESS In?/F!1l1Ml16I1 CITY STATE_ZIP
TELEPHONE # CELL PHONE # FAX #
PROPERTYOWNER ?feet ?"i- TELEPHONE#VSZ- WWO
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOT:11tULES 7670 CATLGORY 1 VIINNESOT.A RLiLES 7672
(q submission type) . Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted ?
7 C'2
Plumbing Contractor: -------_---?------- Phone #
Plumbing system iiiclucles: Water Softener _ Iawn 5prinkler, Fee $90 0
Water Heater No. oF R.I. Batl s--= ?--
No. oC Badis
Mechanicai Contractor:
Mechwiical syscem includes:
Sewer/Water Contractor:
Air Conditiooing
I-Ieat Recovery SysLem
Phone #
Phone #
I hereby acknowledge that I have read this application, state that the information is
with ali applicable State of Minnesota Statutes and City of Eagan Ordir}ances.
Slgnature of Applicant
Pee: $70.00
and agree to comply
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext AR- Muiti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch7Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muld
? 05 03-plex ? 11 1 0-plex 0 19 Lower Level ? 24 Storm Oamage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors
? 34 Replacement "OemoliHon (EnUre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs
Air/Gas Tests _ Final
_ Framing _
Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Pfumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
FERMIT
CITY OF EAGAN autL QZNe
3830 Pilot Knob Road PERMIT TYPE:
Eagan,,Minr,esota 55122-1897 Permit Number: 0 3 3 R 17
(612) 681-4675 Date Issued: 0 9/ 2 3/ 9 8
SITEADDRESS: 4111 HflvENHZLL ciR
LdTe 39 6LOCKc 7
P.I.N.: 10-32990-390-07
DESCRIPTION: R E R o nF
Bu?icrir"'xq, permit T y p e 5TORM pAMAGE
Buiidirige'??,,rk Type REPAIR
?ett-Stt? Gode?"*•'a. 434 ALT. RESIDEMTIRL
, R
::
.. ?
4, n? 4 5?s.
zss '.,sr.
m ?
A
mi3it
. ?9 ffit 6fi ?iiny?
i
REMARKS:
n^'L"IA a ?'`YP, .z ?? ?g ?.<.?E tTW ?
FEE SUMMARY:
()-
APPLICANTlPERMREE SIGNATURE 15SUED BY: SIGNAT? ?
3 ? (/) ? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
, 3830 PII.OT KNOB RD - 55122 ??q ?
" 681-4675
New Construction Reauirements RemodeVRecair Reauirements o-1 D 3 ,') ¢j
? 3 registered site surveys
? 2 copies of Dlans (inGude beam 8 window saes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservatian plan 'rf lot platted aRer 7/7193
required: _ Yes _ No
DATE: Q -I4-IN
? 2 copies ot plan
? 2 sRe suneys (enterior addkions 8 decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; S 777,60
DESCRIPTION OF WORK:
?
STREET ADDRESS: d _
LOT: -3 BIOCK: SUBD./P.I.D. #:
Name: ?(/???'V117? ?{? Phone#: ?p 7'qyZ;R
PROPERTY 1.ast First
OWNER a ?J tt ,? C ,
Street Address: ? ?/1/9 /,
City p ago?? State: Zip:
-T-? v
Company: ] rLa Pad e? Phone #:
CONTRACTOR
StreetAddress:???,? ?)iL License# 7 y? ?
/ ??-
City State: ? Zip: ?0?557
ARCHITECT/
ENGINEER Company: Phone #:
Name: Regisaatian #:
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this appiication and sfate that the infortnation is coRect and agree to omply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?44,4
OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex
? 02 SF Dwelling ? 07 4-plex
O 03 SF Addition ? 08 8-plex
D 04 SF Porch ? 09 12-plex
? 05 SF Misc. 0 10 = plex
WORK TYPE
? 31 New ? 33 Afterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory 0
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq, ft.
Planning Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Engineering
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
% SAC
SAC Units
.? R, •
79$$ BUILDIN6 PERMST APPLICATION - CISY OF EAGAN - 4•
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS
IS DESZRED. NO CHANGES WILL BE ALLOWED ONCB BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENT9L UNITS FOR 5ALE UNITS # OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CO[•II+IERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: SFT) A Valuation: I v??J~ Date: IEC'o wr
Site Address ?11f?.,??;?? ? ' . OFFICE USE ONLY
Lot 12 Block
Parcel/Sub -9-;k QC? 9Lel.,;df e-
Owner C ip"s?^eX tP?-y' i°S
Address 2'me ?
City/Zip Code'P'i/YTKAt- lwrY ?7s 3 y t
Phone 31 "'?- I ??- S occ G I
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone R
On site sewage_
M47CC system ?
On site well
City water ?
PRV required _
Booster Pump _
APPROVALS
Occupancy
Zoning `RD R - I
Actual Const 4-n1
Allowable U _ N
Ik of stories
Length ro-T-
Depth S.F. Total
Footprint S.F.
FEES
Engr/Assess
Planner
Council Bldg. Off.
Variance
Permit 1? D p-D
Sureharge ? O, p ,;
Plan Review , o0
SAC, City
0
inn 10
SAC, MWCC ?,QO
Water Conn
Water Meter te, , 0O
Road Unit
Treatment P1
Parks
Copies
TOTAL
,1 do()
.?
vAUna-r i vW
,
GA RA C,ra •? .? , ,? ?
... ?.. ,? , .
2.2 - 484 X1N- br11?
t3sr?•-t = yZ X'2? = 1) 3u
/6 x 2 ? 3 z,
?------
l2 31 X!? = 16fl?3
IST ?'?oofz ?
g5? ? 1231
f4-= Glt?os
ZND ?PLOC'JR-
Z''L X Z1-` _ 11 -6 LI
iw? ? a Ll r?
I 1 y`1 X49 ? S?-2-o3
r 3?? ? 7
s.
,
* P10N
* Qllglr
* * ?C
?
es''1` I
?
NO RT N
Certificate o( Survey for.--C-6116-44-0rneCj
EAsT
r4z 14
R 22?? ??
0
a o ''
o m d 2
\
a3
s O ? i
0 3 i
? .5
' ,900.0 Denp/es exislir? flFVafian
?9oo.?Dertoles propo d f./evation
Uefroles Urarrjae ( Ulilr fy Easenrerrt
---T- Uenotes Orc?ma e Flow lfrrows
o 0PIIOIeS /r)oli(jIY7Pl1!
(iearirls showncrr2 acguaTed
??
?PROV?sEa Nf?u.?c?? rE"v oiasP .+ d
Zowes?l Flnor Elevaf?on - ¢¢
Top of'8/ock Elevaliorl °--P1s.53--
Garage 5/ab Elevafian ° 878,2.
II LOT 39 , BLOCk 7 1 /,IIL[s oF ST4NEB/ZIDG'E
QnknTn CouNTy, M1NNFSOl;n SUBJECr 70 ElIS6MENT5 OFl7tC()RD
I I?rn,hq r??ffy Ihnt Ihi, i, n hur ,ind rnnrcl ir1`1et11lalinn of n suiv¢y nl Ihe hniu?d:vir.s of thenbo?v,C,? Ir/y/ iiLrd laud..?ud n11L?•Inrqlimn nl:ill
n
Lnlldii?n?. rhrirn, W all visiblr rnnnpihninnic, il mry, linm rn nn soirl land. /?t svrvrzyrd hY inr fhiv--/L(LLlIny nl
17??- i??? ?
11•7-88 94 Cl
JC'U!P : l inch : HQ%'efl
-- - - ---- -------
RS:l?( i•OS ?
.. ifV: 12-5-$g/ovC 115P Z.v' -GarZ,L.o'
LANO
CIVIL ENGINEERS
I qNOPL/1NNER5• LqNpSfME ARCHIIFCiS
1 r _
vN 1
?"
o'4
\ ( /
\
g?hh ?
?
\
/77 9 ?
l; \
?? t ti3
?q.
2427_ 6rtnrpnisv Diivn
Mr.ndolaHeirihis, MN 55120
(612) 681 1914
s
? yL
/- L
?y
\
\N i O ` V
\tp
\l, 0
?
? L
?
?
ss?
N wo s
'?Awo
T N ?
o_
?? ? _
'f`eV15CD SIT?
PLAN
f? ?` ?Gf
FXTER!OR ENVELOPE AVERAGE "L" COhiPUTATION
CEN i EX HGPIES CORPORAT ION
MODEL0730
I1-i2•b"
SQ. FT. "U" ALLO`h'ABLE
1. TCTALEXPOSED WALL AREA 3056.379 0.110 335.257
2. TOTAL RGOF/CEILING AREA 1753.000 6.026 95.578
3. TOFAL EXPOSED WALL CALC.
Total exposed wall area above f'oor 2740.900 ACTUAL
a. Total wail window area 279.420 0.420 117.356
b. To"taldoor area 37.i00 0.060 2.262
c. Total s!iding giass door area a0.020 0.390 15.600
d. Total firepiace wali area 0.000 0.000 0.000
Total expesedwali less a,G,c,d 2382.8,60
e. Total wsll framing area 2T
-8.286
0.097
23.090
f. Totai net wail area aocve fioor 2i44.574 0.045 95.569
g. Total rim joist area 2;`,"9` 0.042 3.024
Total four,dation area(iY.GOSAd) 10 1 .389
h. Total fcundation window area 8.010 0.920 3.364
i. ?o,al ne* fo»nd area abov2grade 93.374 0.I23 11.485
TUTAL 277.75:9
4. TOTAL ExPOSEu RGOF!CEIL C.4LC
Total expnsed roc,ficailing area a. 1713.000
b. 40.000
J. Total skylight area 0.000 0.000 0.000
k. Total rooflceiling framinq area a. 17I .300 0.025 4.280
b. 4.000 0.023 0.093
i. Total net insul. roof/ceil area a. 1541.700 0.024 36.998
b. 36 0.025208 0.907
TOTAL 42.279
ALLOWABLE ' + 2 = 381.835
ACTUAL 3 + 4 = ?320.038
DiFFERENCE 65.797
SjGnai
tt-ti2 - 8-I
P10DEL #78Q
32x28/28
20x28/28
24x16/15
28x"LO/20
tox%S/2ti
I/4 round
I/Z round
2Gr,3U fixed
[8x30 fixed
48x24 fized
14" sidelites
TOTAL
i ntal wail 3bove f}oor
Vault Kneewaiis
4'-10 1/2° hiah wa}is
12' high walls
$' high walls
Totai rim joist 2x10
# or sq. ft. total
3 12.4 3'I.2
4 7.8 31.2
1 5.3 5.3
i ?.8 7.8
14 10.9 152.6
2 5.93 11.36
! 3.53
2 4.16 8 . 3?
} 5.$3 5.83
1 8 8
1 7.?8 i.78
279.42
lirt ft height total
0
0 4.$75 0
72 12 869
234.5 8 1875
2740
279.5
0.771 215.4945
Totalzxposedfoundat'ron(8°) 152 0.667 101.384
t. vail tramma -R" U.
1. inte-ior air film 0.68
2. 1!.` dryeall _ 0.45 . .. .
3. 5 1/2" aofi vood 6.88
4. t/S' Thtrmoply Sheathing 1.53
5. Alum. siding 0.61
6. Exterior air film 0.17 ?
Total 10.32 0.0968492 •o? 7
f. Ne/ xail area
1. interior air film 0.68
2. 112' drydali 0.45
3. insula!ion 19
4. 116' ?hermoply Shea!hing 1.53
5. .41um Sidino - 0.61 -
?
- S. Exttrior nir film 0.1?
7otai ::.44 0.0445633 • O 4S
^ ??rv• ci:.?
?. wrrtr_-ior air :ilm ,,.oE
?. ; '. _" aCit wqm 1.85,
4, ThermoDi?- :Reothing 1.53
5. A+ium. eiding 0.61
S. E.tertor air tij-: - 0.17
?atat ?.2E G.641e75 •04 Z
.? ' - . . • , .: ` ?
. .
:. ..,•••::r air iier^ z.5:
ainch icor'.
. .. 41=:•. j.Zf^ .
? . _••*•lor .^.lf T7i11' L. 17
k. rooi/ceiling iramino
l. Interior air film
2. a.BloHn insutation/D.lnaulation
3. 516" dryKOil
4. o.: 112- aft Ndlb. 11 1!!' z-ft vd
5. Gr,terior air film(atiil)
Total
eNt+s&-
1, ne! ^oetictiline areo
1. !n?Prior air fiirn
2. o.Elcun msulattor?!?. Insuiatian
arywall
°J//llgT
n.? b. VAlv-T ,rZB •
0.61 0.61
34 27
0.45 0.45
4.35 14.175
0.61 _
.
0.61
40.02 42.845
0.0249e75 0.0233399
• ot5 . o:'?
?. b.
0.61 01.fii
so as
0.45 0.45
0.61 0.61
'}[.G? -Q.67 .
c.V-5208
.oz4
.,.. ?. ::.
_. ,;? . .
I
,.
,
k. rooffceilino framing.
1. Interior oir tilm
2. a.EloKn insulationlb.ineulation
3. 5/6' drvvail
4. a.3 1 /2' ati wdrt,.11 114" tit Kd
5. E::terior air film(atilt)
Total
1. ntt roof?ceilino arta
? 1. Ivsterior air film
'c. Elcar. in?:.-!ationib. Insuiation
3. 5i8' dr-,vtali
4. Er.terier pir iilrn{atill}
Totat
o, b.
0.61 0.61
34 0
0.45 0.45
4.35 14.175
0l61 0.61
40.02 15.6!5
0.0249675 0.0631114
a a 3
o. b.
0.61 0.61
40 38
0.!a 0.45
0.91 0.61
41.57 :9.67
0.13239931 . 0.424308
Z:co
APFLICATION PQR PERMIT
SEWER AND/QR WATER CONNECTIQN
. . .. . ,,
,*kNOTE: PAYPffNf OF FEE AT TIME OF
* r,PrLIcrazoN noes Nar coH-
.
' SfI1VfE APPRG'JAL OF PIItFIIT.
i
INSPEICCION OF SEWR ANIII/OR WATIIi *
y INS1:4Li11TIOPLS WSLL NOT BE S'crrrt.un ?
t(RSl'IL PFRMIT HAS BEQd ApPROVID. ;
;Yt4f*4*4l?YftifWhkfkf#*tfki+fAkytffift
?F czcoqan
(PLEASE PRINT
i) rxoPERTY ADDxESS: le!// <14 o2 .4/r6/
i.BcAt. DESCRzprzoN: . 39 7
Lot/Block/Subdivision or Tax Parcel ID
IF EYISTING STRC'CTURE, DATE
PRESENT ZONING/PROPOSID OSE:
Q .COrM1II2CIAL/RETAIL/OFFICE
Q IND[:STRIAL
Q . I NSTI Tf:TIONAL/GOVERNN'lENT
)F ORIGZNAL BDZLDING PERMIT ISSCiANCE:
Mont Year
I=V'rR-1 SINGLE FAMILY
? R-2 DT-IPLEX (3'wv Units)
Q R-3 TOWDRIOL?SE (Three + Units )( Lnits )
? R-4 APARTMENT/CODIDONIINILM ( Units)
2) ? NAME' 60-OAAcX ljovrtcS
ADDRESS: 15+41c?a. 7e+..4
P/?xai 5'rir i?"
CITY, STATE, ZIP: ?v/r/iC,¢ t-qA.01
PHONE: 43(a- ? 833
s) > ? ?: ?? NAME: Pl? ,p* . w4 p? 1'..?.r
AoDREss:
CITY, STATE, ZIP: ?-yJ p d j` (?°Y4 VL
Pxotve: y 9 3-Q V 7MASTII2 LICENSE # rN ?D4 J -
f? Active
I Expired
Not recordec
Staf In
4)
Nd1ME: C."XJ
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ?mmpjq •a* .t ae
EEI?NNECTION TO CITY SEWER ?ONNECTION TO CITY WATER f--j OTf1ER
6) :r*,t***???+??**?*?*?*?**t******++rt*:tt*+***t******x*x*:r**:t?*+*?*t**??**t***a*:t*x****??******w:?**?**:r*;
x
? THE GOLD COPY OF THE PERMIT WILL BE SELSP DIRECPLY TO PUSI,IC FnRKS ZV FACILITATE MEPIIt PICK-OP. ;
,*t PLEASE AI.I.OW 'IWO FORKING DAYS FOR PROCESSING. SOMONE FROM TfM: CITY WILL CONTACT YOiI IF Tf1II2E
* ARE ANSC PROSI,EMS. ;
?**,r*++?,t?t?,t+**,t*t*te**??***+ex***v?*****x***t*?**?t*****+*,r+***+r*?**t+****??x**re*,t?***x??**t?*****,t?+;
FOR C9TY USc ONLY - ..
PERMIT # ISSC'ED
? ?OQ `'7
Pd w/Bldg. Permit r^EES:
$ $ SEWER PERMIT (INCLCDE SCRCHARGE)
$ $ /0 •S ? 6dATER PERMIT (INCLCDE SCRCHARGE)
$ (i ?'ISCi $ WATER METER/COPPERHORN/OtiTSIDE READER
$ $ WATER TAP (INCLDDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCO[:NT DEPOSIT - SEWER
$ $ ACCOCNT DEPOSIT - WATER
$ WAC
$ ? S U "1Q $ SAC
$ $ TRCNK [9ATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL SENEFIT/TRCNK SEWER
$ $ LATERAL BEN°FIT/TRCNK LVATER
$ ?G
?O
? $ WATER
REATME
PLANT SCRCHARGE
Z
y T
NT
$ $ OTHER:
$ Z ? 7 I / D O $ TOTAL
? ?7 ?
RECEIPT
?- O?f fQ
i RECEIPT
DOES OTILITY CONNEC TION REQCIRE EXCA VATION IN PL'BLIC RZGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PCSLIC
ROADWAY" MUST BE ISSCED BY THE ENGINEERING
? NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
?-
TITLE:
DATE: ?II 9 d" d
L-7 J BL cirr use oNLv RECEIPT #: 70 5? Oa'?
SUBD. RECEIPT DATE!
?ewwi T U 1999 PLUM$uvg PERmrr (REsinENrtAL)
3?2 CrrY OF E+fiAN
3$30 PILOT KNOS ftD
f.A6AN, MN 55122
(65] ) 6$1-4875
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? tackflow preventer for untlerground sprinkler system
----"------°----'-------------------°-----------'----------
FIXTURES ----'---°.
EACH -.......r°---------------- - --------------
# 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 Tub/Spa 3.00 x =
Water Heater 3.00 x ? = _?,_Q (J
Floor Orairt 3.00 x -
Gas Piping Outlet ' minlmum-1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 X =
WaterSoflener ' forexislingdwellln8 30.00 X =
U.G.Sprinkler ` for dwelling under const. 3.00 =
U.G.Sprinkler ' Mtexistinpdwelling 30,00 =
AlteraUons " to existinp residence 30.00 =
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new andrefurbished systems)
Privete DiSpOSaI Systems ' Abantlonment 30.00 =
RPZ (new installationlrepalr) 30.00 -
STATE SURCHARGE .50
mind r• Call 6814675 for inspecNons of water heaters,
water softeners, alteratlons, etc.
. TOTAL 30 • SO
t hereby adcnowledga fhat I have re°
? ?? ? ? ? a16ia ;;;?o? -ri6n ."sidie.ihei the infortnadon Is corr_ecl, and agree to comply wlthall applicable City of Esgan ordinances.
It is lhe appliaM's responsibility t( )es no Ilabiliry for any damages pused by the City dunng Its normal
operational and maintenance actl• SCHIMITZ, JENNY iin City property/right-of-way/easement.
4117 HAVEO-IILLCIRCLE
SITE ADDRESS: EAGAN, MN 55123
(651) 687-9428
OWNER NAME:
INSTALLERNAME: ?Lg-&-nwJ av/(/Jel/11G,, TELEPHONE#: "Z?7-V033
STREETADDRESS:
CITY: STATE: N ZIP; S 68
SIGNATURE 161V PERMITTEE
CDlPERMIT FORM5lRPLBG PERMIT (RES) - 1999
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4111 Havenhill Cir
Lot: 39 Block: 7 Addition: Hills of Stonebridge
PID:10- 32990 - 390 -07
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Patrick Home Exteriors
127 East County Rd. C #7
Little Canada MN 55117
(651) 490 -0211
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Gregory S Hunt
4111 Havenhill Cir
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA089244
05/19/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118581
Date Issued:11/04/2013
Permit Category:ePermit
Site Address: 4111 Havenhill Cir
Lot:39 Block: 7 Addition: Hills Of Stonebridge
PID:10-32990-07-390
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Gregory S Hunt
4111 Havenhill Cir
Eagan MN 55123
Apex Energy Solutions
1509 Southcross Drive West
Burnsville MN 55306
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157861
Date Issued:09/12/2019
Permit Category:ePermit
Site Address: 4111 Havenhill Cir
Lot:39 Block: 7 Addition: Hills Of Stonebridge
PID:10-32990-07-390
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 -
Gregory Tstes S Hunt
4111 Havenhill Cir
Eagan MN 55123
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature