4279 Hawksbury Cir• CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
INSPECTION RECORD
PERMIT TYPE: '
Permit Number:
Date Issued:
I SITE ADDRESS:
I I 110113 NF tJAOO ; :'Nt1
' PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION
. .
I Ppv
tt 4' I F+k
IJ 1. uc a: ,.,r . ?. . ?..,.-,....
''Iqmr: ;, aOwi
HWit:;
? ?
Permlt No. Pemit Nolder Date Telaphone M
SNV
PLUMBING
HVAC D f?'? f 7j/
ELECTRIC
ELECTRIC
Inspsctbn Date Insp. CommeMs
Footings I s 71f ?u,, )/Y
f?..
Foundation
Framing
Roofing
Rough Plbg. f j?
Rough Htg. O _(1?
I5ul.
I? N r n-r? -t
Freplace 10•2f- ?
Fnal Htg- wJ
tT ? i(?
Orsat Test ?
0
Flnal Pibg.
?
SY'V Plbg. inspector- Notify Plumber
Const. Meter
Engr.lPlan
Bldg. Final a Y
Deck Ftg. ( i 3 D5
DeCk Final
Well
Pr. Disp.
_ ?`
0
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
I tlli4lP ?,kll??Y t ! 1?
PERMIT SUBTYPE:
, .. ! it; rt I ;. ! H E.yi
:CQRD
PERMIT TYPE:
Permit Number:
Date Issued:
scr. f t I Y
1 f? l?' 1 -7 + tt 4140i
TYPE OF WORK:
1t41 i 1 1f ! Nrr
91,11649
Na, /.1q /9ti
%I 111:aI it I r!
INSPECTION
i !. ?Jt i r!,. D• • .A
( t4ll„}{ ;?1 1' I 1??, I I IW{1I
?
f+r MfiRK .: l+ yt I'AftAI 1 Pk h'M T i l
F
I -
:, . '-..".. -....
t, e t Ot: xt z
frFt?illicFU 1014 ?Nf IlI tIMrI lNfi Ill7 1 `1 F:I t1?if.AI 4i++f;1
Permlt No. Permit Holtler Date Telephone N
ELECTRIC O/'J ft,9 • ? G QO
PLUMBING L107/0 3.tovg
HVAC
Inspection Date insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
?f?CG
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL i
BSMT R.I.
BSMT FINAL
DECK FTG
DFCK FlNAL
• ..
• . -'. e"
Wertificate vf cccupauc?
WU4 o f ?agan
- - eat of leambes
This Certificate issued pursuant ta the requiremenrs of the Uniform Buifding Code
certifying that at the time of issuance this structune was in cornpleance wirh the vcrrious
ordinances of the Crty regulating 6uilding corestruction or use. For the following:
ux ctmdicaoon: SF DWG Bbg. p;, No. 21978
oocpr ryp. R3/M1 zoniag namm RI rype co,is,. VN
owoff of suiwing Ml1QTY GLRARD EOIES aM,.,A 100 LRVIN r-IR N, IAKE lQM7
? Bui 'ng Admed4274 HA14;RM CjRC[$ L..tity ?? ?, HWMOI-W WOM 2ND
? Dste:
Buiidiu6 OKcial . -
-' POST IN A CONSPICUOUS PLACE
6 7 7 0 2 9 X Y ot n ??dD'
Repue t D te ?.-
O?` PAp No RougRin Ins pection
F wreG'+
? Reatly Now LL.Plotdy9nspeq?p
tl
?? h
as ? No r
en a
.
li ensed contractor ] owner hereby request inspection ot above electric work ?
Job Atltlress (SVeaI Box or Route o.) Qty
Sectian No Townsnip Nam or No ge No C ry
Occ nl(PRINT,
1 1 N \ Pho o
'-?
? 6
o r Sv ber
.1 Atltlress 55'a7
1-4 St ?-
Eletlr ai Convaor (Co pany Nam
f . . ConVactor5 Lcensa No
Mailin AO/?es?C?actor or Owqer Makin InstallaLa
7
??
?
r (/
nulnonzetl S naWre (ConvamorrOwner M g Insalialion)
???.A/r1 r ?it Pho ?be'7r
l
v .?r _
MINNESOTA STATE OARO OF ELECTRICITY THI$ INSPECTION REQUEST WILL NOT
Griggs-Midway BI poom 5-113 BE AGGEPTED Bv THE STATE BOAFD
1821 Univeratly Ave., Sc Peul. MN 55104 UNLESS PROPER INSPECTiON FEE IS
PhoneJ6/2) 802-0800 ENCLOSED
A 11. E&00001-0
REQUEST FOR ELECTRICAL INSPECTION
? See insimclions lor campleUng this lorm on bBCk oi yellow copy
L 6.7702 "X':Balow Work Covered by This Request /
?ffl;?,?
e, dtl Rap. TypeofBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Ouplez Water Heater Electric Heating
Apt Budding Dryer Other-(Specify)
Comm./Industnal Furnace•' `
Farm Air Conditioner
OIhBr (sVecily)
Campufe Inspechan Fee Below. Conlractor5 Remarks
? Other Fee # Service EnfrenceS2e Fee # Circutls/Feeders Fee
Swimming Pool I 0 to 200 Amps 0 m 10o Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SIgf15 Inspector5 Use Only. _ 7'OTAL
hrigatwn Booms
Speaal InspecUOn
7_07j41
y - J
j?6?'
'S:2
Alarm/COmmunicadon THIS INSTALLATION MAV BE O ED DI CONNEC7ED IF NOT
Other Fee COMPLETED WITHIN 18 T S. r
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. RouBRm
F,?ai
oare ,??
OFFICE USE ONLY
TM1is requesl vaitl 18 months irom
Address 427n HnwxssU!ty cI2a,E Zip 5512 3
I,ot. .. 6 Blk 2 Sub HAWIIiORNE [,Y)ODS M
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: oG 9 Yes No Inspector: C,6/
Final grade (6" from siding)
Petmanent steps (garage)
Peccnanent steps (main entry)
Permanent driveway ?
Permanent gas v'
Sod/Seeded grass y
TraiUcurb damage ?
Porch ?
Basement finish ?
Deck v
Please verify wiW the builder the removal of roof test caps from Ihe plumbing system and the shuboff of water supply to
the ou4side lawn faucet before freeze potential ezists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Ye]low - Resident Copy Pink - Contractor Copy 0
?..1.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
"57G o3-
g??6NG
05/24/96
SITE ADDRESS:
P.I.N.: 10-32151-060-02
4279 HAWKSBURY CIR
LOT: 6 BLOCK: 2 '
HAW7HORNE WOOOS 2ND
DESCRIPTION:
Building Permit Type
f'Building '`tprk Type
C e rrsu s C a4?e 'ti
LL?}
>{„, v. -•L?Fi_
? ? ???, ?°?
?
BASEMENT FINISH
ALTERATION
434 ALT. RESIDENTIAL
f??I "•.A ??
REMARKS:
A SEPARATE PERMIT I5 REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee
5urcharge
Total Fee
$50.00
$.50
$50.50
CONTRACTOR: OWNER: - Applicant -
SKELLY PATRICK
4279 HAWKSBURY CIR
EAGAN MN 55123
(612)438-4407
I hereby cknc?wledga that I have read_this spplication and state tha@ the
inforr?e n?:? ?co.r°?+a t arsi?i. agree" Co c?Mply aith aT3. applicableState';of Mrt,.
' Statuts nd Cit q ?a 'an Ordinances.
L -
?
APPLICANT/P MITEE SIGNA7URE ISSUED B A URE
• - % - CITY OF EAGAN ??D??O
IqL49 3830 PILUT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reouirements RemodeVReoair Reauirements
? 3 registered sife surveys ? 2 coples of plan
? 2 eopies of plans (include beam 8 window sizes; poured fnd. design; ele.) ? 2 sita surveys (exterior addkfons & decks)
? i energy calculetions ? 1 energy calculations for heated additions
? 3 copiea of tree preservation plan H lot plaHed after 7/1193
required: _ Yes No
DATE: `? CONSTRUCTION COST: ? ? ?
LOT
BLOCK
l. . K
In r t.
?A
i1R5i
AAw ks(?Uv
Phone
l
PROPERTY Name:
OWNER . .""
Street
City: S-ArkA State:
SUBD./P.I.D. #:
CONTRACTOR Company:
ARCHITECTI
ENGINEER
zip: ??; l 23
Phone #:
License d
State:
Phone #:_
Street Address:
City:
Company: _
Name:
Zip:
Registration
Street Address:
Ciry: • State: Zip
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issue?
I hereby acknowledge that I have read this application and state that the inf f n is?rr c a agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes No
MAd i 6 19QS
Tree Preservation Plan Received - Yes - No
DESCRIPTION OF WORK: T1 NZSVk VN?-' MVN \
STREET ADDRESS: 11?'?? V,?', 1s ' ACJ I AA ?? ? Z?j ,_,
OFFICE USE ONLY
BUILDING PERMIT TYPE
,.? ' ti - •
. ?? ,a, •+. '
.w
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ti'--?6 Basement Finish
? 02 SF Dweiling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-piex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC OcCUpancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main levei sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
c1
Z2//
-?--
O
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/V+1 Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
MCNVS 5ystem
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
_ Engineering Variarace
Valuation: $
% SAC
SAC Units
PERMIT
?CaT•Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
yy? _cj
BUILDING
021978
09/16/93
SITE ADDRESS:
P.I.N.: 10-32151-060-02
4279 HAWKSBURY CIR
LpT: 6 BLOCK: 2
HAWTHORNE WOODS 2ND
DESCRIPTION:
Building` .' Permit Type SF DWG
9uilding Wo,rk Type NEW
-IJBC Occupancy-?,
J R-3 M-1
Construc tion Type V-N
?
Zoning R-1
Building 4ength ?
? Building Width 1
n
i
f?
??....J• ???%/
?
58
39
(C.L? r ?Q, ?QL?iJF
REMARKS:
PRV S & W PLBR -
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$961.50
$624.98
$96.00
$750.00
100
$2,432.48
$192,000
MISCELLANEOUS $1.749.50
Total Fee $4,176.98
CONTRACTOR: - APPlicant - sT. LIC
GIRARD HOMES, MONTY 17770883 0001184
4100 IRVIN CIR N
LAKE ELMO MN 55042
(612) 777-0883
OWNER:
MONTY GIRARD HOMES
4100 IRVIN CIR N
LAKE ELMO MN 55042
(612)777-0883
I hereby acknowledge thaC I have read this application and state that the
informat3on is carrect and agree Ca comply with all applica6le 5tate of Mn.
Statutes and City of Eagan Ordinances.
?
I
,?Qtl?:?l l??
APPLICAN7/PERMITEE SIGNATUFE ISSUED SI NATUR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued
(612) 681-4675
SITEADDRESS: Lor: e BLOCK: z APPLICANT:
4279 HAWKSBURY CIR GIRARD HOMES, MONTY
HAWTHORNE WOODS 2ND (612) 777-0883
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG
NEW
BUILDING
021978
09/16/93
INSPECTION
FOOTING .. .
FRAMING ,.
INSULATION FINAL
FIREPLACE
I
REMARKS: PRV 5& W PI.BR -
?i ? i.,? I ? . •?7:'? i :
If 1 Il•t t{ '
`J i 1 . ? • { Iv? i ?': r . ? M
??I'..? ?i . I111:, I?l'. ? ?l?`•
?"•'{'?'fl?'?{l? ?9UnU.: ,?,
?
?
C! ?? i 1 l '1 1?
Cl + .1 1 ' s .
< d i
REAf??'IYATE .? D CITY OF EAGAN
PERMI r t 1993 BUILDING PERMIT APPLICATION
119 - _p 0 8 1993 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
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.S ''?,?- ?I i6 ]b Yaluation of work
Site Address: q-a1 ci
ST0.EET SUITE /
Tenant Name: (commercial only)
IAT ?0_ BLOCI: ?. SOBD. N'a".OTlAfi:tJE \ti)?C•Ln P.I.D. M
a'DD-
Descri tion of work: t-0?\o ?? ? ?o?.? - =?T •++??e, r F?-n??t_ ?Lt -
The applicant is:, 14 Owner 14 Contractor ? Other (Deseribe)
Name C? \ K fm° D 1ti1V? Al-r4 Phone Ji-l 1-C;? 3
Property LAsT FIRST
? Owner Address ?? I ?)Z) i ?0 W)oy'-Ya
STREET SiE k
City LkVCr=. , ?: ? _(?) State IV1Yl? Zip
Company 1?A C°, w714 t-'i titiA ?? Phone l-C>`K? 3
Contractor Address i 12 ? lf- License # CW; IM Exp. 3 3? ? 5
C i t y L.W--?t. E L -Alr? _ State Yti1vl? ?-
Company 4+u'`c\,0 Z-lDQ Phone 4,59 3?S'I r
Architect/
Engineer Name 3KAk-CE ??CS-IzQ Registration M
Address ?coo -To?? eC?_ 09-10F
City S -T ?uL-\Yv?A--T eY-- State Zip 2itlLl-
Sewer & water licensed plumber . Processing time for
sewer & water permits is twa 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:
OFFICE USE ONLY
BUILOING PERMIT TYPE
O OI Foundation ? 06 Duplex ? 11 Apt./Lodging
Jg 02 SF Dwg. ? 07 4-Plex [3 12 Multi. Misc.
13 03 SF Addition ? 08 B-Plex ? 13 6arage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'l. O 15 Deck
WORK TYPE
V( 31 New 0 33 Alteratlons ? 35 Tenant Finish
? 32 Additian ? 34 Repair ? 36 Move
GENERAL INFORMATION
. . - , ?
?
`, •, .,ea?.
O 1¢?asn'A inis?Jy,,,,,
O 1T 5wi`m Pool ` M
O 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Oemoli sh
Const. (Actual) V- N Basement sq. ft. MWLC System yes_
(Allowable) V- N lst F1. sq. ft. City Water E5
UBC Occupancy 2nd F1. sq. ft. PRY Required ??
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 5 On-site well Census Code la/
Depth On-site sewage SAC Code 01
APPROVALS I
T
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site O Foating 0 Framing ? Insul ation
0 Wallboard O Final 0 Draintile ? fireplace
Permit Fee v.?Loc;«n: 0 a
Surcharge
Plan Review GA2AGE
_ ?.yt.2.q.j:tz- ?$d
license 13?(
-Q2= ?LB6
MWCC SAC .
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit a,K3?? _ ? g
S/W Surcharge 16,33 K»= a4 S
Treatment P1. -
Road Unit ? ?! S3 )c 1s : 2? 7C15
Park Ded. '
aies Ded.
Co r= INS3
p
Other z?12: ZN
Total: ?y-7
; 7q?1SQ,
XA'y
SAC % pp
SAC Units _L ynX 3?= I"Lo J / o
'
1 b x i -7
l Q
SEP 15 '93
.
? a
?
?a
$
I
1
{
.,
N !
•..
????„ `~,'•y 4?8
?'•?
y??PNS ??`? ? ? r r
? -
?w
a <
19:30HM MCCOMBS FRRNK ROOS ?
N &9'3E'55" E E45,08
/
f ?jr- -CROINM XMD 11TTL2TY ERB[MEIIT
XM
?
\ I ;.
P-1olllYoVo ? E (CD) u ? n E D
? Denotea Iron ManusenL
q Denotea Nood 5takl
1eVattan
X 0.8 enotes Exlating
(S8O.I ?enote: Propoaee Elevation
?_ onole? ?trGetinn of Surface Oratnage
o,
? .,
?y A ?a ? ,•? ?
?r
??? ? "'- T;
a
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aQ
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ii ?.B
HWWKSBURY
CIRCLE
Proposed Gnrage E?o?ersElevatlo?90l3404_67
Propoeed Looeot Floor Elavatlorr896.I10
T hereby certlfy thai ihis is a true and eorrect rapresentatlon af a survey of the bwmdertes af:
L0T fi, BLOCK 2, HRNTNORNE NOODS 2N0 HUOI7ION, DHKOTR COUNTY, ISLNNESOTR•
Rnd tha laoetlon of all butldings tf sny, thereen end e11 visl6ls sncraaoheents if any froe or
6y aejo?Iunde? my shaime 9thtdaysofk5epta Bebe?,f1993.propoaed hutidfng. ?la surveysd
Nc Frank Roos Hasoc9ates, Ine.
. BY l
Paul R. ah ' ' --- ---
ry??????/ ?
?
8-15-83 Rdded exiat,ing gradea land Surveynr, Minn. Lia. No. 10938
McComhe frae+k Roes ilssoafssas, sne. 1"r 40' CERTIFTCFITE OF 5URVEY
.4 15050 23rd Pva. H. ? , fa r
Ply*auth. MN. 55197 En41fiesri
Far?B1M76?8S92 s???e°yo?s MON7Y. GIRARD HOMCS
I R=96%
612 6768532
09-15-93 10:39AM P002 7t42
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6?0 ? •
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2-? ? ? •
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B- ? ? •
C?? ? •
[3r 0 ? •
0?? ? •
LOT SURVEY CHECRLIBT FOR RESZDENTIAL
PERMIT
PROPERTY LECiAL•
Date of Survey:
Reqistered Land Surveyor signature and company
Building Permit Applicant
Legal description
Address
North arrow and bar scale
House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
Directional drainage arrows with slope/gradient ?.
Proposed/existing sewer and water services
Street name
Driveway
Existina
p C30? ? • Sewer service
CY ? ? • Lot corners
B? ?? • Top of curb at the driveway
? Cd?? • Elevations of any existing adjacent homes
Prooosed
8-? ? • Garage floor
C? ? ? • First floor
? ? ? • Lowest exposed elevation (walkout/window)
? 0 0 • Property corners
0--?0 ? • Front and rear of home at the foundation
PONDING AREAS (if aDVlicable)
? ? ? • Easement line
? ? ? • NWL
0 0 0 • HWL
? ? ? • Pond # designation
? ? ? • Emergency Overflow Elevation
DIMENSIONS
? ? ? • Lot lines
? ? ? • Right-of-way and street width (to back of curb)
? ? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
0 ? ? • Show all easements of record and any City utilities within
those easements
? ? ? • Setbacks of proposed structure and setback of adjacent
existing homes
? ? ? • Retaining wall requirements, if any
Reviewed•
Name / Date
October 1992
rRERGY CCNSeRVATIDN EYALWTIOfl
Sitr aaaress 4d-1''1 h4-t?\n?KSl?ll?\\ L?1?Q'?F= ???-i?\
Owner N\'?z A>-Ml E"-? ??Wr2S? Con[racCO?? ] R As2_f? ?f1ri1 ?
CaleulaLions aane ny?12?,LQ 6• WR SC? N 9hon? -351 ??¢Q (a?
Tvoe n( Ouflaine ?-IfoE'i1P V7,Av.n%. k t'-? cT...aa
- I . . . .:
aw
Assemblr. f5h ealtulationj on,4ortsnee.ts Area
(5oFt1 U-Valu! U z A
%* ar ota ei inq «s, ess •y iqnt
Insulated Area: Area See Fi ,])
tiaa
q,(?34
Framino Area:f10•J. of Tutal Ceilina Area See Fi . 27
$ Skvliohts fFrom Paae fl • ,r..,.,f ? .
-
?
$' Other. (Deeeribe)
ci 1 Totals
2 Averaae U-Value, lUxAl/fA1 hom line J
8 Reauired U-Value (Far ane ana ew family awetltnqs anly) **+*** ,026 *?+?¦*
l % 0 Old W] tel, OSS {!1 OW ill
Insulaced Area: Ooor Area See.Fi , 3)
y6
XNCK,
1.53 $
Fiamma Ares lIOY. ol Total Wa11 Area See F( , 4)
indavs: (Fran Pa e 71
**rwnw
, _?
0000s•1From Pa e 1)
im Joi,t 0.ree: f5r_ Fi
51
;.
3 .
' ,
°u trealace Wail: K
? Foundation Wall: Wbove Grade less Window Ares See Ff , 6) ^' - -
W
i r
oundation Windews:(Frcm Pa e 7)
*..ww.
...1
ther.fDeseribe!
ther• (Oeseribe)
4 Totals • ?Od$ "***'? ,$IO ':
L S Averaae U-Value, (U?JI)/(A) 6om Line 4
6 Reauircd lJ-Valup for one And tv0 family Arellin s anlyl ***+?+r .11 .w*a.w
« liAO Z 1i 1i51 th)11 11n0 3, de0 tilrte S 1S 1615 th10 11nY 0. DroDOSBO iSSt01011lS GqCL COGa
requtrements. If 11ne 2 f: qnaeer tnan Iinr 3, ar line 5 greacer chsn ltne 6, comolate tne
follawing
cc aecerofr
l
,_,
.e &
t_rnacR u-Yalue tor xatsl esterior envelooe.
o '
? 71 UxA fL(ne 11 + Ux4 fLine 4), +
? d I Area (Line dl x U-Value fL;ae 31
L
;
9I Area (Li
4)
W ne
z U-Valua tLine 61
% -
e+nvv?e?
a
~ ? I°HUCQC[?. LI11R ?'f L?l1! 4 *w'*+tRw
I _ ?
, 1
il liae 7 is greater tn3n LEnu La, 31tur assemnlics as reouired io l.ine. l does nac ex:eed l.lne 10,
?
!f Lino I Is less :na
n ttnn 10. arucusea asskmoiia% aieec :oae reauiremencs. I
?
L CITY USE ONLY RECEIPT#: r) 70(P
?,? BL
SUBD,I / Y?- DATE: `5 ?
L1
79A4Z
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet '
Bath Tub
Lavatory
-Kitehen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas P'tping Outlet ' minimum -1
Rough Openings
Water Softener
Private Disposal ' Dakofa Cty. license
(new and refurbished systems)
U.G. Sprlnkler ` home under wnst.
Alterations * to exisfing
Water Turn Around
EASeH NQ. TOTAL
3.00 x I_ _
3.00 x
3.00 x =
3.00 x
3.00 x
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
1.50 x =
5.00 x =
65.00 =
3.00
20 00 ?
20.00
STATE SURCHARGE
TOTAL
_ ?mB
.50
0?0. Sd
SITE ADDRESS: L4)?? r t?
INSTALLER NAME: PL'IA?'~?--t f N C'-
OWNER
STREET ADDRESS:
CITY: Ehr4- STATE: 0^-1-j ZIP:
PHONE #: (4 ?s- )ct3°1 -av !??n ?? ?
PERMITTEh
OPFICE USE ONLY
L _ BL _ RECEIPT #:
SUBD.
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for. . all commerciaUindustrial buildings.
w multi-family buildings when separate permits are Il2t required for each dwelling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pgrmj? fee due on ail permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS: _
cirv:
PHONE #: SIGNATURE:
METER SIZE: " DATE:
DATE:
STE. #
OFFICE USE ONLY
STATE: ZIP:
APPLICANT
_ INSPECTOR:
Use BLUE or BLACK ink
---ffi-ce-Us- e
I For O_~j, I
Permit /D ~
city
/ ~U~~ i Permit Fee: t / ~ ' 3f~ I
+
Of 1 1
3830 Pilot Knob Road Date Received:
Eagan MN 55122 I I
Phone: (651) 675-5675 I Staff.
1
Fax: (651) 675-5694 - - - ,/77
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Site Address: Lc
Suite
Tenant:
-
- ~ , Phone:
RESIDENT / OWNER Name:
Address / City / Zip: /7
Applicant is: x owner Contractor
TYPE OF WORK Description of work: (yes No
Multi-Family Building: lin
Construction Cost: ~
License to
CONTRACTOR Name:
f~,
City:
Address:
r
: vzf
State: $ip: Phone
Email: Gr-Azet i"/?
Contact: -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
rNOTEE: months, has the city of Eagan issued a permit for a similar plan based on a master plan?
No If yes, date and address of master plan:
Phone:
mber:
ontractor: Phone°
Phone:
r Contractor: Porti ns and supporting documents that youf uou , rovide spe consideific ea ons th aat would permit the City to
ation may be classified as non-public ry p
conclude that the are trade secrets.
LL BEFORE YO DIG. Cali Gopher State One Cali at (6uti4ti s02 aoene sta eonecall.o underground utility damage.
CA
City of
Call 48 hours before you intend to dig to receive locates of underground work I hereby acknowledge that this information is complete and a~~icmationhforta permit alnd work~sf no
to start thwithoutthe and that the codes of work the will be in
Eagan; that I understand this is not a permit, lan in the case of work which equires a review and approval of ns. -
accordance with th the the approved
12
x j+ > l~3 plicantes Signature Page 1 of 2
Applicant's Printed Name ;
12 2Q)®
AR
Page 2 of 2
DO NOT WRITE BELOW THIS LINE / JD-7O
SUB TYPES
- Foundation - Fireplace - Porch (3-Season) - Storm Damage
- Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
- Multi Deck - Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
01 of Plex Lower Level Pool Miscellaneous
- Accessory Building
WORK TYPES
New - Interior Improvement _ Siding - Demolish Building*
- Addition - Move Building _ Reroof - Demolish Interior
Alteration - Fire Repair _ Windows - Demolish Foundation
Replace - Repair _ Egress Window - Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
' DESCRIPTION ,t
Valuation .~L Occupancy A- MCES System
Plan Review Code Edition J 1'QJ SAC Units
(25%_100%_-) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Buil 'ng) Sheetrock
Footings (Deck) t~JYFinal / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: _Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee /
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge N 5 S
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
SEP 15 '93 10J30RM MCCOMBS FRAW RDDS P.2/2
.a' 1! V32-5- E 245.68
A
o 30-7
at ; C fl'1 t~N~kS~7~
' b ae
~,•f o ~ :fl.i1
ft't k,
.
41
i
gys ` w
r EERING I`lE
We's
Denotes ro~! hun sent CIRCLE
Q Q:8) Bsnatea ood StaC ;r0880 ro osad 70 of iqunda on ElovI r.g 14.67
Denotes xistfn bovation posed Gang [oor ~evntion.9D 3A
t8anutes rapasa~ Elevation 1Y
:notes Direction of Surface Drainage Propol3d L Near ElovaticrPOS6.00
I hereby certify that this is a true and Correat representation of a survey of the boundartow of;
LOT 6, BLOCK 2, HORTNORNE WOODS 2ND ADDITION, DAKOTA COUNTY. KYNNESOTR.
And the location of all buildings if any, thereon and all risible ancraechse is if any, froe Or
N said lands It also shows arvistacatbts of the *lakes as Po ,#0P 3. Proposed ~ut~ding. RZ surveyed Oth day by as ar undo y diect P
me Frank Roos Associates, Inc.
B y t
-'aui R. c n
8-15-53 Added existing grades Land SurVeyar~, Minn. Lie. No. 10936
McComb* rrar& Roos Associat e. Iris, 1% 40~ CERTIFICATE OF SURVEY
150023rd Ave. N. 'a SOT`
Piysou6 K . 55447 tEngineera
612 47-6Gto PI#maps MINTY GIRARD HOME
Fax SIV06-8532 Surveyors iC'Si!!
Use BLUE or BLACK Ink
For Office Use
Permit#:
/ 74a°° CCCllyof Ennnn QI�Ia Permit Fee:/ s'
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
+ 2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: l I I b
I �j
/ d Site Address: ?. NQVJC(SG)!/r (1'. Unit#:
Name: 1'G� `, Ice,4 L yy Phone:
Resident/ �/ / (
owner Address/City/Zip: C 2 71 14Q w l�S DC/r C t�r
�
Applicant is: Owner `V Contractor
IType of Work
Description of work: l(f r' B ( cl h d re r aOf
Construction Cost: 6 l t/ Multi Family Building: (Yes /No 2C )
Company: FJ Cs�TVG 1 c�✓1 Contact:
Contractor Address: I 1901 '\vie:,tl S �Cc t°l W City: Laeevt tte
State:
116 Zip: g Dr-eq Phone: C6/5.)Y-67i69mail:
License#: BC 6-2g7 q 3 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
f t
root� o
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x 1.Ct I/101 L/Q 1,SOt1 x G.,/
/V(
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145701
Date Issued:09/21/2017
Permit Category:ePermit
Site Address: 4279 Hawksbury Cir
Lot:6 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 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 -
Patrick T Skelly
4279 Hawksbury Cir
Eagan MN 55123
(651) 283-9245
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature