Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
4280 Hawksbury Cir
CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 6$1-4875 '? SITE ADDRESS: 1 4) 1 ; , 1; 1,,CI I,. ,iIE .1 ;ulaY i At: II101111?'f f?ll {IlIl{It'. 'lVla PERMIT SUBTYPE: , PERMIT TYPE: Permit Number: Date Issued: Rftl°M'fl-lllllp Ii+sM1- ( h I:' ) J 30 I000 TYPE OF WORK: INSPECTION ? .. . ., .. 'rJ , t 1 1 ?ft 1 I trt MRf{h ^; . '44W COiY iRAi f+11{ ''t!1 I f `r loMIi I IY(4 Permit No. Permit Holder Date Telephone # SNV PLUMBING HVAC ? ELECTRI . ELECTRIC Inspection Date insp. Comments Foutings 1 Foundation ? Framing r S c.h ?v, 1 ? l? ? Roofing Raugh Pibg. OJ? Rough Htg. Y ~ i . /sT 20-w4S isul. Freplace 4-.?ol Final Htg. prsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bidg. Final D ?D? ,? ?? ?• d Deck Ftg. Deck Final ' • Well Pr. DisQ. ??. CerfifiCQte of cCCupQ1iC4 Kitii of ?agan Tepartmcat of 18ui[bing ?a,?{rectiatt This CertiftcaFe issued pursuant to the req+rirements of the Uniform Building Code certifying that at the lime of tssuance this srructure was in eompliance with the various ondinances of the City regukiting buildirtg coRStruction or use. For the following: Uu Clauification- 57 TWG Bldg. Permit Ho. 9 1703 Oc-P-Y Ty'tx R319I Zooing Distria IR I Type Const. ? owwr of euitdiog BR''IJIGM WM .aamess 1379 HR.f M'1 AVE N, QAi=P ?.? Buildiug Addess 42SO HAlEff C;TRfTF. Localiry TJ, R9? HAWTHME WOMS 22+ID D.: - ?;- y Bmldu?? ut j POST IN A CONSPICUOUS PLACE ! REOIIEST FOR ELECTRICAL INSPECTION ?"1? ee.ooom-0s /? ?i ?, ? 5ee insVUCLOns for Ymple9ng Ibis lorm on back oi yellow copy 074 ?g 2 "X" Below Work Cavered by This Request ?*??.°• ew Add Rep Typeof8mldmg ApphancesWired EqmpmeniWved Home Range Temporary Service Dupiex Water Heafer El3ctric Heating Apt. Budding Dryer Load Manegement Comm./Industnal Fumace Other (Specrfy) Farm Air Condihoner Other (suecily) Conhacror's Remarks Compufe Inspection Fee Belaw: x Other Fee # ServiceEntrance5¢e Fee # Gircuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps ? Above-100 _ Amps Si Jn5 InspecrorH Use Only. TOT/qL1 Irnqanon Booms Special Inspection AlarmlCOmmunicatwn THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspectoc hereby Rouqh-in oate certity thai ihe above mspection has been made. F,nei ? 42 oa?e OfFICE USE 3NLY ° Thrs reQUesl voitl 18 monNS imm y/4/9 ?/ 3?lS C?748 2 a a"? ?? o?' Repuest Oate I I Fire No `; 1 ?` Rougn-In Ino9Mion fiedwrea (VOU mustwll inspaclor when reatly) Inspection Otner Tnan RougM1-ln ? Reetly Now ? W ill NotNy Inspeclor ? V ? 1 ? Ves ? N. Dale Feady licensed contrector ? owner hereby reque5t mspeChon Of above electrical work at: Joo tlaress (Slreet Bax o ute No) //('''??? b V_ Qy a Sedion No Township Name or N. Range OccuL ?„ Pay(IPRINT1 Pk- r ? t? 1A ?? ? , P?one N5q - ?, g ? ? Power SuOaj,er ? Mtlr? , Ele tri al Comraclor ICOmOany ame? C. a<I 's Li nse Madl A tlre oUcIo?Owner Making Inst 'lation) AvID a845rynaWre(OMrBCrovOwnerM 4m InStalld n) Ph ?m el - n_ MINNESOTA STATE 60ARD OF ELECTflICITY THIS INSPECTION LiEOUEST WIIL NOT Gtlggs-Mltlway BIEg. - Room 5473 BE ACCEPTED BY THE STATE 80AR0 1821 Univarsity Ave. St Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS Vhone(612)6<2-0800 ENCLOSED. 4 075 Reque3l Date /O q ?. rta t4a Rough-in InspBdion FeqwredI NOTICE: You Must Call Elecincal Inspector H A Rough-In Inspection r - / z 5 es ? No Is Reqwretl I licensed contractor ? owner hereby request inspection of above electrical work at: Ja0 AGtlr s(StreetT B. ar Rame o) J ? ? Crty ?.? Sechon No Township Name or No Ra e o Coun Occupa RINT) Phone No. 6 0? Powe 5 pplier Adtlress ? EI Conlractor (Company Nam ) ? Coniraclork U se No. '9 Mmhng Address (COntrador or O Makin Insta11a0on) wne? S / AuthonzeE gnaWre (COnhactor/Owne aking Insta ation) Phone Number 3? 0 o- MINNESOTA STATE BOAND OF ELECTflICRY y ? THIS INSPECTION REQUEST WILL NOT Grigga-Midway Bltlg. - Room S-il3 BE ACCEPTED BY THE STATE BOARD 1821 Universny Ave., 51. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phane(612)662-0800 ENCLOSED. REQUEST FOR ELECTRICAL WSPECTION p? n ? See insimctions for complelmg ihis form on back of yellow copy IPI !-F 3 0 7 5 "X" B&fow Work Covered by This Request e? -' EB-00001-08 ???. New Add Rep Typeof8miding Y AppliancesWired EqwpmentWrted Home Range Temporary Service Dupiex Water Heater Eleciric Heatmg Apt Bwltling Dryer Load Management Comm flndustrial Furnace Other (Specity) Farm Air Condihoner Other(speady) Conhaclor5 Femarks Campute lnspection Fee Befow, # Other Fe e # ServiwEniranceSrze Fee # Circwts/Feeders Fee Swimming Pool O io 200 Amps 15 t 100 Amps Transformers Above 200 _ Amps Abave 100 _ Amps SiJItS Inspeclor5 U. Only TOTAL Irngation Booms 7Q •? o Special Inspection Alarm/Communicanon THIS INSTALlAT10N MAY BE ORDE SCONNl IF NOT O[her Fee COMPLETED WITHIN 18 MONTHS. I, the Elecincal Inspector, here6y Rou9n-in - l certify that the above inspection has been made. Final Da[e/ ? J ? OFFICE IISE ONLV This request witl 18 monihs trom Address 4280 HAWRSB)RY C= Zip 5512 3 . . ? Lot 7 Blk 2 Sub Hmmum [,oons 2rm THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) - D? org- O Permanent steps (main entry) rU Permanent driveway p y- ? G i46L Permanent gas ? Sod/Seeded grass TraiUcurb damage ? Porch ? Basement finish V Deck Please verify with t6e builder the removal of roof test caps from the plumbing system and the shuboff of water supply W the outside lawn fauce[ before freeze potential exists. Contad engineering division at 681-4645 before working in rightaf-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy S ?I, a ?O RESIDENTIAL T BUILDING PERMIT APPLICATION 2 CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 651•681-4675 New ConsVUeUon Reauirements . 3 registered sile surveys showirig sq. R. of lol, sq. R. of house; arid all roofed areas (20% marJmum lot wverage aAowed) • 2 copies of plan showing beam 8 mndow sizes; poured found design, etc.) • 1 set ol Energy Cakulatians • 3 wpies of Tree Preservation Plan il lot Dla@ed aRer 711193 • Rim Joist Detal Optbns selection sheet (bldgs wAh 3 w less units) DATE .n SITE ADD TYPE OF _ Water Softener _ Water Heater _ No. of Battis LTI-FAMILYBLDG _Y ?YN 'IREPLACE(S) _ 0 Y,-1 _ 2 APPLICANT ? 9.7n u-P ?A-6W-C ?wQ?'ov-e0U4 STREET ADDRESS l? 3-1 3 W a y v?1.-, W- CITY L-`1' STATE {u!J ZIP M TELEPHONE# (o(7-364-5bACELLPH0NE# S)QW-2 FAX#Y& qSd?-qCXo-I(10 PROPERTYOWNER To?xv, 0A.uAcIto TELEPHONE# G sl- yS N- GUb ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNCSO'CA RULES 7670 CATEGORY 1 MINNESOTA RUI1aS 7672 (J submission type) • Residenllal Ventilatlon Cetegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanfcal Conhactor. Mectianical system includes: Sewer/Water Contractor: Air Condilioning Hcat Rccovery Systcm ZD. OdO ?00 Phone Phone # Q ,1 ? $70.00 ----------•--•-----°--------------°-°--°-•°--------------------------------------------------------------------°---- I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances.A i Signafure of Applicant ?f ?? ?- 5 OFFICE USE ONLY RemodellReoair Reoufrements . 2 copies of plan • 1 set of Energy Calculalions for heated addiGons • 7 sAe survey for exterior additions 8 decks . Indicate if home served 6y seplic system for additions VALUATION Phone # Lawn Sprinkler No. of R.I. Bath -- ?\? Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4I02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33Alteration ? 37 Demolish(Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire 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) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal _ Pool Ftgs Air/Gas Tests Final _ Framing _ _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulaaon _ 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 ? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 4163r'?gyPermlt 7ype - SF pWG Viltting 'Wark Type NEW 001? Ctccupan R-3 M-1 Constw4jctian Type VN Zbning 1 R-1 ? Su3lc[inig Le-el0,tkt ; 66 Buildiny Widt'fi 42 ? e uILDe 021793 09J02/93 SITE ADDRESS: P.I.N.: 10-32151-070-02 PERMIT PERMIT TYPE Permit Number: Date Issued: 4280 HRWKSBURY CIR LOT: 7 BLOGK: 2 HAWTHORNE WOOOS 2N0 DESCRIPTION: e`W' L.A ??4? 4.? ?? z V td ?E? {?i? n REMARKS: S&W CONTRACTOR - VALLEY PLUMBING FEE SUMMARY: Base Fee Plan Review Surcherge SAC 3AC % 5AC Units Subtotal VALUATIpN $912.50 $593.13 $89.00 $750.00 10@ 1 $2.344.63 PRV $178,000 MISC FEES Total Fee $1,744.50 $9,089.13 qTt??7W?0SbOH-OMES T App 117301000 0001519 BTiN1'WObq HOMES 1322 HELMO AVE N 1322 HELMO AVE N OAKDALE MN 55128 OAKDALE MN 55128 (612) 730-1000 (612)730-1000 z hereby aaknawledge that = hauer read t;h,18 appiioatinrr and sta"to tk+mt th? infarmation is aorrect and agrea to csxmpiy A,sith all app23cab1a State a'F Mn. Statutes end City nf Eagan Otdfnatress. L ? o U APPLICANT/PERMITEE SIGNATURE IS D 8V' IG TUflE INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: LoT: 7 BLOCK: 4280 HAWKSBURY CIR HAWTHORNE WOODS 2ND PERMITD??UBTYPE: NEW BUSLOING 021793 09/02J93 INSPECTION FOOTING D. . FRAMING .• INSULATItlN FINAL FIREPLACE REMARKS: 5&W CONTRACTOR - VALLEY PLUMBING PRV , i I.•i'? 1? ? '?1 I??1'. • , tlii.i ???11 ?:I. h" PERMIT TYPE: Permit Number: Date Issued: z APPLICANT: BRENTWOOQ HOMES (612) 730-1000 TYPE OF WORK: I/ I - ? ^?.i-' • , i P '^'''.4? fii: Ilt.f•ltl;fvlf fltlhU.' i f1 i ? ?I '?r_ F • .. ? o !'d •1'f...... ? d t i r .i . 7 ? ? r? ?? ( I I i 11 j I: j i+ REACTIVRTN _ PERFkT # ?/ -) ?3 CITY OF EAGAN 1993 BUILQING PERMIT APPLICATION 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 Auc?L7,_r / 13 /q 3 Valuation of work ? ISi??Bo-ao Site Address: 4Z80 NAwK59U94 GIRGLE STREEI SU[TE / Tenant Name: (commercial only) IAT '7 I BLOCK Z SUBD. HAWtNORN? WOOpS P•I.D. 0 S 0 ODI Descri tion of work: S iN E,L, L W'EC.L The applicant is: ? Owner Contractor ? Other (Describe) Name BCtNtwoop Nor.aC- s Phone '730-1060 Property LAsT FIRST Owner Address 13-2_2 NF_c.ma Avr- N• STREET STE k City DAKDAL?. State M?J. Zip'MZlg Company 192.F_NTWppD Nomrzc Phone 7?0 -1000 C011tf8Ct01' Address 1322 NF?LMO AVC- . N. License # r)061519 Exp. `- City ORif<DAL.9, State mpo • Z i p ':;rj 129j Lompany Phone Architect/ Engtneer Name Registration M Address City State Zip Sewer & water licensed plumber vaULEY pLUM81Q10 . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? BUILDING PERMIT TYPE O 01 Foundation 9 02 SF Owg. ? 03 SF Addition 0 04 SF Porch ? 05 SF Misc. WORK TYPE CA 31 New ? 32 Addition OFFICE USE ONLY ? 06 Duplex ? 07 4-Plex ? OS 8-Plex ? 09 12-Plex 0 10 Multi. Add'1. ? 33 Alterations ? 34 Repair GENERAL INFORMATION 13 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 fireplace ? 15 Deck ? 35 Tenant Finish 0 36 Move ? ? 16 Basement finish ? 17 Swim Pool ? 18 Camn./Ind. O 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) V- N Basement sq. ft. MWCC System %/Z?5 (A1lowable) V_N lst F1. sq. ft. City Mater ?? UBC bccupancy Q_3 NI-? 2nd F1. sq. ft. PRY Required F?ra Zoning R-1 Sq. Ft. total Booster PumP 8 of Stories Foatprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code T Depth u 2, On-site sewage SAC Code _o' -+- APPROVALS ? Plannin9 Building Assessments T Engineering Variance REDUIRED INSPECTIONS ? Site ? Wallboard O Footing O Final ? Framing ? Draintile O Insulation 0 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. Raad Unit Park Ded. Trails Ded. Copies Other Total: SAC 96 1 0O SAC Units I_ Wwc;d,: S lr7gF Dd0? GARA(.E; 30 X ZZI+ ?, GV 5 X L1 = (2) Z?cr?= c22-? BSMT: - ?ZK3J= 1120 626 x 16= Ib ol? ?6k 21-I ?384 2x6=iz 3?liZ- ti I$2oX?S'= 221`6ou I ST Ft?oo R ? (3SMT.? 1520 3 ?4 = i'Z r 54 : SZ?'728 ZNt) 1532 Y. 3532 ? 113C. . z x S = 1 1,_11_ vril - / 1 R ?'l-7, y28 u < Y ? w s? ? Z ? LOT 6URVEY CHECXLIBT FOR RESIDENTI:,L ? BUILDING PROPERTY LEGAL:? w m ? ? pOCUMENT BTANDARDS IT e of Burvey: R?'? D 0 • Registered Land Surveyor signature and company 0 ? • Building Permit Applicant ? ? • Legal description D D' ? A+3dress D" 0 0 • Narth azrow and bar scale E) • House type (rambler, walkcut, split w/o, split entry, lookovt, etc.) 0'°D 0 • Directiona] drainage arrows with slope/gradient $. p B? p • Proposed/existing sewer and water services 0" ? ? : Street name ? Driveway ELEVATION6 Existing G C? ? Sewer service C'i'0 ? • Lot corners D? L1 D • Top of cuzb at the driveway 0 LL? D • Elevations of any existing adjacent homes Proposed --- D 13 • Garage floor '? 1) • First flocr 61--0 0 • Lowest exposed elevaticn (walkout/window) 5,? ? ? • Property corners D' 0? • Front and rear of home at the foundation ONDING AREAS (if aDDlicnble D 8' 0 • Easement lzne D 0' G • NhL D 0" o • xW T I ? C? ? • Pond # designation D D' D • Emergency Overflow Elevation DIlSENBIONS 17-, 0 0 • Lot lines 17' 00 • Riqhi-of-way and street cridth (to back of curb) /?? • Preposed hame dimensions including any proposed decks, vverhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) D? ?? • Show all easements of record and any City utilities within those easements 4? 0? • Setbacks af proposed structure and setback of adjacent ex.isting homes?. Ll 5'?D Retainin 1?zequir ments, if any Reviewe3: N me / Date October 1992 ? , ..• . ,. ' EXTERTOR ENVEIAPE AVERAGE "U"'COMPUTATZON OWNER BYGh4WYOJ t+^LS " STTE ADDRE55 Q2 bU ?Ia?.?` S?c r?l Ct ER ?inv. /['!? i . CONTgACTOR 81tin•4 VOON aWeS DATE?PHONE 730 -I00U Detezmine working squaze,footage of each. l. Total exposed wall area ..... 36ZZ sq. ft. X?? 2. 7bta1 roof/ceiling area ..... -1 ]Z- sa. ft. X+UZ,V9 - 3rj.3 A. Total wall window area-------------------------- -- -37 8. Total door area.--..• ........................... C Y.?f C. Total sliding qlass door area ................... .- D. Total fireplace wall area ....................... E. Total wall £raminq area (average 10%)........... 3$ 2 E. Total Rim joist area............................ I36 G: Total Net wall area above Ploor.•--------------- Z 6I9 Total exposed foundation area - _Z_ H. Total foundation window area .................... ^- I. Total net foundation area ahove grade........... Determine "U" value of each wali segmant. a. 377 g W. 28 =!73.3 _ --'--'-s?- b. 69,4 X..u., . o6-7 = 4,6 C. ?- x ..U., 150 = - d_ X "U" e. 3 pa X•-U•• . IZ =45,9 f. 13E x -U,- •04 = 5,4 s- 2614 x .'o° ,04 = 1 0.,l, 5 n. ?- X .•u„ • $4 = - i 244 X ..U.. .13 = 31. ? - s................................... Total = 335, 3 If item 43 is the same as, or less than item H1, you have met the intent of SeC 6006(c)2. . •.l?•?i.i'c ':?t'Ri:'.-..r :.?r`" 'y`IV. :? : . ? rSK ',F:.? . ?1 ?Y:. vfYiS. ??` r ??p"; ? .i.: ' '?s\.i"i V•T a'4r"SyN.P.iy .`y?!)P:?'?v..Y,.I::?:-? ejsi(, ?'.4' •'??.?r? ?#? ?: • I: K.1+??' ? r:?„u?.. - ? t?'1? f 1 ?P?fw?ti:.ri:: A:,Y.:'x.' Y:S;II?.'? , ? Y' ?:r? •. ?1'. .3?,??:!?? ? ?i?'?,?.A?w?'tq3?i:°! '-?P.?S`?„?v: f:s?. '"` . . . . .,.?._.:?Yu , . . •y ? !?!.?,.: ?... . ?i'?.7: . . . , ? . ' . ??kf:ihliY;'d :??Y,? {LY;9.?e-?i.':•_`Ar e4P? _ ? ? ? ?" . . ? . ? ? 'ik?•?'CF;.?' YaM1?i i?:•ry??;: - ?;,ti.'•: - ' , . , . Total exposed roof/ceili.ng 'area = 14 7Z ? .. ---? j. 1bta1 skylight uea ................................ k. 1bta1 roof/ceilinq framing area (average lOt)...... jd 7 Z ? ' 1. Total net insulated roof/ceiling area .:............ I 3ZA I g Determine "U" vaJ.ue for each roof/ceilinq segment_ ?--- . X "U « ? _ - j- k. 147, z X?-U- : 03 = 9, 4 1: ?? ? zq. ? x ^a• . oZ Z_E,S 4 ...................................... 7bta1 = 30.17 If total of 99 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. Alternate suildinq Envelope Design 7b utilize the total envelope system method, the values established by.the sum of items #3 and 94 shall not be greater than the sum of items @1 and 42. 1. 9.Zo.yz + z. 36, 3 = 7 . o pK s_ 3353 ,. 4. 30. q Cities Digital Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. .?^????...?.??'o .ihi.. ? 1• ?'I 1 lr . f.':;;,' .,,•i ,- . ` ' 1999 BUILDINC New Conshuctlon ReaulremeMs PERMIT APPLICATION (RESIDENTiAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 851-681-4675 Remodel/Reoalr Reauirertlenls 9 3 reglsYered sRe furveys showing sq. H. of lot, sq. M. of house and,all roofed areas (20% maximum lot coveraae allowed) ? 2 coples of plans (show beam a window sizer, poured Md. design; etc.) ? 1 set of energy calculafions ? 3 copies at hee preservafbn plan if lot platted aRer 7/1/93 DAtE: DESCRIPTION OF WORK: 2 copies oF pian 7set of energy cakuloflom 1or heated addMlons 1 sXe survey for exfertor addNions 6 decW - CONSTRUCTION COST: E STREETADDRESS: 4??rPL T I j'r?? 6&t&r CP,' LOT: -7- BLOCK: -D'' SUBD./P.I.D.#: ?Cl?.v? C V V?p W Name-7?6' i" o(o Phone #: / j-4r6! J ? PROPERTY L°st Ftr't OWNER CCS ?? 27 C? Street Address: City ?ftY? State: /17? Zip:.? Company. ,?"I ?" -o` (it) (G*C Phone#: CONTRACTOR l t?l ??? Sheet Address:l ? " ?r CNy State: 65-( AG 7 -arC-3 (area code) / License # Exp. .?-??--7 ? '" ? Zip: J ? A N ARCHITECT/ ENGINEER Company: Name: Telephone #: area eode ( Streel Cify Sewer 8 water licensed plumber (reauUed for new consiruction onlvl: State: PenalFy applles when,address change and lot change is requesfed once permR Is Issued. I hereby aeknowledge that I have read fhis appllcaHon, stafe that the fnformaNo ne State of Minnesota Statules and Clty of Eagan Ordinances. Signature of Applka . OFFICE USE ONLY Certificates of Survey Receive Yes _ No Tree Preservation Plan Received - Yes No _ Not Required Registration #: Zip: with all aPpiicabl ? 'A i OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex 0 16 Firepiace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex A' 18 Deck ? 23 Porch (screened) ? 04 2-plex 0 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 0 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. 0 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 Basement sq. ft. Main levei sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Census Code Li3 0 SAC Code 0 ? No. of Units I No. of Bldgs 0_ MC/ES System City Water Booster Pump PRV Fire Sprinklered APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNN Surcharge Treatment PI: Park Ded. Trails Ded. Other Capies Total: Building ?J G Engineering Variance 0. S 0 Valuation: $),Z o U r SAC Units % SAC j I . l r ? g000s enl8t%Cllt tORs ? Be?13193 14141 2 612 397 8629 SIC?MA 'suRV?Y?NQ SERVICE8 iNC. ? ?a?1 Swu.Pa+d•SW4c E? papu6 MMwGwo5122 ? rotW ?.aan i? «'1;w•? ?rwr. uu.r?r? w . tc B H l IGSO " ! &G'l C . ? ? p r R ? - ?- 7.nnrfi 1 I i•"? ? ? c ti . 2 o, 1 ( M P.BS C. Va 7 z a re.T.S. ._ LoT ? A _` aa,a?'''?'v"J?? •, e -s-?-_.? ?-?e S.• kAwxsMY (uYAer - C"st) - Monumeni S[ORA SVRYEYIN6 ? ?'- • r"•, ?.._•...ti: . ?• . . 9•I'?xslt.s! yy???C?U??` x ?q ??.-•;`??N ??jt;''s.?.'-. Ip.`R¦V• . PaDPOSED GARAGE FLOOR ELEVATION• ..- -• --.. _. _.,._..... AnwL7 c nTrtrtvm otrotcr.rcu wa nc-o• aaiPrion ;,y ? ? / ?c•', .., ? ? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTT. ------- - ----------------- - --------------- - -.COAIS. UCTION ADD-ON - FURNACE FIREPLACE INSERT DATE S/ -7 ?-?'/-?/ FEES HVAC: 0-100 M B'TU $ 24.00 ADDTfIONAL 50 M BTU 6.00 GAS OUTLETS (tvnrrMIuat 1 @ $3.00 EACI-) ADD-ON/REMODEL (FacisTnvG coNSixUCr[oN) $ 20.00 STATE SURCHARGE TOTAL SITE ADDRESS: .50 ao- 5U OWNER NAME: ?- Q. /Yr'r?ioT'ELEPHONE #: ?Sy - Co //W INST ADDRESS: `/LD?'} / (-\,A. l U • ? CITY: / 4 r -17 STATE: %7?? ZIP CODE: C569 7 TELEPHONE #: Zft54 - la ?75?8? 1994 MECHANICAL PERMIT (RESIDENTIAL) ?4? 9/G??k 3830 PI OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COM1vIERC1A14INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATF_: CON i D e.E,'?' PP.ICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF !7pFEg $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25,00 STATE SURCHARGE $.50 FOR EACH $1,000 OF fS.0 FEE. TOTAL $ S1=12 ADDFESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLl) INSTALL.ER: ADDRESS: CITI'. STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN $5122 (612) 681-4675 ? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES -A?CH TOTAL ?..,D•,,?n J 1 1 3.w 3 - 3 WATER CLOSET 3.00 q- a BATH TLJB 3.00 I,- 3 LAVATORY 3•00 L KTTCHEN SINK 3,00 3 " _ 1 LALJNDRY TRAY 3.00 3- HOT TUB/SPA 3•00 WATER HEATER 3•00 ? - ? FLOOR DRAIN - 3•00 ? - ? GAS PIPING OiTTLET • minimum • 1 3•00 }- 3 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • nercty. sc. 15.00 U.G. $PRINKLER • eome under conu. 3.00 ALTERATIONS • w adsting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: y a10 ??•,? ?C ??z C?I2 OWNER NAME: tp? k'woo c,\ INST. ADDRESS: t o 1 (),o Ce ",?_ l_ CTTY: STATE: r''1 ZIP CODE: •r ?-3 ?? PHONE #: ( ) I SIGNATUR OF PER E 1993 PLUMBING PERNIIT (RESIDENTIAL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 / 1993 PLUMBING PERNIIT (CObMERCIAL) C1TY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL CONA4ERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH DWELLING L'N:T. _ rr?.s Cor:sTRuc^..o*: ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FEE: 196 OF CONTRACT FEE. STATE SURCIiARGE $.SO FOR FACH $1,000 OF PEK113I1' FEE MINIMUM FEE $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE A-DI?RESS: $ $ $ TENANT NA114E: STE. # OWNER NA11'IE: INSTALLER: ADDRESS: CIT'Y: STATE: ZIP CODE: PHONE #: FOR: CITY OF EAGAN APPLICANT ? ? blE\.iltfMCALP?JilY?yyl???jC.b.=?a4:?.f?t?1?Y?':°:.i?+, CITY OF EAGANIDENTIAL?. 3830 PILOT SNOB RD . FAGAN MN.SSln '? "'° :?'::,,• ?'` - (612) 6814y675 . . ' .. ? ?.T??.Yf,d1?'?p.'?., • , ? ' PLEASE COMPLETE FOR SINGLE FAMILY DWELLIIVGS. -ALSO, FOR TOWNHOMES AND CONDOS WE-iEN PERMTfS ARE REQUIRED FoR EACH UNTT. •;. ." :.? Z ,. . ?" `;„'•?'° . ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE /C)-13-q_q MS,?'. .'.?' . , - • xvAC: aioo M sTTr . -,,,..?. .?. :....:;.: $ 24.00 „ ADDTTIONAL 50 M BTU rt V?bj?? ?r4V ry, . fi ,S ( i ?4(r r ? `.? _.y5 OiJ17 ETS (MINIIKUM 1 @ S3.o0 EACH) ADD-ON/RE.TvIODEL(EXIS'TING_CONS'IRUGTION).lm* r .,, 4' `%4i` ' ? .,»'4?y'_?,-.' , ?• ' . STATE SURCHARGE ? ? -? • ? . ??????'? ? ? ? .' . ? . . ? 'iV???;??? - • ai?/SO TOTAL 4a ..-5t7. 4 ?. ? ?? v •f4J .. ? {. . . . . . ?. ? ?;?.n?,?w° " ?.,?a, ,? , . , • .,- . srrE AnDxEss: 4a go _ 1 c7?n%N?:R NAME: R1??+rvCXX"'? `?1.??.+'1`t;4,?1? ='•?' •-?'TELEPHONE #: ' ?'30- IOl`?O INSTALL.ER: GIIVZ-RYAN PLimBING & HEATING C0. *t`;+ ?.'"'A _ y a..,. .'. n: ? :. , . .t • . . ? ADDP.ESS: 14745 South Robert Trail ? - . . • - ` y CTT'y: Rosemount STA'TE;', ?' `'ZIP CODE: 55068 ..,? . , ,.-.. TELEPHONE #: (612) 423-1144 ?" • ? ' , . . r.1. ./' . . . . ? r 'p, 2000 BUILDING PERMIT APPLICATtON (RESIDENTIAL) 42 z? ? U? I r 13p1? 7 cirr oF ??caN ??' ?. ? 3830 PILOT KNOB RD • 55122 651-881-4875 CG{II-ed ?110100 New Conshuc9an ReaWremants .. Remodal/Reoatr BeaWremenb ?1? ? > 3 reglsfered site wrveys ahowing sq. ft of bf, sq. ft. of house 2 copiea of Dian I ? ?? and gU rootad areas (20% maximum Iof coveraae alloweCl 1 sei of energy calculations tor Aeated atlditlons a 2 coptes of plons (ahow beam A wlndow sizex poured fitl. tlesi9rc etc.) 1 sita wrvay tor exteAor additbns & deeb > 1 aef of enerQy calcWatlons /- p 8 0 > 3 copias of hae presarvatbn plan H lof pWRed aRer 7/1/93 K? DATE: CONSTRUCTION COST: _ T ? /1? '?e DESCRIPTION OF WORK: ?~?/? STREET ADDRESS: :A2,h?D (kciJ'/ GQ. LOT: -z- BLOCK: 2-? SUBD./P.I.D. #: PROPERiY OWNER Name: /"/ ra 0 Phone #: Laat Firsf WS4 -6fr-6 SheetAddress: ,ru cly k2724-1-, stare: d'h? zip: Y t/tXv (fT co? r Phone#: ?5/ 1 ? 5 ? Company: ? (area code) CONTRACTOR / Sheet AdcNessl 6? License # jz?.ExP• City Stafe: / h/"/ - zip: 53-0-4- ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Sheet Address: Reglshation #: _ Cpy State: Zip: Sewerhvater licensed plumber flf installina sewerlwaterl: Phone #: i hereby acknowled9e Mwf I have read lhis apPlicatlon, state fhaf ihe infortnalbn is cortect, a R?X wMh atl appifcable StatE of Minnesota Stahifes and Cily of Eagan Ordinances. Signature of AppficanY. r OFFICE USE ONLY Certificates of Survey Recelved V Yes _ No HAY 10 Tree Preservation Plan Received Yes - No ? Not Required - / 61 OFFICE U3E ONLY BUILDING PERMIT SUBTYPES O 01 Foundation O 07 05-plex ? 02 SF Dwelling O 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? OS 03-plex ? 17 10-piex ? 06 04-plex ? 12 12-Plex WaRK TYPE ? 31 New ? 32 Addition , 33 Alteration ? 34 Repair ? 13 16-plex ? 21 ? 17 Garage 0 22 ? 18 Deck ? 23 p 19 Lower Level ? 24 Plbg _Y or _ N jtl?2S ? 20 Pool ? 30 Porch (&sea.) Potch/Addn. (4-sea.) Porch(screened) Storm Damage Miscellaneous Accessory Bldg. { ? 31 Ext Alt - Multi ? 33 Ext. Aft - SF ? 36 MuRf ? 36 Move Bidg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding 0 38 Demolish (InYerior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 0) No. of Gnits fJ _ No, of Buildings _L Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS IMSPECTIONS ? Stucco/Stone APPROVALS n ? Planning Building U7( ? sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance re y? c? ` ll ?nsps ?/3y Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit 5!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Capies Total: Valuation: ?oda $ SAC Units % SAC --- Nffl° 3Z-' $S'' E ? i I t ? i b4 :? ` ??• r C.i ? ? ? ? ? ? Nbewaeet Lot Z ?A2.L9 ?.L4. -- ? . " . . ! LJ / e ?y .,, e Denotea Mood Nus 5et Rw.y Denwtes Existing Spot Elevatlon t•1e'rAl Dtmtet PrOposed Spot E1evation .-- Denstas Dratnege Oirettfon -PAOPERTY DEBCAIPTfON- lot I, B1ocR 2. NANTIIORfFE M0005 2ND ADDiTIWI, accordin9 to lAe reeorded plat thereof, Dekota tountys Minnesose. ( I .+ I JI?-1 / . ? kawUeMY` ? ' .. ??? Cwe. - C"SrY ? / w b? ??s^ ?V -- ..? 's r + p,f4?,::? ? .. PaovosEO G?w?s¢ ?oon EL¢rAttaa q4..`i.d PROP05ED TOP OF HLOGK ELEtlAT10tia. 9og,67 PROPOSED BASEMpiT FLOOR ELSYATION& 4Z.0 •IIE: YcHfy O11 B1dg• DSmnsions snA F10ot Nei9hts Mith finsl lbuso Olars. _????VgVOR6 CHRTIFI ATION- .._.. i! Certifr Mat tA1s surrey, plan or ?r repot't was Prlparad Oy aie or under dlteCi suprnrision ind tAet i em e duly ReyisLered Land Surreyor under the lars oT tbe ;tate o4 h,innes_ote• ??O'' Data: 8A 3193 __..,o psyne D. tprdes, Minn. Rtg. No. I4615 cneGEi o n..,m,.e o. i .? BRENT HOMES, SIGMA SURVEYINQ SERVtCEB INC. 1971 Stn6t8 W -Su:4c F.' EW, MWmou 65172 rna+.: (e,z) 452•3077 p1AMAy( AMO Vf0.1TT gAbIM[MT{ Ml MqwM TIIW1 / J ? y1 N09° 3vs5" G / { ? fl?• ? ?i 'I ? i I I p?5 I ???4 I , iy % ,. i ? ?) q Pep 't'?yS \ r 5 I 1? ' R=6e-?b 4. s u --.? ? C?? Lnaef - con;tv ? kAWKSIaLikY CiiZcLE q Z.ZR Lor ? P.01 roTS. , 1 5 • / i'? o, yo 0 K Oyk >, • a ea5. ,<. rN6 ?. ..?, .?? • '?- / OIL. ? ?ao .r' ?. kII44.5 ?, ?-6 ?.;?C3.? ?FdGII??TRI?dG D?PT 4^6? ?o?O(?(]o ?2Q ?? v --'-'0D@tlotes I r'on Monument n Denotes Wood Hub Set n407.Y Denfltes Existing Spot Elevation fx4ov.o) Denotes Proposed Spot Elevation -- - Denotes Drainage Direction -PROPERTY DESCRIPTION- Lot 7, Slock 2, FiRWTHORNE WOODS 2ND AODITION, according to Lhe recorded plat thereof, Dakota County, Minnesota. 08i13/93 14:41 $ E12 397 8E20 SIGMN SURVEY]NG NOGis CZRlgTICall t01t8 --- $yor a ?- r ? M1 ^Y 2 ? PROPOSED GARAGE FLOOR ELEVATION= Qq PROPOSED TOP OF BLOCK ELEVATION= . Y'? PROPOSED BASEMENT FLOOR ELEYATION= 5%.0 *NOTE: Verify all Bldg. Oimensions and Floor Heights with Final House Plans. -SURVEYOFiS CERTIFICATION- I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the 5tdte of innesota. l JG1,ytil. W-0'. Date: 8/13'93 Wayne D. Cordes, Minn. Reg. No. 14675 -.do • TNC. Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Use Permit Ron City of EaRd Permit Fee: G " Oil I 1 3830 Pilot Knob Road Eagan MN 55122 MP~ 5'~Q11 i Date Received: 7i Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: T I C-A-01--- 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z Site Address: ~ -L. ~3 0 V - J`L Unit Name: L\-"- Phone: RESIDENT/ ~c- OWNER Address /City /Zip: Applicant is: Owner l/Contractor TYPE OF WORK Description of work: F~ VV Construction Cost: S C) n o- > Multi-Family Building: (Yes / No ) Company: k-e v- -ft ,,9 t' ontact: 7~_`. e ~2- CONTRACTOR Address: OS 76 -::S City: State: /h Zip: 5"_11 Phone: & 1 _2__ - j ~(D Zl/, S License Z~L -Z03 S6 3' Lead Certificate If the project is exempt from lead cation, lease explain why: (see Page 3 for additional information) 7 7 ' o- i I I ~ I r-11 -3 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: 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.oooherstateonecall.ora 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 ~R ^.r' ~ l . x Applicant's P i ed Name Applicant's Sign Page 1 of 3 i1A )ULP (L E~6 , ' r, DO NOT WRITE BELOW THIS LINE 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 Valuation Occupancy ~V MCES System Plan Review Code Edition 119isZ 2 c70) SAC Units (25%100% -Y 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 Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test 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 Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 THE 2007 MINNESOTA STATE BUILDING CODE IFGC Appendix Worksheet 1 X33 Complete vented combustion appliance information. Furnacef Boller. _ Draft Hood Fan Assisted _ Direct Vent Input: ~tulhr ~ (Not fan assisted) & Power Vent W /Mar f*ater. -v It Hood Fart Assisted _ Direct Vent Input. -.006tulhr (Not fan assisted) & Power Vent Calculate the volume of the Combustion Appliance Space (CAS) containing combustion appliances. The CAS includes all spaces connected to one anotherby code compliant openings, CAS volume:../A/0 Determine Air Changes per Hour (ACH)t Default ACH values have been incorporated into Table E-1 for use with Method 4b (KAIR Method). it the year of construction or ACH is not known, use method 4a (Standard Method). "4 Determine Required Volume for Combustion Air. 4a. Standard Method Total Btulhr input of all combustion appliances (DO NOT COUNT DIRECT VENT APPLIANCES) Input Btulhr Use Standard Method column in Table E-1 to find Total Required Volume (TRV) TRV: fe If CAS Volume (from Step 2) is, greater than TRV then no outdoor openings are needed. If CAS Volume (from Stets 2) is less than TRV then go to STEP 5. 4b. Known Air Infiltration Rate (KAIR) Method Total Btu/hr input of all fan-assisted and power vent appliances /o 000 (DO NOT COUNT DIRECT VENT APPLIANCES) Input Btu/hr Use Fan-Assisted Appliances column in Table E-1 to find ash Required Volume Fan Assisted (RVFA) RVFA ~ li 3 Total BuVhr input of all non-fan-assisted appliances input3" ?tulhr Use Non-Fan-Assisted Appliances column in Table E-1 to find -r Required Volume Non-Fan-Assisted (RVNFA) RVNFA f#s Total Required Volume (TRV) = RVFA + RVNFA TRV =15;)So + 3675" if GAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed. If CAS Volume (from Step 2) is less than TRV then go to STEP 5. Calculate the ratio of avallable interior volume to the total required volume. Ratio = CAS Volume (from Step 2) divided by TRV (from Step 4a or Step 4b) Ratio Calculate Reduction Factor (RF). rZ _ ,&8 RF =1 minus Ratio RF =1- Calculate single outdoor opening as if all combustion arc is from outside, v v a Total Btu/hr Input of all Combustion Appliances in the same CAS (EXCEPT DIRECT VENT) Input: Btulhr .Combustion Air Opening Area (CAOA): (0 Tot ulhr divided by 3400 Btu/hr per ln2 CAOA = r r~b~l 3800 Btu/hr per inz = 8in2 i p 8; Calculate Minimum CAOA. y Minimum CAOA = CAOA multiplied by RF Minimum CAOA= x ' nz" ft z Calculate Combustion Air Opening Diameter (CAOD) CAOD =1.13 multiplied by the square root of Minimum CAOA CAOD =1.13 x. Minimum CAOA= in If desired. ACH can be determined using ASHRAE calculation or blower door test. Follow procedures in Section 304. tat 382 PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA103642 Date Issued: 04/06/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4280 Hawksbury Cir Lot: 7 Block: 2 Addition: Hawthorne Woods 2nd PID: 10-32151-02-070 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Dan Clough 3880 Willowwood St Prior Lake . MN 55372 952-447-5761 Fee Summary: PL - Permit Fee (miscellaneous) $55.00 0801.4087 Valuation: 2.400.00 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Preferred Plumbing John Pro Toladdio 6400 High Point Trail 4280 Hawksburv Cir Prior Lake NIN 55372 Eagan MN 55123 (92)447-761 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature . Use BLUE or BLACK Ink r For Office Use I Permit#: O) 7/ I Win City of EaV I I Permit Fee: CQG~_ I 3830 Pilot Knob Road I I ~Z Eagan MN 55122 Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: 2012 MECHANICAL PERMIT APPLICATION Date: 9.& -2-4j 7 `site Address: 9 6 4T`u U U,r y Tenant: Suite 6/l RESIDENT / OWNER Name: ^TO In tt a ( " Phone: V 15_V_ Address / City / Zip: 19's vv, ►J Name: J71~? 1 -C License 3 y3r 7 CONTRACTOR Address: Cc>>r 7 7 City: i-~ Il ~P State: M A) Zip: 57Tb Yt f Phone: 9 S_ Z - I S,__-V ?,_T Contact: 4 K f- Email: - _C-- 1C U LL/}, Q F9",T76-:-V-A*ST- A/ New It-Replacement Additional Alteration Demolition TYPE OF WORK Description of work: - lq t . 92f6= - NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement PERMIT TYPE Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee - $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE 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.gopherstateonecall.org 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. x C-11- f t 1z,1I x ~~i~ Applicant's Printed Name Applicant s Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Oct 24 13 10:41 a AA Garage Door 651-702-0838 p.1 AM- Use BLUE or BLACK Ink j Far OfftoeUse --------j n ( Permit 1 CRY Of Ea dIl t E t ` I b I Permit Fee: tJ 1 383a Pilot Knob Road Eagan MN 55122 I I Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 Staff. L---------------- t1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date 0 '~7 13 Site Address Unit f1: E ; Name: U Resident/ 115 Phone: coSI Owner l Address I City! Zip: ag'6 AGt w k C, 1 ~ /a 3 Applicant is: _ Owner contractor = r Type of Work Description of work: Q ~ pV rj hod e ) s Construction Cost: l VV Multi-Family Building: (Yes No ! 1 Q I t~ 1/~ s ' Contact: CanpanY Contractor Address: 46 J ` e' City: - d State: Zip: d~' 1!OS~- Phone: License Lead Certificate 7~~-- If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i ~ 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: 1 i i I Licensed Plumber: i Phone: : Mechanical Contractor. r Phone: Sewer & Water Contractor: Phone: } NO FE: 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 sped is reasons that would permit the City to I conc_I_ude fhaf the are trade secrets D CALL BEFORE YOU DIG. Call Gopher State `v - - ~ before you intend to dig to receive locates of undergrounOne d tilities. (yNAm.noSgo es forte necail o o against underground utility damage. Call 48 hours 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 f 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. Exterlorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x_bolrah~ sl°~,~1~ ~LApplicants Printed Name x nApp icant's Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA138353 Date Issued:08/23/2016 Permit Category:ePermit Site Address: 4280 Hawksbury Cir Lot:7 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-070 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 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: 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 - John Pio Maddio 4280 Hawksbury Cir Eagan MN 55123 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (651) 430-1388 Applicant/Permitee: Signature Issued By: Signature . 41!°bb City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: 94 /4 Staff: L 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9/9/2016 Site Address: 4280 Hawksbury Circle unit #: \tA., c_00-7 Resident/ Owner Type of Work Contractor Name: John and Sheila Maddio Phone: 4280 Hawksbury Circle Address / City / Zip: Applicant is: Owner ✓ Contractor '' Description of work: Remodel exisitng Kitchen per plan Construction Cost: $31 ,500'00 Multi -Family Building: (Yes / No ✓ ) Company: McDonald Remodeling Contact: Jeff Heikkinen Address: 6015 Cahill Ave E Suite #100 City: Inver Grove Heights 651-554-1234 Email: jeff@mcdonaldremodeling.com State: MN Zip: 55076 Phone: Lead Certificate #: NAT -29585-2 License #: BC205832 If the project is exempt from lead certification, please explain why: Built after 1978 /:(/,4,— i� 93 In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: 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 they 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.gopherstateonecall.orq 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. .Jeff Heikkinen Applicant's Printed Name x Appli ht's ignature Page 1 of 3 • SUB TYPES Foundation ,s1/`Single Family Multi 01 of _ Plex DO NOT WRITE BELOW TIS LINE Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool WORK TYPES New Interior Improvement _ Addition Move Building IAlteration Fire Repair Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ✓ ) Census Code # of Units # of Buildings Type of Construction cev REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice & Water Final Framing f30 Minutes 1 Hour Fireplace: Rough In Air Test 44e Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: RESIDENTIAL FE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Final TOTAL Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Siding _ Demolish Building* Reroof _ Demolish Interior Windows Demolish Foundation _ Egress Window_ Water Damage *Demolition of entire building — give PCA handout to applicant /2 - MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests Final Drain Tile Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill _ Final Radon Control Fire Suppression: Rough In _Final Erosion Control Other: , Building Inspector /1;,-//d.4 //A $©2o yio Page 2 of 3 4,11° City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: C -C-70 Date Received: Staff: / 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ! (� Site Address: '7"? TO' //-7/�J�S6' ' c Vii' Tenant: JQ" �j h Suite #: . � Name: cA /A? /o Phone: . �4 , Address / City / Zip: 4f 2 rte'/4/./-e----AS „Arr G. /�/'`C (-` Name: k Ic oei%/G� (G�. Jd�rs 7 o � �� License #: �'G c� % y• ctor Address: 3 2 7 A" -4.-c f es-, City: t_e-1/(K-c. .5'�So4, s Yl2- ?c ( g-- 7 2 State: � � Zip: Phone: Contact/4r- /44 S Email: rp�r?e/"JC✓e-r-,O/ej,..g il, &q 147 lr 4 New Replacement Repair Rebuild Modify Space Work in R.O.W. — _ — Description of work: ,,� a� /t t_ ,-.3--,� 47 CT i`�rl.� S G, -- e �� C=am RESIDENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level) — Septic System — Water Turnaround _ New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) 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.gopherstateonecall.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. x ,4'G c_ 4 Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA159099 Date Issued:11/20/2019 Permit Category:ePermit Site Address: 4280 Hawksbury Cir Lot:7 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-070 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - John Pio Maddio 4280 Hawksbury Cir Eagan MN 55123 Twin City Fireplace & Stone Company 6521 Cecilia Cir Minneapolis MN 55439 (952) 529-5797 Applicant/Permitee: Signature Issued By: Signature