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4283 Hawksbury Cir
_--_ ___ .?? ?LTM1?R`??RI?__ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: • ' ,? ,?!i,?i;?..ff?' WOof3'. ()A , j ?ir.l PERMIT SUBTYPE: TYPE OF WORK: [A(rN INSPECTION TYPE DA . DA , :; .. ` .,[a.rt RFV7F4Jf-fi qY PrIA AiinMS. I talt 440?--;840 RFr,?)RDrN6 EfV(.TR]CF?t PFRM1i AN[11 1Nr;E*FrtI(')N ? ? ? ? Permit Holder Date Telephone # PLUMBING H VAC Inspection Oate Insp. Comments FOOTINGS FOUND FRAMING ?Y O FOOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG -rr1 ?, DA-? y/ G?f,/ I'- ?'.•-¦. ORSAT TEST BLDG FINAL ?I , f` p K ? DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG r DECK'" .' ! II•??a'!(J ? I - --- . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: I- Eagan, Minnesota 55122-1897 Date Issued: ? (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF INORK: INSPECTIOtJ DA . D, ? . .. ? . : ., : . . . . ?; . . .. .. ? ? . . ? . ? .: . . . . .. ? Permit Holder Date Tetephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING RaOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL I GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRiGATION METER FLUSH MAINS coNDucnvirv TEST HYDFOSTATIC TEST BSMT R.I. BSMT FiNAL DECK FTG DECK FINAL / ? ? r LZJ- - «' s• C?O?lOIIISI ?, 11 INSP N E ? ,_?TY aF EAGAN PERMIT TYPE: ' 3830 Pilot Knob Road ti n r?" ? Permit Number: j ? Eagan, Minnesota 55122-1897 Date Issued: ? (651) 681-4675 f 1 S1TE ADDRESS: , r; E , ,;, APPLICANT: ? I !?,I?t ? H??(;id) lft)tt11': NIl i? r: l:' 1 ?if,f. --f%'?i4• ? PERMIT SUBTYPE: TYPE aF WORK: INSPECTION .. . ., t"MAF0 t-: i iF_ I}l AN ht17vIFwEn iiY CRAcri NOvACrvF, SCI''FFATF PFf:Mrt Rf'OlllkfCl rONt APIY i'i. L (:A11. (651) 4Afi-2Adi1 iif-t?AF;til"N?3 E I I'CT ? - ? J 3 Permit Hvider Date Telephone # SEWER/ WATER PLUMBINC-L HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING RdUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL Y GYP 80ARD FIREPLACE FlAFPlACE AIR TEST FINAL PLBG F1NAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNDucrrvrrv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY-OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ,. SITE ADDRESS: , 110i111..s'?1.1 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . D• E I i- I;Ljl3 -ATORD PERMIT TYPE: Permit Number: Date Issued: ? 6 f4 L f?? t APPLICANT: [ I h; , _ • . i. 1 t. I.' 3 Y' l.i. ji:,.i!. Pertnit No. Permk Molder Date Telephone N ELECTRIC . 07SOA171 PLUMBING HVAC InepecNon Date sp. Comments FOOT7NGS ? / FOUND 671yl? ' /.i FRAMING 041?2 ! /? ! /I ROOFING ROUGH P UMBING ' I'7G ?S M I i/ -_ PLBG AIR TEST ROUGH HEATING Z _ GAS SVC TEST 2 - J INSUL l GYP BOARD FIREPLACE ?•??d.9r `? FIREPLACE AIR TEST FINAL PLBG - S FINAL HTG ORSAT TEST BLDG FINAL Y ?- BSMT R.I. BSMT FINAL DECK FTG DECK FINAL /??"ef I IREDUEST FOR ELECTRICAL INSPECTION '? R;,. s:a Minnesota State Board of Electricity *.. ? 2 ?? 3$ Q 9* 1821 lJni'veTsitj Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 .??.. , Home Duplex Apt. Bldg. Other: New Addn Commercial Industriai Farm Remod Re ir Air Cond. Htg. Equip. Woter Htr. Load Mgmt. Other: D er Ro e Elec. Heot Tem . 5ervice "X" obove the work covered by fhis request. Enter remarks in this space and on fhe back of the white copy onJy. Colcufate Inspection Fee - This Inspection Request wifl nof be accepFed wrthout ihe correct fee: Olher Fee # Service Entrance Sixe Fee #f Circuils/Feeders Fee Mobile Home Park $tall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps Above 100 Amps Tra nsformer/Gene rotor INSPECTOR'S USE ONLY TDTAL Sign/Outline LTg. Xfmr. Alorm/Remote Control $wimming Pool I hereb ceni that I ms ecled the eledrical instollatiDn defcribed hernin on the dotes sloted Inigation Boom Rough-In ! i Oote S ecial Ins ection p p Investigotive Fee Finol ? Daro THIS INSTALLATION MAY BE ORDERED DISCaNNErTED IF NOT COMPLETED WITHIN 18 MONTHS. ? OFFICE USE ONLY This reqoesf voiC i., s b,- vnitdotion dote printed in Ihis box. A, l PLEASE PRINT OR TYPE Requasl Dote Rough-in inspedion reqvired2 Yes 0 No Inspection 01her Thon Rough-In: Q Ready NowWIII Call 7[ \- t.4 '(?? ?., (Vou musf coll 1he inspetlor whan dql DoN Reody: I, licensed contrador ? owner hereby reques? ;;-.snection of the above electrical work at: Job Address (Strem, Box, or Roube No.)." ' Ciry ZiP Code Sedion No. Township NartN or No. nge No. Fire No. Covfl#_ ? ?_ tC.U GL p??upaM Phone No. Powet Supplier -- Addross ? t?` y4 \ 7? -, c?pol CoMraclor (Campany NameJ_ Cor Licans . Mas?er Lic. No. (PIaM Eled. Only) T ?'- r' iling Address (Conhados? Owner Parforming Inswl otion) ' ?. 14 i,' ? /Y> ? /• i ? ? ?, i Au)hori Sigmwro (Copxooor or Owner Performiep Inttallowan) Jfhope No. _ 1IN EB-00bO{A-10 6/95 )STATEBQARDCOPY-SEEIMSTRUCTIONSONBACKOFYELLOWCOPY ? I ? gtr#ificate' nf Cccupanc4 %itiq of C?agan ` This Certifecale issued pursuaru ro rhe requireneerets of the Uniform Building Code certi, f+`ying that at the time nf issuance this stnuclurie was in compliance wrth the variaus ordenartces of !he City regulating building carrsrruction or ure. For the fo!lowrng: use Classirwuion: ?* sWg. Permit No. 26651 Oc+aapancy Type TO/ u 1 Zoniog District RI Type Const. VN Qwner of Buildiag FERRT F._?'.TA1F4 Adftss 47M LT [M 13,, ][OOTi 7 F Building Add2ss 4283 HAWKM1W CT_RE'f F. Localiry T.S_ R7_ ?ALTitiY?IJR, (XIDS ?M_ ? &ri" Cllfici?? , 1d% POST tN A CONSPtCUOUS PLACE RE4UEST FOR ELECTRICAL INSPECTION EB-00007 -09 ? See instmdions for completmg this form on back of yellow copy Q No, 0 Q7 (3 297 Below Work Covered by This Request Ne Add Rep. 7ype of Building /ippliances Wired Eqwpment Wired Home Range Temporary Service Duplex Water Heaier Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Speafy) Farm Air Condi4oner Other (speoify) Contractor's Remarks Compute lnspechon Fee Below # Other Fee # Service Entrance Size ee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps ° 0 to 700 Amps (J - Transformers Above 200 Amps ' Above_100" Am s SIg05 Inspeaor's Use only TOTAL ? Irrigation Booms el ??, 5'p S ecial Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH&. I, the Efactncal Inspector, hereby Ro°9h," ? certdy that the above mspechon has been made Fnal ate ^?x N .? OFFILE USE ONLV This requestvoid 18 months irom /J 0 0 7 3 2 9 7 4??5 g.a??In..dOlr?l? ??ODtCA,4 Request Date : ire No. -In Inspeclion Reqmrea (YOU must call inspedor when ready) Inspec0on OtherThan Rough-In ? Reatly Now ? Will Noirfy Inspector Ves ? No Oale Ready 1 9 licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (SVaeL Box or Aoute No ) //,;2 F3 7??? City Seclion No Township Name or No ange No County Occupant (PpR JN T) Phone N. ( _ L_ ?-^ /' ? ? ?( / A{-C./6-? ?c%YJN Power Supplier Atltlress Electncal Contractor (COmOany Name) Conlractofs lmense No S r Mailing A res(COntracbr or Owner Maklnq Installation) ?? '? 5f a.,, <<s 1Jb--• , i , Authonze ignature (Contractori0wner Mflking Instsllation) Phone Number ? ? , e?x.'"7ei 7 - a :79s S- -T- IIAII I'Iyn'-I- ggsM dwayB Og BO S1pgECTNICITV I I I? I?I?I Ip InP I I ER NSPECTION PEE 9 T Gr1831 Unlveni[y Ave., SL Paul, MN 55104 UNESS PROP ?I 1?71 Phone(61Z) 642-0800 ENCLOSED IIII II 0 8 3 5 1119 I I II • R REQUEST FOR ELECTRICAL INSPECTION '? p C>'- :_ Minnesota State Board of Electricity 1621 University Ave., Rm. S-1,St. Paul, MN 55704 ' Phone (812) 612-0800 1?? Home uplez Apt 81dg. Other. New Addn Commeraal Indusfrial 1 1 Farm Remod Re air Air Cond Htg. Equip. Wafer Wr Load Mgmt. Other: D er Ran e Elec. Heat Tem . Service "X" abrne the work covered by this request Enter remorks m Yh,s space and on fhe back of fhe white copy only. Calculafe Inspechon Fee - This Inspechon Requesf will nol be accepfed wdhoaf the correcF {ee. Olher Fee # $ervice Enhance $ae Fee # Circuitc/Feeders Fee Mo6ile Home Park Stali 0 ta 200 Amps 0 fo 100 Amps Streef Ltg./rraffic $ig. Above 200 Amps Above 100 Amps TmnsformedGenemtor INSPECTOP'SUSEONLY TO7e, _ Sign/Outline L}g. Xfmr. Alortn/Remofe Con}rol $wimming Pool _ I hercb ttm}? fim I mspeN.d ihe elecmcal .,C?r'.'} Irrigahon Boom kough.in • : - . .- ? Speaal Inspedion Investigative Fee -_ .- -- ' ' - - - - -- - - F??al - -. TH IS INSTALLATION MAY COMPLETED Wl; nin .? MONTHS. BE ORDERED DISCONNFCTE6IF H07 2 O V° 3 5 0? OFFlC US ONLY This requesl.aid IB manlhs (rom validafion dare pnnted in this 6ox. is??s . , 14 5 0 nd ??y J ? PLEASE PRINT OR TYPE j, a, /( Request Dak Rough-in inzpedion reqwred2 ? No Inspetlion OtherThan Rooghln : []Reody Now Will Call ,k_ 61 (15 lYoo mus? mll Ihe mspeclor when dy) Dax Ready I, licensed <onfrador Q owner hereby request inspecfion of Ihe above eletlrical work at: Job Addmes (Slreel, Boa, or R me No.) Gry Zip C de , Setlion No Township Nome or No ge No Fire N. Coa Dcc? om Phone No t t $a- Po lier ?fi21_ Qee. Address ?.rn,? EI I Convvcwr (Compony Nome , Con r Licenze Masier Lc Na (Piant Hen Only) MaAmg Address 1Conkacbr Owner Pedortning InsmllWion) _ ` J Au nzed SignaNm iCo ado. or Owner PeAormmg InstallaM1On? o No. nIP1ev EB-Wk+-10 6/95 kATE'BOAROCOW•SEEINSfRUCT10N50NBACKOFYELLOWCOPY Address 4283 HAwKSBURY CIRuLE Zip 5512 3 Lot - 3 Blk 2 Sub Hnwixo?ua wOoas zrm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 02 a??p Yes No Inspector: e Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded grass TraiUcurb damage Porc6 Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn Faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or ins[alling underground sprinkler system. ? Whitc - City Copy Yellow - Resident Copy Pink - Contractor Copy Q?? 0c -4 31 FS a-a- ??l 2004 RESIDENTTAL B17IL]3IlVG PERMIT' APPLICATTnrr Date?U ?9 a? 9. Q a ? Con? ck,.o,n Cost Sife Address _ UnitlSte # DescripfionofWork??1-???? l?- W 1??q??? ? 1 d.C Mutti-Famfly Bldg _ y N - Fireptace(s) _ 0 y Property Owner Txh 11C.q Tetephone # Contractor Addresa State Z'p ? : ts I lX? City Tetephone # n(g-'N -{S a.vmrLETE TH15 qREA ONlY 1FCONSTRUC7`ING A NEW BUIlDING EneFgy Code Category '- M?esota Rules 7670 Category 1 Minnesota Rv1es 7672 (4 su6mission type) ,• Residential Ventilatlon Category 1 Worksheet • Submitted . • New Energy Code Worksheet • Energy Envelope Calculafions Submitted Submitted Have you previously consfructed q building in Eagan with a similar plan? . fee applies _ Y _ N If so, 25% plan review Licensed Plumber Mechanical Contrpctor Sewer/Wpter Contrpcfor Telephone # ( 1?I Telephone #( Telephone #( NOV 1 ; 2004 : hereby apply, for a Residential Building permit and aclnowledge that the infonnation iS complete and "acurate;- -? hat the work will be in confonnance with the ordinances and codes of the City of Eagan and the State of MN )tatutes; I understaud this is not a permit, but only an application for a pemuit, and wozk is nof fo start without a iennit; that the work wi11 be in accordance with the approved rovofplans. pp p in the case of work which requu-es a review ang ? 9pplicant's Printed Name APPlicant's Signature OFrICEXSE ONLY Sub Types . - - ? 01 Foundatiorr---- - 0- 07' 05=plex- -?-- 13- - 16=plex=--- - --- ---Q` ---- -20- - -- Pool---- -- 11- 30 -Accessory Bldg -- ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace Cl 21 Porch (3-seaJ ? . 31 Ext. AIt-MuRi ?03`• Oiof_pfex' _ .:O 09 07-plex O 17 Garage ?` 22 Porch/Addn.(4-sea.) ?' 33 Ext.Al{ - SF 0,04- 02=plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MWti Misc. ? 05 03-pfex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex' Pi6g Yor_ N ? 25 Misceilaneous Work Types ? 31_New ? 32 Addition ? 33 Altera6on ? 34 Replacement Valuation Censu's Code , SAC Units # of units # of Bidgs Type of Const ? 35 Int Improvement ? 38 Demolish interior ? 36 Moue Building ? 42 Demolish Foundation ? 37 Demolish Building" ? 43 Reroof `Demolifion (Enfire Btdg) - Give PCA handout to applfcant Occupancy Zoning Stories Sq. Ft. Length Width Fj ' MCES System City Water Booster Pump PRV Fire Sprinklered ? 44 Siding ? 45 Fire Repair Q 46 Windows/Doors REQUIItED INSPECTIONS . _ Footings (new bldg) _ Fina]/C.O. _ Footings (deck) _ FinallNo C.O. Footings ad lion FoundaYion. lSin .,a? ex Phrm : _ gxts s : ?'s. :?.. Drain Tile Other Roof _' Ice & Water `:_ Final Ftgs Air/Gas Tesfs Final _ Fraaiing Sid'uig: - ..:?_ Stucco _ Stone _ Bncic''2 Fireplace R.I. _' Air Test GVindows Final _ _ Insulation _ _ RefaVJall°' Appro4ed By: ' Building lnspector ' Base Fee Surcharge Plan Review MC/ES SAC Cify SAC Utilitjr Connection Charge _ S&W Permit & Surcharge Treafinent Plant License Search Copies Other Total ° 4Wd9E?i `-8 ?unP amIl pahiaaaN Pe1Ia Wiuaows Sc Donrs - Twin Cities, Inc. . ' 15300 25TH AVE. N. STE. #100 ..? PLYMOUTH, M\T 55447 763l745-1400 ?? -- . . -- _ WATS I-80U-462-5359 FA7f 7631745-1401 ? 7une 8, 2001 City offiagan 3836 Pilot Knob Road F.agan, MN 55122 Dear 7an: Llder 7ones Corporation is authorized to pull building permits for Pella Windows & Daors -`Ituin Ciries, Tna Please allow th€ir representative fa provide fhat service for us in Eagaa. Tkis authorization slzatl be valid until suoh time as the division manager expressly zevokes it, in wrifing to the Cify. I request that this authorization he accepted expcxlitiously, so as to not delay the processurg of our building permits any further. Please catl me if flieze are any questions, I canbe contacted at 763-745-1432. Your iuunediate attention to this matter is appreciated. " cerely, V '?'? ?AI?FTEW.SAN8?1 $ryan . MaY womry?o Replacement Sales Manager ? ?bammm?nE?ekn.u.EOOs cc: Kaza-E1dcrJones Denna Kraf#y - ReplacemenY Sales Process Coordinator Windows, Doars, & Skyligbts 7nna eVrrr? urAr -?us srxT nsr zrn 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 9t_: 3O •' L? Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit Date 11_ / } ?yr l C)`I Site Address Unit # PropertyOwner Telephone#((,CFDI )??.`?'? -cJ3(D? Contractor sc: ae: adarass Bumsville Heating & A/C, LLC k?faede-l.?and-Ikve. Se. c;ty State SaVage, MN 55378-1122 ZiP Tetephone #???- )?1 V`(Y_X)J Bond #: 7 _Q Expires: -('F? The Applicant is _ Owner Contracror _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional ?Replacement air exchanger air condit ioner New XReplacement ?C other (? t )_? Q QQ?9--?LQ/? ? S.ate Surchs:ge $ .50 Total NOU 1 9 2004 ? I hereby apply for a Residenrial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conforntance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; tha[ 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. ApplicanYs Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMTT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercia]/industria] buildings multi-family buildings when separate pertnits are not required for each dwelling uni[ Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address Cjty. State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Conlractor _ Other Work Type _ New Construction _ Underground Tank _ Install _Remove'*see below _ Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "When installing/removing uneierground tank, ca!l ior inspection by Fire Marshal and Plumbing lnspector Per7111t Fees: $70.50 Underground rank installation/removal $50.50 Miu1!nuig (includes Sfate Sumharge) or Conrtact Value $ x 1% _ $ Pernut Fee • If e? t fee is $1,000 or less, add $.50 State Surcharge If ?t fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee t hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 aceordance with the approved plan in the case of work which requires a review and approval of plans. Appticant's Printed Name Applicant's Signahue Approved By: , Inspector L? 7 7? 2004 REsmEr; " ''?" ? Tl? B1717,jj7NG PERMiT 2:YPLICATTON EYtyOfEagau 3&3 d Pr?ot Knob Road, Eagan N1N 55122 ---- ---- .?_--- --- `- - - = =--='I`eIegkoiaa#,65Z567s-Sfi75 - -- - FAX,., 65? hleiv Consirucfion 6Z5 5694-----= R uiremenis 3 (20M f? shotviq4.S4, R oE fof, sq. ft of house; and alf roofed areas Rembdef ?iRepair 2 Reauirements rdge affmved) 2 capr es of pfan ?peqo(pfan showrt?g 6eam g ty?ndrnrts¢es; pouted found design, eta I y?f??e? 7sefofEnrxgyCafcu?fionsforfi?fedadd'rf'ions ?9Y Calations 1 sife survey foPad?Bons ? decks 3copiesofTreePreservafionPianiffotpla?ed'after7/i/93 AddAion. ub'icate?'o?eS.? ?s RimJoisfDetalOpSons sefecfionshee? ldgy . P Ysfem (?' wift3orfessuni(s Date j() /( site aaaress Descriplion of Work ?c MuTii-FamiIyBTdg _ y A N Properfy Owner Contractor Address Q.. ? ,;1o ?6 Z,? n cost-I lr) 4a? cc) -=? IIniflSfe # FitepIace(s) tr p -2 state Zip 4-:vmrLETE TE[!S AREA ? . EneW Code Ca[e gory '- Minnesota Ru1es 7670 Cate`o ~. ('Jsu6mission fype) .. F2esidenS2-1 Venh7aNon Category 1 Worksheef .• Su6initfed ai? • Energy ?lope Ca. fcu tlatlons Submitfed TeIepfione#(Wjl IC) A _ M}nneso_ ta?y(72 : . • New E6ergy Code yyortc,fieef Submihed -fave you previousfy consfrucfed q buifding ee applies in Eagan with a simlvr plan? _ y _ N If so, 25% . pfan review icerued Pfumber techanical Confiractor ?wer/WQfer Confracfor Telephone # ( Telephone #( ? Telephone#( )• ALI OCT 19 2004 uu "bY appIy, for a Resideniial B,r?djn ' it filie work wilI be in confom?ance with the od acl?nowledge that the znfonnation iS B ttufzs; I understand flus is not a aecvr"ate; dnLances and codes o£ the C?tty of Eagan an(i ttze Sfate o£ MN mif; fhat the wozk wiII ba in accordauce with ?e a? ?eaa?n?thep?gw dk wh h eof fo statt without a ?rGase oval ofpIans. Pp Pj? i quizes a review and ??Son )pltcant's Pnnted Name APP caafs Signature TeIephone #((o?:>l ) Z ls L-l -L1'! 1`? _ oMcE u?? QrrLY. Su6 l"YPas . --.., • - : -= - - -. . - - - - - - -- - , : - -- - .-- . _ - . ,. :-:-_- _ - = --- - -- -- - - - - Q- 01, Foundatiorr- 13- 07- 05=p[eX"-t7- -. - - i3-1fi-pfex== -:---- -Er---2O--Poof--- - ? 02 SF Dwellinq Cf 08 06-pEex ? 16 Fireplace- Cl 21 Porch (3-sea.) ` OJ.of' ?pfezr _ :;CI 09 07-plex Q 17 Garage ?22 Porc[ilAddn.(4-sea.) . . _. :r .: 02=pieX : :. _:D 10 08-p[ex : El 18 .Dec[c II 23 Parch (screen/gaze6o) . p` 05 03-p[ez ? ? 11 10-pfex 0 19 Lower Levef • ? 24 Sform Damage Q 06 04-pfex ? 12 12-ptex' aftg_Yor_ N ? 25 Miscel[aneous Work Types - El- 30 - Accessory Bldg - = . Q. .31. Exf.AIt- Mu[fi p' ?3 Ez€:AIt=SF ap 36 Mulfi Misc: q 31.New ? 35 fnf Improvement ? 38 Demolish Inferior ? 44 Siding ' L] 32 Addition ? 36 " Move Building ? 42 Demolish Foundafion ? 45 Fire Repair ? 33Aftera5on q 37 Demo[ish Building' ? 43 Reroof Q 46 wndows/Doots d 34 Replacertlent ' `Derrrolifion (Entire B[dg) = Give PCA handoaf to applicant . . ._}}.C... Valuation Occupancy MCES System Censu's Code Zoning CityWater SAC Units Sfories 866ster Pump # of Units Sq. Ft. PRV # af Bldgs Length Fire Sprinklered Type of Const Width - 12EQUIItED INSPEC'ITONS Pootings (newbldg) _ FinallC.O. . Footings (deck) _ FinaUNo C.O. Footings adyditionj . •+i 'v??i4:' ' y ' PIirinisirig," '?+ _. _ , ,,..:•- 3??]i?•oPfiJ?4?Y?e\ C1:1?Y#l?ne"d???2-tiL.'.'".«{':L. ? : ,;i:•': a : ~'H?.. . FoLmdatio i Til D Other n e ra atets t1-? 'b,& W Roof Ic Final Ftgs.-. Air/Gas Tesfs Final . graming-, Sfnoco _ Stone F'seplace R.I.'-'!`[lir°I'est TFinal _ Windows Refaiuuig R?all' rnsulation _ . ' Appinved B'y': Buitding (n'spector ' Base Fee Surcharge ? Plan Review MC/ES SAC Cify SAC Ufit"dy Eonnection Charge , - ? S&W Permit & Surcharge ' • ` , Treatrrienf Pfant - Licenso Search _ Copies Other - Totat vvr vd6vit iuv sc. ?v t?ie? OJ D/2 '44tlU xr?rrnt, asr ?vnts?utt • ?e ai ,? - rtmti ?, 2001 3836 PiIaf Kuob goa} • Bagen, M1+t 55122 . . To Whom It May Coftcern: Elder 70nes is anthorized tA pu21 buiIdiitg permfts for Rcrte4ral {ry Aadeisea pteassssIIIow datc bcyvnd 61610' ! untii a s.°rncc for us in Eagan. 71da mtd?ottzetian is vaiid fvr sny ' to eha crty_ ?`anawa2 by And?rsen mana= expmdy revokes ft in aritr3ng our ba diug pcanit, aa fube ???'axpedi@onsly, ss to not deley in the processirig oF Y zthcr. Elcasc caII mc If thctn acc nay qncu(ona.. I can Ue r conracted at 763-502-4745. . Your immgiiatc attcnt3on ta tiiis matter #s almarrrt_ , a .,. SInoeialy, KMdon R Rau Manager Rcnowal by Auclarscn Catporahan C'.c: Karn-F.itirr Sctnea rj?4 V.,L,? . G - 7--acrq/ s uY ? 11 H 0. ?? ?roau°"E?y,ya.at,zam ---- ?-- ?- -- ;'> f wuu Received Ti-me Jan. 7. 1 , 01PM RESIDENTIAL BUILDING PERMIT APPLICATION J? Oq(p CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conshuction Reauiremeirts • 2 reqstered site surveys showing sq. ft. of lot, sq R. of houu; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window s¢es; poured found design, etc.) • 1 set of Enerqy Calculations . 3 mpm of Tree PreServation Plan A lot platted after 7l1193 . Rim Joist Detail OptlOnS selection sheet (Wdgs with 3 or less unds) DATE ':4Z$r0 'L RemodeUReoair Raquirements • 2 copies of plan ? • 1 set of Energy Calculatmns for heated additions • 1 site survey Por eztenar add8ions & decks . InOicate dtwme served by septic system foradddions VAWATION g000 70 SITE ADDRESS ?I Z-g3 14TLu1ke Lury MULTI-FAMILY BLDG _Y LC1d TYPE OF WORK Re kbo4- FIREPLACE(S) _ 0 K1 _ 2 APPLICANT U-36 I'C-e_ k/`? --? wA " STREET ADDRE55 W Q h LkJ°` ,. _CITY &-if STATE l?'?V ZIPMq/ TELEPHONE# ?'tZ ???1'SZ13?TCELLPH NE# Co?Z-?? I??0310 FAX# PROPERTYOWNER I_i) a 'i Cd K re u ?" TELEPHONE# G66-6:13 --------------------------------------°------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOT:1 RGLL• S 7670 Cx['EGORY I MIti VESOT.-1 RULL• S 7674 (ti submisswn rype) . Residentlal Ventilafion Category 1 WorkSheet Submitted • New Energy Code Worksheet Submit[ed . Enargy Envalope Calcufations Submitted Plumbing Contractor: Plumbing system includes: _ Wa[er So&ener ? Water Heater _ No. of Baths Phone !k Iawn Sprinkler TJ No. of R.I. Baths ' a6 Mechanical Contractor. Mccttviical system includes: Sewer/Water Conhactor: Air Conditioning Hcat Rccovcr} Systcm Phone # ?, I v iF e?t ?? AIJG 3 d 2002 --------------------------------------------------°----------...---....---------------------------------------------...-- I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina s. Signature of Applicant OFFICE USE ONLY Phone # Certificates of Suroey Received - Tree Preservation P1an Received _ No[ Required _ Updated 4(02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 0 1 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? Oa 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi f ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Oamage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ? 46 Windows/Ooors ? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump N6r. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED IN SPECTION$ _ Foorings(new bldg) FinaVC.O. _ Footings (deck) FinaVNo C.O. _ FoonQgs (adtition) _ Plumbing _ Foundanon HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal Pool Ftgs AuiGas Tests Final _ Framing _ _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retauung Wall Approved By 8ase Fee Surcharge Plan Review MC/ES SAC City SAC W ater Suppiy & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector CITY t]F EAGAN CAS49.F.FF': S Tk.FiNIiJAI_ NOc 774 bATEw 08/13/98 7IMf; 1.4:39:54 ID: NAMEc 11AVLD K? I;fiEU7Ek 3210 9001 42433 NAHIt;SLtURY 50.00 2155 SDCI:L 4283 HANI:7BIJRY 0.50 t 7oi;a1 Receipt, Amnunt: 50.50 Cfi09fs1. i"k lJSEf: ID: NANCY I _?11 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u I LDI N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 8 6 S (612) 681-4675 Date Issued: 0 8 J 13 J 9 8 SITE ADDRESS: 4283 HAWKSBURY CIR LO7: 5 BLOCK: 2 HAWTHORNE WOODS 2ND P.I.N.: 10-32151-050-02 DESCRIPTION: Buildin4,.Permit 7ype _?Building Wo,rk Type ? r?Csnsus Code r fi ?.i? I'V,. • ?? ?..?a`:! @L . , ' i DECK NEW 434 ALT. RESIDENTIAL L -_ .. _ .-.... '-^ ., _ ,=? -?.?• ?_ __ ..i ._' '..'_ .....r.. .. REMARKS: PLAN REVIEWED BY BILL ADAMS. FEE SUMMARY: Base Fee $50.09 Surcharge _ $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - KREUTER DAVID 4283 HAWKSBURY CIR EAGAN MN 55123 (651)317-7551 ? I hereby acknowledge thatI have read Lhis 'ap'(i13c3't3on and state ChBt tho information is correct and agree tn comply with all applicabie State oF Mn. Statutes and City of Eagan Qrdinances. APPLICANTfPEAMITEE SIGNATURE " GUSIJ I dF?o / ? SUED BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EA(}AN 3830 PII.OT KNOB RD - 55122 ? a-?' ?r S- 681-4675 ?lb n r? New Construction ReauiremeMS RemodeVRaoair Reauirements ?- '"- `9 I, cl ? ? 3 regiffierod ade suneys ? 2 copres of plan ? 2 copies of plans (inUUde beam & window s¢es; poureC fnd. design; etc.) ? 2 site surveys (euterior adddions 8 decks) • 1 energy calalations ? 7 energy calwlations tor heated addkions ? 3 copies of tree preservation plan if lot platted after 711193 required: _ Yes _ No DATE: L `l 9$ CONSTRUCTION COST; 2? OCx7 ESC ION OF WORK: -?->> vi ?cQi+c-u ? cL ec[,L STREETADDRESS: 42g? Nu.,rk?b??? C,r?ta ? Co-?w?, N?tv ss(z_3 _ LOT: ? BLOCK: 1- SUBD./P.I.D.#: Name: l?reu?'e,r ,?)ex$JiA Phone ?651?? 6d& 678,.3 PROPERTY Last First ?/0 1"y? 3 1-1- 7 S S ? l.?crlt OWNER StreetAddress: 4r283 City E?o--4 a,,,? State: M?J Zip: S S' ? Z-3 -? Company: Phone CONTRACTOR Street Address: License # City Stste: Zip: ARCHITECT/ ENGINEER Company: ?/ Mewa...i? S Phone #: _ Name: Registration #: Street CiTy State: Zip: Sewer & water licensed plumber (new construction only): . Penalry applies when address chang and lot change is requested once pertnit is issued. I read this appliption and state that the in?rtnation is co an gree to comply with all applicabl AQZU" ? City af Eagan Ordinances. n --? ? ? ?? Signature of Applicant USE ONLY Certificates of Survey Received Yes _ Na Tree Preservation Plan Received - Yes - No - Not Required .s . _ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE K 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY ? 11 Apt./Lodging ? E3 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace O A 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building 4z Engineering Variance ? ? ? Permit Fee Surcharge Pian Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 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 °k SAC SAC Units CITY OF EAGAN ,r,ASHTFRe S TFRMLNFlL_ NOe 728 IIATE: 03/02/93 l'IMGe 16:06a2.7 SD: NFlME- DAHL.STROM DES:f.GNEh NOMFS I:NC 3210 9001 4283 hIA411:'aBUFtV 60.00 27.55 9007. 4283 HFlkII:SEsURY 0.50 Tn+,al f;eaeipt, Amount : e:,U..`,D GFi 9.0.'33i' 7. LJBFR .T.D: NAMCY ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: r ez.iv.: 10-3 21, 51 -050-e2 PERMIT PERMITTYPE: r;usL D >:n!r Permit Number. N 3 4i 19 Date Issued0 3/ d 2/ 9"3 4 "?srs H A wK seuFtv c n-. L nr? 5 01 or.r: z tiHwrHaaivF Woaos 2Nu DESCRIPTION: Sit?e'tdin$) P- rrn.it 'ivpe 13?I1r;Vnp wb,i; k Tv,7e ,?en?US r.arJa , "?ti ? r - i? f F r 14 ?r ? w y [3fi+;lEn1ENT FIPdZSH 61L1 titflT'f,t7N 434 Al."t. f?ESIDENTIHL REMARKS: NLri .rV z?' wen r,v t:R nic 14 c,,?ac?vr:. SE?r_li(iIL PEiil'41( H 1°.CIU1fiEU FOH ANY h'IUM t,1hlti t,I0N, - C AL L i?b Fr3 ) 4QS-234 0 n1_C;A Rl1LNI3 L'LLi;I- itlCftL f'ET7 Rrd(7 1"NSPECT7"(?N?l FEE SUMMARY: 1i,1 s:: ?ec 'l; 6e,.0 E, Surchai- qe $ ??A l'oi.a l. Fae o60 CONTRACTOR: - AppiiOant ST° Lzc fJ11-ILSTPOPI !)ES1Cti14ER NQMES 145Fi2d?l5 0003508 ,j?5?6 AKRON t1VF Y'NVER GRCI`JC FilS h4N 55877 (l?72) 4 55-r2 45 OWNER: T3DNLP:E KATHN.YN 4283 I1AIAKSBURY ('iR l=AfiAN hiN 55123 (661)636-678.i 6oplication and steta th,sC Ch.? wai'h all appiicatrte Sf.aCe ot Iwin- II ? . ISSUEO BY: GNATU I hereLv acknawlvdge Chat I have read thi-, a.nPOrmeuaon as cnrrpeT r,nd aora2 to ecrmnLv 5tafi:utp s end Citv a? Eaq an 0 rr4irarsrrces. L ?l BL oC? SUB . ? CITY USE ONLY RECEIPT #: 10.;*7 RECEIPT DATE: 1999 PLUM$IN6 PFftMIT (RESIDEN'ciAL) CI7'Y Of HAfiAN 3830 Pv.or xivos Rn £AflAx, MN 55122 (651) 681-4695 Please complete for: > single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkier system -------'---------------------------------------------------------------------------------------------------------°---- Alterations to existin residence 30.00 = aL!-f- Water Turn Around 30.00 = Private Disposal System ' MPC iic. 75.00 = (new and returbishetl systems) Private Disposal Systems ' Abandonment 30.00 = RPZ (new installationlrepair) 30.00 = FIXTURES EACH _#_ TOTAL Shower 3.00 x - Water Cioset 3.00 x T _ 8ath 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 = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 X = U.G. Sprinkler ` for dwelling under const 3.00 = STATE SURCHARGE .50 Reminder: Call 681-4675 for inspections of water heaters, Jc% water softeners, alterations, etc. ? TOTAL -----------•------------,------------------------------------------•-' ----•-------------....------------------------------------- --- I here6y acknowledge Mal I have read this application, state that the informanon is wrrect, and agree to comply with all applica6le Ciry of Eagan ordinances. It is the applicanCs responsibiliry to notify the property owner that the Ciry of Eagan assumes no liabilily for any damages caused by the City during its normal operational and maintenance acLVities to the facilities wnstructed under this permit within City propertylright-of-way/easement. SITE ADDRESS: OWNERNAME: U6(ti[cfro wi 0 -Ptiq k.,e ?" (tOwi-PS INSTALLER NAME: MGC,,, I_ I C1i.., ?l Vt2c --F" TELEPHONE #: Y.Ir?' STREETADDRESS: / Y ( k(/Lz CITY: w N!J- S? ` I-G u l STATE: A -A.- ZIP: Sf(( g' CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 SIGNATURE OF PERMITTEE - PERMIT OR049sa 'K, CwTI( OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Bu iLo r nt G Eagan, Minnesota 55122-1897 Permit Number: 026651 (612) 681-4675 Date Issued: 10J 3 0 J 9 5 SITE ADDRESS: 42533 HAWh:S8lIRY CIt? IOT: 5 I3lOCK: 2 Hr1Wl"FIOftNC WOODS 2ND P.T.N.: 10-32151-050-02 DESCRIPTION: REMARKS: r=Rv FEE SUMMARY: sA3 bl c o - C?i }3 ? r#', r y" s? ?`` ?SEr!"atY'u??7,ttr! `'r? Zdn?ry?. , _ .. , a?? ° 8uilt??rG?.,1,enJt€? "'E u.alA at or .Ju 5'?^g ?.? S'iidzri??faermit Type $ua,?..c?5°reg`G?'h,!:.,k rype wF DWG NLw R -3 U -1 Li ... ry R-1 68 38 ?R u94x ?il?'s? ^' ?Y?a _a ?? t4vZ? _tft?t iG."B.c 2 d8I'?i??F ? y: $% ? LM4 .?,a? "y?{ ?4 ec?? "YIS ll'$ '?...m`? a-.b.4. Gs` t4 S s w FLgR FRrcihsNGroN PIee C3& se F,2 e P1an fte'vtaw Surcha'rqa sAc Sfi,C 9. :7AC UriiT.:. Subtot-al VAI,UA'I'TON $l,2c;7.L5 nRu4.(A $91.?iP (A o 1@v7 $2,69'_'.23 S1r;29vma I'd SSi,CI.L !kh!i'_OUS _ ?1,392.?0 7o -L'a1 Fe e $n .58479 CONTRACTOR: HF8ER1 & ASSoC1A7ES 3201 6.1 H6J1' 13 bUf2iVSVTI_Lf' MN (612) HU2-0'.13a - Ap pt.icanr -- 51'. LIC 18820595 0005700 5S3'?! OWNER: HEBFlii' & NSSOL' ;2P7 Ul HWY 13 BURNSVILLE MN 55337 (612)676--6030 ?,- . - . . -, . .. , . . . _ . ` - . ; 1, he•reby mckncrwl?gdo eth,?.1=1. Eaove read'_ tlr,t?r.,apjpl?,catii??F? aris- 4ta t?0' tYz, t „t,?a ? Arid=?agrsL r,b czrs3f3?ly w=j?h? 611 opPLicatrlo .'statv of_-Mtt, , srrd City,"tif g;?rr ? r? inarice??_? , - ? ' ?? ?. . ._. ° . ..,.. _?_ ...._' .:.`' ._ ? ? ? ? C T1P RMIT SIGNA7URE ISSUE BY? IGIF-MURE P k INSPECTlUN KECURD CITY OF EAGAN PERMIT TYPE: 3830 Pi1ot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: P. z"N "` ` qppLICANT: Lt7T: 5 6LOCKa 2 4 283 HAWR:SBURY C1R HE6FRI' & P5SDC7:ATl-:S HHW7Fi0RNE Wf][705 2NC1 (612) 882-0695 PERMIT SUBTYPE: Sr- owc TYPE OF WORK: N rw LAU tLozNr; 43255ai 1G]/:30/95 INSPECTION F 00Y'CNGiS D, . FOUNpA'I"d.ON ,. FRAMIN6 ft00FIP!G INSi1LNTT.CiN FIf7Ep4AGE ROUGH TN PLB6 FtOUtili TIV hll"G FINpI_ i>L06 -INlVI_ f2EMAftKS: P12V '.> & W PLBR - FfkRhiZNG70N C>LEW . . , _."", .. . _ ,-i? .? 1 CITY OF EAGAN 4 jV416 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 6814675 New ConsWCtfon Reeuiroments RemodeUReoair Reauirements ? 9 rogisteied site surveys ? 2 eopies of plan ? 2 copiea of Wara (indude beam & window sizes; poured ind. design; ett.) ? 2 sHe suneys (e#erior additions & decks) ? 1 energy eakukliona ? 1 energy ealculations tor heated additions ? 3 copks of hee proasnation plan If I P?tted after 7/1/93 ropuUed: Yes -72,- / DATE: Z-'? CONSTRUCTION COST: ?A` DESCRIPTION OF WORK: ,, ??? ?? ??/ G 1 7 STREET ADDRESS: 2 ? t c' LOT f>_ BLOCK ? SUBD./P.I.D. #: PROPERTY Name: d Phone #: zj:?= -ios OWNER `"`* `wsr Street Address2 01 - ? City: State: Zip: 6S3 39 L 70 - 6os? CONTRACTOR Company: ?i ?f?rnc Phone #: c Street Address: License #• City: State: Zip: ARCHITECT! Company: r-) Phone #_ 4,?l 072 ENGINEER ? Name: Registration #: Street Address, City: State: Zip: Sewer & water licensed plumber: y?/3-7 _ L=2 . Penalty applies when address change and lot change are requested once permit (S issued I hereby acknowledge that I have read this appliption and state that the infortnation is 7correct d agrce to comply with all applicable State of Minnesota Ststutes and City of Eagan Ordinances. Signature oi Applicant ?e, ? N??t?T OFFICE USE ONLY Cerdficates of Surve Received ? Yes 0 Q r.., ? Z 5 r = 1995 ; Tree Preservation Plan Received Yes No - _. _ , OFFICE USE ONLY BUILDING PERMIT TYPE p 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0- 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool a 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous 13 05 SF Misc. 0 10 _ piex o 15 Deck WORK TYPE d?- 37 New ? 33 ARerations ? 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) O-N Basement sq. ft. ? MC/WS System o< (Allowable) XZ:-,4 Main ievel sq. ft. ? City Water UBC Occupancy n-3 - ? sq. ft. ?f Fire 5prinklered Zoning n-r sq. ft. PRV yEs # of Stories z 4ar.„.. sq. ft. Booster Pump Length ZPAz sq. ft. Census Code. Depth 38 Footprint sq. ft. z, /&7 SAC Code oi 10 y ? Census Bldg / U /S?°' ; ya Census Unit / APPROVALS 4& Planning Building Engineering ? ?. , La ?v1 Pertnit Fee Surcharge Plan Review License MCNVS SAC Clfy .SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: $ l?1.o.u. z x ay33 = vs P?Nr 9?x y : Z N? Z?x yG - l,z?s Variance ? < C ?XZ? ? Z? 73s Zo z 3Z = ?`/° Z? 3& : 7z 2ys3 .33Xiz = v yS y,e ? : yo ZX ° ,3s,r& "" 3 C3x5.s? '<lZy) (v7?x/6 = • . ?1lllES2Tl?,??TF?HFJi?Y co.R?cilG?TLflfl . DASCU O11 CIIAPTER 5 OF TIIE FLI2FILF1IFRQY CpbB - 1903 Epi.Tj_Oji Adoption Effeative ? Owner Phon Slte Addres contractork4E? A4411?iA-rL5 dullding Classificationt Type A1 (9ingle Family 6 Duplax _j.?i? W 4a3 te Type A2 (riesidential, ] stories or lese) (over ] stories) (otlier) 1!Q'fE1C4IDnLate t2a9afl3 9CIS1 4 flret. . fzEuegel, 111FORUzt4H 1. [luilding Perimeter ft. .. ?l ?. Well lielqlit (qround to have) ft: 7. 1. X 2. (ebove) gross wall area sq,ft. 4. Uyilding dlmenslone (L) X(W) "'- ??)Zoeq.Et.roof 6 floor area 5. 3q, foot area oE rim jolst - F ooc jois3 t Yize (2 X''I D q X S (?arimeter I e Et. • 6. boore - Area r Thickn?b ia In U. taoEcii?? ? Type of Conetruction Perimeter ft. . IfanuEuctureC 7. Total door'e perlmeter ft. B. Windowsi Itanufa t?,er??SUL GSGI? l7 ll Eactor?_ tate appraved TYPE 9I2E AREA (Bq.Ft.) t1U110ER OF 7'p'tAL l•J t-1, ti ? h EACII UIII'C9 SQ FEET 9. Totel eq.ft. alass 327 lo. Fireplace areat Widtli R Iteiqht a H ? eq.ft. , 11. Exposed foundation: Ileiqlit X Perimatar .?i X CJ69=?i,95 sq.ft. C0IIPLETI011 OF TIII9 FORN I8 REQUIItED FOR AI,I. ltEti COH9TRUCTIOIi, IIAJOR R6110DELIt1C3 ATID pUIL[]I1IG9 DEltid IdOVED WIIEIiE EIIERGY, OTIIER TIIAt1 'fI1E III11IIfAL COUE ALLOWANCEj I9 USEp. -1- 12. Framilia aren = lot of roee wall araa. 1]. Gross wall area 3?? D sq.ft. Window area A ?773 . sy,fr, U windowe ? i 5?g' Rim joist area A/iTeq,ft. U rlm jolet= ,_ N poor area A sq.ft. U door area= 'r otlier doore area A?aq,tE? U other doora=• -f Exposed endn AIZ52? sq,EE. U faundation=J="? f`%) ' Fremin9 aren A? ? % eq,ft, U framing area=???? Ilet wall araa A' ? Zl eq.ft, U walld j??"! L1 (iau) moTAu . . . . . . . . 14, Grosa wall nren x 0.11 (A-1 aingla tamlly 6 duplex) = allowable UxA/Code (la. aUove) x 0.27 (A-2 athor raoldential) • , x .za (otlier bulldinqe) x .20 (ovor 3 etorlee) / C- pTUll muet be lnrqer than or same A ?? x U Codo ,?/ .. 3?? oF: ne 13U nt?ova 15. Ceiling Eraming orna (Af) aqU41u lot oe celllhq area 15A. Grose ceillnq aroa - (L) `"" x(W) - = f•af71? sq,ft, 15U. Joiet area (A E) A l0} colllttg aCaa 2` sq, f t, 15C. Net ceillfig area (Ac) (15A - 15p) eq.ft. U cellLig x Ac e'(!?? x?%?C? °? U frnming x l? f A 15D. TOTAL ll x A ..............????i?....•.... 16. Celling nren (15A) x 0.026 (A-1 oingle fnmlly 6 duplex) - = a1lowAble UxA/Codo x 0.033 (A-2 okiier residential) x 0.06 (otliar) pTU[I muet be larger tlian or aame 1+(15A)?x U Code oF. ae 15U a6ove 11oTEl Usa U anQ A values ohtnihed from pages-l, ] and q. QI:R'CIEIChTIQtIt I lieroby certiEy khqt I have colculated the 'lUll factore und ?"K° valuas hereln and L•hat tho bqlldlnq here desarlbed meake or exceude the state oF llinnesuta EuaKgy ConoorvnEion Aat, ta slgnature _Z, #9?-_3?e '?I. uxA = ?lL UxA UxA UxA UxA = = UxA = ? OxA = uxA = Sz- - ---?----- ?f ? y „ ?'?¢??lo? . ---------------- -- l?,?k ?1? .r w?---?- 8, Ox 4 (o = 3??? -- Il??p? ???3k(???_4t?-t3Zr3z)?s?z= 3?? 3?- I o !tiINPoWS . _ - - - ??r? ---__ Z_?4P _ _- -- Iv x ? _ ?? 37 ? 70 zce _ -V>e Z `J -- - -- -- - 37,z Z7c?n?--? I? _ ?° Pr?r?D OiL ;,?/Z, s G . ? ? ??.51 _ ??'STG S?/?• Y??. = 1?_ - - ??? . W' LOT SURVEY CNECKLIST FOR RE5IDEMIAL BUILDING PERMIT APPUC TION PROPERTYLEGAL: ? a e m DATE OF SURYEY: /Q 2 e4?/ g{- ? N LATEST REVISION. DOCUMENTSTANDARDS e`? 13 0 ' Registered Land Surveyorsignature and campany Q,-? 0 ?O ? 0 • Build(ng PertnitApplipnt M-'(3 • legal descriptlon &-'13 (3 • Address C3 • North arrow and scale o?G O'?13 G . House typa (?amWer, walkout apqtrWa, spUt entry, lookout. ete.) E2"? C3 C3 • Oiracrional drainape arrows wilh stopa/aradiant % ? 0 ? C • ProPased/eXIstlng sewer and water sarvices &Lnrart elevattan O/"O 0 • . Streat name ' • Driveway E 0 Cl • LEVATIONS Existlna Sewer servica G3-- C • Property comers i? ? • Top ot curb at the driveway ef ? ? . Elevaaons at any epsttnp adjacant homes Pmoosed M--0 Glr?- 13 C3 • Garaga floor CT-- o C3 • Frst floor / 13 • Lawest expased elevatlon (walkauUwindow) ? 13 • Properiy comers ? a • Front and rear of hame at the foundatlon PONDING RFO na...,n,.atilel O?' 0 • Easement line • ? er- a e NWI. . ? ?J?_ • HWL a u ? • Pond # desipnatlon 1 ? ?? ? • Emergency Overflow Elevatlon / DIMENSIONS e7 ? C • lot lines/Bearings S dtmansion.a Right-af-way and sVeet widfh (to back of curb) . 4?0 0 . Proposed home dfmansiom Ineludinp arry proposaC declo, overflanps preater than 7, porches, etc. p.a. all sWctures raquiriny permanent faodnps) ? o • Show all easaments of recard and any Cily utllitles withln those easemenb a ? Semacfcs of proposed structure and sideyard setback of ad)acent eristlng sWctures C3 0 • Retaining wall requirements ' ny Reviewed: 1995 S&WO+IO S&W0+45 SQWI445 S9W,Ot35, s80? w94' S&WO- s3B w52 ' , w50, s 40 , s55,w6T s75;w7 893.3 soz_s , 833.7 89i0 '5 2 89e.7 ?y 12 BENCHA M ?t 4 ' , . o1 ze zs.o ? 2 3 . E EV.9 44: J?? ? ' 870 EL. v ? 26A? 6 M H. 13 ? 54.0 46.0 570? 28.0' ~ EL - H RA _ ?2 u u ? ? 31A? S 4 W ^ C TV 7 5 ? TEL. ' ELEC. O.O 1 485? 51.0 45.p 152 . 5 39.0 " D -1/32BEND 6 \ I 2 I ? 10 9 a \ \ S&W0+35 ? SQW 1+42 ' S&W 0+25 S&W0+30 ? \ ' ' s 42 ?32` w 1 18 s40 ,w30 \ s62 ,w48.` , , , SEE SHEET N0.9 8967 893.0 $3 pQgn 5 ,w64 SEE SHEET ? , ........ .. .... /?? . . . .................. .. .. .. ........................... ......... . ..................................... ... ......... ..... .. ............... ..` . _. V . . ........ • ... .... 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E :::::: .:: :......_:.::. .: ......................... . . ::.::: .:.................. . ..................... ........ .. . ............ ............ ....... : ....... ..._............ .... ... ...... .... ............... ............... .......... ............ ....... T?. .. ...... ............. _..... ... ............ _................... N. ..? :::: ..?..?.. .. : .. ....... ..... ?.?: ?nir? .... .. .... .................... _.,. E 0* R .? " .. .::. 34 .: :: : :::: : : :: ::::::: :::::: :::: ?...... . _ ..COVER ... .. . .. .. .: :. . . ................ ... ........... _ . ................ ....... . . . .... . ....... . ........ ........... ......... . .............................. L:F.':-: .$.'.'P.V.C:. ... . .. . :::I . : : .:. ... ::..:::::.: ::::: ::::: .?:. .?...... :°:::: .... :::::::::::::::::.::::.:::::... ... . .:::::::::: ::::::: R ..35 ?-480 : . .. ? . ::: :.: :: 8.02 ... .... .. ...... .... .... .._......... ......... ........... ....,..._............ ................................ L:F.- _ . "D.I.P. _ . ................. . .............................. .... ............ ........ ..... ......... ...... ._........................ 5?2.-.. . .??n .............. . ....??.?,.... ........... ...... . ....._......... ?? .......... . . ... .......... ... ................. ................. .._--'-- ?.?, z ............................... ............... . . ..........................a. . .. ....... ..n.... ,? .....:::::....? ::°::::::.:::.'::::.... ::::.::::.'. :::: ?..? ?. ... ........ .................... . ........ :°: .::::::: :::::::::: :::::::I::-:: ~:?'1"_.?`.`: -??-?-- .. .. , ,ri,= -.? i. , . .,.. . . .:r,..,i. % L ,f gL _nl CITY USE ONLY RECEIPT #: ':?V 41T SUB? ?'ttur?xvk.r_ "z o? DATE:1? 1 ? 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? New construction Add-on furnace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: 12.? -A0 ? R5 FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.0 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) 4L._LL7 ? State Surcharge .50 TOTAL so SITE ADDRESS: Cir OWNER NAME: NebeQ? ? ?sso, PHONE #: INSTALLER NAME: ?°` r?^^ ! r`3k\ R-^rro?wna `I' qe&?c` nw .ra"L. STREET ADDRESS: a I Q; L4 Gh ? c? o er (Qozl 2. ? ? C, CITY: ? P vvt ? uia ?nn.? STATE: V14 v? ZIP: 5 S d?? PHONE #: ( ? y?C,3 - L43 aL) _ ? CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 •• - Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: o $25.00 minfmum fee 2E 1% of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ cinr: TELEPHONE #: STATE: ZIP: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY L ? BL Z RECEIPT #: -119 9 K0 SUB? Vq?C?o?rin2 DATE: ?? 95 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x 1 = 3 Water Closet 3.00 x 3 Bath Tub 3.00 x 1 Lavatory 3.00 x Kitchen Sink 3.00 x 1 =-3 Laundry Tray 3.00 x 1 = 3 Hot Tub/Spa 3.00 x 1 = 3 Water Heater 3.00 x 1 =1_ Floor Drain 3.00 x 1 =3_ Gas Piping Outlet " minimum - 1 3.00 x _3 Rough Openings 1.50 x So Water Softener 5.00 x = Private Disposal * Dakota cry. iicense 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL S? UO SITE `'a L8 2b2r?- OWNERNAME: i1 INSTALLER STREET ADDRESS: L0-31-I I) v e- CITY: ?GtPm i n a.fO0 STATE: Vl/1 ? ZIP: PHONE #: ( OFFICE USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciaVindusVial buildings. P multi-family buildings when separate permits are pQ,t required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ 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 contrect price, whichever is greater. State surcharge of $.50 per $1,000 of 2en3iA fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: cin: PHONE #: METER SIZE: DATE: STE. # SIGNATURE: OFFICE USE ONLY STATE: ZIP: APPLICANT _ INSPECTOR: CIAIM VOUCHER - FiEFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABIE TO ;MDRIUC SERYICE AOORESS : 14540 PE[?AIO'.?t AVFNUE APPLE VALLEY, MN 55124 LOCATION 4283 HAWKSHl7RY CIFaE ?].5. B2. HAWIHOBNE WiDODS ZO -r RECEIPT # / DATE 498q8- I]/ 14/45 REASON FOR REFUND sUILpEt HIREp nNJiHER II,F!'TRICAi, Ga71_RA..?Tt m DO ItE cUIC . TYPEOFREFUND ELECTRICALPEFiM1T11208350 3211-9001 $ 77.00 PLUMBING PERMIT 3212-9001 $ MECHANICAL PERMR 3213-9001 $ SURCHARCaE 2155-9001 $ WATEA CONNECTION PERMIT 3713-9220 $ SEWER CONNECTION PERMR 3743-9220 $ ACCOUNT DEPOSR 2252-9220 $ UTIUTYACCT OVER-PAYMEM 2250-9220 $ CURB BOX DEPOSR REFUND 2253-9220 $ CONSTRUCTION METER DEP REFUNO 2254-9220 $ - WATER USAGE CHARGE 3711-9220 $ OTHER: s s a TOTAL $ 77. I deciare under the penalties of iaw that thts account, ciaim or demand ls just and that no part of it has been paid. 81poa nro _ /o? a?? Dato 1999 BUILDING PERMIT APPLICATION (RE$IDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 (651) 681-4675 New Cons uc[ion Reauireme ts RemodeVReDair Reuui2ments ? 3 registered site surveys ? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) • 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 717/93 required: _Yes No DATE: l ? 2 capies of plan ? 1 sfle surveys (axterior addftions & dedcs) ? 1 energy calculations for heated adddions CONSTRUCTION COST: ???igev DESCRIPTION OF WORK: STREET ADDRESS: LOT: -r BLOCK: ?,- SUBD./P.I.D. #: 6AF-'d_7 2?00-0-*r PROPERTY OWNER Name:?j?u% Phone #: A?iR& Lazt First Street Address: T a 3 City state; W4-1) Zip: \a? 3l? 9 Company:1??ncJ Phone #: 6 CONTRACTOR Street Address:_??>-2_,4' License #2S? Exp. 3I City ?. ?P. /? • State: /le OV-) Zip: SS b?17 ARCHITECT/ ENGINEER Company: Phone #: Registration #: Street City State: Zip: Sewer 8 water licensed plumber (new construcGon only): . Penaity applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the informa?l/ons co7ect, ane ? comply with all State of Minnesota Statutes and City of Eagan Ordinances. /, .?yi??,?3. , Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes _ No _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 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 5'?f Const. (Actual) Basement sq. ft. Census Code (Allowable) S•? Main level sq. ft. SAC Code D UBC Occupancy ? sq. ft. Census Units Zoning ?-1 sq. ft. Census Bldg a # of Stories - sq. ft. MC/ES System Length - sq. ft. City Water Width ? Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS • Planning Building Engineering . Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: % SAC SAC Units t,zR?Y ? ? ? O ? 0 O 2 ? N - ? a ? ? L1 ?. LL/ ? ? t .i 2 a (r j ?ox? ->;-? w ? CD 3I JJ I ?I 00 :2i r? ? Aokiss 4763 ?Aa+uK58u" GncLl a ' _?? ?? ?? -?`?p -Go&QO ti 32.33 0 ? ? .? l 0 a ,9 ° o ? •"F Q r r 1 ? r w? ?!? ? ?•6? ` 'CoP ? q >'i .`?= +0-7' Proposed garage floor elevation r O•2- Proposed top of block elevation ,w OP T qo ?39 9 ?--LriJ?-qo3z5 ?Qo ? I //O M qas?40 ? ? J, ? 0 7) N Q -A0ok i?LY N? J I n V --- ? , , ?0p? qo4?? F %. \`?? , Se:) \o t to ea p Denotes set or of record 1P any iron pipe monuments f} Denotes set wood hub and tack 79?.p Denotes exiating elevation (1-ft? Denotes proposed 4lnish grade elevation 9o l,? Denotes direction of surface d ?O rainage '^ ? ?. I Proposed lawest floor elevation FaeuG?ImhPK --topVlur N^tmek.: tJnuxHStoa ? , ? NAWKSR"u¢N CiRC?-?= ??Jh't?OU ?9?4.?P! ?"'?t9rm.a SCa QNI In\,?h i- j I hareby certify that this is e true and corract repreeentation of a survey of the boundaries of Lot Block Count Minnesota ea on Eile and of record 5, 2,NA?NoQNEWCDfJS2aDADDm???paKoTY. in the Oi31ce of the County Aecorder in and 3or said County, also showing tha proposed location of a house as staked thereon, That I am a duly Registered Land Surveyor under the Lawa of the State of Minneaota. Dated:()CT-oe4?e 24, tg45 1 ? Allan R. Haetinga Minneeota Regietration No. 17009 121 Lewie Street S. - Suita No. 102 Shakopee, Minnesota 55379 phone 612 945 4027 r I A r' lqs i t,zRVEY ?oR p ? (?TtA`? 2 rox .4 AWvss 4223 G l-AwKSeuv-4 Gacu 30 qe> ?. ?? 0?^!_ .? ?2 ??` -co? o4ao ?- r / ? 32,33 '?`• ? TOP qo??' l ?039 ?9 ? F?.?J?-go3.z5 a? m \3Q ? ? o & a .I e\ ? \ _? '?a - ?? A 2.0 ? M qay' 1 ?? M?" r` o ?? Q ? 9,0 ? Kin ? ? ; ? '? 67 ?' ? N O ?pd?'{??? ? N CY$ I/ V C/ 2 ? oc) Jc S ? ? "?°? ?oln•? sea Y r ? Sub?ect to easemen?s of record iP any Denotes set or Pound iron pipe monuments ???• $ Denotas set wood hub and tack Propo ? _ ge ?1DO??lev 'fp,Q.n Denotes existing elevetion ?Vrud rJldt.T}?VL'1J1Y31\? Proposed top oP block elevation Proposed lowest Ploor elevation P66uC.W'hk2.K-'vop Rlur kOekac 1Joa?a S?oa ? NAWKsP?u¢?-( C?2G?= ??JAT?oVz??4.?A(,a"?^? Denotes direction of surface drainage I? ? i nch =2?? ? ? I hereby certlPy that this is a true and correct representation o4 a eurvey of the boundaries of Lot y. ? Block 2? Count Minnesata as on Pile and of record S NRUI?N02n1EWppf?SZ.'?ApDITID?VlpAKOT in the Ofiica oi the County Recorder in and for eaid County, also showing the proposed location of a house as staked thereon. P?? -E. F?`A?i)?"? O That I sm a duly Regiatered Land Surveyor under the Laws of the State of Minnesota. Dated:oMogEe 2A, k4a5 WQ6% ` V?U?SFiO L9gS ' ?? N kA.?AN, gt f V E!h' E G ?._..,?.- 1BL?¢s ..._ _ m._ 7')ATF Allan R. Hastinge Minneaota Registration No. 17009 121 Lewie Street S. Suite No. 102 Shakopee, Minnesota 55379 Phone 612 495 4027 9? Denotes proposed finish grade elevetion Use BLUE or BLACK Ink For Office Use City of Ea~ I Permit fl Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (661)675-5675 I I Fax: (651) 675-5694 1 Staff: I I I j2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - I Site Address: o~ tr C I Unit ~1 k Name: ILL-~`+'Vtt,~ ~ Phone: -G913 Resident/ Owner E Address / City / Zip: Applicant is: Owner contractor t Type of Work Description of work: A s~~1 Construction Cost: Multi-Family Building: (Yes No _I. Company: c f CCY) CL nr Contact: ( I'Ct✓ l ii AA~~ Address: I ~''~.W tmd-I 19✓t~. .N City: ~ I lux-- cr Contractor State: MN Zip: .550a2 Phone: &51 -029 -913;() Y V _~A License Lead Certificate #:N)4T-- InSs!5a - I 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 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 ~ c ~ re TT y are considered to be public information.. Portions of the information maybe 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.aooherstateonecall.oro 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 14. L-I'h x Applicants Printed Name Applicants Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA144116 Date Issued:07/13/2017 Permit Category:ePermit Site Address: 4283 Hawksbury Cir Lot:5 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kathryn E Bohlke 4283 Hawksbury Cir Eagan MN 55123 Weatherguard Construction 10860 60th St N Stillwater MN 55082 (651) 439-4320 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA151392 Date Issued:08/22/2018 Permit Category:ePermit Site Address: 4283 Hawksbury Cir Lot:5 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Kathryn E Bohlke 4283 Hawksbury Cir Eagan MN 55123 (651) 686-6783 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158982 Date Issued:11/13/2019 Permit Category:ePermit Site Address: 4283 Hawksbury Cir Lot:5 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Kathryn E Bohlke 4283 Hawksbury Cir Eagan MN 55123 (651) 303-0332 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature r For Office Use 4� � � * Permit* 14. # .or E AGA N Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionst cityofeadan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: l —J.-L.—K-7 Site Address: 1A CT�l�.e�k{Litt if Tenant: i�GL T"k'��f;v) e)h 1 Suite#: �.J 1 e5itteltltlOwner. Name: 46:41k1( n J� ' 1 6 Phone: C ' b Address I City/Zip: 40 c L� '� 6:11 Name: .-.X1 I License#: Contractor Address: City: State: Zip: Phone: Contact: Email: T e O tllf©t"1S —New Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. YP Description of work: W)6 Tankless Water Heater Lawn Irrigation( RPZ/_PVB) Standard Water Heater Add Plumbing Fixtures( Main/_Lower Level) Description Water Softener Description: Septic System 2‹. New _Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well"+$290 for Meter and $190 for Radio Read =$540 `Sewer&Water Permit also required for connection charges TOTAL FEES$ 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 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. 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 Ike Applicant's Printed'Name Applicants Signature Page 1 of 2 Directions-The Minnesota Fuel Gas Code method to calculate to size of a required combustion air opening,is called the Known Air Infiltration Rate Method. For new construction,4b of step 4 is required to be filled out. IFGC Appendix E,Worksheet E-1,1346.6012 /c n- 4,./pc As Tx L.N Residential Combustion Air Calculation Method �/, (for Furnace,Boiler,and/or Water Heater in the Same S•ace) ,� pn ,,n /t- - /'7/?a Step 1:Complete vented combustion appliance in ation. 't/_ nate/Boiler: raft Hood an let ireclet irect Vent Input: Btu/hr Power Vent r Heater: /� raft Hood "Fan Assisted ° 3irect Vent Input: ' CIX' Btu/hr r Power Vent Step 2:Calculate the volume of the Combustion Appliance Space(CAS)containing combustion appliances. ,G 9� The CAS includes all spaces connected to one another by code compliant openings. CAS volume: ft3 LxWxH L ' ' L 0,2iN H Step 3:Determine Air Changes per Hour(ACH)1 Default ACH values have been incorporated into Table E-1 for use with Method 4b(KAIR Method). If the year of construction or ACH is not known,use method 4a(Standard Method). Step 4:Determine Required Volume for Combustion Air.(DO NOT COUNT DIRECT VENT APPLIANCES) 4a.Standard Method Total Btu/hr input of all corn. stion .•pliances Input: Btu/hr Use Standard Method column i able E-1 to find Total Required TRV: ft Volume(TRV) If CAS Volume(from St • )Is greate TRV then no outdoor openings are needed. If CAS Volume(from: ep 2)Is less than •V then go to STEP 5. 4b.Known Air Infiltration Rate(KAIR)Method( 0 NOT COUNT DIRECT VENT APPLIANCES) Total Btu/hr input of all fan-assisted and power vent appliances Input: Btu/hr Use Fan-Assisted Appliances column in Table E-1 to find RVFA: /' ft3 Required Volume Fan Assisted(RVFA) Total Btu/hr input of all Natural draft appliances Input: 3q$0 ' Btu/hr Use Natural draft Appliances column in Table E-1 to find RVNFA: t,/O0 ft3 Required Volume Natural draft appliances(RVNDA) Total Required Volume(TRV)=RVFA+RVNDA TRV= + = r+�� TRV ft3 If CAS Volume(from Step 2)k greater than TRV then no outdoor openings are needed. If CAS Volume(from Step 2)is less than TRV then go to STEP 5. Step 5:Calculate the ratio of available interior volume to the total required volume. Ratio=CAS Volume(from Step 2)divided by TRV(from Step 4a or Step 4b) p Ratio= I G 7 o�9^ oc / g./a& = Q O . 8% Step 6:Calculate Reduction Factor(RF). I RF=1 minus Ratio RF=1- _ 6. Step 7:Calculate single outdoor opening as if all combustion air Is from outside. Total Btu/hr input of all Combustion Appliances in the same CAS Input: 3 5'04490 Btu/hr (EXCEPT DIRECT VENT) Combustion Air Opening Area(CAOA): //�7 Total Btu/hr divided by 3000 Btu/hr per in2 CAOA= 3'C?at? /3000 Btu/hr per int= J(.7-• •V /1112 Step 8:Calculate Minimum CAOA. p1 Minimum CAOA=CAOA multiplied by RF Minimum CAOA= /1'4'2 x 0, /1 = iy�. 1 in2 Step 9:Calculate Combustion Air Opening Diameter(CAOD) CAOD=1.13 multiplied by the square root of Minimum CAOA CAOD=1.13' Minimum CAOA= If 7K.diameter go up one inch in size if using flex duct 1 If desired,ACH can be determined using ASHRAE calculation or blower door test.Follow procedures in Section 6304. 3l /74 til1iy/;yOryOdi rn' coamo.r i4 flak n/Jc-i >9 1L S4c7/v v 36lf, pvr t. tiz coot Page 5 of 6 IFGC Appendix E,Table E-1 Residential Combustion air(Required Interior Volume Based on Input Rating of Appliance) Input Rating Standard Method Known Air Infiltration Rate(KAIR)Method cu ft) (Btu/hr) fan Assisted or Power Vent Natural Draft 1994 to present Pre-1994 1994 to present Pre-1994 5,000 250 375 188 525 263 10,000 500 750 375 1,050 525 15,000 750 1,125 . 563 1,575 788 20,000 1,000 _ 1,500 750 2,100 1,050 25,000 1,250 1,875 ' 938 2,625 1,313 . 30,000 1,500 2,250 1,125 3,150 1,575 35,000 1,750 2,625 1,313 3,675 1;838 40,000 2,000 3,000 1,500 4,200 45,000 2,250 3,375 1,688 4,725 2,363 50,000 2,500 3,750 1,675 5,250 2,625 55,000 2,750 4,125 , 2,063 5,775 2,888 4 500 2 250 6 300 60,000 3,000 - 3,150 65,000 3,250 4,875 2,438 6,825 3,413 70,000 3,500 5,250 2,625 7,350 3,675 75,000 3,750 5,625 2,813 7,875 3,938 80,000 4,000 6,000 3,000 8,400 4,200 _ 85,000 4,250 6,375 3,188 8,925 4,463 90,000 4,500 6,750 3,375 9,450 4,725 95,000 4,750 _ 7,125 3,563 _9,975 4,988 100,000 5,000 7,500 • 3,750 10,500 5,250 105,000 5,250 _ 7,875 _ 3,938 11,025 5,513 110,000 5,500 8,250 4,125 11,550 5,775 115,000 5,750 8.625 4,313 12,075 6,038 120,000 6,000 9,000 4,500 12,600 6,300 125,000 6,250 9,375 4,688 13,125 6,563 130,000 6,500 9,750 4,875 13,650 6,825 _ 135,000 6,750 10,125 5,063 14,175 7,088 140,000 7,000 10,500 _ 5,250 14,700 7,350 145,000 7,250 10,875 5,438 15,225 7,613 150,000 7,500 11,250 5,625 15,750 7,875 155,000 7,750 11,625 5,813 16,275 8,138 160,000 8,000 12,000 6,000 16,800 8,400 165,000 8,250 12,375 6,188 17,325 _8,663 170,000 8,500 . 12,750 _ 6,375 17,850 8,925 175,000 8,750 13,125 _ 6,563 18,375 9,188 180,000 , 9,00,0 13,500 6,750 18,900 9,450 185,000 9,250 _13,875 6,938 19,425 9,713 190,000 9,500 14,250 7,125 19,950 9,975 195,000 9,750 14,625 7,313 _20,475 10,238 200,000 10,000 15,000 7,500 21,000 10,500 205,000 10,250 • 15,375 7,688 21,525 10,783 + 210,000 10,500 15,750 7,875- 22,050 11,025 215,000 10,750 16,125 8,063 22,575 11,288 220,000 11,000 16,500 8,250 23,100 11,550 225,000 11,250 16,875 , 8,438 23,625 11,813 230,000 11,500 . 17,250 8,625 24,150 12,075 1. The 1994 date refers to dwellings constructed under the 1994 Minnesota Energy Code.The default KAIR used in this section of the table is 0.20 ACH. 2. This section of the table is to be used for dwellings constructed prior to 1994.The default KAIR used in this section of the table is 0.40 ACH. Page 6 of o PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA172262 Date Issued:09/22/2021 Permit Category:ePermit Site Address: 4283 Hawksbury Cir Lot:5 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Kathryn E Bohlke 4283 Hawksbury Cir Eagan MN 55123--306 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA179394 Date Issued:10/03/2022 Permit Category:ePermit Site Address: 4283 Hawksbury Cir Lot:5 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-050 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Kathryn E Bohlke 4283 Hawksbury Cir Eagan MN 55123--306 Appliance Connections Inc 12850 Louisville Road Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature