4287 Hawksbury CirINSPE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
;!,,F I ! S; ?'sf t
PERMIT SUBTYP
,,
11 , !4-1 r n? W;
E14t? A BLO[:k
R1-f1r'.'130F'ZY 1.l R
170`., :'"Il
QN RECQRD
PERMiT TYPE:
Permit Number:
Date Issued:
Fil?1 i C111i?i
t??:1:?H!<t?;
4 WI)1 f"f
(: I ') ;101- t'.rii
rYPE OF INORK:
W 1.,
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Permit No. Permit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Camments
FOOTINGS
FOUND
FRAMING
ROOFING WbHVX ??? W"-
ROUGH
PLUMBING /S'Jf/ST" /b6' ??C' LCyt!!??
PLBG
AIR TEST
ROUGH
HEATING ?
GR5 SVC
TEST
lNSUL
GYP 80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSM7 R.I.
eSMT FINAL
--- -- ----
-- - --
DECKFfG y
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11N;3x"i'11., 1 llJlr 1«l-lVniJ
rIT!l yOF EAGAN PERMIT TYPE: " `3830 Pilot Knob Road Permit Number: -'`
Eagan, Minnesota 55122-1897 Date Issued: k '(812) 681-4675
SITE ADDRESS: ' ? APPUCANT:
. ,;
t 3 M( PiWN '; f s t i i?
j1 Nirs; M r LI11rtW'. 'Nh
PERMIT SUBTYPE:
Wl:tiFltl ? A`:`:?l(: f111f
( I, 1?' i it?i;? - Hr>•a!.:
TYPE OF WORK:
i
INSPECTION
. .. .
,.? ..
?
I ; ; ti rlOk': ; Pti V `,; b 6f 4' 1 fi k
I
Permit No. P rmR Holder Date Telephone N
?ELECTRIC
,
,PLUMBING MAV
HVAC ? a?
Inepa0on Date I Commente
FOOTINGS
1 AW
FOUND Qj7
FRAMING g'
9s L'arrQ?
?.-
ROOFING
ROUGH
PLUMBING J?
?f ?}
104
PLBG
AIR TEST d l??
d
ROUGH
HEATING 'Z
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
o
FIREPLACE
AIR TEST
• "_
FINAL PLBG
FINAL HTG
. ?
ORSAT
TEST
BLDG FINAL k?
BSMT R.I. ?.?.,
BSMT FINAL
DECK FTO
DECK FINAL
-
T-T
:1,17- I
i{
Wtrtificate nf cccuvanc?
(FU? ? ???
????t of 15nows anoection
This Certificate issued pursuant to rhe requrrements of rhe Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. Far the following:
.-use classificatkNE SF siag_ Pemtit No. 26102
OoaWa?'Y Type R-3` u1 Zoning Distria RI Type Canst. VN
ow,a or' eweam HEWT & A590CIAlES Addzxw 3201 W HJI' 13, FAYMMI.E
Building Addiess 4287 HMKSEW r.IR-= Lontiry L4. ?, HWMM MU 2ND
Budding owww
PO6T IN A C.ONSPtCUOUS PLACE
?? .._. ,
? ?
/?1-? ?? ?? REQUEST FOR ELECTRICAL INSPECTION 0 ee-oooai-os
?e.? ? S. insirudions Nr completmg this form on back of yellow copy
9/J?,S X" 8elow kY"ork Gevered by This Request
Ne Add ep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Ele-tric Heating
Apt. 8uilding ryer Load Management
Comm /lndustrial Furnace Other (Specify)
Farm Air Conditioner
O[har (speafy) Con[reators Femarks
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200A
mps
Above 100 -Amps
Slgns Inspecror's Use Only 7Q
Irriga[ion Booms g?
Special Inspection )
AlarmlCommunication THIS INSTALLATION MAY BE O EO NNECTED IF NOT
Other Fee COMPLE7ED WITHIN 18 M S. ?
I, Ihe Electrical Inspector, hereby Rouqn,n
cedify Ihat ihe above inspection has
been made Finai
, are
OFFICE USE ONIV U
This request vmtl 18 monihs irom
o- a"d , ??° (07
Reques
J Rre No R ug - n InspecUOn /ieqwretl Inspechon O[her Th ough-In 1 (YOU I cell mspecto? wtien ready) ? Reatly Now Will NoLly Inspeclor
Yes ? No Oate Peatl
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job A ress ( eel, Box or oNe Na.) Qly
Sychon No
L' ? T nship Nama or No Range ?u ?
Ocw n F T) Pho
16
Power Sup Atltlress ?
E cal Conira or (Company me) Co 2cto li n? N
M iling tltlr s o Iraclor o wner Making Instellatio ) •
AWed S naWre (Cont dorlOwner Making In tallahon) Ph Numbar
l? Q-- 03?
MINNESOTA STATE BOARD OF ELECTFICRY
Gtlggs-MiOway Bidg. - Room 5128
1821 Unlvereity Ave., SL Paul, MN 55104
Phone(612) 642-0800
II
II
I
I I
?
I I
II I
I
II
I I?
I THIS INSPECTION RWUEST WILL NOT
I BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
Address 4287 HaWRSBUAY CIRr[.E Zip 5512 3
Lot 4 Blk 2 Sub HMMxrE c,OoDS 2rm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 95 Yes No Inspector:
Final grade (6" from siding) y?
Permanent steps (garage) V/
Permanent steps (main entry)
Pecmanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish ?
Deck 10 #/
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the ouuide lawn faucet before freeze potential exisu.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConsWCtion Renuiremants
• 3 registered sile surveys showing sq. ft. of lot. sq. ft, of house; and all roofed areas
(20qo maximum lot coverage allrnved)
• 2 copies of plan shrnnng 6eam 8 wmdow saes, poured tountl desgn, etc.)
• 1 sel of Energy Calculabons
• 3 copies ot Tree Preservation Plan iF lol platted afler 717193
. Rim Joist Oetail Op6ons selection sheet (bldgs wilh 3 or less unfls)
DATE I 1b R
SITE ADDRE
TYPE OF WC
APPLICANT
STREET ADD
TELEPHONE # GtL'yV 030 CELL PHONE #
9
FAX#
?
?
PROPERTYOWNER TELEPHONE# - ?
------------------------- -.... ---------- --.....................................................
COMPLETE THIS SECTION fOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVrF.SOT:1 RCLF.S 7670 C:\"fEGORY t MINNES01':1 RULFS 7672
(J submission rype) . Residential Ventiiafion Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Caiculatlons Submitted
Plumbing Contractor: __ __
Plumbing system includes:
Mechanical Conhactor:
-Mcchaniril svstem includcs:
Sewer/Water Contractor.
_ Water Softener _
Water Heater _
No. oF Baths
Air Conditioning
Hcat Rccover} 5y'stcm
Dh011C` #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
----------•°---------°-----•-----------------------------°°--•--°--•------°----------°-°-•------•-------------•-•-
I hereby acknowledge that I have read this application, state that the infor tion is correct, and agree to comply
with all applicable Stote of Minnesota Statutes and City of Eagon Or in es.
Signature of Applicant
---- -------------- _---------------- ------------ ------------- ----- ----------°-.___..----°-------°°---. .-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
2 copies of plan
• 1 5et of Energy CalCUlaGons for healed 34di ions
. 1 site survey for extenor addihons 8 decks
. Inakate if home served by se0k system for additions
VALUATION T?? "D
Fee: $90.00
OFFICE USE ONLY
? 01 Foundahon ? 07 OS-plex ? 13 i 6•plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pltg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitian (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Staries Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED IN SPECTIONS -
_ Footings (new bldg) FinaUC.O.
_ Footmgs (deck) FinaLNo C.O.
_ Foonngs (addition) _ Ptumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Warer _ F inal _ Pool Ft?s AuiGas Tests Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ [nsulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMITTYPE: auxLarNe
Permit Number: 0 2 7 7 9 9
Date Issued: . 0 6/ 2 0/ 9 6
4287 HAWKSBURY CIR
LOT: 4 BLOCK: 2
HAWTHORNE WOODS 2N0
P.I.N.: 10-32151-040-02
DESCRIPTION:
Building-,Permit Type
guilding W`oxk Type
Censws .Co.d.e _`.
.
DECK
NEW
434 ALT. RESIDENTIAL
','$.?-?jyriy;: -'I
ti''v iu' .....X.-!}"-:
3 ? °k
REMARKS:
FEE SUMMARY:
8ase Fee
Surcharge
Total Fee
$45.00
$.50
$45.50
CONTRACTOR:
OWNER: - Applicant -
WOLFE TIM
4287 HAWKSBURY CSR
EAGAN MN 55123
(612)405-1591
II
I hereby ackndwledg'e that I'`haxre read this appl'ication and staCe ti'eat the
information is carrect and agree to comply with all applicable State af hfn.
Statutes and G'ity of Eagan Ordinances.?_
c
PPL A/PE MITR SI TUR? ISSUED SI TURE
PERMIT
CITY OF EAGAN ^ t,
3830 PILOT KNOB RD - 55122
? q 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) /'/y pn0
681-4675
?_.., n.,....?...,..:,,., ee...?.e...e.,?e RamedellReoair Reauirements
? 3 registered site surveys ? 2 copies ot plan
? 2 copies of plans (include beam 6 wlndow sizas; poured fid. design; ete.) 2 slle surveys (exterior additions 8 decks)
? 1 energy ealculations ? 1 energy wleuladons for heated additions
? 3 capies of tree preservaUon plan if lot pladed after 7H193
required: _ Yes _ No
DATE: lo "'Z "9?O CONSTRUCTION COST: 2,wd
DESCRIPTION OF WORK: 44'-L
STREET ADDRESS: Egdje
LOT ? BLOCK SUBD./P.I.D. #: ?
PROPERTY Name: &Z Phone #: 405-'&111
OWNER
Street Address: 4 Z B7 LY,W¢ s_,BV,e y C.10-61-F_
City: 4 £?46-A N State: Al A/ Zip: svz 3
• CONTRACTOR Company: " Phone #:
Street Address: License #:
ARCHITECTI
ENGINEER
City:
Company: _
Name:
Street Address:
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
Registration #:
State: Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances. Z'?_I
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Tree Preservation Plan Received - Yes - No
5tate:
Phone
Zip:
G-`?CC?'??? v L;DD
JU^ft?5
m??_
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition o 08 8-plex
0 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 = plex
WORK TYPE
37 New o 33 Alterations
? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging o
0 12 Multi Repair/Rem. ?
0 13 Garage/Accessory o
? 14 Fireplace ?
,?15 Deck
? 36 Move
? 37 Demolition
:?...
.•o y? ,+'Yi, ..
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscelianeous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
MClWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit d
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
VVater Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SMf Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
. . ? ? ? . , . . L ? ' . i ?' 1 ' ? ? a ., ? ? ? - - .. ? ._ -- _ ? ?
Lv^L..Ir
. . _ . , . .? . , . i ? ~ I ? _ ' ??? ' ' ' . . _ . . . . . . ' 1 ? . . . , . ? • i ? ?
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. . . . . . , . . . . . . ? . . . . . . . . . - . . . ? . - . . .
. + . . _ , ? - ? . . -L . . . . . -. ? ? . . .
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. . . . _ - . . . . . . _ . , . ... - . _ .
CITY 4F PERMIT C&?????
AGAN
3830 Pilot Knob oad PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number. 8UILDING
026102
(612) 681-4675 Date Issued: 0 7/ 2 5/ 9 5
SITE ADDRESS:
P.I.N.: 10-32151-040-02
4287 HAWKSBURY CIR
LOT: 4 BLOCKs 2
HAWTMORNE WOOD5 ZND
DESCRIPTION:
Building'IPermit Type
Ouilding Wa.rk„ Type
'UBC Occupancy'?,
Construction 7yp,e
Zoning
` 8uiltling Length t? Build$ng Width t
Bu9,lding stories
.S)Eju`a rm Feet
;,
SF DWG
NEW
R-3 U-1
V-N
R-1
63
53
2
2,121
4`...`Ql
REMARKS:
PRV S & W PL6R -
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Subtotal
$1,147.25
$401.54
$76.00
$850.00
100
$2,474.79
$152,000
MISCELLANEOUS
1/2 OF PLAN
REVIEW FEE FOR
PERMIT #25223
7ota1 Fee
$1,892.50
$214.77
$.00
$.00
$4,582.06
CONTRACTOR: - Applicant - sT. llc. OWNER:
HEBERT & ASSOCIATES 18820595 0005700 HEBERT & ASSOCIATES
3201 W HWY 13 3201 W HWY 13
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 882-0595 (612)882-0595
? t
T hereby acknowledge that I have read this applicetion and state that the
in#ormation is correot d agree Co comply with all app•lioable State pf Mn.
? Statutes and Cinty ofi a n Ordinances. ', -
cwu?
ISSUED BY: IGNbT URE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
026102
07/25/95
SITEADDRESS: '.' .".: 10-32151-e4e-e2
LOT: 4 BI.OCK:
42$7 HAWKSBURY CIR
HAW7HORNE WOODS 2ND
PERMIT SUBTYPE:
SF DWG
2 APPLICANT:
HEBERT & HSSOCIATES
(612) 882-0595
TYPE OF WORK:
NEW
INSPECTION
FOQTINGS D. .
FOUNDATION
.,
FRHMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARK5: PRV
r-
?
5 & W PLBR -
7
? . /
,
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
BUILDING
s^P??R?? MIT APPLICATION (RESIDENTIAL)
?? ?t I 681 -4675
rz!L'? -c?J 1 RemodeUReeairReauiraments
C.? ?
State:
? 3 registered ske surveys ? 2 copies M plan
? 2 copiea of plens (inGude beam & wlndow sizes; poured fid. design; etc.) ? 2 site suneys (exterior addkions 8 dacks)
? 1 energy calculations ? 1 energy calculations Tor heated addkions
? 3 copies of tree praservation plan if lot platted after 7/7/93
required: _ Yes _ No
/
DATE: 7Ia S-11 ? CONSTRUCTION COST:
DESCRIPTION OF WORK: ??? ?r , ?r'"`'? `
STREET ADDRESS: d-V.1 _411112ZU?qlhl
LOT 4 BLOCK 2- SUBD./P.I.D. #:
,
,
, ?.
??
. ?,.
'Y
,"'V
<
PROPERTY Name: ri476 Z;?,L ?; g?ss°c Phone #: Z22-- 6?- jr?
OWNER ""' / """
Street Address-.;i `/-d/ 6?1
Ciry: ?.??e.-s ?; ?r? State: o?,
CONTRACTOR Company:
Street Address:
City: State: _
ARCHITECTI Company:
ENGINEER
Name:
Zip: 5 1-3 3 7
Phone #:
,
License #: S7oa
Zip:
Phone #-
Registration #•
Street Address,
City:
Sewer 8 water licensed plumber:
chan e are requested once permit is issued.
Zip:
Penalty applies when address change and lot
9
d ree to comply with all
I hereby acknowledge that I have read this application and state that the information Vc?
applicable State of Minnesota Statutes and Cily of Eagan Ordinances. Signat
ure of Applicant:
OFFICE USE ONLY
Certfiptes of Survey Received
Tree Preservadon Plan Received
V Yes No
_ Yes ZNo
???ENED
,
i•4r?fc D 1 1595
---------------
OFFICE USE ONLY
BUILDING PERMIT TYPE
...-, , • . >
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
ep? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
GR(31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. ?? MC/WS System
(Allowable) -N I Main level sq. ft. +a-r,tr City Water ?
UBC Occupancy sq. g. =4-j;,ff- Fire Sprinklered
Zoning 2- / sq. ft. PRV
# of Stories s ? arM. sq. ft. Booster Pump
Length (03 ? sq. ft. Census Code.
Depth S3 ? Footprint sq. ft. 21 ?-'X7? SAC Code a/
? ?/ s,,,, r,y Census Bldg /
APPROVALS : 110
`?*?? Census Unit
Planning Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
Valuation:
/sr?
$
7L d
i?fY? ? 73?
lyx 3? = 9?`/
ZF aY. s? < <lS
l,z?S xrY = ?, C?'6
L
2 N?
azx yb = l,02
3& = afff-
z F z y 3s = `/9
ay?
(13
? - --?",
l)r-
/s'fo,?,
___-C?-? `'-=-
Lm z 3 L ' (o Yo
2 x i° ` yD
.33r z? = 7
?fClc
1Zoo ?"
n,oy°
f 1111t
L h" ,/ BL o2 CITY USE ONLY RECEIPT #:11'71. 9
/') i? ?
SUBD. airine.? Wa?b-0? G? n? DATE: 8 -1a/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
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet ` minimum - 1
Rough Openings
Water Softener
Private Disposal " Dakota Cty. license
U.G. Sprinkler * home under const.
Alterations * to existing
Water Turn Around
EACH
x
x
x
x
x
x
x
x
x
x
x
x
NO.
TOTAL
(e
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
t -
3
3
?
3-
3
3
u ?o
.50
c-?4q. U
SITE
OWNER
INSTALLER NAME: c-Q- f
STREET
CITY: -FG rvV-\"+26?L?l STATE: IM v\, ZIP: 5S0 "Z?
PHONE #: ( ) ?Ilu?-?I?_ . ?
t il I
L BL
SUBD.
OFFICE USE ONLY
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUindustrial buildings.
? multi-family buildings when separate permits are = required for each dwelling
unit.
DATE: _ CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALIING 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°k of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of Dt p2 fee due on att permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL .
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS: _
CITY:
PHONE #: SIGNATURE:
OFFICE USE ONLY
RECEIPT #:
DATE:
STE. #
STATE: ZIP:
APPLICANT
I METER SIZE: DATE: INSPECTOR:
I 'c
L BL CITY USE ONLY
? o2
SUB
RECEIPT #: 47/39
DATE: 8 4c?os
1995 MECHANICAL 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
New construction Add-on furnace
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: 2'L
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU G?-o?3 Q3C-I00r0Q 24:00
Additional 50 M BTU
? Gas Outlets (minimum of 1 required cQ $3.00 each) 3 1300
? State Surcharge .50
TOTAL 32•5O
SITE
b
OWNER NAME: fteL?e4 br (R ?So? ta.?es PHONE #:
INSTALLER NAME: `?rvv1%nQ4k6-
STREET ADDRESS:
CITY: STATE: ?1/1 ti ZIP: ?50Ly'
PHONE #: ( ) yIQ3- -]KZ? ?
Gt„ 1 Q, , oL „
SIv
. lk
arv use oNLr
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 commercialfindustrial buildings.
? multi-family buildings when separate permits are n-Qi required
for each dwelling unit.
DATE:
WORK TYPE
CONTRACT PRICE:
_ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 minlmum fee Qr 1% of contract price, whichever is greater.
P 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: (innPROVenneNrs oNLY)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
TELEPHONE #:
STATE: ZIP:,
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
LOT: A- BLOCK: ? SUBD./P.I.D#: R GW7h0Yne ?Vo O?C ?11Q? BUILDING PERMIT APPLICATION (RESIDENTIAL)
? yy0? 9 ? 0 0 I t N
3830 PILOT KNOB RD 55122
651-681-4675 Ca11_l?f .l ? % I'2?,DU
C
L 3 registered sife surveys showing sq. ff. of lot, sq. R. of house
ond all roofed areas (20% maximum lot coveraqe allowed)
? 2 copies of plans (show beam 8 window sizes; poured fnd. destgn; etc.)
? 1 set of energy caiculWfons
? 3 copfes of hee preservation plan If lot plaHed afler 7/1/93
? Rim Joist Detail Optlons selection sheet (buildinqs wRh 3 or less units)
Remodel/Repair Requirements ?
2 copies of plan
1 set of energy calculations for heated additions
1 sHe survey for exterfor additions 3 decks
DATE: ?q? CON TRUCTION COST:
y, wp I C
DESCRIPTION OF WORK: /JCCS-eVYlevL? 1?Y''QIfmuHi-familybidg.,howmanyunits?
STREETADDRESS: 72?? `???fCshu?2? l?lVCI'?
Name: WO/& / / +'Y1 Phone #: 675I - ?U S' l S? /
PROPERTY Last Ftrst
OWNER ? Street Address: ?7 -fCGU/CSh (iC04 C l {''? ?e
city Gt pi state: A4 ?V zip: S S?a 3
Company: ? P 1 ?f Phone #:
(area code)
CONTRACTOR
Street Address: License # ExP•
City State: Zip:
ARCNRECT/
ENGINEER
Name:
Telephone #: ( )
Street
CHy
Registratlon 3:
Ztp:
Sewedwaterlicensedplumber(ifinstallina sewer/water): Phone#: (_I
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
2
Signature af Applicant: tIT,
?f LI??LI
OFFICE USE ONIY I? JAN 2 ZQQj ?
Certificates of Survey Received _ Yes _ No
Tree Preservation Pian Received _ Yes - No _ Not Required
OFFICE USE OPILY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
4 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
VALUATION
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
'r`p?.s?7.?7
a??-
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
INSPECTIONS REQUIRED
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
45 Fire Repair
46 WindowslDoors
_ Foofings: New Bldg ?C Insulation Windows - new/replacement
_ Footings: Deck FinaUC.O. Siding
_ Footings: Addition ? FinaUNo C.O. Stucco/Stone
Foundation Fireplace: ?S r.i. X air test 9 final Roof: ice & water fmal
??, Framing Pool: _ ftgs _ air/gas tests _ fmal
APPROVALS
Planning Building ?- Engineering Variance
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Dther
Total:
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex A 19 LowerLevel
? 12 12-plex Pibgt Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 42 Demolish (Foundation) ?
? 36 Move Bldg. ? 43 Reroof ?
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior)
' Demolition (Entire Bldg only) permit - Give PCA handout to applicant
PERMITt! qIG?qt)
RECEIPT DATE: d ?e-o J
USIDEPTIAL PLUM$IRH i'F"1T "PLICATION
crrYoF ?sArt
383o PaoT xxos gn
KAH}1F, MA 55188
851-691-4675
_?_(/, ?__o
? I. au -e. I'P,
q ?1,?0
Piease complete for:
SITE ADDRESS:
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigatfon system
OWNER NAME: : UV O l10(f,
S? l
INSTALLER NAME:
STREET ADDRESS:
CITY:
Place a check mark next to the oermit work tvoe
TELEPHONE#: 6?s(
(AREA CODE)
TELEPHONE #:
(AREA CODE)
STATE:
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existinq dweNing unit, including: $ 50.00
• abandonment of septic system
• new instal lation/repair/rebu ild of RPZ
• lawn irrigation system
• water turnaround
t
130 Se rYt I/1
N
f
?
k
.
a
ure o
wor
:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
L Total $
Reminder: 8e sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this applicafion, state thatthe informaHon is correct, antl agree to wmpfy with alt appficable Ciiy of Eagan ordinances. 1t
is the applicanPS responsibility to notify the property owner that Ihe City of Ea9an as no liability for any damages wused by the City during its normal
operetional and maintenance activities to fhe facilities consWCted under Nis per t withi Ci pr perty/rigM-of-wayleasement.
A RE OF PERMITTEE
Updated 1101
$( 05 -?5-
Use BLUE or BLACK Ink
For Office Use4,111P I Li Lf
tyof Eaali Permit#:iPermit Fee: ) D5-7
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildinoinspections@citvofeagan.com Staff:
J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 08/07/17 Site Address: 4287 Hawksbury Circle Eagan MN Unit#:
Kari Wolfe 612-720-5888
Name: Phone:
" 4287 Hawksbury Circle Eagan MN 55123
Address/City!Zip:
Applicant is: Owner X Contractor
Descri tion of work: Remove existing shingles and replace with new shingles.
Type of Work a p
Construction Cost: 12,600 Multi-Family Building: (Yes !No X )
Company: Tacheny Exteriors Contact: Nichole
Contractor
Address: 49 S. Owasso Blvd W. City: Little Canada
651-484-1466 Email: nyky@mytacheny.com
State: MN Zip: 55117 Phone:
License#: BC642547 Lead Certificate#: NAT-116584-1
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE P4 t s u po ing doc r mid red tart i�l o i grit
inform ion to m- ►t 01p!� c c x
{
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.citvofeaftan.com/subscribe.
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.
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.gooherstateonecaliorq
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.
xNichole Tacheny x
Applicant's Printed Name Applica ITT7Ir ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147476
Date Issued:01/10/2018
Permit Category:ePermit
Site Address: 4287 Hawksbury Cir
Lot:4 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tim M Wolfe
4287 Hawksbury Cir
Eagan MN 55123
(612) 720-5888 X88
Tacheny Exteriors
49 S Owasso Blvd W
Little Canada MN 55117
(651) 481-1466
Applicant/Permitee: Signature Issued By: Signature