4288 Hawksbury CirCiTY nF EAGAN' ?.
PERMIT SUBTYPE:
, 1?,
..,-K-?---T
PERMIT TYPE: f r' 1 ?a'+
Permit Number:. 1 40
bate Issued: 01 1 4 •`0
APPLICANT: , . ?. .?
, , ? . i . , 1 PI?Y ?t • • ?='?
Sc?? .
TYP;?"Eo?OF ?OVO?K. i0 hUB' t
?.
INSPECTION D. . D•
• i,f?! 1 fl? 1 li??f { Ii??
! I'?' III i-. I i??t•! { 1. ; 7 7 iii i
I Itlli?J1 ! 6 {1 t I,
? t I.Ir•,! ?f I;?, i f'N(11
k1 MAitK?'.i: i54J Ci1WTRNf'1(1N - :'.'1Ak P I Fil.?,?' NRV
? ,
L
3830 Pilot Knob Road ?
Eagan, Minnesota 55122-1697
(612) 681-4675
?i-TE ADDRESS:
4i.',? I 1 IIt?1C1'll lJ????l+'. d ?
Permk No. Psrmit Holder Date Telephone #I
ELECTRIC mb
.
PLUMBING
HVAC
Inspectlon Dat In p. Commenta
FOOI'INGS ' 53 !QS ?K3 ,
FOUND
FRAMING
p
?t
ROOFING
ROUGH
PLUMBING ?T
\7 ?
PLBG
AIR TEST ?? II
ROUGH
HEATING
GAS SVC
TEST ?
?
INSUL y Q?
!
GYP BOARD
FIREPLACE /
-
FIREPLACE
AIR TEST
FINAL PLBG
y
FlNAL HTG lr ??
ORSAT
TEST ,
BLDG FINAL
BSMT R.I.
BSMT FlNAL
DECK FTG
DECK FINAL
LtlI?
?'. NSPECT
CITY OF EAGAN 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
!. r j a i I 1 fl l,l p. ?? H 1 I f? Y ?,' f ft
nnbafHnkAiC Wt10[)?: 'MD
PERMIT SUBTYPE:
I I , ;)Y1 j 1ldfir'i
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
. t t i I ? r?
t.4
TYPE OF WORK:
I N A I
?
?
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inapectlon Date Inep. Comments
FOOTINGS
FOUND
FRAMINC3
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TES7
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
!
t '?' ? ? ?
' $?..N '.? ?M'
_ ? _.._ .
?_. •. '??' ? ??????
.r, f , a )
(ftrtificate of ccc"anc?
Wi#4 a f ?asan
??rartmeut of iS*"ixg 3860cctlon
?
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the tirae of issuance this structure was in compliance with the various
ordiriances of the City reguluting buildirtg construction or use. For the following:
ux cj..s,..;. SF DW slag. rcrn;t xo.?6 S40
0-4-ncy T?jx R3191 z.og ik5u;a Rl rype coro. Vn
Pmorewimg VFl+]IURA HM INC Addr. P. 0. BQK 25006, WOODM
s?ldiitg Aaamn 4288 H94CS'M CIRf,LE L,,;?y L9, B2, HAWIIME WO(DS 2NO
oate:
Bi? Offidd
POST IN A GOJISSPICUOlJS PLACE
1'
0
160 10
-V 5 5 /7/
67sy°
?
R
est ale
e ' 1 /'? /..i
? ?'?? Fre No ?iQhln!ns(sction Reqmretl
(VOU mspector when reatly)
call
es ? No Ins ection O[M1er T an Raughln
? R
eady Now ill NolifyInspeclor
Oate Reatly
I icensed contractor ?owner hereby request inspection of above electrical work at:
Job Atldress (SVaep Bov Ro te No )
/ ,
? ?
SecM1On o ownship Name or No Range No Goun
6
pant(PR T) Phone No
e ie AOtlr
ncal Contraclor (CqMpwV Name)
(::?
. `T J• o ? Ys Licen e N.
i
d s Vacbr rOwn M ki -i n
Yrl
e nlraclor ner Ma g InsNdl non) um r
MINNESOTA STATE 90ARD LECTFICRY THIS INSPECTION REOUEST WILL NOT
Gtlggs-Midwey BICg. - Roo 128
1821 University pve., St. Paul, MN 55100
Phonef6121602-OH00 gE AGCEPTED 8Y THE STATE BOARD
UNLE55 PROPER INSPECTION FEE IS
FunrnSFn
REQUEST FOR ELECTRICAL INSPECTION ee-aoooi-os
? See insimdions for campleting this Porm on back ol yellow copy ,?71g('?
9?,5 'X" Be/ow Work Covered by This Request
Ney, Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplax Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other Specify)
Farm Av Condihoner
Other (specdy) CoNractors ilemaBs
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps Q? i 0 io 100 Amps
Transformers Above 200 Amps 100 -Amps
SIgnS Inspecror's use Onry . ` 7OTAL ?
Irrigation Booms ?
UJ s.
Speaal Inspection ,
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO THS.
I, the Electncal Inspector, hereby Rougnin oete , f
certify that the above inspection has
been made.
? oahe
OFFlCE USE ONLY
This requestvoitl 18 monlhsirom
Address SF nw 4288 xewxsBURY c1R= Zip 5512 3
Lbt • 9 Blk 2 Sub HAwttUIM wooDS 2rm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: / Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanen[ driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the rcmoval of roof test caps from the plumbing system and Ihe shuboff of wa[er supply to
the outside lawn fauce[ before freeze potential exists.
ContaM engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy (9
2004 RESIDENTTAL BUII.DING PERNIIT APPLICATION C/
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consfmclion Reauirements RemodeUReoair Reauiremenfs
3 registerad site surveys showing sq. it of lot sq. it of house; and all roofed areas 2 copies of plan
(20% meximum bt wverage allowed) 1 set of Enefgy Calcvlatiom fw heated additbns 2 copies of plen shmvmg 6eam & window sizes; poured fourid design, etc. 1 site survey for add?tions &
decla
lsetofEneigyCakulaGons Addltion-indiceteifon•sftesepticsystem
3 copies of Tree Preserva6on Plan N bt platted after711193
Rim Joisl Defail Op6ons selection sheet (bldgs wilh 3 or less units
Date y l0a L! nv Construction Cost '' I Sy nC, C7
Site Address 0 1q:2 9 4aWK Sbnv _j r UnIdSte #
Descripl3on of Work Lgi,.nJr)/ r r? o m F.i `?.1'0r^
Multi-Family Bldg _ Y _XN Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner P ,qr „ 541!pprq Telephone#(6 S/) 65?( -99qL_
Coutractor .t,im4 ?m9 '?S L 'C # 20 33 /hc?v
Address ) qij 9'5-[? Cit3' -5A?
State +')')» Zip SS 3"?Z Telephone #(?f/ a) 9 I 9' 3 Sa-?.2
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A MEYY BUILDING
- Iviinnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy CAde Category . Resfdentlal VenGlation Category 1 Worksheet • New Energy Code WorksAeet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? Y
fee applies. ?
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
#(
N If so, 25% plan review
C?
I hereby apply for a Residential Building Permit and acknowledge that the informatiZWcomplete and accurate;
that the work will be in conformance with the ord'uiances and codes of the City of Eagan and the State of MN
Statutes; I understand tlus is not a permit, but only an application for a permit, and work is not to start without a
pemut; that the work will be in accordance with the approved plan in the cas of work which requires a review and
approval of plans.
`1% ?cj n ?i ? S ?mrf ? ?t --
Applicant's Prited Name A plicant's Signature
OFFICE USE ONLY
Sub Types
REQUIRED INSPECTIONS
FinaUC.O.
? FinaVNo C.O.
Plumbing
? HVAC
Other
_ Pool Ftgs _ AidGas Tests
_ Siding _ Stucco _ Stane _ Brick
_ Windows
_ Retaining Wall
? 01 Foonda5on ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AR - Multi
03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 78 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-pleX ? 12 12-plex Plbg_Yor _N ? 25 MiScellane0U5
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
A 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof O 46 WindowslDoors
? 34 ReplaCement 'Demalition (Entlre Bldg) - Give PCA handout to applicant
Valuation 0Ov O &3 MCES S
t
ccupancy ys
em
Census Code L? 17? Li Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const _VA) Width
_ Footings (new bldg)
Footings (deck)
? Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
# Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
Approved By: E7--, , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
r
I
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KtlZ0:60 56-5Z-LO
Jr. 41 x*
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4t
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2422 EnterDtw a/fvs
Mendaco Neighta, MN 55120
(612) eat-1914 FAx:sM-e4as
R?- ?? Mmw5 825 HighwaY 10 N.E
BiaMe. ANr 55434
(812)183-1980 FAX:783-1883
Certificate of Survey for: VENTUf2A HOMES, INC. _
yZ8$ FkPL,ag>BURj C-IRCt,E
kAuA1v
REVIEHIED
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NOIE PROP6SED ORAOES 91otN1 P!n tAM0lwct vUU sr: L6a
NOiFs dIL01N0 Mff11SIMS 7fW1N1 PAE FOR MiOWZpITAL AND YCRIICAL LOCAT011
OF S'ix?1cTUI?S QiLT. 8EE /d2CM7ECNK PLAMS fOR BIIMNG AIA
FWNDAItW O1E]19p?,
NOIE NO 5KPFlC SOlS MVES716A71pi MAS 8SP1 COAIPLEIED p7 AY6 LOT BY 'aK
surtYevqe me svKrneiun aF sors m aweom ne srearx Mauae
PROPOBEO IB NOT 'Wf pLSPWSIBLRY OF 7HE SLRKYOR
NOIE 7HIS CERIIRGT[ ppEg NOT PIKWOR7 TO yXpW EA9EYEN18 p7MEk py,N
mosE a+orn w'mc nECOnoco rur.
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PROPQCf'f) HOLSE _ NAT1aN
LoWsr FLooe eLevanoN: .92Y. 49_
TOP aF eLocic ELEvnnoN: 207. z
cnRacE sae ELEvanON: . r
M 000.00 DBIO7F9 EX1411NC ElEVA710N
( 000.O0 ) DFNOiEB FPAP'WgD k1EVATIfMf
COMPLIANCE STAT'EMENT: The proposed building desiBn described here is consistent with the building plans, specifications,
and other calcularions submitted with the pemiit applicarion. The proposed building has been designed to meet the 2000 Minnesota
Energy Code requirements in REScheckVersion 3.5 Release le (formerly MECchec)o and to comply with the mandatory
requirements listed in the?tES ch? Inspyetion Checklist.
`dy
Builder/Designer s Date -?/
6 509O
SIDENTIAL MECHANICAL PERMIT APPLICATION
F"? 2 3 2pp4 City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
--_-
Please complete foc single family dwellings & townhomes/condos when permrts aze reqmred for each unrt
?, ?v•??
Dateo
/ I ?s /
J
__
Site Address Unit #
Property Owner,? Telephone # (w
?
Contractor •
Street Address Y l. City
State Zip S?S 31;_1- Telephone #
Bond !?• `' ? ^ ? ? L{ 93 Eapires: 1 ? ?q b
The Appticant is _ Owner Conuactor _ Other
Add-on or alteration to esisting dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
? airconditioner _New _
Replacement
other tY-) h 62- tip
_
.J
State Sursharge g 50
Tota3 $
_?3(D C_
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conforniance with the ordinances and codes of the Ciry 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 per? that the work will be in accordance with the
approved plan in the case of work wtnch requires a ceview and approval of plans.
ApplicanYs Printed Name lApplicanYs Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pi?ot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when sepazate permits are not requved for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Nsme
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Espires:
The Applicant is Owner Contractor Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove '*see below
_ Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When installing/removing underground tank, caq for inspection by Fire Marshal and Plumbing Inspector
P¢1'Ctli[ F¢CS: $70.50 Underground tank installation/removal
$50.50 MiMmum (indudes Stare Sureharge)
or
ConhactValue $ x 1% PermitFee
• If pernut fee is $1,000 or less, add $.50 ? $ State Surcharge
If pernvt fee is over $1,000, add $.50 for '
every $1,000 nermit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accwate; 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
no[ a permit, 6ut oaly an applicahon for a pernvt, and work is not to start without a pemut; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applican4s Printed Name
ApplicanPs Signature
Approved By: , Inspector
?
n? auu 2 3 2404
RE5IDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
5o•s0
Date4f I 1,:K 1 0?
Site Street Address ?'f'?
?v ?•
Unit #
Property Owner Ciy? t r'"'j:),? +'i?*elephone #
Contractor
Address yYl U
Wel I City Ty-i (>-L Telephone # (qV) ??fD -]?>-771
ajc,4p State /r1l') ZipcY
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: D?-e- $ 50.00
Water Softener
_ replacement _ Water Heater
additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
(?.c Sar? Se_I'h Ce?-? ? ,?
ApplicanYs Printed Name ApplicanYs 5ignature ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE:
BusLoiNG
Permit Number: 026140
Date Issued: g g/ 0 3/ 9 5
SITE ADDRESS:
4288 HAWK58URY CTR
LOT: 9 BLOCKa 2
HAW7HORNE WOODS 2ND
P.I.N.: 10-32151-090-02
DESCRIPTION:
Building'Permit Type
8 1 uild3ng W6-rk Type
<06C Occupancy
? Ctfnstruction Ty`pe
Zqning -
Building Length
Bailding: Width
Square feet
._-... ?2i
SF pWG
NEW
R-3 U-1
VN
R-1
69
37
2,042
?.? ' _ _..F?• ?-• /•...... 77 ---
..???
REAAARKS:
S&W CQNTRAC70R - STAR PLBG. PRV
FEE SUMMARY:
Base Fee
Plan Review
5urcharge
SAC
SAC ?
5AC Units
Lic. Search Fee
Subtotal
PERMIT 0*0I
VALUATION
$1,202.25
$420.79
$81.50
$650.00
100
1
$5.00
$2,559.54
$163,000
MISC FEES $1,892.50
Total Fee $4,452.04
CONTRACTOR: -
VENTURA HOMES INC
2441 VENTURA DR
WOODSURY MN
(612) 730-4003
Applicant - S7. LIC
17304003 0006706
55125
OWNER:
VENTURA HOME5
P
WtlODBURY
(612)790-4003
INC
0 BOX 25006
MN 55125
I here,by acknowledga that I have read this application and state that the
information is correct and agree to comply with all applicable State ofi Mn.
5ta,tutes•and City ofi Eagan Ordinances. ?
?
-isst7?o ev1?G 11 ? R?
APPLICANT/PERMITEE SIGNATURE V
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:P'I•N.° 1e-3215
LOT: 9
4288 HAWKSBURY CIR
HAWTHORNE WQODS 2ND
PERMIT SUBTYPE:
SF OWG
-Gy"-w`
BLOCK: 2 APPLICANT:
VENTURfl HOMES INC
(612) 730-4003
TYPE OF WORK:
NEW
BUZLDING
026140
08/03/95
INSPECTION
FOqTINGS D. .
FOUNDATION
.A
FRAMING ROOFING
NSULATION FIREPLACE
OUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINpI
REMARKS: S&W CQNTRACTOR - STAR PLBG
?
PRV
-7
?
.
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
?
?
?
2 SUBD./P.I.D. #: Tg4?We- ai" O.5- zwo AOf>0)7?v
3 repbtered eite surveys
2 copies af plans (indude beam 8 window aa.es: poured fnd. design; etc.)
1 eirerpy cakulationa
3 copies M tree presenefion plan H lot plaped elter 7/1/93
required: _ Yea _ No
? 2 copies of plan
? 2 site surveys (exterla aAditions & dedcs)
? 7 energy calwlations lor heated additions
DATE: T - Zzl - GI'S
CONSTRUCTION COST: ? / L? oOO . 00
{
DESCRIPTION OF W?JRK: 6N446' ??"?"?1j?Z
STREETADDRESS:A4wn.'euRy ?
LOT BLOCK
W`?
S???F? ?X Phone #: 371' GpT4
PROPERTY Name: ???
OWNER '"`• , ••
Street Address? ? ?? "mi6tj
City: M/oGS State: /YA./ Zip: '?SVff
CONTRACTOR Company: k?_FN9'G{/QA AMES &V C Phone #: EPA "736'1100 3
Street Address: I"d /"O7< 26-d0(" License #: 6 70 6
City: Gt/0O01G1?y State: I?Al Zipyi?
ARCHITECTI Company: Phone #ENGINEER
Name: Registration #•
Street Address,
City: State: Zip:
Sewer & water licensed plumber. gim 11'aM13L0!4 Penalty applies when address change and bt
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correcc and agree to comply with all
applicable State of MinnesoTa Ststutes and City of Eagan Ordinances.
Signature of Applicant: //;X- L?a=l=
7 7
OFFICE USE ONLY ? RECE??ED
Certlficates of Survey Received _ Yes No J U L 2 4 1995
Tree Preservation Plan Received - Yes ? No ---"""""'"
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
,-v? 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
o 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 _•plex o 15 Deck
WORK TYPE
60,-'31 New .? 33 Alterations ? 0 36 Move
0 32 Addi6on ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning , .
# of Stories
Length
Depth
APPROVALS
Pianning
Basement sq. ft.
Main level sq. ft.
-3 -i L sq. ft.
12- i sq. ft.
sq. ft.
&9.6 7 sq. ft.
37 _ Footprint sq. ft.
Building
Variance
rs
o/
o/
/
?-
Perrnit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Aca. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Yotal:
% SAC
SAC Units
valuation: $ l6 3, oo ° =
1-
??,.sx yO
l, 333
/. 33 S
Z, oY2
?' ??°' ? Q 3 (o
Engineering
- /G
= S8T
= 7 yo
7Z130 6
?-
z?? - )6
To k ?/o ' I? Zoo
D?SX 57
MCM/S System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
1?s, T-
?
/''
<
Zxf_ _ /o
/ 333x ?S -
?/9 Fps
YX 16'GJ
Zp,Sx7-f67 ? ?pd$
,33x7 ? Z
I? /? 6?
' LOT SURVEY CHECKLIST FOR RESIDENTIAt. -•
W
? o BUILDING PERMIT APPLICATION
W M W PROPERTY LEGAL: co'-??
4 a m DATE OF SURVEY: ?/l 7r/ QT
W
6 `
6J H
H
{A LATEST REVISION: 77 7?/?-E?
?= O >
90CUMENTSTANDARDS
• Registered Land Surveyor signature and company
?o o • 8uiidingPermitApplicant
a • Legaldescriptlon
O 0 • Address
M"0 o • North arrow and scale
m`?O E3 • House type (rembler, walkout, splft w/o, split entry, lookout, etc.)
Or'13
2"? o • Direclional drainage anaws with slope/gradient %
13
ff`? El ?
13 • Proposed/ebsting sewer and water services & invert elevaHon
121"? o
? • . Street name
.
• Driveway
ELEVATIONS
En'sdna
?o ? • sewer service
?0 E3
0
? • Property comers
0
3
?0 • Top of curb at the ddveway
[ • Elevatlons of any epsting adjacent homes
Pro os
?
• Garage floor
? o C3 • First floor
j ? ? • Lowest exposed elevabon (walkout/window)
? ? O • Property comers
0, o o • Front and rear of home at the foundabon
PONDING AREA fif aoolicablel
0 m ? • Easement tine
? Ci-*? ? . NWL
o d ? . HwL
13 L9" ?
? • Pond # designatlon
?
E3 • Emergency Overflow Elevation
DIMENSIONS
cr?j
? ?
Cd? ? nd sVeet width (to back of cur6) •
?
?
?
P?
? ?
? ? ?
O ?O
• Lot IinesBearings & dimensions
• Right-of-way a
• Proposed hom
e dimenslons inciuding any proposed decks, overhangs greater than 7,
porches, etc. (i.e. all structures requiring permanent footings)
• Show all easements of record and any City utilities wRhin those easemenb
• Setbacks of proposed structure and sideyard setback of adjacent exdsting sUuctures
• Retaining wali
Reviewed:
,gr-
July 7995
6
C. B. 24 *
LOC. t ON 4A.
(FACE OF CURB)
.?
5
.)
1
I
4
3
?
. ?
THE CSTY aF EAC-AN 002a NOiCIJAAAP9 i cE ?
iPiE ACGURAC'?Y OF UTILI`iY LC3C`{Ti06NS
PLEVI',TIORiS. THi;' DATA 13 F.?
fi•::=`:-?iF?TiOr? PURPOSES O;:L't {ivD
U:lfVG IT SHOULn 'uc?:'.?' 'Nc
iON 0N TWE SITE.
902.5 OVERFLOW
EL. pT BLDG. S.B.L.
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8 ?
± 25 S.Y. SOD ?
AROUND C.B.
` C. B. 23 ? co
iOC.ON CDS 45'R. DO'
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r4- o,
? ST,
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g C. 8.gT
12 L.F.-15"RCP j RIV-RAP ?
' CL 5- 4.0 % f iNV./=eg3$ ?.
885.09 ?
15"F E. S.
WITH
? TRASH GUARD
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830t vascy Gcek Road •V.bocbcxy. ti•lr? S5125 • 612-731-5770 ,
FURRACE SIZE CALCULATIOtt i-'O: ;S'i.Ci' (03/13/47)
SiTE ADDRESS
HE4TItIG COtrTRACTO:i ,? ? ????'?? ? J?'"`? PH01t£
GEt•lE4AL CO1lfP,AC;OR OR 0::;ltP. //,!F6- ?VOI:E
CALCULATZOiLS PRc?ARED BY ?G `G ??? ?HO1.TE
Tne basic information belo:r, r,.ust be ascertained fron the pia^z for the strvcture to be
built.
1. f eE of eiposed frall area above gradc ad3? x"U"
• 6 x 90 degrees.
2.. Sq. feet of exposed window area-5? x"U"
90 degrees.
3• sq. feet of ex,-o-sed door xrea 4'-3 x"U" `S
90 degrees. -
4. Sq. feet of ceiling area /3U'7- x"U" C Z L x 90.
5. Sq, feet of h2sement floor area ?1?y8 Y? 2 BTU/sq. ft.
b. Sq. feet of basement wall area beloar grzde /,V8 x
3 B?U/sq. ft.
X
7. Lir.. ft. oS infi2tration for z•rindows x(.5)
x (1.085) x 90 degrees.
8. Lin. ft. of infiltration for doors 4 G x(1.25)
. x (1.085) x 90 degrees.
9. Lin. ft, of infiltration for'sl?dinm glass doors ?v X
(.75) x (1.085) ;c 90 degrees.
70. Allowance for Icitchea and bath fans:
0_ / ;citchen fans Q 600 BTU ea,
ff 3 bath fans B 200 ^oTU ea.
11. Allo.rance for fireplaces: II ? C? 1,300 9TU ea.
12. Total BTU loss for all above iterns
13. Add for combustion air (SBC 7722) (.001) x ne;, loss above,
x(12.5) x(.075) x 40 degrees.
14. Add line 12 and line 13.
15. VaxSnum increase allovable by S9C 6007 is line 14 x 1154,
d'2%S U
?/f7
?oU
•? o
,
Output size of furn2ce shall fall between line 14 and lir,e 15.
Applicant Signature
? .'.?
e
?;:c?r+"ki?N: ur',?;?.<„+'?h:4:X?Sc?F?XN;R<?ux; ?.?c?Fy6%,`•X?-?W 1<;a?;y..9dx; ?:m
1:.f7V Oi- ;_AGF'PJ
CA'.iH'.Ci:::l= t' ., l C"i2MiNAi_ N13; c`h
?? v??,? s?,
n? ic.. fl;1i.??.f- !.qj ? ? 'i..F11r..", ?L;?i'.c..i:..t
,FlY•
. `1
Tu -
?.,.,..?_._.. ?
?J.AMF:; 1?F?I?F"x' ,?,., rkP.
:32:LtJ 9001 429F; 4:'i.00
i?i.'j`i `;fiU'I. 4?-''S!, I-fAbalt'?LtUI;'1 0,50
i pt,-.!.I. F:'f?rr-"i pt AInUuY'fl; u 45.50
r=423i.
!.J9r6: TT_ie NANC',
; 'A PERMIT
' CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: s u z LoIN s
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 6 0 5
(612) 681-4675 Date Issued: 0 9/ 13 / 9 6
SITE ADDRESS:
4288 HAWKSBURY CIR
LOT: 9 BLOCK: 2
HAWTHORNE WOODS 2ND
P.I.N.: 10-32151-090-02
DESCRIPTION:
9ui1ding-.,Permit Type
Building -rWo.r,k Type
Csnsus C6•de ?,"'?,
R" x
DECK
NEW
434 ALT. RESIDENTIAL
"
„.
REMARKS:
FEE SUMMARY:
Bese Fee $45.00
Surcharge $.50
Total Fee $45.50
CONTRACTOR: OWNER: - Applicant -
STEFFEN 7ERRY
4288 HAWK56URY CIR
EAGAN MN 55123
(612)646-1717
L
I hel^°eby acknowiedge'that L'ha've'read tMis"application' and st3te that`the
information is carrect and agree to comply with all applicable State of Mn.
Statu.tes.andCity ofi= ag4n OrdirTances. r" APPL /PERMITEE IGNATl1RE -aS'UEu tlYI SI ?A URE
?-
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
9 96 BUILDING PERMiT APPLICATION (RESIDENTIAL) ?bwl
E81-4675 )4,
5 New Conslruclion Reauirements ftemodeUReoair Reavirements
? 3 regis[ered site surveys ? 2 copies of plan
? 2 copies of plans (inelude beam 8 window sizes; poured fnd. design; ele.) ? 2 site surveys (eMerior addRions & decks)
? 1 energy calculations ? 1 energy ealculations Tor heatad addillons
? 3 copies of tree preservation plan H lot platted efter 7/1/83
requlred: _ Yes _ No
DATE: 91A I°1 1 Y CONSTRUCTION COST:
DESCRIPTION OF WORK:
Z.9
STREET ADDRESS: '4
LOT BLOCK ? SUBD./P.I.D. #:
. G??i-'1 c,oG
H l??e-?t9v+
PROPER7tr Name: ?-sn "1 Phone #:
OWNER ' s* ??ner
Street Address,
City: Lazo?-' State: " r,) Zip: SN k ?
coN7Etnc7oR Company: Wo Na.- Phone #:
Street Address:
City:
ARCHITECTI Company:
ENGINEER
Name:
Phone #:
Registration
5treet Address,
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received _ Yes _ No
License #:
State: Zip:
State:
Zip:
Penalty applies when address change and lot
is correct and agree to compiy with all
RECENEDD
SEP 0 5 1996
---------------
OFFICE USE ONLY
BUILDING PERMIT TYPE
?? ;„ *? :;4?• ?
a}
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 4 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? 10 = plex 5 Deck
WORK TYPE
pr"31 New
i
?
33
Alterations
o
36
Move
o. 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System ?
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 143
Depth Footprint sq. ft. SAC Code o I
Census Bldg ?
Census Unit v
APPROVALS
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:
Valuation: $
% SAC
SAC Units
i
?
?j CITY USE ONLY
L 7 BL ? RECEIPT #: ??-
d
SUBD. DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dweliings
? 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:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ Zo.oo
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU ?nq? j??? ?L?? f? 6.00 ?.?
? ? T n 60
• Gas Outlets (minimum of 1 required @$3.00 each) ?? State Surcharge
.50
TOTAL
SITE
OWNER NAME: 1-26ALQ" HkrYLLS PHONE #: 17V - 4/6v,_Z_'
INSTALLER NAME: GENZ-RYAN PLUMBING & HEATING COMPANY INC.
STREETADDRESS: 14745 South Robert Trail
CITM: Rosemount STATE: MN ZIP: 55068
PHONE #: ( 612 ? 423-1144 2
???iTEE
cinr use oNLr
L BL
SUBD.
RECEIPT #:
DATE:
7995 MECHANICAL 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:
WORK TYPE:
CONTRACT PRICE:
_ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: , $25.00 minimum fee gl 1°h of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $7,000 of penmji fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONIY)
INSTALLER:
ADDRESS:.
CITY:
PHONE #:
TELEPHONE #:
STATE:
ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
L ? BL ? J RECEIPT #:
SUBD A.uY?M..? ?6 ? DATE: ?? 9`?
7995 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
FI^TL"RES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet * minimum -1
Rough Openings -31144 80-h ef l,5
Water Softener
Private Disposal ' Dakota Cty. license
U.G. Sprinkler' home under const.
Aiterations " to existing
Water Turn Around
EACii
x
x
x
x
x
x
x
x
x
x
x
x
N0.
TOYAL
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
?
/
?-
if
:::L
?
/a1 Q?
.3?
?
? D
lo.Gb
.50
5-1• 50
SITE
OWNER NAME: ye-?Liaz WMI-15
-
INSTALLER NAME: GENZ-RYAN PLUMBING & HEATING COMPANY
STREET ADDRESS: 14745 South Robert Trail
CITY: Rosemount STATE: M1V ZIP: SSnf;R
PHONE #: ( 612 ) 423-1144
PERNMTTEE
L BL
SUBD.
OFFICE USE ONLY
RECEIPT #:
) . 11 .
DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: .. all commerciaVindustrial buildings.
? multi-family buildings when separate permits are p42 required for each dwelling
unit.
QATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pgrmj= fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL . '
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
cirr:
PHONE #:
METER SIZE: " DATE:
STE. #
SIGNATURE:
OFFICE USE ONLY
STATE: ZIP:
APPLICANT
_ INSPECTOR:
2000 BUILDINA PERMIT APPLICATIAN (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 U'
851-681•4875
New consm,cM aeauuemants LR t?, 134 3 0,5
? S regisferetl tife wrveys showinp ao, ft. W bt, fq. N. W houee ? 2 copies ol plan
and pU rooled areas L24% rtwxdmum lot coveraae allowedf 1 set ol energy calculailons for heated addtloru
> 2 coples of plana (ahow beam 8 wfntbw slzea; paured tnd. dedgn; efcJ 1 slfe survey tor exteAOr adtllHOns a tlecke
n 1 set W eMryy calculoilons
> 3 coples W heo Pneaervatlon Plan B IW pta?tetl adter 7/1/93
DATE: u I I00 CONSTRUCTION COST:
DESCRIPfION OF WORK: C-? ?• s\ C?nZen*?-??T"
STREETADDRESS: ?? ?'t
LOT: 9 BLOCK: ;2 SUBDJP.I.D. #: 4qA0Y Y12J VV ood , 'a' yi -
PROPERTY
OWNER
COMRACTOR
ARCHITECT/
ENGINEER
Name: Phone C
Lqft FlrSt
SheetAddress: ?-A r&4-
Clly ina?- State: Zlp: SLS\?'J
Company: Phone#:
(area code)
Sheet Address: ucense # Exp•
citY
Company:_
Telephone #: (
Skeet Addfess:,
Cly
)
_ Stafe: Zip:
Name:
RegishaHon Ji: _
S1ate: Zip: -
Sewerlwater licensed plumber (ii Installina sewerhvaterl: Phone M C___J_
I hereby acknowledge ttwt 1 have read this appl4catbn, state thW 1he intortnation Is c aeR, and re o c ty
of Minnesota Stariates and Ciy of Eagan Ordinances.
Signalure of Applicanh
O¢FICE USE ON
/
Certiflcates of Survey Received _ Yes v No ' JU\I 26
Tree Preservation Plan Received _ Yes _ No ? Not Required
app6cable State
OFFICE USE ONLY
BUIIDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dweiling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-piex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-Plex
WORK TYPE
19 31 New
p /32
,1 Addition
33 Alteration
? 34 Repair
? 13 16-plex ? 27 Porch (3-sea.)
? 77 Garage ? 22 Porch/Addn. (4-sea.)
? 18 Deck ? 23 Poroh (screened)
0 19 Lower Level ? 24 Storm Damage
PIbg)&Yor_N ? 25 Mlscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bldg. O 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 WindowslDoors
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code fl.?
No. of Units Q
No. of Buildings T
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucc:o/Stone
APPROVALS
Planning _
Permit Fee '
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinkiered
Buiiding J,? Engineering Variance
Valuation: $ 7 ?
? 31 Ext Alt - Mufli
? 33 Ext. Att - SF
? 36 Mufti
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Mendata Heigh4e, MN 58720
(612) 881-1914 FAX:681-9488
JD 8.1RYLYORS ? GwL qlqN?s
rwMF.ns. uHDSCAre Attcmnns 625 HlghWay 10 N.E.
Blulne, MN 55434
(612) 783-1880 FAX:783-1883
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NOIE: THlS C£RTIFICAn DOES NOT PURPORT TO SHOW EASEMENT5 07HER 7HAN % 000.00 AENDTES EXI371NG EIEyp¶ON
'fH09E 9NOYM qV '1HE RECORDEO PLAT. ( OOO.CO J DENDiE5 PkaP65c71 ELEYATION
NaTE; CONTRACTOR MVSf VERIFY ORIVpWAr pESIGry. --, OENOIES ORAMAGE ANp UTLITY EASEMENT
OEMD7E5 pRqFrypGE FLOW OJRECTION
NOIE. BEAPoNG$ $nONM ARE BASE9 pry AN ASSUMEO 6ATUM - DENOTES MWUNENT
-u DETIOlES OFFSET NUB
WE HERE6Y CERTIFY 70 VENTURA HOMES, INC. THA7 THIS IS A 7RUE ANO CORRE'CT REPRESETlTAT10N OF A
SURVEY OP 7HE 80UNDARiES OF;
L01" 91 BLOCK 2, HAWTHQRNE WOODS 2ND ADDITiON
DAKOTA COUNIY, MWNES07A
IT DpE5 NDT PURPORT TO SHOW IMPftOVEMENTS OR ENCHROACHMEN7S, EXCEPT AS SHOWN, AS SURVEYEO BY ME OR
IJNDER MY pIRECT SUPERVISION THlS 17TH DAY OF JULY, 1995.
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NOTE: BUM1.DINC DIMENSIONS SFIOWN ARE FOR ypRIZONTAL AND y[pTICAL LOCAiIQN
OF STRUCTURES ONI.Y, $gE ARp{ryTE4NAl PLANS POR 6t11LpIN0 AND
fOUNaA710N ORAENSION9.
NOTE: NO SPEGIFIC SO4B INYESTIOATION HAS BEfN C6lADlETEO ON TH15 l0T flY THE
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TNOSE SNOWN ON THE FECOR6ED PIAT. ( 000,00 ) DENOTES PROPpgFp E6EVAOON
NDTE: CONTRACTOR MU87 YERIFV 15kt1£WAr pESicN. DEN07E$ ORAINACE iND UTIUh' HA6CtffNT
DENOTES DRAINAGE FLaw DiRfcRON
NOrE; BEARINOS SHOriN ARE BASEO ON u+ ASSLIAED PaTVU --?? pEHOTES MNdUNENT
-'-'?-? DFNOTES OFFSET NUB
WE HEREOY CERTIFY TO VENTURA HOMES, INC, THAT THIS IS A TRUE ANd CORRECT REPRESENTA710N OF A
SURVEY OF THE 60UNDARIES OF:
By,
,71 95227.00 BJM_ REVISED y ZO/95 MOVE dc REVISE NOUSE c'hn C. Larson, L. . Reo.-No. 19828
oQo A95u?Q??s ?A MAWTHORNE W04DS 2ND ADDfTION
IT OOES NOT PURPORT 70 SHOW IMPROVEMENTS OR ENCNROACHMEN73, RXCEPT AS shioY44, AS SURVEY6p BY ME oR
UNOER !AY pIRECT SUPERYISION THi5 17TF1 DAY OF JULY, 1995.
SIGNEQ? IOtdEER ENGIN"RJCs,
5CAl,E : 1 INCH = 36 FEE7
?rit?,c?u?u ?tieigi?ts, MN SS72U
, ?,? F„?,?es (812) @81-Y914 FAX:881-9488
Nosc?re .rtcw?ecro gZ5 Highwny 10 N.E,
8loine, MN 55434
(812) 783-1880 ?Ax:783-1883
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123609
Date Issued:06/12/2014
Permit Category:ePermit
Site Address: 4288 Hawksbury Cir
Lot:9 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
Lisa Nyberg
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 -
Terrence J Steffen
4288 Hawksbury Cir
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125042
Date Issued:07/16/2014
Permit Category:ePermit
Site Address: 4288 Hawksbury Cir
Lot:9 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Terrence J Steffen
4288 Hawksbury Cir
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125675
Date Issued:07/30/2014
Permit Category:ePermit
Site Address: 4288 Hawksbury Cir
Lot:9 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Terrence J Steffen
4288 Hawksbury Cir
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158935
Date Issued:11/08/2019
Permit Category:ePermit
Site Address: 4288 Hawksbury Cir
Lot:9 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-090
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 -
Terrence J Steffen
4288 Hawksbury Cir
Eagan MN 55123
(651) 274-6194
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature