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4295 Hawksbury Cir.? ? CiTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 INSPECTI SITE ADDRESS: ri„t:rr i j 1 111ftiiJE Wt??117' PERMIT SUBTYPE: RECORD PERMIT TYPE: Permit Number: Date Issued: !1!1 F 1 !1 ! lA!r _I01IW'•,0M FI??M1-.'; INt . l?"NAi U ( c-) ?.' i V,0 HN 14 TYPE OF WORK: ' N f LJ INSPECTION DA • DA ? i:+tht f Nr, p 1,??1 E fJl, i fJ ,lll ri I I??Iv i I ? ??' f iti1 I t II'Jtil I?t?r i il'dftit 1 01 . Nl1ftY i tk , :'M() I ilo,RKs: rIzv S ? ti r, t #:f t , Permit No. Permit Holder Date Telephone # S/VN PLUMBING HVAC ?$ Cf ?-??D ELECT / x I 7 ELECTRIC Inspectfon Date Insp. Commerits Footings t Foundation ? ,g'-W ? Framing ^Z? Roofing Rough Plbg. 7 ?5 Rough Htg. - .? 9'5/ l5ul. 7 7 7 Fireplace LIj Fnal Htg. y Q Orsat Test ? Final Plbg. ??z 9 Pibg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final ? q / Deck Ftg. Deck Final Well Pr. Disp. 0 / r. -. . ^% ?0".j- . - r W-ertificate nf Cccoanm WRq of Cfagan Toortucnt af lowoing anboection This Certifecate issued pursuant to the requrrernents of the Uniform Building Code certefying that at rhe time of issuance this stnicture was in comp[iance with the various ondinances of tfee City regutaling building cwistructiore or use. For the followiRg: U. C7assifiaOac SF DW Bldg. Ptrmit Na. 23876 ?Y ?'Pe ?/M I 7oninB Qsh-ict RI ZYpe Conxt. VN ovm" or s?ikhJCH+i90N HIES AmnJ463Q PAiK RIDC,E DR, F.AC',AN BU;wffi7 Aaerm 4296 HAWKSKM CEUE B2, EiAWRIOM W1IM 2BID oace: BniWing OfCtcial , PosT iN a causPIcuous PLAcE E437 7/,a ReQUest Oal'? fpe No Fouph-In In(uec0on Repwred (Yau mus cell inspedor wlien reatly) Yes ? N. Inspeclion Other Then Rough-ln 0 qeatly Now ?WAI No1Hy Inspector Oale Reatly IVt licensed contractor r] owner hereby request inspection of above elechical work at: Job Atl/tlre?s7s I?Str`eet Box ar RoNe No Z°?'7 ? ?A'L.?l?.J ?Fl C..TlL l?/4 CAy i?f/ O?/? Sec[ion No. TownsM1?p Name or No Range No Coun%?) //_? ?y Occu am iPRINT? ?fJ ? w i'b Phpre No Powe?Suppher/ ? r?-C G ?f? ?iG Atltlress G -'?i?6ii r 6 ? Elect onvactor iCompany Name) .e 51, 2, ar, z Gonvxtor5 License No Madi g AOCress ICOnirector or Owner MaAnq Insbllahon, ?A //' .?ic??r? /??-?. 1-?1????1? ?/.r?`?.C?' 4utnor a Sign ure IContr ttor• ner MaWng I stall ioni Phone Number 3 z MINNESOTA STATE BOARD OF ELECTqICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mitlwey Bltlg - qoom S-173 8E AGCEPTED BY THE STATE BOAFD 1821 University Ave. SL Paul. MN 55104 UNLE55 PROPEq INSPECTION FEE IS Pbane (612) 6024800 ENCLOSED 4/????_ M43787 REQUEST FOR ELECTRICAL INSPECTION tf? See insimctions lor completing this form on Deck ol yellow copy "X" Be/Ow Work Covered by This Request E8-00001-08 ew Add Rep TypeofBUilding AppliancesWued EquipmentWired Home Range Temporary ServiCe Duplex Water Heater ElectriC Healing Apt. Bmlding Dryer Load Mflnegement Comm /Industrial Fumace OthBr (Specity) Farm Air Conditioner Other [syenryl Comraotor§ Remarks' Compute lnspechon Fee Below. # Other Fee # ServicaEnirenceSize Fee X CuCUlts/Peeders Fee Swimmmg Pool 0 to 200 Amps 0 to 100 Amps Transformers A6ove20D-Amps Atiove100_Amps Signs . inspecmrs use onry G? 7pTAI??j rngahon Booms ? /! ? / pecial Inspection V 4 AIarm/Communication THIS INSTALLATION MAY BE ORbEREDDISCONNECTED IF NOT ther Fae O COMPLETED WITHIN 1 THS ? ? ? I, ihe Elechical Inspector, hereby t th h 6 Rouqn-io ? ate cer iry at t e a ove inspechon has been made. F,nei ? ? o -/•f? OFFICE USE ONLY Tnis repuest voie 18 monins fmm __i-_t_i . . . ... _ . . . . Address 4295 HAWKSBURY f.I&rj.F Zlp 5512 3 I.ot z Blk 2 Sub HAWIli0Rr1E [,ooDS 2rID THESE ITEMS WE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: Final grade (6" rom siding) Permanent steps (garage) Permanent steps (roain entry) Permanent driveway ? Petmanent gas ? Sod/Seeded grass TraiUcurb damage Porch Basement 5nish ? Deck Please verify with the builder the removal of toof tes[ caps from the plumbing system and the shuhoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ? White - Ciry Copy Yellow - Resident Copy Pink - Coniractor Copy RESIDENTIAL J S ??7 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Renulrementa • 3 registered site surveys showirg sq. ft. of lot, sq. fl. of house; and all roofed areas (20% max'unum lot coverage allowed) • 2 copies of plan showing beam & wiMow sizes; poured found design, elc.) • isetMEnergyCalculallons • 3 copies of T2e Preservation Plan if lot platted ailer 717/93 • Rim Joist DetaJ Options selection sheet (bldgs with 3 or less unBS) DATE SITE ADD TYPE OF ULTI-FAMILY BL4G _Y ? N ( ) _ 0 _ 1 _ 2 FIREPLACE S ? APPLICANTCatactrnnhP RpStnrafinn Ca,r,Uiroc Inr STREETADDRESS 'j4RQ Rira Ct Ci-li+p 7f1 CITY Rnco??..,;,I;P_STATE-WIPEF4113 TELEPHONE # 651-734-9433 CELL PHONE # FAX # 661 483 PROPERTYOWNER 'CC`f_g VZ(CC-- TELEPHONE# COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Coniractor: ___ Plumbing syslem includcs: Mechantcal Conhactor: Mechanical system includes: Sewer/Water Contraetor: Phone # Phone # Fee: $70.00 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 Ordin ces.i Signature of OFFICE USE ONLY _ Water Softcner _ Watcr Hcater No. of Baths ??? , c), s RemodellReoair Reaulrements . 2 copies of plan • 1 set of Energy Calculatbre for heated additbrts • 7sitesurveyforexlerioradditions&decks • Indicate'rfhomesenedbyseplicsystemforadditions VALUATION _ Phonc # Lawn Spruiklcr No. of R.I. Balhs _ Air Conditioning _ Hcat Rccovery Syslem MINNESO"PA RULES 7672 INFew neE rgyCodeWorksheelSubmitted • 7 I I jU , _ Pee: -$90.00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appllcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A"u/Gas Tests _ Final _ Framing _ Siding SNcco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector <CiTYkOF tAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 023876 ee/z4J9a 51TE ADDRESS: P.I.N.: 10-32151-020-62 DESCRIPTION: PERMIT 4295 HAWKSBURY CZR LOT: 2 BLOCK: 2 HAWTHORNE WtltlDS 2ND Building ?!ermit Type Building We.r.k Type UBC Oeeupartey `? } Construction Type Xoning jBuiiding Length ! Buildircg Width ? ? - 6,Iuilding stor-ies r" ,- ;_? , SF DWG NEW R-3 M-1 V--N R-1 70 36 2 ` a n t? ?.•??????lk?'L'L Li REMARKS: PRV S & W PLBR - FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $660.00 $559.00 $81.50 $800.00 100 1 $2,300.56 $163,000 MISCELLANEOUS 1 628.56 7ota1 Fee $4,129.90 CONTRACTOR: - ppplicant - sT. Lzc. OWNER: JOHNSON HOME5 INC, DONALD 14560834 0001603 DONALD L,70HNSON HOMES INC 4639 PARK'ftIDGE DR 4639 PARK RIOGE DR EAGAM M,N 55123 EAGAN MN 55123 (612) 456-0034 (612)956-9034 S hereby aoknowledge that Z have reed this information is carrect and agrae to comply Statutes „and, City ofi Eagan prdinaRCes. - ? crr RITEESIG6T-URE appl3,cation and state thra•t the with all applicable State af Mn. I .fiaron R 1nl I ISSU D :SI NATUR L 2.wil CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 tl? .Y.s'•?i? i. SINGLE & MULTI-FAMILY , 2 sets of plans, 3 registered sit s KVII-EE energy cal cs . 0a 1?94 COMMERCIAL 2 sets of architecturat & structu 1 plans, 1 set of specifications, 1 copy of eneryy "'°------- Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date &_ fr / A¢ / Valuat9on of work Site Address: ?Z 9S , N"LX,fu? STREET SUITE M Tenant Name: (commercial only) IAT a BIACK SUBD. y?G(I ? Kk ?lllZ? ? P.I.D. # ?id Descri tion of work: _4W- t-0 The applicant is: ? Owner U'GOntractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address SiREET STE # City State Zip Company & o-? 9?4? :2Jie? Phone 0034 Contractor Address 4( a39 i'sn ??a x2 License #//003 Exp. -3/31 I9 City State /Lkn_. Zip 01z-2 Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comp ly with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging Ct] 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck WORK TYPE 0 31 New 0 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION 't *#A p ft ?.c= i 'L r''?% ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. 0 19 Comm./Ind. Misc. ? 20 Public Facllity ? 21 Miscellaneous ? 37 Demolish Const. (Actual) !I/ Basement sq. ft. j Z'1 3 MWCC System (Allowable) i/? lst F1. sq. ft. >>3 City Water ? UBC Occupancy 2nd fl. sq. ft. ? PRV Required ? Zoning Sq. Ft. total Booster Pump # of Stories z Footprint Sq. ft. Fire Sprinkler Length . On-site wetl Census Cade ? Depth 32 On-site sewage SAC Code Census Bldg APPROVALS Census Unit ? Planning Building Assessments Engineering _ Variance REQUIRED INSPECTIONS ?.Site O Wallboard 0 Footing &3 Final ,E] Framing ? Draintile a Insulation ? Fireplace Permit Fee vetumc;a,: g )!03,0?? Surcharge Pl an Revi ew License MWCC SAC Ci ty SAC ? Water Conn. ---?- Water Meter !L-'=•'s; Acct. Deposit ? ?.;.s S/W Permit S/W Surcharge - Treatment P1. °? Road Unit Park Ded. Trai 1 s Ded. 7 ?"/o Copies ?- Other Total: ? SAC % SAC Units -? ??.?r- -?'•? ?SS,d4 ? •? ? w ¢ w° m 0 w ? w L7 J ¢ a < m W y K s2 ?0 ? • ?o o C3? ? . 0 . ?? a • ?? 0 • Dl? o o • L? ? ? • LOT SORVEY CHECRLIST FOR RESIDENTIAL SOILDING PERMIT PROPERTY LEGAL• Date of Su y: DOCUMENT 8TANDARDS -- Registered Land Surveyor signature and company Building Permit Applicant Legal desaription Address North arrow and bar scale House type (rambler, walkout, split w/o, split entry, lookout, etc.) Directional drainage arrows with slope/gradient t. Proposed/existing sewer and water services Street name Driveway Euistina 3,11 ? • Sewer service p'p ? : Lot corners D?? ? Top of curb at the driveway ? • Elevations of any existinq adjacent homes Pro osed O??C] ? : Garage floor o'?E] ? First floor ct 0? • Lowest exposed elevation (walkout/window) C?? ? • Property corners C?0 ? • Front and rear of home at the foundation PONDING AREAS (if aoDlicable) ? Q ? • Easement line 0 0 • rrwL D L? ? • HwL 0 Cr ? • Pond # designation ? B?? • Energency overflow Elevation DIMENSIONS ? ? ? • Lot lines ? 0 ? • Right-of-way and street width (to back of curb) H' 0 ? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all ? structures requiring permanent footings) { LI ? • Show ali easements of record and any City utilities within those easements B? ? ? • Setbacks of proposed structure and setback of adjacent ? existing homes ? 0/ • Retaining?hna7 requirements, if any Reviewed: October 1992 . 13 6"-I/16 BEND 6"-I/326END-f . ? ? 12 11 1 ? 10 9 I 2 .? aR'L i i8 F . ` _ SEE SHEET N0.9 ? ...:::::::::....:...:.::::: .:? 4 926 R E .... .... ... ... .. : ... . .. . ? .? ? . . ... . .. .... ..... . .... ? ? . .... ............. . ................. ? . .......... - ...:.:........ ...... ..... .... .... . . ...... ......... ......:.........:.: _ - .... ? ? ? . - ... ....................... . :?; . ...... ....... ... 1.:.:' i . :...... . . ... .?. ... . - . .... ... .. : . ............ .... : .... ..... . ......: .............................. . .. .. . . . .................................. ... ................. ................... .................. ........................ ... ... ............._............. ...... . .. .. ... .. ....... . . ... .. ........ . - . _ .<_.... ......:.. ._ r r..° ?? .. .: . . . ........._............_...... - ?,???,?,;.,U r . .. ......... - ? ;°i'?i?? _ f ::..:. ? .... .. . c? .._.:?v .... . ,. ....... _ .......... ,? _ _ . ....... ............ . .......... .lA.... .................... ...................._... ........_ ..... ........ . ..................................... .......... ............... .. ........ ........ ......... . ... . .... ... . . ... .. .............. . ....??,_.... .......... ... ......... ........ ......... ........... ........................ .. .............................?......... ....................................... ..................................... .................................... . ...................?........?... . h...., ...............;????r.z.!!..+. ... . .......... ....r-:.:..^._.:?a._?.:.::.: ? _ ..._??Yvr??lv? . ......_ .._ ................ ^...'.......:1d.!.E..'..:........ .? .r. . ... ..'_!.d°.:r_........ _:.. .:..'t ^ :::........'......`_?.,....... ? . ..'.., . . ............. . ......... ._._._.... .gj ..... ............ ..... ................. ....... ....... ................. . .......--.............----........ . .................... ................. .. ............._.... _.. ........ ... . . ...R.E. . . ... ...................... . .I9...6...................... ........................................ . ............... .................... ............._?irrynn:l. ? .^.+ .............:_. .. i i? ig ........_?i ...,;-;......C:.:*......... .v }:? 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DRIVE ? Q s ? 2 I</ ? f-8 PLUG 4w ..., h C? ? . Donald L. Johnson Homes, Inc. Energy Code Worksheet Name: Hawthorne Woods Model Address - 4295 Hawksbury Circle Contractor - Donald L. Johnson Homes, Inc. Lic #1603 4639 Park Ridge Drive Eagan, Minnesota 55123, Phone 456-0034 Building Classification. Type A(Single Family & Duplex) General Information: 1. Building Perimeter - See Worksheet 2. Wall Height - See Worksheet 3. Gross Wall Area 2382.84 4. Square Foot Roof Area 1274.00 5. Square Foot of Rim Joist 124.00 6. Doors - Area 34.20 U Factor 14 &.47 7. Total Door's Perimeter 8. Windows - See Worksheet Crestline Insulated Casements 9. Total Square Foot Glass 193.51 10 . Fireplace Area -0- Clearance 11 . Exposed Foundation .67* 161 83.08 12 . Framing Area = 10% Of Gross Wall Area U Factor 13 . Gross Wall Area 2382.84 Window Area 193.51 0.36 69.66 Rim Joist Area 124.00 0.04 5.08 Door Area 34.20 0.14 4.79 Other poor Area 0.00 0.47 0.00 Exposed Foundation 83.08 0.14 11.63 Framing Area 238.28 0.10 22.64 Net Wail Area 1709.77 0.04 73.52 187.32 14. Gross Wall Area 2382.84 0.11 262.11 15. Grass Ceiling Area 1274.00 Joist Area 127.40 Net Ceiling Area 1146.60 U Ceiling 1146.60 0.02 27.52 U Framing 127.40 0.02 2.93 30.45 16. Ceiling Area 1274.00 0.03 33.12 08-Jun-94 Page 1 Donaid L. Johnson Homes, Inc. Energy Code Worksheet ti Name: Hawthorne Woods Model Address - 4295 Hawksbury Circle Contractor - Donald L. Johnson Homes, Inc. Lic #1603 4639 Park Ridge Drive Eagan, Minnesota 55123, Phone 456-0034 Worksheet 26+50*8.33 633.08 26+50+14+38* 13.67 1749.76 2382.84 Roof 1274.00 Windows 2636 4*5.01 20.04 4 2040 2*2.18 4.36 2 2640 7*8.36 70.00 7 3040 1 *11.65 11.65 1 205010*3.37 33.70 10 1636 2*1.83 3.66 2 2036 0*2.18 0.00 2650 6*8.35 50.10 6 193.51 Doors atrium 34.20 1 6'0 Patio 3420 I hereb certify that I have completed the above information an t at it complies w"e Minnesota Starte Energy Code. F----,-?------- ----------------r--' M. Johnson Date 08-Jun-94 Page1 1994 PLUMBING PERMIT (RESIDENI7AL) C1TY OF Ee1GAN 3830 PILQT KNOB RD EAGAN MN 55122 (612) 681-4673 PLEASE COMPLETE FOR SINGLE FAMILY DWELLWGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNIT. NO. FIXT[TRES EACH .TUTAL ? SHOWER 3.00 ? • ? ? WATER CLOSET 3.40 C>0 ? BATH TUB 3.00 (? - a o C; LAVATORY 3.00 I E; - -o ct5_ ? KITCHEN SINK 3:00 3• c5. C?', I LALTNDRY TRAY 3.00 3• d?? HOT TUB/SPA 3.00 ? WATER HEATER 3.00 ? FLOOR DRAIN 3.00 3. 0o . ? GAS PIPING OUTLET •minimum - i 3.00 czw%Z>: ? ROUGH OPENINGS 1.50 r WATER SOFTENER 5.00 PRIVATE DISP. • oatay. tia 20.00 ? U.G. SPRINKLER • nme unaa cousL 3.00 3•?? ALTERATIONS • to oosune 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: (cl . 04_ 9? L}? STTEADDRESS: . 0W1`!L"1Z Nl11Y?r,' INSTALLER: ADDRESS: CITY: kola??,--a- STATE: {M? ZIP CODEr: PHONE #: ((??2) "'Z'3- 373u PLEASE COMPLETE FOR ALL CQIVIIvtERC1AL,/INDUSTE2IAL $UILDINGS: ,ALSQ FOR MCJLTI- FAMILY BUILDINGS WHEN SEPARATE PERMIT'S ARE NOT REQUIRED FOR EACH, DWELLING IIN1T. _ NEW CONSTRUCPION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FEE: 1% OF CONTRACT FCiE, STATE SURCHARG& $:50 FOR EACH $1,000 OE '? FEE. MIlVIMi7M FEE: $ 25.00 "'"" CONTRACT pRICE X 1% STATESURCHARGE TOTAL SITE ADDRESS: $ $ $ TENANT NAME: STE # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPIdCANT 1994 PLUMBING PERMI.T (GOMMERCIAL) C11'Y OF EAGAN 3830f PtLUT K1YOB RD EAGAIY MN 55122 (612) 6814675- PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. ? NEW CONSTRUCTION ? ADD-ON A/C ADD-ON FURNACE REPCE INSERT DATE , LA 4 FEES HVAC: 0-100 M BTU ADDITIONAL 50 M•BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CoNSTRUCriorr) STATE SURCHARGE TOTAL SITE U $ 24.00 ? 6.00 3,00? $ 20.00 .50 ? .? W 1at OWNER NAME:Nn V ) iY tk LEPHONE #: U161U -Q5""4 INSTALLER: ,- AG 11 ADDRESS: Ii ?I ('7+ • CITY?1 rt7??-e, STATE: ZIP CODE: TELEPHONE #: /7 "! `7? QZ)1Q r"" (VAie - SIGNATURE OF PERMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUII2ED FOR EACH DWELLING UNIT. DAT'E: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES l % OF GgFEE $_ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE , $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) lNSTALL,ER: ADDRESS: CITl': STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6514675 JLN S0 '99 11:06 T] 612 6E31 4612 r < "' a,-/ CERTIFICATE , QF SURVEY Legai DescriEion: ? scnlE : i• - su• Fli013? ca?in+iiEns ° a„d infio'?tunvevans MtNMlNG ' COMPANY, INC. ? 1000 EABT 1481h BTREET, BUfINSVILLE, MtNNE90TA 56337 FROM PROEE EhGINEfRING T-166 P.02 I 4Z95 'wWK6-S2'2Y C/?PCGE $4,y *y, No.27y E.vy sF pA,2TMOUTy '7bP = 9n7 4 i . ?. BENCN •YA,e4C: arzaiA146E Avn uricirv Fa-9ZO-MEiv7-. C»•e Q17?B? 1-`7 104r\ i ti ? N oe `O \ ? ?23l,oi (931? 0?) ? N 87" 149, 80 ?Wa,-qo9? L^ ' WI 1/ 1 ? \ n ? O I?j V (91?0 ) DENOTES E?t19tTINti ELEYA7IUN ( qn, b) DENOTES PROPOSEU ELEVATION -+---- INDICATE3 LIIREC'I"ION OF SURFACB DRAINAGE 917, 33 =,FINISHED GARA(3E FLODR ELEVATIdN = BASEMEN'i' FLUOR FLC_VAt'ION _lLjL, b6 = TpP OP rOUNU/Cf1UN CLEVAI'IUN AADPWSS ?,rZ/3•o`i ? v ? O O N W 0.o 0. 1 6 S7S°?, ? (.? . I ? w I 'O 1 ?t ?Q N 1 r" ? ? I N i i i C[pJRT -_-I I (9/7•? I ? M11 M o?e L.ov ? 20, T MIe h ?}! cwl ? N M? o n ? .?, R ? ? ? ? ? 30 F? Bv/LO?N6 ? SE7,044K tlvE i3??, , poG?o?b i lieraby eerl:iL'y 1:tial: lldn its ax L•xua aitiQ 'uorreat inpronetil•al•.Luli of titincl: oL lanel as qliuvni aiia Qc-nc;z-ibecl 1iereaii. Aa pec??nr.??l by nie l:lti.lr. $7N_, Q1y vI LlAtt' 1 1994 • ' REVwm 4-1o-941 c14o,N(eEO p90Pn5c)9 ? ?. P.?Av- PzniuaroE swACtF, - A=95% 612 432 3723 06-10-94 11:04AM Pd02 itd8 Clly of Etall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 '_ D '- 7 :1017 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: RESIDENT / OWNER Name: j,.v.., p.„4„_ Phone: Q• Address / City / Zip: �. / fj Applicant is: OwnerContractor TYPE OF WORK Description of work: Net,..) tj� °�`� 'ri'D 03,1‘ Construction Cost: �''� J Multi -Family Building: (Yes / No ) ) CONTRACTOR Company: D , - t Contact: Dq,✓t� l Address: . 71- ? 3) g -,tit- �':-� Weir ----City: lrtdh (.r I f s State: l' VV Zip: 5001 Phone: (9IZ - 72-2,'! Pitt t License #: 339'1 Lead Certificate #: NA1- — 1066119 — \ If the project is exempt from lead certification please explain why: (see Page 3 for additional 'nformation) LC0'I1- (e1 7 Lir) In the last 12 months, _Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Min ota State Building Code must be completed within 180 days of permit issuance. x W°tVIA)- la,\(\r Presxa„LOgr-ib.a.- Applicant's Signature 1 Applicant's Printed Name ) Page 1 of 3 DO NOT WRITE BELOW THIS LINE /Dc2 G 2 27 SUB TYPES % 114, c,s r7 C - Foundation Fireplace Porch (3 -Season) Storm Damage f Single Family Garage Porch (4 -Season) Exterior Alteration (Single Family) Multi i Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of _ Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace At Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Z,da Valuation -" Occupancy Plan Review Code Edition (25% 100%_ Zoning Census Code ti"ei Stories # of Units / Square Feet # of Buildings / Length Type of Construction SA Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Roof: Ice & Water Final Pool: _Footings Air/Gas Tests Final Framing Siding: Stucco Lath Stone Lath Brick Fireplace: Rough In Air Test Final Windows Insulation Retaining Wall: Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: 1 ate_ , Building Inspector RESIDENTIAL FEE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 73 7-J1- 17'7 - y7 Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA119789 Date Issued:12/18/2013 Permit Category:ePermit Site Address: 4295 Hawksbury Cir Lot:2 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-020 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, 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 - James R Koloc 4295 Hawksbury Cir Eagan MN 55123 (651) 688-8490 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA124956 Date Issued:07/15/2014 Permit Category:ePermit Site Address: 4295 Hawksbury Cir Lot:2 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-020 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 . Amy Jilk 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 - James R Koloc 4295 Hawksbury Cir Eagan MN 55123 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129520 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 4295 Hawksbury Cir Lot:2 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Applicant: Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - James R Koloc 4295 Hawksbury Cir Eagan MN 55123 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129520 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 4295 Hawksbury Cir Lot:2 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Applicant: Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - James R Koloc 4295 Hawksbury Cir Eagan MN 55123 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA163015 Date Issued:08/11/2020 Permit Category:ePermit Site Address: 4295 Hawksbury Cir Lot:2 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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: 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 - James R Koloc 4295 Hawksbury Cir Eagan MN 55123 (612) 419-8630 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163695 Date Issued:09/10/2020 Permit Category:ePermit Site Address: 4295 Hawksbury Cir Lot:2 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - James R Koloc 4295 Hawksbury Cir Eagan MN 55123 (651) 688-8490 Prior Lake Heating & A/c 16584 Pebble Brook Ct Prior Lake MN 55372 (952) 447-8110 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163831 Date Issued:09/14/2020 Permit Category:ePermit Site Address: 4295 Hawksbury Cir Lot:2 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-020 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 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - James R Koloc 4295 Hawksbury Cir Eagan MN 55123 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature