4296 Hawksbury Cir
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CFTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
.-?-,.-
CTI
ilCORD
PERMIT TYPE:
Permit Number:
Date Issued:
?tu, i It I au
? SITE ADDRESS: ? 1 .14 - - ...1. i bA F
L Ot i I7 l
'f ilAl.lk':,HifitY f, i t+'
•Wi 14«i4Mr L11)OQ.; .1wi)
PERMIT SUBTYPE:
F4tCp i CNri
FlI?r? : I 14?, r C1E7P
tE•!:.'? ?lal ??1
TYPE OF WORK:
ftAMllVii
fll+li I { t 401`1
1 i Py A 1
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
Y 7 A[i
06
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
?b
GAS SVC
TEST
INSUL ?
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTQ
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
6 !!/
DECK FTG
DECK FINAL
CITY 4F EAGAN
3830 Pilot Knob Road
, Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ' ? '? ' '' ? . ? •
I ! I{FtWt .F+(11zY t i k
? i1?111i 11?1i:hl1 1.44iUf) : i>N1)
` PERMIT SUBTYPE:
;CORDa
PERNIIT TYPE:
Permit Number:
Date Issued:
rf ?+ I + t? [ No
H:': 3bN
04 124 /9r
' APPLIGANT:
ki 1 r.» : r .
I 1611) 4.41--4i:i'1.
?
? TYPE OF WORK:
ii 11A.'rs1lOri
INSPECTION DA • D.
4: f?1i,:Si 1 1t F t;:>> ; d Ftc11
Permit No. Permit Holder Date Telephone #
ELECTRIC g IG V D ?
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMING t?
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
T.?
BSMT R.I.
BSMT FINAL
DECK FTO
DECK FINAI
INSPECTION RE?CORD
? • CITV OF EAGAN PERMIT TYPE.
? 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 I
SITE ADURESS: ! '' ? `? ? ? ? ? , • , ? ? i . a ? ?; r „ F : APPLiCANT:
;. 1lr3t? 1 IiU1:t1E: k?tr3ti(?S .'?+it? ??? I.. S 1;a t 4 t::c;?
PERMIT SUBTYPE:
TYPE OF WORK:
. .. . .•
; A l; t. , . F'f{`J
tY t.t t'S 1;4; 4!f l{'f 4t 0 l A Y1 C?c:h; t''t.Ril
77
i
I
-J?
Permlt No. Permit Holder Date Telephone N
ELECTRIC ?/C/
++yAls Plb ? 7519 5 e &a-$(e, V
Inspection Dete Inap. Comments
FOOTINGS
l
FOUND
J ?
FRAMING S. ? n
f
ROOFING
AOUGH
PLUMBING ?
PLBG'
AIR TEST
ROUGH
HEATING
GAS SVC
TEST r _ !
?
INSUL ?/0??• ? ?
GYP BOAflD
FI PLACE /O//?? ,.L // i ? ? ?•? /?5?? L C.
FIR LACE
AIH T
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTd ?
DECK FlNAL .
I T -i
wAei.?tificate of cccuvanc? ?
Witi) of W-agatt .
?INWI 0 t atl3,a? ?0ecrax
This Certifrcate issued pursuant to the requirements of the Unrform Building Code
cerlifying that at the time of issuance titis structune was in campliance with the various
orrlinances of t/u City regulating building construcrion or use. For the following:
use ausificuion: RR Ui: sldg. azrinit rw. )r.758_
Ocav-Y TYPe R3!? Zonut8 Dioic ?.I TYPe Const- -Iu
owne. or Buuaing HImER wES7rr: rntp nddmss D-„^.-BpX 21?59-7 , APFZE n T T
BuildingAddrest 42% 1WERRIEff r'.MF. ;i.ncaliryT 11. R7THALTJfafM Ll'YYIC 7M
Dake:
P4 ST IN ? CONSPICUOUS PLACE
?
III I ( II IIIII REQUEST FOR ELECTRICAL INSPECTION
MinnesMa State 8oard of Electricity
1821 University Ave., Rm. S-128, St. Paul, MN 55104
* 0 2 3 2 3 2 1 0* vhone (e12) 642-0eoo S0401495
Home Duplez Apt. Bidg. Other: New Addn
Commercial Indushial Farm Remod Re oir
Air Cond. Htg. Equip. Wafer Hh. load Mgmt. Other:
D er Ran e Elec. Heat Temp. $enice
"X' above the worfc mvered by this requesG Enter iemarks in this space and on the 6a<k of the whife copy only.
Calculale Inspechon Fee - 7his Inspection Requesf will nof be accepfed wiffiout the corred (ee:
ONier Fee # Service Enhmxe 5've Fee # Circvih/Feeders Fee
Mobile Home Park Stall 0 t0 200 Amps 0 to 100 Amps
$freef L}g./Traffic Sig. Above 200 Amps A 0 Amps
Transfarmer/Generatar INSPECTOR'S USE ONLY v TOTA S?
$ign/Ouiline Lig. Xfmr. 7 O _
Alarm/Remote Conhol
Swimming Poal I hereb cem thW I ins ened the elednml inst ed harein on the dalm iWed
Irrigahon Boam Ro?gh- L/d Do ?
edion
$
e<ial Ins
p
p ai
' Dal
Investigofive Fee 4?t
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 M THS.
?.7 ?- 3? 1? OFFICE uSE ONLV This mqoas?.o,d ta morN,: from .abdaeon dme p?rred m thi?x? ?S O
g?/?o/95 •?
ov
PLEASE PRIN7 OR TYPE
Neqo9n I?M Roogh-in inspecnon reqmred3 es ? N. InapecM1On O?herThon Ravgh.in ? Rmdy Now ill Call
/??/ (Yaa must call the inspedor ready) ?are Raody
I, ic ed con}rador 13 owner hereby requesf inspedion of 1he a6ove electrical wark af
Jo Pd am ?Areet, Box, ar Ro Ie o ? /
R Gly 7.ip Code
??
r
Se lion No Township Name or N. ge No. Fire N.
Coun?
Om e No
/
Po opplmr Ad ress
' I Co M C mpany me) ?
E Ca se Masler Lic N. (Plem Eletl Only)
Mail ross (Cantm o O.mer P o ns?m?labon) ?
Nr n mr rOwne PeA mgl mllonan) ?
e? Pho
E8-OOOOlA10 6195 STA7EBOAP -SEEINSTRUCTIONSONBACKOFYELLOWCOPY V
C?^ REQUEST FOR ELECTRICAL INSPECTION ?* es
' -oooa/i?-a
7/?/?ns? a See msimdions for compleLng ihis torm on back d yellnw copy
"X" Below Wryk Covered by This Request
Ne Add Fiep. Type of Bwlding Appliances Wired , Equipment Wired .
Home Range Temporary Service
Duplex Water Heater Elechic Heating
Apt. 8uilding Dryer Load Management
Comm/lndustrial Fumace Other(Specify)
Farm Air Condihoner
Othar (spacAy) Gonhec[or's Remerks
Compute Inspection Fee 8elow. ? -'
# Other Fee # Service Entrance Size Fee # Circuits/Feeders e
Swimming Pool / 0 to 200 Amps 0 ta 100 Amps 4149>
Transformers Above 200 Amps Above 100 -Am s
Si ns insp
eto.ry' unse Onry'
J TOTAL
Irrigation Booms ,
? ?,
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OR SCO NN ECTE
Other Fee COMPLETED WITHIN 18 MO S 94
I, the Elechical Inspector, hereby
if
h Rouyn-?a oa?? -?J
cert
y t
at the above inspection has
been made. Fnai
?
OFFICE USE ONLV
This requesl vaid 18 monihs imm
/
0 ?
-
53a? ??zrr
/95
?"?'
?? ??
fiequesl ate Fire No Rou -In Inspection Required
(VOU all mspector when reatlyl InspeGion OlherT n ugh-In?O
? Reeay Now Will Nolit?li
5pec1or
?
Yes o pate Read
-0yt
I hcensed contractor ?owner hereby request inspection ot ab e electrical w ?
J Atltlrese (5[reet, Box or ute No ) ? CNy
Section No Township Name or N. Pange No Coun
Occup nt (PRINT) P No
3 - / Z.
P uppliar tlress ,
EI mal Comrador (COmpeny Na ) C GoYS Lrcense No
/
Mai ing Adtlress (Conhacror, or ner Ma g Installation)
t or ner ing s[allatio
MINNESOTA STATE 90 EL CT CRY I THIS INSPECTION PEQUEST WILL NOT
Gtlgge-Midway Bltlg. - R S42B II I II I I II II I I I I I I il il gE ACCEPTED 8Y THE STATE BOAFD
1621 Universky Ava., S6 ieul, MN 5510C UNLESS PROPER INSPECTION FEE IS
Phone (612) 842.0800 ENCLOSED
Address 4296 HaWttssv!tY CIRCLE Zip 5512 3
Lot .1 16 Blk 2 Sub HAWiHOIM t+LloDS 2rID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: 9 7 95 Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (gazage)
Permanent steps (main entry) V/
Permanent driveway
Permanent gas ?
Sod/Seeded grass t?
TraiUcurb damage f?
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet 6efore freeze po[ential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
While - Cily Copy Yellow - Resident Copy Pink - Contractor Copy ?
L , i
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4296 HAWKSBURY CIR
LOT: 11 BLOCK: 2
HAWTHORNE WOODS 2ND
P.I.N.: 10-32151-110-02
DESCRIPTION:
?-,
;>..
Buiittl'n'g-.Permit Type
?413uilding lJork Type
}j Census Code
- . - n_.....m
f "a
/
?
s
....;.t?.si??:?4; ?.• • ; . : ?'?'a'W.
i
\? 1
BASEMENT FINISH
ALTERATION
434 ALT. RESTDENTIAL
b.
/
/ f . F' ?t'i?4 ?nr•vii t `( ??. ?2?\?
r ?Y
Y
.+
J ?
4 i
REMARKS:
W 55& aK
BUILDING
027350
04/24/96
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. l.xc.OWNER:
BUTLER HOUSING CORP 14314132 0901715 BUTLER HOUSING CORP
P 0 BOX 24597 P 0 BOX 24597
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-4132 (612)431-4132
I
I hereby acknowladge Chat Z.have read thzs appli.cation end state that the
informaGion isscArroct and,agree to compky wit:b,all applioahle State vf Mrt,
Statutes and CiCy of'Eagan Ordinances.
A,TPLICANT/PERMITEE SIGNATURE
tn gair I Al
-
ISSl1ED BY SIG TURE ' k
CITY OF EAGAN -00SO
3830 PILOT KNdB RD - 55122
?996 BUILDING PERMIT APPLICATION (RESIDENTIAL) oQ4-23
681-46T5
New Gonstruaion Reauiremenls Remadel/tepafr Reauirements
? 3 registered atte aurveYS ? 2 copias of ptan
? 2 copiea of plens (include beam & wlndow sizes; poured Ind. design; ete.) ? 2 sita surveys (exterlor additions & decks)
? 1 energy celculatfons t 1 energy ealcWaBons for heated addHions
? 3 copies of hee preservatbn plan N bt platted afler 7/1193
required: _ Yes No
DATE: CONSTRUCTION COST: t
? F I1?? t s({ P Rs?rv}„Sti7l' fZ&.c- r2.?? m
DESCRIPTION OF WORK: RF- VA06??-
STREET ADDRESS: 2?' ? l.? `? ?r C r•
LOT BLOCK SUBD./P.I.D.
PROPERTY Name: Bu t ``e r 1 , v U-61 ?hone
OWNER w. ? d . ? ??
Street Address:
City; ? Ud?UI State: Zip; ? 12-4-
CONTRACTOR Company: Phone
Street Address: 0-k-oer License #:
City; State: Zip:
ARCHITECTI Company: ? ? + ??? ? hone #:
ENGINEER
Name: V\a ? r1 egistration
Street
Ciry:
State: uM t?) ZiR: ^ ? 2-0
Sewer 8 water licensed plumber: Penalty appiies when address change and lot
change are requested once permft is issued.
1 hereby acknowledge that i have read this applicatian and state that the information is correct and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature
OFFICE USE ONLY
Certificates of 5urvey Received
_ Yes _ No
.. ._,....U v+bt
fa?P, ? 7 1,998
Tree Preservation Plan Received - Yes - No
OFFICE USE ONLY
,;, ..
.. ,.? ,,, ,?•=•.: ,
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?16 Basement Finish
o 02 SF Dwelling o 07 4-plex ? 12 Mutti RepaidRem. ? 17 5wim Poot
? 03 5F Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. a 10 = plex ? 15 Deck
WORK TYPE
? 31 New ?-33 Alterations ? 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (ActuaQ
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MClWS 5ystem
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
MCM15 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SIW Suroharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
or
/
O
% SAC
SAC Units
PERMIT mo.'?56 ?K
° CIYY OF EAGAN
3830 Piiot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 027351
(612) 681-4675 Date Issued: 04/2q/g 6
SITE ADDRESS:
4296 HAWKSBURY CIR
LOT: 11 BLOCK: 2
HAW7HORNE WOODS 2ND
P.I.N.: 10-32151-116-02
DESCRIPTION:
ermit Type
?,rgk Type
_.?: , il iA E-.L t t i t': -••
-?`-.?'E •-
- 'd_ 1P _
-. . 4f. '+ 5? `tifYri.?'y ` d• ??
4
GARAGE/ACCESSORY
NDDITION
438 ALT. 6ARAGE
l
X 5 g
mTi ?e
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Tptal Fee
$62.25
$1.00
$63.25
$2,00@
CONTRACTOR: - ppplicant - ST. Lzc.OWNER:
BU7LER WOUSING CDRP 14314132 0001715 BU7LER HOUSTNG CORP
P 0 BOX 24597 P 0 BOX 24597
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-4132 (612)431-4132
° I er'eby avtl0 ziq #e- hd
?,rtf ar„nie?aoi5 `is €,C'arare"cx'.?tis!-'?tiyar
StaLu?es a?cE CA, tY .?? Eag?ti ti
I ' N kF i°
?,e,..?_. ........:.... _ /.nI lY. A..? i,-. _z -
aac
PUCANT/PERMITEE SIGNATURE
wiath all ao{5"t?ica6 l"a;5ta?enrbf, Mn.' .-
camply-
t
3nc?s:
_ .. ;. ...ev.. . ..?.. v. ? .e. '? ..a..R.,ea......... .r vt n_'E?i...m.cn?n . sYv.?yi?
ISSUED 81K 516NATU
? ., CITY OF EAGAN
3830 PILOT KNOB RD - 65122
14 1896 BUILDING PERMIT APPLICATION (RESIDENTIAL)
141 681-4675 ?o- `!iw? 4-,u
RemedaVReoalr Reau6emeMs
? 3 regietemd sHe wrveys ? 2 oopfes of plan
? 2 eopies ot pkns (IneWde beam 6 w6Wow sizes; pourod 1nd. deslgn; stc.) ? 2 site surveye (extedw additions d dedcs)
? I enerey cafaMqm ? t eirergy cakulations tor heated additiona
? S eapbs of trae psssrvation plan M bt plaCed aRer 711193
roquked: _ Ysa _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: -&>V-'- -
STREET ADDRESS: "t L- - "° ncz!i LA'
LOT I k BLOCK -2-_ SUBD.lP.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
WT
#: 43t-+ 13Z
Street Address* I ? • v'?` ` ?--? , ? ` _
City: &V" State: ?N Zip•
Company: ' Phone #:
Street Address: ?K?t,? ?k5 ??V1er' License #•
City; State: ZiP'
Company: C'- (
Name:
Street
City:
.P ?
1? hone #:?
ki egistration #,. +`r?( ?
State: ?M t%? Zip: ^ ? 2-o
5ewer & waler licensed ptumber. Penalty applies when address change and lot
chanpe are requested once permit is issued.
I hereby acknowledge that I have read Mis applicabon and state that the informafion is carrect and agree to comply with all
applicable State of Minnesota Statutes and City M Eagan
5ignature
OFFICE USE ONLY
Certlficates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No
ApR 17 1996
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation a 06 Duplex
0 02 SF Dwelling o 07 4plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
0 05 SF Misc. a 10 _-plex
WORK TYPE
0 31 New o 33 Alterations
?'32 Addition o 34 Repair
GENERAL INFORMATION
Consl (Actual)
(Allowable)
UBC Occupancy
2oning
# of Stories
Length
Depth
APPROVALS
0 11 Apt./Lodging o
0 12 Multi Repair/Rem. o
,?D` 13 Garage/Accessory o
0 14 Fireplace a
0 15 Deck
0 36 Move
0 37 Demoiftion
? ??.. it qq ? ?.
.?,
?.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft.
Main Isvel sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. fl.
Footprint sq. R
Piarming Building
Permit Fee
5urcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SfW PermR
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Ofher
Copies
Total:
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. y3?
SAC Code al_
Census Bldg
Census Unit 0
_ Engineering Variance
Valuation: $ Zi 000 % SAC
SAC Un'ds
? CITY OF EAGAN
, 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE:
BuzLozNc
Permit Number: 0 2 5 7 5 8
Date Issued: 0 6/ 16 / 9 5
SITE ADDRESS:
P.Z.N.: 10-32151-110-02
DESCRIPTION:
PERMIT cR4Y%
4296 NAWKSBURY CIR
LOT: 11 BLOCK: 2
HAWTHORNE WOODS 2ND
3u"1141ng:,,permit Type
jOl.iFI t3'iro9 'W?,?_,?k TYPe
;FJB:C Qccti:parl;Cy
41 11 ` Construc't'3;6-n?'1""e
?" . fluJ idlxtq? tan?th
@ai.ldi!Wi.d'Ch
"? - B;u ild ;;Fl J°"?
.,, ?9A ;?"o€Ye` F??'?."'- r
SF DWG
NEW
R-3 U-1
V-N
R-1
64
54
1
2,473
7 1 ?y?.? 'q? ? ?'a g'?? k (9 C_? ?? ?
w I w Ei?'q P *La?,. .? nv., `?1_ e".?: a:
REMARKS:
PRV 5& W PLBR - WELTER-BLAYLOCK PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
sac
5AC %
SAC Units
Subtotal
$1,092.25
$382.29
$70.50
$850.90
100
1
$2,395.04
$1 Y 1 q 0 0 Yl
MISCELlANEOUS $1,892.50
Total Fee $4,287.54
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
BUTLER HDUSING CORP 14314132 0001715 BUTIER HOUSING CORP
P Q BOX 24597 P 0 BOX 24597
APPLE VflLLEY MN 55124 APPLE VAtLEY MN 55124
(612) 431-4132 (612)431-4132
• .. ,_ I `hereby, aoknowl,edge that j,have ;re451 GHis.'epplieat;i_on aJSd staCe? tMat tfve, infarmatLon is _carorect ahd•.agr4o tQ car?ply:s?i?th'_at? ?PP11e's?sie 8 ti:at e .Mr?s
Statutes andCit y,-af Eag'an,'_Q`rdi,nances.? - •-
(._„ .
APPLICA TlPE EE SIGNATURE ISSUED ' S1 AT? U ?-
-1
INSPECTIUN 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-3 2151-11e-e2
LOT: 11 BLOCK:
4296 HAWKSBURY CIR
HAWTHQRNE WOODS 2N0
PERMiT SUBTYPE:
SF DWG
2 APPLICANT:
BUTLER HOUSING CORP
(612) 431-4132
TYPE OF WORK:
NEW
BUILDING
025758
06(16/95
INSPECTION D. . ..
FOpTINGS FOUNDATION
FRAMING ROOFING
IN5UlA7I0N FIREPLACE
ROUGH IN PLBG ROUGH IN H7G
FINAL PLBG FINAL
„ .,... ,,.. : ; .?
r ?
mol,
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
ss,.4s7s .
? 3 registered site surveys
? 2 copies of plens (indude beam & window sizes; poured fid. deaign; etc.)
? 1 energy calculations
? 1 tree preservation plan if lot pl after 7/11/93
required: Yes o
? 2 copies of plan
? 2 slte suiveys (eMerior additions & decks)
? 1 energy calculations Tor heated additions
.A
00
DATE: CONSTRUCTION COST: coo
DESCRIPTION OF WORt
STREET ADDRESS:
LOT ? E3LOCK
PROPERTY Name:Gl e? ?- 74/,t 6 1421 ??2. , Phone #: 7'3 t -4132-,
owNeR wT "..
Street Address• , 0• eO x 2 S
City: ADl-,,Ic' 1,?11ec> State: r rPrY1 Zip: ..?`5/
CONTRACTOR Company: ?/•Lf?H?'17?'/GISt ?}?'? Phone #: 43/-4/3Z
Street Address: D"? ?•??'C ?'f??t License #• 0150 / 7f 6?
ciry: ??? ?'? ?`°/C ?% .?`?J??. ?":5f? -
ARCHITECTI Company: ???l?.??l?fPF?@"Y/.rf Phone #- 8?" ??gq
ENGINEER )?-
Name: ? G) ?• !?l ??r? Registration #• 14-- 6
Street Address* ` '' "E' '
City: '2 VK• M ,.In_ State:
Sewer 8 water licensed plumber wPe /?C?'-+?&uIlw'?.-4 -Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. '
?
Signature of Applicant:
OFFICE USE ONLY
Certifiptes of Survey Received
V Yes
Tree Preservation Plan Received - Yes
No
V No
Gl+?Cc ??5 v e a
M,4Y 2 3 1995
---------------
BUILDING PERMIT TYPE
OFFICE USE ONLY
0 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ?
cVr-02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ?
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o
? 04 SF Porch o 09 12-plex o 14 Firepiace ?
0 05 SF Misc. ? 10 Multi (additionai) ? 15 Deck
WORK TYPE
45W, 31 New o 33 Alterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) L.v
(Allowable) _^!
UBCOccupancy 2
2oning
# of Stories - „ ,
Length (1_
Depth ?
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNUS SAC
CIty $AC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
607
----4-zzf
Footprint sq. ft. Z1 Y73
u,/ Sicsr L? ?/K6 F. IS
? r'S
b?
?..? ?
AV,.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System CXC
City Water .G
Fire Sprinklered
PRV 4??f
Booster Pump
Census Code.
SAC Code o/
Census Bldg /
Census Unit /
Building Engineering Variance
Valuation: $ 000
YNai,v Lrvc? JjS?.?•
ao?. Zy 7,3p
Gx Z3 = 139
•
7r 77..s 98
z.s3xz.ss = S 07?
23.33x116 ` 4'77 `,N : .sX??Is = 3Z
S.nX r ~ B rr p..r ,'s
G.67 x /e = Yo
= ey
lYrx 3l.3T = YS?/
1o. 07 r &
8.47 rP, = 91 v,zs '//ro
ze.ral7 6,
?725'KSY' L : S61
??3 36b 10
> yOd^ 7'y 5?0
p.?4.37 /'L,?.• (a6 7-96v=7Y,7x
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7Za)c I6 -
•?LOT 87RVEY CSECRLIST FOR RESTDENTIAL
? BIIZLDING PERMZT 71PPLZCA ION
? ?S2+f ? pROPrRTY LEGAL;
'L ? ? Dat• of 8urvey: ?
9 DOCVMENT BTANDARns
II" 0 0 • Registered Land Surveyor siqnature and company
M--??C] fl • Building Permit Applicant
i' 0 0 • Leqal descriptian
D 0 0 • Address
,
L? ? 0 • North arrow and mar 8cale
Z,- 0 D - House type (rambler, walkout, rplit w/o, split entry,
lookout, ete.)
I?0 0 • Directional drainage arrows with slope/qradient t.
L1--?D D •Proposed/existing sewer and vater services
0 • Street name
4D • Drivaway
ZLERATI ONS
Existinv
IY'D 0 • Sewer service
mr?D 0 • Lot corners
? 0 0 • Sop of carb at the dziveway
rY D 0 - Elevations of any existing adjacent riomes
ProvoeeC
[9?0 0 • Garaqe floor
Cd? 0 0 • First floor
0?D CI • Lowest exposed elevation (walkout/wiadow)
1??? 0 • Property corners
IY D D • Front and rear of home at the foundation
NG 71REAS (if aanlicab
D [Y 0 • Easement line
O 4Y D • NwL
? Fl • xwi,
• Pond tI desiqnation
• Emergency Overflow Elevation
DIMENSIOliB
0-13 0 • I.ot lines
lY1] 0 • Right-o£-way and street width (to back of curb)
IY 0 0 • Proposed home dimensions iacludinq any proposed deeks,
overhangs qreater than 21, porches, etc. (i.e. all
-/ structures requiring permanent footings)
i9' D 0 • Show all easemeats of record and any City utilities within
those ensements
5-10 E3 • Setbacks of pzoposed atructure and setback of adjacent
existing homes
? [?? • Retaining reQuirements, if any
Rsviewe8: / f 9-3---
October 1992
" •Z
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g..
840
EVALVE o
//6°GAT
46.0 L 570?
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9p3s vZz `` \o N I
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SEE SHT.B
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SEE SHEET 2410 U i i
,
. 1
EXIST.r
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Page 1 OF b
OWNER= BUTLER HOUSIN6 CORPORATION
SITE ADDRESS= 4296 HAWKSBURY CIRCLE. E8G8NL, P1d.
CONTRACTOR= BUTLER HOUSING CORPORATION DATE: MAY 20, 1995
----------------------------------------------------------------------
DETERMINE WORKING SOUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED WALL AREA= 3174.9 SO. FT. X.il = 349.24
2. TOTAL ROOF/CEILING AREA= 1700_00 S0. FT. X.026 = 44.20
A. TOTAL WALL WINDOW AREA: 240.80
B. TOTAL DOOR AREA: 54.80
C. TOTAL SLIDING GLASS DOOR AREA= 72.00
D. TOTAL FIREPLACE WALL AREA: 0.00 2 GAS LOGS
E. TOTAL WALL FRAMING AREA (AVG. 10%)= 317.49
F. TOTAL RIM JOIST AREA= 159.59
G. TOTAL NET WALL AREA ABOVE FLOOR: 2,330.22
' TOTAL EXPOSED WALL AREA: 3,174.90
H. TOTAL FOUNDATION WINDOW AREA= 0.00
I. TOTAL NET FOUNDATION AREA ABOVE GRADE: 100.00
J. TOTAL CANTILEVER AREA: 31.00
K. TOTAL CANTILEVER FRAMING AREA: 3.10
L. TOTAL FLDOR AREA (OVER UNHEATED SPACE): 0.00
M. TOTAL FLOOR FRAMING AREA (OVER UNHEATED)- 0.00
DETERMINE "U" VALUE OF EACH WALL/FLOOR/CANT SEGMENT:
a. 240.80 X "U" 0.361 = 86.93
b. 54.80 X "U" 0.066 = 3.62
C. 72.00 X "U" 0.367 = 26•42
d. 0.00 X "U" 0.074 = 0_00
e. 317.49 X "U" 0.090 = 28-68
f. 159.59 X "U" 0.023 = 3_66
g. 2,330.22 X "U" 0.043 = 100.70
h. 0.00 X "U" 0.421 = 0.00
i. 100.00 X "U" 0.066 = 6.61
j. 31.00 X "U" 0.021 = 0.65
k. 3.10 X "U" 0_047 = 0.15
1. 0.00 X "U" 0.021 = 0.00
M. 0.00 X "U" 0.046 = 0.00
3....................... TOTAL „U„ = 257.42
Page 2 OF 6
IF ITEM #3 IS THE SAME AS, OR LESS THAN ITEM #1, YOU HAVE MET
THE INTENT OF SBC 6006 (c)2.
TOTAL EXPOSED RODF/CEILING AREA =
1,700.00
k. Total skylight area: 0_00
1. Total roof/ceiling framing area (avg 10%)= 170.00
M. Total net irisulated roof/ceiling area= 1.530.00
DETERMINE "U" VAWE FOR EACH ROOF/CEILING SEGMENT:
k. 0.00 X "U"
1. 170.00 X "U"
M. 1,530.00 X "U"
4....................... TOTAL „U„
0.367 =
0.025 =
0.021 =
0.00
4.24
32.34
36.58
IT TOTAL OF 04 IS THE SAME AS, OR LESS THAN #2, YOU HAVE MET THE
INTENT OF SBC 6006(c)1.
ALTERNATE BUILDING ENVELOPF DESIGN=
TD UTILIZE THE TOTAL ENVELOPE SYSTEM METHOD, THE VALUES ESTABLISHED
BY THE SUM OF ITEMS #3 AND 04 SHALL NDT BE 6REATER THAN THE SUM OF
ITEMS #1 AND 42.
11.
- 349.24
--------- 1+2.
-- 44.20 =
--------- 393.44
'3.
- 257.42
--------- 1+4.
- 36.58 =
--------- 294.00
I HEREBY CERTIFY THAT I HAVE CALCULATED THE "U" FACTORS AND "R"
VALUES HEREIN AND THAT THE BUILDING HERE DESCRIBED MEETS OR EXCEEDS
THE STATE OF MINNESOTA ENERGY CONSERVATION ACT.
BUTLER HOUSING CORPORATION
i
SI N URE= DE IS F. BUTLER, PRES.
DATE= MAY 20, 1995
------ -------------
Page 3 OF 6
--------------------------------------------------
WINDOW AND DDOR SCHEDULE
------ ----------- - - --- -- - - --- - - - - --- - - - --
QUANTITY TYPE SIZE FACTOR WINDOW
OPENING
0 BASEMENT 27 X 14 2.60 0.00
2 PATIO DR 6 X 6 36.00 72.00
2 CASEMENT 14 X 36 3.70 7.40
2 CASEMENT 20 X 42 6.80 13.60
3 CASEMENT 20 X 60 10.20 30.60
0 CASEMENT 24 X 36 7.40 0.00
2 CASEMENT 24 X 42 8_50 17.00
0 CASEMENT 28 X 48 11.00 0.00
0 PICTURE 48 X 60 20.00 0.00
2 DBLE HUNGS 36X24/36 16.80 33.60
0 DBLE HUNGS 24 X 36 7.62 0.00
7 DBLE HUNGS 36 X 24 13.80 96.60
0 DBLE HUNGS 32 X 26 13.60 0.00
4 DBLE HUNGS 20 X 24 7.40 29.60
2 SIDE LTS. 1 X 1.3
-- 6.20
---------- 12.40
----------
------ --
26 ----------- ------
TOTAL ---
GLASS AREA: 312.80
----- -- - ------ - ---
OOOR ---
SCH -- - - - - - -
EDULE --- ----- --------
-------
QUANTITY ----------
TYPE --- ----
SIZE
FACTOR
DOOR
- OPENING
-----------
------ --
2 -----------
THERMATRU ---
3' --
-0 ------
" X 6 ---------
19_00 38.00
1 THERMATRU 2' -8 " X 6 16.80 16.80
0.00 0.00
0.00 0.00
0.00 0.00
0.00
- - - 0.00
- - - - - - - -
- - - - --- -- -------- ---
TOT -
AL -----
DOOR -----
AREA: 54.80
TOTAL WA LL WINDOW A REA = 240.80 U-VALUE
TOTAL PA TIO DOOR AREA: 72.00 U-VALUE
TOTAL BA SEMENT WDW ARE A: 0.00 U-VALUE
TOTAL WI NDOW AREA 312.80
0.361 [LOW-E]
0.367
0.421
Page 4 OF 6
TOTAL DOOR AREA=
54.80 U-VALUE
0.066
TOTAL AREA- WINDOWS & DOORS:
367.60 [A]
TOTAL AREA OF WALL= 3,174.90 [B]
ACTUAL. WDW & DOOR AREA AS % OF WALL: 11.58% [A] \[B]
STD FRAMING, SHEATHING (R-5, WINDOW U.49= 11.80% MAX WDW/DR AREA
THRU EXTERIOR FRAME WALL:
INTERIOR AIR - - - - - - - - - - - - - - - - - - 0.68
SHEET ROCK - - - - - - - - - - - - - - - - - - - 0.45
THERMO-BREAK - - - - - - - - - - - - - - - - - - 0
STUD - - - - - - - - - - - - - - - - - - - - - - 6.93
SHEATHING - - - - - - - - - - - - - - - - - - - - 2.06
SIDING - - - - - - - - - - - - - - - - - - - - - 0_78
EXTERIOR AIR - - - - - - - - - - - - - - - - - - 0.17
TOTAL "R" VALUE - - - - - - - - - - - - - - - - - 11.07
1/R = "U" VAWE - - - - - - - - - - - - - - - - - 0.090
THRU INSULATION WITH SIDING & S.R.
INTERIOR AIR - - - - - - - - - - - - - - - - 0.68
SHEET ROCK - - - - - - - - - - - - - - - - - 0.45
THERMO-BREAK - - - - - - - - - - - - - - - - 0
I NSULAT I ON - - - - - - - - - - - - - - - - - 19
SHEATHING - - - - - - - - - - - - - - - - - - 2.06
SIDING - - - - - - - - - - - - - - - - - - - 0.78
EXTERIOR AIR - - - - - - - - - - - - - - - - 0_17
TOTAL "R" VALUE - - - - - - - - - - - - - - - 23.14
1/R = "U" VALUE - - - - - - - - - - - - - - - 0.043
THRU CEILING MEMBER
INTERIOR AIR - - - - - - - - - - - - - - - - 0.68
SHEET ROCK - - - - - - - - - - - - - - - - - 0_58
CEILING MEMBER - - - - - - - - - - - - - - - 4.35
Page 5 OF 6
INSULATION - - - - - - - - - - - - - - - - - 33.92
STILL AIR - - - - - - - - - - - - - - - - - - 0.61
TOTAL "R" VALUE - - - - - - - - - - - - - - - 40.14
1/R = "U" VALUE - - - - - - - - - - - - - - - 0.025
THRU CEILING INSULATION
INTERIOR AIR - - - - - - - - - - - - - - - - 0.68
SHEET ROCK - - - - - - - - - - - - - - - - - 0.58
INSULATION - - - - - - - - - - - - - - - - - 45.00
ASPHALT SHINGLES - - - - - - - - - - - - - - 0.44
STILL AIR - - - - - - - - - - - - - - - - - - 0.61
TOTAL "R" VALUE - - - - - - - - - - - - - - - 47.31
1/R = „U„ VALUE - - - - - - - - - - - - - - - 0.021
THRU CONCRETE BLOCK
INTERIOR AIR - - - - - - - - - - - - - - - - 0.66
CONC. BLK . - - - - - - - - - - - - - - - - - 1.28
INSULATION - - - - - - - - - - - - - - - - - 13
SHEET RK. ( OPT . )- - - - - - - - - - - - - - - 0
EXTERIOR AIR- - - - - - - - - - - - - - - - - 0.17
TOTAL "R" VALUE - - - - - - - - - - - - ' - - 15.13
1/R = "U" VALUE - - - - - - - - - - - - - - - 0.066
THRU RIM JOIST
INTERIOR AIR - - - - - - - - - - - - - - - - 0.68
I NSULAT I ON - - - - - - - - - - - - - - - - - 38
RIM JOIST - - - - - - - - - - - - - - - - - - 1.89
SHEATH I NG - - - - - - - - - - - - - - - - - - 2.06
SIDING- - - - - - - - - - - - - - - - - - - - 0.78
EXTERIOR AIR- - - - - - - - - - - - - - - - - 0.17
TOTAL "R" VAWE - - - - - - - - - - - - - - - 43.58
1/R = "U" VALUE - - - - - - - - - - - - - - - 0.023
THRU FLOOR @ MEMBER (ENCLOSED OVER UNHEATEO SPACE)
INTERIOR AIR- - - - - - - - - - - - - - - - - 0.68
FINISH FLOORING - - - - - - - - - - - - - - - 1.23
UNDERLAYMENT- - - - - - - - - - - - - - - - - 0.93
SHEATHING - - - - - - - - - - - - - - - - - - 6
JOI ST - - - - - - - - - - - - - - - - - - - - 1 1 .88
SHEET ROCK- - - - - - - - - - - - - - - - - - 0.58
Page 6 OF 6
STILL AIR - - - - - - - - - - - - - - - - - - 0.61
TOTAL "R" VALUE - - - - - - - - - - - - - - - 21.91
1/R = "U" VALUE - - - - - - - - - - - - - - - 0.046
THRU FLOOR @ INSULATION (ENCLOSED OVER UNHEATED SPACE)
INTERIOR AIR- - - - - - - - - - - - - - - - - 0.68
FINISH FLOORING - - - - - - - - - - - - - - - 1.23
UNDERLAYMENT- - - - - - - - - - - - - - - - - 0.93
SHEATHING - - - - - - - - - - - - - - - - - - 6
INSULATION- - - - - - - - - - - - - - - - - - 38
SHEET ROCK- - - - - - - - - - - - - - - - - - 0.58
STILL AIR - - - - - - - - - - - - - - - - - - 0.61
TOTAL "R" VALUE - - - - - - - - - - - - - - - 48.03
1/R = "U" VALUE - - - - - - - - - - - - - - - 0.021
THRU CANT. @ MEMBER (EXTERIOR)
INTERIOR AIR- - - - - - - - - - - - - - - - - 0.68
FINISH FLOORING - - - - - - - - - - - - - - - 1.23
UNDERLAYMENT- - - - - - - - - - - - - - - - - 0.93
PLYWOOD - - - - - - - - - - - - - - - - - - - 0
JO I ST - - - - - - - - - - - - - - - - - - - - 11.88
SHEATHING - - - - - - - - - - - - - - - - - - 6
SOFFIT- - - - - - - - - - - - - - - - - - - - 0.47
EXTERIOR AIR- - - - - - - - - - - - - - - - - 0.17
TOTAL "R" VALUE - - - - - - -- - - - - - - - - 21.36
1/R = "U" VALUE - - - - - - - - - - - - - - - 0.047
THRU CANT. @ INSULATION (EXTERIOR)
INTERIOR AIR- - - - - - - - - - - - - - - - - 0.68
FINISH FLOORING - - - - - - - - - - - - - - - 1.23
UNDERLAYMENT- - - - - - - - - - - - - - - - - 0.93
PLYWOOD - - - - - - - - - - - - - - - - - - - 0
I NSULAT I ON- - - - - - - - - - - - - - - - - - 38
SHEATHING - - - - - - - - - - - - - - - - - - 6
SOFFIT- - - - - - - - - - - - - - - - - - - - 0.47
EXTERIOR AIR- - - - - - - -- - - - - - - - - - 0.17
TOTAL "R" VALUE - - - - - - - - - - - - - - - 47.48
1/R = "U" VALUE - - - - - - - - - - - - - - - 0.021
1994 PLUMBING PERMIT (RESIDENI'IA+L) CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNRO1VfES tllVD
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. k, .
'O. FIXTURES
I_ SHOWER
3
- WATER CLOSET
? BATH TUB
? LAVATORY
/ KITCHEN SINK
/ LAUNDRY TRAY
HOT TUBLSPA
? WATER HEATER
FLAOR DRAIN
GAS PIPING OUTLET • ??, .
is ROUGH OPENINGS
WATER SOFTENER
PRNATE DISP. • neiLc,y. Lc
U.G. SPRINKLER • 6ome under oonct.
ALTERATIONS • w ?cing
WATER TtJRN AROUND
STATESURCHARGE
SnE
OWNER
ADD12ESS:_/.S"o9 bF" /-/w y 13
kS
0
EACH TOTAL-
3.00 t3• ?
3.0(1 ?
3:00 .?"
3.00 •?;-
L
3.00 3 - v-o: =
3:00 3. rro?
3:00
3:00 3 - ?P7.
3:00
3.00
1.50
5.00
20:00
3.00
20.00
=
20.00
rG/cl
n
CTTY: STATE: ZI
P CODE:-' SS 3,3 7
PHONE #: (6la ) S$a - $6 $/
i
SIGNATURE OF P ' I : „
, ?; F.
PLEASE COMPLETE FOR ALL COMDERCIALANDTJST'ItIAL,BLTILDINGS. ALSO FOR=Mi7LTI-
FAMILY BUII.DINGS VVHEN SERAR??TE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_ NER'CONSTRUCTION
ADD ONI
REPAIR
WORK DESCRIPTION:
CONTRACT PRI.CE:
FEE: 1% OF CONTRAC(' FEE.
STATE SURCHARGEe. $:SO FOR EACH $1;000 OF R#O* FEE.
MI1vIMUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SI1'E ADDRESS:
q4>1
TEHIANT NAME: STE. # ,
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE: ZIP CODE:
FOR:
CITY OF EAGAN APP-I;ICA'NT
1994 PLUAIBING P.ERMIT (COMM4ERCIAI.) •
`CITY OF EAGAN
3830 PIL"OT KNOB RD
EAGAN MN 55122
(6'12) 681-a1675
CITY USE ONLY p
L ? BL ? RECEIPT#: ?70
SUBD. 4.u1? oa_?A 4N DATE:T, 95
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: ;7- ojD'fS
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00 --'
Additional 50 M BTU 6.00'""
Gas Outlets (minimum of 1 required @$3.00 each) I &
? 5tate Surcharge .50
0
TOTAL
SITE ADDRESS: '7A %V
OWNER NAME: G`I ?
INSTALLER
STREET
14ar
CITY: MA S• STATE: ?r.
PHONE #: (lj?? ) v?' Co bo ? //d/
PHONE #: ?? ?/X?
'J7
CITY USE ONLY
L _ BL _ RECEIPT #:
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? a!I commercial/industrial buildings.
? multi-family buildings when separate permits are pQt required
for each dwelling unit.
-
DATE:
WpRK TYPE:
CONTRACT PRICE:
_ NEW CONSTRUCTION
INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: w $25.00 minimum fee gr 1% of contract price, whichever is greater.
• Processed piping - $25.00
? State surcharge of $.50 per $1,000 of a= fee due on all permits.
CONTRACT PRfCE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
TELEPHONE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
LOT L BLOCK -P-- SUBD.
RECEIPT # t4 62o W DATE
1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date:
GPM
GPM
Area/address to be irrigated: t
Installer:
Street address:
Commercial
Residential (boulevards)
Existing residential
?
Owner ? Plumber ),]
City, state & zip code: L0.V TWa: Phone #: ?a
r 8
Owner N'ame• " - ck Y' r
Street address: L-1 Z
-e.. r
v
City, state & zip code: Phone #:
Irrigation contractor, if different than installer:
Telephone #:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property
owner that the City of Eagan assumes no liability for any damagee caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-way/easement.
Applicant's signature
Approved by:
PRV )? Yes ? No New service
A9eter Size __ & Cost ?-
<?--
Title
Date:
? Yes ? No
Fao? ,+ue: _
/4 -Z- 9'4 G? a 1ys
R oe
CalcL:lated ::y-
f r? 84
PROCEDURE FOR IRRIGATION SYSTEMS - 1996
An irrigation permit is required - please contact Protective Inspections at 6814675.
Fees
Commercial project: $25.50 irrigation permit to cover insfallation of backfiow preventer.
$50.50 water permit fee onlx if new service is installed.
$300.40 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$760.00 per connection - WAC.
, $396.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost or
$182.00. If gallons per minute are more than 25, a 2" turbo with strainer wiil
be required at a cost of $822.00. This information is to be supplied by the
designer af the system.
No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not required, orte check may be written for meter and permit costs. Receipt wiil be coded
to 20-3716 (meter portion only) with pink copy forvvarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and sei
and seal of the meter. lnspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
SuanLB ,t
T
xew xEcEirr #
RECEIYT DATE
LIAT'E ,15p' Z- ) -
1'0
JOB
OWN
PLFASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON TkE ABOVE
ry? ?
II.ECTRICAL I?STALLATIOH IH THE AMOUNT OF $ ,5 7'
SHORTAGE MLST BE PASD YHITHZP 14 DAYS.
REMARKS
^ DU
/ 31 to 100 amp. circuits= 17 - ?
0 to 100 amo service=
101 to 200 amp. service= z
TOTAL FEE DUE= ??j"Z , O d
RETURN A COPY OF THIS FO?tM WITH REMITTANCE•
PERMIIIl6)•I4x4/- I,?-Sr
ORIG. RECEIPTI! ?j Cjx,,7k/
RECEIPT DATE 7"? ??/?
?9009 2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiructlon Reauirements
3 mgistered site surveys showing sq. N of lol, sq. fl. of house; and all roofed areas
(20% maximum lol coverage albwed)
1 Soils Repod rf proposed 6mWing is fa 6e placed on disWr6ed soil
2 mpies of plan showing beam 8 window sizes; poured found design, elc
1 sel W Energy Calculahons
3 mpies of Tree Preservalion Plan H lo[ platled afler 711193
Rim JoislOelail Oplions selection sheet (buildings wilh 3 or less units)
Minnegasco mechanical venfilahon form
RemodellReoair Reauiremenls
2 copies of plan showing foolings, teams, jdsls
1 sel of Energy Calculalions for healed additions
1 site survey for addilions & decks
Addilion - indicate ifonsite sepfic system
LJ ?
Office Use Onlv
C491 of Survey Recd _ Y _ N
SoilsRepoA _Y _N
Tree Pres Plan Recd _ Y _ N
Tree Pres Required _ Y _ N
On-sAeSepticSyslem _ Y _N
Plans are considered public information unless vou state thev are trade secret and the reason.
Construcflan Cost f3? g OC .°6
Date ^ l Z 5 1 ?- '7
/
Site Address X/2j'
? C c?/sZtl tq
i7nit/Ste #
Description ot Work /`` e r o o-fl,
?
? 2
Mu1H-Family Bldg _ Y
N Fireplace(s)
0 _ 1 `
Property Owner Telephone #((.,0' 6/3 r7
Contractor
Address 4411 cl.,s.? m.,,,.I
? Ciry
State ?atti ?M9V(5.?1?.2 Zip Telephone k(&I ! ) t'782'/4/G.Q
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Mimmesota Rules 7672
Ene?gy Code Ca[Cgory . Residenlial Ventilation Categary 1 Worksheel
(J submission type) • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Caiwlations Submitted
In The lasi 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #( )
Mechanical Contractor Telephone #( J
Sewer/WaterContractor Telephone #( J
I hereby apply for a Residential Building 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 State of MN
Statutes; 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.
Applicant's Printed Name
? L
A plicant's Signa
? . .
,
SMY FOR % Butler Housing Corp.
??IBM AS : Lot 11, IIlock 2, HAWTHORNB'WOODS 2ND ADDITION. City ok Ea?jan,
Dakota County, Minnesota and reserving easements ot record.
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PRUPOSED ELEVATIONS
Top of Foundatlan • 9?5.1
Garage FI oar • 9?s.3
6aseoent f I nar •
Aproz. Sewer Serv I ce EI ev. • 9o2.o!
Proposed Elev. _ ?
Existing Elev. _
Dralnage Directlons • -?
Denotes affset Stake • o
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SCAIE : i IncA - 30 Feat
I NEAEBY CERTIfY TH
11 /EDLUNOOF iHE BOUNOARIES 0
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SHOk IMPHOYEMENTS 0
PlennlnP EnOfntortnp SurveYlnp
9wi Eui Dioaiiroten oeowp neoiinytm, qawwt, a410 08tB ???
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BENCHMARK, -ruH @ pn.tmouthB.
Nawthorne
Elw• 929. °p
MIN. SETBACK REQUIREMENTS
Front - ao House 51de -ie
Rear -15 Garage Side - s
JDB N0:
S IS A TAUE AND CORRECT pEPpESENiAiION 95R•025
ABOYE DESCRIBEO PpOPERTY AS SUHVEYED
T SUPERVISION AND DOES NOT PIIRPURT TO
K: PAGE:
? BOO
OACHMENTS, EXCEPT AS SZ4.v?
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CAOD F I LE: DW6. CHK.
Butle? 95
4
SMVEY F(R ; Butler Housin3 corp.
YG?i IOM AS : Lot 11, Slock 2, HAWTAOBNE HOODS 2ND ADDITION, City ot' Ea1an,
Dakota County, Minnasota and reservin3 easements oE record.
54.00
24.00 , 30.00
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p n° V ?2 7r,?-,?-_?
0 0 0
PROPOSED ELEVATIONS
Top af Foundation =915.1
Garage Floor =915.3
Basement Floor =q07J,
Aprax. SeNer Service Elev. =4o2.ot
Praposed Elev. = C?
Exlsting Elev. _
Drainage Dlrections = -?
Denotes offset Stake = o
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SCALE : S Incb • 30 Feet
Ol.oWI 16121 1111-12119 BENCHMARK, l.NH @ iJ„tmouth 6.
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BY ME OR UNDEN N1
SHOM IMPROYEHENTS (
PJann7np EnOinesrlnp Survsy7n0
Ytoi bn eleallniten inwwr llorlnpten, Mlmum4 ?2a Date
Hnwthorne
Ple,). 929•00
MfN. 5ET8ACK REOUIREMENTS
Front -30 House Side -ie
Rear -15 Garage Side - 5
JDB N0:
PHESENTATION qSlR- 125
AS SURYEYED
T PUAPORT i0 800K:? PAGE:
CADD F I LE: I DWG. CHK.
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LOT SQ. FOOTAGE = 12, 627f
Use BLUE or BLACK Ink
--------------,
I � For Office Use �
2(,�( � I
`' i Permit#:1�J-I"1� �
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� Permit Fee:t!/lJ • �� I
3830 ,ilot Knob Road I �
Eagar� MN 55122 t Date Received: — �
Phone: (651}675-5675 RECEIVEQ i �
�� - i
Fax: (651)675-5694 I �a '
OCT 13 2015 ----------------�
2o�s RESIDENTIAL PLUMBING PER�niT �Pp�icATioN
Date:f�� ' �SiteAddress: ``Cf� t �-p ��1J�`�)1.Q:/L l.Jl ��-�
Tenant: �� ��� ��-�i� Suit+e#:
� ' Name:��',U \( �/�� � �� Phone:�`�� �'���-'{ Ut ��j� �
��i��31���t�@�` _
_ ��^�, �
� Address/City/Zip:� .t� t_-l.-t_ � �� �
f ; �
� Name: 'X �.— License#:I D l-���� ��C �
� � �`�C��.��' �
� - � �t� 1_ ���: `��C�`�� �
��!'Y�'��`
^� Address: �-
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- - ��-- 1 �l ����le �1.� l.Q� �
� � � � State:�_Zip: � � � � Phone: g
� � n��-- �
; Contact: EmaiL � � �. �� l. � � ��C'� i 4
�. . �
.����;� _New �Replacement _Repair _Rebuild _Modify Space i Work irr R.O.W. �
. �
�
�
�
, r
_ ; Description of work:
` , � RESIDENTIAL e �
� � �
� Water Heater � =
- � � �Water Softener �
� � Lawn irrigation�RPZ/_PVB) �
����� �
� � Septic System � Add Plumbing Fixtures�Main f_Lower Leve1) �
' � _ � Water Tumaround �
a New �
1 , � �
� Abandonment �
� RESIDENTI�IL FEES: � � I
$60.00 Water Weater,Water Softener, or Water Heater and Softener(�ncludes State Surcharge) g
� $60.00 Lawn Irrigation (includes State Surchargej �
� $60.Q0 Add PI mbing Fixtures, Septic System Abandonment,Water Turnaround`(includes State Surcharge}
�
� 'Water urnaround(add$210.Q0 if a 5/8"meter is required) �
$115.00 Se ti S stem New{includes County fee and State Surcharge) fi � �
TOTAL FEES$ !�.� �
�
CALL BEFOHtE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours be ore you intend to dig to receive loeates of underground utildies. wv�v.qopherstateflnecall.arq
I hereby acknowletJge that this information is complete and accurate;that the work vorill be in conformanee with the ordinanc:es and cxrdes of the Gity of
Eagan; that I und�rstand this is not a permit, but only a�appfication for a permit, and wark is not ta start without a permit; that the worfc will be in
accordance with th�e approved plan in the case of work which requires a review and approval of pl
�t � �i�v�,�--- X ��L���
ApplicanYs Printed Name Appli 's Signature
���t���� � � �+����t' ��� ;
��rqu�t#1t� ' "�� �, '..���`�t� ���� _ `�,�ir T�t : ��� ,�,._,w,�i�t ;.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140190
Date Issued:11/30/2016
Permit Category:ePermit
Site Address: 4296 Hawksbury Cir
Lot:11 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Richard A Eller
4296 Hawksbury Cir
Eagan MN 55123
(651) 454-6137
Minnesota Rusco
5558 Smetana Dr
Minnetonka MN 55343
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169704
Date Issued:06/07/2021
Permit Category:ePermit
Site Address: 4296 Hawksbury Cir
Lot:11 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Richard A & Theresa Eller
4296 Hawksbury Ct
Eagan MN 55123--306
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171048
Date Issued:07/28/2021
Permit Category:ePermit
Site Address: 4296 Hawksbury Cir
Lot:11 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-110
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 -
Richard A & Theresa Eller
4296 Hawksbury Ct
Eagan MN 55123--306
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature