Loading...
4299 Hawksbury Cir., ? .- INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: T?- (612) 681-4675 SITE ADDRESS: APPLICANT: ? ;I:?l•Ir_ ,i:???r r ? 1 1, {I: f.R r i , r>, I I L c A I i?tiL! I fIOfZNti 6J[1[N.)?: ,'yfl ? i i? 1 7) f?t4:'- N???3? ' ? PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .A RF.N1f1FtK•`i:' PF2V 4J F'1 HR • i't1ikMANti1f1N F?I • I ? ?,? i ' Permit No. Permit Holder -I Date - Telephone 1i ELECTRIC PLUMBING G 40-7" HVAC Inspectlon Date Inap. Comments FOOTINGS FOUND 9, ? FRAMING ?1.7?o ?. e • eme.?s? 7& ar-L,Syx Os' r/h. AOOFING ROUGH PLUMBING l? 2 -a0 PLBG AIR TEST K 1/ ROUGH HEATING • G"S S"C TEST aa INSUL GYP BOARD FIREPLACE FIREPLACE AIRTEST '? C-riy 7?'ST FINAI PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL ? DECK FTG DECK FINAL ? I CITY OF EAGAN I 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 ( (612) 681-4675 " SITE ADDRESS: f IIr,EJ! It??Eir11 IJt?1111'. .'NE? PERMIT SUBTYPE: i l I I is 41('.[N4?1. ON 'jCURD PERMtT TYPE: Permit Number: Date Issued: v' 1-" " " 11 APPLICANT: I ID 1.Ekr t TYPE OF WORK: t' G N Ai. ? ? Permlt No. Permit Hoider Date Telephone N ELECTRIC PLUMBING HVAG Inspectlon Date Insp. Comments FOOTINGS FOUNQ FRAMING 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 BSMT R.I. BSMT FINAL DECK FfG DECK FINAL ) (, / 7 Ker#ificate vf Cccupanc? Kim of Wagatt 20ar1 ?aeut of ZMilbhgg andpcction J This Certificaie issued pursuant to tlte requrrements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: ux class;rcafion: SF DJG Bldg. Prnnit No. 267Q7 Occupancy Type R3 Zoning District R I Type Comt. VN ownef arsuaaing HMM &AS= waems 3201 W HWY 13, AOMNMrF. Building Addmss 4299 HAWKS&M C1RCIF l.ocality LIlB2j ?MOM .1:., o„r: NOVEMBER 6, 1996 suilding offi?ial POST IN A CONSPICUOUS PLACE RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construdion RequlremeMs • 3 regis@red site surveys showing sq. it of lot, sq. ft o( house, an[hll roofed areas (20% maximum lot coverage alhwed) . 2 copies af plan shaxing beam & windaw sizes; poured faund dasign, etc.) . t set of Energy Calculations . 3 copies of Tree Preservation Plan'rf kt platted aRer 711/93 • Rim Joist Dehail Options selecfion sheet (bidgs wilh 3 or less unifs) DATE __II15/4 JOB SITE ADDRESS LiZ9Q }-}a.W ksb IF MULTI-FAMILY BUILDING, HOW MANY UI PROPERTY < TYPE OF WC APPLICANT ADDRESS PAGER # _ Ci CELL PHONE # CODE 651 Z'2?. FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor; _ Plumbing System Includes: Mechanlcal Controctor: Mechanical System Includes: Sewer/Water Contractor: All above information must be su6mitted prior to processing of application. FIREPLACE(S) _ 0 _)? 1 _ 2 PHONE# (aS1-4S4o-1D1'f/ Phone # Phone # Fee: $90.00 Fee: $70.00 r? ?,? ? ? U LS I hereby acknowledge ihat I have read this application, state that the information is corfeci; and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi pnces. Signature of Applicant? d-.l?(\:%n" Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updatetl 1fo1 MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone _ Water Softener Lawn 5prinkler Water Heater No. of R.I. Baths No. of Baths Air Conditioning _ Heat Recovery System RemodeVReoairReauirements . 2 copies of plan ? • 7 set of Energy Calculations for heated add'Nons . 1 sRe survey fot exledor adtlitions & decks • Indiqte it home served by septic system for adtlitons VALUA'ION ?7100 OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ex[. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex tZ-T9 Lower Level ? 24 Storm Damage ? 08 04-plex O 12 12-plex Plbg?& or _ N ? 25 Miscellaneous ? 31 New ?r35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replaceme nt *Demolition (Entire Bldg only) - Give PCA handout to appiicant Valuation 9-d-zlv Occupancy MC/ES System Census Code Zoning City Water SAC Units ? L Stories Booster Pump Nbr. of Units 0 Sq. Ft. PRV Nbr. of Bldgs _4 Length Fire 5prinklered Type of Const -42Y Width REQUIRED INSPECTIONS _ Footings (new bidg) _ Footings (deck) FinaUNo C.O. _ Footings (addition) Pluxnbing _ Foundation HVAC _ Drain TIle WxRoof _ Ice & Water _ Final _ Other Framing Pool Ftgs Air/Gas Tests _ Final lk?Fireplace P-R.I. I(Au Test ?(Final _ Siding Stucco Stone _( Insularion _ Windows (new/replacement) Approved By 500 , Building Inspector 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 FinaUCO. ? ? .? RESIDENTIAL ? y5U o? BUILDING PERMIT APPLICATION / ? CITY OF EACAN 3830 PILOT KNOB RD - 55122 659-681-4675 New ConsWCflon Reauiremems • 3 registered site surveys showirg sq. h of lol, sq. R af house; and all roofed areas (20%maximumbtcovarageallowet) . • 2 copies of plan showing beam d w'vidow Sizes; Daned farM Oesign, etc.) • t set af Eneryy Calc?la4ons • 3 capies of 7ree Preservation Plan i( lot platted after 711193 • Rim Joist Oetail Options selection sheet (bldgs with 3 or lass unils) DATE `7 I 01 .iJB SITE ADDRESS-42 If MULTI-FAMILY BUIIDING, HOW MANY UNITS? PROPERTY QWNER GaA U 4' D4-7,jSo?? TYPE OF WORK e P? FIREPLACE(S) _0 _1 _2 _3 APPLICANT (Dg-c[` LPcY-E? i n? oou? <i- S, o? n c? PHONE #? S?- ?°I I-??4 00 ADDRESS H?5D G I.2 n G(A• V e/ IAV, m r) ZIP CODE SSl ? PAGER # CELL PHONE # ? FAX #" 15 Z- fr9/ -4aso NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) -q+ 7<' R IlReoair Requirements 2 mpies ol pVan ' 15elofEnergyCakulatiorefw,heatedadditions 1.. -F - ., . t sile survey tor ex[erior additions & decks VALUATION (EXCLUDING LAND) U, _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Workshee4 Submitted Plumbing Coniractor: _. Plumbing System Includes: Mechanical Contractor: _ blechanical System Includes: Sewer/Water Coniractor: _ 4Vater 5oftener _ _ Water Heater ? No. of Baths :lir Conditioning Heat Recoveq System Phone # Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Apptlcant C" Certificates of Survey Received _ Tree Preservation Plan Receive _ Not equired _ Phone #: I.awn Sprinkler No. of R.I. Baths Phone # Updated t/01 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 73 16-plex ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 03 Ot of_plex ? 09 07-plex ? 17 Garage ? 04 02-plex ? 10 08-plex ? 18 Deck 0 05 03-plex ? 17 104ex ? 19 LowerLevel D 06 04-plex ? 12 , 12-plex - Pibg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage _ ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF O 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 O 33 Alteration ? 37 Demolish (Bidg)* O 43 Reroof O 46 ? 34 Replacement ? *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const _ Footings (new bldg) Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fueplace _ R.I. _ Air Test _ Final _ Insulation Occupancy Zoning Stories Sq. Ft. Length Width REQUIRED INSPECTIONS _ FinallC.O. _ FinaUNo C.O. _ Pldmbing FiVAC MC(ES System Ci:y tiNatai Booster Pump PRV Fire Sprinklered Siding Fire Repair Windows/Doors Other _ Pool _ Ftgs _ AirlGas Tests _ Final _ Siding Stucco Stoae _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit ° License Search Copies Other ToWI Building Inspector I?) II ???IIIII?" REUUEST FOR ELECTRICAL INSPECTION ?47 Minnesota State 8oard of Electricity ? 1821 University Ave., Rm. S- 8 St. Paul, MN 55104 `?? *02 S 3 Q 6 4 0* Phone (692) 642-0800 1(p Home Apt. Bldg. 01her New Addn Commeraal Indusfrial Form Remod Re air Air Cond. Hfg. Eqmp. Wofer Htr. Load Mgmf. Olher D er Ran e Elec. Heat Tem . Service "k' above the work covered by fhis requesf. Enfer remarks in t6is space and on ihe back o/ the white mpy only. !. n/-? c7'6 r- en B e..l ?. lf" Calculate Inspechon Fee - This Inspechon Requesf will nof be accepfed wifhoW fhe rorrecf (ee: Olher Fee # Service EMrance $ae Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps ? 0 to 100 Amps Q? Sheet Lig./Traffic Sig. Above 200 Amps ' Above 100 Amps Transformer/Generator INSYECTOP'SUSEONLY TOTAL i $ign/Ou}line Lig. Xfmr. /G?O?pJ Alarm/Remote Control Swimming Pool I here arM1 Nwt I ins the elecfiwl insMllofion de cnbed hercin on Ihe dores swtwd Irrigotion Boom Roogh-In r D. _? _Y6 $pecial Inspection Investigo}ive Fee Fu,o] o.Y/ -",Z y-J?6 THIS INSTALLATION MAY BE ORDERED DISCONNE NOT MPLE ED WITHIN 18 MONTHS. 2 5 3-O V4 El ?-I C??? S?r TMis requast void 18 monihs hom vaLdonon dob pnnted m M/rs ?bo?x 27 `? ' +T 7-0 PLEASE PRINT OR TYPE ? /? q' a Rryoeel Dare Ro?gh-in impeaon requved2 ? Yee 0 No Inspedion Olher Than Rough-In 0 Ready Now ? WA1 Coll a i' ?YOO must mll ?he mapaclor..fien reody? I Date Reody: I, aI censed con}rodor Q owner hereby request inspeclion of the above electri<al work a} l06 Address (Slreet, Bo., or Roote o I Gry Zip Code y?2 5?; ? Secnon No Township Name or No. Range a fire Na. np Ocwpam ' Phane No. PavrerSapplar Addross Elecfiml Conhaclor (CompanY Name) Contmtlor Lcense No Mazror Lic No (Plant EIeN. Only) G Qs Mmbng dre s( nvucror or Owner Pedormi?q Insallahon) l AWhorizcd gnoWro (Commaelbr or O.er Pedormng Insbllapan) Phone No EB-OOOOIA-10 6/95 0 STATEBOARDCOVV-SEEINSTNUCTIONSONBACKOFYELLOWCOPY REQUEST FOR ELECTRICAL INSPECTION ?:- ee-o/o?ooi-o 10, See mstmcoons for completmg this form on back ol yellOw copy. 4 073 296 -X" Below Vl(ork ('overed by This Request ??.?Y? Ne% Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt 8udding Dryer Load Management Comm./Industrial Furnace Other (Specd ) Farm Av Conditioner Otner (specily) ConVactor's Remarks Compute Inspection Fee Below: # Other Fee !! Service Entrance Size Fee # Cvcurts/Feeders Fee Swimming Pool 0 to 200 Amps ..7 ^- 0 to 100 Am s Transformers Above 200 Amps Above 100 _Amps SIgf1S Inspecror's Use Only TOTAL Irngation Booms ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby if h R°°9n,n Date cert y that t e above inspedion has been made Roai ( oaie ? OFFICE USE ONLY This request vaia 18 maNhs irom ?a'9s (- 4r 0 0 3 296 6?112,o//y..?mxc Ir)" e4"°' '?O ev Request Date ` ?4- N. gh-In Inspachon Reqwretl Inspecnon Olher Then Fough-In (VOV must call mspector when reatly) ? Reatly Now ? WAI Notity Inspector ? Ves ? No Date Ready ICKlicensed contractor ?owner hereby request inspection of above electrical work at: Jab Address (Street. Box or Fou?e o 1 ? Qty ? ?7/ ? Section No Towrehip Name or No Range No County Occupant(P INT) Phone No Powar upplier Atltlress Electncal ConVactor (COmpany Nam Contraclor's L¢ense No ? /? ?5 Mailing M7 or or Owne MaWng In allalion) /Jl ?/f.?v/?GC-nl Aulhonze Slgnature (CO ctotlOwner Making Installation) Phone Number 5 - ). 2_ a.77 76 MINNEgOTA G gge-M dwayTBltlg?m SF128ECTFICITV IQ? NII b?l ulll Ild Ih! ? ? II? tIN ?I 58 PROPER NSPECTION FEE ST 1821 Unlvereity Ave., St. Paul, MN %104 UNL Phonel6121fi42-0800 ENCLOSED Address 4299 HAWKS mY CIttO.F Zip 55123 al.ot I Blk z Sub xnwIHoxrE woWs 2NID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 11/06/96 Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) Permanent steps (main entry) ? Permanent driveway ? Permanent gas ? Sod/Seeded grass ? TraiUwrb damage Porch ? Basement finis6 ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to thc outside lawn faucet before frecze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy C:[TV pF !=r1CAN , ,•')sil•17r 4': '? `CERM;:t?fi',_ M'J;; 340 ?;^?'-::? ' oFi!28/97 'r);MS.v. W0900 }>n:.:.: 9(,'_Q:,. 4c?ti`;' i-'r1Ni!Si7t:1^'s' ,`.iD„JQ P?cJ:J 9001 fi.299 I.:OIsiVS,I=ilR'r 0.50 ? rC.i',qi' !:"_;.(.7f.i1: ^•'.:7i..:,^i;t :'.J 50 nr.:7iC; Qid .. In '[:' e CyANGY , '.>y}i,.,,tw..,;t',"-'Y'>'^... .ft.":°:l;...,, 7t::'te'<:<`"=,. I CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERIVIIT PERMIT TYPE: Permit Number: Date Issued: BUTLDING 029559 02/28/97 SITE ADDRESS: 4299 HAWKSBURY CIR LOT: 1 BLOCK: 2 HAWTHORNE WOODS 2ND P.S.N.a 10-32151-010-02 DESCRIPTION: rmit Type TYPe ?av?"_ "' ? ` . ' ••?r x^a- pn ?je .., ??... ?°Rga X . DECK NEW 434 ALT. RESIDENTIAL -? ?,?' `'?w ?z? ,I '??° 3°s'. 14? a:±-,?!y V . 94acs +1b REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.56 Total Fee $50.50 CONTRACTOR: - Flpplicant - s1`. Lzc OWNERc 74E DECK & DOOR COMPANY 14513192 0005457 MApDEROM RICK 1z,S32 AKRON AVE E 4299 HAWKSBURY CZR I,NVER GROVE HTS MN 55075 EAGAN MN 55123 (512) 451-3192 (612)405-9744 ` Z her?by acki?oGx?e,dge hav'Ai : irtf or,maE3.an°??,s Cst „'6f ??gart?Ar?ai?r?r??? y, APPLICANT/PERMITEE SIGNATURE 9 taCe e?-f, Mri,. ? <, x> 1? ? Aolqwq 7997 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirr oF E?cnN • • 3830 PILOT KNOB RD - 55122 681 -4675 New Construdion Renuirements $emodeVReoair Reauirements ? 3 r?e istered site surveYg'? ? 2 wpies of plan ??'Ccopies of pWns (indude beam 8 window saes; poured fid. design; etc.) ? 2 site surveys (exterior addkions 8 decks) • t energy calwlations • 1 anergy celculations far heated addkions ? 3 copies of tree preservation plan i/ bt platled after 7/1/93 requlred: _ Yes _ No DATE: oZ ` d-5-' °/' CONSTRUCTION COST: 3OOd 4`,50, 5?0 oJ - DESCRIPTION OF WORK: I'Ve' K STREETADDRESS: ??2?9 GI,G/LL2. LOT / BLOCK 2 SUBD./P.I.D. &J"I' L PROPERTY Name: 1'4,00r XOA4`i AiCd( Phone #: ?71/)/' OWNER u., .., Street Address: A4wl<t gv49' C/ C,e c!? City: _/C"AC-H.1 State: /'!lV Zip: 3 ^ CONTRACTOR Company:?/fi? DfCrl?tpvne Co •)a C Phone #: 1?1-51 --" Z Street Address: /4&,2 4,4r,e6li/ 11!//L /z . License #: "62 CIty: /Nver-"/IG.Cod/? N/z/G/Y6 State: i*2?/ Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construc6on onty): and lot change are requested once permit is issued. Penalty applies when address change I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature af Applicant: 'OF OFFICE USE ONLY - VED Certificates of Survey Received _ Yes _ No 9g'o 7 Tree Preservation Plan Received _ Yes _, No _ Not Required By''-'?-?------- OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 &plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex 2' 15 Deck WORK TYPE a? 31 New o 33 Alterations o 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS 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. 14 3 Depth Footprint sq. ft. SAC Code ol Census Bldg I Census Unit n APPROVALS Planning Buitding A413 Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: .a5 Valuation: $ °h SAC SAC Units ? ,_ _ PERMIT ?osos.?? ?( C?TY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: PermitNumber: BUILDIN6 Eagan, Minnesota 55122-1897 0 2 6 7 9 7 (612) 681-4675 Date Issued: 12 / 9 4/ 9 5 SITE ADDRESS: 4299 HAWKSBURY CIR LOT: 1 BLOCK: 2 HAWTHORNE WOODS 2ND DESCRIPTION: SF DW6 NEW R-3 V-N R--1 59 38 2 1,934 0101 1 - FAM. OETACH ?` r,=a•? , - . " , _?, ??::," ;i'?": ? Buildtng-P,ermit Type Building Work Type U6C Occupancy•__, Construction Type Zoning iBuilding Length Building Width ?t.uildi?g %tories '?Square Feet,:?_..._,.11 Censu°s-;Code REMARKS: PRV FEE SUMMARY: S& W PLBR - FARMINGTON PLBG VALUATION $158,000 Base Fee Plan Rev3ew Surcharge SAC SAC % SAC Units Subtotal $1,177.25 MSSCELLANEOUS $1,892.50 $412.04 Total Fee $4,410.79 $79.00 $850.00 100 1 $2,518.29 CONTRACTOR: - Applicant - sT. I.IC.OWNER: HEBERT & ASSOCIATES 18820595 0005709 HEBERT S ASSOC 3201 W HWY 13 3201 W HWY 13 BURNSVILLE MN 55337 BURNSVILLE MIV 55337 (612) 882-0595 (612)670-6030 I hereby acknowledga that I have read this information is correct and agree to comply ? Statutes and City of Eagan Ordinances.' A I ERMITEE SI ATURE • applicatzon and state that Che aith all applicahle SCate of Mn. fiN111 ICcDl I I IlA ISSUED Y' SI ATU i ? CITY OF EAGAN ry 3830 PILOT KNOB RD .56122 1995 BUILGiNG PERMIT APPLICATION (RE5IDENTIAL) 681 -4675 New Construction ReQyiremeMS KemodeURo,pair Reauirements ? 3 registered sita surveys ? 2 copies ot plan ? 2 copies of plans (indude beam 3 witMow aizas; poured RW. design; ete.) ? ? 2 sde surveys (exterior aOd"Rions 8 dedcs) t t energy calwlaGons ? 1 energy ealculations for heated additiona ? 3 cropiea of tree p rvaGon plan ff bt platted after 7!1/93 reqwred: Yes No DATE: CONSTRUCTION COST: dav ' DESCRIPTION OF WORI STREET ADDRESS: ' LOT BLOCK L SUBD./P.I.D. #: A ? 7 d ?d 3° PROPERTY Name: ?Z 4 Phone #: OWNER `M" Street Address• City: State: Zip, CONTRACTOR Company: ? Asa Z? Phone #: ?2? '40 3 v Street Address: Af G J•4, Licensa City:??is,--?,r? , 14?1 5tate: - A?R ?iY• t"S3 37 ARCHRECT/ Company: Phone #" ENGINEER Name: Registration #, Street Address- City: State: Zip: F 5ewer & water licensed plumber. e ? S rariL, Penalty applies when address change and lat uhange are requested once permit i issued. I hereby acknowledge that I have read this application and state that the information is corted and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFF{CE USE ONLY ? Certificates of Survey Received Yes 2 2 1995 Tree Preservation Plan Received _ Yes 7 No OFFICE U5E ONLY BUILDING PERMIT TYPE . ? 0 01 Foundation ? 06 Duplex ? 11' Apt./Lodging ? ? ,4!f-02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? ? 03 SF Addition ? 08 8-plex ? 73 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 0 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE .A"1 IVew n 32 Addition ? 33 Atterations ? 34 Repair GENERAL INFORAAATION ? 36 Move 0 37 Demolition Const. (Actual) ? Basement sq. ft. (Allowable) -- u Main level sq. ft. UBC Occupancy 2- 3 ?r? sq. ft. Zonin9 sq. ft. # of Stories Z q(flkT. sq. ft. Length 33 sq. ft. Depth 316 Footprint sq. ft. APPROVALS Pianning Building 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: % sAc SAC Units / L ? sP Engineering _ Valuation: ??- Z,3/-73 /yr lG.?? = 033 ZoJT? ? ca ? ZyX z? 33 Z ? iu 33 , = a t ??l Variance Z- YLs o? ?L / g S`?'.ocr? ; ? -- f? 15a ? 71 ?- /? 3 -7° ?-_`-- . Sj,r //-3I = y ?-? lv?Z?O G 33X Zk,31 = 179 z G•e?,z? /s 43x ? IL ? ? . .• ? ?..? ,r?. 16 Basement Finish 17 Swim Pool 20 Public Facility 27 Miscellaneous MC/WS System City Water Fire 5prinkfered PRV Booster Pump Census Code. 5AC Code Census Bldg Census Unit . . ? LOT SURVEY CHECKIJST FOR RESIDENTIAL BUILDI G PERMIT APPUCATION PROPERTYLEGAL: ? 6 m ATE OF SURVEY: ?% Z// W f..l ? LATEST REVISION: L O 4 2 ? = . DOCUMENT STANDARDS m? 0 • Registered Land Surveyor slgnature and com ar 0 • p ry Building PertnitApplicant ? 13 • Legal descriptlon ? 0 • Address • North artow and scale ? ? • House rype (rambler walkout split w/o s lft antr lo k t t ? o • , , , p y. o ou , e c.) Directional drainage arrows with slope/yradierrt % 13 • Proposed/exastlng sawer and water seMces 3 invert elevatt C3 0 • on . Streat name 2o"0 0 • ' Oriveway . D- O ? ELEVATIONS Ew e? • ge erv(Ce Q-"9 C3 • Propertycomers 0 • Top of curb at the drlvewey e? O D • Eievadons of any eristlng adJaceM homes a s ? • Garage floor 9- 0 • Frst floor C3 • Lowest exposed elevatlon (walkouUwindow) i e o o • Properly comers G-, o o • Frant and rear of home at the foundadon PONDING AR n nf a....is,.aue? 0 Ge., 0 • Easement nne ? 0-"D e NUVL a cr' O • F{yyL _ C3 [1 o • Pond # desipnatlon 0 ? D • Emergency OverfloW Elevatlon pIMENSIONS W<i? (3 • Lot llnesBeartnps & dimensions ? o • Right-of-way and sVeet width (to back of curb) 0 o • Proposed home dimenslons including any proposed decka, ovefianps greater than 2', 2/ porchas, etc. (f.e. all structures requfring pertnanent footlngs) 0 • Show all easemancs of racord and any City uGlitles within tthose easemanfs ? • Setbacks of proposed structure and sideyard setback of ad)aeent exdstlng shuccures ? O • Retaining wall requiremen f Reviewed: ; /i/ ?? i .lury 1995 1 `s ? ? ? ?., , .? S&W0t35 s38;w48' 912.7 M.H.15 % ? SCALE IN FEET I 4 ' 89.0? M. H. 14 100 o 2 46.0" - SB WOt45 s 38 ', w 52, 902.6 2 \ 54.0 570 ? ? , , TY 0 EAGAN D8Eg N0T GUARAN7 - 84 0' _ „ z ,CC I U ?? ACY 0F UTILIN LOCATIOfiIS , . W E 1ATI NAY DpA IS F* IV URPOSES ? / s ' 6 GATE VAL VE 58.o ' ELEC. 'J5 ? fULY APJD SIfUG IT SHOULD VER;, Y THc r / //0 R 13 9 20' aso' 5fo • ?? f??d NONTHESITE N ? 6 -I/16 BEND . Sy??O O SAW 0t40 ' ' 12 I I p S ? 2y 6 45 . 59 3.0 36 S&Wl+lS 540 w30 g&W0+35 ' o ? F , s42' w32 G . 9OB.8 HAW SB RY C _. _ _ ?. . M ,H.14 9/98.. _. , ..._._ 920 ? ° _ . R.E. . 910 .. , l28 - ' 2 < - V. .... C 8 'P 13? . . ... .. .. . . . ?14 TF1 ?. 9?0 SDR. 5 -?0.59% . . . # 9S-s3s LNERGY CODE WORKSfiEET L'OR 1& 2 L'MSILY DWELLINGS b SITS AbORESS C. N S CITY COMpLETED DY: 06 P7C..f?.1 7 PIIONg N DAT$ BUII.DI[iG CLASSIFICATIOt7; ? category 1(utandard) or ? catogory 1(muat includa voatilatiott) lSItiIMUM CRITERIA FoUndation Insulatlon-R10 Y7alle G Windowo Roof Attic Ineulationt (See table on reverse side Sla6 on Grade IneulaLioii-R10 for allowable percentages) R44-With Attic No (leel Floor over ujilieated spaceo-R29 R30-With Attic Raieed t;eel Foundation 47indows 1/2" R38 & RS-Solid RaEtets ineulated Glacs. -hlood or Vinyl Frame STBP 1 Window 6 Door Area STBP 2 Calculata area ae a percent of wall A. Total Window & Uoor Area in uq. Feet WIC7DOWS (InCluding f'oun(lati on 47indown): WIt7DOW MAItUPACTURE NAMB: C. Prom Dtep 1 divide box A(471ndow & Doot Area) I>y box B (total wall area) timen 100 WItiDOW MAtNPACT[IRE TypB: egaalc [he window and doot area as a percent of wall area (box C). WItIDOW MAIiOFACTURII U FTCTOR: R. O. QuanCily cy.fL.Area AOX A375-0 X 100 = C Uimeusions 13ox B Nq? ?/ l X 3- a" I 41 3C/ STEP 3 Deeign Featureu ?{ ZI`CfN 7C?1! Y -20 O . ASSEtdBLY Z'`U X PRAMItiG TYP6: X?-O? S7'AlIDARO FRAMINO ? utude 16" o.c. X ADVANCED FRNIING ntude 29" o.c. X CAVITY INSULAI'ZON R X 9lISATHZtIC TYPH: X ? LBSS TIIAN < R-5 ? x R-5 > OR 1•IORE X U-FACTOR O DOORS: From the table, (reveroe eide) determine the maximum percent window & door area for the /?' X?? !/ %) deeign optione eeleclad and enter the t value in Dox D below based oii the window mEg. U- ?J factor: FD71 p Tutal Area of t+- Windowe & Doore B. Total Y]all Area in Sq. Ft. The t value from the Cable 11i 0ox D shall Ue equal ta or greater Chan the t in Box C Wall Total ?cight Araa perimeter 3??' ??v ICoS / SS 3 l I S?o 1v, ? 7 (o(o S '1'oCal Area oE Wulls _------ --- U=51! q(cq.[t ---`----' s ? CITY USE ONLY L ? BL ?- RECEIPT #: SUBO-1L'e.cv?a Lt/? . o? ?J DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit Y 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) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) '3 ? ? State Surcharge .50 TOTAL l O SITE INSTALLER NAM A OWNER NAME: PHONE #: STREET CITY: Fmc uh ? v?G ??? STATE: ZIP: PHONE #: ( < 2. CITY USE ONLY L BL SUBD. 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 687-4675 Piease complete for: ? all commercial/industrial buiidings. ? mufti-family buildings when separate permits are IIQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee QC 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ cinr: PHONE #: SIGNATURE RECEIPT #: DATE: INTERIOR IMPROVEMENT TELEPHONE #: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR ? a CITY USE ONLY L ? L BL "d- RECEIPT #: SUBD. DATE: 7996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dweliings ? townhomes and condos when permits are required for each unit FIXTURES EACH NIQ. L TAL Shower 3.00 x l = 3_ tnr3ter C!esst 3.00 3 -- ? Bath Tub 3.00 x Lavatory 3.00 x 15 Kitchen Sink 3.00 x I = 3 Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x Gas Piping Outlet * minimum -1 3.00 x 1 =?_ Rough Openings 1.50 x L4,5? Water Softener 5.00 x = Private Disposal * Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Spfinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: ' I u - OWNER NAME: «e-6,ZrA `? CLSco INSTALLER STREET CITY: T« r v.n t' ..G ).My. STATE: (Nl n ZIP: -1'509L?zi PHONE #: ( ) L1(0-2 gLU (? nn , , ?,? Yn Y .t_ ? 3?V L _ BL _ SUBD. OFFICE USE ONLY 1996 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 RW required for each dwelling unit. DATE: WORK TYPE: _ NEW CONSTRUCTION DESCRIPTION OF WORK: ADD ON REPAIR IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permi fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: _ ciTV: PHONE #: RECEIPT #: DATE: STE. # SIGNATURE: OFFICE USE ONLY METER SIZE: ' DATE: CONTRACT PRICE: STATE: ZIP: APPLICANT INSPECTOR: ? f . > PERMIT# L? %. I ? RECEIPT DATE: 1 ? ,)-o " d Et£SIDEN'1'IAL PLU14[BINH PERMTP APPLICA"B''ICDN CI1'Y OF EAfiAN 3930 Pu.oT Kivos itu EAaAu, Mx 55122 651-6$1-4675 Please complete for: SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: #: 4a5l- Sb'Olql (AREA CODE) TELEPHONE #: ?l(- lPS ? -??d ???a 3 (AREA CODE) CITY: STATE: /IW ZIP: Place a check mark next to the cermit work rioe New residential dwelling unit under construction and not ownerloccupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installationlrepair/rebuild of RP2 • lawn irrigation system • water turnaround Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees . requires MPC license Water turnaround - existing dwelling unit, including: $ 50.00 • 5/8" meter 115.00 $ 165.00 State Surcharge $ .50 TOtal $ Reminder. Schedule inspections of alterations, i.e. water heaters, water sorteners, water rurnarouna, ecc. I hereby acknowledge that I have read this application, state that the information is cortect, and agree to oomplywith all applirable Cityof Eagan ordinances. It is the applicanYs responsibility to notiry the property owner lhat the Cityof Eagan assumes no liabilityfor any damages caused by the City during its normal operational and maintenance ac6vities to the 6cilitles constructed under this permit '' y prope?/ri H-o -way) asement. L NAT E OF MITTEE Updated 9/01 ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system / Date: II U4Op steAddress: Lllzei4 11A0K590&91 /?//1CGG 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Tenant: ?------ ----------- ? ForQfficaUse ' ' I ? ...„_ ..-?-7- I j Permit #: JS ?? -70 j ? PermrtFee: OO ? I ? ? Date Received: ? ? I I Staff: I I Suite #: RESIDENT / OWNER Name: *f 7790 1_/ 70(-W'SB7J Phone:??('ys?o 6kw[gU`ay C%L ?CL ? Address ! City / Zip: ir?? I Applicant is: _ Owner Y-Contractor TYPE OF WORK Description of work: 1en97_//l„1&1 Construction Cost: Mutti-Family Building: (Yes No ? CONTRACTOR Name:T/3Bl1T f?? / jL4_ License#: Address: ?a17 e?WlZy 7-0,4-11- city: State: AWJ zip: ?7L 3 Phone: G`'.?? o?7I ?? ?I ? Contact Person: ?(G S77'h/k2CYL COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitled In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water ContractoF: Phone: NOTE: P/ans and supporting documents that you submit are considered to be pu6lic information. Portions of the informafion may be dasslfied as non-public if you"provide specific reasons that would permit the City to ., canclude that the are trade secreis. -: I hereby acknowledge that this iMortnation is complete and accurate; that the work will be in Eagan; that I understand Ihis is not a permit, but only an application for a pertnit, and woi accordance with the approved plan in the case of work which requires a review and approval I X fi2?? ?,uDc-?2 = G Applicant's Printed Name Appli" h the ordinances and codes of the City of wRhout a permit; that the work will be in Page 1 of 3 Rq_ o??t-?TE S F. 4SI.iRVEY FORd HF. l' 1-?om? R?D¢?ss 42°H 4RwKSSuM TopCue.g ?° `-1 q C?¢.c,?.c_ 40 s.17 10. 4 z U ? T?o.? ??1 , 620 ,= g?a,4g ?=C leC R;z L.? l?otr : luo???a?rn? F.?bv = 9 ?0,J8'?i ?ev r>?3 ?'° a m a r¢ ?-F-- ?' co ?zoz.g _ ? ? •o?,-Q 6 ? ?U?, p?azr?µ?ur ? ? A lyr?,? zp w?33 ???9zS, zi`? '9a ? i - Top 1-a-u$ ? N M ? 0 76. ? at 9L3A ?`1 op F;A /?? /? 6o tA ?at?Rff.VI ?r ? R?Fa?ED 25 I `?`° " ?'1 ?? Pw.?d1?? c 41?? w.o c.? 0,03 ? '? ' ? /' ?' ? ? " M d w ? 1 \ ??--- /a ao ? ? `,-- `t-op F? ? NOWSF .Z e? ??M]? . . ? EAGAN DEPT. PO m ?4Ia E. G? ? ?a t1'.?J1? Bearinga are assumad Suhject to easements of record it any O Denatea set or tound iron pipe monuments 924?? Proposed garage floor elevation Proposad top of block elevation 'r?¢p Denotes existing elevation $ Denotes set wood hub and tack ga.p Denotes proposed finish grada elevation Denotes direction of surface drainage ? Proposed loweat iloor elevation ( ? nch =.?o? Sco I hereby certify that thia is a true and correct repreaentation of a survey of the boundariea 1 1?I Q?VKDT?i ' of Lot 1, Block 2,?-IqVdTHORNf.UUWDSZ?ID AOOITiD?i, County, Minnesota as on Pile,'and of record ? in the Oflice of the County Recorder in snd for said County, nleo ehowing the proposed location of a house as staked thereon. That I am a duly Registered Land Surveyor under the Laws of the Stete of I?Sinnesota. DBted: Lqq? ? Allan R. Haetinga Minnesota Registration No. 121 Leais Street S. Suite No. 102 Shakopee, Minneeota 55379 Phone 612 445 4027 17009 , ?,? 7? ? ? ,s r"'? e ,?, y q?, 3 D 45 l/iR?Y FoR'* l?? ?- S ?UC`.I r?TE - F r_ ?- 5 Nome ADOeESS 4Z?HH F?AWKSguP?( ToP?Ue.g CiRCir_ Ec6d=91g.1711? J!? ? ? ?o. 9b Z u 2? 0?' To ° ??¢? 1( 9, R:2 ??L? Ma1i? : Iuu?BJ'i 7ltAltTftpy( J F?f): I?-,kkvv_Sr-RV" is 7r?lr ? - ?Zi, ? / 'h° '?~a _J-(?9zs•?' ? ??O ?G 9?t' ? ?1911h3 1A 't033 21.9 ??EuP9z5,?? ?o ?O ° ?69 ?? rl?Ca ?EPA-R.T?4(ttA1T A4 ? ? ?OS ?o " ? 21 • ? ? _ ? ?, uA. 8 7 T ".e dP l-kaa ? ? ?= 918.81 = N 0 r, U+ Ta, l?6 ? E?.?U , - 9 31.09 31. ' 1 * ? 2?.? Vt°P e`=?'9?z5 I ? u lK2.?p ?SPf b I 'V_?4A r"J10 C. E? kN: , ?q ??, N'i• Cp,_ ?? 3 CY' , 30,?3 v- w 1 /"?-J a ?o l?) ? . ? ? 34:o yk,??? 1'°' \ L B F.AGAN '---- ? (-?6uKF 910:[ ED DEPT. i ? PAVtl Bearinga are aeaumed Subject to easemants of record it any Q Denotea set or tound iron pipe monuments 924,4Proposed garage iloor elevation q Proposed top of block elevation $ Denotea set wood hub and tack "(e4p Denotes existing elevation 9p Denotea propoeed Yinish grada elevation Denotes direction of surPace drainage Proposad lowest tloor elevation ,S?.? ??? ? nCh =.??o ? I hereby certify that thie ia a true and correct representation of a aurvey of the boundaries 1 I?ako`r? of Lot Block 2,HawHoQU4aoo52?io Awmoa, County, Idinneeote as on file: and of record in the O!lice of the County Recorder Sn and for said County, also showing the propoaed location of a house as ataked thereon, Thet I am a duly Regiatered Land Surveyor under the Lawe of the State of Minneaota. DBted: 00QFRe)Ee 4 "", t 'AN Allan R. Haetinge Minneaote Registration No. 17009 121 Lewie 3treet S. suice xo. ioa Shekopee, Minnesota 55379 Phone 612 445 4027 Rt.VI E t E$Y ,SAITs r