4015 Hosford Hills Rd_ INSPECTION RECORD CIT'f OF EAGAN PERMIT TYPE: " 11 1 14 ''
3830 Pilot Knob Road Permit Number. "-' 1 1.10
Eagan, Minnesota 55123 Date Issued: `'"•` 0
(612) 681-4675
i SITE ADDRESS: APPLICANT:
4 (h1?i ? tlu',f 401,4f1 !I I I 1}t0
PERMIT SUBTYPE: d ?
.'?
, tt it (- hl IWU U U 11011111
r? ? ? . tW I wti(9
TYPE OF WORK:
1-?-t -- f` .. ra i w
INSPECTION ..
: ,
1)iN„
e^ .
i I !Mf\.! I
!p W FLNi-j 1.'AI 1 f'r f'l Hii I'IcV
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Permit No. Permft Holder Date Telephone k
S/W . . .
PLUMBING
HVAC ? ?q j
E
LECTRIC
L.ib
!i
ti
..
ELECTRIC
Inspection Date Insp. Com ments
Footings I
ti
Foundation
7
Framing
Roofing
t
Rough Plbg.
Rough Hig.
N
?Y
Isul.
Freplace alc{l p3
[ a! ?
0 U! r;Ae-
G+. T L ?'?
?2 S 3
Final Htg.
Q r2 "
o? ? ' ,? f3'.F?JG1N?
??S P?P
orsat rest
??Z7 ?3
S
Final Plbg. Plbg. Inspector - Notiiy Plumber
Const. Meter
Engr.lPlan
Bldg. Final e 4 `! 9 I p J
Dedc Ftg.
Deck Final
Well
Pr. Disp-
? r/ ? . ?I' ?. !/ ? ./ JQ- ?i?
4?S
IWZK
6
irdG
C??,`e?h?icate nf cccupanc?
? "im
?taRact Steri["aKs-Vtortien
This Cenificate issued pnrsuant to the nequirements of the Uniform Building Code
certifying that at the timc of issirance this structure was in co?npliance with the various
ondinancts of tht Cily rtgulating building construction or use. For the following:
use ciassirscafim SF DW, aw& eftmit xo. 21120
OCCUPE" TyPe ZaemB Drshicx 1y'Pa const.
Oaner of Bauftg BEETIWOOD HMS Address 1322 ??? , OAMAIE
7, g Addcess 4015 ??S ? I.onliry , B 1, ?M
`'
?fl Daim
?- e.ad-.g officir
P06T IN A CONSPICUOUS PLACE
REQUEST_F.OR ELECTRICAL INSPECTION 3r?`7 ??`'?E8-00001-08
? Saea 5imc0ons for completing tti5 form on Oack ol yellow cOpy.
70844 "X" Below Work Covered by This Request k?r y
ew Atld Rep. --- Typeol8uilding AppliencesWiretl EquipmentWiretl
Home Range Temporary Service
Dupiex Water Heater Electric Heating
Apt. Buildinq Dryer Othec(Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
Olherlspearyl Coniractor5 Remarks:
Compute Inspection Fee Below.'
# Other Fee # ServiceEntranceSiie Fee # Circuif5/Feedars Fee
Swimming Pool 0 to 200 Amps - 0 ro 100 Amps
Transformers Above 200 _ AmpS Above 100 _ Amps
SignS Inspecmr5 Use Only: , TOTAL C/J
Irrigation Booms ?-
Speciai Inspection .-
Alarm/Communication THIS INSTALLATION MAY BEg.P DEHEDIBCQNNECTED IF NOT
Other Fee ,? COMPLETED WITHIN 18 M01?TblS. y ?
I, the Electrical Inspector, hereby Rou9n-m
lo
certify that the above inspection has
been made. - F;,,ai
; •,
OFFICE USE DNLV
This request voi0 10 months irom
??
8
?
°`?_
?1 w'
9
,
9
--?
, D
Reque Date Fir9 No. Rough Inspaction
Requiretl?
G Reatly Now Will Notity Inspector .-
? ,j ? ? No When Reatly?
I ? icensed contractor ?owner hereby request inspection of above electrical work ai:
Job Atltlress veet Ba
x Or Roule No.) City
`
Section No. Township Name orNO. Range No. Counry `AJi"q_f --
Occupa PqINT) Poone No.
Pawer SupplC??? i _
{% ` Atldrass ^
Elecrcical mracmr iConpany Name ? Comrecbr icensa No.
Mailing AaOress iConVactor or Owner Making Installationl ?
Aumonrerl nawre COmracmnOwner Meking I talaVOn) Pnone Numeer
L
81? -l0 3/S
MINNESOTA STATE BOAflD OF ELECTpICITV ? THIS INSPECTION REOUEST WILL NOT
Grlggs-Mitlway Bltlq. - Poom 5-173 BE ACCEPTEO 9V TME STATE BOARD
1021 Univenlly Ave., SL Vaul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Ppone (612) 602-0800 ENGLOSED.
Address 4015 Hn.sFriun un T a FmAD Zip 5512 3
L.ot' ' 4 Blk I Sub HOSMRD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEC'TION.
Date: W/9 ? Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
Sod/Seeded grass f
TraiUwrb damage ?
Porch
Basement £nish
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing.system and ihe shutoff of watet supply to
the outside lawn faucet before freeze potential exists.
Contact engineecing division at 681-4645 before working in rightof-way or instelling underground sprinkler system.
- White - City Copy Yellow - Resident Copy Pink - Contraclor Copy ?
?7
nos RESIDENTIAL PLUMBING PeRMir aPPLicarioN
cinr oF eaGaN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residentiai dwellings.
Date .5- / C)
i
Site Street Address
ii) SC?Y ?? 11 S X--2A Unk #
PropertyOwner ?6Y?('nP' TLl.tTelephone#
t
Contractor {?
Q,?S 1 I UA161 Vt 4 Telephone #((Q?a ?? '?IIDa
Address2 ci ?u,446V1 14 ILs tI V_L City,.\tsYrlf`!A? State Mn1 ZipSS-3?SQ
The Applicarrt is: _ Owner X Contractor _Other
Septic System _ New _ Refurbished Submft 2 sets of plans and MPC license Includes County fee
$ 100.00
Peras-buiR $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fuctures. This fee indudes installation of a water softener and/or water
heater at the same time. !f you are insfalling anlv a water softener and/or water
heater, do not complete this section; move to the next section arxf check the
appliance(s) you are instaliing.
_Septic System Abandonment
_ Water Tumaround (add $130.00 "rf a 518" meter is required)
_Other.
Water Softener _ Water Heater $ 15.00
_ new _ replacement
1Lawn Irrigatlon _RPZ PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 3D ?
1 hereby apply for a Residentiat Plumbing Pertnit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permfl, buc only an application for a pertnit, work is not to start without a permit and work will be in
accordanFcjeith the approved plan in the event a plan is required t e reviewed and approved.
Y JGi.?G'?1 ?Q/S'fi?? ?n- ti .,
AppliCo 's Prirrted Name plicanYs Signature
S?
??
7&,1q7
2006 RESIDENTIAL PLUMBING PeRMiTaPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date /2 //V 1 0
?
I
dS Unit #
Site Street Address ffip 1 "
J /-,
PropertyOwner vL'dY?/ Telephone# (?;) ) tyi,761-GS15 1
? /
Contractor "(,l/yr Telephone #. V9s?,)
Address 2? / 8. S7 ?C< S( City E-C L iState,4??h, Zip S'YL?
The Applicant is: _ Owner 2Cantractor _Other
Septic System _ New Refurbished Submit 2 sets of plans and MPC license includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water softener and/or water
heaier, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $130.00 if a 5/8" meter is r
e
quired) I 1
I
?
?Other. i"?' O?L? d'?' U fY) S?tt?= h- ZI ?? z Z
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge , $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approv .
?
?? ? -?t F-6:&'- , Js t?
ApplicanYs Printed Name ApplicanPs Si(nature
?&/?7
76 . Zx)
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructlon Reauirements RemodeVReoair Reouirements OfficeUse OnN
3 registered site surveys showing sq. fL of lot, sq, ft. of house; and all mofed areas 2 copies o( plan showing foo6ngs, beams, jdsis Ced M Survey Recd " _ Y' _ N
(200/o ma)dmum lot coverage allpxed) 1 set of Energy Caiculations for heated adEitions Tree PresPlan Recd? ?. -. _ Y_ N,
2 wpies of plan showing beam 8 window sizes; poured found design, etc. 1 site wrvey (ar addi6ons & decks Tree:Pres Required ._ Y_ N
1 setofEnergyCalcula6ons Addition - indicafeilon-sitesepficsystem On-siteSepticSyslem . _Y _N
3 copies of Tree Presena6on Plan if lot plaked after 711/93
Rim Joist Detail Oplions selection sheet (buildings wiM 3 or less units)
Minnegasco mechanical ventilauon fonn Date ? // ,/?? Construction Cost 0 , ?0
SiteAddress IyoSd?ot- 77?//?f 0(/?/ Unitl5te #
Description of Work L?v??OPnlus i h Sok/h etiA'?e?? lHS/y??Nes?/Er ? N?wAV CAydki
Multi-Family Bidg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner (a
, ?r?h P4
c? Telephone #(6
Contractor i1r. ? h/e
Address
S[ate
Zip City
Telephone #6S ()
COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Workshee[
submission fype) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan6
_ Y _ N If yes, date and address of masier plan:
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I here6y apply for a Residential Building Perntit 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; 1 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 Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
.Izr 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Otof_plex ? 09 07-plex ? 77 Garege ? 22 Porch/Addn.(4-sea.) ? 33 -Ext.Alt-SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plez ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
;2r' 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement •Demolition (Entire Bldg) • Give PCA handout to applicant
D@SCripfl011: Water Damage _ Yes .
Valuation ??? I ? Occupancy ? MCES System
Plan Review 100%or 25%
Census Code Zoning City Water
SAC Units ? Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const v? Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
V/ Framing
/Fireplace _ R.I. _ Air Test _ Final
? Insulation
n
REQUII2ED INSPECTIONS
Sheetrock
_ / Final/C.O.
V/ Final/No C.O.
HVAC
Other
_ Pool Ftgs AidGas Tests Final
_ Siding _ Stucco Lath _ S[one Lath _Brick
_ Windows
_ Re[aining Wall
Approved By: ??'i1f! , Building Inspector
Base Fee 6-V
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total -76 • ?
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
021120
06/07/93
SITE ADDRESS:
4015 HOSFORq HILLS RO
LOT: 4 BLOCK: 1
HpSFORD
P.I.N.: 10-33600-040-01
DESCRIPTION:
- ?.
Briilding??Permit Type
Building 4Jo,rk Type
'UBC 0acupancy+-11
? Constructlon Type
2oning L.?
/ Building Length )
{ Building Width
1 '
?. _ ?> ?Y
?1: -
SF DWG
NEW
R-3 M-1
V-N
R-1
66
34
c
REMARKS:
3& W PLBR - VALLEY pLBG PRV
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC $
SAC Units
Subtotal
VALUATION
$1,035.00
$672.75
$106.50
$750.00
100
$2,564.25
$213,000
MZSCELLANEOUS $1.744.50
Total Fee $4,308.75
CONTRACTOR:
BRENTWOOD HOMES
1322 HELMO
OAKDALE
(612) 730-1000
- Applicant - ST. LIC. OWNER:
17301000 0001519 BRENTWOOD HOMES
AVE N 1322 HELMO
MN 55128 OAKDALE
(612)730-1000
AVE N
MN 55128
I hereby acknowledge thaC I have read this epplication and state that the
informatinn is correct and agree ta comPly with a1l apRlioable State of Mn.
Statutes and City of Eagan prdinances.
/
APPLICANT/PERMITEEhncm
ISSUED EIY., GNAT RE, :.?.j
REACTIVATE _
PERMIT-0 `
Pee. 2.1
110
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLIC V ?DD ?.?
7 ? `? ?
MAY 2 5 1993? ,da
SINGLE 8 MULTI-FAMILV
------- -------
2 sets of plans, 3 registered site surveys,
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
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.
Bo
Date S /9/ 93 Valuation of work 22S po0.
Site Address: ?Df 5 Nos -?ard )4 ; 115 jed.
STREET SIJtTE #
Tenant Name: (commercial only)
IAT I BLOCIC SUBD. P.I.D. N
Hasror2D ?
Descri tion of work: 510 6 L E F4 r'''1 I +- L' aL^J itc-L L'.JV v
The appl icant i s: K Owner &Contractor ? Other (Deseribe)
Name 2e`En -1 woo o! /-/ o..,F_ t Phone ???-/ oB0
Property LAST ifRST
Owner Address 1.3ZZ, r-lt/, o Ave AJ.
STREET STE S
City DAKaAA_gE State A4 Zip 55)Z23
Company .SP-?n E Phone
CQI1tP8CtOY Address License #aaois1 q Exp.S 95
City 5tate Zip
Company Phone
Archttect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber UAU.zy ;P4?mtii.lc? Processing time for
sewer & water permits is two days once xrea has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
sota Statutes and City of
f Mi
t
ll
li
bl
St
l
nne
a
e o
app
ca
e
correct and agree to comp
y with a
Eagan Ordinances.
Signature of Applicant: --
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
A.02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
-P., 31 New
O 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
% 1% "1 7 it
.
? 11 Apt./Lodging „W-16446e0pAt finish
? 12 Multi. Misc. O 17 Swim Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
0 15 Deck ? 20 Pub11c Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
? 36 Move
Const. (Actual) V-0 Basement sq. ft. MWCC System
(Allowable) ? lst F1. sq. ft. City Water
UBC Occupancy ??-? M-? 2nd F1. sq. ft. PRV Required
Zoning 2_I Sq. Ft. total Booster Pump
?t of Stories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code G?
Depth 34 On-site sewage SAC Code ?
APPROVALS ?
/
Planning Building Assessments
Engineering Yariance
REGIUIRED IN SPECTION S
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final O Draintile ? Fireplace
Permit Fee v.luac;«n: g Z ? 3, 0 ,3.)?
Surcharge
Plan Review
3y 6fra
License X ? y2
MWCC SAC x Z2 =_l ,
?P? K?= 11
?32
City SAC Y6X
,
32 " 1
N?2
Water Conn. Z
Water Meter
Acct. Deposit 1srFL?ori; 15-02x15? Z2
S3a
S/W Permit
S/W Surcharge r
???_ +SoZ
Treatment Pl. 2K ZK7'l2.= 30
Road Unit 2Xlyy2_ 2?
29N
Park Ded. ? ?y
Trails Ded. KSy= '
Copies PaP-cH .- 3 s a...
?otal: 2? I6??C4s'= ?Sb°
? `Ix?
SAC % I00
SA?ts I y ? x 35?5. l 64 `1 ,
2- Y• I 4 N'z - ?
/G? ?S K 54?
?t2, ?x?
I 0 : I
r W
¢ ?:
J
m w
?
<
m ?
x
a < m
W
U
< Z N
]
f
[d' ? D •
?0 ? •
?? ? •
? C7? ? •
Q' ? ? •
?? o •
IY ? o •
? •
?? 0 •
?d ? •
LOT 80RVEY CHECRLIST FOR RE3ZDENTIAL
SUILD7q, ERMIT
PROPERTY LEGAL • _ Z
.r r ?
Date of Survey:
AOCUMENT STANDARDS
Registered Land Surveyor signature and company
Building Permit Applicant
Legal description
Address
North arrow and bar scale
House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
Directional drainage arrows with slope/gradient ?.
Proposed/existing sewer and water services
Street name
Driveway
ELEVATIONS
Existina
? ?? • Sewer service
C3? ? ? • Lot corners
Or 0 0 • Top of curb at the driveway
CT 0 0 • Elevations of any existing adjacent homes
Procosed
? ? 11 • Garage floor
6? ? ? • First floor
e' ? ? • Lowest exposed elevation (walkout/window)
0' ? ? • Property corners
0? 0 ? • Front and rear of home at the foundation
PONDING AREAS (if avvlicable)
? f? ? • Easement line
0 B? 0 • NWL
0 Ja'. ? • HWL
? H? ? • Pond # designation
? ? ? • Emergency Overflow Elevation
DIMENSION3
0?? ? • Lot lines °
p' 0 0 • Right-of-way and street width (to back of curb)
[? ? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
? structures requiring permanent footings)
? ? • Show all easements of record and any City utilities within
those easements
0? ? 0 • Setbacks of proposed structure and setback of adjacent
existing homes
0 M 0 • Retaining wal quirements, if any
?
?
-I
Rev iewed• ,.
Name / Date
October 1992
l
?
. ?,.
' EXTERZOR ENVEIAPE AVERAGE "U".COMPUTATIpN
OWNER ?r p? 1Z1 e J C?
SITE ADDftESS lm` d I? i II-5 K C? ,
ODNi'RACTOR ?i` en?i.? r???CL &MB_ DATE?PNOISE
Determine working squaze footage of each_
1. Total exposed wall area ..... a sq. ft. X?? -_ 57, /
2. Total roof/ceiling area ...... ) 40zS sa_ ft_ X??J?i?p - ? z 3
A. Total wall window area . . . . . . . . . . . . . . . . . . . . . . . . . . 338
B. Total door area................. ................ .58
C. Total sliding glass door area ... ................ IZ O
D. Total fireplace wall arza ....... .................. !!!:IA-
E. Total wall framing area (average 108)........... ZlP(a
F. Total Rim joist area ............ ................ 31 &7
G'. Total Net wall area above floor.
Total exposed foundation area - _3 6 8
H. Total foundation window area .................... Nha
I. Total net foundation area above grade........... 3(0(1
Detexmine "U" value of each wa!i segment_
a- 33 S x..u., .38 = 1 2 B
b. sB X..U„ .106, -r = 3a 9
C. !2D X „U,. .. SD - (oa
:.- -
a •.•? X ••U•• -
e Z96 X "U".
£.X"U" r 04
y Z G(?5 X,.u,. , O = I C? ?. Co
n_ x .•v.l i. x°o^ %3
3 ................................... TOtal ?57i 7:. O?
If item #3 is the same as, or lcss than item N1, you have ?et the intent of
SBC G006(c)2.
Total exposed roof/ceiling area = ??pa 8 j. 2bta1 skylight area ................................. ;,J?
k. 7bta1 roof/ceilinq framing area (averaqe 107)...... 1. Total net insulated roof/ceilinq area .............. Detesmine "U" value fo= each roof/ceiling segment_
j. . X ..U.. .? _
k. X "U" „ 03
x ^o^ a.??. -= 293
a.-------•.............................mral 3104 < 4Z.3
If total of 99 is the same as, or less than 02, you have met the intent of
SBC 6006(c)1.
Alternate Buildinq Esvelope Desiqn
1b utilize the total envelope system method, the values established by.the
sum of items #3 and R4 shall not be qreater than the sum of items S1 and #2.
1. + 2. _
$
3. + 4.
_
1993 PLUMBING PERNIIT (RESI
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTUItES EACH TOT?
3. SHOWER 3•00 ?
4th WATER CL05ET 3•00
_
? BATH TUB 3.00 (o -
S LAVATORY 3•00
? >
t KITCHEN SINK 3.00 3-
LAUNDRY TRAY 3.00 3 -
HOT TUB/SPA 3.00
? WATER HEATER 3.00 3 -
? FLOOR DRAIN 3•00 -4-
? GAS PIPING OUTLET •-i-i um • i 3.00 -j -
? ROUGH OPENINGS 1.50 `+- i'u
WATER SOFI'ENER 5.00
PRIVATE DISP. - Dekay. iic. 15.00
U.G. SPRINKLER • home uaaer mnsi. 3.00
ALTERATIONS • toecsting 15.00
WATER TURN AROUND 15.00
STATE SURCI-iARGE .50
TOTAL: SITE ADDRESS: L40 1J
OWNER NAME: ? eJtkjLOJ
WSTALLER:
ADDRESS: ! r> c?? Ic l
CTI'Y: cA? STATE: M? ZIP CODE: ? s3
?hC
PHONE #: ( ? yci a - a ?a ,
SIGNAT RE F PERMITTEE
1993 PLUMBING PERMII' (COM14tE'ILCIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAERCIALJINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUP JINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U?::T.
_ TiEW CONSTRUCfION
ADD ON
? REPAIR
WORK DESCRIPTTON:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $•50 FOR EACA $1,000 OF I"ERTi?'i' FEE
MINIMUM FEE: $ 25.00 . . _
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
icNA1V"i' NAME: S1'E. #
OWNER NAME:
W STALLER:
ADDRESS:
CI1'Y:
PHONE #:
STATE:
ZIP CODE:
FOR•
CITY OF EAGAN APPLICANT
MECHANICAL PERMIT (RESID
CITY OF EAGAN
3530 PILOT KNOB RD
EAGAN MIV 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWEi.,L.INGS. ALSO, FOR TOVVNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
_ ADD-ON A/C
_ ADD-ON FURNACE
DATE II P?9.?
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
_r1S OLTTLETS (MINIMUM 1 @ 53.00 EACH)
ADD-ON/RE.TVIODEL (EXIsnvG coNSTxUCrtox)
STATE SURCHARGE
TOTAL
SITE
FEES
$ 24.00
6.00
gQo
$ 15.00
.50
? .
OWNER NAME: ZYeh l7,lXJOd /622? 5 TELEPHONE #: ?I..?D ?1496
INSTALLER: GmqZ-RYAN PLLfi1SING & HEATING C0.
.ADD :ESS: 14745 South Robert Trail
CITY; Rosemount STATE: MN ZIP CODE: 55068
TEi_EPHONE #: (612) 423-1144
SUBJECT: VARIANCE
APPLICANT: JOHN & KAREN HOSFORD
LOCATION: SW 1%4 OF SEGTION 22
EXISTING ZONING: SINGLE FAMILY RESIDENTIAL (R-1)
DA'TE OF PUBLIC HEARING: MAY 5, 1992
DATE OF REPORT: APRIL 27, 1992
COMPILED BY: COMMUNITY DEVELOPMENT DEPARTMENT
APPLICA7'ION SUMD'IARY: An application has been submitted requesting a Variance of
12' to the required 40' setback off Deerwood Drive for L.ot 4, Block 1, Hosford lst Addition.
This item is located at the SW corner of Deerwood Drive and Hosford Hills Road.
COMhiENTS: The site contains some severe slopes and some significant oak trees and
other hardwood species. A natural home pad exists that will accommodate the proposed
home and minimize impact on the existing vegetation. The applicant believes several
physical hardships exist with regard to the required setback. Shifting the house south to
meet the 40' setback will result in a toss of no less than five mature oak trees with diameters
ranging from 12" to 24" and this shift would cause the building to encroach into the required
30' setback off Hosford Hills Road.
As proposed, all setbacks are met except the garage setback to Deerwood Drive. Access
to the site will be from the cu]-de-sac, thereby maintaining a strong natural bu[fer along
Deerwood Drive. Also, three retaining walls will be built to ensure tree preservation.
If approved, this Variance shall be subject to the following:
1. No other Variances shall be granted for this lot.
2.
All applicable City ordinances.
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BRENTWaaD HQMES
PRESENTS
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I N C.
gIGMA
8URVEYINGi
SERVICE3 INC.
19l l Seneca Naad •Su:#e E•
Eapao. M4rbaofa 85171
Phorr: (812) 432a077
Me VrnITr [AstwcMts AN$
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-LEGEND- - o0 0 0 0 ?,?'?.c?
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o Denotes Iron Monument I PROPOSED 6ARAGE FLDOR ELEVATION= B?S, Z
0 Denotes Wood Hub Set ? PROPOSED TOP OF BLOCK ELEVATION= . 65 S.
xsr.y9 Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEUATION= 5S6,0
(X865•2) Denotes Proposed Spot ElevationC-g Ve,ify S2A.Se.er 'e?or pO_ uP iu Fx:tfi, s;a„.Seeyz
-?- -- Denotes Drainage Direction *NOTE: Verify all Bld9. Dimensions and
T
-PROPERTY DESCRIPTION Floor Heights with Final House Plans.
-
-SURVEYORS CERTIFICATION-
Lot 4, Block 1, HOSFORD 1ST ADDN.,
according to the recorded plat
„ thereof, Dakota County, Minnesota.
I hereby certify that this survey, plan or
report was prepared by me or under my
direct supervision and that I am a duly
Registered Land Surveyor under the laws of
the State of Minn sota.
?iUk4--r(L_ ??.Date: ?r9?43
Wayne 0. Cordes, Minn. Reg. No. 14675 ?
0
Se+vlze
Use BLUE or BLACK Ink
-----------------i
I For Oeice Use 1
I Permit
City of Eap -
1 Permit Fee: 1
3830 Pilot Knob Road I 1
Eagan MN 55122 I Date Receive :
I
Phone: 675-5675 1
(651) I Staff:
Fax: (651) 675-5694/„ f} 1 _
2010 RESIDENTIAL PLUMBING PERMIT ~APPLICA N
Date: ~ I I Site Address: 7 0 is -H 0.~ l 0 rd g ("I I 9.07 OL,
Tenant: [f F" m ey- Suite
RESIDENT/ OWNER Name: ~sG~t / fl (o~•l l ► -Phone:
POO i/~ `t
v/ d) / ~I
Address/ City /Zip: rC~/
CONTRACTOR Name i ~C jV1 0 UM joj rl (A r +1111 6License
Address: 19 0 q e V m I p r) 5~ City: -Llset~ f~Gl ~
State:M 10 Zip: 65033, Phone: Los I `
Contactbeta.. -Nn Ck Email: t
TYPE OF WORK _ New Replacement _ Repair _Rebuild - Modify Space _ Work in R.O.W.
j Description of work:
PERMIT TYPE RENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / - PVB) Main - Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RES-yIDENTIAL FEES:
.
$ Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.56 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or
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.
xll r x
App cant's Printed Name Appli n 's Signature
FOR OFFICE USE Reviewed By: Date: _
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
~~5 QL-A \O
Use BLUE or BLACK Ink
00 I-----------------,
" I For Office Us I
j Permit
q V0
I
City o Eap
Permit Fee:
3830 Pilot Knob Road I I
I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2011 MECHANICAL PERMIT APPLICATION
Date: tY LY/ L.1✓~ Site Address: 4015 Hosfor"l/ l .j t ill J2ea-/ 1
Tenant: 6 or -E Tu-r t)c Suite
Name: ~rn ' Phone:
RESIDENT/ OWNER ~j
lS I Y'd 41 -00 pC
Address /City /Zip: /~j ~ r`"~-r G
CONTRACTOR Name: ,Q) e _ ~Q-hh All( _ License 4:
Address: I"I ~-Yc F l ' 1 1! , -~fe+City: ' I S n _
State: zip: ~o.~-- Phone: l[ I T~~ -41 1
Contact: Vl n e m 1 Email: LJ1A t, W60301
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE J[ RESIDENTIAL COMMERCIAL
"Furnace New Construction Interior Improvement
X- Air Conditioner Install Piping Processed
Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump Under / Above ground Tank Install / _ Remove)
Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to di to receive locates of underground utilities.
Y 9 www.4oaherstateonecall.orq
1 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.
x", W11 to 'rmm x
Applicant's Printed Name App ' ant's Signature
li FOR OFFICE USE Reviewed By: - Date:
Required Inspections: -Under Ground - Rough In Air Test -Gas Service Test -In-floor Heat Final
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127374
Date Issued:09/30/2014
Permit Category:ePermit
Site Address: 4015 Hosford Hills Rd
Lot:4 Block: 1 Addition: Hosford 1st
PID:10-33600-01-040
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 .
Jeff Granowski
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 -
Susanne M Turner
4015 Hosford Hills Rd
Eagan MN 55123--140
All Craftsmen Exteriors LLC
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature
41//'.
City of kali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
MAY 102016
Use BLUE or BLACK I�
For Office Use 1
Permit #: i°4'/2V
Permit Fee: / 74=2
Date Received:'%
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/9/2016 Site Address: 4015 Hosford Hills Rd.
Name: Ge
Unit #:
J
one' ,51-905-904
Address /city /zip: 4015 Hosford Hilts Rd.
Applicant is: Owner 1 Contractor
Type of Work'
Description of work:
Construction Cost: 5,500.00 Multi -Family Building: (Yes / No ✓ )
Company: BN Builders, Inc. Contact: Brian
Address: PO Box #202 City: Rosemount
State: MN Zip: 55068 Phone: 612-644-8274 Email: bbnbuildersinc@frontier.com
License #: pC629559 ,mad Certificate #:
If the project is exempt from lead certification, please explain why:
Yes, post 1978
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: 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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
1 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 Minnesota State Building Code must be completed within 180
days of permit issuance.
)(Brian Nelson
Applicant's Printed Name
x
Applic - Signature
Page 1 of 3
42e1
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace
_ Single Family _ Garage
Multi yQ Deck
01 of _ Plex Lower Level
WORK TYPES
New
Addition
Alteration
74 Replace e eilsh16)
Retaining Wail Ph
— Porch (3 -Season)
_ Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation - 3 4/5-6.0,---)
Plan Review
(25% 100% }d )
Census Code
# of Units
# of Buildings
Type of Construction 1/ 8
Siding
Reroof
Windows
_ Egress Window
/
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy i2 e - 1
Code Edition VY}n2oi5`
Zoning j2 ^1
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test _
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Final
vo
Meter Size:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Final / C.O. Required
ZU Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
L 3 z 5j • F7- x/S oO
D eek "c) d- 6-4o zD Iz 144 L rzer l,q cemerrt
Page 2 of 3
•
P
Peggy Fleck / /5 Nôflod ()
From: Sue <turnerinsuranceagencyl@comcast.net>
Sent: Friday, July 28, 2017 10:23 AM
To: Peggy Fleck
Subject: Fwd:Turner residence permit
Begin forwarded message:
From: bbnbuildersinc <bbnbuildersinc@frontier.com>
Subject: Turner residence permit
Date: July 2, 2017 at 2:54:26 PM CDT
To: Sue Cell <turnerinsuranceagencyl(c�comcast.net>
Cc: "pfleck ac cityofeagan.corn" <pfleck@cityofeagan.corn>, George Turner <george@turner-
insurance-services.com>
Reply-To: bbnbuildersinc <bbnbuildersinc@frontier.com>
Hello Peggy,
We give George and Sue Turner permission to get the permit transferred out of our
name for;
re permit # 136434 for 4015 Hosford Hills Rd in Eagan. BN Builders gives permission
to turn the permit over to Dependable Builders- Lakeville MN 612-306-4199.
Since this was so long ago not sure if the permit is even valid anymore . Also we do not
have that file with city approved plans/ permit since the contract was cancelled.
Thank you,
Brian Nelson
Owner
BN Builders, Inc.
Office # 651-423-7248
Cel # 612-644-8274
Fax# 651-423-7249
bbnbuildersinc@frontier.corn
www.bn bu i ldersi nc.corn