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4020 Hosford Hills Rd0 CAS JZ;T CITY GAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 1'- I ` DATE ( I 19 RECENED FROM I _ _ l u AMOUNT $ ' . & DOLLARS 100 O CASH M)CHECK Foe BY While-Payers Copy Yelbw-Postlrg Copy Pink--File Copy Thank You CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for SF l: VWGAk. Est. Value f 170,00Q Date t'ZTOUR 18 Site Address 4020 HOSFORD HILLS RD Lot Block 1 Sec/Sub. HOSFORD 1ST Parcel No. m Name ,.MN HOSFORD W z Address 0 City Phone 11uIyTGt)'';ERY DESIGN 0 ame , o < Address x+1.51 KILOS DRIVE cc- City rACA' Phone 1?Slm? 2?1? L W Name W _ z Address U a Wz City Phone 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 Permittee ?c'+?04ERY DESIGN A Building Permit is issued to: ??C_ on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official_ OFFICE USE ONLY On Site Sewage Occupancy MWCC System * Zoning On Site Well (Actual) Const City Water X (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL '19 'xi' R3 Ni R1 VT1 Vn 71.C 5v.f :io2.00 1 5.00 4,A.00 1 100.0G -5-0.00 1 323.W 2f?{. UO $3,OS4.001 s : CITY OF EAGAN .. J ° 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551 21 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for '?y L??Ib?'tsAr'. Est. Value : 17C,CW Date ?-:TG: L 1 19 '-:` Site Address `+``) hU;if•'i ?t 1f?I•i.:; I(D OFFICE USE ONLY j Nk)SF0kD M Lot Block Sec/Sub On Site Sewage Occupancy . MWCC System A Zoning R1 Parcel No. On Site Well (Actual) Const Vn a Name i 'd flJSF"R..j City Water (Allowable) ' PRV Required # of Stories Z Address at Booster Pum th Len City Phone p g h ' b Dept p Name F.:?Y e.:.;rlGil S.F.Total ` o a Address 4 x 5 t M W 3, fJ- I YF Footprint S.F. u 2 City "•? ?"y" Phone ??- 64 APPROVALS FEES ; ~ ? w i Name Engr./Assess. Permit >W. oil 83 Go w _ - z ddress Planner Surcharge • I ] O (? U a W City Phone Council Plan Review 1 `?? Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC ? information is correct and agree to comply with all applicable State of Water Conn. i Minnesota Statutes and City of Eagan Ordinances. Water Meter .%Q Signature of Permittee Road Unit 14 'ERY -0" TwN A Building Permit is issued to:-_. - Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL o"4 OG > ; , • Building Official _-- Permit No. Permit Holder Date Telephone # Plumbing Oi!C /O H.u.A.C. Electric Softener Inspection Date Insp. Comments Footings I Footings If Foundation V, Framing Roofing Rough Plbg. ?.y9 Rough Htg. ';vr/ qw Ui? I su I. (2 fr LGf'T ?SbJS C5 y 8 %/E'?T Fireplace ?/ ,,??L l?? o-?r G? Final Htg. ` p ?? /???/? f' i?S Final Plbg. / y Bldg. Final ,s(<dL? r p^8? P Cert Occ. Temp. LP ?,J y Deck Ftg. Llow clir ?- Deck Final Well Pr. Disp. PERMIT # MECHANICAL PERMIT RECEIPT # y CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: j PHONE: 454-8100 Site Address t i A k BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. ` New i Name Mult Add-on , Comm. Repair 0) Address 303 Plymout c City .? ?lmv Other en valley, . FEES Name RES. HVAC 0-100 M BTU -$24.00 3 Address r ?? F J ADDITIONAL 50 M BTU - 6.00 p City ` Phone 7,177,2 &'G (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air L- M BTU APT. BLOGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS'- : RATE APP E Boiler M BTU It M INIMUM RESIDENTIAL FEE REALLL ADD-ON LIES Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - 50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE S/C: SIGNATURE OF PERMITTEE TOTAL: ' FOR: CITY OF EAGAN Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. PLUMBING PERMIT PERMIT # _ r X CITY OF EAGAN MN 55122 3830 PILOT KNOB ROAD EAGAN RECEIPT # DATE , , : :ONTRACT PRICE: PHONE: 454-8100 _ Block Sec/Sub m Name Address c City Phone Name 3 Address p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES TFF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE Tl- NO. FIXTURES -- Water Closet - $3.00 ___?_._Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 I -Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 I Floor Drains - $1.50 Water Heater - 51.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE SIC: c (Urtif iratr of (Orruvattry Citp of Cagan Drpartatr>nt of Wu[Ibmg J uprrtion This Certificate issued pursuant to the requirements of Section 306 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: Use cwsibcation F D W G/ G. A R Bldg. Permit No. 1,5 7 R 0 Occupancy Type R 3 M 1 zoning District R 1 Type CansL V N Owner of Building 140MIu` DMGN Andress 4151 Ian IME, EAGAN ButUng Address 4020 i D6F1C1ED HILLS R. W amity L2, B It I3S' M 1ST _I U Date: abpr'/ l y, 1989 Budding Ofici , POST IN A CONSPICUOUS PLACE P ;EAGAN Permit No. ? 5? Date: 1 r}- W lot Knob Road B/,P No! ?';341 Date- 19- Is -88 x 21199 MN 55121 Design Address: 4Q20 'iosforc'. -"' is 'Zil I.' CC: v Zoning. Chg: No. of Units: :. Dep: I agree to comply with the City of nit Fee: Ordinances. By_ SEWER SERVICE CITY OF EAGAN Permit No: 10012 Date: • ^ • a 3830 Pilot Knob Road f4eter No, Size: R.O. Box 21199 Reader No: Date: Eagan, MN 55121 Site Conn. Chg: 5 50. DWI Zoning: R1 - Acct Dep: No. of Units: 1 Permit Fee: Surcharge. .512 I agree to comply with the City of Tr. Plant 204.00rd Ordinances. Meter. 67 , Any Misc.: By WATER SERVICE PERMIT CITY OF EAGAN Permit No: 10-117 Date: % t? 19?Sf: 3830 Pilot Knob Road Meter No: U/3 (o 2ni' S ?.O. Box 21199 Size:glPo?/r?,(/ecJ Eagan, MN 55121 f ?o Date: ! ?h'9 Conn. Chg: 1; pp-,'q Zoning: ?l- Acct Dep:__ S_ nn= ,1 No. of Units: Permit Fee: i ,) on .1 Surcharge: 1 agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. - Misc.: 9 Y WATER SERVIC PERMIT BLDG. PERMIT NO. 01-3210 Bldg. Permit 01-3422 Plan Check I co 01-3445 Surch./Adm. I 01-3446 SAC/Adm. - 01-2155 Surcharge SS 1 ? 75-3860 Road Unit >S -? C 20-2275 SAC I? ;L f 20-3865 Water Conn. CCU 20-3868 Water Trmt. 20-3716 Water Meter 4 20-2252 Acct. Dep. 13-0 010 rn 20-3713 Water Permit G -:Z- 20-3743 Sewer Permit o 00 79-3866 Sewer Conn. t 1 C 1 28-3855 Park Ded. TOTAL CITY OF EAGAN 3830 eilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N? 15739 PHO N E: 454-8100 BUILDING PERMIT Receipt # To be used for SF' DWG/GAR Est. Value $170,000 Date OCTOBER 18 _1988 Site Address 4020 HOSFORD HILLS RD Lot 2 Block 1 Sec/Sub. HOSFORD 1ST Parcel No. a Name JOHN HOSFORD w 3 Address o City Phone o Name MONTGOMERY DESIGN 0< Address 4151 KNOB DRIVE City EAGAN Phone 681-9260 Name, Address City 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 CA of Eagan Ordinances. ( Signature of Permittee2?-ZL'-^^ A Building Permit is issued to: MO GOMERY DESIGN on the express condition that all work shall be done in accordance with all applicable State of Minnesota Stat s and City qy Eagan Or 'nances. Building Official---, //`rte OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System R Zoning On Site Well (Actual) Const City Water x (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS Engr./Assess. Planner Council Bldg. Off. Variance FEES Permit Surcharge Plan Review SAC. City SAC, MWCC Water Conn. Water Meter Road Unit Treatment Pt Parks TOTAL R3 M1 R1 Vn Vn 71.6 60.6 $ 802.00 85.00 401.00 100.00 550.00 550.00 67.00 325.00 204.00 $3.084.00 REQUEST FOR ELECTRICAL INSPECTION ? See instructions for wmpleling this form on hack of yellow copy. 1 , 771 4 4 X" Below Work Covered by This Request EB-00001-0] ?98f k, ew Add Rep. Typeofeuilding ApplisnoesWired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommAndustrial Furnace Farm Air Conditioner Other (specify) Contractorb Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # CircuilarFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps y Transformers Above 200 Amps Above 100 -Amps Signs Inspectors Use Only: TOTAL Irrigation Booms tfi? Special Inspection Alarm,'Communication Other Fee SD 1, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Final oa1Y ?J? 0 1e _ 31 OFFICE USE ONLY This request void 18 months from R 770.4.4 Request Date, - ' _-7_ ( !/ / 2 d0 Fre No. Rough-in Inspection R wired? NotRify ? Ready Now WWh , Vas ? No e Ilicensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Sox or Route No.) City Section No. Township Name or No. Range No. County y^)n /<0 - 414 Occ;pp ttjPRRIIINT)T) 0 7 UI Piro. No. Power S leer " Add Iis y/??, Eleclu Contractor (Comparry Name ' ? Counn r§ License No. pen c s^( c ?c , O I 3 S- 3 Mailing Address (Contractor or owner melding l7stallation) AWhorii igneture (Connactw/Qwner Making Insta n) Pho Numb r MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mldway Bldg. - Room 5-1173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 ENCLOSED. C 1988 BUILDING.PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ts ; INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, _ SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS U OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Site Address Lot ` _ Block _ I Valuation: 1100000- Date: 10-6-58 Parcel/Sub ')-ns-rard_ Is+ Ajd fior Owner J, hn 14,j shad Address City/Zip Code Phone Contractor Flan+?? x i ?b_ Address L41 S Knnh nr. City/Zip Code CO, Gin n Phone G A I - 9Q CaD Arch./Engr. Address City/Zip Code On site sewage- MWCC system On site well City water r PRV required Booster Pump APPROVALS Occupancy R-3 M -t Zoning Actual Const V- Allowable V-N # of stories Length Depth (oo'- S.F. Total Footprint S.F. FEES Engr/Assess Permit 802.00 Planner Surcharge 87T. -00 Council Plan Review 9/0/.00 Bldg. Off. SAC, City 1001 DO Variance SAC, MWCC 550.00 Water Conn 550. Cb Water Meter (07.00 Road Unit ZS w Treatment P1 Z 04.00 Parks Copies TOTAL O -r 1Q/ Phone # VALuATfOI.? J 32 xzs _ 5 K? = B Sn'1 T 6" x ?`I = )dyov 7Z Xl?l /ob 3v xaS r7 5-u ZZx 22'?z y 95 1 yam, x ?.1 z sss') IST >-wa? C3s?rr =. Zx6 _ ScR?E?J Pt i rl X2-0 I'? Yy (72) IZ 19Zgx 49= 9yS2I > RcN 3 Yo P ZN j:? Z? X30 = U3cX4q; 3bg7o 1 ? 6 ZSc? r CITY OF EAGAN CASHIER: JS TERMINAL. NO: 771 DATE: 01./04/00 TIME: 15:36:45 ID NAME: ALLIED FIRESIDE INC. 3210 9001 4020 HOSFORD HI 60.00 2155 9901 4020 HOSFORD HI 0.50 Total Receipt Amount: 60.50 CRi2i.995 USER ID: JAN 2oo(3 ?j C) { (0 WWTIREPLACE PERMIT APPLICATION CITY OF EAGAN a d J6 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: 0 , D0 Description of Work: _ Construct new fireplace _Gas -Masonry Alterations to existing Install gas insert only Install gas line only Other Job address: (zi P n V` //z- k f ( (_ Lot: ? Block: ? Subdivision/P.LD. #: NQ?- t Applicant (circle one only): Owner Contractor Permit Fee: $60.50 f /01-9/ Name: Phone #: C¢ [f/?/s O?LY® PROPERTY Last First /e C OWNER Street Address: A `-j (J ay&1f i? 9 /yL 1 ad City L a ra a State: r Zi f ?? P: Company: F Ir P.s I L ?- 0rl/1ej"? d t 4e #: ?j FIREPLACE p , J (area code) INSTALLER Street Address: City 6 CA State: - Zip: GAS LINE INSTALLER Street City a Phone #: (area code) State: Zip: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statute nd Cityy Eagan O 2ces, V Signature OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove ? 32 Addition ? 34 Repair ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. %t N? >v ?; M %s x: zt?k ik N. ?C #c %:>k ik %R ? ik >k ?; 8: ?k >k>k;k! K ? )k N? xl' X<7X:1C ik ;?<>:: ,k YF CITY OF EAGAN CASHIER;: JS TERMINAL NO: 015 UATE.a 02/24/00 TIMEw 1008M, II.;: NAME;: ALLIED FIRESIDE INC. 3010 9001 4020 I-ISr"I'D H!._ R 60.00 205 9001 4020 HSFRII HL R M50 Co+,al Receipt Amount- 60.50 ISi3R In, JAN ;c8o;:u(?C>k?.CH(v,C?k? ? YiCy(>kPFAi >k?>k,kik:i??k?:'.kA+>kik.+n?:?Crti Yiok#$C 3 9 70b t 2 ?) I )? 5 Fvrc? ) S? 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 ( J Date: F V 1 (? ?? 'rm Description of Work: -4 Construct new fireplace XGas -Masonry Alterations to existing Install gas insert only Install ¢as line only Other Lot: Block: Subdivision/P.I.D. #: ?TW TDYGI I `S Applicant (circle one only): Owner Contractor Permit Fee: S60.50 Name: U CL rl "n rl 11 ,/)o Phone #: ?Va PROPERTY Last First OWNER - / ? j? L ' / treet Address: S r(]V'/? ill l ( /? I (7 ? ? City _ q State: On/-_ Zip: Company: ?I rP (area code) FIREPLACE INSTALLER Street Address: Cltj I / ii Company: Phone #: (area code) GAS LINE (/I 4? ST L A IN LER Street Address: City State: Zip: 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 City of Fagan. Ordinances. ' c Signature OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. ? 39 Gas Line ? 41 Wood Stove ? 40 Gas Insert APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION **NOTE: PAYMENT OF FEE AT TIME OF .?, APPLICATION DOES NOT CON- ** STIT0TE APPROVAL OF PERMIT. .*, # xesPMrrxoN OF sECa:R AMID/OR WATER i ;. INSTALLATI0Ns HILL NOT BE SCEDOLED *i. UNTIL PERMIT HAS BEEN APPROVED. **. dtV #****4kkfi*##>fiki44#*ifi**f44***i444#*4 of eag an (PLEASE PRINT 1) PROPERTY ADDRESS: 41020 .. F6 4o rd 14 ,'I I S Road LEGAL DESCRIPTION. . fi&7 f co; ' r? 1st A c1? i f? a n Lot B oc Si ivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: Q COfM'JERCIAL/RETAIL/OFFICE Q INDUSTRIAL Q INSTITUTIONAL/GOVERNMENT I21'R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: Mont g an e r ? f.rw n Gnn s?. ADDRESS :. q/ 51 K n n h r. CITY, STATE, ZIP: a q n PHONE: (, f; I - g Ca D 3)?3 +uT::? NAME: ADDRESS : 1 ?1 0 N o ,, t ll l a 1 d f 7r. 51A . f C n/ /7 CITY, STATE, ZIP: n c?ptu N a ti ?C' V PHONE: 6 3?R - G A'7 U MASTER LICENSE # t) n '35 - 7n 7?) 3 4) ?i ?•13i3' 1` • ?- NAME: JOh r 14 oS fu rd ADDRESS: CITY, STATE,.ZIP: PHONE: Ij Active Expired Not recorded Sta In?f it'ial- 5) • a 'a• a• i ?• CONNECTION TO CITY SEWER [DICONNECTION TO CITY WATER F-1 OTHER 6) * THE GOLD COPY OF THE PERMIT WILL BE SENT =ECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-LIP. ? * PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. i FOR CITY USE ONLY PERMIT # ISSUED 00/7 Pd w/Bldg. Permit FEES: $ /O 'fi'D $ SEWER PERMIT (INCLUDE SURCHARGE) $ /b 5-b $ WATER PERMIT (INCLUDE SURCHARGE) $ G 7'cr? $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO Q DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: woz_?.,,7b TITLE: DATE: EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION MONTGOMERY DESIGN & BUILD CO 11350 ALBAVAR PATH INVER GROVE HEIGHTS, MN 55075 MODEL HOSFORD AREA U U X AREA REQUIRED 1. TOTAL WALL AREA 4334 .11 477 2. ROOF AREA 2101 .026 55 ACHIEVED A WINDOW AREA 440 .33 145 B DOOR AREA 40 .13 5 C SLIDING CLASS AREA 216 .55 119 D FIREPLACE AREA 108 .2 22 E WALL FRAME AREA 433.4 .095 41 F NET WALL AREA 3096.6 .038 118 G RIM JOIST AREA 341 .0436 15 H FOUND WINDOW AREA 0 .5 0 I FOUND ABOVE GRADE 120 .068 8 3. TOTAL WALL AREA J SKYLITE .5 K ROOF FRAME 210.1 .032 L NET ROOF AREA 1890.9 .0227 4. TOTAL ROOF AREA SUM OF 1.+2. SUM OF 3.+4. 473 0 7 43 50 531 522 Won= r RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651.681.4675 Now Construction Reouirernents 3 registered site surveys showing sq. ft. of lot, sq. it of house; and all roofed areas (20% mannum lot coverage allowed) 2 copies of plan showing beam & window saes; poured found deign, etc.) 1 set of Energy calculations 3 copies of Tree Preservation Plan it lot platted after 711193 Rim Joist Detail Options selection sheet (fts with 3 or less units) DATE / /?) - U JOB SITE 1! L Remode9ReoairReguirements - -,)-9 -c) • 2 copies of plan 1 set of Porgy Calculations for heated additions 1 site survey for toftedar additions & decks Indicate if home served by septic system for additions VALUATION C? a D IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TYPE OF WORK S c veDer 'in L-o V--4e 4 u-a ( 6 rev' s"asoH5'?JFIREPLACQS)' 0_ 1_ 2 APPLICANT b s A PHONE#:GSt-'iL5ci-`G,)S ADDRESS c)(-) 2k 13 I ZIP CODE _5.'5 PAGER # CELL PHONE # e? )Q - FAX # ?!?^671- ?oov Nzw RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEG EIV ] (check one) - Residential Ventilation Category 1 Workshe t u miffed 2 L?? - Energy Envelope Calculations Submitted ; u MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the infor ation is correct, and a ree to comply with all applicable State of Minnesota Statutes and City of Eagan On ces. le?W Signature of Applicant --y - Certificates of Survey Received - Tree Preservation Plan Received - Not Required I Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of - plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? . 45 Fire Repair A 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ?d Occupancy AIL-44- MC/ES System Census Code Zoning City Water SAC Units t?! Stories Booster Pump Nbr. of Units Sq. FL PRV Nbr. of Bldgs 1 Length Fire Sprinklered Type of Const y Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) Plumbing _ Foundation _ Drain Tile Roof lee & Water Final Other Framing Fireplace - R.I. -Air Test -Final Insulation Pool _ Figs _ Air/Gas Tests - Final Siding _ Stucco _ Stone Windows (new/replacementt) Approved By T?, 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 1 I 1 a--? I-IVAC 69 UtVID41L 04-&k, S, c?? 4"L'01? City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 - --- - - - - - - - - - - - - - - I Forf,?? I 1 Permit #: I I Permit Fee: - d j I I I Da a Received, n St F - - - - - tl - - - - j 2008 MECHANICAL PERMIT APP Date: Y I Y,/& Site Address: Tenant: TI JUL 2 4 2008 Suite #: RESIDENT/OWNER Name: &o eN4C46i?lCi ?-Phone: Address / City / Zip: U C' CONTRACTOR Name: % License #: Address: l ??/S / ? City: State: /ry? Zip: Phone: CIS Contact Person: r TYPE OF WORK -New -_Z Replacement Additional -Alteration Demolition Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment, is required to,,. be screened by City Code. Please contact the Mechanical lnspectoror on® of the Planners for information on permitted screening methods: PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit HVAC units must be screened Heat Pump Under / Above ground Tank L_ Install / _ Remove) Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ S(7 _ X1 TOTAL FEE. COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) _ $ I Permit Fee - It Permit Fee is less than $1,000, surcharge is $.50. - If Permi Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE i hereby acknovnedge 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 t? ?JCre? r? x Applican Printed Name Applic t s Signature t? FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In Airiest Gas Service Test In-floor Heat Flnal 0 0 ~ o o®o 0 0 o~~n ' ~ ~ , La1 4 °_t. ~ ~ \ ~ __J 1 S 1 ;;..cy~:y~ ? W ! V/ 0 x886.7 es ~ N I ~ I ~ 0 ~ ; x 6n.7 ~ ~ ~ ~ ~ 5.96 ~ ~ ~Q„ r g 0> ? 666 2 ~ ~pR r~ .n ~~a A O ~r~b~~SEt3 p ~ x889.1 886.0 2 l"` B~F11~I!~>~'L I 3' - a: ~ of c~ ~a ~ , I t!i Eo , ~ OS . ' ~ i PR ~ N 0~ i ~ .a s ~ S ~o h 2.- ~ .9 0 ® I ' ` ~N 887.95 ` ? x665.6 `V 1 ® ~P ~t6o p pE ~ ~ ~ I 864.2x I ~ x690.2 1 ~ ~ x873.3 Z. 5E ~ o --Q . I ~ tS 60 . .6~~' ` 26. ~p -200 :2~ 5~ OPOSE za6o.s s i ' PRP'0~ i i v+ g0 0 Z1 l I ;I O ~p, I x 668.7 `D"O ~ - - ~ 879.5 i { 11 h' / ~ 00 ~i 680.6x~ 20• ~ DETAIL r> I ti NI 2661.6 SCALE' I INCN-30 FEET x863.1 h'. 1 I Il! I (!I x677.8 ® I !1 i ~ - N 89 56 36 E , ~ 5I - 100.00 ! o o p I ~ 5 ~ x e7as _ - I I~;~ 6J. 0 M _ ~ I ~ g7 W I ® ~ Ct' ( N ~ ® ri 1 ~ U) f O ® 'n Z f' I 0 p ~ t~ cn W Ct z ® r W O Z MOE W O - ®C~ Z z co ~ - ~ - Z Z o,'1 ~ ~ ~ D~t~ /a W m i ~j G~ EACA~T EN~~~E~~I ~ PROPOSED SURFACE DRAINAGE DENOTES ~ 0 DENOTES IRON MONUMENT SET SCALE; 1 INCH = 50 BEET W ~ > DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 888.2 FEET z w Z L X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 880.5 FEET Z E W a z Q 000.0 DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 1389.3 (=EET J Q ( ) J J b j O p„ CL O WE HEREBY CERTIFY TO MONTGOMERY DESIGN THAT THIS IS A TRUE AND CORRECT M ~ REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: DRAWN E DRAWN BY SFORD 1ST ADDITION ACCORDING TO THE ~ LOT 2, BLOCK I, HO , JE CORDED PLAT THEREOF DAKOTA COUNTY MINNESOTA. I JE RE , DATE DATE IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS 10-5-8 10-5-88 I aRarrvacE a vrurrr EasEMEtdr SURVEYED BY ME OR UNDER MY DIRECT SUPERVISI TH 3RD DAY OF OCTOBER ,1988. REVISION REVISIONS PER PLAT' I5 15 SIGNED: J S ILL, INC. a ~ ~ v ~I S y r 0 I II s t 242.27 N 89 55 04 E _ H BOLD C. PETE SON, LAND SURVEYOR ~ ~ ~ ' BOOK/PA BOOK/PAGE MINNESOTA LICENSE NUMBER 12294 272/5~~ { 272/57 i L.~ i- ~ ~ ~ I i 1 PROJECT OCT D7 19C~ PROJECT NO. ; 8869E 88698 FILE NC FILE NO. S ~1~ ~ i-88-2~ 1-88-274 SHEET I 0 SHEET I OF PERMIT City of Eagan Permit Type:Building Permit Number:EA144059 Date Issued:07/11/2017 Permit Category:ePermit Site Address: 4020 Hosford Hills Rd Lot:2 Block: 1 Addition: Hosford 1st PID:10-33600-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Kenneth A Buchanan 4020 Hosford Hills Rd Eagan MN 55123 (952) 484-4454 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use n Permit#: `rJ 9?? �itt 6� Of l ��1L Permit Fee: / /p `.„3 _ CC 3830 Pilot Knob Road Eagan MN 55122 Date Received: '_7-/7 Phone:(651)675-5675 Fax:(651)675-5694 SEP 2 7 .7117 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9127117 Site Address: 4020 Hosford Hills Road Unit#: -- Name: Ken & Melanie Buchanan Phone: 952-484-4454 Resaent __ 4020 Hosford Hills Road -OwB. C Address/City/Zip: Applicant is: Owner X Contractor -- Description of work: Remodel 2 Bathrooms - See Attached Drawings Typeof Work -=` Construction Cost: 8307 Multi-Family Building:(Yes i No X ) - - - company: US Patio Systems • contact: Wendy Rache Address: 218 N River Ridge Circle c : Burnsville ,ontractor city: state: MN Zip: 55337 Phone: 952-314-9885 Email: wracheguspatiosystems.com BC661813F119453-1 License#. Lead Certificate#.. If the project is exempt from lead certification, please explain why: Constructed after 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: andsupporting_documenfs1jt;you_submit are considered_to-:be-pubfWW,nfonnafion_Portions:of= =the informs ion may he:ctas�lfied as nan pu6Jlc-tfyou provide specific r axons=fhat would permit the City fo 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. tiwrw.gonherstateonecalLorq I hereby acknowledge that this information is complete and accurate;that the work will be In conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit,and work is not to start without a permit; that the work will be in accordance with the approved plan In the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building C.•a must be completed within 180 days of permit issuance. x Wendy.Rache x �t/, _/ .1 Applicant's Printed Name Appir a 's ' , • ure Page 1 of 3 'Yv;o Ms4 /-;// 4c DO NOT WRITE BELOW THIS LINE ' /i1.5.--19 7 r SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) ` Exterior Alteration(Multi) Multi _ Deck — Porch(Screen/Gazebo/Pergola) Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES ^ New Interior Improvement — Siding — Demolish Building* _ Addition Move Building u Reroof Demolish Interior ,Alteration Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Li 2 ' Occupancy d 1 MCES System Plan Review Code Edition r,,ti' ) SAC Units (25% 100% ) Zoning k-I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction VC, Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) y Final 1 No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice&Water _Final Pool: Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test ^Final Siding:_Stucco Lath Stone Lath _Brick_EFIS x1 Insulation Windows Sheathing Retaining Wall: Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 11,, , Building inspector RESIDENTIAL FEES 0 Base Fee (TO E Surcharge Plan Review , , MCES SAC2" �� City SAC Utility Connection Charge LI d S&W 0 Permit&Surcharge ( Treatment Plant Copies2.:', .-S' , 5-1) TOTAL Page 2 of 3 Use BLUE or BLACK Ink For Office Use city. nf Ea all Permit f: Cat V Permit Fee: 60 OO CC 3830 Pilot Knob Road Eagan MN 55122 Date Received: 9.-- -7-17 7 Phone: (651) 675-5675 c • staff: Fax: (651)675-5694 • `t l%' 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 9/27/2017 Site Address: 4020 Hosford Hills Rd Tenant: Suite#: ...Resident/Owner- Name: Ken & Melanie Buchanan Phone: 952-484-4454 Address I City I Zip: 4020 Hosford Hills Road, Eagan, MN 55123 Name: US Patio Systems License#: PC708206 - Address: 218 N River Ridge Circle City: Burnsville :Contractor.: State: MNZip: 55337 Phone: 952-314-9885 Contact: Wendy Rache Email: wrache@uspatiosystems.com -Type of Mirk* New ✓ Replacement Repair Rebuild Modify Space Work in R.O.W. �::::: —Description of work: Remodle 2 bathrooms-see attached drawings RESIDENTIAL Water Heater -- Lawn Irrigation( RPZ I—PVB) Water Softener Permit Type;; ` ✓ Add Plumbing FixturesMain I V Lower Level) Septic System — New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(Includes State Surcharge) $60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 If a 314"meter Is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$60.00 CALL BEFORE YOU DIG. Call Gopher State One Cali 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.00nherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit,and work is not to start without a permit; that the work will be in accordance with the approved plan In the case of work which requires a review and approval of plans. x Wendy Rache x i{ Vq JZApplicants Printed Name Appll nt s Siaure FOR OFFICE USE :.: Reviewed By... .:.: Date Required Inspections: Under Ground Rough-In_:: -Air Test :: :: Gas Test - - Final.:. Meter Related Items:_ Meter Size -` Radio Read Manometer -Staff::' PERMIT City of Eagan Permit Type:Building Permit Number:EA146663 Date Issued:11/06/2017 Permit Category:ePermit Site Address: 4020 Hosford Hills Rd Lot:2 Block: 1 Addition: Hosford 1st PID:10-33600-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Kenneth A Buchanan 4020 Hosford Hills Rd Eagan MN 55123 (952) 484-4454 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157457 Date Issued:08/20/2019 Permit Category:ePermit Site Address: 4020 Hosford Hills Rd Lot:2 Block: 1 Addition: Hosford 1st PID:10-33600-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kenneth A Buchanan 4020 Hosford Hills Rd Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature