1624 Hawk Pl? CASH RECEIPT ? CITY 4F EAGAN' ?3830 PILOT KNOB ROAD ?
EAGAN, MINNESOTA 55122
DATE ? ? J 19 !I?_.I
aecerv¢o ? ! % -'
?? .
FrWri
AMOUNT
J
? CASH CHECK
Thank You
BY . ?
C 016174
DOIIARS
?m
W,de-Payers Copy
YeHo,.--Posting Copy
Pink---File Copy
r . __ ?
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
11. Receipt #
?•? Esf. Value .?t 4R_ilA[1 Date MnV 13 . 19-ql-_
Site Address 1626 pALV 21. '
Lot a_ Block 7_ Sec/Sub. at-ACIQiniOC P0ND
Parcel No.
W Name ?IHQ?E GUS?? HONES
o Address P d BOX 1069
City UrRNSVILLE Phone 434-9383
o Name SAMP -.-
Address ? City • Phone
?W Name
W W
_= Address
I hereby acknowlec
intormation is corre
Minnesota Stalutes
Signature oi Permiti
A Building Permil is
on the express coni
applicable State of I
Building Olficial _
OFFICE USE ONLY
Occupancy R-3...Mm-1
2oning pQ....116,1
(Actual) Const --VmX Bldg. Petmit
(Aliowable) Surcharge 79. ?
# ol 5lones -
Length
-610 ?g-?
Plan Review
Depth SAC, City 1013.00
S.F. 7otai - SAC, MCWCC
S.F. Footprints _
On Site Sewage _ Water Conn b6[1-[1B
a, site we+i - water necer Q'A. ?
MWCC System ?
City Water
ct. Deposit 1o-m
Ac
PRV Fequired ? S,'W Permit - ?-?
Booster Pump - S,W -. -rchar • ?
9e
7reaunent PI 47b.00
Road Unit g7d-?
Park Ded.
Copies
TOTAL 3,681.50
Permil No. Permit Molder Date Talephone #
WATER
SEWER
?
PLUMBING
+
? 9
?,??
H.V.A.C.
ELECTRIC
Inspectfon ? Date sp. Commenb
Foolingsl
Foundation 'j /Olyt L416 .
Framing
Roofing
Rough Plbg.
Rough Htg.
I5ul. /_ _?' z ps
Fireplace k)' - 7 ? - `I z
Final Htg.
Orstat Test
Final Plbg. ` Plbg. Inspector - Notily Plumber
Const. Meter
EngrJPlan
eldy. Final 3 - Z
Dedc Ftg.
Dedc Final
weu
Pr. Disp.
/ ? ? 2
? ?+ ? ? • DATE: NOV 13, 1991
RE 1624 HAWK PL (LAPIERRE CUSTOM HOMES)
x Your, F`?ewer & WaterPerrnit for the above property has been compteted. It will be held at the
P;+blic Works Garage (3501 Coachman Road) uniil the meter is picked up. BE SURE TO
CALL PUBIIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the abave property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALI LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
iO• ? .?A
r y ?
. 'gtr#tfiratt af (Orrup?ury
Citp of (eagatt
IWP=tWw ,a# lwwm 3wrrtimt
I'*
Tlrls CeWfiwte lssuad pursua,rr ro rhe rrquinernm& of sectlon 306 of the u?riJorm Building
C.odt aad. fyin8lhat et llte time of issuurcce dis slrucuue xws in cbmplianoe wilh lJte various
ordinanoes of the City regulating building cvnsuucGion or use For the foUowing.
use cludrKation SF DWG/GAR 1q878
etea. e?c r?.
owace? I? ?'[JSICM?S AM= P. . BCa N&,
1624 t&[( PI.ACE Loc&q I,S, B2, 3,4MW H.rID
7"?7? 3/4/q2
POST IN A
SEWER & WATER PERMIT T?, WE USE ONLY
.
CITY OF EAGAN METER #' Z251
25Z W75 PERMIT DATE ? 1? 13 /91
3830 Pilot Knob Rd. ?7Z?7(o0?(a3 12376
Eagan, MN 55122-1897 CHIP #, 1, _ PERMIT #
- METER SIZE SX- s B.P. RECEIPT #
ISSUE DAT ? B.P. RECEIPTTOOA7E 11 13 91
DATE NOV 13. 1991 y
X PRV _ BOOSTER PUMP
°
SITE ADDRESS 1624 HAWK PL PERMIT REt]UESTED
LOT 8 BLOCK 2 SEC/SUB BLACKH.AWK POND'-*
X SEWER X WATER _ TAPS
APPLICANT:
ADDRESS: - COMM/IND _X_ RESIDENTIAL
CITY, STATE ZIP X NEW _ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: MATTHEW DANIELS INC Ahead of Domestic Meters on Water Line.
ADDRESS: 15185 CAROUSEL WAY Credit WILL NOT be given for Deduct Meters.
CITY, STATE ROSF.MOUNT MN Zip 55068
PHONE: 423-3730 -
;
;?
;
AG
C
0
MPLY WITH CITY OF
OWNER: LAPIERRE CUSTOI?i HO?S E N O DINANCE
ADDRESS_ P 0 BOX 1049
CITY, STATE B?NSVILLF MN ZIP 55337
pH , 454-
383 IGNATURE WHEN METER ISSUED
? ` ? F /
`
(
/
;
PL E?71YLb
?I
TV??? ?FtkfNG DAYS FOP
R
LL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. ?-,,? Dt?`v F Y A e
?T?.,?;,?.,.?•-?:.?,,,...
.m.+n.=?.-?r;.-...?. ----F•,s?Q.?w-?rr.or?--.ar;•t?.
?
' SE;./ER &=3UATER PERMIT OFFICE USE ONLY
CiTY OF EAGAN METER # PERMIT DATE 11/13/91
3830 Pilot Knob Rd. 12376
Eagan, MN 55',z2-1897 CHIP ? PERMIT #
?
.;' ., METER SIZE B.P. RECEIPT #
DATE sNOV 13, 1991 ISSUE DATE B.P. RECEIPT DATE 11 13 91
X PRV _ 800STER PUMP
? SITE ADDRESS 1624 HAWK PL PERMIT REQUESTED
? LOT a BLOCK 2 SEC/SUB B 1.ACiCHAWK POND
- X SEWER A__WATER _ TAP;
APPLICANT:
' ADDRESS: - COMMlIND XL RESIDENTIA
CITY, STATE ZIP R NEW _ EXISTING
? PHONE:
Lawn Sprinkler Meters are to be Installe
I
PLUMBER: MA'ITHEW DANIEI S INC Ahead of Domestic Meters on Water Line
ADDRESS: 15185 CAROUSEL WAY Credit WILL NOT be given for Deduct Meter:
' CITY, STATE ROSEMOUNT MN Zip 55068
PHONE: 423-3730 ?-
? "
` I AG Rft_T0COMPLY WITH CITY OF
OWNER: ' LAPIBREE CUSTO M HOlfES EAGAN ORDINANCES
ADDRESS: I' 0 BOX 1049
CITY, STATE BURNSVILLE mm ZIp 55337
I
PHONE: 454-9383
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STOR!
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN Np 19878
3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121
b' L ?
PHONE: 454-6100 Receipt# ? /7 ?
BUILDING PERMIT ?
used for SF DWG
Est. Value
Site Address 1624 HAT& PL
Lot 8 Block _2 Sec/Sub. BLACKHAWK POND
Parcel No.
W Name LAPIERRE Cl7STOM HOMES
o Address P 0 BOX 1049
City BURNSVILLE phone 454-9383
o Name _ SAME
?Q Address
? City Phone
Name
Address
?aw City Phone
I hereby acknowlege thatl have read Ihis application and state thatthe
information is conect and agree to comply wit all pplicable Slate of
Minnewta Statutes and Ci a s.
Signature ot Permite ?
n suudmg Permrt is issued to: LAPIERRE CUSTOM HOMES
on the express contlrtion that all work shall be tlone m accortlance with all
applicable State of Minnesota Statutes and City oi Eagan Ortlmances.
Building Official
OFFICE USE ONLY
Occupancy R-3M=1 FEES
Zorur,g PD R-1
(ACtuel) Const -Y--N Bldg. Permit 843.00
(Allowa6le) -Y=N SurCharge 79.0
0
M ol Stories
Lenglh 65 - Plan Remew 548.0
Oepm 41' snc,city 100.00
S.F. ToWI - SAC, MCWCC 650.0
0
S F. Footpnnts -
On Sne Sewage _ Water Conn F+bo_(10
On Site Well - Water Merer 9 S_ 00
MWCC Sysfem -X_
Acct Deposil
'?n _ no
City Water ?
PiiV Required X SM/ Permit in _ nn
Boosler Pump - gryy Surcharge - 5?
Treatmenl PI 276.0
0
APPROVALS Road Unit '17n _ nn
Planner - park Ded.
Council
BIOg.011. _ Copies
Vanante - TOTAL 3.681.50,
REQUEST FOR ELECTRICAL INSPECTION ee-ooo0a1 -oe
01 2n5 See insimc[mns for compleLng this form on back W yellow o>py
6
?
•
"X" Be/ow Work Covered by This Request
J
'
e Add Rep TypeofBmidinq ApphancesWired EquipmenlWired
- Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Indusirial Furnace
Farm Air Condinoner
aner(suecry) ConGactor's Remerks
Compute Inspechon Fee Below:
N . Other Fee # ServroeENrance5ae Fee # Circuds/Feeders Fae
SWimming Pool 0 t0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 100 _ Amps
SIqnS Mspector's Use Only ? 70T L Q
?
Irrigation Booms 5
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby RoogRm oete
certify that the above inspection has
been made. Final ? ??
OFFICE USE ONLY
This request voi0 18 manlhs irom
J 01 205 /0
ReQuest at
?_ Fire No Rough-in InspecLOn
qeqmretl>
GYes ?No
? ReetlY Now ? W?en eady?ctor
I icensed contractor ? owner hereby request inspection of above electrical work at:
JoD Atltl S?re
ru Ciry
K
SecUO N T p Name or Ren9e N Counry
OccuP t(P T) / 1?i b r D// ne
PowerSuppLer Atltl
Elecin I nvacmr GomOapy m?eI ? Convactor's License No
Mdihng AOOr¢SS (ConVattor or aking Inslallatan? •
Hut o/rye1p SignaWra I7GOnVacror/Own/g?r?MJaking InalalleLOn)
l_ ?[?/id/lf+R? V lAli(..CiI// . / / 7 ? J ? /? one N mber
??O ??
MINNESprAATE BOnPO OF ELECTRICITy ? THIS INSPECTION REOUEST WILL NOT
GriggsAAlGw y Bltlg. - Poom S4]] 9E ACCEPTEO BV THE $TATE BDARD
1811 Universdy Rve, $1 Vaul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(61t) 6,12-0800 ENCLOSED
REQUEST fOR ELECTRICAL INSPECTION
S
b F"P°T?Q esaoaaiog
J 1
25 ?
ce insVUCtions lor cOmpieLng ihis (orcn on
ack ol yellow copy
0, ii`"X" Be/ow Work Covered by This Request
?w.a°`'?
S?
ew Add Rep. TypeofBmlding ApphancesWired EqwpmantWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Indusirial Fumace
Farm Air Conditioner
O??ar [syemfy) Conlroctor5 Remarks'
Compute lnspechon Fee Below:
# Olher Fee # ServiceEniranceSrze Fee # Circmis/FeedeB Fee ?
Swimming Pool 0 l0 200 Amps 0 to 100 Amps
TransFormers Above 200 _ Amps A6ove 700 _ Amps
Signs hiscecuor's Use onty Tp l
Irngation BoomS 6s. 0
Special Inspec[ion
Alarm/Communication 1ERE DISCONNECTED IF NOT
THIS INSTALLATION E OR
Other Fee l
COMPLETED WRHI ONTHS', -
I, the Electrical Inspector, hereby Roi L/? t,,r? -Kfi oare ?.
certdy that ihe above inspection has
been made. Final Date'
OFFICE USE ONLY
This request witl 18 monlhs Imm
,/ -;- 57 /a 5j? 99
0
tJf ? 00
Requesc pale ? Fre No Rougn-in Inspection
RBquiretl"+
0 ReaOY Now OWill NoLty InSpecNr
^ ? IVes ? N. When ReetlY'+
I LOicensed contractor ? owner hereby request inspection of above electriral work ar
JaD AOOress (Sbreet, or Route No l Ciry
Section o 1own5h,0 Na r No Ren No Couny
8 /
OcwpaM PRIN
E Pho
s ,1 - ?.?
a
PaxerSuppb Atltlress
&&,2 ?
Elecinc I nVactor?COmpany Namel ? 411, ConVactor5 Lkense No
? D o
MaJi?tlress ICOmracror or O r Makinq InstallaLon) .
AutO Eetl &gnaN (COnIr Ltor/Own¢r Mdking In51911a1ion)
1? Ph um ?
MINNESOVA STATE BOAWD OF ELECTRIOITV • THIS INSPECTION REOUEST WILL NOT
GtlggsMiUway BtEg. - floom 5-173 V BE ACGEPTED BV THE STATE BOARD
1821 Univerelty Ave., SL Paul. MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone (612) 6C2-0800 ENCLOSED
Add;es,s: 1624 RW pr,a!'F'. Lot g 81k 2 Sec/Sub BLA_rjqj4X ppND
These items were/were not complete at the time of the final inspection.
Date: 3 92 Yes No
TnqPPrtnr-
Final grade (6".from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded gzass
Trail/curb damage
Porch
Basement finish
Deck
Please verify vith the builder the removal of roo£ test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ?
xcratowEn
White - City copy Yellow - Resident copy Pink • Contractor copy
65-7-15 1556
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 5' I ? I ?
/
,,/
Site Street Address 2 Unit #
Property Owner Telephone #
1"21
Contractori9i71,A7/Dti A Telephone#
Address/,24d,?_-,[-2i State Zip r Z
?T?
The Applicant is: _ Owner X Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
? Water Softener _ Water Heater $ 15.00
? replacement _ additional
Lawn Irrigation System w _ repair _rebuild $ 30.00
? r
StateSurcharge AUG 0 9 2004 $ .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 approved.
?ira 4 P?l??'_ ?
ApplicanYs Pr'nted N me A licant's gn -Wtifule
PERMIT#
RECEIPT DATE:
2008 iiUIDFNTIAL PLUM$IFfi ?ERM1T APPLICATION
CrrY og EAHM
S$SO PILOT KNOB iiD
£ll6AN, buY 551 EE
651-8$1-4875
Please cromplete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS:
OW NER NAME: :(a'il"-Cl' •??? ??'?E TELEPHONE #: Gr? 6;Mff G-???
(AREA CODE)
INSTALLER NAME: ? TELEPHONE #:
/-//?'
STREET ADDRESS: (AREA CODE)
CITY: ??i9?? STATE: ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
? Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 5/8" m
'rf needed -$118)
ete
r
p
,?
?
Other: "?t' ? ? y?' -
_ RPZ: new installationlrepair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge ?002 'il
L $
i .50
TOtal g„----- $ S? -S
I hereby acknowledge that I have read ihis application, state that the infortnation is cortect, and agree to complywith all applicable Cityof Eagan ordinances. It
is the applicanPs responsibility to notify the property owner ihat Me Ciry of Eagan assumes no ability f r any d?nages caused by the City dunng its nortnal
operational and maintenance activilies W the facilities constructed under this pertni wi ' ty pro Iri ? j?ent.
/i&T
SIGN TURE OF PERMI EE 1102
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New ConsW clion ReauirameMa
• 3 registered site surveys showing sq. fl. W lot, sq. ft, of house; and all mofed areas
(20% manimum bt coverage allowed)
• 2 copies ot plan showirg beam 8 window s¢es; poured fourM design, etc.)
• 1 set o( Energy Calalatians
. 3 wpies ol Tree Preservatlan Plan'rf lot plaqed after 711193
. Rim Jomt Oefal Optbns selecqan sheel (bldgs wiN 3 or less unik) DATE
A -?? ?
RemodeVReoair Reauiremants
• 2 wpies of plan
• 1 set of Energy Calala0ons for Ireated additions
• 1 sRe survey tor exterior addihons 8 decks
• Indicate il home served by septlc system for addAions
VALUATION
LW ryk_"'? .
SITE ADDRESS MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT ??y L?d /ofy
STREET ADDRESS /*,eY /`?'`??? /`.U9?? CITY L-r?'f'i?i??
TELEPHONE CEIL PHONE #?,94tg' 4GSZ FAX #
_35?/2 ?
PROPERTYOWNER TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RliLES 7672
(d su6mission type) . Residentlal Ventilation Category 1 Worksheet Submitted 7SEP ? eet Submitted
. Energy En velope Calculations Submitted 2002 ??
Plumbing Contractor: _
Plumbing system includes:
Mechanical CoMtactor.
Mechanical system includes:
Sewer/Water Conhactor.
Phone #
I hereby acknowledge that I have reod this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc . ?,L--
Signature of Applicard
, ?•?
_.._...... - - ...._.."•••"-...._.._?.._......__...-_'-""'•.._....
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4lD2
Phone
_ Water Softener Lawn Sp 'nt?'liler ?J Fee: 90.00
Water Heater No. of R.I. Baths ----
No. of Baths
Phone #
Air Conditiorung Fee: $70.00
Heat Rewvery System
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
O 07 OSplex ? 13 16-plex
? 08 06-plex ? 18 Firepiace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex %(19 Lower evel
? 12 12-plex PIhg?Y or _ N
? 20 Pool
? 21 Poroh (3-sea.)
? 22 PorchlAddn. (4-sea.)
q 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 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
li? 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation D DO Occupancy ?- ? MC/ES System
Census Code Zoning City Water
SAC Units / Stories Booster Pump
Nbr. of Units _0 Sq. Ft. PRV
Nbr. of Bldgs I Length Fire Sprinklered
Type of Const ?/// W idth
-T-
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinaUNo C.O.
= Footings (addition) Y , Plumbing
FoundaHon ? HVAC
_ Dratn Tile pther
Roof ^ Ice & Water _ Final _ Pool Ftgs Air/Crns Tests Final
i' FIaminK _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
? Insulation _ Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry sa,c
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing PeRnit
Mechanical Permit
License Search
Copies
Other
9,z3-o
Approved By Z
'J P , Building Inspector
Total
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) GPr
ciTV oF EAcani 41 ? /
' 1 3830 PILOT KNOB RD - 55122
?T 851-681-4875 l G?? rj
NewConshucNonReaWremenh GI?G rsgq Remod6l/ReoalrRewire menh 9 q -D S
> J reylsfered fite wrvaYs showlnp aq. H. of bf. Sq. B. of fause 2 copies of Dlan
anC g?( roofed areaa (20% maxlmum b1 coveraae aliowedl 6 1 set of energy calcWatlara for heoTed adtllMOns
> 2 copies of plarq (show be(m 8 wlnOOw slxes; pouretl fnd. dealyn; etc.) 1 sife wrvey for extedw additlons & decks
D 1 E6t 0f 9f19Igy COlWIOflOflf
> 3 coples of hee preservaHOn Plan N lot PWRed alter 711 /9J
DATE: CONSTRUCTION COSi: 3600 /-
?
DESCRIPTION Of WORK: .G te- 6 ? VW (!!-r '
STREET ADDRESS: Zlg? Z!X
LOT: ? BLOCK: ? SUBD./P.I.D. i:
L
Name: k?pfw ' C_? l f Phone
PROPERTY Lad uat
OWNER ?? 2?-?
Sheet Addreas: i
CiN :f??,?1, ) State: /T l?n 1? ZiP:
Company: ?- C?' &?"Y/ Phone #: 6 ?L ZI 9'g? ~ / .
CONTRACTOR ? (crea ? ? U 3 (o `-L l ?S
Sheef Address:_;?? ti 6? r=U P76 n License # ExP•
/?
?r ?7 1? D.1? State: -? ?J ? JU Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone N: (
Sheef Address: RegishaHon tl:
Cfly
State:
Zip:
SeweNwater licensed plumberlif instalflna sewerlwater): PhO^e #: ?-?
1 herebY acknowiedye Ihat 1 have read thh appiicaflon, state that Ihe In(ortnaHon cortect, and agree to comply wifA a0 apPq?ble StatE
of Minnesota SMlutes and CHy of Eagan Ordinances.
Signalure of ApplicanY.
OFFICE USE ONLY
AUG - g
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes - No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 FoundaGon O 07 OS-plex ? 13 16-piex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck O 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Pibg _Y or _ N ? 25 Miscellaneous
13 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS IN5PECTIONS
? Stucco/Stone
APPROVALS
Planning - Building Engineering Variance
? 31 EM. Alt - MuRi
? 33 Ext. AR - SF
? 36 MulB
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. ../?
Other . o c) Sla(¢ ver; Fi cc-,( o d
Copies
Total:
SAC Units
% SAC
. . :
O sA
3`F3•00?-
`/9•OOF
54&•00?
2, 111?50F
?>> 6,G i• s u
t143•OOF
'79 •00?
548•00+
21 21 1 •so?
3,631 •50.r
`rrtd. lat
l1 1991 BUI LDINUIT AICATZON
CITY OF EAGAN
SINGLE FAMILY DWELLZNGS
2 SETS OF PIANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
(0h 1?1u" y)
MULTIPLE DWELLINGS
• l/ ' \
?
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WFiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
r
Valuation
uH/k lynk ee-
Lot Y Block Z.
Parcel/Sub 13 JOi'_ /j _L76(y??LaG/?
9Y
Owner L-4 -12) G' aA e CI/?D?YI ?Orf??l`
Address
r"
City/Zip Code
Phone U- 01 - 939 3
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
? Date:
I Sa1000? OFFICE USE ONLY
FEES
Occupancy 9'3 M-1 Bldg. Permit ?3,00
Zoning Pp R-I Surcharge 79?Do
Actual Const V-R Plan Review 57,Y 8,00
Allowable \/-N SAG, City /DOi00
# of stories
- SAC, MWCC 0,00
Length 6 Water Conn. (o60,00
Depth ? Water Meter yS,pJ
S.F. Total Acct. Deposit 30i00
Footprint S.F. S/w Permit 30,00
S/W Surcharge 15n
On site sewage_ Treatment P1. a%,oo
On site well Road Unit 3T)D,1)0
MWCC System V, Park Ded.
City water Trail Ded.
PRV l/ Copies
BoosteY Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council
TOTAL ?
Bldg. Off. 17z-)/ QS
Variance
Phone #
i--?`--- agrees that all work shall be done in accordance with
gn of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
/
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aAi2A aC
12-c7_ 0 =. ;? yo
2?X22 = ?IyD
(,(3DK 15= ID2vo
.
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,(j S /kCT
---
3Zk 33 = loS6
y Xloyz? ??/2)
I(?`?1?(= 3oy
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I S.?r? ? SS,aoa '
l
J .
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
3?1E,G1?Nx?Ax,s ??A?HTT
.....:...... .. ........?
?SID?t?T?±41?
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS S
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME : r? /,t 'YI P/t l1-f T??Y1?Lf??--
SITE ADDRESS:
LOT: Y BLOCK 2?, SUBD
INSTALLER
ZIP:
PHONE #:
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
?
GAS OUTLETS - MINIMUM 3.00(
OF 1 PER PERMIT
oc?
a
SUBTOTAL:
STATE SURCHARGE: .50
-, ?
T $"-
SIGNATURE 0 PE TTEE
Gg0?4SEEtC?TAT.?ZNDU52TtTFi'I:;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARf
NOT REQUIRED FOR EACH DWELLING UNIT.
___________________ °° --------__
CONTRACT PRICE:
OWNER NAME:
SIT_E P.DDRESS:
LOl: DLV1il? ? SUDD.
INSTALLER:
ADDRESS:
CITY: ZIP: _
PHONE #:
FOR:
CITY OF EAGAN
FOR CITY IISE ONLY
PERMIT #
RECEIPT ?
DATE: T
/
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EAr.H $1„000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
y25.00 P!INIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
? • ' ? GITY'6F EACAN
3870 PILOT KNOB ROAD
.. F.ACAN, ;^: 55122
PHONE: (612) 454-8100
LUlSBING PERH21'
?._., . ....... <?.:. . . .....,?... ..F
RESILfENTIA?`::?
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE: ?
PLEASE CO?IPLETE OPPER YORTION ONLY FOR SINCLE FAHILY DWELLINGS 3
TOWNNOtiES/CONDOS fiNEN YER?tITS ARE REQUIRED FOR EACH UNIT.
-------------------------------------
WORK DESCRIPTION
W CONST x N0.
NE ?
ADD ON
REPAIR
I
- 17
L19' P.e rrc C.t+_SIv .., l?? n--4.o t
OWNER NAHE:
?
SITE ADDRESS: P?0.c9- .-L
/
(?f0 Jll?i
IAT: O BIACK ? Si1SDL n,. .
1
Mn?rrHr-_? a?wn??.fg
INSTALLLR: ?
-
ADDRESS:
CITY: l7 bS?-w?a ?,- z ZIP:
PHONE a: ?2 3 30 -
l 11. T1P t ca .?./? cA- a-4-R- •
COMPLETE THE FOLLAWING:
FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00 ` Ve
SHOWER 3.00
WATER CIASET 3.00 11roo.
BAT11 TUB 3.00 3.0Q
LAVATORY 3.00 Ty--3 _0
KITCHEN SINK 3.00 3.08
LAUNDRY TRAY 3.00 p°
HOT TU8/SPA 3.00 3 °v
WATER HEATER 3.00 3•S)°
FIAOP. DRAIN 3.00 3!0o
GAS PIPING OUT. 3'00
(MINIMUM - 1) 3.00
ROUCH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
'
PRIVATE DISP. 15.00
U.C. SPRINKLER 3.00
SUBTOTAL g S-) • b o
ST. SURCHARGE .50
SIG URE OF PERMITTEE S7. SO
TOTAL: ?
06 tSltfi[tCI/1LZINDUSTttIA1.:; YLEASE C02iPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AND
HULTI-FAMILY SUILDINGS WHEN SEFARATE PERMITS ARE NOT REQITIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:_
LAT: BLOCK _ SUBD
INSTALLER:
ADDRESS:
CITY:
PHONE #: .
. ,_.
FOR:
CIY OF EAGAN
?°.
ZIP:
FEES
1% OF CONTRACT FEE. '
STATE SURCHAitGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIHUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $_
TOTAL: $-
( S.IGNATURE)
e
8
BOULEVARD TREE PLAN1'ING
OFFICIAL PERMIT
e?
PART III ?') 6L 0 C t? Z?,
i6tf}c lC yAc? I< Po h a( ,1 bD
APPLiCANT INFORMATION:
APPLICANT NAME:
ADDRESS: /¢ 6w
i TTTT/?G
IY:LL.ti1V1VD: (L?
??? 1 e,
'L?3 F /
ADDRESS OF PROPERTY TO BE PLANTED: 5z
OWNER OF PROPERTY (If different from Applicant): a?2?Z Zl.?iJr?
TREES TO BE PLAN'TED:
Distance
Tree Variety ize cati n fr m r
Eacample: Marshall's Ash 1 1 J2" dia. 15 feet south of driveway 11'
4.
DIAGRAM:
/?D uJ257
GA 67,? ?
Please attach a rough diagram of your
structures, buildings, driveway,
m6„La
--_-- ? ?'?-?.?/-
? II
lo't and the right-of-way area ?bowing the location of
i
i
edge or curb, and location of tree(s) to be planted.
L.'u Sw cw-.a.r
? (,a?-- y-d?
6o 7'
L
?LIZ
AGREEMENT:
I agree to plant the boulevard trees according to the above stated conditions. I have read
and understand the City Ordinance pertaining to tree planting and maintenance and
understand its contents. A copy of the ordinance is attached to and made a part of this
permit herewith.
I understand that the City of Eagan assumes no liability or responsibility for injury or
damage to persons or property however caused through the issuance of this permit. All
work done under this permit shall be performed without cost to or obligation by the City
of Eagan.
Signature o Applicant Date
Signatur of Property Owner Dat
(Please keep information sheet (Part M and return this signed portion to City Hall, 3830
Pilot Knob Road, Eagan, MN 55122.)
FOR CIT'Y USE:
- Property I.D. # 10 -- 14 3 q 15?- D 8 0- 0 2 L.at g Block ?-
Subdivision ? L At Iz- H Alu IC PvN9 A DD i T?o ti
Application Record
Reviewed by:
Reviewed by:
Recorded by:_??? ?k K?
S-q- -q4-
Date
Date
.6- - I - 9 4
Date
r
I*
22wp:blvdtree.pla
.; ' .
- ?
-- ?
- ?
911?0id( Dw,)
40 ??-- --- - -?--.?,, f .?. ? -- -- - --
---
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--
- -- --- - ---- - -- --- --,`, -
_ --?- - ?-
-- ---- - - -- --- -- ? __ ?;
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? - ---- - ---?- -- -
--- - - --- -- o- - - -
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--? ??-G3 ?/ --- - --?-? ? - -- --
.?ec?..
lo??Ab-r5
----
---- ---- ------ - -- ,- -- --
2006-?RESIDEN;TIAL PLUMBliVG PERnnIraPPUCariorr
CITY OF EAGAN
3830 PILOT iCN06 F2OAD, EAGAN MN 55122
851-675-5675
'lease complete for modifications to existing residential dwellings.
415.?50
J 4P
)ate
?ite Street Address Unit #
?
Tele
hone#
p
'ropertyOwner
,6CTelephone# (,?SY--XfJ? 7r7e
es-
??
??L°p
7
,
/??/.21
;ontractor
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?,
/
?
? ?6=5iiE?.?JSC??`1E?i State_? Zip?7
?
??
?
F
'
?ddress
/
,?v?
?
;
.
-he Applicant is: _ Owner ?COntractor _Other
ieptic System _ New ! Refurbished Submit 2 sets of pians and MPC license Includes County fee
$ 100.00
Per as-huilt $ 10.00
alterations to existing dwelling $ 50.00
Add plumbing fixtures_ This fee inctudes instaflation of a water softener and/or water
heater at the same time, If you are ins#alling onl a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment p ?
Water Turnaround (add $130.00 if a 5/8" meter is required)
Other
ner ater Heater
ft
S 5 15.00
o
e
Water
? new replacement
Lawn Irrigation _RPZ _PVB `new _repair _rebuiid $ 30.00
StaYe Surcharge $ 50
$
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
vrork will be in conformance with the ordinances and codes of the City of Eagan and khe plumbing codes; that I
understand this is not a permit, but only an application for a permd, work is not Yo start without a permit and work will be in
accordance with the approved plan in the event a plan is reqwred to be reviewed and approved.
Appli an s Pnnted Name Applicant's Signature
..
- --
LAPr?zeF Cusro?
?O?c CONSUlTIN6 CN61NftRt
?G PIpNNEAS cnd LAND f111tVEY0115 n -C5? 39,6 7o/
F.WG16dEf (i1NG a?('. /66
COMPRNY, 9NC.
? 1000 EA57 1461h STREET, BURNSVILLE, MINNESOiA 55337 PH 432'3000
CERTIFICATE OIF SURVEY
Legal Description: Z.07- a aZocK z "4ey'qwK PoNo
09,le..-rn ..n...i-rv,
?in/.V.?SOTA
(!?40_0 ) DENOTES EXISTING ELEVATION
(84r• o ) DENOTES PROPOSED ELEVATION
?-- IND{CATES DIRECTION OF SURFACE DRAINAGE
8??33 = FIMISHED GAyRA,GE FLOOR ELEVATION
833, bZ = BASEhAEWT FLOOR ELEWATION
841.66 - TOP OF FOWNDATIOW ELEVATION
SCALE : 1' v ?'
i--41
30 FT. FRDNT BU/LD/NG
$ETBAGK
f\ \
??.
.,
?
DRA/A/AGE ANd
uriury EASE1n6v7'
Q I ?.
a N? ,
,ry
?
5I /
a ... - ?
0
; ?0 ? ? N'/2'.m ?
? 8 ao.
?
.1?7Bwo
?
` •,?oJI
o?l ?836`
:
?
I
rlo
?
1
?-_
.Bis.9 .
N 25
? >2? 12 47 `?N
l
?-o
/D
?
?
?v? ,
,a
?
?
3 4v
_y
DEPT
V ? ?til
I heraby certiEy that Chira ia a tr'ue and oorreet repreaentation af.a tract
As prepared by me this I/!71 da)
land as shown and d19 cribed hereon.
i1/oVE?I?ER ? . '
?-? Minn. Reg. No. /6085
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112824
Date Issued:08/23/2013
Permit Category:ePermit
Site Address: 1624 Hawk Pl
Lot:8 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Greenlun
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 -
Gary R Lidstone
1624 Hawk Pl
Eagan MN 55122
Perfect Exteriors of MN Inc
321 1/2 Walnut St, POB 297
Monticello MN 55362
(763) 271-8700
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150576
Date Issued:07/16/2018
Permit Category:ePermit
Site Address: 1624 Hawk Pl
Lot:8 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Gary R Lidstone
1624 Hawk Pl
Eagan MN 55122
(612) 850-0652
Ap Plumbing
12433 Uplander St NW
Coon Rapids MN 55448
(612) 220-5057
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156114
Date Issued:06/17/2019
Permit Category:ePermit
Site Address: 1624 Hawk Pl
Lot:8 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gary R Lidstone
1624 Hawk Pl
Eagan MN 55122
(651) 688-0381
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157530
Date Issued:08/23/2019
Permit Category:ePermit
Site Address: 1624 Hawk Pl
Lot:8 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gary R Lidstone
1624 Hawk Pl
Eagan MN 55122
Majestic Custom Construction Inc
8800 Royal Ct NW
Anoka MN 55303
(612) 419-2173
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161185
Date Issued:05/11/2020
Permit Category:ePermit
Site Address: 1624 Hawk Pl
Lot:8 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-080
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gary R Lidstone
1624 Hawk Pl
Eagan MN 55122
(651) 688-0381
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164688
Date Issued:10/06/2020
Permit Category:ePermit
Site Address: 1624 Hawk Pl
Lot:8 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gary R & Lynn M Lidstone
1624 Hawk Place
Saint Paul MN 55122--177
(612) 850-0652
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(763) 476-1990
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174844
Date Issued:02/22/2022
Permit Category:ePermit
Site Address: 1624 Hawk Pl
Lot:8 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-080
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gary R & Lynn M Lidstone
1624 Hawk Place
Saint Paul MN 55122--177
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature