1632 Hawk Pl
Use BLUE or BLACK Ink
F-----------------
I for Office U " I
City of Eap ~ i Permit ~ ~J'
~O I Permit Fee. v 0 I
3830 Pilot Knob Road I 1
Eagan MN 55122 j Date Received: 1
Phone: (651) 675-5675 V1 I
Fax: (651) 675-5694 1 Staff: 1
I 1
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: O ~(r Site Address: / (s~ ,2 t ' 4 w I L za(c Unit
Name: ro l~ C-~L'r C c) n. Phone:
RESIDENT /
OWNER Address / City / Zip: 3 w j C PxQ
Applicant is: Owner Contractor
c~-t-
TYPE OF WORK Description of work: 1V e w
Construction Cost: 49 / ~4 d 00 Multi-Family Building: (Yes / No
Company: lr~)e d r p r, fP r i h e Contact: -i1
CONTRACTOR Address: v„a~ 7- City: SQk
State: f)l ri Zip: S 5 3 ZY Phone: e5^~2, on? C~ / '7
License #:~S Lead Certificate
Does this project require Lead Remediation? ❑ Yes W-No (see Page 3 for additional information)
If no, please explain: c l~ Sid, : 7-VV "eL,,
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:
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
Y y 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.gol)herstateonecall.org
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 but only an
permit, y application fora permit, and work is not to start with
out a permit; that the work will be in
accordance with the approved plan '
p in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's gnature
Pagel of 3
? CASH RE CEliT ?
.
CITY OFA?A AN .
3830 PILUT KNOB ROAD
EAGAN, MINNESOTA 55122 ' -
19
RECEIVED
fROM
AMOUNT $ ?
& DOLLARS
,oo
? GASH ? CHECK
BY
Hn,iie--aayers copy
Velbw-Poatlng Copy
Pink-File Copy
Thank You
BUILDING PERMIT
To be used for i? ;; .{,''- :..
Est. Value 1477,000
Receipt #
_.? 16161.
Site Address 1632 EiAViC PLACE
Lot Block 2 Sec/Sub. ??C', >WVY PLIND
Parcel No.
W Name T&C1lCY FOHES. 1; ; C
3 Address M47 L>ULUTkl 61
° City ;::i'r.DL'N l'A,LLEYPhone `4, - ; ?56
Address
Phone
Name _
Address
City -
Phone
I hereby acknowlege that I have read this applicatfon 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 Permitee '
A Building Permit is issued to: -F CA ' Y 10MES , I14C
on the express condi6on that all woric shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
OFFICE USE ONLY
Occupancy R-3 J?--1 FEES
zo?ing PU g.l
(Actual) Const ?h Btdg. Permit ' -' k) • ??
(Albwable) Surcharge 'S- SQ
#` of stories
? Q
Plan Review
.? 5 S_ i"3Q
Lengih
Depth ? SAC. City
S.F. Total - SAC. MCWCC
S.F. Foolprinls -
On Site Sewage _ Waler Conn
On Site Well - Water Meter CIL) -?
MWCC System 30
00
?? ?? .
Ciry Water
PRY Required xx S/W Permit n•I:'l,
Booster Pump - gjW Surcharge 1_ 00
Trestrnent PI ? 2 ii . QO
APPROYALS Road Unit 34() _ f:f]
Planner - Park Ded
Council -
BIdg.OH. - COpies
Variance - TOTAL
4 1-
! 3830 Pilot Knob
BUILDING PERI
To be used for
Site Address ?
Lot . ' Block
Parcel No.
W Name 3 Address -?
o _..
Name
Address
City Phone
bW¢ Name
W
3; Address
a W City ?- Phone
I hereby acknowlege that I have read this application and state that the
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: { ?y '"`' ? • ? ? '
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
CITY OF EAGAN
:)ad, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
Est. Value -'. 17
OFFICE USE ONLY
Occupancy R-j A--1 FEES
Zoning PD R"1
(Actuai) Const V-N Bldg. Permit ??' •"`'
(Aliowable) V=r:
Surcharge
??'• ??
# of Stories
?
Length SG ? Plan Review " '
•
oepm SAG City 1 t%t . k'
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well Water Meter
MWCC System ? X
Cfry Water F}i Acct. Deposit
PRV Required x" S+W Permit -
Booster Pump - S+W Surcharge ? •
Treatment PI ? ^ ? •
APPROVALS Road Unit S H?•??
Planner - park Ded.
Council ?
BIdg.Off. _ Copies
Variance - TOTAL 3, " t ? •
IN
? 1 Permft No. PermH Holder Date Telephone #
WATER 7)41,
a
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Mspectiw Date Insp. Comments
Foonngs 1 %3+ 49 cs: a
Foundafion
Framing 3"/ ?f ? 3-/ ? COYI"CC f io•.
Rootirg
Rough Ping. 33 -.Vf ?? -
Rough Htg. -? n
lsul.
Fireplace
Final Htg.
Final Plbg.
•
Const. Meler PI6g. Inspector - Notify Plumber
EngrJPlan
Bldg. Final -? r-
o
Deck Ftg.
Deck Final
wall
Pr. Disp. SBY UP: /,j w ' "a
? .
?
.
• , .
PERMIT #
,
, ,
' MECHANICAL PERMIT RECEIPT #
,
CITY OF EAGAN -
'
DATE: - ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE PHONE: 454-8100 For Office Use Only:
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block ? Sec/Sub New
Res
- ? .
Mult Add-on
? Name Comm. Repair
? Address
Other
c City , Phone
FEES
c Name ' ?-
" RES. HVAC 0-100 M BTU - a24.00
Address -
' ADDITIONAL 50 M BTU - 6.00
p City • Phone (RES. HYAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
.
.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU - APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES I
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 1200
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # BEYONO $1,000)
Other
FEE:
_
S/C: SIGNATURE OF PERMITTEE
TOTAL• ?I FOR: CITY OF EAGAN
• . PERMIT # J (_
PLUMBING PERMIT RECEIPT # -' ? L `? •
CITY OF EAGAN
3830 PILOT KNOB HOAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address
Lot Block ? - Sec/Sub
. , ?,.
? Name ?
?
m Address ? ?
? G' r C
r'
c City j 21 zs , 1-'1,1. Phone
t
? 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 - $2Q.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 5/C IF PERMIT PRICE GOES
BEYOND $1,400.00)
4-
--
SIGNATURE OF PEhMITT
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New '- ?
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
3-4-Water Closet - $100 $
Bath Tubs - $3.00
?Lavatory - $3.00 ?
Shower - $3.00
1 Kitchen Sink - $3.00
Urinal/Bidet - $3.00
--L-Laundry Tray - $3.00
-1-Floor Drains - $1.50
-4-Water Heater - $1.50
_-l-Wnirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Private Disp. - $10.00
--a-Rough Openings - $1.50 '
FEE
STATE S/C: -?GRAND TOTAL:
. 3/2/89
DATE:
RE: 1632 HAF1K PL., L6, 92, BLACKHAfiK POND
xx ;*Your Sewer & Water Permit for the above property has been completed. It will be held at the
' Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
' CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
?
Your Sewer & Water Permit for the above Rroperty cannot be completed for the following
reasons:
r
.
Your Sewer & Water Permit for the above properry has been completed, but the meter cannot
be issued or occupancy allowed untii further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hatl. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
? DATE: 3/2/89
RE: 1632 HAWlC PL., L6, B2, BLACKHAWK POND
x Your Sewer & Water Permit for the above property has been completed. It will be held at the
-- P blic dVorks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
?
lr`our Sewer & Water Permit for the above property cannot be completed for the following
reasons:
a
tY,
fYour Selver & Water Permit for the above 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, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
?:? ??? r ??r;?.i, i???r?t,
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
;.. ,
I( f? 1 r: 1 ?It...' 'IF1r,
TYPE OF W4RK:
Iit ',I Fi i 4' I 1 tIN
t Nr;
4i.'?•,*•4
?
??fq
A I I t 14 Ht I iIN
('.iitill:`.)
F
J
L
Permit No. PNmit Holder Dats Telaphone •
ELECTRIC
PLUMBING
HVAC
Inspection Dste Inap. Camments
F0071NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINO
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL .
SEWER & WATER PERMiT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
PERMIT DATE ' ' : I 8 9
WATER PER IT # I ` '' "' SEWER PERMIT #
METER # y & B.P. RECEIPT # 91426
READER # 00 V B.P. RECEIPT DATE 2/28/8)"
METER 51ZE 5-Ifr c ult /( JlJpw
ISSUE DATE ???' fr? X'{ PRV _ BOOSTER PUMP
SITE ADDRESS .?K? 1 o c-
LOT ?: BLOCK SEC/SUB fto_c.k, r?na,K, r?;,v C
APPLICANT:
ADDRESS: `A `t
CITY, STATE _!'K ,Yy'? N . ZIP
PHONE: r-c - _ - ,,j ., , 2, _ :-;1
PLUMBER:
ADDRESS: - 17201
CITY, STATE ._1.bn4n. ZIP ` 5343
PHONE: ' ? '?? (
OWNER:
ADDRESS:
CITY, STATE ZIp
PHONE: 546-55'
PERMIT REGIUESTED
X SEWER ' WATER
X
- COMM/IND _
x
- NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
SIGM TU E?TEA ISSUED
PLEASE ALLOW TWO WORKING DAYS FOIi PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. ,
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE v"
3830 PIIOt KflOb Rd. WATER PERMIT #L SEWER PERMIT #
P.O. Box 21199 METEFi # B.P. RECEIPT #
Eagan, MN 55121 READER # B.P. RECEIPT DATE ?' r?' '•'''
' METER SI2E
ISSUE DATE ',x PRV -BOOSTER PUMP
.ti
SITE ADDRESS PERMIT REQUESTED
LOT BLOCK ? • SEClSUB -
SEWER ?"-WATER -TAPS
ADDRESS:
CITY, STATE
PHONE:
_ COMM/IND
x
- NEW
_ RESIDENTIAI.
- EXISTING
PLUMBER:
ADDRESS: I AGRfE TO COMPLY WITH CITY QF
CITY, STATE ZIP 41 EAGAN ORDINANCES:
PHONE: • '
i
OWNER:
AQDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
CITY OF EAGAN -NQ 16161
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
-
BUILDING PERMIT Receipt # q 1 y'
??
Tobeusedfor SF DWG/GAR Est Value $177,000 Date FEB 28 , 1989
Stle Address ' 1632 HAWK PLACE
Lot 6' Block 2 SeclSub. BLACKHAWK POND OFFICE USE ONLY
Parcel No. occupancy R-3 PL-1 FEES
PD 1
R
Zaning _
w Name LEGACY HOMES, INC (qcmapConst V=N BIdg.Permn 910.00
3 Address 5647 DULUTfl ST (qiiowabie) V=N
88
50
° Surcharge .
Cj(y GOLDEN VALLEYphone 546-5556 #otStories _
501 Plan Review 455.00
Length
F Name SAME Depih 5+' SAGCny 100-00
i
oa AddfESS S.F.TOtal _
575
00
u SAC,MCwCC _
- City PhOnB S.F. Footpnnts -
Wafer Conn 580.00
On Stle Sewage
¢ Name On Ste Well
-
Water Meter 9n. ?D
FW
xi Addl@SS MWCCSystem XX
30
00
AccLDepost .
aw Gty Phone Cdywater XX
XX SNJ P
m
t 20.00
PRV Raquired er
i
I hereby acknowlege that I have read this application and state iliat the Booster Pump - SM1 Surcharge 1.00
inbrmanon is corcect and agree 1o comply wrth a pplicable State
MlnneSOta StatUtes and C an dinan Treatmenl PI 228.00
r
Signature oi Permit nPaaOVALS Road Unil 340_ nn
A Bmlding Permil is issued o Planner - park Ded.
on the express condihon iha[ all work shall be done in aCCOrdance wRh all Council
app6cable Stale of Minneso[a StaWtes and City of Eagan Ordinances BIdg.Off. _ Copies
Bmlding Otticial Varianca
- TOTAL 3.41.7.50
BLDG. PERMIT NO.,-l ?Q1 P? - Ln? te 6IbC.Jz a
6
01-3210 Bidg. Permit O m
01-3422 Plan Check SS Qo
01-3445 Surch./Adm. 7
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit 4 b cO
20-2275 SAC S10
20-3865 Water Conn. ? M
20-3868 Water Trmt. aa g 00
20-3716 Water Meter C) 50
20-2252 Acct. Dep. 30
20-3713 Water Permit O 01?
20-3743 Sewer Permit U CSO
79-3866 Sewer Conn. -- ?? Cx.
28-3855 Park Ded
TOTAL I
hi Nq P o d
18 monihs Irom
E 4849?
flequest Ua?e Fir¢ No. RnuPh-in InsVecimn
^./? Neawred? ?Reatly NuwOW-ll Noufy Insoer
Yes N. 1or When Reatlv
~ p(pL- 9-7 ?
Licensed Electncal Convactnr 1 hereby roquest inspaction of above
? Owner aleGrical work inatalled aC
dress, 6oz o Poute No.
s CiW
Qe"
?63
ecUOn o.
I
Towns ip Name or No.
I
Range No.
County
?
ccuuant (PqiNT) Phone No.
Aq? sY6 -sss
6
Power $vDVher Address
?ao
EIf tncal ontractor m ap ny Namel
c
Con[ractor's I.ucense No.
Mai ma.4tlJress (ConUactor or Owner Makme finstallatmnl
s ?
Authorizp9 Si9nature ICOntraclor/Owner Making Ins Ila?mn) hone Number
t.? ..?..?.? M Lil-I - s6 ?
MINNESOTp STATE BOARD OF ELECTHICIT TMIS INSPECTION PEOUEST WILI NOT
Grigge-Midwev gldg. - Haom N-791 BE ACCEPTEE) BY THE STATE BOARD
1821 Univarsitv Ave.. St. Peul, MN 55104 UN^ESS PROPER INSPECTION fEE IS
REQUEST FOR ELECTRICAL INSPECTIO ?j?oi-os
N
L ??
, See.inshucLOns lor comoletin9 this torm on back of vellow copy.
E+4 81 ?`2 "X" Below Work Covered by 7his Request
Add Rep. Type ol BwlEmg ApPluancea WiroE Equiumam WireA
Home Ranye Temporary Service
Duple,x Water Heater Liyhnng Fixtures
Apl. Bwidfng Dryer Hfctnc Heatin
Commercial Bldy. Fumace Silu UnloaJer
Industnal BIAg. Air CondiLOner Bulk Milk Tank
Farm Othrr pec-W 01- ISnenfv)
t cr Uec?fy ihnr Other
Cnmuute Insnection Fee Be/ow
p Fee SernceEntranceS¢e H Fee Fexders/Subfexders N Fae Cvcuns
0 to 200 qmps 0 to 30 Am s .? •31C? 0 tn 30 Amn
Above 200 qinps 31 to 100 Amps 31 [0 100 qm s
Swinming Pool Above 100-Amps Above 700_Am{n
Transiormers Irngatwn Boonis Pdrtial.?Other Fee
Signs $peciallnspecUOn $ TOTAL
FEE
?
Nema.ks ??
?
/ / - ni1.
Nouah-,n ???te V
I, Ne Ele
Inspector, hereby
certily thxt the above
Final oeefion hes Deen
? r- ?aa.
This repuest voiE 18 montte irom
Reqoest oate
n
? ire No Rough-in Inspec5ion
Requvetl9
'
? Feady Now XWill Nony Inspector
t'
?? - / O '
es ? N. When Ready
I? licensed contractor ? owner hereby request inspection of above electrical work at:
Job AtlOress street Box ar Rome No ) Ciry
l .3 AZt7? ? - /
P.?/4t?s.?s?-?
Section No Township Name or No Range No CounTy
YW!(p ?
Ocmpant (PRINT) Phone No
L,971-1v g9 3- z 6 a
Pawer Supplier Atldress
EIecV¢al Connactm (COmpany Namal Contraclor§ License N.
9GE-G ic- G'o" O7 ?P ?
Mailmq qtltlress (Gonirector or Owner Making Installation)
Ia e0-V,sg ? . ,? .
AutM1OnzeO 9gnature (COntroctor:Owner Making Installatmn) Phone Number
J
MINNESOTA STATE BOARO OF ELECTFICI# THIS INSPECTION REOUEST WILL NOT
Grigge-MlEway Bldg. - qoom 5-113 BE ACCEPTEO 6VTHE STATE BOARD
1831 Univerai[y Ave., 51. Vaul. MN 55104 UNLESS PqOPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED
/4 /C', 0
C? Q15? 8
REQUEST FOR ELECTRICAL INSPECTION
? See instmdions lor compleLng Ihis torm on back of yellow copy
"X" Below Work Covered by This Request
ee-0o3m-0
40
ew Add Rep Typeof8mlding AppliancesWired EqmpmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Building Dryer Oiher (Specity)
Comm /IndusVial Furnace
Farm Air Condiuoner
OtM1er (specro ConVactor's Fefnarks
?112, t /?.c Sp1s'Ie.--t.
Compute Inspection Fee Be)aw:
# Other Fee # ServiCeEniranceSae Fee # CircwislFeeders Fee
Swimming Pool D to 200 Amps o to 100 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
Si9n5 InspecmrS Use Oniy 7p7qL i
IrnqahonBOOms ?• el, S?
Special Inspection 32
AIarMCommumcahon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
,
I, the Electncal Inspector, hereby
f Rouyhi
Date
?yA 0 °
certi
y that the above inspedion has
been made j
Fnal ?r U Da[e
OFFICE USE ONLV '
This request voitl 18 months Irom
1NSYE(:'1'lUN Kl:(:UKll
CITY OF EAGAN PERMIT TYPE: B u I Lo i NG
3830 Pilot Knob Road Permit Number: 0 2 5 7 5 4
Eagan, Minnesota 55122-1897 Date Issued: 6 6 J 0 6/ 9 5
(612) 681-4675
SITEADDRESS: P.z.N.: 1e-14395-06e-e2 APPLICANT:
LOT: 6 BLOCK: 2
1632 HAWK PL LANO TIM
BLACKHAWK PONq (612) 452-9063
? , . ,
, ?'n
? ?.
PERMIT SUBTYPE: TYPE OF WORK:
pECK ALTERATION
OESCRIPTION (STAIRS)
i-CI* 60 EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
c2?zq o?
BUILDING
025754
06/06/95
SITE ADDRESS:
P.I.N.: 10-14395-060-02
DESCRIPTION:
1632 HAWK PL
LOT: 6 BI.OCKs 2
BLACKHAWK POND
?-?g,p(STAIRS)
?eiildin'?,Permit Type
??.r31d%ng 'G?b?rk Type
° ?.?.
.,"q??,y,:?
DECK
ALTERATION
? £q5 s'66 j??E`t .S :-fR{y?^ Y4,k ? i
TA
s.-reCM?t`.a.
REMARKS
FEE SUMMARY:
Bese Fee
Surcharge
Tota1 Fee
$30.06
$30.50
CONTRACTOR:
,1, her:eby 'ackn 01 W led,g? that?wI.ftaye;r ea'd 'Ch
YnPormatio-n is_ •earro:ct and?aq`?e? tt? o?5i?p
- -` : 9t aCu;tee-_a.di'd'Cb'ty bP £agan-Ordkriancese=
'.`
?
APP ICANT/PEFiMITEE SIGNATURE
OWNER: - Applicant -
LANO TIM
1632 HAWK PL
EA6AN MN 55122
(612)452-9063
? ,a'ppJ ?G??i:csn ah d s'??t-t tKaVtb e, o: . .
?' wa?tFr' a'1:,?. :ap.¢7??,aab`Ie °s?wte'a?"?
ISSUED IG R ,
I -ffi CITY OF EAGAN
3830 PILOT KNOB RD - 55122
L66 5 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construetion Reauirements RemodeVReoeir Reauiremenb
? 3 registered site surveys ? 2 copies of plan '
? 2 wpies of pfans (include beam 8 xrindow stzes; poured fid. desgn; etc.) ? 2 site surveys (exterior edditions 6 deeks)
? 1 enerQy calwlations ? 7 energy caiwgtions for heated addklons
? 3 coples Of trea Omservatlon plan 'rf lot platted aftflr 771193
roqulred: _ Yes _ No p „
DATE: 0- (V ' qs CONSTRUCTION COST:
DESCRIPTION OF WORK: S%E/°S 4.j C-?4/ S-i-;^'6r- OC ,f f;
STREET ADDRESS:
LOT L BLOGK ///7w K
? SUBD./P.I.O. / L? e C-
4 , 4'
C ?
PROPERTY Name: Phone #:
OWNER
street Address• /6 32
I-If7u'r
EMCC
City: ?FI GAnJ State: X4Zip:
coNTRacTOR Company: ?? AkO Phone #:
Street Address: License #•
City: State: Zip:
ARCHITECTI Company: Phone
ENGINEER
Name: Registration #
Street Address-
City: State : Zip:
5ewer 8 water licensed plumber
change are requested once permit is issued.
Penaliy applies when address change and lot
I hereby acknowledge that i have read this application and state that the information is carrect and agree to comply with all
appliqble State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiiqnt: ?OFFICE USE ONLY
Certificates of Survey Received
_ No
_ Yes
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o
? 02 SF Dwetling ? 07 4-plex ? 12 Multi RepaiNRem. ?
0 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ?
? 04 SF Porch o 09 12-plex ? 14 Fireplace ?
0 05 SF Misc. 0 10 _ plex cce--15 Deck
WORK TYPE
0 31 New cz'?-33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION 4?,
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Totai:
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ff.
sq. ft.
sq. ft.
Footprint sq. ft.
Buiiding
R
16 Basement Finish
17 Swim Pool,
20 Public Facility
21 Miscellaneous
MC/W5 System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. yiY
SAC Code ?
Census Bldg ?
Census Unit O
_ Engineering Variance
a
Valuation: $ /zofl ?
% SAG
SAC Units
/ "V.
0 ' Q
910-00+
88•50+
455•DD+
?, l0U•OU+
?" 575•U0+
580•00+
90•OU+
30•00+
20•UU+
i•00+
228•OU+
? 340•OU+
417•5U*
I
:.
1989 BIJILDIIdG PfiFM[IT APPLICATION - CITY OF EAGAN
SIlPGLE FAMILY DWELLINGS I ? I G I
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATFS OF SURVEY, 1 SET OF ENERGY CALCULATIONS
r
NOTEt ADDRFSSFS FOR CORNSR LOTS - CONTRACTOR/HOMEOWNEA MOST DESIGNATE WHICH ADDRFSS
IS DESIRED. RO CHANGES WILL BE ALLOWED ONCE B[IILDING PEAMIT I3 I33IIED.
MQLTIPLE DWELLINGS RSNTAL ONITS FOR SALE AIITTS f OF ONIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COI+MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- - 00 .iAN 26 00
To Be Used For: (o A'9- Valuation: 1 Date:
Site Address I 1030`l {1) K AQaisZ
Lot 6_ Block --Va
Parcel/Sub G1-o.c.1( uaA N, epNp
Owner y,QQ0.ccA {-d6 Mn?S -6JG
Address ?614 `7 QuQA.t??
City/Zip Code 6o1D?!? U IIr¢'MtS SSy?
Phone 55ar(o S°il- 0-',9? Ju?i
97-1-t5?1 PPC,?V2-DI 61 rrS-
Contractor
CCON+ac.+ Pana"?')
Rddrezs- RAR RV Sc.4, N2 icler?.
City/Zip Code
Phone
Areh./Engr. _d-2ecestA Nt?!'MQS `?1+?-.
Address
City/Zip Code
Oceupaney Z3 M_I
Zoning ThV 4Z-1
Aetual Const V-N
Allowable V-N
U of stories
Length ?
Depth 514,
S.F. Total
Footprint S.F.
e.VAr
-%n site sewage_
On site well
MWCC System v
City water =7-
PRV required ?
Booster Pump `
APPHOVAIS
Planner
Couneil
Bldg. Off. =1131
Variance
Council
Bldg. Permit ; /U` .CaU
Surcharge
Y
Plan Review ,OD
SAC, City 00, Od
SAC, MWCC 5S, C7O
Water Conn . ? 00
Water Meter , Oa
Acet. Deposit ' p. QD
S/W Permit 20, cD
S/W Surcharge .14
Treatment Pl. 28.00
Road IInit 7?'
Park Ded.
Copies
TOTAL
?
Phone U
NOTS: Sewer & Water Permit fees and aecount deposit fees will be ineluded in the building
permit fee. Proeessing time for sewer and raater permits is txo days once a licensed
plumber haa applied For a permit at City Hall.
;1? -% vaLuAMoQ
GAf2aG5
20 xZo = -l o0
I?x ?a= z?6
___--
t? i? xAy r g6a.y
DuS?_---
33 X 3y = (! 22
yx24,
=
roy
Sx ? = 4s
i :-? ;,`? •
7x q = lzs)
_---
i ?to x =.-Iq$7_to
lo xty= !Mo
??JW?= (fd 6 3!
EXTERIOR ENVRIUPE AVFRAGE COMPUTATI(',
DETERMINE WORKING SQUARE F()OTAGE
1) WALL AREA: 4590 * .11 = 504.9
2) ROOF AREA: 1945 *.026 = 50.56
TOTAL EXPO(,'ED WALL AREA 4590
A) WALL WINDUW AREA 355
R) DOOR AREA 40
C) PATIO D001' AREA 120
D) FIREPLACE 1iALL AREA D
F) WALL FRAMT'1> AREA 459
F) NFT WALL l:..A 3119
G) RIM JOIST ?2EA 353
TOTAL FXPOSFU FOUNDATION ARFA 144
H) FOTINDATION dINDOW AREA 0
I) TOTAL NET ?JUNDATION AREA 144
DETFRMINE U°yLUE OF EACH WALL SEGM,iQT
A) 355 *U ,549 = 194.89
B) 40 *U .C-; = 2.8
C) 120 *U .55 = 66
D) 0 'xU .359 = 0
E) 459 *U ?101 = 46.35
F) 3119 *U ,044 = 137.23
G) 353 *II .i)41 = 14.47
H) 0 *U .Si = 0
I) 144 *U .L3 = 18.72
3) TOTAL - 466
NOTE: IF ITFA #3 466
IS THE SAME :1 3,
OR LESS THAN ITEM #1 504.9
YOU HAVE MET 1HE INTFNT OF SF3C 606(C)2
TOTAL FXPOSFD ROOF AREA= 1945
.1) SKYLIGHT,9FEA 0
' K) ROOF FRAMI'VG AREA ' 194.5
L) NFT INSUL9'fED ROOF AREA 1750.5
DETERMINE U VALUE FOR EACH ROOF SFGMENT
J) O*U.55=0
R) 194.5 *U..022 = 4.27
L) 1750.5 *U .018 = 31.5
IF TOTAL OF #4 35.78
IS THE SAMF. AS,
OR LE55 THAN ITEM #2 50.56
THEN YOU HAVE PIET THE INTENT
OF SBC 6606(C
ALTERNATE fUILDING ENVELOPE DESIGN
TO UTILIZE TC".1L FNVELOPE SYSTEM METHOD
VALUES ESTARI. ; iHED BY THE SUM OF ITf ?i5
#3 AND #4 Sh. ;.L NOT Rr GREATFR THAP
THE SUMS G'r' ITFMS #1 AND #2.
1) 504.9 +,2) 50.56 = 555.46
3) 466 + 4) 35,78 = 501.78
pLQT OF S(?RVEY
FOR: _ Le9acc _ Homes
Lot 6, B/ock z ,
B laCKhowk Pond,
DaA-ota C'ovn fy, MN
r)
.
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sl
/V B9°/3'S8 "E
1,,,"i,-
V?-,?.?-?iv i
/73•B8
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(84/7)?
iit\
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LOT 6
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ra? x
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i0
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?^'..
?383
e
P 000 p y- aJ? ?O?p9Pi
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24" Oa k dustel-
0 (833 7)
Lrqinac)e and
U!-?l?ty Eosement ?
?
Sz7„
LEGEND
0 iron monuments
f?,
so.aq) r&_I
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?
HAWK
gM.?m H
e=CaO•00 ' ?84797?
L=loO 4Z
? PLACE
9w??(8478)
(?
?B4B 02\ 7"O?B/OOr
'vo?se J CK
consr?? Under
? ?. 5 ct?on
?
[3ench.Y,orK- 11-)verf of s4n.
R E mqnho% in
ul-de-S4C
WE #e/e? = 8374z
BY G i s
??\? Da#t 1-30-89
E`` N ENGINEERING
I3EPg
?
PROPOSED EL[VATIONS
(aso.o) existing elevations
so proposed elevations
z 3 lowest floor
8so-? garage floor'
esi.o top of foundation
direction of proposed surface drainage
P.R.V. REQUIRED
Note. Only copies which br,at ar. em6ossed seal are certified copies.
II? Hansen Thorp I hr.re6y certify that thic survey was prepared by me or under my supervision F
O 89 009
u and th:,t I aro a duly reyistered land surveyor under Minnesota Statutaz Sectwn
Peliinen Olson Inc. 32e.02 tu szs.,s.
Booh - Pagr
0 ? ConzWnng Engmee?s R Lnnd S?rvayon .
.J8 -Z?O
>565 Otfice Rulgc r;vae ?/-- _
EtlNU Vrainq fdn; ti534A 3G44 ?? CL, p LoG?j'- $CBIC
15141 829-0 ]C 0 /
Uate: Z 7Registration No. _Ze ¢ 2,1 _ ?„-30'
.
i
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA081405
Eagan, MN 55122 . Date Issued: 12/10/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1632 Hawk Pl
Lot: 6 Block: 2 Addition: Blackhawk Pond
PID 10-14395-060-02
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen Jerod Gustafson
1920 County Road C West 1632 Hawk PI
Roseville MN 55113 Eagan MN 55122
(651) 264-4777
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118859
Date Issued:11/08/2013
Permit Category:ePermit
Site Address: 1632 Hawk Pl
Lot:6 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Jerod Gustafson
1632 Hawk Pl
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
NOV-27-2013 09:53A FROM: TO:6516755694 P.1
46' City o(Eapn
3830 Pilot Knob Road
Eagan MN 66122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use (CI
l (!
Permit*: I ( t Ll 15
Permit Fee:
05 ,
Date Received: I /'� 7/1 3
Staff. I ��
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
:Owner
Name: :Se(od GWS 7 c -r- on Phone: 60,-/ • is -6-93'0y
Address / City / Zip: /4, 1 {, ,,,, k Pyre
Applicant is: _ Owner X Contractor
•
Type of VNork
Description of work: !kik-IA)r o oe
Construction Cost /1 0oO Multi -Family Building: (Yes_! No �)
Contraction
Company RPgaL b -r17 r'prales' Inc_ Contact:
Address: 13 / / If r)1 Th wa c -T City - '4 Yap rv. n
9
State: .t„-, Zip: S -S-_ y'# Phone: 9....<;••1. O/ gel
License #: —1-).-5-15 7/ / Lead Certificate #: /21-13.5-40
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
�41-/ rr 9 0 '1 L y - IJ o'r Q Ao,t) Proj e cT
In the last 12 months,
___Yes 1 _No If
Licensed Plumber:
Mechanical Contractor:
Sewer S Water Contractor:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan Issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Phone:
Phone:
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 they 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
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 Code must be completed within 180
days of permit issuance.
x YAM P. tend
Applicant's Printed Name
x DIA
411i0 gnature
Page 1 of 3
!"
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140474
Date Issued:12/22/2016
Permit Category:ePermit
Site Address: 1632 Hawk Pl
Lot:6 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Jerod Gustafson
1632 Hawk Pl
Eagan MN 55122
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature