4293 Rosemary Ct?
.. .
CITI( OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
, . , r, .. •?,..
I}AI I I 14 0 1tMf tJu1?I1'; 1`.;1
PERMIT SUBTYPE:
INSPECTION REC4RD . _?
PERMIT TYPE:
Permit Number:
Date Issued:
? r
APPLICANT:
NnMF ?, r NI
TYPE OF WORK:
N i i,.i
r i i) , Ni,
N:'Ah.7'3
04 / A rz 1411.4
INSPECTION ., . .•
. , .. . ?,?,
t ! t• ( 1' 1 !11 !
kF1eAtiK3: ?4 & W 1'1 RR - TH[)MpSnW Pl 1116 1'RV
I ? . , -
Permk No. Parmn Hoider asb Telephone M
5/W
PLUMBING
.
HVAC
ELECTRIC
ELECTRIC
Inspectlon Dab Inap. CommeMs
Footings I i
Fou?aation S, 3 D S
Framing ? f9? 41 w?es fi- ? W O?.
R°°fing Ce
R°ug' Plbs- -4:r rCS,4-
?ugh Hc9. ? -1 r ? ? ? 3 3 yle
lsul. /r
Fireplace
Final Htg. ? /v D
Orsat Test
Flnel Pbg. / Plbg_ Inspector - Notihr Plumber
Const. Meter
EngrJPlan
Bldg. Final 6
Deck Ftg.
Deck Flnal r
Well
Pr. Disp.
J3
bi
.. . . ee
crertificate af ccc"ancI
?
wltv of C?agatt ,
,zcPartmext of Zui[b#nA 3t60cctivu
This Cenif cate issued pursuant to rhe requirements of the Uniform 8uilding Code
j:
certifying that at the time of issuance this structure was in compliance with the varrouv
ontinances of the City regulating 6uildrng constructian or use. Far the following:
4 2 Q 3 FO6WRY O(7[iRT 20633
Use Classification: Bldg. Pennit No.
OccuP-Y TYPe 7lIV[; 4pU1¢ Ihstna LUMIILLZ Owner of Building Address
Iding Address ? ?
Date:
Building OFficial i
w,
POST IN A CONSPICUOUS PUICE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
• Date Issued:
1.01
4 ,Q 41 1r0'.1-MAFtY ?. ?
1?nl I I ft11f, Mt' I1rinfl•,
PERMIT SUBTYPE:
.! rl, fi i ' I F'1 II(
APPLICANT:
TYPE OF WORK:
+q p I I I I I nI t
1.'.'}s49'1
ti; 1 0 J1a4
INSPECTION
,,r) i 141: DA •
.01 DA
I(J 0 1! 1
Rf'MAPKSx ,FfARAfF F'LEC TRTC,AL F, YIIiMHINti WFt.MII'; R!O?1IFf 1?
F --1
L J
Permk No. Permk HoIdH Date Telephone R
S/VII
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
Foundation
Framing I 3
Roofing
Rough Plbg. _ L
Rough FHg.
Isul.
Freplace
Final Htg.
O?sat Test
Fnal Pibg.
O' Plbg. Inspector - Nod1y Plumber
Const. Meter
EngrJPlan
Bldg. Final / 9 -
Sl K
Dedc Ftg.
Deck Final
Well
Pr. Disp.
.6.4
1
F quest Fire No. Rough-in Inepection
Fequiretl7
? Reatly Naw ?VJill Notily Inspxtor
AVes G No When Peatly?
I ?Klicensed cornractor ? owner herehy request inspection of above electrical work at
Jab AtltlreSS (Sheet Box or Roule No.I
512 9
3
?c Ciy
?'' C
9 ")
?
y
. u,? r /
1
Section No. Township Name orNO. Renge No. Count
OocuvanifPRINT) Ppone No.
ysy -
7
Pow Supplier AdOress
L
U?? LLtG'TiE'I
I
/liP/371N
TGrV
Elect al ConVector ICamDany Nemel COnlrac
tor5 License No.
J? LtC' :.P i c -ZN c. n
0A?-3 Z
Maling Atlaress IcoeVacror o? Owner Making Installati ?
%
? zvoG?/ zy
AvIDon S?gnaWr (Contr no ?Owner Making Instailalion) Phone Number
9"5 .3-z-
MINNESOTp STATE BORND OF ELECTRICITY THI$ INSPECTION REOUEST W0.L NOT
Gtlggs-MiEway 91tlg. - Roam 5413 BE ACCEPTED BV THE STATE BOARD
1821 University Ave.. SI. Gaul. MN 55101 UNLESS PROPER INSPECTION FEE IS
Plane (610? 602-0800 ENCLOSED.
I REQUEST FOR ELECTRICAL INSPECTION ee-ooooaoe
? ?? ? See insvuctions for complating this form on back ot yellow copy.
?'X" BBJow Work Covered by This Request ?
ew Ad Rep. v rypeoi6uiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Olher. (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Omer sUecilYI Canvacmr§ Remarks:
401r?P/N C ?F G 0 ul??:' `?U,EL
Compute Inspection Fee Below:
# Other Fee # ServiceEntrenceSi2e Fee # CirCUits/Feetlers Fee
Swimming Pool 0 to 200 Amps ? 0 to 100 Amps ?r
Transformers Above 200 _ Amps ADOVe 100 _ Amps
Signs inspeciors Use oniy: " ? TOT
P?I $fJ
Irrigation Booms ('U? ?
Special Inspection ^
Aiarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WI7HIN 18 MON7HS.
I, the Elechical Inspector, hereby
f R°°qn;n ? oate (
certi
y that the above inspection has
been made. Fn,ai oai
OFFICE USE ONLY
Tpis requesl voitl 18 monfis from
?a ?
Ra est Dal ire No. Rough-in Inspectlon
Fepuiretl?
? Reatly Now R9,Will NotiTy Inspector
ves ? No wnen Reedv?
I?klicensed contractor D owner hereby request inspection of above electrical work at:
Job Atltlress ($VeaL Bov or RoNe No.)
'
C
e Cliy
?
_
4.z93 l
T.
osr_ 4 <v at)
A
1
Section No. Township Name or No. Renge No. CounD
' "
TA
4
Occupant(PFINT? Phom No,
LrI=E yL bm6 145Lt -n$(,(o
Pawer Su
J? Atldrass
-
t?Ecr?elc
ra A2m ? nGn?
Eiearicr.Gyptreaor ?Company Neme) Coniractorg License No.
?? A & c Z?nc . CJa- 01437,
Mailing AaOress (ConVactor r Owner Making Install 1ron)
. t?
W
?a ob6r ,
MP7 L,c?i SS?z
,
AuIDorizea Sign reICOmrecroriOwner Mak
in! ?tion, Pnone Nu
mO
er
I
ns?e
il
a
7
/ +'
?
/
1
/
-
.. ..`? y Y/?(?Ydli- . 957 ?O
MINNESOTA STATE 60ARD OF ELECTFIGTV THIS INSPECTION REOUEST WILL NOT
Grlgge'Mltlwey Bltly. - Roam 5473 BE ACCEPTED 8V THE STATE 00ARD
1841 Univertlty pve., SL Peul, MN 55104 UNLESS PROPEP INSPECTION FEE IS
Phone (612) 812-0800 ENGLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
n o ? See insVUCtions tor completing Ihis lorm on Eack of yellow wpy.
L+, 21887 "X"8eloiv VYork Covered by This Request
dTM`?r
3?4.: EB.00001.08
? ?-'
?'?ill
ew Add RaQ. " Type of Building AppliencesWired EquipmentWirad
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Otheo (Specity)
CommJlndustrial Furnace
' Farm Air Conditioner
Oltler(sueay) ConVacbr's Remarks:
Co/npute Inspecfian Fee Befow:
# Other Fae # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ? to 100 Amps (og
hansformers Above 200 _ Amps A i00 _ Amps
SignS Insveclor's Use Only: ' TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE RDERED DI I ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M 3. ?
I, the Electrical Inspecior, hereby Aough-In
!
certify that the above inspection has
been made. Final
OFFILE USE ONLY +
This repuest vaitl 18 monfis 1mm
Address 4293 RDSIMaatY rnimi' Zip 5512 3
LAt •7 $11C 1 .SUb HAWfWN2NF. GYXNIS ]ST THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME.OF THE FINAL INSPECTTON.
- s
Date( Yes No Inspector:
Final gtade " from siding) ?
Permanent steps (garage) V
Permanent steps (main entry) '`/
Permanentdriveway ?
Permanent gas
Sod/Seeded gass ?
TraiUcurb damage
Porch V
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Pem,it Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
Lo T : s s Lo c K: _
4293 ROSEMARY CT LSFESTYLE HOhiE.^-, INC
IIAWTHORNE WOODS JST (512) 154-71166
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NFW
RUilf]iNG
!"P -'i3
0ft/S3
INSPECTION
FOOTING •
FRAMTNG D•
INSULATTON FIPlAL
FTRF"PLHCE
RL"MARKS: S& W PLBR - THOMPSON PLBG PRV
p{ k * f
1 . - ?. .- a _ . ..
? CI'T'li' ?OF EAGAN
3830'Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
C/11'00V?ty 03/9
e+?iri u
0 ?ti 6 : !
enJH6/9s
SITE ADDRESS:
P.T.PI.: 10-32150-030-01
4293 ROSEM7IRY CT
LOT: 3 CIOCK: 1
HAWTHORNE WOODS 11,1
DESCRIPTION:
31#{} Permit Type 5F DWG
tt`??.C7?k3g . rk Type i?EW
U6C Occu.panc: _ R-s P4-1
v- v
? ?•
,01 0 1;4??*;-"?-j`• R-1
, Bu'i1,d1.r1g L'ength e?
B?Zlpt? A9 Wzdth ,..} . 37
ltv oF ca??¦ ¦
REMARKS:
s& W PLBR T-HOMPSON PL6G PRV
FEE SUMMARY:
vALunrTON $151,000
:ia=:: Fee $818.00 MISCEi 1 HPIEpIi^
Plan Raview $531.79 COPY
surc:;,rge $75.50 Total :
SAC $750.00
S(iC v 100
SFlC Uni-ts
SubL'oi.rtl 1
$2,175.20 I
?
? ,":IN.ZQ
CONTRACTOR: - Appl icant - ST. IIC. OWNER:
LIFESTYLE WdMES INC 14547866 0001288 ITPL"'fYLE VlbniES 'fNC
1 qR9 LFlICE PARI: C7R 1 9ES? l RI, F f`A 1? K C i It
EAGAN MN 55122 t.^,GRN MN 66122
(512) 459-7866 (t;l ?)454-%st;t;
,'_'X Nter..ebY apkiiowl,19dtys ltf?at I, have= read
==at014uCes and City nf;Ea.gan tirdinan„ces;
? nr?n 401A 1 _
? SS E Y: IGNA'TUR
REACT.I17lt7E _
?,_
P€l2M11 .# '
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION
waR2sREM
-rf,pi.,rd-?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 3 / 16 / 93 Valuation of work
?z43
Site Address: - 298-ROSEPiARY OURT
STREET SUITE /
Tenant Name: (commercial only)
IAT 3_ BLOCK 1_ SIIBD. HAWTHORNE WOODS 15T P.I.D. *
Descri tion of work: SINGLE FAMILY NEW CONSTRIJCTION
The applicant is: ? Owner 13 Contractor ? Other (Describe)
Name LIFESTyLE HOMFS rrtC _ Phone 4SG-7R66
Property LAST FIRST
Owner
Addt'2S5 1489 LAKE APRK CIRCLE
STREET STE M
City EAGAN State MN Zip 55122
COIIIP3Ily .TF .STYT.F. H0MF.5TN(: Phone LS1-7sirjti
Contractor Address 1489 LAKE PARK CIRCLE License # 1288 Exp. 3/94
City EnGnrt State nanr Zip 55199
Company SArtE aS ABOVE Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber TxoMPSOrr PLUMB NG Processing time for
sewer & water permits is two days once area has been approved.
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. ?_'4? .- ?_
..?? .?, `?..
Signature of Appl icant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
9 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
13 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? OS 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
P?31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging?..
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
O 35 Tenant Finish
? 36 Move
Const. (Actual) V- N Basement sq. ft. MWCC System YE5
(Allowable) V_N Ist F1. sq. ft. City Water
UBC Occupancy -3 M-j 2nd F1. sq. ft. PRV Required 7
2oning R-1 Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. fire Sprinkler
Length ? On-site well Census Code p
Depth 3 I On-site sewage SAC Code
G44" ?Ol4 J
APPROVALS u?"v
?
iSzK
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
O Wallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % /UO
SAC Units
? Footing
? Final
•J D
? Framing
? Draintile
vetmc;on: $ IS/? tlJ?
GARA,6-£; 3?%zx2z = ?q3
I x zao = 2a
2 x 7 = /y
B15M'r:
3s'x 30= /oSn
3'
108BX/S?
Ysr__ ;
z?0,67x1
?»9T
yND F?eez
16320
.:.: . .
,% ' ?s ,.,, ?'?? .
?. . •
Q,16 6asement Finish
? 17 Swim Pool
? 18 Conen./Ind.
13 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
? Insulation
? Fireplace
i
io8?
/G
I?- t? y
93 sc 3s
,/ ,e , _
9 Z'Xlir
1, 77 6
1r4Nx" =i?s??
DENOTES PROPOSED SURFACE DflAINAGE
O DENOTES IRON MONUMENT SEf SCAIE. 1 INCH - -? FEEf
• DENOTES IFON MONUMENT FOUNO ' PROPOSED GARAGE FLOOA - FEET
%000.0 OENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - "? 4 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED T07 OF BLOCK - '. c. `- FEET
WE MEREBV CERTIFI' TO uFE STYLE HOMES. INC. THAT THIS IS A TRUE AND COFRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARtES OF.
Lo1 3. Blotkl, HAWTNORNE WOODS IST AD0ITION, accor0lrp 74 the recorOeE
plat iherml, Dnkom Caniy, Mlnnewia.
IT OOES NOT PURPONT TO SHOW IMPfiOVEMENTS Of7 ENCROACHMENTS. EXCEPT AS SHOWN- AS
SURVEYED BY ME OIiUNDER MV DIRECT SUPERVISION THIS 'ATM OAV OF M4RCH -, 1993
SIGNED: JAMES R. HILL. INC. '
BY-??
JOHN C. LARSON. LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
NOTE: BUl01NG DIMpI51CN5 SMPYN iflE fON IDN6OMi4
a vFAiICaL LOCa:7pw ov zTMlCiuFE aM.Y SEE
+MNITFRUGL 0.AN5 rYq 9VILOING B FOLNOPiIf/1
DIMENSONS.
401E: NO SVECFC $OIL INV6TW90N MGS 9F£N COM0.ETED
ON MIS LOT BT'XC SUMEYOR. THf SUTOBItIIT OF
SJiI$ TO SIIPIpfli TME SPEC:FK NRISE PRJPoSEO IS
rvOT 'NE RESPoN51&LIiY Oi TME SURVEYO0.
uOTE: PROPOSED GHCOES SHUwN WERE Td[EH
FfiON THE GFCOrN4 B OEVELOVMENT GLpry
FO(i NPMTHORNE wOpp3 i5T aO01TIpM
PFEPGPED BY MeCONEs FPnNR BO03 i55OC
INC..LLST OATEO 6-23-92
ROSEMARY COURT
N
9394 R=225.00
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CITV C)F E:ALAN
CA51-IIER^ .J5 Tl.f'tMIidFlL. NClg 6E30
DATEr 0E3/09/99 lIi'il=e 12:31]e?9
IIi „
NAME; NE,W Sf'AL'F£, hlOMl.: CFfAFTSMAN
=3e^:I.U 3001 093 RL1f.;E:MAliY G 33505
3422 9001 4293 R(I;:iEhSARY C c.'.17.?i.
21.:i;5 9(:)01 Q93 I'1UfY'M(ahY [: t0.50
r
Tota:l. Receipt Amoun+,„ 56:3.0,
CR J.1', iCli?h
I.15F_R :[D: JFlN
1999 BIdiLDING
New Conshucflon Reoulremen}s
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675 - J
_ Remodel/Reoalr Reaulrements
? 3registered sMe surveys showing sq. tt. ol lot, sq. fl, ot house
and ail roo(ed arecs (207* maxtmum lof eoveraae alfowed) D 2 copies of pians (show beam L window sizes; poured Ind. design; efc.)
? 1 aei of energy calculaHons
? 3 coples of hee preservafion plan N lot plaHed affer 7/1/93
DATE: ?/3?f
?
DESCRIPTION OF I
STREET ADDRESS:
2 copies W plan
1 set of energy calculations lor heafed addHlons
7 sXe survey lor exterior addHions 6 decks
CONSTRUCTION COST:
LOT: ' BLOCK: i SUBD./P.I.D. #: t` 1 Cl ? ? - i 4? C , s ?? ?- ` G C, C'1' 7 I°'
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: Phone #: e) ?17
Lasf Flrsf
Street
City LG?,9N ? State: ?N Zip:
Company: /??w s?/?r.ES Phone #:
Street
City
Company. Name:
Telephone #: area code (
Shee't Address: Registration #:
City State:
Sewer 3 wafer Iicensed plumber (reauired for new construction onlv):
PenaMy applies when address change and lot change is requested once permR is Issued.
i o v
Zip: t3?S -?337
Zip:
I hpreby aeknowledge ihat 1 have read fhls applicatlon, state that the IMormation is conect, and agree to comply wifh ail appiicabl
StaSe of Minnesota Statufes and Cify of Eagan Ordinances.
Signature of Applicard: 4!?'
Certificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
OFFICE USE ONLY
_ No t J 1„ AUG 3 19,99
_ No _ Not Required
tT ??' ?( 7 D
61v)-
(area code)
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/5offits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code 434
(Allowable) ? Main leve l sq. ft. SAC Code e 1
UBC Occupancy fZ • 3 sq. ft. No. of Units ?
Zoning 'R• 1 sq. ft. No. of Bldgs ?
# of Stories I sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee 53S a? Valuation :
Surcharge 1 ?
lReview
L -D I I -
B X lI
7SZ??
= Sg XS"?= Z/
cen ,
MC/ES SAC 288x ?v= / S `S ?Z,-?
City SAC
'
WaterConn. 7`o7n-L_ ?v'3oc?=
Water Meter
Acct. Deposit
S/W Permit
S/V11 Surcharge
Treatment PI. ,
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
B Y?
JOHN C. LARSON, LANO SURVEYOR
MINNESOTA LICENSE NUMBER 19828
ROSEMAfty_ COURT _ _-_ g34.?
934.7
N
N 934.4 R = 225•00
? 4ssa.s 8'47"W ?3`4i 9 4)
` . y 46. 20 -. , 36.78 934.2
935.o ?
A 5
? I
r,io 5 ? ? ? p .
PROPOSED m /BENCHI.4:RK
DR IV E WAY TOP OF ?!PE
937?? °- ELEV..933.31 357 -
in
1? nP!PE
C . E N OF 935.96 m ?1'il ui 1.67 - 21. 5 prf ?? ?
v OD
M ?
p I=?r?i? GARAGE ? PHOU3EED/0
N/
DATE 934.1 3 M 37.0 --- 930.1
F
-:- cT. _.. . .., ...
W
M
M
a
N
Z
m
r
M
M
?
??aI DECK I N
$ 1
1 .?
d I
V ° ?
o ?
5 ORAINAGE 0 UTILITY ?
?EASEMENT PER PLAT,, - ?5
?i ? 106.02\ N 1 8 47
\ i 925.5
? SURVEY LINE
OF PpND PER PLI
WATER ELEV.4-2-93=
925.2 POND JP-68 • Z
CITY NWL=924.1 O CITY HWL=926.0
' LOT 3 bD
m
?
o ?
N \
\
DAKC
EASI
Np0,?2?4/ /
.
?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------ ----- ------- ----------- -------------
----------------
"7 ------------------- -------------------------------------------------
"vi,'S?,
NO.
?
EAtH TOTAL
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry, lic. 20.00
U.G. SPRINKLER • nome unaer wnsi. 3.00
ALTERATIONS • ta ad5c;ng 20.00
WATER TURN AROUND 20.00
STATESURCHARGE
TOTAL:
.50
SITE ADDRESS:?Z2!3 Rc")5??'%
OWNER NAME:_ Z- r
INSTALLER: / `7 0
ADDRESS: no
CITY,rrI7? /1 n c 7??1FCc? STAT'E: 4'7i1/ _ ZIP CODE: S3
PHONE #: 7
SIGNATURE O PERMITTEE
1994 PLiTMBING PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
1994 PLUMBING PERMTf (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
1VEW CONSTRUCTION
? ADD ON
REPAIR
WORK
CONTRACT PRICEr?-
FEE: t% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF FEE.
NfIN1A1UA1 FEE: $ 25.00 , " . ."
COIYTRACT pRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
TENANT NAME: STE. #
ON'NER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
STATE:
ZIP CODE:
APPLICANT
?" .
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTf.
NO. FIXTURES EACH TOTAL
1 SHOWER 3•00
WA'TER CLOSET 3•00
BATH TUB 3.00 ' cxO
? LAVATOAY 3•00 ??? cn-
I KITCHEN SINK 3•00 '•p •?„?
LAUNDRY TRAY 3.00 ?5,a?-N
HOT TUB/SPA 3•00
? WATER HEATER 3.00 ?. ?
FLOOR DRAIN 3.00 ?Z, , ca'?
GAS PIPING OUTLET • minimum - t 3.00 -9?>'GJ
ROUGH OPENINGS 1.50 4.
? WATER 50FTENER 5.00
PRIVATE DISP. • naic.cry. uc. 15.00
U.G. SPRINKLER • eome under const. 3•00
ALTERATIONS • to auating 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE
OWNER
INST.
CTI'Y: STATE: f'1 sJ ZIP CODE:,5'D34,S
PHONE #: ) q'?3 - I '11?
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDE1V174L)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
, . '.
PLEASE COMPLETE FOR ALL COMAERCIAIJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNTf.
_ NEW CONSTRUCI'ION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1'% OF CONTRACf FEE.
STATE SURCHARGE $.SO FOR EACA $1,000 OF P"PJ', FE&
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SI1'E ADDRESS:
$
$
$
TENANT NAME: STE #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
1993 PLUMBING PERNIIT (CONIIVIERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
r
MECHANICAL PERMIT (RESIDIIVTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
? NEW CONSTRUCI'ION
ADD-ON AJC
ADD-ON FURNACE
vATE ?6 5 3
FEES
HVAC: 0-100 M BTU C_o?
ADDITIONAL SO M BTU 6.00
GAS OU'TLETS (MINIMUM 1@$3.00 EACH) D ?o
ADD-ON/REMODEL (EXISTiNG CONSTRUC!'ION) $ 15.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
OWNER
TELEPHONE #: 4> ?f - YZ- 6 fo
a
ADDRESS:
f`??? 55l22
C1TY: STATE: ZIP CODE:
'f'ET .FPHONE #:
A
SIGNATURE OF PERMITTEE
MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMNiERCIAL/INDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
CONTRAGT PRJCE:
1% OF QPMWI FEE $
PROCFSSED PIPING: $25.00
MINIMUM FE,E: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
?U:.finia
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANf NAME: (IMPROVEMENTS oNL7)
IIVSTALLER:
ADDRFSS:
CITY:
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS:
LOT: 3 BLOCK:
9299 RQSEMARY C7
HflWTHORNE WOOD5
PERMIT SUBTYPE:
BASEMENT FINISH
APPLICANT:
1
ausLo7tvr
022809
01/10/94
LIFESTYLE HOMES INC
(612) 454-7866
TYPE OF WORK:
RLTERflTION
INSPECTION
FRflMING D. .
INSULATION rA
RQUGH IN PLBG FINAL
REMARKS: SEPARATE ELECTRIGAL & PLl1MBING PERMTTS REQUIREp
F . ? ?. ? . . .? . . ? . _. . ? . . . .. . . . . ?
. . . _ . . . . . . .? . . . . . ? ? . ? .. . ?
L
??ITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
022809
01/].0/99
SITE ADDRESS:
4293 ROSEMARY CT ?IJa"o
L07: 3 BLOCK: 1 ?
`
P.T.Ne: 10-32150-030-01 HAWTHORNE WOODS ?II L1Cltk
DESCRIPTION:
?
BASEhiENT FINISH
AL7ERA7ION
' ? ? A rr
ll??
CJ
REMARKS:
SEpARATE ELECTRICAL & PLUMBING PEftMITS REQUIRED
FEE SUMMARY:
Base Fee $35.00
5urcharge $;.50
Total Fee $35.50
GVIVIMAI;IVFi: - Applicant - ST. LTC. OWNEH:
LIFESTYLE HOMES INC 14547866 00012$8 BIAR TED
1489 LAKE PARK CIR 4293 ROSEMflRY CT
EAGRN MN 55122 EAGAN MN 55123
(612) 454-7866 (612)
I hereby acknowledge that I have read this appiicatian and srate that the
infiormation is correct and agree to comply with a11 applicable State of Mn.
SGa'tutes and Gity of Eagan Ordinanees.
?
uilding'-Qermit Type
uilding Wd,r.k. Type
?
L
?
i
`
I
AR PLIGANT/PEEATUFE - S U BFY. S NAT? -
E I ?
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION,? ??? 3S SJ
681-4675 ? °o".`
0 4 1994
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys;_1"copy o energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy af energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: /Ze s & /h ar4 ( '?-
STREET SUITE M
enant Name: (commercial only) Tl"c.P a• u l
r
IAT BIACK SUBD P.I.D. k
Descri tion of work:
The applicant is: ? Owner 0 Contractor ? Othe (Describe)
Name 13,'eL F C Phone
Property LasT FIRST
Owner 3
2
Y--
? s? r•, W? -? C
a
Address
STREET STE p
Clty $tate hJi.J ZiP $''.f'/Z .?'
Company Li`f? C' S (p 6A, es , f.r.t Phone LfS y-,7,f6G
Contractor Address / ? 0v 7Kl- /'ark ciYe( License # Exp.
City Z14?-n State ^ ^' Zip s?iz9
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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 Applicant:
OFFICE USE ONLY .? . ?
BUILDING PERMIT TYPE
? 01 Foundation p 06 Duplex ? 11 Apt./Lodging a16 Basement finish
? 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Camm./Ind.
? 04 SF Parch ? 09 12-Plex ? 14 Fireplace ? 19 Coimn./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
woRK nrPe
? 31 New gf 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. ft. total Booster Pump
# of Stories Footprint 5q. ft. Fire Sprinkler
Length On-site well Census Code 3
Depth On-site sewage SAC Code ?
e
Uni
APPROVALS ensus
t ?
Planning Building Assessments
Engineering Variance
REQUIRED INSP ECTIONS
? .Site *Footing 0-Framing Z Insulation
? Wallboard j8 Final ? Draintile 0 Fireplace
Permit Fee veiuat;«n: g
Surcharge
Plan Review
license ? ' ? ? •
MWCC SAC
City SAC
idater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
(0 0 ??
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephane # 651-675-5675 FAX 4 651-675-5694
New ConsWc6on Reauiremenis RemodeViteoair Reauiremems ?I '?'
3 registered sile surveys shaving sq. fi. of lot, sq. R W house; and all roofed areas 2 copics of plan ?:-(20% mazimum lot coverage allaved) 1 setof Energy Calculations for heated additions ??2 copias of plan showing beam & windovr sizes; poured tound design, etc. 7 si(e survey for addNOns & decks sel of Energy Calcuhations Addifron - irMicate i7on-site sep6c system ?m.?.
3 wpies of Tree Preservation Plan if lot plaHed after 711193 .
Rim Joist Defail Options selection sheet (bldgs with 3 or less units
Date t)_
SiteAddress ?-aQ3 ?loaem Construction Cost 00 C) _
a?u ?-?
Descriptian of Work ?e 5 i" H n-?; ? e, h o u S2.
Multi-Family Bldg _ Y ? N J lace s 0 ----1-'2
Property Owner TPA FSo i Telephone #((os t) (0 8?3 ' a o`t ?
Contractor u e P' e?
Addreas
State 4rGl City C-kzkvLkLZSSe-rti
Zip Telephane # ((? la ) ?a I - ? ? °] (p
COMPLETE THIS AREA ONLY IF CC
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
. Residential VenfilaEon Category 1
(J submission type) Submitted
• Energy Envelope Calculatlons Sub
Have you previously constructed a building in
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water
Telephone #(
N If so, 25% plan review
Telephone #( )
Telephone # (
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, 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.
ShQrOrl \)ei20
ApplicanYs Printed Name
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
a similar plan? _ Y
pplicanYs Signature
OFFICE USE ONLY
Suh Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDOOrs
? 34 ReplaCement •Demolition (Entire Bidg) - Give PCA handout to applicaM'
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Fina1
_ Framing Siding
Stucco
Stone Brick
_ Fireplace _ R.I. _ Au Test _
_ Final _
_
_
Windows
_ Insularion _
_ Retauvng Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
2005 RESIDENTIAL BUILDING PERMIT APPLICATION ?"70
' City Of Eagan
3830 Pilot Knoh Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslrucfion Requiremenis Remaiel/Repair RequiremeMS Of?ics Usst3?fv
3 registered sile surveys shaxing sq. it. of l ot, sq. fl. of house; and all roofed areas 2 copies a( plan ? oi Swaey Recd ,_;; YN
(20% maximum bt coverage allowed) 7 set af Energy Calculafions for heated addilions Iree Pres PI9n Recd _
2 copies of plan showing beam & window sizes; poured founk design, etc. t site survey for additions & decks T2e Pres ReijuWd 1 F M1]
lsetofEnergyCalculafions Addition - indicateifonaifasepficsystem Otie1185Ep1iGSy519111
3 copies of Trce Preservation Plan if lot platted after 711/93
Rim Joist Detail Options seiedion sheet (buildings with 3 or less unils)
Date l b / (z- / ?05-?
Site Address `/ aC7 -3 {f?p Sn r?-a r'[ ? Construction Cost ?d-16v 55 V U
?'F Unit/5te #
Descriorion af Wark
Multi-Family Bldg _ Y ?N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?.e p ?G?-+ -E=r Telephone # (6O ??
Contractor ?S ?0 ?S
Address ?Y/ ?i? • ???" ? •
State
Zip City ? vo
Telephone
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submittetl Su6mitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar planZ
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building 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 State of MN
Statutes; 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.
( I 1 0? ?
Applicant's Printed e Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-piex ? 17 Garege ? 22 Porch/Addn. (4-sea. ) ? 33 Ect. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement ^Uemolition (Entire Bldg) - Give PCA handout to applieant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Unds Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIIiED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice& Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ $iding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insuladon _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
lIt i s so
2006 RESIDENTIAL PLUMBING aeRnniT aPPUCaTioN ??,
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?
I''? ! I ? !L
Date i?- , ?(''N>
Site Street Address ? i Unit #
Property Owner Telephone # ( )
H.P. PIPEWORKS
Contractor_ 3670 DODD RC,AD Telephone# ( )
Address EAGAN, 111??' City
State Zip
The Applicant is: _ Owner Y- Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. H you are insWlling onlv a wafer sofrener and/or water _
heater, do not complete this section; move to the next section and check tfie
, 5 J ---
appliance(s) you are installing.
_Septic System Abandonment ? JIl OCj1 6 2000 1? II ,
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other,
_
_ Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
??Lo
7otal $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is comple[e antl accurate; that the
work will be in conformance with the ordiFlances 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 pertnit, work is not to start ' ut a permit and work will be in
accordance with the proved lap n in the event a plan is req ire to b rev'ew d and prov d.
E ?
luce/
pplicanYs Printed Name Ap canY na
,5_ so(pc
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146172
Date Issued:10/12/2017
Permit Category:ePermit
Site Address: 4293 Rosemary Ct
Lot:3 Block: 1 Addition: Hawthorne Woods 1st
PID:10-32150-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Edward J Baier
4293 Rosemary Ct
Eagan MN 55123
(612) 384-7179
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146249
Date Issued:10/17/2017
Permit Category:ePermit
Site Address: 4293 Rosemary Ct
Lot:3 Block: 1 Addition: Hawthorne Woods 1st
PID:10-32150-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 -
Edward J Baier
4293 Rosemary Ct
Eagan MN 55123
(612) 384-7179
Les Jones Roofing Inc
941 W 80th St
Bloomington MN 55420
(952) 881-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149682
Date Issued:06/05/2018
Permit Category:ePermit
Site Address: 4293 Rosemary Ct
Lot:3 Block: 1 Addition: Hawthorne Woods 1st
PID:10-32150-01-030
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 -
Norwest Contractors Inc
1370 Crestridge Lane
Eagan MN 55123
(763) 420-8268
Applicant/Permitee: Signature Issued By: Signature