4270 Rosemary Ct41,1))
City otEag,au
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: " t 5 00
Permit Fee: 55 • 0 0
Date Received:
Staff:
kio tl
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 4 - ) Site Address: `1.2 %C '-6f 6't'1 6- v l
Tenant: Suite #:
RESIDENT / OWNER
Name /e L C> f"c`? rZ ' Phone: t> ! ` 1452_- 66 73
Address / City / Zip: 4.,270 i%`�c(-vfcvd y C h
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK
New Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater
Add Plumbing Fixtures ( Main / Level)
_Lower
Lawn Irrigation ( RPZ / PVB)
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 withthe approved plan in the case of work which requires a review and a.: .'. of plans.
x !• / /e
Applicant's Printed Name
Applicant's Signature
41P*
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
CNA
N6D
Permit Fee: e19..)
Permit #:
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION (P I
Date: 3/'21//1 Site Address: AP 70 > S eIn eery C
Tenant: Suite #:
RESIDENT / OWNER
Name: Da le i (" r c n c Phone: 6 SJ- 572- S 475
�7 SrOereery C:1-`
Address / City 1 Zip: 2 70 IC
Applicant is: V O'wner Contractor 2.(f 7-_ 70 --7 4/
TYPE OF WORK
Description of work: ' A / 5)1 ,/) .15 'r'v1 ,e gi
Construction Cost: ,, j /0,, C ca o Multi -Family Building: (Yes / No 4,1 -
, )CONTRACTOR
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email: , ,
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
we Gity of ,Eagan issued a permit for a similar plan based on a master plan?
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 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 under ound utilities, yvww.aooherstateonecall.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 far pfrmit, ant! 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 apprev.I o y ans.
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
Cf-.
0 NOT WRITE BELOW THIS LINE
sq 0
SUB TYPES
Foundation Fireplace _ Porch (3 -Season) — Storm Damage
Single Family Garage_ Porch (4 -Season) — Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex Lower Level Pool ____Miscellaneous
Accessory Building
WORK TYPES
— New = Interior Improvement Siding _ Demolish Building*
_ Addition Move Building Reroof Demolish Interior
IAlteration _ Fire Repair _ Windows T Demolish Foundation
Replace _ Repair _ Egress Window T Water Damage
Retaining Wall *Demolition of entire building — give PCA handout to applicant
DESCRIPTION
Valuation
Plan Review
(25% 100% {/ )
Census Code
# of Units
# of Buildings
Type of Construction
3y
VQ
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
R-1
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) %- Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: Ice & Water Final Pool: Footings Air/Gas Tests _Final
Framing Siding: Stucco Lath _Stone Lath _Brick
A- Fireplace: *Rough In -Air Test Final le-- Windows
Al- Insulation Retaining Wall: _ Footings _ Backfill — Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
•
\ w
RESIDENTIAL FEES 2'413e 4G f,,;rijye „2.0/4 b""
Base Fee a 96 -
Surcharge Surcharge
Plan Review / 9/ 1
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
. . INSPECTION RECORD.
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: ~ ~ • ' . ~ i ~ ' ~ ~ ~
(612) 681-4675 .
SITE ADDRESS: , ii r APPLICANT:
i . r;;,, I,, . i. 1
r;~•.I i ~;~~~;.;1; 11il~:li I1; i , 1'.., ~
PERIIAIT SUBTYPE: TYPE OF WORK:
INSPECTION .
f hl~Vi 1
I hl',~=1 ii I 1+iN ~ I}; t{' ( A+ :
i i:f, i ' i I~. 1
f ! M /'SI f
F
~
L
Permk No. Permk Holder Date Telephone #
S/W
PLUM8ING yu~~j¢y~ , /D 3~- ~
HVAC , `D / ~SSf' ~(pG
ELECTR
ELECTRIC
Inspection Dats Insp. Commants
Footings I s~ dZ~/1
Foundation ~3/
Framing
Roofing
Rough Plbg.
Rough Htg.
I$Ul.
i /
Freplace
Fnel Htg. IVf
Orsat Test
Final Plbg. Plbg. lnspector- NotHy Plumber
Const. Meter
EngrJPlen
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Dlsp.
/o- -9
, . , . . s
C17'Y OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS •
Correction Notice
Located at
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
p,Jc !,7.clr~• i., s~r~
/?~'n 'rJ r k c~ f lo~ sN A P r s~a ?
.§k C~ PC~ L( r~ -t j, L s'~f) / h 9, ~ C~- ~11)• p e $i.,. l-
/7fr C'ars'Tirr..~ rFD. .
When corrections have been made, please
call 454-8100 for inspection.
Date •s -
Inspector Ciry of Eagan
DO NOT REMOVE THIS TAG
i
Kertificate vf Cccupanc~
Witij of Cfagan
ze0wrtuttut of e«~~ ~~~"tinp
This Certificate issued pursuant to the requrrements of the Uniform Building Code
certifyrng that at the tirae of issuance this structure was in compliance with the various
~ ordinances of the City regulating buildi?ig catstruction or use. For the following:
, ux amir,mion: S F DW aiag. Pemit Na. 24313
Oc-9ancy Type R3,611 7.oning Diwict R3 Type ConsL NN
Owm otBuiieing i.TFRSiY[F. Ej= IW Addass 1489 1/IKR LRK_.fiLRi EWQI
Building Addcess4270 RQMSAEZY MIRT l.onliti-5, ~B - HAWiTKiTF. W'M$ L1RS't'
Daw.
Buildies OtTicial
POST IN A CONSPlCUOUS PIACE
~
~ - -
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 14
3830 Pilot Knob Road Permit Number: ~7
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: N N > ; - 0 6. ci 0 - APPLICANT:
Ltlts Hln+ r
! 1 t 14Ai7Y i I I i~; ,•.ra~~ U.A!_E
111',It+71011 Pfl tWit! t>i I
PERMIT SUBTYPE: TYPE OF WORK:
~ • rit 11
INSPECTION DA • .A
4
~ J
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
InspecUon Dets Insp. Commerfts
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBd
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLB(3
FINAL HTG
ORSAT
TEST
BLDG FINAL
v
BSMT R.I.
BSMT FINAL
OECK FTG
DECK FINAL ~B
Address 4270 ROSIIHARY COURT Zip 5512 3
I.ot 5 Blk. 2 Sub HawrsioxNE wows wF:sr
THESE ITEMS WERE / WERE NOT COMPLETE AT TfE TIME OF THE FINAL INSPECI`ION.
Date: Vl~ ~5 Yes No Inspecton j^ i,-'
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry) Permanent driveway
Permanent gas
Sod/Seeded gtass ~
Trail/curb damage A~ S~ y ~h-0 w
Porch ~
Basement finish
Deck ~
Please verify with the bui(der the removal of roof test caps from the plumbing system and the shut-off of water supply ro
[he outside lawn faucet before freeze potential exisu.
Cantact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
cTrv O- F_nGaN
C;ASH:[F"_R: 5 T'k.RMSNAI_ N0: 36
ANTE.e (]8/12/96 7.T.MI':.: 13:39:09
ID ;
NFlME: DALE T t_OkFlNG
300 9001 4270 ROSEMAhY C 45„I70
205 7001 4270 kO:iEMARY C 0.50
ToLa1 Receip+, Flmouni:a 45.50
CRf762823
USLR ID: NANCY
y ~ ;R! a 07~
b2914~
ReQuest Date iire No. Fai n InpSMinp RequireG Ins ction Other Than Roughdn
(VOU musf call Inspeclor when rgady) ~qlatly Naw ? Will Notity In3pettot
~fs" ? Vea ? N.
DeteRead
Iglicensed contractor ? owner hereby request inspection of above electrical work at.
Jab Address (Street Box or Pame No.) Ciry
~-7 SEm?a v t~Y• /~~ltn~
Section No. Toi Name or No. Range No. Cou/ry~/
!JR K o TR
Ocapant(PRINT) Phone No.
7-y44F AC,WA~s y5y-7d'6E
Pawp upptier Add/re-ss~
ffrCoi77 ~Ge@r'~~C /'/I"~PrNiN4; '-1-b N
Electri 1 Gon~ractor (Company Namel Contrador5 License No.
~s~ ELtCT,e,c- SNc- CA 0/1/12 z
MaiOng Atltlress (COnVaclor or Owner Making Instellation)
/J0. ,CSvx ZS~aG6 / 144.x. .a y .`v"v12y
Auth z tl Siqnalure IC va toriOwner Making Installation~ PM1One Number
MINNESOTA STATE BOAflD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARO
1821 Unlversfly Ave., 51. Paul. MN 55109 UNLESS PFOPER INSPECTION FEE IS
Phone(611)6aY-OB00 ' ENCLOSED.
9 a7 f REOUEST FOR ELECTRICAL INSPECTION 'sf ee. ooo,-oe
C~ ? See mslructions br com0leting this form on back of yellow copy. ~ ~~7~
X" Be/ow Work Covered by This Request
r.:
ew tltl Rep. 7ypeofBuiltling AppliancasWired EquipmentWired
Home Range Tempofary SeNiCe
Oupiex Water Heater Electric Heating
Apt. Building Dryer Load Menagement
Commllndustrial Fumace OMer (Specify)
Farm Air Condi[ioner
Other (syecily) Cqnlractors Remerks:
Compute Inspection Fee Below:
# Other Fee # ServiceEmranceSize Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps / a to 100 A s 9[l°c
Transformers Above 200 _ Amps Above 00 Amps
Signs Inspector's Use Only: ~ TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O IF NOT
Other Fee COMPLETED WITHIN 18 POWH ~ 4011,
I, the Electrical Inspector, hereby Rouyn;n ~ e
certify Ihat the above inspeciion has Final oaie
been made. - ~ .
OFFICE USE ONLY /
Thi3 requesi voitl 18 montbs trom
PERMIT ~
CITY..OF EAGAN
3830 PilUt Knob Road PERMIT TYPE: B U I L D I N G
Eag2n, Minnesota 55122-1897 Permit Number: 028517
(612) 681-4675 Date Issued: 0 8/ 1 Z/ 9 6
SITE ADDRESS:
4270 ROSEMARY CT
LOT: 5 BLOCK: 2
HAWTHORNE WOODS W£ST
p.I.N.: 10-32170--050-02
DESCRIPTION:
Pu31di ni~Permit 7ype DEGK
8uf2d3rn,k Type NEW
~~.*n~[i.~ GgdB ~a 434 ALT. RESIDENTZAL
~
~ : ~ ' •
; R' ~ ~a
~
Ar
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
7ota1 Fee $45.50
CONTRACTOR: OWNER: - Applicant -
LORANG DALE
4278 ROSEMARY CT
EAGflN MN
(612)452-6675
~ 'S hereCt,yx a~~snu~rl edtl~at°T ktaread; thit app1ic~t.t an and '9tate that th$
ir~forrr~~t3a~ as Gst~'r~~~,, ~nd agr~;ee to comply.with all -ap.pki;cati,1e SCate u`fi Mn.,
. :
stacus 4r~r~• t~ r~-f ~a§~:~
. •
APPLICANT/PERMITEE SIGNATU ISSUED BY: IGN
3830 PILIOT KNOB RDN 55122 ~S 0
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
6814675
New ConsWetfon Reeuhemenh RemedeVReoair Reauirementa
? 3 repistered site surveys ? 2 croPies of plan
? 2 coplee ot plans (Mclude beam 8 wiiMow saes; poured hM. deaign; etc.) ? 2 sKe surveys (exterior adtlitions & decks) ~
? 1 energy eakulatlons ? 1 energy calculalions for heated addilions
? 3 copies of tree piesenelion plen H bt pkried after 7/7/93
tequhed: _ Yes _ No
DATE: CONSTRUCTION COSTA?CoO
DESCRIPTION OF WORK: Cbc~
STREET ADDRESS: ~I~270 Ros~mc~ rv C-wr F-
LOT 5' BLOCK SUBD./P.I.D. `j
PROPERTY Name: Lo!'~nf C'*le Phone#: y57-7-6675--
owNeR
~OSe~,~ ~~rf
5treet Address* y-2 70
City: State: ~n Zip• 5~ 123
Corrrw?c7oR Company: t-U+ .-191 fk<I~ 4 1~ Phone
Street Address: License M
City: State: Zip•
ARCHITECTf Company: Phone
ENGINEER
Name: Registration
Street Address,
City: State: Zip:
Sewer 8 water licensed plumber: Penalty appiies when address change and lot
change are requested once permit is issued.
t hereby acknowledge that i have read this application and state that the information is cortect and agree to comply with all
appiicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY ~~~ENED
Certifiqtes of Survey Received _ Yes _ No
' f~UG, 0 5 1996
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY ~
• .
BUILDING PERMIT TYPE
a 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition ? OS 8-plex o 13 GaragelAccessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
a 05 SF Misc. a 10 = plex 0"~15 Deck
WORK TYPE •
0"'31 New o 33 Alterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const (Actuat) Basement sq. ft. MC/WS System ?
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 434
Oepth Footprint sq. ft. SAC Code _ni_
Census Bidg I
Census Unit 0_
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
' City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Permft
S1W Surcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Totai:
°k SAC
SAC Units
.
. . _ .
~
SH~tT 1~-P S 2422 Entapriee ori~ =
Mandvta Helghts, MN 55120 ,
* 1~~01~17 u~o xw~ewn . oW e~us (612) 881^-1914 FAX:681-•9488
* urq awo~ms• i.wow~ac u~pnccn 625 H(ghwa 10 N.E.
en nee~M n~
7f * Blaine. MN 5434
(612) 783-Iseo FAx:7e3-1103
Certificate of Survey for: _ LIFESTYLE HOMES
q270 ROSEMAR'i COURT
Af
m ~ ~
a N89o4719~E
36.51 "~A '
8.6 -n 934.1 ~
~-7ELE&
10PC~FMHU6 937.1 , • 1`~ / TV. PED3.
EIE.V.=936551 938~202~~tk
I W ~
,p~~ cK'S 77 p=~ I~ ti
~ 'V
~ a°`<
1< ' ' - °30.36 N ~
pb.~ °A28°59`38~~ , , ~
~ 935,6 937.45 0 I O 1
2 .u
ci 1~c~
5
w
t ~w' 936.1 (u
a I'~ ~L ~27.336.5o e1 x 935.6 . I
10 ~ 5.~
~i a M
~N1 3.Q w~~•5 Decfq
1 0 d' W ~SER/ICE ~ ~ o
~ o d: I IM~t~25,8 ~ a}~. a x° N J
N S J
30936.3 vN 1.5 A ~~SI ~
~ & N pCl 7.5 aIa t()
W 934.9 q 1 I oa a/I M I~ ' W~I m
a + .Z
rr _ 0? rn 3.83~a za
I c~ c~ ~ ow
LCI fl-~ 4~g~~_`~ 20.5 ~O 13. _ 936,3 935,8x z939.3
9347 - i^ 6 .04- 'Lo t j AU U
N
^ \ 30.00 --14-.pP 39.35 - 936.35 N89°32'r'JrJ'"E
i
2 ViI ~BENCN MARK
II M TOP OF HU 8
ELE.V.=93620 : ~
4
EA~AN
Rf11 I c'~C T'),
MtOPOSED CRAOES SMONN PER CRADINO YWI Bri_ 1~C COMBS ~RANK, 2(~OOq AS50C.. INC. o•`-9
~NOff.: Bl11LUNlG ONJEN90NS SHOTM ARE FOR NOPoIONTAI Ae+0 bEN11CAL
LOCArON OF 97RUC1UqE3 OfiY, SEE ARtlK11FCTUK PLANS fOR BWDNO
N76 FCili:"vn90tt Ni3:N9011S
NOIE: CONiftACTOR AIV57 V,:PoFY OR{VCWAY DESICN., 7HIS CER11f1CAlE DOES NOt PUfiPORT TO SIiOW EASEMENiS
NOTE:NO SPEpflC SdLS INVE511CAilON MAS BEFH COAIPIETm ON 7HI5 OT1/ER THAH iHOSE SNONN ON 1ME RECOFIOED PI.AT.
LOT 8Y 7HE SUpVEYf3R. 7Mf SUIiABIII'fY Of SpLS TD SUPPdtT 1HE BEARINCS SHOWN ARE ASSUMED -
- S?ECIf?C N9llSE ?RiwOg(gic_NpT TH£-RE.fr01l9@!!'TYtf 'K
I i . - ( . E$QPU D HOUSE ELEVATION
x oao.m Denotes ExlsNng Elevation
~
! ooo.oo ) Oenotes Proposed Elevation Lqwest Floor Elavatlon: 9 5G, ~i
Donotae Drolnaga & Utllity Eaeement / i
Denotes Drolnage Flow DlrecNon Top of 91ock Elevatlon:.~l ~i 8~ L,a I
- - Oenotes Monument ~
• -a- Danotes Offact liub Goroge Slob Elevatfon: jc~, z- ~
L.0 T 5 t BLOCK 2 HAWTHORNE WOODS WES7
DAKOTA. COUNTY, MINNESOTA
W. h ereby eadlly IAOt Ihis aarv.y, plon or hD0r1 Wos rsDare4 by me oI uOON fny diree( 3•:psaviv On hai I OT tlulr Io9lslsf0 LOntl Suharw
onOer ih, lorn ol Ina Stota of Ninneseto. poled thiz,_ dor ol AUG. A.D. 19 8 GNED PIONEER EkGIN ERING,
Scale: 1 inch = 30 feet
John C. Larson, L.S. kefl. No, 13828
,
.
PERMIT
~ CIT-Y OF EAGAN
3830 Pilot Knob Road PERMITTYPE: BuzLoxNG
Eagan, Minnesota 55123 Permit Number: 024313
(612) 681-4675 Date Issued: 08/0 g/g q
SITE AODRESS:
427 RDSEMflRY CT
LQ7: 5 BLOCK: 2
HA 7HORNE WDODS WEST
P.I.N.: 10-32170-050-02
DESCRIPTION:
6,6i.ldinq_Permit 7ype SF DWG
16uildins W'dr,h Type NEW
/il'UBC Qccupancy', R-9 M-1
~ Gonstruction Typ.@ V-N
j Xaning R_3
i Building Length r 66
( Buiidin9 Width ~ 36
B#ai2ding stories J}"" 2
ru
jl!
\j
Li((""II
?v~:~ .~~1 C
REMARKS:
PRV S& W PLBR - TMOMP50N PLBG
' FEE SUMMARY:
VALUATION $153,000
Base Fee $825.00 MISCELLANEOUS $1,828.50
Pl.en Review $536.25 ?otal Fee $4.066.25
Surcharge $76.50
SAC $800.00
SAC % 100
SAC Units 1
Subtotal $2,237.75
CONTRACTOR: - npplioant - sT. l.zC. OWNER:
LIFESTYLE HpMES ZNC 14547866 0001288 LIFESTYLE HOMES SNC
1485 LAKE PARK CIR 1489 LAKE PARK CIR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-7866 (612)454-7866
2 hereby ackripwledge that I have read this application and state that the
infnrmatian is correct and agree to comply with all applicable State ofi Mn.
L 5tetutes and Gity of Eagan Ordinahces. ~
'~APPLICANT~MITEE 51GNATURE ISSUED e SIGiIATIIR
~ CITY OF EAGAN
1894 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 re9istered site s rveys, 1 cop,y of ergy
calcs. AUG 0 1 1994
COMMERCIAL 2 sets of architectural & structural
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 _1 / 9','4 Valuation of work
Site Address: ~r]o
STREET SUITE #
Tenant Name: (commercial only)
LOT ~ BLOCK0_ SUBD. P.I.D. 0
Descri tion of work: ` -
The applicant is: ? Owner OContractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner Address
STREET STE #
City /hl~ State Zip
Company Phone-_79O(P
Contractor Address ~,uSGCI La JC-P PClf t l 1 YdQ License # 6DI~ C6 Exp. 31~5
City FGl ~oXl State I&YI Zip85122
Architect/ Company S Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber )Q.I" f 1_. Processing time for
sewer & water permits is two days once a ea 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 StatQ of Minnesota Statutes and City of
LaEa,an Ordin ances. L -~dyy~eS, ~-~n~'ture of Applicant:
OFFICE USE ONLY ` ` • ~ .
BUILDING PERMIT TYPE
. ~
? 01 Foundation ? 06 Duplex ? 11 Apt./lodging ? 16 Basement Finish
k 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 6arage/Accessory 13 18 Comm./Ind.
El 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
p 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
0 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 1272 MWCC System ~
(Allowable) ; lst F1. sq. ft. City Water y
UBC Occupancy ~ 2nd F1. sq. ft. 00 PRV Required ~
Zoning Sq. ft. total Booster Pump
# of Stories ~ Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code _710-7
Depth ~ On-site sewage SAC Code ~
Census Bldg
APPROVALS Census Unit
Plann9ng Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
?.Site ~ Footing Framing R Insulation
? Wallboard F~inal O Draintile ? Fireplace
Permit Fee veimc;«n: g 1~3, O oe)
Surcharge ~/,F
Pl an Revi ew S
License 2J. 2
CWty SAC 2~~
Water Conn. y 703 i3,S~-~S,s
Water Meter 4c-
Acct. Deposit
5
S%W Surcharge ~ ~fs 7
Treatment Pl.
Road Unit Z~ - S-~
Park Ded. (13,9
Trails Ded. - Y " - Copies
~otel : /oo 9~-S % = SyJZ~o :a
sac % - - - - - ~
sAC un;ts , ~SZ S/y',- ,
. p
c
2422 Entaprlse Drlw
Mendoia NalOts. IAN 85120
~ ~ (812) 881-799~4 FAX:BBi-948S
~ a ~ e eu,aH,`~iiN 10 a ~
41 ~ ~h * < (612) 783-1890 FA7t; 783-ta93
Certificate of Survey for: LiFESTYLE H01d1E5
4a7o aosEMwRr courrr
N
938.9 6.51~~-'~ LA~~`;11
~~M Ng
~
0984.7 ~
. ~O~-TF1E g
BENCH MARK 937.1 ~ ~
/ Pm$'
-roP oF xue s3e.e20 / I
REV2=93851 -1 14~7~~ s~{ 2
~ W
~
92 77.
8d306s'38,~
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0 g38~8 a d ~ 931.45 lf a I p~5,o~
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x sas.a
27.33 p
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~ 934,9 ~ i I ~~u n ~ @ ! ^ M ~
M 63'<
10 a 93811 ~ 5°o 13. ~936.3 93OZA x9393 ~g ~ u>
9347 ~ 36.8 ~472
`'30.00
'0 39.36 J 936.35 N89932'55"E _
2 ,°n r~aRK . ~ 1
EAGmua
R E v,E
Dp,TBLl EAGAN E1VG~E° _•G DEPT.
aRaaoSEO CRAnES SWtx+ PEIC fAtlmNC PUM ett: MCCVMBS ERAN ROOS.
~w~:euaax+a ~saa siww+ u~ r-oe Haeza:rw u~o wxncK o ~-5~;~ J
60CA710N BF 51Rl1CYtMES d4r. SFE AR067ECNAL PL+WS FOR BULd11C lJy a~ V~
AM FDUFDAMIN 001E001iS.
q07E OON7RACTWt YUSf VEYtlFY OR14E.WAY UESIQI, p~p~ TM~µ 7NCSE 5MOP~N ~t a[C~D PtANTB
NatEe NO SPEdflC 6(A.S HVES116A1WN NA$ BEdi fMftM ON 7MIS
loY 8Y 7~ SIJRKYOR, ME 6lMABNJTV ~ bOqB 10 SYaPORt n+E eEAli~i65 9~1CMN ASSU~aED
SPEpFlC eWSE PROPOSEO 15 NOf nIE RE9PONS&L" OC 1Nf S1AtYEYOR.
X oon,up Denota9 Existing Elevotim Lovrest Floor ~levotlo~: S
( ooo.oo ) Oenotes Proposed Ekvation ~
_ Denotas Drainage & Utility EosomOn! ~ g
panotes prolnage flow Dlrectton Top of Block Eleva4ton: i.~ o~
-s- Denotea Monument ~ra e ryab devnltvn:
, -.g-.- Denotas ONset Hu6 g
LOT 5 ~ E3LOCK P- HAWTHORNE WOODS WEST
DAKC1fA . COUNTY, MINNESOTA
Ekeet SYP ~ a^ ~1 1 mn du~Y reqitad Wnd 51Nwyar
Ny nanby entitY Iha< this eurwy. Plan of repmt woa raparod by ma ar undu mY
~ Q - eay ot
,,,,a~. u,d ww: oi tee stote oi ?~mnewta, oo~~a ews ONED P EE1t ENGf RING P.
B .
Scale. 1 inCh - 30 fee1 l, . dahn . arsbn. L.S Reg. No. 19838
=g 9~ - 08-04-94 10:21AM P002 #32
LOT BIIRVEY CHECRLIST FOR RESIDENTIAL
~ BDILDING ERMIT APPLICATI
m ~
$ S2 pROPERTY LEGAL:
~/T/ 9
~ Date of 8urveys
DOCUMENT STANDARDS
0 • Registered Land Surveyor signature and company
GY O 0 • Building Permit Applicant
gr-~0 0 • Legal description
1/ 0 • Address
? 0 • North arrow andbarscale
• House etc~jambler, walkout, split w/o, split entry,
lookout
• Directional drainage arrows with slope/qradient 3.
) 0 • Proposed/existinq aewer and water services
0 • Street name
C3~ 0 0 • Driveway
BLEVATZONB
Exiatina
~ ~ • Sewer service
e'J D • Lot corners
ral- ?J3 • Top of curb at the driveway
Q o-10 • Elevations of any existing adjacent homes
ProDOSeQ
CJ" 0 0 • Garage floor
~0 0 • First floor
0 0 • Lowest exposed elevation (walkout/window)
0 • Property corners
P0 • Front and rear of home at the foundation
4oNDING AREAS lif applicablel
13 d~O ~ Easement line
~ o , rrwL
HWL
0 • Pond # designation
0 L~ 0 • Emergency Overflow Elevation
n=aENS=oNs
0 D • Lot lines
~0 0 • Right-of-way and street width (to back of curb)
0~ D 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
~ 0 0 • Show all easements of record and any City utilities within
those easements
~0 ~ • Setbacks of proposed structure and setback of adjacent
/ existinq homes
13 D" 0 • Retaining w requirements, iP any
Reviewed: & `
Na e / Da e
October 1992
• ' . l;.U. I ~ ~ 7~ I D ~ ~
r
aM~, y 2s.q3 ,
Y ~ ~
~ N O
6"-I/8 BEND
>
. 5
`
J( 7~~ ~ i 4
Q N )
~ /HYDRANT
i
6"-1/16 BEND
. >
/ C.0.2~ 6"-I/16 BENDS(2
M.H.17 oN
e
P.O.C.9+06 3
o ~
i >
%n -
7 ^
M.H.16 'Lr-
P.O.C. 7+ 78 I
-M.H.15 4'LT.
6 P O. C. 6453
5
4
DOES N~ i C fIr,f~Aie!-i ;E
U7'lll7Y ~
; G~:•, CCATfONS
rHIS D
rF: i, ;=oR
r ~
I
IT AiJD
_ - . :
f.~
. ..~1-.-... !1L
50
I00
RO - EMARY-
_
M.H. 7-- .H_ 16 _ M.H. 15
I i i ! I. I.... _ i.. ~
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il - I I ,
~
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......._.i.~~, . I'l..A
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. - ~ . _ E ~ . ~ FU .1.i~~JJ~i.-'.~ ..0 ~~tl.D ~ . .
_ . ~ . . ~ .
R.E._936.6': I'la JT "h;J i
~J~ `
;
I . .
~
1
R E 935.4 PROPOSED.
I I I . I I . . . ~ . i . - i ~ . ~
R.E.934.3 '
R.E:.933 9: . i
~
~ I I-_ I _ PROP, 12~" _
I I ST. SEWER I I
7.5MINI':.:. 7.7 {...COVfR
CL
_ '~fi$:52J - . . ~
wArF~ I ' , '
~ , . I .
MAIN
I . ~ ~ ' I
I ~ ' I
_ 96L.F ; .gPVC.
_ SDR 35-1 o0%:I
125L Ft:e°P~e.
SDR 3 =2.00°!0
,
125L..F.:-8~P:.V..C 180LF-
_ SDR.35 80:% -
I ~
SDR35 _01:40 0. IS:DR .8.5:
I .
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,
o~ . ° n c0w ~
m
N ~ NN ~ Vq... . ~W
. rn _ ~ N
mm.: _ I N.. N
m _ I m rn i.
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; I
~
I RPR-29-1994 18:13 N.C. BENNETT LUMBER C0. 6128704407 P.05i08
_ L'? r'r R: ~-a ~a r~o~~2.. `
- • .
- •
5'iE AbGfit55:
CO111 Ri;i'. rOR: Li $ ~ dATE i - Zy"Y PHONE:
DETENIINE IfORKINC SOUARE •FOOTACE OF EACH:
1. TOTpl. El(pOSED I4nLL AREA„•,7j ~Q
sq Et x $full
x. TOTAL ROOF/CEIGING 11REA 9ANEV
sq, fc x flUff 71- 3." TOTAL EI(F4SEb NAl1. AREA CALCULATIONS:
~ r;
Total exposed HAII ~
area ebove floer........ 3 i •;I;•;' .
~ sq'_ f t
e) Tota1 Hell htndorr aree: ~ '
-Vh~> -sA glared
..4':
. rW
q,.f ! x liUli w
61 Total daor area ~ sa :f t x ~~Ur~
sq.> ft x liusp , ~ 3
t) Total slldlnq qla;i door aree:
~t 9lazed..... ~CZ sq
. Gi3 glezed.....
. s4 ft R nU~l gs d) Totei firep1ace walt area " r
~ s9 i.t x liUn .O'`}'
e) Totel wa11 fremtn area (Averece 10•"•)..g.... ~ ~ ! ' ~
s4 ft x "U" ~
1) Tc+tat net well area abo~e
;'~E;
floor (Ihsulated)....... Z1;~ 2-_ tq {t x
n
4) 7vtel rlm Jo
Ist area.., fF5O yq .
ToteP foundaNon
area (Exposed).......... s9
hf Total p,, c,:,•
oundatlon rrlndai area
sq f.~ x U ~ ~ts
Ij Total oeC foundatloh ' s;
-
area abave grade....... " '~j~.'
•~~.13.~
3.
TOTAL w) thru O w '
If Item R3 Is the samm as, or less than Item t1 ~ • f 1~
Z riCnR 1.16Dp8 A end a. . o You'~aYe diet the Intlnt ofl,
•
,
. tage 1
~
. . ~ . ' . k!'.
' . . • :Y . . ~ . ~ .
. . . . ..'i' . L-i.\. 1 i-~
~
.-APR-29-1994 12:14 N.C. BENNETT LUMEER CLi. 6125704407 P.06iJ8
. , .(oTnL ExPOSFD RDOF/CEILRtr, tqLtULATFMIS:
~ lotel rxpdsed
_ tooF%celllnp area IZ~-1 sq ft
T"'~'
J) Tntel skyllnht rrea,,,,,,, r,x sq ft x"U" 16
k) Tot++l roof/Gellinq freming
•rea (Averaae IM,),,,,,, sq ft x "U" t]x
Ij Teta1 nec Insuleted ..z~
_ roaf/te111nq area....... _,T.~ 24 ft x"u"
4TOTAL J) thru 1)
.
If total or yh ts the same as, ar less tban p2, you hsve met the lntent of.1
2 l4CN! 1.16UOB A end d. ~
AITER14A7E dUILDiN6 ENYELOPE n651GN
To uttlize the total envelope system method, the values establlshed by the sum
of items I3 and p4 shtll nat be greater chan the sum of Items !?1 and 02.
~
4 2. ~252'
+ a.
. . .:V~!•: . .
j,
i °!c
R:
e t' ~
C E R T( F 1 C A T I 0 N xr '
. . . w ~,.w.
i hereby certify that I havr cateuleted the "U" faetors aad "R"
values herein and thst the 6ulldihn here deecrihed meecs or exteeds the State
of Minnesota Enerpy Gonserwtlon Act.
S qnature , . : r ~ ,
• ~ ' . , ,
-
(Date)
Page,Z
. . . ' . . 1:' . . . . . . . . . , . u,...y.L `:y~f:li•p~.}K~,;
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4270 Rosemary Ct
Lot: 5 Block: 2 Addition: Hawthorne Woods West
PID:10- 32170 - 050 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Royalty Remodelers
4411 Slater Rd
Eagan MN 55122
(612) 414 -8199
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA080877
11/05/2007
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Dale T Lorang
4270 Rosemary Ct
Eagan MN 55123
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature