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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,~ _ ~g , ~ yr r f ^tr ~ I 0 g38~8 a d ~ 931.45 lf a I p~5,o~ o ~ h x sas.a 27.33 p 40# L' I~ M o/ 5 0CV 3.% m/ r.6 ~ r ' qN%h-9Z5~.8 (7 t0~ rR I N a L9 ~~I I Q Ti" ~o n ~ N af°' It] w M ~ 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.. ~ I. 'I. i _ ~ i. il - I I , ~ M: H.: 7 {N N1 16 ~ H. [~5 . _ n . i t 'L~ ' i I 4 , . . ......._.i.~~, . I'l..A _ I ~i;-G~ . - ~ . _ 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 . , i : , o~ . ° n c0w ~ m N ~ NN ~ Vq... . ~W . rn _ ~ N mm.: _ I N.. N m _ I m rn i. I ; 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