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4273 Rosemary Ct INSPECTION RECORD CITY:OF EAGAN PERMIT TYPE: 141. 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date issued: (612) 681-4675 SITEADDRESS: r , APPUCANT: ' i~' I"1tltt-ir{ i I•.~. I~irl It~~MI PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . :kM ; rk 11d' !~I I IIIrti1 i~f! . i I~. ~ ~ Permit No. Permit Holder Dete Telephone N . SNV PLUM8ING L HVAC ELECTRIC ELECTRIC Inspectbn Date Insp. Comments Footings I FoundaHon Framing e Roofing Rough Plbg. Rough Htg. ow ! is,i. ~~3 d 961 Firaplace Fnal Mg. Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber T Const. Meter EngrJPlan aldg. Final Deck Ftg. Deck Final Well Pr. Diep- . . ~ , . _ . ~~tc~icate n~ ~ccu~anc~ This Certificate issued pursrauet to the nequiremerits of the Uniform Building Code certifying that at the time of issuance this structure woas in compliartce with the various ' odinances of the Ci1y regulating building cnnstruction or rrse. For tiee fo[lowing: vse clas"cation: SF Q''U emg. rmnrc ro. 2 I 688 R3 1 R1 VN Zonin ~ BWlding AHI.IlU1C~N HQ~.S g ~ ~ 14551 C1Y HII HiW5'VIIZE . ' g A~ 273 ~ ~ I.ooLty LJ , B 1, ~ ~ Buildiog Offici POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ss Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: . , , T , • „ , PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . . .A - ~ ~ Psrtnlt No. Permft Holder Date Tdephone # ELECTRIC PLUMBING HVAC Inspectlon Data Insp. Comments FOOTINGS FOUND FRAMING AOOFlNO ROUGH PLUMBING PLBG AtR TEST ROUGH HEATING GAS SVC TEST INSl1L GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAI DECK FfG 7 DECK FlNAL ~v INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 34~ Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: 4a~3 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . .A Mii~ '.,tNlkr?If. i'~~i~'t41 ! 10 QlII1tF.U l W4 A1yY I'LIIMIilM(o 1.1M4 Cl1t.! 441~ 'H40 !;T`hANIIIMC, FIFf::i"R1CAt. f'IFtfA7T ANI) .FNti41FCI1iiN',, ~ J Permit Holder Date Teiephone q TA ER/ PLUMBING.~ 99 o/7- Soas (CO/Z~ HVAC Inspection Date Insp. Comments ~ FOOTINGS . FOUND FRAMING _ p ~ RQOFING ROUGH r~ PLUMBING PLBG I AIR TEST ~ ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE 919. FIREPLACE AIR TEST FINAL PLBG 3_ FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL '7 31 DECK FTG DECK FINAL RESIDENTIAL BUILDING PERMIT APPLICATION A 3830 PIL'OT KNOB RD - 55122 9 - 651-681-4675 New Construction Reauiremenb RemodellReuair Reauirements • 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20%maximum lot coverege allowed) . 7 set of Energy Calculations for heated addNons • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site suney for exterior additions & decks • 7 set of Energy Calculations • Indicate'rf home served 6y septic systm for addNons • 3 copies of Tree Preservation Plan if lot pla4ed after 7/1193 . Rim Jolsl Detall Options selection sheet (bldgs with 3 or less units) DATE VALUATION 3 ~ 00 ` JOB SITE ADDRESS iZj0_ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 8&c~ ~42fvisL z y~F~_ TYPE OF WORK ;POro Xaox- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT PHONE# G s/ v3C ADDRESS 13OS Qa,2Ar- S 1a/(sLo,.D ZIP CODE s3-0 5'3 PAGER # CELL PHONE # G /o7- S'90 33SS FAX #6W yS 3-3-2y0 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # - - - --Mechanical SysCem Includes: _ Air Conditioning ~70.00 _ Heat Recovery System o) - ~1 C_ ~ , aa Q i ~ Sewer/Water Contractor: PI ane # _ I_ All above information must 6e submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the inEormation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SlgnafureofApplicant ~ !i~ 3~1~ ~.csrxa,a~--r Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ - Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi 0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23, Porch (screened) ? 36 Multi ? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 72-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MGES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const . Width REQUIRED INSPECTIONS _ Footings (new hldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Roof Ice & Water Final Other _ FTajnin8 _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insula6on _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review ' MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanicai Permit License Search Copies Other Total Address 4273 ROSFMA_RY COURT Zip 5512 3 Lot Blk i Sub Hawnio?uvE woons wesr THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch 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. ContaM engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy REQUEST FOR ELECTRICAL INSPECTION , e"~Qom o<e ~ ? Sea insimcfiona br com0letinq thls form on back oi yellow copy. 10of SJ0 d 0 7 7 3 5 X" Below Work Covered by This Request w'~ ew TypaolBuiltling AppliancesWired EquipmentWirad Home Range Temporary Service Duplex Water Heater Electric Heatinq Apt. Building Dryer Oiher-(Specity) Comm./Industrial Furnace Farm Air Conditioner Other (speciiy) Canvanorg Remerks: Compute /nspecfion Fee Below: ' IS-)e a °ZX 7 # Othar Fee # ServlceEntrenceSiza Fee # Cimuits/Feeders Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps Transiormers Above 200 _ Amps Abo _ Amps SignS Inspacbr5 Use Only: , T TAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDEHED D C9NNECTED IF NOT Other Fee COMPLETED WITHIN 18 fF1S. : v ~ I, lh@ EleCtdCel InSpBCtOf, h0r@by Rough-in r certity that the a6ove inspection has been made. e Q- - OFFICE USE ONLV TOis re~ues[ witl 18 months irom d 077 5 93- s 5s` Raquest Data Fire No. Rough-in Inspection Repui ? Reatly Now ill Nmty Inspector as G No When ReaEy? I licensed contractor O owner hereby request inspection of above electrical work at: Job Atlar /s/(Street nBov m Rou No.) ~ Ciry O~ ? . Section No, Townshlp Name or No. Parge No. Counry Occupan RINT) - ~ Phone No. rdS Powar Sup0lier /11 ACtlress Elecnk Comractor (Compeny Neme~ Coniractr's License No, e! 19-O/7l/ Maaing AGtlress (Convactor or nB~Making Installation) Authoraetl Si e nlractor/pwner Ma n ti Phone Nymplr., T MINNESOTA STATE BOAPO OF ELECTFICITY THIS INSPECTION REOUEST WILI NOT Orlpgs-Mldwey BIEp. - Room S193 BE ACCEPTEI) BY THE STATE BOARD 1841 Univerelry Ave.. 51. Poul. MN 55100 UNlESS PROPER INSPECTION FEE IS Phone(611)BC]-0800 ENCLOSEO. INSPECTION RECORD ~ CITYOFEAGAN PERMITTYPE: BuzLozNG 3830 Pilot Knob Road Permit Number. 021688 Eagan, Minnesota 55123 Date Issued: 08 / 11 / 9 3 (612) 681-4675 SITE ADDRESS: Lo r: s a Lo c K: 1 APPLICANT: 4273 ROSEMARY CT ARLINGTON HOMES HAWTHORNE WOODS WEST (612) 432-9725 PERMIT SUBTYPE: TYPE OF WORK: 3F OWG NEW INSPECTION . FOOTING FRAMING INSULATIQN FINAL FIREPLACE REMARKS: 3&W CONTRACTOR - OL-BERG CON3T PRV I ~ ~ ~ PERMIT . ~~CIT,If` OF EAGAN //S3 3830 Pilot Knob Road PERMITTYPE: auiLorNe Eagan, Minnesota 55123 Pem,it Number: 021688 (612) 681-4675 Date Issued: 0 8/ 11 / 9 3 SITE ADDRESS: 4273 ROSEMARY CT LOT: 5 BLOCK: 1 NAWTHORNE WOODS WE5T P.I.N.: 10-32170-050-01 DESCRIPTION: B ildin Permit Type 3F DWG Building~WUrk Type NEW BC Occupanc R-3 M-1 Construction T e VN Zoning R-1 9uilding Lenqth 72 Building Width 46 i ; v ~ REMARKS: S&W CONTRACTOR - OL-BERG CONST PRV FEE SUMMARY: VALUATIOM $193,000 Base Fee $965.00 MI3C FEES $1,744.50 Plan Review $627.25 Total Fee $4,163.25 Surcharge $96.50 SAC $750.00 SAC ~ 1@0 SAC Units 1 Subtotal $2,438.75 CONTRACTOR: - Applicant - sT. LIC. OWNER: ARLZNGTON HOMES 14329725 0003200 ARLINGTON HOME5 13774 PRINCETON CT 14551 CTY RD 11 SAVAGE MN 55378 BURNSVILLE MN 55337 (612) 432-9725 (612)432-9725 I hereby acknowledye that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. . AP9 ICANTlPERMITEE SIGNAT fiE ISSUED B: SIGNA / , REAGTIVATE _ LAW EO %:i i T ur eiauHn PEr~IT n;~ 993 BUILDING PERMIT APPLICATION 0 3 681-4675 z---- k, a 7~ SINGLE & MULTI-FMIILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 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. /Dtfe ~f / 02/ /9•3 Yaluation of work nOd Site Address: 9& !9~~/ e:!e4 STREET SUITE i Tenant Name: (commercial only) IAT !5- BIACK _Z_ SIIBD P.I.D. M Descri tion of work: ~-l.fJ The applicant is: ? Owner Contractor ~ Other (Deceriba) Name Phone ls,l~o~ - 9~aS Property LAST FIRST Owner A d d r e s s • 117~_5_1 C2 /'~_V STREET STE • City Ceizz~1State ~1-Z Zip.5S3~3~ Company Phone Y3-2 Contractor Address License # : ~4 Exp..3r31-9 City ~~~~'~•~%~'.~OOe State _;;~J Zip,TS.33~7 Company Phone Architect/ Engineer Name Registration N Address ~ /o'~~.-d~ ~ City _d"k~~- State /,~t? Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once rea 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: J"Zlazz~~~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 002 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. ? 04 SF Porch E3 09 12-Plex 0 14 Fireplace 13 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Mutti. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE 0 31 New ? 33 Alterations ? 35 Tenant Finish 0 37 Demolish ? 32 Addition ? 34 Repair p 36 Move GENERAL INFORMATION Const. (Actual) V-tJ Basement sq. ft. MWCC System YcS (Allowable) V" N lst F1. sq. ft. City Mater UBC bccupancy 2_3 M_1 2nd F1. sq. ft. PRV Required ~:r Zoning R-i Sq. Ft. total Booster Pump d of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code /ol Depth ~ On-site sewage SAC Code 01 APPROVALS I ~ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing 0 Framing ? Insulation ? Wallboard ? Final ? Draintile 0 Fireplace Permi t Fee v.tuocfa,: s 19 30 o0 0 Surcharge Plan Review 34 x-24 = 81` Ztix fwo~ License 2x)2r (2u,~ 12~~ str FrxSY= CWty SAC ~%zr1%i xYz= (3~ 6 S Water Conn. g~?h% ~eyx/~6- 12 6Zy ` Water Meter Acct. Deposit 39 X3or 1Iy0 192 837 S/W Permit 17 XI2= fyq ~ S/W Surcharge 2 K S c ro Treatment Pl. ly$'hxLyL = 3 Road Unit 3x2- co Park Oed. Trails Ded. Lopies l0 K/S% 2i0 Other Total: - lyr SAC % l0 o vZSm'T° 16S7 SAC Units J_ !'~2x7= /o /667x j'rf~ • IL_ , CONSVI.TINL? EN6INE(RS ~f .A~~~q~ - AOBF. pIONNE6S ond LqND fUflVEY00S 1~1/ pNGINGFRING COMPANY, INC. ' 67 ~ ~ 1000 EAST 1481h 9iflEET, BUANSVILLE, MINNESOTA 55337 PH 432-3000 CERTIFICATE OF SUFiVEY Legal Description: o~~&aele /~y WZ~~,-,--va::- ~YOO~ w~s ~ (g~_o ) DCNOTES EXISTING ELEVATION ( 937 o ) DENUTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 3733 = FINISHED GARAGE FLOOR ELEVATION 9Z9•62 = BASEMENT fLOOR ELEVATION -3,bb TOP OF FOUNDATION ELEVATION 6CAlE : 1' = ao' d55vCf11#1,4RK : SAr? le/1 oPLbSi7E NE GD T COWN6P, 7aP = 9~5. 40 DRA/NRGE ANO UT/L/TY EASEMG"~~ 30 P'T. `'QONT Bu/LO/N6 ~ l ^ SETBACK L/NE" (?Z¢.6> 9z¢ 6, . / N 8~~ ~2 43 "yt/ 25.00 ~ 150, 3~ Hua_936. 7B ~935. 9~ CV33.37 021,67 _ ~ ~ ~9d~~' zz.co $ ~ ~o~'H I ~ N I !0 N~ h (932 , s'~ ~ I ~pz.00 ~ ki) ~ a ~ N Q ~1400~ I~---4'co 935:~: I nrl~ r \)v Q j m 1 '°i o o Qt]~.'~ (932,s~~ o a= 1 ~37.~ moN ~w ;y ~ I = 5 ~J s ~ K93z,~ _ HO8=933•_/ L &37,70 ~V=1 14563 oss.za r73 w Nu8=9 ~932.s, b, 2~ 08 3 C93z.8~ S B Bv D DEPT r EAGs'iPI ILFIC~IN~a%RYIdC oUISoV? ~Zi:'_:~J~`'~~!i'LL~.~:--yl I hereby certify that ttiis is a true and correct representation of a tract of land as shown and desoribed liereon. As prepared by me this 2wo_ day of l~c.~usT , 1993• G• Minn. Reg. No. 16085 , LOT BIIRVEY CSECKL26T FOR RESIDENTIAL ~ BIIILDING PERMST APPLICATIO PROPERTY LEGALs , m 1- Date of eurvey: i ~ DOCUMENT STANDARDS p? • Registered Land Surveyor signature and company 0~ 0 0 • Building Permit Applicant [r 0 0 - Leqal descrigtion ? G--~ 0 • Address D-" 0 0 • North arrow and bar scale 0 • House type (rambler, walkout, eplit w/o, split entry, lookout, etc.) Q~'Q Directional drainage arrows with slope/gradient p • Proposed/existing sewer and water services 31'[7 0 : Street name `'YCl 0 Driveway ELEVATIONS Existina G ~0 • Sewer service 3" ? ? • Lot corners Lr'? ? • Top of curb at the driveway &-'el 0 • Elevations of any existing adjacent homes Pzooosed D'"0 0 • Garage floor 0 • First floor Cr ? 13 • Lowest exposed elevation (walkout/window) r 0 ? • Property corners 0-0 ? • Fzont and rear of home at the foundation PONDING AREAS (if aDDlieable) a u" 0 • Easement line D e' 0 • NwL r7 Q"' 0 • HWL 0 • Pond p designation Emergency Overflow Elevation DIMENBIONB O'~ ? ? • Lot lines 'y'? 0 • Right-of-way and street width (to back of curb) 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e.. all stzuctures requiring permanent footings) 3--13 0 • 5how all easements of record and any City utilities within those easements ~ 0 ? • Setbacks of proposed structure and setback of adjacent existing homes Dvt • Retaining require ts, if any Revie::e3: Name / at October 1992 EXTGRIOR ENVPI:,OPE AVERAGE "U" COMPU'CA'CION PoIw 9 E R: fAE`"'~ ~F VT:N7E Z/t:JArf- SI:CE ADDRESS : Le S~ 17l_ OoAc I, HAuy.m"M Wwm (d "70 CON'.CRACTQR: _ ]~(~-~NGTG~ ~tIMEl7 DA`.CE: 7l~ ? PHONE: DE'CfiRMINE WORKING SOUARE F00'CAGE OF EACH: 1. :CO'CAL iiXPOSED' WAI,,i. ARGA ' lL-ji SQ. P'C. X 2. :CO'CAL ROOP/CEILING AREA _ I L19Y7.O SQ. F'C. X t 0Z6 3. ',CO'CAI:, EXPUSED WA1:,1., AREA CALCULA'CIONS: :COtal exposed wall RO~o airea above floor T~ a) '.Cotal wall wi.ndow ar.ea ~J~?r 7. SQ.F:C. X"U" b) '.Cotal dooir acea 3Z~~ SQ.F'C. X"U" 'dC c) :COtal sli.di.ng glass dooir ar.ea SQ.F:C. X"U" d) '.Cotal fireplace wall ai-ea ~ SQ.F'C. X"'U" _n_ e) :Cotal wall framiny ar.ea SQ.F:C. X"U" 'Ul (averaqe 10%) f) 'Cotal net wall area above SQ.F'.C. X"U" floor (i.nsulated) q) '.:c'cal ri.m joi.st area _~Jr9y SQ.F'C. X"U" `.Cotal foundati.on area SQ.F'C. (exposed) h) :Cotal foundation wi.ndow area C) SQ.F'C. X"U" r=_C) i.) 'Cotal net foundation area ~(2,0 SQ.F'C. X"U" f17 = above ctcade `.CO'CAI:, a) thcough ' _ If i.tem #3 is the same as, or. less than item #1, you have me _ the i.ntent of 2 MCAR 1.16008 A and 0. 30r 2 PAGE 1 9. 'CO'CAL EXPOSED ROOF/CEILING CALCC11'.XCIONS: 'Cotal exposed roof/ SO•t'C. ceili.ny area • j) 'Cotal skyli.ght ar.ea SQ.C'.C. X"U" k) 'CoCal roof/cei.li.n( SQ.C'.C. X"U" r~~to = ~~(0 frami.ny ai:ea (average 10%) 1) 'fotal net i.nsulated ~ z~ SQ.F'C. X"U" roof/cei.ling area 4. `.CU'.CA]'., j ) through 1) If total of #9 i.s the same as, or less than #2, you have met the i.ntent of 2 MCAR 1.16008 A and ® ALTERNATE BUI]:,DING ENVEL(>PE DESIGN :Co utili.ze the total envelope system method, the values . establi.shed by the sum of #3 and #9 shall not be greater than the sum of items #kl and #2. 1. +2. _ . 3. +9. _ CLR'CIFICA'CIC)N I hereby cei-ti.fy that I have calculated the "U" factocs and "R" values herei.n and that the building here desci:ibed meets oc exceeds the State of Mi.nnesota Enerqy Conservation Act. &ff ~ (Signature (Date) PAGE 2 ~ INSPECTION RECORD CI7YOFEAGAN PERMITTYPE: suiLozNG 3830 Pilot Knob Road Permit Number: 0 2 5 3 8 8 Eagan, Minnesota 55122-1897 Date Issued: 0 a/ 13 / 9 5 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 5 BLOCK: 1 4273 ROSEMARY CT 2AJAC BRUCE HAWTNtlRNE WOODS WEST (612) 683-1040 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION . DA FOOTIN6S fINAL _ . _ --1 F ~ . PERMIT ~~q CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: PermitNumber: BUILDINfi Eagan, Minnesota 55122-1897 0 2 5 3 8 8 (612) 681-4675 Date Issued: 0 4/ 13 / 9 5 SITE ADDRESS: 4273 ROSEMARY CT LOT: 5 BLOCK: 1 HAWTHORNE W0005 WEST P.I.N.: 10-32170-050-01 DESCRIPTION: Building P,ermit Type DECK Building Work,Type NEW ~ ~ i REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Tote1 Fee $30.50 CONTRACTOR: OWNER: - Applicant - ZAJAC BRUCE 4273 RQSEMARY CT EAGAN MN 55123 (612)683-1040 I hereby acknowledge that I have read this application and state that the infqrmathon is correct and' agree to comply witM a11 a-pplica6le 5;tate of Mn. ~ Statutes and City af Eagan Ordinances. i ~ ICANT/PERMITEE SIGNATURE ~ S~~D1ryS~GNAT~U --------_.--_~__--L . 5 IV CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) .3 681 -d675 New Construetien Reoufiemerrts RemodeVReoair Renuircmenis ? 3 regislered sife surveys ? 2 copfes W plan ? 2 copiea of plans (indude beam 8 window eizes; poured fid. deafgn; atc.) ? 2 ske surveys (exteriar additiona 8 tledcs) ? 1 energy celwlations ? t energy eaiculations tor heated additions ? 3 copies of tree preaervation plan if lot plalte0 after 7/7193 roquired: _ Yes _ No DATE: CONSTRUCTION COST: f S~D U DESCRIPTION OF WORK: STREETADDRESS: ' LIZ-73 k7,0s[HAtiy e`• LOT ~ BLOCK ~ SUBD./P.I.D. ( PROPERTY Name: °:Zfa'sf0'r- V~a~~c- Phone OWNER ""`T Street.AiicJress• U2-73 t20Srlcum^-Y Cr. , ,`i . • . li R . City: State: Zip. fiS~lZ 3 CONTRACTOR Company: r4 /A- • ~ Phone Street Address: License City: State: Zip• ARCHITECTI Company: ilPhone ENGINEER Name: Registration M Street Address, City: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application end state that the information is correci and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant; OFFICE USE ONLY RECENED Certificates of Survey Received _ Yes _ No APR 10 1995 Tree Preservation Pfan Received _ Yes _ No OFFICE USE ONLY OR BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish a 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch ? 09 12-plex a 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. 0 10 = piex CR(\ 15 Deck WORK TYPE cl!r,31 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowahle) 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. ly Depth Footprint sq. ft. SAC Code Census Bldg _L Census Unit ~ APPROVALS Planning Building Engineering Variance ~ Pertnit Fee Valuation: $ /ZOO Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W 5urcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units • W ~ top d C . . , ~ 1?,¢u~TAV~~h ~ES `I i • y m W ?.5~ 1lNO ENdINEE115 ..p : Hflii and LOND 3UflVEVOflS -~Ir8/sL '21 ~ P' ~ , OC • 67 t ~ y . N - EET, BURNSVILLE, MINNESOTA 55337 PH 432'8000 RTIFICATE OF SURVEY ion: LoT 5_QGocK_/ y9tv77~o,e~v~6Y~D~~ I~ri~sT. ~ CDU~t/75!~il/l%NNEJ'OT~• ~7~~~3 r ~ ~10a (g3b_o ) DCNOTES EXISTING ELEVATION (9370 ) DENOTES PROPOSED ELEVATION ` INDICATES DIRECTION OF SURFACE DRAINAGE F. 3~ 7- 33 = FINISHED GARAGE FLUOR ELEVATION 9Z , 2 = BASEMENT FLOOR ELEVATION 3,6(o = TOP OF FOUNUATION ELEVATION scALE : r= ao' ~uC./h1ARK : SAN /H// OP"S/TE NE 60 T CDPNEP. =~a~° 7DP= 9.35•40 DRA/NAC~E /fN0 v7-11-17'y EASEM&vT 3a cT. ,~zoar Burtoi.v6 ~ / ~ ~l- ~ SETBACK L/NE ~Z~ ~ L' ~ ~ ~924:6i N B~° /2' 93 "lq/ 25. pp ~ 150. 3~ Hue, y3~. 79 Z3 ~ L351I~fn~ I ~ (937, ~ ~ ~ 937,0 0 ~I M7 .?33g' zz.m \ ~93 ~s'~~ ~ Ig W$ ~ 9n6•°% 10 N~ ~u s zz.o~ I' ~ Zg r s'zy 14.00 4~ ` p 3 gro.oo u; \`1 ~ \ ~ 1200 o ~J) ao (932,s~~ o ~ ~3?,7 meN W ~J \ I 32.5 ~ 30.00 n I ' 5 t~~ K9az, 5) ~,io ~g g N~e= 933_°i F----:_' 0 a7'70 055.ze ~93S.o~ ~ /g3z, s~ Ln I 4 5-63 e ~Z 08" w 86 ~3Z.s~ I S 1 I I, -f G~- By , L~t.. I ZRG1l1'1 INGINETRING DEPT p~ A ~.y ~p( ¦Y ~+e, I hereby certiEy that tl?is is a true and correat representation of a tracY land as shown and desoribed tiereon. 11a prepared by me this Lyp_ day Q[j'UST ~ 19. 73-' • ' ~ Minn. Reg. No. 160S5 : ~ „r'~ ;v . ~ C.T.7`I iJf-'.~E't-1G;A^? (~CR-.%;TP,':1l.. i~"'t• 87:: I'Ffl'~:a i.r'.?/22/98 7I jcr i9.002i T^ NANE.. F;CiME? & 'dF±9<r; 2210 caOp:L 4273 !:(1SiEMnRY 5(7.00 ?_'.:Sf; 9091 .!273 F;fiS;::f1AiV O,:.'if! '.'.fS9 900i 4273 f.:OE,::M1FiV 5..00 t ~.~i.,`0 -':.a.. ~t~_rraip,; mci~_,Cr CC.lp i.2^c. U;`=1; TD:: txRP•!'C'i ~ CITY AF EAGAN PERMIT 3930 Pilot Knob Road PERMIT TYPE: B U I L O I N G Eagan, Minnesota 55122-1897 Permic Number: 034259 (651) 681-4675 Date Issued: 12 / 2 2/ 9 8 SITE ADDRESS: 4273 RfJSEihARY CT LOT: 5 BIOCK: 1 HFlWTHOftNE WOUDS WESI" P.I.R1.: 10-32178-850-91 DESCRIPTION: Bu.i'l.dinn '~Permit 7ype BASEMENT FINISH B~iidinq WorQk 'I'vpc, ALT'ERATTON ensus Cnde ~ 434 NLT. RESIUENTTHL ~ i \ ~ - \ ~ \ , ;1 ~ 4 / \ I lJ ~-\J \ L.. ~ ) REMARKS: PI,.AtJ ftE\/fEWED CiY WHYNE h1II.LF.R. SGPERATE PERMIT REOUIREp FOR ANY PLUMBZNG WORK. CNLL 445-2340 REGARDING ELEGTRSCRL PERMTT ANO 7N9PF(7TTONS. FEE SUMMARY: Base Fne $50.00 COPIES $5.00 Surcharqe _$.50 Total Fee $55.50 Subtotal 150.50 CONTRACTOR: - Aonlioant - sr. Lzc. OWNER: HOME & YFlRD CONTRACTOR 14475374 20181.402 ZHJHC BRUCE 5;30 SUMMEY ST 4273 ftOSEMflF2Y C7 OR LAKE MN 55372 tF1C>AN MIV 55123 :1.2) 447-5374 (651)683-1040 I hiere6V acknawledqe T.hat t hava re7d tnLs aoplir.Gtinn and staia Lhat i:Iie intormation z5 correct and aUree to complv with a1.1 app.Licable State ot Mn. Statutes and CitV of Eaqan Ordinances. Q"" P LICAM/PERMITEE SIGNATURE - 1CUED BY: SIGNAT 1-~ RE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) _ ~ ~ ~-f-a S~ CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 - 681-4675 New Construction Reauirements RemodeVReoair Reuuiremenls I ? 3 registered site surveys • 2 copies of plan ? 2 wpies af plans (inUude beam & window s¢es; poured (nd. design; etc.) ? 2 site survays (axterior adddions 8 decks) ? t energy calculatlons ? 7 energy calculations for heatad additions ? 3 copies of tree preservation plan rf lot platted after 711193 required: _ Yes _ No , DATE: CONSTRUCTION COST; /O QO a J DESCRIPTION OF WORK: STREET ADDRESS: LOT: S BLOCK: SUBD./P.I.D. t`t(--a W4. C) V Ax- W 0O dQ 0 'Lbal Name: P6one ((J 3 3 rlQ VU PROPERTY ast First OWNER Street Address: i City 15 ~p State: l Zip: C~/. ~ -i - ~ a~ 3 Company: 4 Phone #:7` Y 7-5 3 7q CONTRACTOR ~ . ~ I License# y Q ~ Sireet Address: ~ 3 0 m Ciry Vf' % 6 C kA k iZ State: / 1//V zip: S~ 3 W,- ARCHITECT/ ENGINEER Company: Phone Name: Regis7ation Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address charn and lot change is requested once permit is issued. I hereby acknowledge that i have read this applip6on and state that the in on is cortect and agree to compiy with all applicat State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: (9~N21o;= OFFICE USE ONLY j Certficates of Survey Received _ Yes _ No DEC 1 7~~ ~ ' Tree Preservation Plan Received _ Yes _ No _ Not Requir, 1 OFFICE U5E ONLY BUILDING PERMIT TYPE ' O 01 Foundation O 06 Duplex O 11 Apt./lodgiRq 16 Basement Finish O 02 SF Owelling O 07 4-plex O 12 Mutti RepaiNRenn. O 17 Stivim Pool O 03 SF Additon O 08 8-plex O 13 Garage/Accessory O ZO Public Facipty O 04 SF Po?ch O 09 12-plex O 14 Fireplace O 21 Miacellanom O 05 SF Misc. 0 10 = plex 0 15 Deck WORK TYPE O 31 New --J 33 Alterations O 36 Move O 32 Addnion O 34 Repair G 37 Demolition GENERAL INFORMATION Const. (Actuaq Basement aq. R. MCM/S 3yatem (Albwable) Main Isvel sq, ft, City Water UBC Occupancy R3 sq. R. Firo Spdniderod Zonin9 2t sq. R. PRV # of Srories sq. R. Booster Pump Length aq. R, Cenaua Code, 1,3 1Y Depth FootpAnt aq. R. Cea a B dg ~ Cenaus Unit APPROVALS Planniny Building ~J Enaineedna Variance Permit Fee Valuation: S 11~~ Surcharye Plan Review License MCIW^ SAC City SAC Water Conn. Water Meter Acd. Deposit ` SIVV Pem?it SNY Su?chharge Tteatment PI. Parlt Ded. Traiis Dnd. Other • c,pies TotaL• 96 SAC SAC Units ~ ` gL / CITY USE ONLY RECEIPT ~D~li 7 S :l SURID, !T ..v(.{. Cl1dk al4i- RECEIPTDATE: S9 1999 PLUM$INfi PEfiMiT (fiESI)ENTIAL) CffY OF £AfiAN 3$30 fILOT KNOB RD f.d4fiAN, MA 55122 (651) 6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x I = %.co Water Closet 3.00 x 1 = 3, 00 Bath Tub 3.00 x = Lavatory 3.00 x b, w Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TublSpa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Watef Softener ' for dwellings under construction 5.00 X = Water Softener ' for exisung dweuing 30.00 x = U.G. 3prinkler ` tor dwelling under cor.st 3.00 = U.G. Sprinkler ' for existing dwelling 30.00 = Alterations ' to existing residence 30.00 = `'.6 •O ~ Water Turn Around 30.00 = Private Disposal System ' MPC itc. 75.00 = (new and refurbished systems) Private Disposal Systems ~ Abandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE .50 Reminder: Call 681-0675 for inspections of water heaters, water softeners, alterations, etc. TOTAL 3 U - E~- c) I hereby acknaMedge that I have read this appliption, state that the infortnation is cortect, and agree to comply with all applipble City of Eagan ordinances. It is the applipnPS responsibiliry to notify fhe property ovmer that the Ciry of Eagan assumes no liabiliry tor any damages caused by the City Curing its nortnal ope2GOnai and maintenance activities to the fadlities construded under this pertnit within City property/rightof•way/easement. SITE ADDRESS: ya 23 ROSe. MarN Ct . OWNER NAME: B ru.c.e aNI De"J'. S~ Z A~ INSTALLERNAME: SJLILe/ PtUMbIw1 TELEPHONE#:L12-4`?1-Y°-1S STREET ADDRESS: (D 'rj y q ILI 7+k 5t L-J • CITY: P(+; or L.q K¢ rww STATE: +N1 N ZIP: cscs~ ~ a SIGNATU E OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 e ` . . 1993 PLUMBING FERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681.4675 PLEA3E COMPLETE FOR SINGLE FAMILY DWELLIIdGS. ALSO, FOR TOWNHOMES AND CONDOS Wf-IEN PERMITS ARE REQUIRED FOR EACH UNTT. NO. FIX'I'URES EACH TOT~ 1 SHOWER 3.00 3,() Cl WATER (:LOSET 3 (U) " ~ ~ BATH TUB 3.00 . .c . LA_ LAVATORY 3.00 ia._c'17 ~ KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.01 ~ WATER HEATER 3.00 FLOOR DRAIN 3•00 GA$ PIPING OUTLET • minimum • t 3.00 O c1 3 ROUGH OPENINGS 1.50 `-I. I WATER SOFTENER 5.00 PRIVATE DISP. • Deecry. uo. 15.00 U.G. SPRINKLER • eome unoer mnst. 3.00 ALTERATIONS • io odaling 15.00 WATER TURN AROUND 15.00 5g, sp STATE SURCHARGE .50 TOTAL: 5 ~I. O O SITE ADDRESS: r)L) OWNER NAME: ~ WSTALLER: ADDRESS: 2 CI'TY;~c2 , STATE: ZIP CODE: PHONE ( ) y ~ Z o SI - ATURE OF PERMITTEE Q~x ~y.: Yt k F £ pgiiS i3 =~i'£n~dYk f3f~y~¢f~~~~'~ $ 3~N, +PY'()g v R: . x . M , . , : .Me.,~~.,.w. . _ ...?.SFczmY's',.:<a;.~a.. ...x,..,..,,,..~' ..,tawR ~ 1993 PLUMBING PERMTf (COMIIVIERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 651-4675 PLEASE COMPLETE FOR ALL COMvlERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIFtED FOR EACH DWELLING U;::T. _ NEW CONSTRUCIION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACf FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF pERMYA' FEE MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT Y EC'!f ~i r sor~ xsx ?""i T~ xF K'~,i 5 3 Y~~~~ ~`vy3w 3 .»,.p i 5~F . P:. D.... ' . ~ g~ xz M.F` 1993 MECHANICAI, PERMIT (RESIDENZTAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIItED FOR EACH UNIT. - - - - - - ~ NEW CONST':LUCTION ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUl"LETS (MINIMUM 1@ 53.00 EACH) ~ (0:-oo ADD-ON/REMODEL (EXISTTNG CoNSTRUCT1oN) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: '~'6oZ`~ 3 0'z-s2_ C.. _ OWNER NAME: ~ e TELEPHONE INSTALLER: ~ 61(, ADDRESS: V C ) C'ct C-) u S 1 ` CTTY: ~-6~) STATE: ZIP CODE: TELEPHOIrTE : (2, i 1 I NATURE OF PERMITTEE . r ~'~fiSS 3.E~1¢a7~i1.DZ~~ y T 'c','y~ 3Y 333t 'STi `~h 53 4i °~6., i,.'. .,.....ar..:.f.t3n,H.'..1:x..eg#z?a$,~.. ~.aZi'a3a~.'^',.;," . #"d'~ .zaY:4 , .nu,.~ Ss~£ . aL~x~~h..?Yx~r..~aLS~,£~r,S . 1993 MECHAHICAL PERMTT (COMMERCIAL) CI'IY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMAffiRCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WI-IEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF qONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE 3URCHARGE $.50 FOR EACH $1,000 OF M12M FEE. TOTAL $ - 3ITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLI) WSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPEC?OR ~ 4... .K: ~ ' . OCT- 5-93 TUE 8:35 TRUS JOIST MACMILLAN FAX N0, 612 896 1117 P.02/02 oaTE: .d s 3 1 jpiYpus JaESY MacMaLA1v 707 eLialiled rrwfflh~ 4940 Viking Drive Suite 220 &/L71A1 4rJE-5 • Edin1, MN 55435 (612) 896-1115 {800} 438-1427 F2x (612) 896-1117 3 ^MS- ENGIMEERINGVEAIFlCATION j~- ~ ~~aurf~r~rne iVcQS f.~1e5r JOB NAMEbbNLTOnI dUE's LOCA710N 4Z73 1?~A+c G'.HOW SUBM. 641t4 B!l41FN~ ~N• SALESMAN Q1fdL?,d ARCH ~ JOIS7 DESCRlP7lON O.C. PROFILE~_" SPAN 1S-9 ~ DEFTI-f n SEAIES STRES5 IdO %CODE Obt, Dl. IO~ LL 4016f_TL~M_AfT T ~...,t' N19N-UNIFQRM LO DING DESGRIPTION, MAGNITUDE, IOCAT10N ~vONE : ~ . . . . . - - . . , - , , ~ ..s,.~.T: • , ; , . : . . , ; ; ; , . . . u, , ; i i r . . . . . G : _'a ~ i:~i-f~? . • ~ = . y • ~ ' ~ ~ . . ~ . ~ . . ~ , y _ .i'.iJ..ta..:~-:, } ~ . .i r~~ . . / r-• ~ i ~ i . ~ '.S . • . ~ . , ' ~...t ~ . . . ~ . 1.:. . • 4 . . _ ~ . . n - ; . . . . . • . . : ' ' ' ' _ . ;•"'yG; , . ; , , , , . , : . . ~ _ ~ n~ ':.z..'~ - . . ~ . . . , i i . . . _ _ M.,., _ _ ~ . . . ~ , : , . , . - ~ . . . : „m . %:TT , . . . . . 1. Y:...nv: _:~.~.a: ' _ _ a r . . . . . . . . . ~ ~ i . f~ ~ ,.J...-.-._- e _ . . . . ~ f ~ ~jll ~ ' ~ • ' ~ F n ' ~ _ _ ~ ~¢Y ~.df~,~rd-y . . ~ ~ . s : i:~- ~ cc j . , . . . ~ . ~ : , _ ~ - ~ - - - - • - _ _ _ . . .w, . ~,r,.. . _ , . ..S.A~ - . _ : u ...;..x_: .r.;_. ; X. r .x- - ; . , r._._~_ - - - - , ; - : A ....S~zrroN.A ~ _ _ NOTE: Manufac2urers determinatitln n~TJ farles, prailler, Cep s on4 deslgna baaed on detalia, dlmanstonr and Iuadings snown a0aue. Rny deulatlons aN311 uold ahade Oettrminatton and cnsll rtQulre reulew by manufattUrer. Uae a snparate shsat Tar eaeh dlffe~ent tan4lllon requiring OrasDect eftort. COMMENtS: 1~ ~no~s 2XIc^x l.vrt1C }~iYm 9' N~ ~a~C R+d' g/AA o &4%~ ' z) yG"~IbYq.Z.¢A, ptyknu~ ~I~C~IS A*C~_k W.-~ af._TQ°'4t 4.1~ !2 PAGE~_CFL_, X I~M01~5 Ya0 Narl ~ ~'X pr6~~ 1~l~.AL~' //IC- nCO1 ~ 3) f1/~ ~~0~~ a~ /Z- 6rl.t'z„'va~h 6 6.(ouN, ~ ~ ~ N~:.r. ~ ~ FaL.9ttiF.8.;U59 I ~ Permit tl: City of Eaian ' S'' ~ Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 i Date Received: Phone: (651) 675-5675 i stan: Fax: (651) 675-5694 I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ;aisarna" C+- Tenant: Suite RESIDENT / OWNER Name: Q ZL;L1 Gl L Phone: Address / CRy / Zip: f Applicant is: _ Owner ontractor TYPE OF WORK Description of work: Construction Cost: ~ uC ~Doc) (z) Multi-Family Building: (YesNo ~ CONTRACTOR Name: ~ La y(~V License u: ~110~ S~i'l~C 1 Address: ~ ~ • City: L~ l~l/Y 14e- r' State: Zip: Phone: W"JS~1~5JS Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Rasidential Ventilation Category t Worksheet • New Energy Code Worksheet Category Submitted Submitled (4 submissi0n type) • Energy Envelope Calculations Submined In the Iast 12 months, has the City ot Eagan issued a permN for a similar plan based on a master plan? _Yes _No If yes, date and address of master pian: Licensed Plum6er: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ' NOTE Qlans and supporiing documents,thaf you submlt are consldered to be public lnformaHon; Portlons of', i t, tha lnformatron`,may be'classliled as non publlc i! you provlde specitlc reaso'ns that would perml! fhe Ciry to ; ...e.~+ .COlICIUfI@IthAt t/lE :HCC~llBflB§EOf2fS._ , r s . ,r. n.t' . .:^.•-w, !`ix. e I hereby acknowledge that ihis information is complete and accurate; ihat the work will be in conlormance with Ihe ordinances and codas of the City of Eagan; ihat I understand this is not a permit, but only an application for a permit, and work is not to start without a permft; that the work will 6e in accordance with ihe approved plan in iha case of work which requires a review e val of plans. ~ X App i nYs Printed Name Ap IicanYs nature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151927 Date Issued:09/19/2018 Permit Category:ePermit Site Address: 4273 Rosemary Ct Lot:5 Block: 1 Addition: Hawthorne Woods West PID:10-32170-01-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Tracy D Kastner 4273 Rosemary Ct Eagan MN 55123 (952) 688-7652 Heating & Cooling Consultants Llc 46001 Hardeggers Ln Cleveland MN 56017 (952) 461-5100 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169581 Date Issued:06/02/2021 Permit Category:ePermit Site Address: 4273 Rosemary Ct Lot:5 Block: 1 Addition: Hawthorne Woods West PID:10-32170-01-050 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Danielle Marie Dubois 4273 Rosemary Ct Eagan MN 55123 Norwest Contractors Inc 1370 Crestridge Lane Eagan MN 55123 (763) 420-8268 Applicant/Permitee: Signature Issued By: Signature