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
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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
: ~
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C.T.7`I iJf-'.~E't-1G;A^?
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I'Ffl'~:a i.r'.?/22/98 7I jcr i9.002i
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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
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~
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
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N19N-UNIFQRM LO DING DESGRIPTION, MAGNITUDE, IOCAT10N ~vONE
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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,
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~ 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