4277 Rosemary CtCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA102183
Date Issued: 11/22/2011
Permit Category: ePermit
Site Address: 4277 Rosemary Ct
Lot: 4 Block: 1 Addition: Hawthorne Woods West
PID: 10-32170-01-040
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:
PL - Permit Fee (WS &/or WH) $50.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total: $55.00
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
- Applicant -
Owner:
Michael M Berkopec
4277 Rosemary Ct
Eagan MN 55123
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.
Applicant/Permitee: Signature
Issued By: Signature
INSPECTIaN RECORD
' ClTY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
' Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
• . i ~ Y ~ ~ ~
; , . E.~,~~~, i , . i ~ • i
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
~r
~ ~
' Permit No. Permit Holder Date Tmiephone #
S/1N
, PLUMBING
HVAC
ELECTRIC &m
ELECTRIC
Inspectlon Dete Insp. Comments
Foocings I
Foundation
Framing 3 ( pf.~ L(~~'
Roofing
Rough P1bg.
Rough Htg.
Isul. 6/
~replace
Fnal Ntg.
[
Orsat Test j~j
Final Plbg. Plbg. Inapector- NotHy Plumber
Const. Meter
Engr./Plan
sldg. Final / 43
Deck Ftg.
Deck Finaf
Well
Pr. Disp.
7~~~~~
. . _ . _ -Y
,
, ~ ~ ~
~P
C;~~ti~icate d~ ~ccu~anc~
~Ildt~ ~ ~[~~N
t 77us Certicate rssued pursuant to the r+eqairements of rhe Uniform Buelding Code
certifying that at the time of issuance this structune was in canpliance with t/re various
orrlinances of the City rregreluting buelding constructron or use. For the foilowing:
S'E' U,1G 20956
use Cluwficatioo: sYfy Ptrm~ No.
'Y TyPe 7mn6 Distcidt
,ur,
Oaroa of Buildi Addrtas
ti~
I Hnilding 277 L.oaliry , B s ~
Date
06idal
P06T IN A CONSPICl10US PI.ACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: ~ ~ •
(612) 681-4675
SITE ADDRESS: APPUCANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
1 ~ii~ I . t,,.
f I fJ ~1 I
Rl' M J\!'f~ •I 1'AliA I I t'! {t f41 I t; i 011 I I, f Il I Ilir /tN'I i l I 1 !il L.I0 I1+1'
I ~
~
L
Permit No. Permit Holdsr Oate Telephone 0
S!W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commertts
Footings I
Foundation
Framing
Rooflng
Rough Pibg.
Rough Htg.
Isul.
Freplece
Final Htg.
Orsai Test
Rnal Plbg. Pibg. Inspector - Noti(y Plumber
Const. Meter
Engr./Plan
Bldg. Finel ~
t
Deck Ftg. 2
Dedc Final ~ AV,
Well
Pr. Disp.
Address 4277 ?tosRqaxY Wxr Zip 5512 3
Lot. •4 Blk I Sub H+wnioggE woovs wESr
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON.
Date: 1 '3 Yes No Inspector. D
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass 17
TraiUcnrb damage
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists. Contact engineering division at 6514645 before working in rightrof-way or installing underground sprinkler system. ~
Whice - City Copy Yellow - Resident Copy Pink - Contracror Copy
d 2 11 7 S Ua 1 `
ReQoest Date Fire No. Rough-in Inspection
ReQUiretl? ?ReaEy Now G(Will Notiy Ini
5 ~Q Cjy~ ~es C No When Reatly!
I'X~ licensed contractor O owner hereby request inspection of above electrical work at: Job AdEress (Street Box or Roure No.) Ciry .
4z
Section No. Township Name or No. Range No. , Go
jen7-4
OccuPan[(PRINT) iz. Phone No.
ornzzs
PawerSupy,~ Atltlress
d~ ~Gara ~ ~ -r
Eleclri<a ractor (GOmOany Name, GonVactor's License No.
tG
Mailing Atltlress fConhactor Owner Making Installation)
Auhorized~naNre IContractorIOr+ner Iog Inslgllatii Phone Npumber
MINNESOTA STA1E BOARp OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggc-Mlpwey 81Cg. - Room 5-173 BE ACGEPTED BV THE STATE BOARO
1841 Univenky Ave., St. Peul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ' ENClOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee ooom-ae
? See ill51mc1i6ns lor compleling this form on Oack ol yellow cnpy. `~~i., 0, 7 Z'Z
p F
IS 76 "X° Below Work Covered by This Aequest
ew Add Rep. Type of Building AppliencesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildinq Dryer Other-(Specify)
CommJlndustrial fumace
Farm Air Conditioner
Olher (ryeciry) Comractor5 Remarks:
Compute Inspection Fee Below:
Olher Fee # ServiceEnirance Size Fee # Circuits/Feeders Fee
Swimming Pool ~ O to 200 Amps 0 to O O A Amps
Trensformers Above 200 _ Amps Above 100 _ Amps
SignS Inspenor5 Use Only: TOTAL
Irrigation Booms PDDIaS'CONNECTED Special Inspection Alarm/Communication THIS INSTALLATION MAY 6E OR NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspecbr, hereby Rougnin , Oate
certify that the above inspection has F,,,ai oere , t7
been made. d
OFFICE USE DNLY
This repuesl void 18 monlhs Irom
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construclion ReauiremeMS RemodellReoair Reauirementa
• 3 regislered site surveys showing sq. tl. of lot, sq. ft. of house; and all roofed areas • 2 cropies of plan
(20%maximumlotcoveregeallowed) . isetofErrergyCalculationsforheatedadditions
• 2 coplas of plan showing beam &window sizes; poured found design, etc.) . 1 site suney for e#enor addilbns 8 decks
• 1 sef of Energy Calculations . Indicate if home served by septic system for additions
• 3 copiea of Tree Presarvatlon Plan if lot platted afler 711193
• Rim Joist DetaO Options seleclion sheet (bldgs witli 3 or less units)
DATE Y'20/0)- VALUATION 101( 000
SITE ADDRESS tf'_~ 77 IC cQP/YYIGll (/I a • MULTI-FAMILY BLDG _Y X'N
TYPE OF WORK6DQPr1G FIREPLACE(S) _ 0_ 1_ 2
APPLICANT & A"y_171' ,
STREET ADDRESS S~Ct.~t ~~--14~ CITY O0ml STATE'AZIP S W
TELEPHONE # 95L 06-34D CELL PHONE # 61,2 'G?L- 7y 74 FA #
PROPERTYOWNER M i IC~ '.RtJX O F2,0 C. TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESO"1'A RUI.ES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing systetn includes: Wa[er Softc;ner Lawn Sprinkler Fee: $90.00
_ WaCer Heafer _ No. of R.I. Baths
No. of Baths
Mechantcal Contractor: Phone
Mcchaziical systcm includes: Air Conditioning '•i p~ AUG
_ Heat Recovery System
Sewer/Water Contractor. Phone
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ord~l s
Signoture of Appllcant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_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 (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entlre Bldg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES 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 bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ plunibing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I.
_AirTest _Final _ Windows(newheplacement)
_ Insulation _ Retaining Wall
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
Mechanical Permit
License Search
Copies
Other
1 Total
PERMITiI -1 I ~ RECEIPTDATE:
2002 MIDENTLkL PLUM$INfi PEtbIIT "PI1CATION
crrY og ~GALrr
S$SO PILOT KFOB RU
ElIfiAN, MN 551 EE
651-6$7-4675 ~
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: RO i'N..IA,f C'I' . U.iACA1A
OWNERNAME: _fVLL,ICJL I;jCAQk- TELEPHONE#: -JU3 3cfFC-lS2I
(AREA CODE)
INSTALLER NAME: TELEPHONE tpl;Z, FSOI - 5~b
STREET ADDRESS: (AREA CODE)
CITY: C-kQ..V\vO-by~ STATE: rnkJ ZIP: 553k}
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit 5/8" meter if needed -$118)
Other.
_ RPZ: new installation/repair/rebuild $ 30.00
61/lawn irrigation system
Replacement/additional: _ water softener _ water heater $ 15.00
State Surcharge 50
rotai $
I herebyacknowledge that I hava read this application, state that the information is correct, and agree lo comply with all applicable Ciryof Eagan ordinances. It
is the applicant's responsi6ility to notiTy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this perm wi ' iTy property/righ -of-way! ement.
SIGNATURE OF PERMITTEE 1/02
:
PERMIT 7~~, ~
~CITY'OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u i ~ o G
Eagan, Minnesota 55123 Permit Number: 0 2 0 9 5 6
(612) 681-4675 Date Issued: 0 5 J 2 0/ 9 3
SITE ADDRESS:
4277 R03EMARY CT
LOT: 4 BLOCK: 1
HAWTHORNE WOODS WEST
P.I.N.: 10-32170-040-01
DESCRIPTION:
B.rfild3n9.Permit 7ype SF OWG
Building Work Type NEW
'-JUBC Accupancy R-3 M-1
Construct3on T~pe V-N
Building Length L 76
Building Width ~ 44
~V
REMARKS: .
5& W PLBR - MATTHEW DANIELS PLBG PRV
FEE SUMMARY:
VAIUATION $169,000
Base Fee $681.00 MISCELLANEOUS $1,744.50
Plan Review $572.65 7ota1 Fee $4,032.65
Surcharge $84.50
5RC $750.00
SAC ~ 100
SAC Units 1
Subtotal $2,288.15
CONTRACTOR: - Applicant - sr. LIC OWNER:
KOT HOMES, R A 16$79513 0001506 R A KOT HOMES
7901 UPPER HAMLET CT 7901 UPPER HAMLET CT
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 687-9513 (612)687-9513
Z hereby acknowledge that I have read this application and state that Che
informatian is correct and agree to comply with all appticable State ofi Mn.
Statutes and.C3ty of Eagan Ordinances.
L ~ J
APPLICAM/PERMITEE SIGNATURE . ~ISSUED : S NATU E
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLozaG
3830 Pilot Knob Road Permit Number: 020956
Eagan, Minnesota 55123 Da2e Issued: 0 5/ 2 0/ 9 3
(612) 681-4675 "
SITEADDRESS: Lor: a BLOCK: 1 APPLICANT:
4277 ROSEMARY CT KOT HOMES, R A
HAWTHORNE WOODS WEST (612) 687-9513
PERMI pWG BTYPE: TYPE OF WORK: NEw
INSPECTION .
FOOTING FRAMING
IN3ULATION FINAL
FIREPLACE
REMARK5: S& W PLBR - MATTHEW DANIELS PLBG PRV
_ ~
L
REACTIVATE _ (/ED CITY OF EAGAN
PEW/,P 1993 BUILDING PERMIT APPLICATION
MAY 1 2 tgg3 681-4675
SIN6LE E & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change 1s requested once permtt
is issued.
Date `5,_ Valuation of work
Site Address: 4Z"7-7 koc2,.ca.,,, co .y'1'"
STREEi SUITE /
Tenant Name: (commercial only)
IAT ~I BLOCK I I SUBD. L~~ ~n,~ Vye~~ P.I.D. N
~-T
Descri tion of work: , Hb^^--<~
The appl i cant i s: MYOwner B'Contractor 0 Other (Deccribe)
Name Phone
Property LAST ?,RST
Owner pddress ~~o ~ u~ar°.r~ t7?~wi lt 7L'
STR STE M
Lity ~ State MN Zip
Company - LL }th^^r..f Phone b
Contractor Address a r p Lea"' License # 0001SZ')I~ Exp. 9S
City State Zip
Architect/ Company Phone /8
Englneer Name Registration N
Address
City State Zip
Sewer & water licensed plumber /Vt'r4-4g~ ~u- Lu, Processing time for
sewer & water permits is two days once area has been approved. C,
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? Ol Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16i,~`er+t ~
kr02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. 0 11 Swim Pool
0 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
X31 New ? 33 Alterations ? 35 Tenant Finish 0 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System ES
(Allowable) V- N lst fl. sq. ft. City Water ~
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkler
Length -T4;7- On-site well Census Code o1
Depth yU• On-site sewage SAC Co e o
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile 0 Fireplace
Permit Fee veiuae;on: S 169 000
Surcharge
Plan Review ~'4q^~: IST I'~uoR;
License 32 X.?y= 768
MWCC SAC R5m 13> 1
City SAC Z x/o 1 n7 7
Water Conn. qbg ZKr2= 2y
Water Meter 7y8 x 16- I 1 f- ~
Acct. Deposit 13~c~X$y ~74~ISZ
5/W Permit
S/W Surcharge 3Z Zrv~ FLoar2;
Treatment Pl. 3y - l088
Road Unit X'y 12 = ~y IoX_Zq -Zyo
Park Ded. ~.i `F ' C2`4 ~ 1~7 = 7
Trails Ded.
Copies 4Xi ~ C g) XIU~~^S"`~5
Other IzXtLt ~ 168 2I3=17)
Total : ~6 l~ iY'/-?
SAC pn 2'67yt2.67=C7 O 75a
'
SAC Units 15xK2- 0
l6 $ 62~
• 621:7 tt2_8 Fnl
. TEL IIOeEi
" PIR`i-03-"~? liflll 1.5'5' ?iI TGi19F'= I-IILL IPi~-. .
ewue R. A. KUT HOMES
SURVEYOR'S CERTIFICATE
142.29 N 0° 12141 " W 932.4
s2a2 2.4)
717j
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5\ . pRAtNAGE 9 UtIUTY~ I
` ~EASEMfNT pER PLAT
LaT' 4 ~
W
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N
Na'i33o~
eq BENGI ANRY.
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R~90E\ N61 FIEV.-93~
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v. N
1 ~
\ ~1,\ No 4 ~0 ~
.N'` ~ ~pR~Ng69 90
~ 'qj \ sb r 1 ~
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0
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~934.7
NCH MM1
/
Byt _ ~ , / " 934•5
N.~~ INc xNZERY~c,~S R°4.
~
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~
NOiE' NO SPECIRC ^'OQ-S INV@371GA71oN COURT,
NAS BEEN COMPLETED ON TNIS ~
. l0'f !Y 7HE SUqVEYOR. T}1E
Tj~~X~Cf'IC HOU [~P110P09E O~T NOTE' FOR011~'pn~4NfAl'ONS SI~IOW.NLONFII
CC
At10N OF ETRU~QN~T•
Is Nof THE RtaP4NlIB~.ITY OF aF~
TNE lUINEYOR. A11CNI1EGTVAL ~Na 1~1 !!lrtl~~
B, F01N7AI1T10H UIMEHMONS.
.4-- DENOTES PROPOSEU SURf-ACE DRAINAGE qCALE: 1 INCF{ 30 FEE1
p DENOTES IRON MONUMENT 5ET pROPOSED GA?7AGE FLOOR e 938.4` FFFT
~ bENOTES IpON MONUMENT FOUND PnapOSEQ lOWEST FLOOR - 3~~. 7 FEf_T
X000.0 DEN07E5 EXISTING E~EVATION PnUpUSEU TOP OF BLUCK g y3q. s FEEI
(000A) DENOTES PROPOSEb ELEVAlIUN ~~~?~o 0 ~
Th1AT TF115 IS A 1 ND ~ORRECT
WE HEF2E9Y CERTIFY TO R.A. KOT HOMES
REPRESENTATION nF A SURVFY Uf THE BOUNDANIES OF:
Le1 4A 61ock I, HAWTNORNE WOObS WEST , according to the recorded plat I hereol,
DOfo Counfy, Minnesoto.
OVEMENTS OR FNCROACHMFNTS, EXCEPT AS SHOWN. AS
IT [JOES NOT PUftPORT TO SNOW IMPR
SURVEYED BY ME OR UNDER MY C)IRECT SUPERVISION THIS 301N DAY Of- APRI L
SIGt ED J _ R. HILI_, INC r
PROPOSED GRAUES SIIOWN WEftE
TAKEN fROM THE aR
ADING PLAN FOR HAWiHORNE WOOD9 WEST
PREPAREp McCOM89 FRANK RaoS gy' - C. _ LARSON. LANU SURVEYOR
assoa nNO LnsT Dn~ED 8-~9-92 ~~~~N
MINNESOTA IICENSE NUMBER 19828
.s..w
m~ p A o A~ ~X James R. I-lill, inc.
I
Z pLANNERS I ENGINEERS 1 SURVEYOF
~ m w' `~0 g y
n~ v o m ~
Z~
D 7_ tp W
O~ O O~ m v+ W z< 7`n~ W ClY. Rb 42 • BU(iNSVILLE, MFJ. 55337 • 612-890 6f
U ' LOT BURVEY CHECRLIST FOR RESIDENTIAL
w
$VILDI PERMIT PPL TIO
m D c-, PROPERTY LE(3AL•. OL-
~ ` N Date of Surveys
U ~
DOCIIIdENT BTANDARDS
e' 0 0 + Registered Land Surveyor signature and company
peo0? • Buildinq Permit Applicant
000 ? 0 • Legal description
? ['r ? • Address .
BK ? 0 • North arrow and bar scale
a,,, ? ? • Iiouse type (rambler, walkout, split w/o; split entry,
lookout; etc.)
L7~? ? Directional drainage arrows witYi slope/qradient
0900 0 • Proposed/existing sewer and water services
9' ? ? ~ Street name
C3~? 0 + Driveway
~LEV)1TYON8
Exiatiria
? 0, ? • Sewer service
Z'~? ? • Lot corners
0' 0? • Top of curb at the driveway
B~ • Elevations of any existing adjacent homes
Proposed
C'r 0 - Garage floor
C~0 0 ~ First floor
0'0?. + Lowest exposed elevation (walkciut/window)
C~ 0 ? + Property corners
V?? • Front and rear of home at the i'oundation P0RDINf3 AREA8 (if anplicable)
? B~ 0 • Easement line
? L7o' ? • NWL
? ir 0 • HWL
? 0r 0 - Pond # d'esiqnation
? ? • Emerqency Overflow Elevation
DIMEN3ION8
Q ? ? • Lot lines
0 ? • Right-of-way and stYeet width (to back of curb),
Ci • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures reguiring permanent footings)
? • Show all easements of record and any City utilities within
those ea'sements
ol ? ? ~ Setbacks of proposed s ucture and setback of adjacent
existing homes
• Retaining i ments, if any
Reviewecl E ~
Na e / te
Octobei 1992
E.XI"EkTOR EhIVEL[]PE AVERFt(3E "U" COMF'U"fATIUN
OWMER MSk:F_ AIVD SINNY LiERK:OPEC PLHRI N0. 9-022,-s--:'
ST'CF ADDRESS LpT 4, BLK 1, HAWI'HORNE WOQDS QgT--
CONTRACTOFt R.A. PHC71'JE---_6i3:-951,:)
DFl"ERM [ ME WOR.F:: f N i SCaUAR.E FOOI"AGC:
39<4.4b
1. Total e;<po,ed wall area 14022.23 sq.ft. .ii 442.450e
2. Total rooffcei.li.nci area 1734 sq.ft .025 45.084
Total floor c.ant. area 213 sq.ft. 0.05 10e65
invE>r unheated enclo>ecJ areas?
4. Total floor ctanC. area 63 sG. Pt. 0.025 1.575
(over unheaL-ed exposed areas)
5. Total e;;No=_;ed i.i<;11 area abovc thc 3582.46
a. Total wal.l window areaa................... 417.074
6. Total door• area 37.8189
c. 'T'ntasl s).idi.ng g1as=, door area.........e...i7.i"ytiSS
ci. Total §irF=p13ce area 0
e. Total wa11 firaminy area (ave. 10%) 358.246
f. l'nta1 ne+ waZ], area above i:he tlocr....... 2751.ti4G
q. Total ri.m ,7oi.st ar•ea 342
"fOTAL EXPOSED FOUNDAT.T.ON !-1RF_A................ 47.82
h. Total foi.nci3tion wi.ndow Grea.,.~.......... i?
i. "fnta:t net foundati.nn area,.,..,............ 97.82
lletermine "U" value of each i=ial.l =sEagment.
a. 417.074 "U" 0.34 - 141.E305:'
h. 37.81E39 „ "U" 0.06 = 2.269134
C. I7,77555 G uVu 0.34 = 6.043687
C:I . iJ u u u (j 0
e. 358„246 "lJ" 0.090334 = 32.3618Z',
f. 2751.546 "LJ" 0.043215 = 118.9086
U. ~;42 "lJ" 0,040683 = 13.91 ;7`,'i
h. 0 "U" 0.34 = {i
i. 97,82 "U" 0.076161 - 7.450114
Ei Total CZ22,?52
T.f i{:r-_+no #16 is +..he same as nr less ti~an item i#1 you havr9-me#:--fi; e cur;•eni;
E+ner•y_y codes. ^ h1CAR 1.16008 H AND 0.
TOT'AL kKl'O5LD ROUi=iCEil_iNG AR.EH 1734
,j. Tote:l s4::y7.i.yht ar'•e< 0
4::. Total f.-tat roofireilinc, framinG area...... 173.4
1. Total net flat rooi/ceil.i.nG area 1560.6
?eterminP °l.i" va.li_te fnr each roof/rlg. segment
..i. „ "U~t 0 = il
4::. 173.4 •r. "tJ" 0,026925 = 4.6643B21
1. 7.56{:a p(, "LJ" 0.022795 35.5732e
7 -----------...---fni:a7 C4!i.':_4'211
i:'r :item #k7 i= the =samE= hs or 7.r..s= than i'tem you have met t,l'ie
enengy code. 2 MCAR 1.1600£3 A AhIA] ii.
TOTEaL Fi.C1C3R CANT.. flFtEA (EZncl.o=sed). 213
a. Total t:toor r_ank. iraminy area (aasae. 10`.:). 21.3
p. l"otal net insulated Tloor/c:ant. area..,,.. 191.7
IJetermi.ne "!I" value for• each F1oor/r_ant, saepment.
o. 21.3 x ''U'' ij.043459 = 0.925684
p. 191.7 "U" +].024125 = 4.624849
8 . . . e . . . . . . . . . . o . ..1"otnl
Ii itr=m #E; as the same a= or le>s than item #3 you have met thP
B11E'i'gV COGE3. i"ICAR 1.16008 Gl AND 0.
T(7'1-Al_ FI._0;]R/CflPd'T . AREH (er:pased ) 63
q. Total f).onr.!cani:. framinq area (ave. iir'/.). 6.3
r. Tntal net insial.ited floorlcant. area..,... 56n7
Uetet^mine "LJ" value tor each fl.nor/cant. seGment:
q. 6.Z "U" 0.043917 = 0.27668
P. 56.7 "U° 0.024266 = 1,37588
5' e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a . . Tata 1 1.652559
If item #9 i.s Che setme a=s or les:, than item 44 ynu have met 'L-he
ererg; ror.JEa. 2 t'IGFiR 1.16005 A F1CJI7 0.
I HEREFiY CERTIFY TF-IAT I He1VF Ci-,LC;l1LA'T'F:Z? THF f"HC'i°CJRS F;I~I
L.
~J(-1LlJES NEFtE:IN AIVU THAT "(HE FiUIL~C}ING -II=RE DE~C; SBED NIEETS OR 1;1:
THE STATE OF M:f.hINF::SC)TA ENE:RVY L:ON~iEitVHI'IClN A T.
~ `~..---_-f s i q n<, t u r•e !
~~~3--------...----
idate>
DE"fFRM.T.IVE "U" VALUES"
"fHPtU S"fUU WIl"H 57:I7ING 8: S.R.
Interinr Ai.r.,,... U.bB
:iheet Ruc4::....... . 0.45
fl7ermo-Eirea4::. . . e . .
Si;i.td..,.,,.,,....... 6.9;
SPieathing,.....,.. 2.ti6
Si.di.ry............ ia.?E]
L.x'terior H:r. C+.ii
T'ntal "R" Value,:.........,,. 11.07
. 'Ci u11. tl...1.,.-. n nqr'rovtl
~ 7HRl! 'INSUL.FaT:LClN Wfl"H SInING S.R.
Interior Air....,.. 0.68
Sher_i; Rnc:4:........ 0.45
Ther,nn--63reaaE::,,..... o
I nsu].at i.on. . . . . , . 19
Sheathiny......... 2.06
Si.diny....._ 0,78
L:;teri.or Air...... p.i'r
7'otal. "R" Va).ue............ 23.14
]./ft ~~U" t1311_!k?............ 0.043215
l"HRI..I C.E I L. h1G Mf.= I"IHF.::1=t
Trrteri.nr Air.„,... 0e68
Sheet fiock...... - 0.58
C:cri:Linr.~ Member,„„, 4.35
l: nsi.i}.at, i.on . . . . . . . . 30.92
Sti11 Air'.o....a.. 0:,61
Tota1 "FZ" V311lE . . . a e . . . . . . . 37.14
1/R = ~~U" tv'alue............ 0.02b9^5
THRU i:EIL.7NG IN5ULA7'LQhi
fnterivr Air...,.. 0.68
Shec=t Ftoc}::......., ii,SEJ
[n=au.l<xtinn........ 42
S t i. 7. A i. r . . . . . . . . . 0.61.
Tot«1 "R" Value. a . > . . . . 43.87
i/F2 "U" Valuea.......... -0.022795
"I"HRU L:ONCRE=I"E 8LC1Chh::
T.ntc=ri.or Air...... 0.6E3
r.:nnc. Et14::......... 1.2F3
7:nsulaL-ion.....,.. 11
Sheet Rk. (opt. r>
E;:tEr;.or Ai.r...... 0.17
Total "R" Va1ue 13.13
7.lR "U................... 0.0761ti1
THRLJ RIM .70SST
fnt-erior Air...... 0.68
Insula+.ion.....,., 19
Fti.m .Tai.st......... 1.89
SPieath:ing.ee...,,. 2.06
S'i.di.ny.... 0.78
E:;terior Air...... 0.17
l"ol:al "Ft" Value. . . , e . . , . . . , 24.59
1/Fi = ~~U . . . . . . . . . . 0.04068 3
va li.ie far uii. ndow , . . . . . , . 0.34
~ U", valye. far door=.. . e . . , . 0.06
~ U" ca'luc for Patio Drs,.... 0.34
TNRU CANT. @ MEMBER tenclosed>
Interior ai.r 0.6E3
F=inish F=loorinG... 1.45
Sfieathiny.........
_
P7.yUiooc;....,...... 0.93
Joi.st 11.56
Sheet. Rocb::.,...... 0.03
Still eair......... 0.61
Tota1 "R" Vc,iue 2Z.01.
1/R = "U......°•.°.••....a.i,_Q4:';459
l"HFtL' CFiIV'1'. C TNSULFIT:[ON (en:=losed)
Interior vir...... 0.68
1=in:i.sh Fl.ooring 1.45
Sheath i. ng . . . . . . . . . 7.2
P':lywood........... 0.9U
[nsu1-al::ion....,... W
Sheet Rock:,, . e., 0.58
Eiti.l.l. Ai.t•......... 0.61
Total "R" Value..,,......., 41.45
1.fR = "LJ" .................,.f;,p^1Fi2S
1"I-IIZU i:AN7. 0 ME_ME+C:R (PXpOsE?d)
Interior Hi.r...... 0.68
(=ini.sh rlcuriny.,. 1„45
Under•]ayment...... C}
I' 1 vwood . . . . „ . . . . , . 0. 9;ri,
Jc7i.=st,............. 11.56
Shesthi.ng..,...... 7.:'
5offi.t............ p.7f:s
E::terior Fi:ir...... 0.17
l"o{;at]. "R" Va1uE-+...,.o..,... ':?:=.,'i
1rR = "U"...,..,.........a..t?.04=i9i7
THRLJ C:AN'f. C TNSULATI0N (e;:poseci)
Interior Air....,.. O,E,ti
F:ini.sh Flaoriny... 1.45
Uriderlaymt_+ni:..... , 0
P3.yuiood,......,,.. 0.9.;
Insu.1a'L-ion.....,.. .;n
Sheai.hing 7.2
Soffiit....i 0,7E;
Ei>.terior•ar...... 0.17
Total "R" 4'alue..........,. 41.21
I/R _ ~~U ...................0,0.'4<'66
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: auzLoiNG
3830 Pilot Knob Road Permit Number: 024181
Eagan, Minnesota 55123 Date Issued: 0 7/ 2 0/ 9 4
(612) 681-4675
SITEADDRESS: LoT: a aLocK: 1 APPLICANT:
4277 ROSEMARY CT BERKOPEC MTCHAEL
HAWTHORNE WOODS WEST (612) 688-8774
PERMIT SUBTYPE: TYPE OF WORK:
SF PORCH NEW
DESCRIPTION (SCREENED)
INSPECTION . D.
FOOTINGS FRAMING
FINAL
REMARKS: A SEPARATE PERMIT I5 REQUIRED FOR ANY ELECTRICAL WORK
~
L
PERMIT
~c CITY'OF EAGAN 71 Ize--
3830 Pilot Knob Road PERMIT TYPE: B u z ~ q x N~
Eagan, Minnesota 55123 Permit Number: 024181
(612) 681-4675 Date Issued: 0 7/ 2 0/ 9 4
SITE ADDRESS:
4277 ROSEMARY CT
LOT: 4 BLOCK: 1
HAW7HQRNE WOODS WEST
P.I.N.: 10-32170-040-01
DESCRIPTION:
~ (SCREENEO)
fiuilding`-.Permit Type SF PORCH
6uilding W'or..k Type NEW
l
,
, .
,
~
}t 14 l ~ ~
7:-
REMARKS:
A SEPARATE PERMI7 IS REQUIRED fOR ANY ELECTRICAL WORK
FEE SUMMARY:
vaGUArion $10,000
Base Fee $117.00
Surcharge $5.00
Total Fee $122.00
CONTRACTOR: OWNER: - Applicant -
BERKOPEC MICWAEL
4277 ROSEMARY CT
EAGAN MN 55123
(612)686-8774
I hereby ackrr:owledga that I haue read this application and state that the
informat3on is aarrect and agree to compSy with all applicatrle State oP Mn.
Statutes and City af Eagan Ordinances.
A.~vi t 1,NT/PE~R4MITEE S~G Ait~IS~OTURE ISSUED I(~Pjl BY:IGN 7URE .
V P41
' CITY OF EAGAN
' 1994 BUILDING PERMIT APPLICATION D
1411 681-4675
bd tl-lQ
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot chan9e is requested once permit
is issued.
Date _71 Valuation of work Oa4:~'
Site Address:_ 95-7'l cx,v. s s~ a 3
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD.No-W fAknV-j\~ oA P.I.D. #
Descri tion of work: S C\'r C. e n C~ 2G h
The applicant is: 91 Owner ? Contractor 0 Other (Describe)
Name L;>>XV'0mc- MCc.~nae-( Phone !o S 8-g 77q
~ Property LAST FIRST
Owner qddress Lfa-t 7 2ose~vC'v~-~
STREET STE #
City ~C.4ann State SSt ~3 Zip 55/a-3
Company C:3 a cn e-- Phone
~C Contractor Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have rea this application and state that the information is
correct and agree to comply with all app icable State of Minnesota Statutes and City of
Eagar~° Ordinances.
Signature of Applicant:
OFFICE USE ONLY 4 ..~r . y ~ R.fi
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16Bas mel Fin~ish
? 02 SF Dwg. ? 07 4-Plex 11 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind.
,P 04 SF Porch ? 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
0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair 11 36 Move .
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code p/
APPROVALS Census undt
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site d Footing 19 Framing ~ Insulation
11 Wallboard 10 Final ? Draintile ? fireplace
Permit Fee veims;on: g /611 060G
Surcharge ~
Plan Review
License a5~ x yp =/p U~D
MWCC SAC •
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
• ~ ' 7 F.2, 1.4 li?ZR ('ft).
hIR'i-03-'93 PIfIU IS'S.' tD'.ti.iPIFS f? Ilil_I_ IIK~ tEL IIrJ:5l..
,
s~e
SURi/@1fOfi'S CEFiTIFIGATE fi.A. KOT FIOMES
~ z
9782 142.29 N 00 12~4 1" W 932.4
p- - g ,
/
g~ OnqttJAGE 0 U'fl1,ItY,~ I
I ~ X EASFMfNT fER PlAf
LoT.
~ W
„
,~y ) gA ,2032 ;
u~
p N0
~33 I a ~j
T~oi' ~W
N, ,P ~ ~ R~ v5E ~1 EIEV - 3
P
`0 g03 b2p . . , . c~ 4 -
~
~
~~tn `O~ `t,''~>i" -~r.5¢.11 '•~I.~ $`i~~~ ~ ` ~4yT~ 1,'~ ~Et~~ / ~ ~ ~
BENCH M/thK
iOF oF PIPE
ELEV. _ 9567I' „93,4.r5
U „
Il~n --~9.34,8---
II0tE+ NO ShtCIFIC 600.-8 INvE9T16NI0H
HA9 MH CoMPlE1EA ON 7HI5
. L07 TNE lUhVEYOn. TtIE
4UITMLITY oF lOIIS 'M 91,11'ro"t ^ GMr NotE+ NVIlUINO pMFN910NS SIIOwii nn
TH[ ~RI~ HOU9! PIpP09E0 at ~ ~romzottrn~ y~?1~ ~.c~
Fo1011 OF lIT11UCt'J1~~Y•~~rl
I! Ntlf TIIE 11LS~N~~-RY OF ~ A1n
7NE SUIIVEYOR. AVICIIIIlCf UN. PLNO
.a, bENOTES PFlOPOSEU SURfACE bRAINAGE 9 FoIINbpkTION OIMlNiM011l.
SCAIE: 1 INCI1 '.SO FFE1
p DENOTES IRON MONUMENT SE?
,3S-4` VEFI
r OENOlES IFtON MONUMENT fOUND PROPOSFb (aAI1AGE FLOOR - 1-
X000.0 DEN0IES EXISTINC ELEVATION Pf1CJPUSFD LOWEST PLOOR - qY~j. 7 FFFi
pRpPOSFf.) 1 OP OF BLOCK - q 39. s f EE; t
(0000) DEN0IES PRdPOSEb EIEVAl1UN
11IA7 7111S IS /11CIUE ANb CORRECT
WE IIEnEBY CF-RtIPV To R.A. KOT NOME3
pEPRESENiATION OF A SURVFY OF iHE BOUNDAhIES OF:
t_o1 4, Block 1, IIAWTIIORNE WUOUS WEST , according lo Ihe rr.corded plol thereol,
Uakolo County, Minnesota.
i? UOES NOT PURPORT TO SIIOW IMPf10VEMENIS OR ENCROACHMKNTS, EX(=EPT AS SHUWN. A5
SURVEYFU BY ME OR UNDEIi MY UIRFCT SUPERVISION TIIIS 301H bAY OF APRIL , 1993
PROPOSED GRAUES SFfOWr1 WERE SICt EU: J LR.1111-1IIJC T!U(EN fi10M TIIE OfiADING f'LAN
Fpp liI?N?Tt10RNf WOW9WE9T PREF14REp McCOMB9 FRANK FWS ITY A$SOC. AND Ll13T bAtEO 9-19-92.
JOIIN.C. LARSON, LAND SUftVEYOR
MINNESOtA LICFNSE NUMBER 19828
x
U aI"ne5 R. 1-fill, IfiC.
~ ~
co nz~
a~ o~ ~ ~~f' i{ pLANNERS ! ENGINEEf~S I SURVEYOP
~ ~SEMM
y.BL ysssPsp~r a~"za ~'*s '~s.~~.i~ Y<"' c`Y < as~'~~'t s
•.Y'+3a P.'. Y`h .
1993 PLUMBING PERMIT (RESIDE1V17AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UN1T.
- -
10. FIXTURES EACH 1'OTAL
3- o c~
~ SHOWER 3.00
WATER CLOSET 3.00 q. 00
a BATH TUB 3.00 (o o (5
S LAVATORY 3.00 I S 00
I KITCHEN SINK 3•00 3o°
I LAUNDRY TRAY 3.00 3-°°
T HOT TUB/SPA 3.00
t WATER HEATER 3•00 e"
-1 FLOOR DRAIN 3,00 3• o c~
GAS PIPING OUTLET • minimum - 1 3.00 b. 6 v
ROUGH OPENINGS 1.50 'i . 5-0
WATER SOFTENER 5.00
PRIVATE DISP. - DeiLay. iic. 15.00
U.G. SPRINKLER • eome under oomt. 3.00
ALTERATIONS • io easting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: 55 . 5-1
SITE ADDRESS: C+
OWNER NAME: ~ IC~~' Hflv~.e.~
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHOTTE (~'L) L3 3'~ 3 c1
SIGNATURE OF RMITTEE
•
~7t i t t E c s i.~3'~°~'x~a~y~,~ c a,c,,u~. t s
ii L , s+;s Aq w S
t
~yq: ; ; J : Nif•~b sc',,.L~'a~~`,~3csFjr t'~£3 i
1993 PLUMBING PERMIT (COMMERCIAI.)
CITY OF EAGAN
3830 PIIAT KIVOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMAERCIALJINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUI: .)INGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH
DWELLING Ur~:,T. .
NEW CONSTRUCfION
ADD ON
]iFP,~iA
WORK DESCRIPT'ION:
CONTRACT PRICE: $ ,
FEE: 1% OF COA'TRACT FEE.
STATE SURCHARGE: $.50 FOR FACH $1,000 OF p£R1tiiT1' FEE
MINIMUM FEE: $ 25.00 '
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAH'IE: STE. #
OWNER NAA4E:
W STALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
D - M'~g sv 'Eb ' .i6 aF ~abi~~; ~ ¢ u
. ,.wx"':.. . r , v.~.. < . ...i. . . ~ . ck~ :d~.. ~£::<vM., '~S.K~~...
1993 MECHANICAL PERMIT (RESIDENI7AL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GA5 OLTTLETS (MINIMUM 1@$3.00 EACH) 13,00
ADD-OIv'/REMODEL (EXISTING CONS7RUCI'ION) $ 15.00
STATE SURCHARGE
TOTAL
SITE ADDRESS: XA'"'Y `e~
OWNER NAME: ~ f~h l7 ~ TELEPHONE G~
INSTALLER:
12481 Rhode Island Ave. So.
ADDRESS:
CI,j,Y. , 894-0005 S.I.A.I.E: ZIP CODE:
TELEPNONE
dt~/x Ao~`C---
NGN RE OF PERMITTEE
nr." ..z`,~ 'f4kvUt'"k^kt C FS'A{'K+1§~a7.'~,~Y~§ ~,b'K. x~"
1993 MECHANICAL PERMIT (COMMERCIAL)
CT1Y OF EAGAN
3830 PII.OT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL CONAERCIAUWDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTT-FAMII,Y BUII.DINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf.
DATE: CONTRACT PRICE: S ~
NEW BUILDTNG
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CgNTRACI FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
STI'E ADDRESS: -
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONL1)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECI'OR
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CityofEa�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2012 MECHANICAL PERMIT APPLICATION
Date: -1-43- Site Address: 4
Tenant: 1A,
LU. On
Name:
Address / City /
Name:
Address:
State:
Contact:
3URNSVILLE HEATING 1 A/C, INC
Suite #:
X Ci Phone: LO S (-
&cri., 1 S? -51,43
License #: 11/14W3 if `t'
3451 W. Burnsville Parkway
Supe 120 // City:
Zgurnsviile, MN 55337 Phone: " i JZ ' (-e r 6U— —
J
Email:
New ki Replacement
Description of work: UVJ i
RESIDENTIAL
Fumace
,71• Air Conditioner
Air Exchanger
Heat Pump n
Other 11k-C..
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under / Above ground Tank ( Install / Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ COC) . CX..) TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1%
$60.00 Minimum (includes State Surcharge) = $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(Le. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE
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.0opherstateonecali.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
with the approved planninn theme case of rk which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122262
Date Issued:05/01/2014
Permit Category:ePermit
Site Address: 4277 Rosemary Ct
Lot:4 Block: 1 Addition: Hawthorne Woods West
PID:10-32170-01-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael M Berkopec
4277 Rosemary Ct
Eagan MN 55123
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA164155
Date Issued:09/21/2020
Permit Category:ePermit
Site Address: 4277 Rosemary Ct
Lot:4 Block: 1 Addition: Hawthorne Woods West
PID:10-32170-01-040
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Luke J Motschenbacher
4277 Rosemary Ct
Eagan MN 55123
Spring Plumbing Llc
11473 Kenyon Ct
Blaine MN 55449
(763) 614-7963
Applicant/Permitee: Signature Issued By: Signature