4282 Rosemary Ct
' INSPECTIUN RECURD
.CITIf'OF EAGAN PERMITTYPE:
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55123
9 Date Issued:
(612) 681-4675 ~ ~ 1 , 1 1 1 1 i 14 i
SITE ADDRESS: APPLICANT:
ii ,i I`Ir.l{Y I' r ~'I : i~ ~ i I~ii~li 1!iin~l ,
PERIIAIT SUBTYPE: TYPE OF WORK:
I iili,.
,
~ ~ . - • ~ _ c , y _ ' . t " i
. .ATE INSPTR. INSPECTIO „
, ~ ~ .
i !<r'~pt 1 PJi.
I!'i'.iri I I11I'1 i~ Ni'~I
t r,is~~r,~ti -
~
z
~ ~
Permit No. Permft Holder Date Telephone A
. S/W
PLUMBING / /rJ ~ 1~~- /v1
HVAC _ (f f~
ELECTRIC t1 b b`-! q 4
ELECTRIC
Inspection Date Insp. Comments
Footings 1
~
Foundation 7
Framing ! 3
Roofing
Rough Plbg. b ~f7 aK ~
Rough Htg.
I5ul.
F~replace f ss
Final Htg.
Orsat Test
Finat Plbg. Plbg. Inspector - Notity Plumber
d
Const. Meter
EngrJPlan
Bldg. Finai
7
Deck Ftg.
Deck Final
weu
Pr. Disp.
~ 9
C~;~t~~ieate n~ ~ccu~anc~
~~c~rt~eKt of ~3~i~ ~rectisx
This Certifrcate issncd pursuant to the nequinements of tlie Uniform Building Code
certrfying thai at the tinw of issuance this stsuctune was in compliance with the variores
• ordinances of the CiJy rtgulating building construction or rrse. For the followiRg:
21182]
usc c'~fi~oo:~ ~ R3 1 R aw rftmrt Na
COOSL
OCCUP-CY
o~ e~r „ ~~'NL1+~l~ }~S Addrm 1322 E~ QMMgZ
I 12, ,
naarm 4 ~ L-atiry
o.w r 10/ 13/Q3 ~vV
sWWi.a -
j
POST IN A CONSPICUOUS PLACE
, . ,
,?i.,_.,yt _v: :..,r"',,,.r..wK ....x-. <--r;r.~-- . . .
• CITY OF EAGAN r
454-8100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at "
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
,
' .
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector Ciry of Eagan
. DO NOT REMOVE THIS TAG
INSPECTION RECORD L9
CFTY OF EAGAN PERMIT TYPE: ~
3830 Pilot Knob Road Permit Number: o
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: { APPLICANT:
. ,f 14nKY I I
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
l ,
~ ~
Parmlt No. Pertnft Holder Date Talephone •
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
NEATING
GAS SVC
TEST
INSUL
GYP BQARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG ~ q
!i
FINAL HTG S ~ ~ ~ ! ZH
ORSAT
TEST OIU ~j • ,~ft A~l 60"rl
~
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
Address 4282 aosE2raRY crnmr Zip 5512 3
Lot ~Bik 2 Sub HAwnDxM t,noDS wesr
THESE IT'EMS WERE / WERE NOT COMPLE'fE AT THE TIME OF THE FINAL INSPECTION.
Date: 1013 93 Yes No Inspector:
Einal grade (6" from siding) V/~
Permanent steps (garage)
Permanent steps (main entry) r/
Permanent driveway
Permanent gas V/
Sod/Seeded grass ~
TraiUcurb damage ~
Porch
Basement finish f
Deck
Please verify with the builder the removal of roof lest caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - Cily Copy Yellow - Resident Copy Pink - Contractor Copy
I Z S - W..,L s~~du
Requ t Oane Fire No. Roug~-in ~nspaction
e 7~ ~ Require ~ ? Aeetly Now-~JWdfFlotity Inspector
-~J as ? No - W~en Reatly?
P--<icensed contractor rJ owner hereby request inspection of above electrical work at:
Job Atlaress (51ree1. Box or Raute No.) C~ty
a ,iiv
Seqion No. Township Nama ar No. Ra e No. County
Occup RINTI Ppane No.
~
Power Supo' r A re55
Elecinca vactor IConpany Nemel ~ Contractor5 License No
Manlnq qaoress IC nVacmr or pwner Making Installation)
Fu1M1Or¢eC ignature IConVatbrOw er Making Inslallationl _ Phone Number
e~ ' tIa
MINNESOTA STATE BOAFU OF ELECTRIqTV TMS INSPECTION flEOUEST WILL OT
Griggs-Mitlway BIEg. - Roym 5-173 BE AGCEPTED BV THE STATE BOARD
1811 University Ave., 51. Paul. MN 55106 UNLE55 PROPER INSPECTION FEE IS
Vhone(612) 64Y-0800 ENClOSED.
~/9/P~ REQUEST FOR ELECTRICAL INSPEC710N ~ EB-000010~8.
See InsVUCtions lor complefing this lorm on beck oi yellow copy. !
?
70-849 ~y "X" Be/ow Woik Covered by This
ewAtltl Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Healer Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Parm Air Conditioner
Otner (ryecify) Contrector§ Remarks'.
Compute Inspectian Fee Below:
# Other Pee # ServiceEntranceSize Fee - # Cirouits/feetlars Fee
Swimming Pool 0 to 200 Amps - 0 to 100 Amps
Trensformers Above 200 _ Amps Above t00 _ Amps
Signs Inspemor5 Usa Only. `7 TOTAL O
' Irrigation 8ooms ( ~ 'G
ISpecial Inspection - ~
AlarmlCommunication THIS INSTALlAT10N MAY BE O RED D C NNECTED IP NOT
Other Fee COMPLETED WITHIN 18 MO t
I, the Electrical Inspector, hereby Rough-in
certity that the above inspection has F;,,ai oaie
been made.
OFFIGE IISE ONLY
This request voitl 18 monihs Imm
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BuiLDiNG
3830 Pilot Knob Road Permit Number: 021182
Eagan, Minnesota 55123 Date Issued: 0 6/ 2 4/ 9 3
(612) 681-4675 PROJECT NBR: 1
SITEADDRESS: Lor: z BLOCK: 2 APPLICANT:
4282 ROSEMARY CT BRENTWOOD HOMES
HAWTHORNE WOODS WEST (612) 730-1000
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION D• .
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: S& W PLBR - VAILEY PLBG
- - - 1
PERMIT
CITYOF EAGAN ~~~-~~1
, 3R30' Pilot Knob Road PERMIT TYPE: u I Lo I~
Eagan, Minnesota 55123 Permit Number: 021182
(612) 681-4675 Date Issued: 0 6/ 2 A/ 9 3
PROJECT NBR• 1
SITE ADDRESS:
4282 ROSEMARY CT
LOT: 2 BIOCK: 2
HAWTHORNE WOODS WEST
P.I.N.: 10-32170-020-02
DESCRIPTION:
Btrildirtg~,Permit Type SF DWG
ui1 din9 ~WnRrk TYPe NEW
J,,UHC 4ccupancy~ R-9 M-i
Constructioh Tp e V-N
/ Zon3ng ~R-1
J Bu£lding Length ~ 70
f BUildi,ng Width 35
U ~
REMARKS:
S& W PLBR - VAI.LEY PLBG
FEE SUMMARY
VALUATION $181,000
Base Fee $923.00 MISCELLANEOUS $1,744.50
PIan Review $599.95 Total Fee $4,107.95
Surcharge $30.50
SAC $750.00 .
SAC 8 10@
SAG Units 1
Subtotal $2,363.45
CONTRACTOR: - AppJ.icant - sT. 1.IC OWNER:
BRENTW000 HQMES 17301000 0001519 BRENTWOOD HOMES
1322 HELMQ qVE N 1322 HELMO AVE N
OAKOALE MIV 55128 OAKDALE MM 55128
(612) 730-1000 (612)730-1000
I hsreby ecknavEetlge Chat T have rea;d this aFPlitation and state Chat the
infurmatiort fs coPrect and agrlea ta camp2y with all" a.pplzeable S'Cate of Mr1.
9t$tut$s and CiCy uf Eagan Ordiffances. .
L a, . J
~,?r~f
- A LICANT/PERMITEE SIGNATURE ISSUED Y: IGNA RE ,
REACTIVATE _ iECEiVE-D CI7Y`OF EAGAN
pJ~i7 / 1993 BUILDING PERMIT APPLICATION
xiii JUN 0 8 1993_- 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans,4 registered site surveys, 1 copy of energy
calcs.
COMFtERCIAL 2 sets of architectural & structural plans, 1 set of
specificatians, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, hut not picked up by last working day of month_
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluation of work
Site Address: 42 SZ T2a5 av&7 cf.- e~U y`
STREET SUITE
Tenant Name: (commercial only)
LOT BLOCK I SUBD. NRr?THvkNr~ 1+/aa
Z Z we_IFT P.I.D. *
Descri tion of work: .rcs e-6 ~ L" ^j c,
The applicant is: M Owner IS Contractor ? OthEr (Descri6e)
Name T~e-~4kv-->od A/01-11 -s Phone 730 -/avd
PrOpECtY LAST FIRST
Owner Address /-f e4,ma AvE N
57REET ' STE M
City (1 4 icn.4L F-' _ State M/J Zip 551Z'8
Company Phone
Contractor Address License # oov lSi 9 Exp. S~1S
City State Zip
Company Phone
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber %,qL JEY PLuca-t4? inj G Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with al plicable State of Minnesota Statutes and City of
Eagan Ordinances. %
I Signature of Applicant:
oFFIGE U5E ONLY
f~
BUILDING PERMIT TYPE ` - _
? 01 foundation El 06 Duplex ? 11 Apt./Lodging ? 16 Finijn
PI 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. ?17'twim PCToI` '
? 03 5F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~-31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Canst. (Actual) V-0 Basement sq. ft. MWCC System YCS
(Allowable) y-N ' lst F1. sq. ft. City Water `IE S
UBC Occupancy 12-3 m-k 2nd F1. sq. ft. PRV Required
Zoning ~ Sq. Ft. total Booster Pum
# of Stories footprint Sq. ft. Fire Sprinkp
ler
Length 70 • On-site well Census Code JOi
Depth On-site sewage SAC Code ~
APPROVALS ~
i
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing C) Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee vaiusc;on: g I~ 1 c;~J
Surcharge
Plan Review C~aRA&-~ ~ 3~ X zy 20
License
MWCC SAC a
City SAC r p yCI6 =1/'Zoo
Water Meter MT~ x 30 = j Z J~ '
Acct. Deposit "9 = Z2.`
S/W Permit
S/W Surcharge E 222 X ~,q L{ 318
Treatment Pl. (A ppc-x cFLeL-
Road Unit '
Park Ded. X 3~ = 120 ~
Trails Ded.
Copies 1`2 x ~q = ZS
Other -f 2 ~ G c~ ~ ~'y S Z 5
Total:
snc % 10c) )~3
SAC Units ~
1o0n CZRlYtICA'ta mo`
sIGnnA
suRVEviNG
8ERVICE$ INC.
,9„ 'Un« ft" .sw,t C . ~ RE ` QOD
~'0'"r~.': ~e" o'n H O M E S, • I N C.
~
011JN11A6L14NDVT{llT1'I4{[M{NflM SOO(Z,Y'1lE Zf ^~^2
MqwM TwY
N ~
s »J i - - - - - , - - - 1 ~
~
OEM* ~ifi ~~~relT ~"~~"M° ' ~4~~ i~~~~o'~~'
w
~i ~
r >ll}~l;}~ ~f Ora~wsr~e~
~ E2se,~e~~ o
L /O
4P V -w ?
~ ~ J - .._I. ~ ~ ~ , `
• ~ '7 r' • ~
LoT Z
2 ~ a'~-A
q1101 _ x r x4ZbH Sa:~,~~ o o` y
W,~y ~'o•,ca,:~_~C' 4 d,•
S i .~4I . , .
~ ••1 .~~!l7 ~~PX~ . . . ~ IL
N . 5.
Z O MtXq~{o5 'f o
~N..
o~ \ ' o
~ ~ ~aA' ~ ~6 tq~! 1 a
r 'P~"~ ~0 1 a
yo 2 • $ e ~
0A~-
By
BAGA~1 BFTGIRTEERI~iG MP7$1 °~W ~t•'~
-LEQENQ KI''~~y~ •`'A°~a``/ ~
/~'ob- q36. 5
o Denotes iron Monument PROP05ED GAR14GE fLOQR'ELEVATION= _L-_-
~ Denotes Wood Nub Set PROPOSEQ TOP OF BLOCK ELEVATFON=
xq31.6 Denotes Existing Spot Elevation PROP05ED BASEMEN7 FLOOR ELEYATION= ~~8•
(0365) Denotes Proposed Spot Etevation
r-- Denotes Orainage Direction *NOTE: Yerify a11 Bldg. Oimensions and
~ Floor Nelghts with Final House Plans.
-PROPERTY DESCRIPTION-
-SURVEYORS CERTIFICATION-
I hereby certify that this survey, plan or
reporL was prepared by me or under my
l.ot 2. Block 2, HAWTHORNe w00DS direct superviston and that I am a duly
wesr, according to the recorded Registered Land Surveyor under the laws of
plat thereof, pakota County, Minn, the State of Minnesota.
CV : 6/7 i43
oate
Wnyne D. Cordes, Minn. Re9. No. 14675
.,LOT SUR7EY CHECRLI6T FOR RE&IDENTIAL
9UILDINQ PERMIT AP LICAT
m ~ ?ROY£RTY LEGAL: ~
Date of 8urvey.
.
Y~
~ A9CUMENT BTANDARDS
/ 0 0.• Registered Land Surveyor signature and company
~7 0? • Building Permit Applicant
B0~'0 ? • Leqal description
0 R~ ? Address
Gr~? ? • North arrow and bar scale
Q~0 ? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
8~0 0 • Directional drainaqe arrows with slope/gradient
? • Proposed/existing sewer and water services
e ? ? • Street name
9-~ ? 0 • Driveway
ELEVATIONS
Eaistina
? gr~ 0 • Sewer service
0'~-? ? • Lot corners
6~ ? D • Top of curb at the driveway
6~? 0 • Elevations of any existing adjacent homes
Proposed
~ 0 ? • Garage floor
fY'0 0 • First floor
d~ ? ? • Lowest exposed elevation (walkout/window)
0'*~' 0 0 • Property corners
l~ 0 0 • Front and rear of home at the foundation
PONDINO AREAB (if applicable)
0 ~ 0 • Easement line
0 er ? • NWL
? e 11 • HWL
0 0' ? • Pond p designation
? ~ 0 • Emergency Overflow Elevation
DIMENBIONS
do"0 0 • Lot lines •
20~011 • Right-of-way and street width (to back of curb)
Enr- o 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e., all
structures requiring permanent footings)
~0 C] • Show all easements of record and any City utilities within
those easements
0 9~0 • Setbacks of pr sed ructure and setback of adjacent
existing ho
11 d"13 • Retai ements, if any
Reviewed: ~
N me / at
October 1992
, .
' T• ~
' EXTERZOR ENVEIAPE AVERAGE "U"'COMP(7TATION OWNER IR/'e~? TVI~bfJ~ ~D/Yi 2
!2 S • .
SZTE ADDRESS :J6~0 ~ OS~/Y1 /4'-°Y CD 4/ 2. 1
wrrrxnrroR~,~..P.-,.`~-?ooA Yl2°SDATE p -3PHONE 7,1j
Determine working square footaqe of each. ~
. 1. Total exposed wall ar¢a sq. ft. X~~
2. 1bta1 roof/ceiling area . sa. ft. X~OTi(p
A. Total wall window area 3~~0
B. Total door area 7Ce
C. Total sliding glass door area ~
D. Total fireplace wall araa . . . . . . . . . . . . . . . . . . . . . .vZO9- /NSUG.4
E. Total wall framing area (average 108) _ _ . . _ _ . _ 734
F. 1bta1 Rim joist area Zz/~
G: Total Net wall area above floor................. 210s
Total exposed foundation area - Z/b •
H. 2ota1 foundation window area ~
1. Total net foundation area above grade........... I(J
Determine "U" value of each wa'_i segment.
a. 33Co x--o^ _ 3~ = Iz7,68
s.76_ x-.o- . O<, 7 5,1
C. 40 x ..u.. ,E30 = ZO -
a. - X ..U.. _ _ ^ . .
e. 234 X..U... .~I ° 2 3,1
f. 2 Gn x~U° '04 I l7 ,4
g- 2105 X ..u.. ,04 = 89,z
,.u,.
n. x
i~ 2 iD x°U-
3......••-....•••-•••-••••--•-••-...TOtal = 3OZ.7 ~ 35-6,7 0o C-)K
If item N3 is the same as, or lcss than item 41, you ave :net the intent of
SBC 6006(c)2. .
1 . i. l y. . k• Jt~'R r'~i i t
,~7° A . .f . ' ~ ~ ~ { ~ ~~'Y+ ~v ,'b ~ _ . •
~ ! r.`n•lc ~,~'q r~+ n~ s~ ~ " • ~ . ' . ' .
. . . ~ .r r+'s . . .
. . h . . . '
Total exposed roof/ceilinq'area = f j_ Total skylight area
k. 1bta1 roof/ceiling framing area (average 10%)......
' 1. Total net insulated roof/ceili.nq area.:... I 200 "
Determine "U" value fo= each roof/ceilinq segment.
J • 7( "p•
k. I Zv x..u- , 0 3 3, 6 .
1: ~ a~do x^v^ ~ C> Z Z
4 TOtal O K
if total of 99 is the same as, or less than 42, you have met the intent of
SHC 6006(c)1.
Alternate Building Envelope Desiqn
1b utilize the total envelope system method, the values estahlished by,the
sum o£ itesas #3 and fl4 shall not be greater than thesum of items @1 and 62. •
1. + 2. _ 3. + 4.
cr Tv or :r:.AcAr.
t,A.^!-I:CLi;:: IE:t;MtiNFii_ Nn; 761
TJATc.a 05l14/99 '1:I:MEs 000239
T.rl y
Nar3r. r..,RF:x, L. ANnr.::RsoN
3210 9001 4282 Rf?5L"-:P4ARY C 60.00
2155 9001 4282 Ft09E'i';AR'r fl I.'J.`it:l
{
,
Ti~+,.-~:i. Rr~ce:.~ ~F (~it.o.:n$., ~ . 60..~0
!'G:;.Ot1959
t.!;f'it 7:ti: Na:taC.:Y
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3830 PILIOT KN B RDN 55122
651-681-4675 ~4- _ oZ
New Conshucflon ReaulrameMs Remodet/Reoatr Reauhemenfs
D 3 regMered slk surveys showing sq. M. of lot sq. R, of house Y copies ot plan
and g,q rooled areas (20°b maximum bi coveraae albwed) 1 sef of energy cakulaHOns lor heated addlllons
D 4 eoples d plans (show beam i window slxes; poured fnd. design; etc.) t sHe suney for exteria oddXlons a decks
D 1 se1 of energy calculaNons
D 3 coples othee preservaHon plan tl l01 platled afler 7/1/93
DATE: CONSTRUCTION COST: a-~~ oG
DESCRIPTION OF WORK:
STREETADDRESS:
LOT: BLOCK: ~ SUBD./P.I.D.9:
~l2- 337-.6yG3
Name: AJ-E?~5o~ Phone#: 651-688-97KS--
PROPERTY Lan Fir#
OWNER n
Street Address: Ll ~ I~C ~ 5~- ?v~a r. ~ Co "A
Cffy E' State: M.nr Iip: SSfZ3
Company: f.J A Phone
(area code)
CONTRACTOR
Sfreet Address: License # Exp.
City State: Zip:
ARCHITECT/ n
ENGINEER Company: !~J~?d Name:
Telephone orea code ( )
Sfreet Address: Regishotion
City Sfate: Zip:
Sewer 3 water Iicenzed plum6er (reaulred tor new conshucHon onNl:
u enalfy applies when address change and lot chonge is requested once permR b Issued.
1 hereby acknowledge fhaf I have read thls appllcaNon, state thal lhe InformaFbn is correet, and ree to comply wRh all applicabl
~t:ite of MlnnesoM Stafutes and City of Eagan Ordinances.
Signature of Applicant: j:z~ v'Z----4,-) J~A OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10.plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck O 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ~ 19 Lower Level ? 24 Storm Damage
D 05 3-plex ? 10 &plex ? 15 Lodging ? 20 Pool O 25 Miscellaneous
WORK TYPE
31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove O 45 Fire Repair
? 34 Repair O 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code y 3~f'
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units ~
Zoning sq. ft. No. of Bidgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. ,
Park Ded. ;
Trails Ded. ;
Other s
Copies
Total:
SAC Units
°k SAC
CITY USE QNLY
L ~ BL ~ RECEIPT D SO O
SUBD. I"VOUn3 , YW w(SC) RECEIPT DATE: &°75 9 9
1999 PLUM$INfi i'EltMIT (RESIDENTIihL)
crrY oF ee?sAv
S$SO ?ILOT KNOB RD
BAfiAN. MN 55122
(651) 681-4675
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
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas I in outlet * minimum • t 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x $
Minimum fee alterations to existin dwellin ~ 0.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e .50 $ .50
Tota1 $ o . 5l)
Reminder: CaII 681-4675 for inspections of water heaters, water softeners, alterations, etc.
-
i hereby acknowledge fhat I have read this application, state that lhe information is mrrect, and agree to comply with all applipble Ciry of Eagan ordinances.
It is the applinnCS responsibiliry to notify the propedy awrter Nat the City of Eagan assumes no liabiliry tor any damages raused by the Cily duriag its noRnaf
operetional and maintenance activities to the facilities constructed under fhis permit within City propertylright-of-way/easement.
SITE ADDRESS: / a g a ~u se r--- I C~-
OWNERNAME: Co ~P,r S0^
INSTALLER NAME: S J a ~Z. ec TELEPHONE ~`r
STREET ADDRESS: 9 Co U I DIL ~C`" r r°l 7"~ ~ w
CITY: STATE: Zip: S Sc
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suzLoxNG
3830 Pilot Knoh Road Permit Number: 026034
Eagan, Minnesota 55122-1897 Date Issued: 0 7/ 17 / 9 5
(612) 681-4675
SITEADDRESS:P•I•N.: 10-3217e-020-e2 APPLICANT:
LOT: 2 BLOCK: 2
4282 ROSEMARY CT ANDERSON GREG
HAWTHORNE WOODS WEST (612) 337-6493
PERMIT SUBTYPE: TYPE OF WORK:
DECK ALTERATION
INSPECTION D. . D.
FOOTINGS FINAL
F . ~
i
L
. - . . . J
CITY OF, EAGAN PERMIT
3830 rilot Knob Road PERMI7 TYPE: e u rLo z re s
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 0 3 9
(612) 681-4675 Date Issued: m 7/ 17 / 95
SITE ADDRESS:
4282 ROSEMARY CT
LOT: 2 BLQCK: 2
HAWTHORNE W0005 WEST
P.T.N.: 10-32170-020-02
DESCRIPTION:
6yii2dlng`„permit Type DECK
Bui~.d.ing
' kIp~;r,~Type ALTERATION
A 3. _ . . ':~«.y
eg
n
k
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REMARKS:
FEE SUMMARY:
Base Fee $30.69
Swrcharge ~.50
rotai Fee $30.50
CONTRACTOR: OWNER: - npplicant -
ANDERSON GREG
4282 R05EMARY CT
EAGAN MN
(612)337-6493
I ftereby acknt?wliedye thBt I haaeread this appLioaCioff arleE statotbat tfirs
infcarm`atis~n i$ corrsct, and' agraa ta comply wiCh a11~,IaAFkicable 5tate' of Mn.
Statptees and CYty ?f Eagars Drdinanees., °
1A
'f~l..~-~" c
-41PLICAff/PtRIAITEE SIGNATURE ISSUE BY: SIG TURE
' CITY OF EAGAN ~ o S~
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) /1#5 681-4675
New ConsWetion Renuirements RemodeVRecair Repuirements -
? 3 regiatered site surveYg ? 2 copbs of plan t"--
? 2 wpies of plans (indude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (erzterior additiona 8 decks)
? 1 energy calwlations ? t energy celculationa for heated adddions
? 3 copies o} tree proservation plan if lot Dlatted after 7/7/93
required: _ Yes _ No
DATE: -7- 1-2 - 9_S CONSTRUCTION COST: °,3
DESCRIPTION OF WORK:
STREET ADDRESS: ZA 2,22, Q _6 S Qv~.C~- ~-i-
LOT _2, BLOCK Z SUBD./P.I.D. 7~N~[ . ar~
PROPERTY Name: Phone
OWNER U^
Street Address- ~ ~ •
City: ~~r.. State: Zip:
CONTRACTOR Company: Phone
Street Address: License
City: State: Zip-
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address
City: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the info ation is correct and agree to comply with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ~~~EWED
Certificates of Survey Received _ Yes _ No f[ji 12 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY ~ . ,
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
o 02 SF Dwelling o 07 4-plex o 12 Mufti RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
n 05 SF Misc. 0 10 = plex ~ 15 Deck
WORK TYPE
,0-'' 31 New o 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MClWS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~
Depth Footprint sq. ft. SAC Code o~
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Pertnit Fee Valuation: $
Surcharge
Pian Review
License
MCNVS 5AC
Ciry SAC
Water Conn.
Water Meter
Acd. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
5AC Units
T/ICJ41 M;
siG nnA
suRV~YiNa
SERVICIE3 INC.
. ,9„ ~~~ta pog .zW,t E. B ~.E + ooD
~:~e~"`"p)~i.uU-o'n H 0 M E S, • I N C.
N.T. s.
. wAMA ~~sem~urrt~sir~~rtM S0°1Z!q1"EA $2qZ
wo.~ ~wa J 1,.. .
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-LME1dD- %4 A"~ t~ ~~~s~t^
o Denotes Iron Monument pROPOSED GARAGE FL00 ELEVATION= q 3~ S
o Denotes Wood Hub Set PRQPOSED TOP OF BIOCK ELEVATION=
031,6 Denotes Existing Spot Elevation PRDP05ED BASEMEN7 FLOOR ELEVATION= 9 Z~• W~~.
(x93c-S) Denotes Proposed Spot Elevation
r--- Denotes Drainage Oirection *NOTE: Yerify a11 B1dg. Dimensions and
Floor Netghts with final Nouse Plans.
-PROPERTY DESCRIPTION-
• _$V~ R$ CERTIFtCAT10N-
I hereby certify that this survey, plan or
report was prepared by me or under my
Lot 2, elock 2, HAWTHORNE WOODS direct supervlston and that I am a duly
WEST, according to the recorded Registered Land Surveyor under the laws of
plat thereof, Dakota County, Minn. the State of Minnesota.
1.V~•.• ~ --Date: 6" 7`4~
Wayne D. Cordes, Minn. Reg. No. 14675
.LOT., BLOCK2- SLTBD. N~.~,,..^j;~n~•,-~ L~~~~J~
RECEIPT # P?417S7 & DATE `5~~ ~/c'
1994 C1TY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: 7~~~T_ Commercial GPM
L- Residential (boulevards) GPM
Existing residential
Area/address to be irrigated: 41 2 r~ n- w.~~-•, (C t~^.'~
Installer: Owner l~ Plumber ?
Street address: ~
City, state & zip code: F-c~ c-U r. Jin ?v :5L`2I 9 Phone &71 ~
Owner Name: (4r(f
Street address: <
Ciry, state & zip code: Phone S~
Irrigation contractor, if different than installer:
Telephone
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable Ciry of Eagan ordinances.
Signa Title
If construction activity occurs in public easement or City right-of-way, signature of property owner is required.
The properry owner agrees to hold harmless the City of Eagan for any damages caused by the City during its
nortnal operational and maintenance activities to the facilities constructed under this pemut within City
pro rty/righ of way/easement.
y y
ope wner Date
Approved by: Date:
PRV ? Yes R'90~
New service CYYes ? No Meter Size 8c Cost
- - - -
Fees due: 07~ Calculated by:P7.!C--
y 9 5'
c0o'o,,j r717-c e-
/~ly sl3~- .
PROCEDURE FOR IRRIGATION SYSTEMS
1. A site plan must be submitted to the Engineering Department f'or review before installing an inigation
system. A permit to work within City properry/public easemenUright-of-way may be required.
2. Jerry Wobschall, Finance Department, will caiculate permit Fees as follows:
a. Commercial proiect: $ 25.50 irrigadon system permit to cover installation of backflow preventer.
$ 50.50 water permit fee onlv if new service is installed.
$100.00 per tap if installed by City.
b. Residendal proiect: $ 20.50 irrigation system sprinkler pernvt to cover installation of backflow
preventer.
$ 50.50 water permit fee if new service is installed.
$725.00 per connection - WAC.
$348.00 Rer connection - water treatment facility.
c. Existing residence: $ 20.50 irrigation system permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed), however, plan and
application must still be presented for approval.
d. Meter char¢e: If gallons per munute are less than 25, a 1" meter will be required at a cost of
$165.00. IF gallons per minute aze more than 25, a 2" turbo with strainer will be
required at a cost of $775.00. This information is to be supplied by the designer
of the system.
4. No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not reguired, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwazded to Utility Billing Clerk.
5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
bacldlow preventer. The Public Works Department tnay be reached at 681-4300 For water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday tluough Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
r
5 t i s a'~ L aa 3 . S.':'r~+~,. ,.a.M . ta ~ z3 ? .~3.r.:.a~ ~s~ 3s 3' a',~~s~ ,iS~ ~ ~ k~{S~~ . ; ~ y"~
1993 PLUMBING PERMIT (RESIDIIVTIAL)
CITY OF EAGAN
3830 PII.OT HIN0B RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXT[TRES EACH TOT~
I SHOWER 3.00 3 -
3 WATER CLOSET 3.00 ~ -
a BATH TtJB 3,00 6'
3 LAVATORY 3•00 q-
~ KTTCHEN SINK 3•00 3-
~ LAUNDRY TRAY 3.00 ~ -
HOT TUB/SPA 3•00
~ WATER HEATER 3.00 ~ -
t FLOOR DRAIN 3•00
GAS PIPING OUTI.ET • mmimum - 1 3•00
3- ROUGH OPENINGS 1.50 q-gO
WATER SOFTENER 5.00
PRIVATE DISP. • DeiLcry. iic. 15.00
U.G. SPRINKLER • nome una~r comt. 3.00
ALTERATIONS •coccsting 15.00
WATER TURN AROUND 15.00
STATE SURCI-IARGE .50
TOTAL:
C.T
STfEADDRESS: y~~a )QvnAc,f
OWNER NAME: LI.,,.,,, S
INSTALLEI2: T-
ADDRESS:
CTTY: J U~ d a.. STATE: ZIP CODB:
PHONE
SIGNATtJRE OITTEE
,
~
ta=.?i ~ ~ qt ~ - ~a
3A 8~ a a` ~ $~v V ~x ~ shs~ ~ ~r~' ~
:
a h i 9 ek ~ A< Y Y R`4 F3 's~ b9~3 ~ b ~`z dt~Elr
. . t i : G .X FT @ 3.:x L
~.."wi ~~~i... ~~st~~ .bao- H,a-'
ea~.
1993 PLUMBING PIIiMIT (COM114ERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL CONAERCIAI4NDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY $UP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U:v i7.
_ NEW CONSTRUCIION
ADD ON
~ REPAIR
WORK DESCRIPTiON:
CUIVTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCFiARGE $.50 FOR EACH S1,000 OF PERMT!' FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENAIVT NAN'iE: S'I'E. #
OWNER NAME:
W STALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
:
.
s
~ n
, . .
. ,::.:..R .wkYy. • .:~x , X... ml:V..Y.:. W" < ::'s;:.1`::^~s,.2t'.'.¢%n":5~:~'3<.tYEi,:~g.;>x::>:&"e:.¢.:c...>..e>,'dti.sg;9:'o.0. .."^...':i.:~:s`. • cg: yk~s":x:~::,.,r.
fi. t
nc zi.t . j fSSk..pSY c°'s<s~ ¢aAr ze rt ~tEi • < " xz '
MECHANICAL PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. AISO, FOR TOWNHOMES AND
COND03 WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
NEW CONSTRUCTION ` w^
ADD-ON A/C
ADD-ON FURNACE
DATE &q3
FEES
HVAC: 0-100 M BTU $ 24.00
ADDIT'IONAL 50 M BTU 6.00
WAS OUTLETS (MINIMUM 1@$3.00 EACH) q DD
ADD-ON/REMODEL (E7cisTING CoNSTRUCi'ION) $ 15.00
STATE SURCHARGE .50
TOTAL ~9 50
srrE ADDxESS:
OWNER NAME: ~/h~fiUODGC 9= TELEPHONE 79AD'IDDO
INSTALL.ER: GENZ-RYAN PLUMBING & HEATING C0.
ADDRESS: 14745 South Robert Trail
CIT'Y: Ros~ount STATE: M ZIP CODE: 55068
TELEPHONE (612) 423-1144
~
~N~,,~Z~A.(X
ATLJtE OF PERMITTEE
RESIDENTIALBUII.DING
Permit Application
City Of Eagan 2( ) U f p3
3830 Pilot Knob Road, Eagan Mn 55122 TT J-e4
Telephone # 651-675-5675 FAX # 651-675-5674 .
New ConsWction Reauirements Remodelrtteoair ReauiremenGs OfFlce Use Onlv
3 registered site surveys showing sq. R of bt sq. R ot twuse; and all rooted areas 2 copies of plan Cert o( Survey Recd
(20% maximum lotcove2ge allowed) 1 set of Energy Calculations for heated addiUons Tree P2s Plan Recd
2 copies of plan shawing beam & window sizes; poured found design, etc. 1 site survey for additlons & decks Tree Pres Not Reqd .
1 selofEneyyCalculation5 Add'm'on-irMiceteilonsilesepticsysfem _On-siteSepticSystem
3 copies of Tree Preservation Plan if lot platted aker 717193
Rim Joist Deiail Options seledion sheet jbldgs wiN 3 or less unRs
Date ~ / ~ / o ? Construction Cost
SiteAddress 1-160 1.r /e/ UniUSte #
Description of Work 6ay,~Jp Y i(X/b~q&/J
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 , 1 _ 2
Property Owner Telephone # ( )
Contractor
Address 71 -el / 0 td City S/ •
State Zip 5ffV,0?ZP Telephone q(lo~~-j lOS~ ~D17
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted T ~ ~ ~ (~n I~
D L
Licensed Plumber Telephone # (
Mechanical Contractor Telephone # (
Sewer/Water Contractor Telephone # ( Y
I hereby apply far a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 plan in the case of work which requires a review and
approval of plans.
?~Fr' ~t~ ~
Applicant's Printed Name A i ignature
~
OFFICE USE ONLY
Sub Types ^
? 01 Founda6on ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
~Ek 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ' ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex P16g_Y or _ N ? 25 Miscellaneous
Work Types
? 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 Bidg) - Give PCA handout to applicant
Valuation j.' S(2 c7 Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories 8ooster Pump
N6r. 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 (addition) _ Plumbing
FoundaHon HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
Framing _ Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insularion _ Retaining Wall
Approved By Building Inspector
-
Base Fee vA-
Surcharge
~ ~ } S
Plan Review 3~ ~
MC/ES SAC
City SAC
C
Utility Connection Charge ?
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
- e~w~err r~awa~rx~p~C~1 ~'Mfit.o
SIGiMA
suRvEYINa
sEAVicEs INC.
1911 Seneca (toad •5w5c r, . a RE + ooD
MkWWWA a'n H Q M E S, • I N C.
QN.TQs,
OIIAMIAO[AN01RNIri14ifMiMTIM ~OO~Z, f~"~n vZ•'Z
N101,11 iWt.. Y. N
8 r«_Ls~
`ty~~~y~
YKf~ A`:.n0~iiipN T k A~~
~
>W114 4 plai , e ~
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~ ~'f
QIL ~ Y 4 . y,y 1
~ e g !(1 ~ ~'N~ , ~
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~ « ~ ~ , r a.
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.
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~ ^ o ~•~,L I'/
~ »y
D
7""`~"'~. oe'1~ 6000.'C
KAGAN INGiNEX.fiCNfi u);f;:r,
ty , . ~ ~
°Z1
-LE: ~
o Denotes Iron Monument PROPOSED GARAGE FLOOR'ELEVATION=
o Denotes Wood Hub Set PROPOSED 70P OF BLOCK EIEVATION=
xq3i,6 Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEYATION=
txqy-S) Denotes Praposed 5pot Etevatlun
Denotes Drainage Direction *NOTE: Uerify a11 Bldg. Dimensions and
-PROPERTY DE3CRIPTION P)oor Hetghts wlth final House Plans.
-
' -SURVEYQRS CERTIFlCATiON-
I hereby certify that this survey, pian or
report was prepared by me or under my
Lot 2, Block 2, HAWTHORNE WOQDS direct superviston end that I am a duly
WES7, according to the recorded Registered Land Surveyor under the laws of
plat thereof, Dakota County, Minn, the State of Minnesota.
Date: Y7 /4~
Wayne D. Cordes, Minn. Reg. No. 14675
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New ConaW ction Reauirements RemodellReoair Reauirementa
• 3 registered site surveys showirg sq. N. of lot, sq. R. of house; and all roofed areas • 2 copies ot plan
(20°h maximum lol coverage allowed) . 1 sel of Energy Calculatlons for heated addi6ons
• 2 copies of plan showing beam 6 window s¢es; poured found design, elc.) . 1 sile suney for exterior additions & decks
• lseto(EnergyCalcWatians . Indicateifhomeservedbysapticsyslemforadditions
• 3 copies of 7ree Preservation Plan if lot plalled after 711193
• Rim Joist DeWg Optbra selectlon sheet (bldgs with 3 or less unifs)
DATE X- 3-3 VALUATION q3
SITE ADDRESS ~p S~-'ra C MULTI-FAMILY BLDG _Y _N
TYPE OF WORK FIREPLACE(S) _ 0_ 2
APPLICANT 3ELAROOFINC RFmtnnFinar TNr
STREEf ADDRESS 4100EXCEL9IORBLVD. CITY STATE_ZIP
TELEPHONE #(n/a,Pd ?-"(~2 PttV&AMNE # FAX #
PROPERTYOWNER 1061 t-YeArard ~ TELEPHONE# -z-
COMPLETE FOR NNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUL.ES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residentlal Ventilatlon Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor. Phone #
Plumbing system includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00
Watcr Heatcr _ No. of R.I. Batlis
No. of ]3aths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning ree: $70.00
Heat Recovery System
Sewer/Water Conhactor: 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 Or es.
Signature of Appl(cant ~
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 Bldg
? 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 Porch/Addn. (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 Impravement ? 38 Demolish (Interior) ? 44 Siding
? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteratlon ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanicai Permit
License Search
Copies
Other
Total
2007 RESIDENTIAL PLUMBIMG PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please com lete for modifications to existin residential dwellin s.
Date 0 3/ 1 31 0 7
Site Street Address 4285 Rosemary Court Unit #
(a - CrSE'1
Property Owner Rich Hage Telephone #((161)
Contractor Genz-Ryan Plumbing R Heating Telephone #(952 ~ 767-1000
Address ZZ00 W. Hwy 13 City Bumsville StateMN ZiP 55337
The Applicant is: _ Owner & Occupant x Licensed Plumbing Contractor
Septic 5ystem _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main levei lower level. This fee inciudes
installation of a water softener and/or water heater at the same time. !I you are
Installing Qnty a water SoR'ener ancilor wafer heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
insfalling.
_Septic System Abandonment
Water Turnaround (add $136.00 if a 5!8" meter is required)
Other:
56'ater SoY:arer X Wa.ar Heater S.CD
_ new X replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 15.50
I hereby apply for a Residential Piumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that 1
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
~~'GOhaniG Doelti~ C4~
Applica 's Printed Name Applic Ps Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4282 Rosemary Ct
Lot: 2 Block: 2 Addition: Hawthorne Woods West
PID:10- 32170 - 020 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365 -1340
e - Water Heater
New
Water Heater
Kris Oien
3670 Dodd Rd
Eagan, mn 55123
Manufacturer
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
PERMIT
City of Eaan
- Applicant -
Serial Number Remote Number
$50.50
Owner:
Thomas J Herbrand
4282 Rosemary Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4087
$0.50 9001.2195
Plumbing
EA091773
10/26/2009
ePermit
Line Size
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178499
Date Issued:08/22/2022
Permit Category:ePermit
Site Address: 4282 Rosemary Ct
Lot:2 Block: 2 Addition: Hawthorne Woods West
PID:10-32170-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Thomas J & Kathleen Herbrand
4282 Rosemary Ct
Saint Paul MN 55123--304
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature