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4285 Rosemary Ct . , INSPECTION RECORD Y CITY OF EAGAN PERMIT TYPE: ' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: APPLICANT: y f j PERMIT$UBTYPE: J-1FPE OF WORK: , INSPECTION . ~ td I`l t Iil14 i F•: 4' M t1 c L J Permit No. Permft Holder Date Telephone li SNV PLUMBING f~ 9 - HVAC E L E C T l~a ~ 9 O J ~ ELECTRIC 1; Inspectlon Date Inap. Commente Footings I O Foundation Z 1 ~ Framing Roofing Rough Plbg. q cJ G / Rough Htg. 1 / .S Isul. - r-~ Fireplace 7 Z 2 ' Z - % -1 -P cfi•.~.e~f" Final Htg. T-W Orsat Test /l Final Pfbg. Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bidg. Final 3 2 Deck Ftg. DeCk Final Well Pr. Disp. _ Wertcficate of ccculpanc~ Witi) o f ~agan zoartmext ef This Certtficale issued pursuant to the riequiremeats of the Uniform Building Code certifying that a1 the time of issuance thrs structure was in compliaRCe with the various ordinances of the City regulating building construction or use. For the followrng: Use Classificatioe: GR iM BWg. Pertnit No. 2245l Occupaocy 7ype R-1 /M I Zoning Distria R I Type Const. VN OwoerofeuildiogEREIBelm FMIES 1TY: Admess1129 fM) AVlR N' nl1KWE swWing Aae+eu 4285 ROSEMARY CnlKf Lowiry T.2. Rj. HALTIlCBNE 5nMS WLST , 9uildi* p(fi POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 1' 3830 Pilot Knob Road Permit Number: 0.' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 L a SITE ADDRESS: APPLICANT: 1 ti I t., . t,11,FMARY i 1 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • F~fMAt7k.:= 1.' of i ! { miI I111.4, rairt (!;`t i ONrkA( 110; j 111Ic FUTIIttF Pnitf.N 11 ar 70" nrAMF'rFk Ari l;) I ~ Pe?mit No. Permit Halder Dats Telephone # ELECTRIC PLUMBING HVAC Inspscdon Date Insp. Commente FOOTiNGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG 5 DECK FINnt_ '1/2q i ~ , I Address 4285 RosaMAxY rouxr Zip 5512 3 , L.ot ' 2 Blk i Sub HMnoxrE woons wESr THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: a? ~QS c~ Yes No Inspector. Final gtade (6" from siding) r/ Permanent steps (gazage) L/ Permanent steps (main entry) Permanent driveway Permanent gas ~ Sod/Seeded grass ~ TraiUcurb damage ~ Porch Basement finish Deck Please verify witM the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to the outside lawn faucet before freeze potential ezists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - Ciry Copy Yellow • Resident Copy Pink - Contraaor Copy ~M 9~71~2 7 ,6l g Request pate Fire No. Fough-in Inspection J NOTICE: Vou Must Ca0 Eledrical Inspector ~ Requi,eG? If A Rough-In Inspeclion / ~ ~ ~L~~es ? No Is Required. 1 4 licensed coniractor ? owner hereby request inspection of above electrical work at: Joh Address (SVeei, Box or RoNe Ciry~ Section No. Township Name or No. Range . Coun - 7 G-~ Occupa PRINT) Phone No. PowBr u lier Address ~ L Elecirical qeptractor (Company Nam ) ~ Contractor icense No. . C Mailing Adtlress ( ntrador or Qwner Making Installation) Authorized ' naWre (COntractorlOwn r Making Install ion) Phone Number MINNESOTA STATE BOARD OF ELECT(iICRY THIS INSPECTION FEal/E5T WILL NOT Griggs-Mbwey 61Ug. - Room 5473 BE ACCEPTED BY THE STATE BOAflD 1821 Universlty Ave., St Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS Phona (612) 662-0800 ENCLOSEI). REQUEST FOR ELECTRICAL INSPECTION ea-oaom-oa / See inslmdions lor completing this brm on back of yellow copy. M 714?_~ ~ "X" Below Wark Covered by This Request e Add Rep. TypeolBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating ApL Building Dryer Load Management Comm./Industrial Furnace other (Speciry) Farm Air Conditioner Olher (specity) Conimqor's Pemarks: Compute Inspection Fee Below: # Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps ~ Transformers Above 200 _ Amps Above 100 _ Amps Signs lnspectorg use only: TOTAQL S O Irrigation Booms ~ Special Inspection Alarm/Communication THIS INSTALLATIO o pJ Y CONNECTED IF NOT Other Fee COMPLETED WIT 8 BER M I, the Electrical Inspector, hereby Rouqn-in ? oate certifythattheaboveinspectionhas F;,,ai ( oete been made. -r/ OFFICE USE ONLY ? Thia requast void 18 months irom 6D. 60 2007 RESIDENTIAL PLUMBING PeRnniT aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside plumbin on the same a lication: separate a lications and ermits are required. Date I / 'I ! O-1 Site Street Address o Unit # Property Owner ~ Telephone # ( ) ContractorU Telephone# (qS)) 93+11toa Address laa,ln`I Z.Lo,. e City SWte'`nj,,,- Zip<51,19_ The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor Septic System _ 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 level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onlv a water softener and/or water heater, do not complete this section; move to the n xt section and place a che kmark next to the appliance(s) you are installing. 5~i.. MaS~e.~ 4Rcujl."Iw51 &Ne 6-1 ne'N+. C014 _SepticSystemAbandonmentd We lDc t' XIvfz.S _ Water Turnaround (add $136.00 if a 5!8" meter is required) Other: iNater Suftener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Totai. I hereby apply for a Residential Plumbing 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 I unde,,[[..55 ~~an~h only an application for a permit, work is not to start without a permit and work will be in accordance with El~q~ad,~o~ a plan is required to be reviewed and approved. ~ U ~IJ l l ~V U,~\ JUL 1 1 2007 ApplicanYs Printed Name Applicant's S gnature RESIDENTIAL BUILDING PERMIT APPLICATION cirr oF EAcwu 3830 PILOT KNOB RD, EAGAN MN 55122 851-681•4675 New Constructbn Heaulremente BemodeVHeoah HeaulremeMs • 3 registered stte surveys shaxing sq. iL of bt, sq. ft, of twuse; and all roofed ereas • 2 copies of Dlan (20% marMUm lot coverege allowed) • 1 set of Energy Cakuletbns kr heated atldflbna • 2 copies ot plan showing beam & window sizas; poureG lound design, etc.) • 1 sNa wrvey for exterbr atldmons 8 tlecks • 1 set of Energy Cakulatlons • Indicate N hame served by septic system for addttions • 3 copies W Tree Preservation Plan d bt platted afler 1/1/93 • qim Jolst Detail Options selectlon sheet (Dltlgs wBh 3 or less unfts) DATE l(D'A '02' VALUATION 't 9iI M•~ SITE ADDRESS Z MULTI-FAMILY BLDG Y _ N ~ TYPE OF WORK e- - Il FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 4 L..c - STREET ADDR~ESS ~7` . r_p~.P~ „ S CIiYXC[rt STATE ~ ZIP ~ TELEPHONE #~'sO7o?-fv&"9 CELL PHONE # FAX 4&.5l) 00C ~ PROPERTYOWNER fC~ ~Yrwr ,B?~14 l----° TELEPHONE t COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 MI1ViVFSOTA RULFS 7672 (J submission type) • Residential Ventilation Category 'I Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submktad Plumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths ~ n No. of Baths i' - I Mechanlcal Conhactor: Phone #I ) Mechanical system includes: Air Condiaoning Fee: $70.00 Heat Recovery System j. 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 Ordinances.l ~ SignatureofApplicant r...Y.~._~.. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY I , ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4sea.) ? 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 04plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement •Demolklon (Entire Bidg only) - Give PCA handout to applican! Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundalion 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 ------------___M_ W Base Fee Suroharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . • RESIDENTIAL -,5 DC)C) ~O BUILDING PERMIT APPLICATION CITY OF EAGAN f4q 3830 PILOT KNOB RD, EAGAN MN 55122 857-881-4675 New Conatructlon Beaulrementa HemotlaVNeoefr Heuuiremente • 3 regislered stte surveys swwing sq. tt. of lol, sq. M. ot house; and II rooted areas • 2 copies W plen (20%maximumbtcoveragealbwed) • lsetofEnergyCalculatbnslorneatedaddAbns . 2 copies ol plan towing beam 8 window sizes; poured buM design, etc.) • 1 sde survay 1or extertor addXbns & decks • 1 set of Energy Cakulenons • Indiqte H tame served by saptic system lar addAions • 3 coptes o1 Tree PresarvaNOn Plan li bt plalled atter 711r43 • Rim Joist Detall Optbns selection sheat (bWgs witli 3 or less unils) DATE W'c)-4' DZ- VALUATION -S~IpTE~~ ~ADp` SS IwSQv"hY c.~ C,~ MULTI-FAMILY BLDG~.Y _ N NPE OF'WORK ~P bor FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~7-0-0- /STREETADDRESS l-2-L47 CIiY urnS , U STAiW&ZIP `S.` 34Z:> TELEPHONE #X7-(o9S~ CELL PHONE # FAX R08-~$f~~o PROPERTYOWNER TELEPHONE~(~S~/~~ COMPLETE THIS SECTION FOR NNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINA'ESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submiesion type) • Rasidential VenUlation Catagory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Su6mitted Plumbing Contractor. Phone # Plumbing system includes: _ Water Softener Iawn Spruikler Fee: $90.00 _ Water Heater ~ No. of R.I. Baths No. of Baths Mechanlcal Contractor. Ph n# Mechanical system includes: _ Air Conditioning '!l COr 2 l TrEee:' $70.00 ~ Heat Recovery System Sewer/Wafer Conkactor: Phohe=rit i I hereby acknowledge that I have read this applicatlon, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Ci1y of Eagan [O~rdinances. '.I Signature of Appitcant ---------------°°-°----------°°-°-----°._._................._..r.Y..-r.._.__ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ~ ? 01 Foundation O 07 DSplex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ak - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. AR - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Muki ? 05 03-ptex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New Ci 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolltion (EMire Bldg Only) - Give PCA harniout to applicaM Valuatfon Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.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 _ F'veplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLozHG 3830 Pilot Knob Road Permit Number: 0 2 2 4 5 s Eagan, Minnesota 55123 Date Issued: 11 / 17 / 9 3 (612) 681-4675 SITE ADDRESS: Lo T: z B L 0 C K: 1 APPLICANT: 4285 R05EMARY CT BRENTWOOD HOME3 HAWTHORNE WOODS WEST (612) 730-1000 PERMI p SUBTYPE: TYPE OF WORK: NEw INSPECTION . „ FOOTINGS FOUNDATION FRAMING RpOFING INSULATION FIREPLACE ROUGW IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: PRV S& W PLBR - F- ~ L ~ ~ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G - Eagan, Minnesota 55123 PermitNumber: 022453 (612) 681-4675 Date Issued: i l(17 / 9 3 SITE ADDRESS: 4285 ROSEMARY CT LOT: 2 BLOCK: 1 ~ud1\~ t P.I.N.: 10-32170-020-01 HAWTHORNE WOODS WES7 DESCRIPTION: Buildin`g,, Permit Type SF DWG puilding 'W,u~rk Type NEW ; UBC Occupanc~-\' R-3 M-1 Construction TyPe V-N Zoning R-1 ~ Building Length < 68 ~ Building Width 1 44 \ i , j cc~ l- REMARKS: PRV 5 & W PLBR - FEE SUMMARY: VALUATION $205,000 Base Fee $1,007.00 MISCELLANEOUS $1t744.50 Plan Review $654.55 Total Fee $4,258.55 Surcharge $102.50 SAC $750.00 SAC % 100 5AC Units 1 Subtotal $2,514.05 CONTRACTOR: - Applicant - ST. LIC. OWNER: BRENTWOOD HOMES 17301000 0001519 BRENTWOOD HOMES 1322 HELMO HVE N 1322 HELMO AVE N OAKDALE MN 55128 OAKDALE MN 55128 (612) 730-1000 (612)730-1000 Z hereby acknowledge that I have read this application and state that the informaCion is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ~ //4j PLICANT/PERMITEE SIGNATURE ISSUED ~ G ATURE REACTIVATE _ y~,~~ CITY OF EAGAN PtRMIT 1993 BUILDING PERMIT APPLICATION ~ 0' 2 7 1Z193 681-4675 SINGLE A MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 6 structural plans, I 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 thange i.s requested once permit is issued. Date --2 ~ / 93 Valuation of work 51te Address: 1fZ~~ A~GZ~'fK%~ 7- tiREET fU17E ~ Tenant Name: (commercial only) ~r~l7~G ~/~dOS IAT ~ BIACK P.I.D. N ' Descri tion of work: ~'i?174~5 14AIlL ? 7he applicant is: Owner ontractor O Other (Deccrfbe). Name lT I,, 1 cUi7 Phone "730/OVC7 Property LA51 FIRST Owner Address ~~2Z AnG~~G SiREFT fTE 0 State z;p City Company Phone License MeaJ1519 Exp. Contractor Address ~ Lity State ZiP Company Phone Architect/ Engineer Name Registration i 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 read this application and state that the information is correct and agree to comply with all applAt-able S.tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican • ~ OFFICE USE ONLY . . BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex 0 11 Apt./Lodging t3 16'Basement Flnish 0 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. O U Swim Pool ~ O 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory O 18 Comm./Ind. ? 04 SF Porch 13 09 12-Plex ? 14 Fireplace ? 19 Coiom./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facil9ty ? 21 Miscellaneous WORK TYPE BC 31 New ? 33 Alterations 0 35 Tenant Finish 0 37 Demolish O 32 Addition O 34 Repair ?.36 Move GENERAL INFORMATION Const. (Actual) V-1J Basement sq. ft. MWCC System yE3 SAllowable) V.N lst Fl. sq. ft. City Water yg*'Z UBC ccupancy ~3..M.-.i 2nd F1. sq. ft. PRV Required xaS Ioning R-I Sq. Ft. total Booster Pump 1" of Stories Footprint Sq. ft. Fire Sprlnkler length 4 S,r On-site well Census Code )01 Depth yN On-site sewage SAC Code ~ i APPROVALS 7. Planning Building Assessments Fngineering Variance REQUIRED INSPECTIONS ' 0 Site ? Footing ? framing O Insulation ? Wallboard ? Final ? Draintile O fireplace Permit Fee v.a.cid,: S ~~FOe) c) Surcharge 2ND ~tPoF^~, CzAn.a6E: 32~ 22=`lDy Plan Review License ~ yc !2= (zy) zf k5g= 16Z4 go 16= l0,88a 2'7 "~9 = C3s?) cWty sac SAC Water Conn. 9k lj : °I°f Water Meter Z( x Zo = 4?.e7 9 X&/2 ; g`I Acct. Deposit '7 x.7 ^ yq 7xioy - S/W Permi t 2- S/W Surcharge 36X Zc6 =]'pp43 ax r9 = 3e Treatment Pl. = ~ u Road Un i t X Z. _ 35 1 2_1 12- ~ Park Ded. SX7,~j~ p IyZLt Coails Ded. I 6~~ ~ 2~ ZZS x~~, Other Tot al : I s? Ft-ort,' ~~0189 G snc x oo ~v,T_,i,~ ~viiGl1 SAC units I ~°xrO~°~ I-7r5 x 5y~ ~I ' lQOtS CSRlIF%Ult lORa SIGMA SURVEYING i ll SERVICES INC. B l Senec3 Rnad. •Sk;}e E. V9'i RE { OOD v:: ce+z ~i o'n H O M E S, • I N C. •S~by., oNAMAatuw ,aJrtAsCrtrnMrI \ w y'2-~S (~OSewl2ry s M "oww rHUa ; Q Ea'`Ja'° f L Q t_ Q q3H,38 ~ JL..-L-- 43&3 s.c. , ~ ~ f un~e a nir w wiorN w/u~: or-cAwnc ti ' 'y e(1 waur~aANO~e.awi4owTLu#s?M v~ rr u'wwTM ~4o Aon.awMa ~ ae 3 wiw~su ,~~showNenrMt~r.µa~` '0 9e ~ `o,. ~ / ~Te Hu ~ " 2q ,40b ~/'q ~6 \ ~Waie~ 8~ q3Y•ev c.~ , V \ / fc43L.1 ~ \ • ks ~ ~ ~ !.cp ~G.z ; " a v3so ` x927. 35.e : o 'o ASi,y f e Cfe~o~ {/o / N~ `f 0:5~~~5- vo- HousE \ . I ~ S~a3 o s •o..= ~araye-?Q` '/35.t'i ~ t 1.~; ~ `'a - ao s `.P// `r / •~i 1VN E; •T / ~ `Ap •8_9 i~0 ' ~Il ~ ~ T L x 'y O (Vacah~~ s~. N~~ yZY r x~s.s %A6 ~ ~ VED o c~ EAGAN EN INEERING DEPT. C-a6" ' I " ~ 30' -LE_G= ( gd Denotes Iron Monument fv~nd PROPOSED GARAGE FLOOR ELEVATION= ~3a,Z o Denotes Wood Hub Set PROPOSED TOP OF BLOCK ELEVATION= 9 38,S R935.8 Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= . R 30•S W~6 (0382) Denotes Proposed Spot Elevation Denotes Drainage Direction *NOTE: Verify all Bldg. Dimensions and i Floor Heights with Final House Plans. -PROPERTY DESCRIPTION- -SURVEYORS CERTIFICATION- I hereby certify that this survey, plan or report was prepared by me or under my Lot 2, 61ock 1, HAWTHORNE WOODS direct supervision and that I am a duly WEST, according to the reeordeitnr;,,,,, Registered Land Surveyor under the laws of plat thereof, Dakota Coun:ty;' ~the State of Minnesota. Minnesota. '~f~ 1 ' : . •1 ~ ~ ~ate: /Z(l~'t3 Wayne D. Corsdes, Minn. Reg. No. 14675 LOT BIIRVEY CBECKI+ZST FOR RESIDENTIAL ~ SIIILDIN PERMIT APPLI TIO m ~ PROPERTY LE6AL: a u+ Date of 8urvey: ~ DOCUMENT BTANDARDB 0 : Registered Land Surveyor signature and company 0 Building Permit Applicant V ? • Legal description ? • Address ? • North arrow and bar scale 0--'0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) G."?? • Directional drainage arrows with slope/qradient 0' ? 0 • Proposed/existing sewer and water services 0' ? 0 • Street name 8'~0 0 • Driveway ELEVATIONS Existinc 0 ,0' ? • Sewer service 8'~0 0 • Lot corners 0~'? 0 • Top of curb at the driveway 0-~0 ? • Elevations of any existing adjacent homes Pronosed 0'~ ? ? • Garage floor r 0 ? • First floor 0~ 0 ? • Lowest exposed elevation (walkout/window) r 0 ? • Property corners 9~'0 0 • Front and rear of home at the foundation ??ONDiNG AREAS (if applicable) 0~ ? 0 • Easement line 0r? ? • NWL 0 ? • xwL 61 ? 0 • Pond # designation (Y ? ? • Emergency Overflow Elevation DIMENSIONB ? : Lot lines D D Right-of-way and street width (to back of curb) ~ 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) • Show all easements of record and any City utilities within ~ those easements P( • Setbacks of d st ture and setback of adjacent existing ho s 0 0 • Retainin ir nts, if any Reviewed• ~ N e / ate October 1992 , ~ - . ' EXTERIOR ENVELOPE AVERAGE "U"'COMPUTATION owrrex ~K0NT[<l00r ~Ao r-A C; h • sxxE aDDPXss CONTRACTOR C'J~I-J~I~-IDOID h0MLuiDATE jO-Z - PHOME 7-50- I0C)a Determine working square footage of each. • l. Total exposed wall arQa ?(o sq_ ft_ X- f - 3(, 2. Total roof/ceiling area sa_ ft_ X~Uz,( - 50,/v A. Total wall wi.ndow area.......................... S. Total door area................................. C. Total sliding glass door area :53,5_71 D. Total fireplace wall area ~ E. Total wall framing area (average lOS).......... . = ;21,2 ~j F_ 1bta1 Rim joist area............................ ~,F. G: Total Net wall area above floor----------------- -Z~ Q"-7, Total exposed foundation area - [ol'. H- 2ota1 foundation window area I. Total net foundation area above grade........... IQ 7,, Detezmine "D" value of each wali segment. a. -3a, !3 X 1-Ul. ,51 _ / ;5~1 , b. x..U„ c. X ,.U.. . -,~l't~ _ ( So ?S- - d. X l.u.. e. 23 X .,U., ;5,F.7F f•_ ~75~. x ^u° .OS/ _ /lt2-y2 s- 29o9,1zx ••o° ,o41 h. x „U„ i. ~0?J X „U„ •/3 = 3................................... TOtal _ Lf3, 77 If item N3 is the same as, or less than item ql, you have :net the intent of SBC 6006(02. ~ ~ t fj . _ t ' _ • ~t f...y 7 , , ' . x Y i . . ~ :s,.>,srF.. . . . 44. ~ ~ . . . . . ' . Total exposed roof/ceili.nq area !i7 . j. Total skylight area.....--•-.•--•--.......-•---..... ' k. lbtal roof/ceiling framing area (averaqe 10%) /cj 2,7 0 ' l. Total net insulated roof/ceilinq area . 17 t,[, 3O Determine "U" value for each roof/ceiling segment. ~~L~ . X ..U. 7- k_ 70 X^o- 30 ,c -v- 4 2bta1 If total of 94 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. Alternate Huilding Envelope Design To utilize the total envelope system method, the values established by.the sum of items #3 and 04 shall not be greater than the'sum of items 41 and #2_ 1- 3~ + z_ s_ ;3 V3. 77 + a. y~. `d6 = ~j~~. 23 . -fi PERMIT ' CIfiY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 4 0 2 (612) 681-4675 Date Issued: 04/29/9 6 SITE ADDRESS: • 4285 ROSEMARY CT LOT: - 2 BLOCK: 1 HAWTHORNE WOODS *Wgf P.I.N.: 10-32170-020-01 DESCRIPI'ION: ; (FUTURE PORCH) uikding~Permit Type DECK ;;puil~lingW`crx~k Type NEW ~r CenSUS Code 434 ALT. RESIDENTIAL ~ 6v. Cw, h . , ,P- si i a REMARKS: 12 X 15 DECK FOOTINGS ARE SIZED (BY CONTRACTOR) FOR FUTURE PORCH (3 AT 20" DIAMETER BELLS) FEE SUMMARY: Base Fee $45.00 Surcherge $.50 Total Fee $45.50 CONTRACTOR: - Applicant - ST. LIC.OWNER: AFFOROABLE BLDRS 14520662 0005424 AMIN ARVIN 3607 SUNWOOD TR 4285 ROSEMARY C7 EA6AN MN 55123 EAGAN MN 55122 (612) 452-0662 (612)405-0881 I hereby acknow],edge that I haue read this applicstion and state that the information is c'orreot and agree to comply with all applicable State ofi Mn. ~ Statutes and City of Eagan Ordinances. - i;A~4". Lp - APPLICANT/ E ITEE SIGNATUR ISSII D1rl : S GtrJA4TU El- 1440 CITY OF EAGAN SO 3830 PILOT KNOB RD - 55122 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) Lo m 681-4675 New ConsWdion Reauirements RemodeVReoafr Reauirements ? 3 regisMred sRe aurveys ? 2 eopies o( plen ? 2 coples of plana (inGude beam & wlndow aizes; poured tnd. design; etc.) ? 2 site surveys (exterior addkions & decks) ? 1 energy calculatione ? 1 energy calculations tor heated additions ? 3 copbs af tree preeervatlon plan M lot plaqed afler 7!1l93 required: _ Yes _ No DATE: CONSTRUCTION COST: 3 DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK SUBD./P.I.D. AdlePA ~af n o0m~,V PROPERTY Name: aA-4'-L4,- (LVn -Phone OWNER p MOT Street Address l~t:2~J^-~ ~ - City: ~1 State: '/A) z~~~5~`2 Z CONTRACTOR Company: Street Address: 3G 0~ ~r~,u License S72 G~ Ciry: State: All Zip: SSl ~ ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address* Cfty. State: Zip: Sewer & water licensed plumber: ~ Penalry appiies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applipble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECiFIId EDD ~ Certificates of Survey Received _ Yes No APR 29 199~ ' Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY ~ ,X~., • ur BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dweliing ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 = plex C-fif~15 Deck WORK TYPE NoTt : I Z x 15 Dtcc ~'rgs A~t A!~--31 New o 33 Alterations o 36 Move sb `~Y 0 ? 32 Addition o 34 Repair ? 37 Demolition `e~Nat PoacH. ~3C? 2o ~~066~ GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/W5 5ystem (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinkiered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 5!1y Depth Footprint sq. ft. SAC Code ar Census Bldg i Census Unit ° APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Road Unft Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units sre vswessevsas avw• . SIGMA SURVEYINC3 r ' 3ERVICE3 INC. 19'il SehecaRoad•S..t}e E• ~RUE oOD P~:MS~s~"`i °~z- on H O M E S, • I N C. Se?1b ° SH" wp T~sho uriurr 9AsIwKNrs AMt " S {kp~e.wlar.~ Cour~ . MN ° 6"s 93N.34 --~--'J L-~-- 4353 / t.c. ~ $[wa a r[[r '~Se.qr i10,Aro iyWrHINO.ura.nL07sUM or ! H[nt ,k J+ wo~ ~aM ~ w r~[r w wwrw ANe Ao.qrwIwa t~uc ~.J~ Lw[s.&S sHOWrowthvLAr. 'o ye `a~~/ 0~6 .`pp,o S T_ oa "6 N A ~ 436.7.l. \ Wa~er 8 9 Y.84 0 26~ .40Q ~ ~rv. ~x.i (T' ~ 9 ~!e. '~,n\ Te/ s i~'e r \ 435.07 3_% ~ x927.$ 429,4 ' ? toJ ` ss.e . ~ o 'O ~0..-g Y I ~ ~ 5 ? r ~tt p ~ ~ _ 6araye ~ 915A 1 \ o _ IH ~~~P e 9 ~%p ~R30 TX ' /5~~ . \ 4pR. ~ 9P .01 0 ' ;1? a- ~ (vacah~~ * ~0 L,gZG.o o S W z . fBy 1 Da EAGAN EN INEE ING DEPT. C-a~~" ' I -LEGEND- F~..V. RE~,;:1 i~:~:i~! q 38, z I 96 Denotes Iron Monument Fa~-d PROPOSED 6ARAGE FLOOR ELEVATION= o Denotes Wood Nub Set PROPOSED TOP OF BLOCK ELEVATION= 9 38,5. xqas.s Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= . 9 30,S~ WI, (0361) Denotes ProPosed SPot Elevation Denotes Drainage Direction *NOTE: Verify all Bldg. Dimensions and - Floor Heights with Final House Plans. -PROPERTY DESCRIPTION- -SURVEYORS CERTIFICATION- I hereby certify that this survey, plan or report was prepared by me or under my _ Lot 2, Block 1, HAWTHORNE WOODS direct supervision and that I am a duly WEST, according to the recorded:-, Registered Land Surveyor under the laws of plat thereof, Dakota County; the State of Minnesota. Minnesota. ~ Date: /Zf~`l3 Wayne D. Cordes, Minn. Reg. No. 14675 %BXCikYFk,~k~:~Y,(1$~)K~e:~.'?$:~Wm7f;Y,CmX:"<m>kY<X~gtk,`~'(>Y.K{'M~;C1Y'M>Y. _r,ITY (3F F'FlG;Ai. CA3H:f.E.f : J^a 1"f_F;MINAI_ N0: Cli'i' DA'iE; 020k3/00 7ZML: ic :44c i.l IDa NAiqEa f9_.EF:KENPOL NUII_UEfiS SP!C. 300 9001 4285 I;O;FMC-.RV C i'23o25 3422 7001 4285 F;(]SEMt1RY C 05.11 r:L'SS 9001 085 f3.`i Iti0!:E:MARY C f:,. 50 r T'ot.al ,h'.erei.pt, Flmoun+,e 374.8E, CF1.23t,68 LISf:R SD: .71N , 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirr oF eacaiu 3830 PILOT KNOB RD - 55122 Ol ~ l`t f~ 851-881-4875 lg-vU New Cwnhuctlon Reauiremenh RemodellReoalr ReaWre menh > 3 reoafered iHe wneys ftwwiny aq. N. of lot, iq. R. OI h0uE9 2 Cap166 01 pIGn md ga rootetl qreaE (2D'16 mazlmum bt covemae albweAf i i61 oi energy odaAallons for A6Ct6tl GtldlHOnf > 2 copba ot plana (show beam & window slzes; poured Ind. desiqn: etc.) 1 tlfe wrvey ta exleAOr oddi8ana A tlacka > 1 wt a en.ryy cacuwna,s Y 3 copfes d trae prefervalbn plan fl lol plaftd aHer 7/11/93 ) J DATE: _c~ I.~i -0 O CONSTRUCTION COST: Y 3 7~~o, a n DESCRIPTION OF WORK: S-0- L4 -Q srnEEr,4nDttEss: ~ 05 m c.c LOT: BLOCK: ~ SUBD./P.I.D. Y~t~. I,JTY `G' Y YL~, W lSU (~U \ 1~.l~CA~ Name: htk`r'ip 12.,'aAlU tPhone~: pRQpERjy lCat Firsf OWNER Sheet Address: Jr Y~0 SP l4ta T car A,~.f srata: nP: ~SlZ 3 60_ 685 -53 . Company: /'C) r't&&Z S Phone i: lo/Z~ do~ S (area code) cormiacroR Sheet Adctress: `tD ( EaA' 777~ ST ucense: 6OL'L22Exa. cnr (~Dntti, r~ yiD.-.r stcre: ziP: 5 S~2 0 ARCHITECT/ J r ENGINEER Company: I`4 a Name: Telephone Y: ( ) Sfreet Address: ReglslraHon N: CNy Stafe: Lp: Sewedwater IiCensed plumber (N installirw sewer/waterl: Phona I 1 here6y acknowledqe 1ha1 I have read ihic applkaHon, atafe that ihe Infortnafion . and ogree b comply wHh a6 aPP6caWe Stote of A11lnnesotu Stahites and Cily of Eaqcn Ordinances. ~ Siynalure of Applicanh ~ OFFICE USE ONLY Certiflcates of Survey Received _ Yes _ No ' FEB 1 5!' Tree Preservation Plan Received _ Yes _ No _ Not Required ~ Z,1 i tK OFFICE USE ONLY . , . BUILDING PERMIT SUBTYPES O 01 FoundaUon ? 07 05-plex 0 13 76-plex O 21 Porch (3-sea.) ? 37 Ext Alt - MuMi 0 02 SF Dwelling ? 08 O6-plex 0 17 Garege ~ 22 Porch/Addn. (4sea.) O 33 Ext. Ait - SF ? 03 07 of _ plex O 09 07-piex X 18 Deck ? 23 Porch (screened) ? 36 MuRi 13 04 02-plex ? 10 OB-plex O 19 Lower Level O 24 Storm Damage O 05 03-plex O 11 10-plex aibe Yor_N ? 25 Miscellaneous O OB 04-piex ? 72 12-plex O 20 Pool O 30 Accessory Bid9• WORK TYPE O 31 New O 36 Move Bldg. 0 43 Reroof 0 32 Addition O 37 Demolish (Bldg)' ? 44 Siding 33 Alteration 0 38 Demolish (Interior) O 45 Fire Repair ? 34 Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code ~L # of Stories s4• ft• No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) ~ Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy ~2 sq. ft. ~ City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS O Stucco/Stone APPROVALS Planning Building 7-LI-W Engineering Variance Permit Fee a~- 3. a-15 Valuation: Surcharge [o SU Plan Review 9~1 S. ! f y0 Ucense MC/ES SAC ~UYZ L ~f ~ l~~~ l r!~ J ciri sAC Water Conn. Water Meter ~ Acct. Deposit S/W Permit / S/W Surcharge ~ Treatment PI. Park Ded. ' Traifs Ded. Other Copies Total: SAC Units % SAC Cst!%!%Cilt fAt: SIGMA suRVev~NC~ 3ERVICE3 INC. ,q„ ~,a~. ~.Sw,~~ E. B RE O~D , a~w~,:: ce+~"z~1M0`~isz- o'n H 0 M E S, • I N C. Se-y.by„ oeAwAoI ANe u,iJr uSw[wrt ANa A,pSeY'Iaty M snown r~us+ , ~p~~ v nwe ~ n[t w wiorw UMLns orNt~ w ~ ~4~ 're~ w0uA 90.4 ro wuio LOr lui t Ar cr w raVh xu~ ro n wa ~einaccT L wcs,Ass~ornawrHtnAr. - ~ ~r 3 ^ \ `fNc,, 6 5 -,t~b / ? \ Wattr 9 Y•~ ~.p P ,q ? / ~43L,~ k P~ '~.n\ \ s i'c. \ .(T' !ILI ~ / °rtlyt. . o • r '9\ \ \ 935.04 ~ x9t7.~ ~o b ? 0 ~s •o~ ~ ass.e ,r*e"'\ . ,p o 'O , ~ T '^M~\ `V!>- •B ~O- tpd~` 'Po/~f \ ~ I 'L • / \ ~ /?o ~faPo~ / t ~O'a-g f ~ ~jr ~ ( ? V \ - \ ~ ~ . 1N 1 ti~,a . Lor dr •e,. ~~p 9 ?v \ „ o .Y ~ r~~ya9P ~ \ 9~ N~~ ~ 0-1 ~s'9~ J- ~ (vacah~~ ~ l O ~ ~ * gv e.. z gG.o ~ ~ ww S ~ V ~,,Yv 0 , na 00-0~ EAGAN EN INEERING DEPT. • I-30 f ~ -LE= . F'~.~. n 1 I 9 Denotes I ron Monument Fw~-d PROP05ED GARAGE FLOOR ELEVATION= 9 38, z a Denotes Waod Hub Set PROP05ED TOP OF BLOCK ELEVATION= ~138.5 October 1992 CITY USE ONLY /353 LOT ~ BL ~ PERMIT SUBD. +n'~[ 'l~~~~f`n ~ WGC7C4 C-, L+v21~ RECEIPT RECEIPT DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) c2xx os sACax 3830 PSIAT IQtOH RD EAGAN 2Mt 55122 651-681-4675 Date: 03 /D - DO Compiete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occuoied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BN 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge .50 Total $ Complete this section on if you are remodelin¢, addine to, or re airin an existing single-famity dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New ~ Alteration _ Repair _ Other Furnace _ Air conditioning _ A'v exchanger X Other ~ucP~ T Fee $ 30.00 State Surchazge .50 Tctal $ ~ Reminder: Callforinspections SITEADDRESS: -728,5 A~Se!'f'IGIA"''L OWNERNAME: ? i3/dr- /-'letkU-7p6/ rxorrE#: 95a ~,I (AREA CODE) iNSTALLER NAME: A(A UGt/1 1C V~11,76 . PHONE S"- - yS~.5 /90 o ~ (AREA CODE) STREET ADDRESS: I3D74A S/ CITY: STATE: AW ZIP: 5 5 ~ SIGNATURE OF P RMITT'EE CITY USE ONLY L _ BL _ PERMIT SUBD. RECEIPT#: APPROVED BY: , INSPECTOR RECEIPT DATE: 2000 MECBANICAL PERMIT (COMMRCIAL) CITY OF EAGAN 3830 PILOT IQROB RD EAGAN, DN 55122 651-681-4675 Please complete for. all commerciaUndustriai buildings muiti-famity buildings when separate pertnits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping R'hen insta![ing/removing underground tank, call 651-68I-4675 for inspection by ftre marshal and plumbing inspector. Descripdon of work: Fees: 1% of contract price OR $30.00 minimam fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate az$.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER IhAME: PHO~'E (AREA CODE) TENANT NAME (IIvIPROVEMENTS ONLl): WAS TfERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE 2007 RESIDENTIAL BUILDING PERMIT APPLICATION c' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstrucEon Rauuiremen4s RwodeVReoar Reouirenrenb Ofice Use OnN 3 registered sile surveys showiig sq. R M bt sq. R of haue; and all roofed aren 2 copies of plan sharing Toofings, 6eams, joisis Cert of Survey Red _ Y_ N (20%mazimum lot coverage allawed) 1 sel of Eneigy Calaletirns br heoW additions Sads Repwt _ Y_ N i 5dls Report rf praposed builCmg is to be pleced on disturbed soil i site survey for edditions 8 decks Tree Pres Plan Reod Y_ N, 2 capies of plan showing 6eam & windax s¢es; poured found desgn, etc. Add'dion -indieata ifar•sifa seplic system Tree Pres Reguired _ Y_ N 1 sel of Energy Cak:ulatims On-d[e Septio SYStem -Y - N 3 cnpies of Tree Preservation Plan il lot pletted aRer 711193 Rim Jds[ DeWI Options setectim sheet (buildngs wAh 3 a less unils) Mnnegesco mecfianicel venhla6on fam Plans are considered ublic information unless ou state the are trade secret and the reason. Date _(a/ 15 / ~T Construction Cost ~ ~ . ^ Site Address ~i'7 A5 U( pzzvl1A[ CT Uoit/Ste # Description of Work ~Q,~ I~~111 DRC~ ~?mdez fep la.ee,me.wf Multi-Family Bldg _ Y_ N Fireplace(s) _ D _ 1 _ 2 PropertyOwner Q " Telephone # (LSt ) lpb~- 6587 Contractor Y1 W'h.t~- e1n1~~ !S LiG11- 20 e Address 474-0 ~ eekVltZJ M, City 9G00I S~S State M tJ Zip S5379 Telephone #~~'LL - I(O'm COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Ellefgy Code Cateyory . Residen6al Verrtilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submiried Submittetl . Energy Envelope Calculations Su6mitteC In the last 12 months, has The City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone J Mechanical Conhactor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for 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 case of work which requires a review and approval of plans. D ~S V i'~ i k2 ~us ~r-h ' Applicant's Printed Name pplicant's 'igi ature l~~ ~ i..a { • • DO NOT WRITE BELOW THIS LINE Sub Tvoes ? 01 Foundation ? 07 OSplex 13 13 16-plex ? 20 Pool ? 30 Accessory Bldg r 02 SF Dwelling ? 08 06•pfex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? OS 03-plex ? 11 1D-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvoes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair p 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolitlon (Entire Bldg) - Give PCA handout to applicark D@SCI'Ipt100: Water Damape _ Yes Valuation ~ ID• vevo Occupancy AACES System Plan Review 100% or 25% Census Code 3 3q Zoning 2- 1 City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Y~ Width REQUIRED INSPECTIONS _ Footings(new bldg) _ Sheetrock _ Footings(deck) FinaVC.O. _ Footings(addition) ~ FinaVNo C.O. Foundation HVAC ~ Drain Tile ~ Other Roof _ Ice & Water _ Final _ Pool Ftgs _ AidGas Tests Final jo Fratning Siding _ Stucco_Lath _ Stone l,ath _Brick Fireplace U. _ A'uTest _ Final ~ Windows ZO Insulation _ Retaining Wall Approved By: Building Inspector Base Fee ` Surcharge W % ,n Z) Plan Review MC/ES SAC Tn ~ rI ~ City SAC Utiliry Connection Charge S&W Pertnit & Surcharge Treatrnent Plant License Search Copies Other Total City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4285 Rosemary Ct Lot: 2 Block: 1 Addition: Hawthorne Woods West PID:10- 32170 - 020 -01 Use: Description: Sub Type: e - Fixtures Work Type: Replace Description: Second Floor Meter Size Meter Type Manufacturer Comments: Fee Summary: Contractor: Midwest Plumbing & Heating 11830 - 12th Ave S Burnsville MN 55337 (952) 707 -9985 Mark Thayer 12485 Rhode Island Ave Savage, MN 55378 952- 890 -8467 PL - Permit Fee (miscellaneous) Surcharge -Fixed Total: 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 PERMIT City of Eaan - Applicant - $50.50 Owner: Richard A Hage 4285 Rosemary Ct Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number $50.00 0801.4087 $0.50 9001.2195 Issued By: Signature Plumbing EA078551 06/26/2007 ePermit Line Size City of EaQali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED DEC 2 3 2011 Use BLUE or BLACK Ink For Office Use s Permit*: / /®�6 3' Permit Fee: 3° ! ( / Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION LC IZ2( aS5RDate: 1) Site Address: rva�,a- o,�e- Unit #: Name: ► -;deJ Rick 1-1'e- Address 'e Address / City / Zip: LI 285 Rose yv1>/ Applicant is: Owner X Contractor Description of work: /4\ 'Remo del Construction Cost: .}I S4-1 8 20, 00 Phone: (51-688-(o587 Company: J. 5 p) r 1, Es �z Multi -Family Building: (Yes / No� ) Contact: �\ Address: 710 Co w ft1,ree .5w; -1-C 15 City: LJ bt a -ii State: P1 t'1 Zip: 5 5) a 5 License #: (A7�-- Phone: (703) 3511- 9337 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) bot ��Gf nf w�S �v� rwc-Ie -1 z.i-Pr )97g 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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.aooherstateonecall.ore 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 plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x Applicant's Printed Name x ApPiicant's Signature Page 1 of 3 C-� DO NOT WRITE BELOW THIS LINE /6' D6 -3 SUB TYPES Foundation Fireplace Garage Deck Lower Level Single Family Multi 01 of Plex Accessory Building Porch (3 -Season) Porch (4 -Season) _ Porch (ScreenlGazebo/Pergola) Pool WORK TYPES New _ Interior Improvement _ Addition _ Move Building AAlteration_ Fire Repair Replace — Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_Z) Census Code # of Units # of Buildings Type of Construction /d ' h'94/ 18 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final 4 Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL _ Siding Reroof Windows _ Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: Footings Backfill — Final Radon Control Erosion Control Building Inspector Gas Line Air Test i (Q17 liO �' ata 947 Page 2 of 3 JAN -17-2012 09:46 FROM:AIR MECHANICAL EAGAN 6514526925 411P1` 1tyofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Dato: Tenant: I -n-' a RESIDENT / OWNER CONTRACTOR TO:6516755694 P:2'3 Use BLUE or BLACK Ink For Office Use Permit ij: / 017 CZ— Permit Fee: Date Received: Staff: 2012 MECHANICAL PERMIT APPLICATION t Site Address: 'i a , s TYPE OF WORK Address / City / zip: `j; 0a g 5 Suite #: Phone: 1p,c/ - ff .-er , P7 Name: License Address: State: zip; Phone: -7r 7 (-1r0 Contact: Email: 113 t r f obi ll(6Q n d a am &' f 1 City: New Replacement Additional _) Alteration Demolition Description of work: PERMIT TYPE NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the :Mechanical Inspector for information on permitted screening methods. RESIDENTIAL Furnace Alr Conditioner Air Exchanger _ Heat Pump 1 Other (6' RES/DENT/AL,pf)p, c..a S I $60,00 Nflnlmum Add-on Or alteration to an existing unit (includes $5.00 State Surcharge) COMMERCIAL New Construction , Interior Improvement Install Piping Processed Gas _.� Exterior HVAC Unit Under / Above ground Tank ( Install /_ Remove) to & -E $100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) r� rr re) = $ 11 • TOTAL FEE COMMERCIAL FEES: $75,00 Underground tank installatlonrremoval (includes $5.00 State Surcharge) $60.00 Mlip,mum (Includes State Surcharge) - If the permit ,Eit re less than $10,010, surcharge is $ 5.00 - If the Perrnit F Is > $10,010, surcharge increases by $.50 for each $1.000 Permit Fee (1,e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ x 1% $ Permit Fee = $ Surcharge $ TOTAL FEE CALI. OEFORE YOU DIG. CaII Gopher Stabs One Call at (651) 454-0002 for protection against underground utility damage. Can 48 hours before you Intend to dig to receive locates of underground utilities. www aoonerstateonecafl prs( I hereby acknowledge that this information is complete and accurate; that the work win 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 i of to start v/thout a permit: that the wont will be in accordance with the approved plan in the case of work which requires a review and approval of plan Applicant's ,.rl ted Na e FOR OFFICE USE Required Inspections: icanes4Signatuee Reviewed By: Date: Underground Rough In • Air Test — Gas Service Test In -floor Heat Final HVAC Screening ÿþ ÿÿ þýý üþþÿÿûúÿ ÿù ýüûúùø÷öü õ øô÷ ô ýóô úùøôüòü ý õüñû ðñõüñû ýó ýï ÿ îíòð ûü ùþñííí ìíëíë ñ÷èñ ü çæííéëéåë øü ýü ÿ÷öæíéîéîí êüþé ÷ö ùõô øø áû üñûÿð ÿ ìíú åëíð ñ ùã ÿôõíí èìíçëíë ûùÿ ä øø ò ñ ÿ ñøù øøûý òô ýü ãùò ÿâ é øøà ñýÿü üùýÿü PERMIT City of Eagan Permit Type:Building Permit Number:EA109371 Date Issued:02/28/2013 Permit Category:ePermit Site Address: 4285 Rosemary Ct Lot:2 Block: 1 Addition: Hawthorne Woods West PID:10-32170-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Richard A Hage 4285 Rosemary Ct Eagan MN 55123 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (651) 430-1388 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I For Office Use I My f Eap Permit Ui Permit Fee: Q 0310 3830 Pilot Knob Road I I Eagan MN 55122 i Date Received: 5 Phone: (651) 675-5675 I Staff: j Fax: (651) 675-5694 L_----_- 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: - Site Address: a2 5I4-fZq Tenant: Suite Resident/Owner Name: A oN-;*~fl klw 6 c Phone: 6S-1 -699-- 6-5-E7 Address / City / Zip: 7 a%85- S5-/a3 Name: !E~I , rko t- 1 , P~~~~~cS License Pe-&YY / A8 Contractor Address: -9U FD tzP AtA--- City: S7', f1J-U L State: / J Zip: SSY 08 Phone: (as-/- (04lL/9 7 oo Contact: ~~'►►I'' (_,142HZLI C- ADII.ES Email: IW C A va t es eom er Type of Work - New 7X- Replacement _Repair -Rebuild - Modify Space - Work in R.O.W. Description of work: RESIDENTIAL Water Heater - Lawn Irrigation l- RPZ / PVB) Water Softener Permit Type Septic System Add Plumbing Fixtures Main / Lower Level) - New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) O TOTAL FEES $ to n ' 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.gopherstateonecall.org 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 ' no to start without a it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval a x c e5 Ayoces x Applicant's Printed Name Ap is t Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: Use BLUE or BLACK Ink : - - - - - - - - - - MAY 2 12014 , City For Office Use ~J Clty 0 Eakan j Permit #:E;4 1.a z of9 ~ I I I 3830 Pilot Knob Road Permit Fee: i ~ 1 Eagan MN 55122 ( I Phone: (651) 675-5675 I Date Received: / Al- I Fax: (661) 675-5694 i 1 Staff: Xz4,O - - - - - - - - - - - - - - - - - -1 2014 MECHANICAL PERMIT APPLICATION El Please supmit o (2) sets of plans with all pcommercial applications. Date: Site Address: y O G~ 1v7 y Tenant: n Suite Name: re- 'Y/ C° N~Phone: lS~'-~0 Resident/Owner ~ Address / City / Zip: s% 7- I Name: License Contractor Address:- 1400 CONCORDIA City: ST. PAUL, MN 55fO4 State: Zip: 651-646 Phone: Contact: Email New Replacement Additional Alteration Demolition Type of Work Description of work: ~eZc.cI ~lr .F> ~4a5~ NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL urnace _ New Construction - Interior Improvement Permit Type Conditioner Install Piping Processed YAJ'r- Exchanger _ Gas _ Exterior HVAC Unit Heat Pump _ Under/Above ground Tank Install Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) = $ y TOTAL FEE COMMERCIAL FEES Contract Value $ X.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal = $ Permit Fee *If contract value is LESS than $10,010, Surcharge $5.00 = $ Surcharge* **If contract value is GREATER than $10,010,.Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE 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 without a permit; that the work will be in accordance. with the approved plan in the case of work Ohich requires a review and approval of plans. Applicant's Printed Name App 's Signatu FOR OFFICE USE Required Inspections: Reviewed By: Date: - Underground Rough in _AirTest Gas Semce Test In-floor Heat Final HVAC Screening ` Date: City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED SAN 061016 r Use BLUE or BLACK Ink For Office Use Permit #: 1 Y1 ID 1 Permit Fee: (. Date Received: C' `e 149 14e) Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 97 '5 �S �.�Ay Site Address: Name: ,/C�i,/e.) LC,}'4',71- A/46e Phone: Address / City / Zip: 7 /6_14 L,/it/' Applicant is: \ Owner Contractor Description of work: Construction Cost: Unit #: Multi -Family Building: (Yes / No Company: COS/ iy5 / A#i, ,4!//7410tontact: �i9�/ iENCA I4 Ii✓ Address: Z1,8 5-- / p a, -( z2 Ave City: 446 ed47 State:/LfA"Zip: 5SP V Phone: 09y �/P Email: 44A, & GD`/ 4-5r License #: tfC 63 6 39S Lead Certificate #: -- If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Phone: Phone: Fire Suppression Contractor: Phone: Mechanical Contractor: Sewer & Water Contractor: ume u sub itf e + 0nSide ,_ ... rovide s re trade 000, 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.gopherstateonecall.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 plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit ' ue in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuan x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation -tca,) )4Q9� d Plan Review (25% 100% y)) Census Code # of Units # of Buildings Type of Construction v, Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Y Framing Fireplace: y) Rough In 1OAir Test VFinal Insulation Sheathing Sheetrock Fire Walls Braced Walls 14) Shower Pan Reviewed By:—/9/0 Atk4 Siding Reroof Windows Egress Window 1711(p -71-i Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Final / C.O. Required )0 Final / No C.O. Required )l) HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick )J Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL loWeIZ teUGl �, (%7%i, e 454-/z ,fZeo dd-1 / paofz) /0 9P 5ft y Pao ` pc) ), 6 Page 2 of 3 B f�nx�ax ��T�#Ati1�C �� C This form must be filled out and posted to comply with building code requirements. Meets IRC Sections N1101.3, N1101.41, and N1101.8 requirements. The following spray polyurethane foam product(s) has/have been installed. Bayseal"" OC Open -Cell Spray Foam Insulation Bayseal' CC Closed -Cell Spray Foam Insulat o BaysealTm PP Closed -Cell Spray Foam Insulation Consult International Building Code, Chapter 26-Plastic and International Residential Code (IRC) R314 Foam Plastics for specific requirements. The spray polyurethane foam insulation system(s) has/have been installed in accordance with manufacturer's processing guidelines to provide a thermal resistance of: Area Insulated Aged R-Value Thickness" Attic Area R- At inches Sloped Ceilings R- At inches Walls (Location: C;;)X 4 - ) R- `,-; -25—At � g5—inches Walls (Location: + {Z,,,,qA ) R- c:5> f At 3 inches Floors (over an unheated crawl space) R- At inches Crawl Space Perimeter R- /S; "75S At 'Das inches Basement Exterior Walls R- At inches Other (Location: (%� ) R-.31: Sr At 11,.S- inches ** Nominal thicknesses are representative of field, spray -applied foam material Jobsite Address: Date of Installation: Building Contractor: Insulation Contractor: Installed By: 49611991 Phone: �J�- - �i',�� J INSULATION CERTIFICATE -DO NOT REMOVE -Please Post Near Electrical Panel- East Office R 2r,'\ Bay �i Q200B Bayer MatemdGdence- JUi rights rewNeC- West Office 2400 Spring Stuebner Road PO Box 6460 Spring, TX 77389 Phoenix, AZ 85005 1.800.221.3626 1.800.289.8272 Tel 281.350,9000 Tel 602.269.9711 Fax 281.288.6450 Fax 602.269.9115 way..=.ysternsspi'ay.com 4111 tyofEaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEivED Use BLUE or BLACK Ink For Office Use Permit #:1 Ufto1 Permit Fee:(Q 0 . Ott Atm 0 61016 ; Date Received: [Stair c�`-tom 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /'' G / 6 Site Address:/Z pJ/A-1 ��/ C7 Tenant: RESIDENTIAL FEES: Suite #: 3_51AName: % C/) /g Phone: [r Z2 17 –3_5-5-1- Address ddress / City / Zip: /` i ''h dAv ZZf3 Name: LSCG plt7Mbleib .1✓ Address: eD /Z51 License #: pc: U/ 33 / $ City: ?CI t7f LC( IZ State: 4'/7 Zip: 53 7 Z Phone: c'Z . – 3 Contact: 16---- Email: New _ Replacement — Repair Rebuild Modify Space _�Work in R O.W.. Description of work: /2'11114 GG4 /, G / ,i ;;W f./ 4or RESIDENTIAL. Water Heater Lawn Irrigation (_ RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures {__ Main / Lower Level) Water Turnaround $60,00 Water Heater, Water Softener, or Water Heater and Softener (Includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Seotic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4° meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES CALL BEFORE YOU DIG. Call Gopher State One Cali 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.aooherstateonecall.org 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a perms that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ant's Signature r av,S\Tsterris This form must be filled out and posted to comply with building code requirements. Meets IRC Sections N1101.3, N1101.41, and N1101.8 requirements. The following spray polyurethane foam product(s) has/have been installed. 4S, 0-167"/ Bayseal OC Oppn-Cell Spray Foam Insulation Bayseal" CC Closed -Cell Spray Foam Insulati'Th___, BaysealTM PP Closed -Cell Spray Fanr-Trinsu atoll Consult International Building Code, Chapter 26 -Plastic and International Residential Code (IRC) R314 Foam Plastics for specific requirements.The spray polyurethane foam insulation system(s) has/have been installed in accordance with manufacturer's processing guidelines to provide a thermal resistance of: Area Insulated Aged R -Value Thickness Attic Area R- At inches Sloped Ceilings R- At inches Walls (Location: c,2y 4 R- ' 75 -At .Sinches Walls (Location: c?),(6, /0(4) R- c3 I At 3 inches Floors (over an unheated crawl space) R- At inches Crawl Space Perimeter R- i i 75- At Q X5 -inches Basement Exterior Walls -5-e,c.. 14‘,0"e_ At inches Other (Location: R- is- At 15- inches **Nominal thicknesses are representative of field, spray -applied foam material Jobsite Address: Building Contractor: 5 Date of Installation: Insulation Contractor: '4/j/4,- '-71,5 ‘)/04.4"1 Phone: 95P - Installed By: East Office 2400 Spring Stuebner Road Spring, TX 77389 1.800.2213626 Tel 281.350.9000 Fax 281.288.6450 West Office PO Box 6460 Phoenix, AZ 85005 1.800.289.8272 Tel 602.269.9711 Fax 602.269.9115 INSULATION CERTIFICATE -00 NOT REMOVE -Please Post Near Electrical Panel- bayaystemaspray.00m 02008 Sayer MateemiScience. AM rights Ned. PERMIT City of Eagan Permit Type:Building Permit Number:EA161017 Date Issued:04/29/2020 Permit Category:ePermit Site Address: 4285 Rosemary Ct Lot:2 Block: 1 Addition: Hawthorne Woods West PID:10-32170-01-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations 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. When a weather barrier is installed or 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 - Richard A Hage 4285 Rosemary Ct Eagan MN 55123 (651) 276-3595 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (952) 930-3777 Applicant/Permitee: Signature Issued By: Signature