4290 Rosemary CtPERMIT
City of Eagan Permit Type:Building
Permit Number:EA127395
Date Issued:10/01/2014
Permit Category:ePermit
Site Address: 4290 Rosemary Ct
Lot:1 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-010
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 or installing Bay or Bow
windows, 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 -
Michael J Lentsch
4290 Rosemary Ct
Eagan MN 55123--304
(651) 208-8450
Sandstrom Enterprises
888 Burke Ave
Roseville MN 55113
(651) 983-4340
Applicant/Permitee: Signature Issued By: Signature
_ . ~ INSPECTION RECORD
~ CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: ~ TYPE OF WORK:
INSPECTION .
-7-177777
-
t.I 1 I
~ -
( -
,
J Permit No. Permit Holder Date Telephone A
SNV
- PLUMBING .3 9.3 ~7- 953
HVAC
ELECTRIC
ELECTRIC
Inspeetfon Date Insp. Comments
Footings I
L!/
Foundation
Framing
Roofing
Rougfi Plbg. 6_/5-f ` 1.4
Rough Hig.
Isul.
Fireplace
Final Htg. !~r
orsat rest Ft fc
,
Final Plbg. ~J~ Pibg. Inspector - Noti(y Plumber 7,13
Const. Meter
Engr./Plan
Bldg. Final y g
Deck Ftg.
Deck Final
Well
Pr. Disp.
b`~~ d
_ _ _ . . . ....~...~d+3+..~ .A. '.r-. .b.+r+r~~:..
. - 1
s : .
~ Wertificate of ccc"ancv
- WU4 nf Cfagan
This Certifcate issued pursuant to the roequirements of the Uniforni Building Code
cenifying thar at the rime of issuance this structure was in compliance wrth the various
, ardinances of the City regulating building construction or use. For the following:
SF DWG 20793
use clessiroation: 6idg. rerm,l rw.
R-3 M- R-1 V-N
oauvanoy TYao zon;ng DiStrict Type comc
OZMUN BLDRS 15136 GALAXIE AVE
Qwcer of Building AddRSs
4290 ROSEMARY CT L1, B4, HAWTHORNE WOODS 1ST
auua;ng naaress t.ocality
Dau: JULY 27, 1993
Building Officisl
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: " ~ ~ ~ ' ~ ~ •
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS• F`~ APPLICANT'
•
'
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . .A
, , ~ i ,
~ ~
Permk No. Permit Holder Date Telephone #
ELECTRIC
PLUMBIN
Hvac
Inspection Date Inap, Comments
FOOTINGS
FOUND
FRAMING
/d
AOOFING
ROUGH ~y
PLUMBING
PLBG
AIR TEST
ROUGH
HEA7ING
GAS SVC
TES7
INSUL
u
GYP BQARD
FIREPLACE
FIREPLACE
AIR TEST
FINqL PLBG
Y
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
INSPECTION RECORD •
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF INORK:
~ . . , . . , . .
INSPECTION .
} i ~ ts~, i
i:! 14 i'i1ih . 7~ I{'tkl~ N I i k t•I1 1 i'. i'1 tlll 1 i.i 1~ I Isl~ 110 I( 1 l 11 11111 F
~
L
Permit No. Permit HolHer Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapectlon Date Insp. Comments
Footings I
Foundation
Framing
Rooflng
Rough Pibg.
Rough Htg.
Isui.
Fireplace
Final Ntg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumher
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
~r
Wen
Pr. Disp.
Address 479o ROSEMARY cT Zip 5512_
Lbt' ' Y Blk 4 SLb HAWTHORNE WOODS 15T
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: JULY 27, 1993 Yes No Inspector:
Final grade (6" from siding) ?
Peimanent steps (garage) i/
Permanent steps (main entry)
Peananent driveway
Permanent gas ~
Sod/Seeded grass i/
TraiUcurb damage ~
Porch
Basement finish ?
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contaa engineering division at 681-4645 before working in right-of-way or installing underground sprinkler syscem. ~
White - City Copy Yetlow - Residem Copy Pink - Contractor Copy
~
II III I I+p y9 REaUEST FOR ELECTRICAL INSPECTIONx
~ II II Minnesota State Board of Electricity
1821 University Ave., Rm. 5-128, St. Paul, MN 55104
* 0 26 4 50 6 7* PFrorie (ea cy saz-oeoo j~3'
Home Duplez Apf. Bldg. Other: New Addn
Commerciol Indushial farm Remod Re oir
Air Cond. Hig. Equip. Woter Htr. Load Mgmt. Ofher:
D er Ran e Elec. Heat Tem .$ervice
'k' above ihe work covered by fhis reqvesf. Enter remarks in ihis space and on the back of the white copy only.
Calculate Inspecfion Fee - This Inspection Requesf will not be accepfed without the correcf fee:
Olher Fee # Service Emrance Srze Fee # Circuils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Streef Lfg./fraffic Sig. Above 200 Amps Above 100 Amps
Transformer/Genemror INSPECTOp•SUSEONLY TOT{,L/O j0
Sign/Outlina Ug. Xfmr. Ze4 Alarm/Remote Control ~v
Swimming
Pool i 1„re mm ~t inspected the ai«m r N,e d olpss :mxd
Irrigation Boom Ro~ph-I~ ~ f
$pecial Inspecfion
Investigative Fee F~nel Dom.l~~. ~
THIS INSTALLATION MAY BE ORUERED DISCONNECTED IF O ~W~TJiIjY~4~8 MONTHS.
2 6 4- 5 0 6 [71 OFFlCE US ONLY This request vaid IB mon~s kom validafion dnM pnnred in *is}
7'/s~9~
e~ .r -r-
PLEASE PRINT OR TYPE / G~
Raque Oore Rough-in Irop lon required2 Yes N. Inspeclion Oiher Than Rough-Ire ~ Raady Now Will Call
- /3 - (1'au most call tlie inspecmrwA rmdy) Dak Ready:
I, licensed con}rador ? owner hereby request inspedion of ihe above elechical work at:
bb Pddrws ( treet, Bo~ or Route No.) Ciry Zip Code
,
4-1 c2 a--
Seclion No. Towns "p Name or No. Range o. Firc No. I nly
Occ.Pant-7_//J7 Fi~'LeJOf-f!S ~ .C.. 2 ~aNo.~-ysy,ay~9
Power Suppliar Pddrese
Eledn ntncfur (Compo Name) ~ J Commdor Llanse Na. Moshr Lic. No. (Plant Elect Only)
5
Mailing Pddnu Conlmcror or Ownar Pedomi B lnsbllatlan)
Aul4wnzad Signa m(Cmtmcbr or Ovmer PaAor Imbllanon Plw No.
~aoc~ e' ~
EB-OOOOlA-10 6/95 STATE BOAflO O • SEE INSTRUCTIONS ON BACKOF VELLOW CAPY
(r/~//~ ft.-REQUESTFOR ELECTRICAL INSPECTION Ee-oooo,-os
n u ? See inSVUCtions tor rompleling Ihis lorm on Oack oi yellow mpy.
'X" Below Work Cavered by This Request
28V OT
ewl Aad RBp. - TypeofBUiltling AppliantesWired EquipmentWired
Home Range Tamporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specity)
Comm./Industrial Fumace
Farm Air Canditioner
Oiner(suacily) ConVactor5 Remarxs:
Compute Inspecfion Fee Below:
k Other Fee /f ServiceEntranceSize Fee # Circuits/Feeders Pee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ~
Transtormers Above 200 _ Amps Above 100 _ Amps
Si9n5 Inspector§ Use Only: TOTAL
Irrigation Hooms Oe) ~
Special Inspection
~
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Eleclrical Inspector, hereby Rou9min /y7 t oate , 3
certifY that the above insPection has ~
Finai ( , ata
been made.
OFFICE USE ONLY
This request vo10 18 monms iram C~
" L"*i88y0 4
Request Dete Fire No. Raughrin Inspaclion
' - D ^ 3 Feq Tetl7 ? Reatly Now lhenVReady9ector
~ Q Yes C Na
I~/Iicensed contractor p owner hereby request inspection of above electrical work at:
Job Address (Straet Baxor Roule No.l City
2 ~ 0 o J e 'i
Senion No. Township Name or No. Renge No. County
Occupant(PRINT) Phone No
,!_~-ou o
Pawer $upplier Atldress
D xe,fi~q
Eledncal Ganiracim ICOmpany Namel Conhector's Lirensa No.
~oCS~ ~lc,c:fd<Z. C~ C.9 cs o /
Mailing A tlress iCOntraotor or Owner Making Instellation,
)PZ V2'r 1)4-l 0.vY r_va y r~~e,~~vf- si-V &V'
Amnorrzetl Signature tCOnbaolonOwner MakinB Installet , Phone Number
~2~
MINNESOTA STATE BOARD OF ELE iRICITY THI$ INSPECTION REQUEST WILL NOT
Grigga-Mitlway 81tlg. - Raom S173 BE ACCEPTEO 8Y THE STNTE 90AflD
1821 UNVeral[y Ave., 51. Peul, MN SSID9 UNLESS PROPER MSPECTION FEE IS
Phone (812) 643-0800 ENCLOSED
.
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suiLniNG
3830 Pilot Knob Road Permit Number: 020793
Eagan, Minnesota 55123 Date Issued: 0 4/ 2 9/ 9 3
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 1 BLOCK: 4
4290 ROSEMARY CT OZMUN BLDRS INC
HAWTHORNE WOODS 1ST (612) 431-5000
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION . .A
F007ING FRAMING
INSULATIpN FINAL
FIREPLACE
REMARKS: S&W CONTRACTOR - PEINE PLBG & HTG PRV
~
~ ~
- ~ PERMIT
CITY OF EAGAN pERMITTYPE: auiLOir~G~
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: 0 2 0 7 9 3
(612) 681-4675 Date Issued: 0 4/ 2 9/ 9 3
SITE ADDRESS:
4290 RDSEMARY CT
LOT: 1 BLOCK: 4
HAWTHORNE WOOOS 1ST
p.I.N.: 10-32150-010-04
DESCRIPTION:
Building.Permit Type SF, DWG
8uilding Work Type NEW
UBC Occupancy' R-3 M-1
Construction Type VN
/ Zoning R-1
Building Length 67
Building Width ' 36
J
REMARKS: S&W CONTRACTOR - PEINE PLBG S HTG PRV
FEE SUMMARY:
VALUATION $157,000
Base Fee $839.00 MISC FEES $1,744.50
Plan Review $545.35 Total Fee $3,957.35
Surcharge $78.50
SAC $750.00
SAC ~ 100
SAC Units 1
Subtotal $2,212.85
CONTRACTOR: - Applicant - ST. I.IC. OWNER:
OZMUN BLDRS INC 14315000 0001044 OZMUN BUILDERS
15136 GALAXIE AVE 15136 GALAXIE AVE
APPLE VALLEY MN 55124 APPLE VflLLEY MN 55124
(612) 431-5000 (612)431-5000
I hereby acknowledqe that I have read this application and state that the
information corr c and agree to comply with all applicable State of Mn.
Statutes a,nd C ty of agan Ordinances.
I- f J -
,
A PLICA /P MIT~ SIGNA UFE ISSU D BY: URE
J ' " _ . . _ _ _
' REACTIVAiTE 1 93 BUILDNG ERh71T APPLICATION~~ ~ S7, 3S
681-4675 =VE
SINGL MULTI-FAMILY 2 sets of plans,~registered site surv; eys, l copy of ene gy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is iss d.
r
Date Valuation of work
Site Address:~l~ly3elM/101 l/T• 9TREET SUITE Y
Tenant Name: (commercial only)
- woo
P.I.D. M
IAT BIACK SDBD.
hL*~
Descri tion of work: Y~ ~ ~ ~f YIN-t.
The applicant is: lb Ownerik, Or"iontractor 0 Other (Deceribe)
Name W_ Phone~~
Property
owner Address sr I~ ~Q ul ~
STREET STE M
City k State A 0_ Zip ~
I Company ll Phone ET-M 7
Contractor Address Li ense
Ci ty State Zi p?~~
I
Company Phone
Architect/
Engineer Name Registration #
Address
' City State Zip
Sewer 6 water licensed plumber ~ II~ ~ . Processing time for
sewer & water permits is two days once are has beeyapproved.
I hereby acknowledge that I have ead hi aPpli ation and state that the information is
correct and agree to comply wit all p icabl tate of Minnesota Statutes and City of
Eagan Ordinances. °
Signature of Appiicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 Foundation ? 06 Ouplex ? 11 Apt./Lodging O 16 Basement Finish
~02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. 13 17 Swim Pool
03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
E3 04 SF Porch ? 09 12-Plex O 14 Fireplace 0 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add't. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE .
? ~ 31 New ? 33 Alterations p 35 Tenant Finish ? 37 Demolish
32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) r1 Basement sq. ft. MWCC System y~
(Allowable) lst F1. sq. ft. City Water ~
UBC Occupancy - 0-1 2nd F1. sq. ft: PRY Required
Zoning R-f Sq. Ft. total Booster Pump
d of Stories Footprint Sq. ft. Fire Sprinkler
Length -T On-site well Census Code r v'
Depth ~ On-site sewage SAC Code
APPROVALS -
f
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
O Site ? Footing ? Framing O Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permi t Fee veiuac;a,: g I s 1, O o 4
Surcharge GAer~~t
Plan Review 31,67 X?I =GGS
License ~
2
MWCC SAC
CitySAC C~89X1(a=/ld'Zy
Water Cann.
Water Meter Jc 13 _
Acct. Deposit x I t- 18
S/W Permit - -
S/W Surcharge 13y$xrS= Zo~2Zo
Treatment P1.
Road Unit 1ST Ft_„0f2-;
Park Ded. -
Trails Ded. 36Mr=13y8
Copies 1 u4ix 2 c 21 ~
Other - ZL
Total : I 2(~1 X S~-7~ 6~, S
SAC % ZN ~Loon;
SAC Units 3o~c3s= 1050
~ Zxl2= 2N S6rf00
2422 Enterprisa Drive II
Mandota Heights, MN 55120
* PIONEEFI LANo SbRVEraes . aHL DOGNEEAS (612) 681-1914•Fax 681-9488
~ eng neering LAND 'L^""ERS •L""°SC"PE ""O"E`TS 625 Hlghway 10 Northeast
Blolnc, MN 55434
~c * ,f (e12) 783-1880•Fax 783-1883
Certificate of Survey for. OZY71U11 Builders. IY1C.
House Address: Rosemary Court. Eagan. MN
\
~
\ N 89'32'55" E
\ 96.46
N
j
gq~ p. 8 3~ .j0~ i'•R~ ~~.8 0 ~ /
z5
~
93p•.2 /
93gS6 ~3 1. 431.7 303~ n~ s~
G /
> /
a
CO.
N $
CP.
y \ 9 \ 1N,6 / b/ ~
tK`Y
73'3. >
%
\V3, 93g Cr \\30.00 re-~~/ 'S4
\j
~
~ .
\ G~p
G°~o~~~Im ~~~~G°~~DD
X,&QAX R GINEXRING DEPT
NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS
. 900.0 Denotes Extsting Elevation PROPOSED HOUSE ELEVATION ;
x eoo.o Denates Propased Elevation Lowest Floor Elevation:928.35
Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction Top of Block Elevatton:936.46 ;
-o- Denotes Monument Garage Slab Elevatfon:936.13 {
a Denotes Offset Hub Bearings shown are assumed :
LOT 1, BLOCK 4 HAWTHORNE WDODS 1 ST ADD '
DAKOTA COUNTY, MINNE507A I hereby cenify that this survey, plan or report was prepared by me or under my direct supervision and that I am duly Registerad Land Survayor
undar the lews ot the State of Minnesota. Dated this ~ NQ day of AM I t- A.D. 19 qL2
,
S ~ ~
~ 6'~ . ~t7I'li
S/~/9le. 1 IOCf1= 30{80t , R BEwY . 311(/%Ifi .5. (3EG. NO. 14891
li u
~ s2a4o.oz
: . . . .
Ws sVRvsx satro.26: soR ussaUrM
~ sv=sDzra ssRx:r ass~cas7
~ROPLRTY ~.f~++=
~
aato ef snsvoy:
bocvxrxT 0sLSMAnB
D • ReqistariC =ana iurveyos s3q~LUre and ee~pany
B"~ D • sui'ldinq parmiL Applicant '
a~ D 0 • Leqal desesiption '
D 8' D • 7?ddress
0~ D 0 • North arrour and bas seale •
8rD D • tlous• lype (rambisr, vaikout, split v/o, split aatry,
lookout, eto.) '
~ O D • Diseetional drair?aqs arravs vith •lope/qzaaisnt
D 0 • psopossd/axistinq aever sna vater sosvioes
8' 0 G • 8treet name
D~ O D • Dzivevay
ts.rvaTi oxs
tYistinv .
D 8~ ~ • sevez serviee
~ 0 D • Lot oorners
~-/0 0 • Tcp of eurb at the Qzivevay
D' 0 0 • Elevations of any sxistiaq aajacent hamss
~reaesed
~ D n , Gazaqe iloor
first floor
0 D • Lovest expostd alevatien (valkout/window)
0 D • property eornezs
0 0 • Frcnt and rsar of bome at the loundatien
pOf~~StiG fRiaB (if tefllieaDle)
fl ~D • Eascmer,t line _
VWL
D V 0 • xs:L '
D D • Pond t desiqr,aiion
D~ D • Lmezqeney Oveztlov Elevation
ni~2NSioxs '
~ D D • Lot iiass
~ D 0 • Riqht-ct-vay and street vidth (to bsek of eurD)
0 0 • Proposed home aimeasions inclnCinq any preposea aeeks,
overAnnqs qreeter tAan 21, porehes, ate. (i.a. a11
structuzes requirinq psrmsnent lootinqs)
~ D D • Shou all sasements of seaozd ane any City ytilities vithin
thoss •asements
,a' D D • setbacks of psopoaed structure and setbaek ei sdjacent
~n •xistinq homes
D 0 Retain717 raments, it any ~j~
- Aevieved:
OZMUN BUILDERS, INC. '
° , .
DESIGNERSAND BUILDERS MN uc. 0001044
15136 GALAXIEAVENUE, APPLE VALLEY, MN 55144 (614)431-5000
, . Avera e ""U",CbmpCut,a,_-tion
•Job Site Address~~ p1/7,~ ~r~, • CX~'k.+y~J
' Legal Description: v
. Lot_j_Block_-]~_AdditionitalAnrK~ llamrn I~ oate~.f~'~~
AVERAGB LINEAL FESET OF •
, EXPOSED VPALL AREA ABOVE GRADE
Main Level
Lineal'Et of framed wall above gra8e~x height of wall1
Second leveY
• Lineal ft'of*framed wall above gradel~_x height of wall 1
g=I0 Vaulted Area Lineal ft of framed wall above grade6~ x height of wall~_=
Rim Joist Ar&a. •
'Lineal ft of rim ~x height of rim 315
' Lower 1eve1 °
Lineal ft of Eraraed wall above grade xhei ht.of wall ~ a
•Lineal £t of framed,wall above grade x height of wall 5@
Lineal ft of.masonry wall above grade x hgt::dboVe•:qrgde
-QE
_ Tptal &all axea.above qrade including windows an8 doors m 3,E&5 a.
' WZND09~$: Brand and Type @I I/L, (,IQ/,L QG}Q(ti(IN+ VQtU tlirGl9k)=wd,
Area [ "U" value '
b-, $q. ft. 53~ X „U„ ~5
4sq.ft.~X ~~u„
~ ~ sq.ft. x "v" _
IIII ~ aq.ft. x "U" ~ 1 ~
II . sq.ft. , x ~~ull
If 2, . 'I sq.ft. x liUu ~
Sq.ft. X IOUIS a . . L SQ.ft. X ujJn
sq.ft, x "U" _ .04-
~ SQ.ft.~X uUn~~a
sq.ft. x U..
• . • . sq.ft. X o0° _
SQ.ft X uUn a
, Sq.ft.. X IIUII _
DOORS : Ar,ea • x "U" value . _27~: ~ I ~,<oCP
(I 2~~ - ~v ~ WS . sq. ft X IIUII
,sq.ft x °p°
• I' 3q.ft. ~~U~~~a ~
eQ.ft. X "U" a
OPA{M [qALL •CONSTRUCTION:,Area x"U" va ue ~ 1-71
. Fraiqinq members sq.£t ~L710-I"j X 'lUll -oql
Framed wall sq.ft L 3 C~!5_x."U" _
Rim Joist Area sq.ft 1 x"U" _
• Masonry wall . sq.£t I~-h x"U"~= 13. '1
. . ~in,10 • 5 ,
Total wall'area includiag ' •
windows and • D.oors a,~",~(pGj,DPj b&o_-7,14-
Total(u) Values. . , b.:~07 14- = Avq."U" f~ (p
Divided by%tota wa area a, 36p-r,-,De;
i AVERAGB °II" AMinimum .ll:or less,for 1& 2 Eamily dwallinqs
,
RESIDENTIAL aS
BUILDINC PERMIT APPLICATION •
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatruelion Reauiremants RemodaVReoair Reauiremenb
• 3 registered sile surveys showirg sq. N. of lot, sq. ft. of house; and pll roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 7 set of Energy CalcWatlons for heated additlons
. 2 copies of plan showiig beam & window sizes; poured tound despn, etc.) • i site survey for extenor additinns & decks
• 1 set of Eneyy Calculations • Indicate if home served by septic system for addiiions
• 3 copies of Tree Presenatlan Plan'rf lot plafled after 711/93
. Rim Joist Detail Oplions selectlon sheet (bldgs with 9 or less unils)
DATE 2' -1' Z VALUATION ~~q -7 S ~
SITE ADDRESS y zq ~ R~~~~cn' l-f MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK--~9~og ICU Cua-C k !V PIREPLACE(S) _ 0_ 1_ 2
SELA ROOFING & REMODE+
APPLICANT 4100 EXCELSIO~~'
STREETADDRESS ID#0001050 CITY STATE_ZIP
TELEPHONE #(a~Z~S'23~ifoY(o CELL PHONE # PAX #
PROPERTYOWNER QNAp-lA. N2A -e TELEPHONE# 24-79
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNL-ISO'GA RULES 7670 CA"fEGORY 1 MINNESOT:\ RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Su6mitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener Iawn Sprinkler Fee: $90.00
Waler Heater _ No. of R.I. Baths
No. oC Baths
Mechanical Contractor. Phone #
Mechanical system includes: Air Conditioning i'ee: $70.00
Heat Recovery Sys[em - - ^
~lir
Sewer/Water Confractor: Phone #
~,~i s=~ 4 U
1 - hereb---°--- - -
.
Y acknowledge that I have read this application, state that the information is c' rrect, and agree to co ly
with all applicable State of Minnesota Statutes and City of Eagan Ordin ces. !r~"--
Signature of Applicant
~----------~____w_____.r
OFFICE USE ONLY
Certifcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
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 E#. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
N6r. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ FooNngs(new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ plunibing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tes[s _ Final
_ Framing _ Siding Stucco 5tone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insufarion _ Retaining Wall
Approved By , Building Inspector
-
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
IN5PECTION RECORD
CITY OF EAGAN PERMITTYPE: euiLoxNG
3830 Pilot Knob Road Permit Number: 026687
Eagan, Minnesota 55122-1897 Date Issued: 11 / 14 / 95
(612) 681-4675
SITEADDRESS:p'I•N.: 1e-3215e-e1e-e4 APPLICANT:
LOT: 1 BLOCK: 4
4290 ROSEMARY CT TIMBERWORKS BLDRS INC
HAWTHORNE WOODS 1ST (612) 686-0911
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINZSH ALTERATION
INSPECTION D. • .A
FRAMING INSULATION
ROUGH IN PLBG FINAL
; PERMIT M04990C:2
~ CITYOFEAGAN
3830 Pilot Knob Road PERMITTYPE: BuiLoiNe
Eagan, Minnesota 55122-1897 Permit Number: 026687
(612) 681-4675 Date Issued: l i/ 14 / 95
SITE ADDRESS:
4290 ROSEMARY CT
LOT: 1 BLOCK: 4
HAWTHORNE WOODS 1ST
P.I.N.: 10-32150-010-04
DESCRIPTION:
Builtling_Permit Type BASEMENT FINISH
Building Wo.rk Type ALTERATION
\
. ~ _
REMARKS:
FEE SUMMARY:
Base Fee $35.00
5urcharge $.50
Total Fee $35.50
CONTRACTOR: - Applicant - sr. lIC. OWNER:
TIMBERWORKS BLORS INC 16860911 0006352 RUEG6 RON
829 TROTTERS RIDGE RD 4290 ROSEMARY CT
EAGAN MN 55123 EA6AN MN 55123
(612) 686-0911 (612)454-2479
Z hereby acknowledge that I have read this application and state that ttie
in-Formation is correct and agree tb`comply with all applicable Statie bf Mn.
Statutes and C.ity of Eagan prdinances.
L
APPLICANT/PERMITEESIGNA RE ISSUEDBiSIGf~~hURE~-
CITY OF EAGAN
CC1 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Censlrurlion Reaulrements RemodeVReoeir Reaui,ements
? 3 regisMmd site aurveya ? 2 copfes o} plan
? 2 copiea o} piens (Indude beam & window sizes; poureA fid. tlesign; etc.) ? 2 site surveys (erzMrbr atldkions & decks)
? 1 energy eelalatfons ? 1 energy eelaletions Tor heated adtlitions
? 3 copba of tree preservatlon plen if loi platted after 7/1193
mquired: _ Yes _ No ~
oATE: /D - 30 -Q.r CONSTRUCTION COST: °?z
DESCRIPTION OF WORK:
STREETADDRESS:
LOT ~ BLOCK SUBD./P.I.D.
PROPERTY Name: UEG6 /2o-v? Phone
OWNER ~~fZ~lU /~J~w7r~i4~`/ ~,T•
Street Address, Ciry: ZF441-4-fj State: Zip: ~Z3
coNrw?croR Company: 171-m~~iu,uo.~s 44~=s Phone
Street Address: License ~~63SZ-
City: eeGA-l State: 4!;4_4 Zip'
ARCHITECT/ Company: Phone
ENGINEER
" Name: Registration
Street Address,
City: State: Zip:
Sewer & water licensed plumber: Penally appiies when address change and lat
change are requested once permit is issued.
1 hereby acknowiedge that I have read this application and state that the iniormation is correct and agree. to comply with all
appliqbie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ~
62Ge?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No 0 r T
Tree Preservation Plan Received Yes _ No
OFFICE USE ONLY
~
.s ~
BUILDING PERMIT TYPE
~
0 01 Foundation o 06 Duplex o 11 Apt./Lodging o~-16 Basement Finish
0 02 SF Dweliing o 07 4-plex a 12 Mufti Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Misceilaneous
a 05 SF Misc. 0 10 _ plex o 15 Deck
WORK TYPE
0 31 New ~3 Alterations a 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MGWS System
(Ailowable) 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. ~y
Depth Footprint sq. ft. SAC Code o/
Census Bldg
Census Unit ~
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ /;i~qU
Surcharge
Plan Review
License
MC/WS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Treils Ded.
Other
Copies
Total:
% SAC
SAC Units
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 023780
Eagan, Minnesota 55123 Date Issued: 0 6/ 0 3/ 9 4
(612) 681-4675
SITE ADDRESS: LoT : 1 B L 0 C K: q APPLICANT:
4290 ROSEMARY CT TIMBERWORKS BLORS INC
HAWTHORNE WOODS (612) 686-0911
PERMIT SUBTYPE: TYPE OF WORK:
SF PtlRCH NEW
DESCRIPTION (DECK INCLUDED)
INSPECTION .
FOOTINGS FRAMING
FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
-J
L
PEAMIT ce
~CITTOF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 3 7 8 0
(612) 681-4675 Date Issued: 0 6/ 0 3/ 9 4
SITE ADDRESS:
4290 ROSEMARY CT
LOT: 1 BLOCK: 4
HAWTHORNE WtlpDS
P.I.N.: 10-32150-010-04
DESCRIPTION:
(DECK INCLUDED)
Buildinq.Permit Type 5F PORCH
Building Work Type NEW
/J
~
,
l
' 1 .
.
_y
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $6,000
Base Fee $81.00
Surcharge $3.00
7ota1 Fee $84.00
CONTRACTOR: - Applicant - 5T. LIc. OWNER:
TIMBERWORKS BLDRS INC 16860911 0006352 RUEGG RON
829 TROTTERS RIDGE RD 4290 ROSEMARY CT
EAGAN MN 55123 EAGAN MN 55123
(612) 686-0911 (612)454-2479
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 Mn.
L Statutes and City ofi Eagan Ordinances.
J
M'd
APPLICANT/PERMITEESIG AT tE~~ ITSSUED :SI ATUR
CITY OF EAGAN
1994 BUILDING PERMITAPPLICATION
681-4675 7 U
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site su rgy
calcs.
COMMERCIAL 2 sets of architectural & structural 701 ~'4
specifications, 1 copy of energy calc Penalty applies:1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date S- Z9 / 9 / Valuation of work
Site Address: 7290 lposE'~~'u-7 ~
SiREET T SUlTE #
Tenant Name: (commercial only)
LOT BLOCK ~ SUBD. j TP.I.D. #
~Q,~/i~bj.:~~
Descri tion of work: ."'J Sr'45~ DEClc ~T }~~'~L c~~ i?IE
The applicant is: ? Owner ontractor ? Other (Describe)
Name RvE~~ t~D IEB 2r,4 Phone _,,S -Z7 79
Property LAST FIRST
Owner Address ~12_90 10O55,,,e,4~ C~-
SiREET STE #
City State Zip
Company Phone 6J~*6 -a9i/
Contractor Address 82-9 Tiu+r~.2S /zi~Ge /2-,IjLicense # 0063.~Z Exp. 3 9r
City ~:A_ GIgAl State iiV • Zip S3~/2~3
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber n111A. . 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 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ~
~
OFFICE USE ONLY BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Fi i h
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
,Z 04 SF Porch ? 09 12-Plex ? 14 Flreplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE L~«
b 31 New O 33 Alterations p 35 Tenant Finish 0 31 Demolish
13 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster PumP
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 3 v
_ Depth . On-site sewage SAC Code
Census Bldg -T
APPROVALS Census un9t o
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
?.Site q Footing Framing ? Insulation
? Wallboard fO Final ? Draintile ? Fireplace
Permi t Fee veiuat;on: g 6, ~O
Surcharge ~
Plan Review i ZY~z.
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
-
i
1 2422 Entorprise Drlve
I** Mendota Heighta MN 55120
`p10NEEp uno wnVEvons • aw. o+cwmre (812) 687-7914•Fax 681-9488
o Bngineer ng 825 Htghwoy 10 Northeast
Blelna MN 55434
*4c # * * (812) 783-1880•Fox 783-1883
Certificate of Survey for: OZtT1Un Builders. IC1C.
House Address: Rosemary Court. Eagan. MN
\
`
` N 89'32S5" E
\ 96.46
~
.3 ,,,-50 ~ 929.3(i / 7
9~o:e
y.ao ~ ~3 9'~0•a /
9ag~6 933
> / s
~ /
~
0 2
~ • ~ ~ ,6'1 ~'n ~SO /
9j N0b
~ $j~ ryo " •o~ i ~
k933 ~
'A 93414
O \v
%
\c~
\
.
`'D
OVn \ 933,7~ \ c`~ .
P.~~V.dr--.~I R E D~ ~ .
=AQAIi t GINEERING DEPT
NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS
. aoao Denotes Existing Elevation PROPOSED HOUSE ELEVATION
. ao.o Denotes Proposed Elevation Lowest Floor Elevation:928.35
- Denotes Drainage & Utllity Easement Top of Block Elevation:936.46
Denotes Drainage Flow Direction
--o- Denotes Monument Garage Slab Elevation:936.13 ~
-a Denotes Offset Hub Bearings shown are assumed t
LOT 1, BLOCK 4 HAWTHORNE WOODS 1 ST ADD'
DAKOTA COUNTY, 6AINNE507A ~
I harahy wrtify chat thit wrvay, pkn or rejwrt was prared by me or under my direct supaprv~ision eiW that I em duly RepiftarM IsM 8urvayor i
undar the lem of tha Sute ot Minnesota. Oated ehU 2,2 NQ ep day of AM~t- A.D. 191=. !
1
Scale: 1~~ -~Of~ A BE14 .SKIC .S.REG.N0.14B91
ii
I
19T51 92440_02
L gL 41 CITY USE ONLY RECEIPT 15~/-3 s
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES NIO, TOTAL
Shower 3. x I =
Water Closet 3.00 1 =
$ofh Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x -
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet • minimum -1 3.00 =
Rough Openings . 0 x =
Water Softener .00 x =
Private Disposal ` Dakota Cty. license 50.00 =
(new and refurbished systems)
' m er const. _
Alterations ` to existin9 20.00 = ca~~
a er Turn Around •o~
STATE SURCHARGE 50
, TOTAL
020 o
SITE ADDRESS: r- ("I /I r C%
~
OWNER NAME: k ' %
INSTALLER NAME:-~~ Q ~S c- STREET ADDRESS:
CITY: STATE:_~nn - ZIP: S 53 s-
PHONE (
r6 - a-
-
rrrLE
OFFICE USE ONLY
L - BL _ RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ~ all commercialfindustrial buildings.
w multi-family buiidings when separate pertnits are agi required for each dwelling
unit.
DATE: CONTRACT PRICE:
;kNv1Pll NDF: ~ P:RA:' CON°TR:lCTIS?N _ ACD QN _ REPAIa .
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of ermit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
Permit Application
City Of Eagan
` ipoli'o7nReomnemen RESIDENTIALBUII,DING
3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 NeRemodeVReoair Reauirements Otfice Use Onlv
3 registe2d site surveys showing sq. tt. of lot sq. of house; and all roofed areas 2 copies of plan _ Cert of Survey ReW
(20°b maximum lot coverage allowed) 1 set of Energy Calculatbns for heated additions _ Tree Pres Plan Recd
2 copies of plan shaxing beam & window sizes; poured found design, etc. 1 sfte survey for addNOns 8 decks _ Tree Pres Not Reqd
1 sel of Energy Cakulations AddRion - indicafe ilonsrfe septic sysfem _ On-sfle Seplic System
3 copies of Tree Preservation Plan i( lot platted atter 7/7193
Rim Joist Deiail Options selection sheet (bid3s wilh 3 or less unils
Date 7!~_ Construction Cost
Site Address "a 6 CO r r~( ~ UniUSte #
Descrip[ion.of Work e~ S tCJi' L_1!~ ~
Multi-Family Bldg _ YA N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~jgou k]/~-~ ~ Telephone # ( ~sf ) - ~
SELA ROOFING & REMODELING, INC.
Contractor 4100 EXCELSIOR BLVD.
Address ST. LOIJIS PARK, MN 55416 City
State Zip Telephone # Qa
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Catagory . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber ~ f~ Telephone )
Mechanical Coniractor p o m ~ Telephone )
SewerlWater Contractor Telephone #
Y
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 appr.oved plan in the case of work which requires a review and
approval of plans. ~
Srn~`~i7loC'r
L - ~Applicant's Prin ed Name Applicant's Signature
67,/z- q8 7 - C`13f
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_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 (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolipon (Entire Bldg) - Give PCA handout to appliwnt
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg) REQUIRED INSPECTIONS
_ 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
_ Fireplace _ 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
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
U?7
~ ~ ~OQ1J RE ID ' NTIAI. BIIILD ING •
PP
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauiremenis RemodebReoair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft of lol sq. ft, af house; and all rao(ed a2as 2 copies of plan Cert of Survey ReW
(20%maximum lotcoverage allowed) 1 setof Energy Calculations for heated additions Tree Pres Plan Recd
2 copfes of plan showing beam & window skes; poured found design, etc. 1 site survey for addilions & decks Tree Pres Not Reqd
1setofEnergyCalculations Additron-indicatedon-sitesepticsysfem _On-site5epticSyslem
3 copies W Tree Preservafion Plan "rf lot platted after 717193
Rim Joist Delail OpUons seledion sheet (bldgs wiN 3 or less units
Date O 8 8 / 06 Co¢struction Cost
SiteAddress YoZ?Q Rosemt,rv ~ 14 UniUSte k
Description oC Work
Multi-Family Bldg _ Y~ DI Fireplace(s) _ 0 _ 1 _ 2
Properry Owner d?1'~ `C,~G L e h~- t c,)[) Telephone )
Con[ractor ?Y1;nncsn4t, Ex+crin rs
Address $6Ao Te-werSon }~wY City 055eo
State MN Zip 6~53d9 Telephone#(763) 391-,S'SGI~
~ . ,
COMPLETE THIS AREA ONLY IF'_CONSTRUCTING A NEW BUILDING
I _ .
- Minnesota Rules 7670 Cateeorv 1 - ' Minnesota Rules 7672
Energy Code Category
. ReSidential Ventllatlon Category 1 Worksheet - • New Energy Code Worksheet
(J submission rype) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Licensed Plumber Teiephone J
Mechanical Contractor 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 pemut, 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 pians. CZ7c
`7oe -SneS
ApplicanYs Printed Name App Vant's i •e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MulS
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ent. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel , ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_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 (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy - MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addirion) _ 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 (newheplacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~ I
City of EapIl j Permit 196 LP O! I
I Permil Fee: 90.
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: /a i
i
Phone: (651) 675-5675
Fax: (651) 675-5694 ~ Statt: ~
- J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: C0- II-d a SlteAddress: ~2
Tenant: f Le,*S C'.Ki~ Suite
RESIDENT/OWNER Name:7AAc. '4" PZCt„ l Phone:
Address / Ciry / Zip: '7 q90 ~A~L~ ~ '
Applicant is: _ Owner '~niractor `S 5~ a3
TYPE OF WORK Description of work: e~-'^~s~-
Construction Cost: ~b 79'6•60 Multi-Family Building: (Yes _ I N0)5~)
CONTRACTOR Name: Licenselt:
Address: 24 ~ ~ • u 4~ ~ `
City' State'J Zip: J J7'~
Phone: ~~J •a~ a~~~ Contact Person: t~ -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
CBtCgOry Submitted Submitted
(4 SubmlSSion typ2) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No It yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contrector: Phane:
lYOTE: P/ans and support?ng documents that you submN ane conside?ed to be pubfk Irt/ormeflon. PorGons of
the lnfom?atlon may be classJfled as non-pubf/c !i you provlde speclNc reasons that xrouM perm/t the C/ty ro
conclede that are trade secrets.
I hereby acknowledge that this in(ormation is complete and accurate; that the work will be in contormance with the ordinances and codes of the City of
Eagan; thal I understand this is not a permit, but only an applica[ion for a permit, and work is not to start withermit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plan ^
x ~
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
RESIDENT OWNER
Name: in t \<..e., q-" (}i L. Leo i-sCiel Phone: 62)7 c.) 7
Address City Zip: ►I -}apt 0 kvSe+ Q E ar q 4 5 S 1 a 3
Applicant is: X Owner Contractor /i \x -e 2/'
y j &5/ (776
7,
TYPE OF WORK
Description of work: NaU t t t St't V\3 aQ-c k-
Construction Cost: 0° Multi Family Building: (Yes No 2c)
CONTRACTOR
Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE
In the last 12 months, has
_Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
4 111/* City of Eaaall
Date: 9
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
I oci
Applicants Printed Name
Site Address:
x cc'
Applicant's Signature
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Use BLUE or BLACK Ink
For Office Use
Permit
Permit Fee:
Date Received:
Staff:
l
f i
4 9fl (ZLse mat, y &J I c y 'S1; 3
Tenant: Suite
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.
Page 1 of 3
(I
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
"$Addition
1 Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25 100% 1)
Census Code
of Units
of Buildings
Type of Construction
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit Surcharge
Treatment Plant
Copies
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice Water _Final
Framing
Fireplace: Rough In Air Test _Final
Insulation
Meter Size:
TOTAL
P p
DO NOT WRITE BELOW THIS LINE I 'f '7
1
Porch (3- Season) Storm Damage
Porch (4- Season) Exterior Alteration (Single Family)
Porch (Screen /Gazebo /Pergola) Exterior Alteration (Multi)
Pool Miscellaneous
T Siding
Reroof
Windows
Egress Window
Occupancy 4- 11-U `I'
Code Edition
Zoning
Stories
Square Feet
Length
Width
*Demolition of entire building give PCA handout to applicant
VIA
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
Sheetrock
Final C.O. Required
T Final /No C.O. Required
HVAC
Other:
Pool: Footings Air /Gas Tests Final
T Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall
Radon Control
Erosion Control
Building Inspector
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
3(°
Page 2 of 3
TThi
r 1
92440..02
r
NOTE: CONTRACTOR MUST VERiFY ALL DiMENS:ONS
gooc Denotes Existing DeVCItiOn
:.0) Denotes Proposed Devotion
Denotes Drainage 84 Utility Easement
--Denotes Drainage Flow Direction
Denotes Monument
Denotes Offset Hub
Bearings shown are assumed
PR OPOSED _Hpus_Fv
owest Floor Devotion: 9283
Top of Block Elevation: 936E46
Garage Slob El evationE936:E;
N 893255"
96.46
DAKOTA. COUNTY, MINNE:SOTA
i eire b y cer tify tfint th is survev, plan or rePort was prepared by me or unfit, my direct supervision and that t am dui
uhd-ar 4;7 of the State c ilted this day o O. 19
egt
ered Land Surveyor
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143188
Date Issued:06/06/2017
Permit Category:ePermit
Site Address: 4290 Rosemary Ct
Lot:1 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-010
Use:
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Originally a duplicate permit for 4825 Redpoll Ct - swithced on 7/12/2017 to 4290 Rosemary Ct (SB).
Please print pictures of ice and water protection and leave on site.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael J Lentsch
4290 Rosemary Ct
Eagan MN 55123--304
Les Jones Roofing Inc
941 W 80th St
Bloomington MN 55420
(952) 881-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143188
Date Issued:06/06/2017
Permit Category:ePermit
Site Address: 4290 Rosemary Ct
Lot:1 Block: 4 Addition: Hawthorne Woods 1st
PID:10-32150-04-010
Use:
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Originally a duplicate permit for 4825 Redpoll Ct - swithced on 7/12/2017 to 4290 Rosemary Ct (SB).
Please print pictures of ice and water protection and leave on site.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael J Lentsch
4290 Rosemary Ct
Eagan MN 55123--304
Les Jones Roofing Inc
941 W 80th St
Bloomington MN 55420
(952) 881-2241
Applicant/Permitee: Signature Issued By: Signature