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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