EA184665 - Building - Single Fam - Issued Date 06/28/2023 PERMIT
City of Eagan ® ® Permit Type: Building
3830 Pilot Knob Rd ®mmm® ® ®:® Permit Number: EA184665
Eagan,MN 55122 EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E A 1 8 4 6 6 5
Date Issued: 6/28/2023
Site Address: 743 Hackmore Dr
Lot: 5 Block: 2 Addition: Saddle Horn
PID:10-65800-02-050
Use: * 1 0 — 6 5 8 0 0 — 0 2 — 0 5 0
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Bathroom Shower Remodel
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: R-1
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Building Code).
Fee Summary: BL-Base Fee $83.50 0801.4085
Valuation: 2,000.00 BL-Plan Review 65% $54.28 0720.4222
Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Mad City Windows&Baths Daniel J Moehnke
5020 Voges Road 743 Hackmore Dr
Madison WI 53718 Eagan MN 55123
(651)500-0514
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature sZed 13 : Signature
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For Office Use
I
I Building Permit#:184665
SBWPermit#:
EAG
Permit Fee I . Sdjb
6/16/2023
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
651 675-5675 FAX: 651 675-5694 I I
( ) � � ) I Date Issued: I
buildinginspectionsCcr�.ciiyofeaaan.com I—————————————————————.,
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 06/16/2023 SiitteAddress: 743 HACKMORE DR EAGAN MN 55123 Unit#:
Applicant is: ❑ Owner 0 Contractor
Name: TOM MOEHNKE
Homeowner Address: SAME AS SITE ADDRESS c;ry:
State: Zi : Phone: 651-895-4954 Email:
Description of work: REPLACING TUB WITH A SHOWER.EXPOSING PART OF EXTERIOR WALL WILL REINSULATE TO CODE
Type of
Work: Construction Cost: $4.061 R-1, Saddle Horn
Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
Company: MAD CITY WINDOWS a BATHS Contact:
Building Address: 2621 FAIRVIEW AVE N City: ROSEVILLE
Contractor
State: MN Zip: 55113 Phone: 651-695-4954 Email: PERMITS@MADCITYWINDOWS.COM
License#: BC775012 Expiration Date: 03/31/2024
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
newCoristructiptt '
License#: Expiration Date:
® I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:Planiand supporting documents that you submit aar'e 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.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.000herstateonecall.oro for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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.
X GUADALUPE VEGA X �as,,dA&
Applicant's Printed Name Applicant's Signature
FOA OFI=ICE USE ohli ,
Site Address: Permit#: 18?! 66,5—
SUB TYPES
Single Family _ Fireplace _ Lower Level
_ 01 of_Plex _ Foundation _ Porch
Deck _ Garage _ Pool
WORK TYPES
_ New _ Repair _ Siding _ Retaining Wall
Addition _ Fire Repair _ Reroof — Move Building
Alteration _ Water Damage _ Windows _ Demolish Building"
Replace _ Egress Window _ Solar `Demolition of entire building—give PCA
handout to applicant
DESCRIPTION
Calculated ValuationC,C,(t, Occupancy T2C-I MCES System
Plan Review 025% C-1U0% Code Edition 1°4NRCSAC Units
Census Code Zoning City Water
#of Units Stories Booster Pump
#of Buildings Square Feet PRV
Type of Construction ®Ibl Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck Meter Size:
Foundation: Before Backfill Poured Wall Siding:_Stucco Lath _Stone Lath _Brick
,i Framing: 1 Hour ,Residential Alteration Roof:_Ice&Water _Final
Braced Wall Framing/Blocking Erosion Control
Braced Wali Sheathing (prior to house wrap) Pool:_Footings —Air/Gas Tests _Final
Interior Braced Wall Panel(s) Retaining Wall:_Footings_Backfill_Final
Firewalls Fire Suppression:_Rough In_Final
Insulation Windows
Fireplace:_Rough In _Air Test _Final Other:
HVAC: Rough In Final
Radon Control Final/No C.O. Required
Drain Tile Final/C.O. Required
Reviewed By: 7S A/C , Building Inspector
FEES
Calculated Valuation
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply &Storage
S&W Permit&Surcharge
Meter
Radio Read
Other:
TOTAL $ 0.00