515 Hackmore Ct'7 REQt1EST FOR ELECTFNCAL INSPECTiONi ?
?
I????? See instmctions lor completing mis torm on back ol yellow copy.
X" Below Uxork C.QVered by This Request
Ee-ooorn-oa ?
Comm.lfndustriaV furnace vtner jopecrryl
Farm Air Conditioner
Other tspecify) Contractor's Femarks
Compute Inspection Fee Below: -
; # Other Fee # Service Enirance Size Fee # Circults/Feeders FeeC ?
Swimmina Pool 0 tohwmps , 0 to 1D0 Amps -M,
200
oiyri5 ,?,.o....... ...... ....... `!I / p
? -
B ' ? 1 ?
)
ooms
Irrigation -
Speciallnspection I t? '
AlarmiCommunication ? TFtI?,IPIS A1i3 N.MAY BE ORDfRED DISCONNEETED IF NOT
Other Fee MPLE ED ITF Hri 18 MONTHS.
I, the Electrica! irtspector, herepy, RougMin `j Date -Z?
?
certify that the above inspection h?s Final ' j Date
been made. ?
OFFICE USE ONLV
This request voitl 18 months hom\,
1
1
------
--
---
--
'.-----
-- --
--
f?
F
.
5 fi 9 5 9
Aequest Dele Fire No. Rough-In IrtpseCliorvequrcgd InSpection Other Th Rough•I»
(Vou must call inapectw when ready} ? qeady Now ifl niotily Inspector
Y z ? No Date Ready
1 7 licensed contractor ] owner hereby request inSpec -
?ipn of above electrical work at:
Jo0 Atltlress (StrBet. BOxipr ROUte No.) Gib
$ec4on No Townshi Name 0r No. ? Range No. ' Gounty /
uccuPant i ?rtirv p _/y1
? '? r ? ?
Power Suppher ?? Address // /. i / l" : . 'z'-"__ . `? e-'
or
Autnonzetl Slgnatur (COntraclonOwnei Making Installation)
MINNESOTA STATE BOARD OF E4ECTRICI7Y ?- THIS INSPECTION REQUE5T WILL NOT
6rlgge-MHdway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1841 Unlverslty Ave., St. Peul, MN 55104 UNLESS PRQPER INSPECTIQN FEE 4S
Phone(812)B42-0BOQ ENCLOSEO,
CaotipFQt¢ df cCC1tpQliC4 ?it? o? ?aga?t
Mcpartiacut of 13x0atg 3ndoection
This Cenifecare issued pursuant to the requirements of the Uniform Building Code
certifyiRg that at the time of issuance this structure was in compliance with rhe varrous
ordinances of tht Ciry regulating burlding consmuction or use. For the following:
Llse Classifiwioe: SF DWG SFdE. Pertnit No. 24851
0..W.r TYv? Bt/Mt I zoniog nisn;a R 1 Type c«i5t. VN
O+reer of Buildiog WILLIM HLTMM }?&%ess Q60 WAIERFORD DR+ EAGAN
B?ulding Add?ess 515 HAMM CM LoalilyUs B ia AMI`'N RMM 3-RD
? r
?
, Buildo60ftw
I'`- . POST IN A GONSPICU0IJS PLACE
INSPECTION RECORD
"SCITY"'OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued:
'I (612) 681-4675
SITE ADDRESS: APPLICANT:
il?ai !M??f=1 ? f tl?? 1 I 1'JI ;? ??rJ , I. s.ll I 1 1 hht ?
it{:,,? 41 1?1
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION ., . D.
f,?f
IJ i
i'.+ .? I'? 1?„ 1 IN?+I
; i r??+itt?:', • Ni<?' :> t. W!•i #itR S[Ak 1+I.i•11.
?
?
PermR No. PermH Hokfsr Date Telephone M
S/W
PLUMBING
HVAC ?/? I? J? 07•3 3?O12'
ELECTRIC Qg& 0 ??-
ELECTRIC
Inspectfon Date insp. Commerns
Footirz9s I
?
Foundation lvlor P
Framing
Roofing
Rough Plbg.
Hough Htg.
i5ui. r
Fireplace
Final Htg. -Z
Orsat Test
Finel Plbg. y?I Plbg. Inspectvr - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final L 2
Deck Ftg.
Deck Final
Well
Pr. Disp.
--
I
G
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
I SITE ADDRESS:
CI
PERMIT SUBTYPE:
LEV . v..
(E:t?) 606-94l11
TYPE OF WORK:
a,???s•-?a
I I I i;nrI ill
INSPECTION
. ,, D• .
. . , .A
I iAtiK+Sa h`:i?f'ARATF. f'FklIT i IS !2E UUIf,i 1.1 FGR ANY E'1 UiqRrNr3 CII( F 1. 1 CTRAC/11 rJr)Irk
n • ?
,
,
? .
??? - - . , . ? , - • ._ . _. , -
w
PERMIT TYPE:
Permit Number:
Date Issued:
3 ` PLO( APPLICANT:
?
?
Permit No. Permit Holda Date Telephone M
EIECTRIC ? pO
PLUMBING
HVAC
Inspectlon Oa% Insp. Commenb
FOOTINGS
FOUND
FRAMING
ROOFINd
ROUGH
PLUMBING ?
??-
PLBG
AIR TEST
ROUGH
HEATING ?i
?l
GAS SVC
TEST
INSUL
O? ?J
GYPBOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT .I. l??'? ?j ?
BSMT FINAL
7 9L
<?3
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
I Eagan, Minnesota 55122-1897
(612) 681-4675
? SITE ADDRESS:
? ? +,,,? h r?u?rr ? ?
rals ? titatd i• 1 I?!?? :i{tti '
PERMIT SUBTYPE:
I I 1,11 i iN,,?,
PERMIT TYPE:
Permit Number. ?' •'' ? ? ' '
Date Issued:
7L '?7 ?y l7 1
APPLICANT:
(hi.' ) 6Nb -yfr. t i
TYPE OF WORK:
I t raA1
?
L
_.
I jr, i r,r,
Permit No. Psrtnk Holdw Date Telephono #
ELECTRIC
PLUMBING
HVAC
Inapectlon Date Insp. Comments
FOOTINGS
FOUNO
FRAMING
ROOFINC3
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FlNAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAI
BSMT R.I.
BSMT FINAL
DECK FTG Q /1 d
v .t 7 ?
DECK FINAL ?? ?
J/1/fs
0 56959
REQUEST FOR ELECTRICAL INSPECTION
? See insvuctions br com0leting ihis form on back ol yellaw copy.
"X" Be/ow Wprk CovEred by This Request
EB.
00001-08
e Add Rep. Typeof Builtling ApphancesWrted EquipmentWired
Home Range Temporery Service
Dupiex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm.Andustrial Furnace Other (Specify)
Farm Air Conditioner
Oiner(syecify) ConVactor's Pemarks
Compute fnspection Fee Below:
Fee # ServiceEnirancaSrze Fee # Circutls/Feeders Fee
?m
m
w
0 to mps
fo 100 Amps
I E
t
r
a
ns Above 200 A s Abov Amps
igns Inspeclar5 Us /
r
rigga
ir
h ' . - p>>
Speaal Inspecho
n
C
Aiarm/Commumcation 7HI A TI N AY BE OFiDERe ?
C? I
9NNECTED IF NOT
Other Fea . PLE E THIN M
O,qTRS. T
t r
I, ihe Electrical Inspector, her T
certrfy that the abovh ;?
been made. W
OFFICE USE DNLV
This repuest voia 18 monIDS iro /
? 56959x z?? (??Z4
Repuesi Dete Fre Na RaLghd? ln ??eC 1re0?LOn O1he? Tha Roughdn
, (VO must call in eclor w?en reaEy) ? qBatly Now ill NotM inspector
Ve ? No pale Reatl
I?' ens
r owner hereby request i pesnon of above electrical work at:
Jo Atltlress (SV Na I
?
(ql
4
edion No 1
or No Range No Counry
?/' `
"?
L
Occupant(P?RIN
16 1110? ? Phone No
PowarSUpplierr ` Atltlress
ecvKal C+p t2 tor (COmPar,y,?idw??? 1 CqnVactor5 Li nse o
pp? FRA??nt. ?
Mamn aares ?con
?
1? ?sieueeor,
?
?L
lUP
S
17bD3
Autnmizep S,B^atur (C nnao?onpwner Mak??g Installauon) Pnone Numbe
I
?
MINNESOTA STATE BOARD OF ELECTPICITV -?? THIS INSPEGTION REQUEST WILL NOT
Gnggs-MlUway Bitlg. - Hoom 5493 BE ACCEPTEO BV THE STATE BOHFD
1821 Universlly Ave. 5t. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Ptwne (612) 642-0800 ENCLOSED
Address 515 trAaMRE !'ouxr Zip 5512 3
L.ot' ',i ' Blk I Sub AtrtYIlNtv RIDCE 3RD
THESE ITEMS WERE / WERE NOT COMPLE'I'E AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" from siding) f
Permanent steps (garage)
Permanent steps (main entry) {r
Permanentdriveway ?
Permanent gas
Sod/Seeded grass ?
TraiUcurb damage
Porch ?
Basemen[ finish ?
Deck ?
Please vetify with the builder the removal of roof test caps from the plum6ing system and the shut-off of water supply to
the ouuide lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in righbof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy @
??- Y?? REOUEST FOR ELECTRICAL INSPECTION ??'???'
ee
-ooooi-
o
s
Poo See inslmc0ons lor completing ihis tatm on back ol yellow mpy
"X" Below Work Covered 6y This Request ?
y
/
J
Ne Ad Rep. Type of Builtlmg Ap'ptiances Wired Eqwpment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Bwlding Dryer Load Management
Comm./Industrial Furnace Oiher (Specify)
Farm Air Conditioner
Omer (specity) Conimcror's Romarks
Compute Inspectwn Fee 8elow?Sm?' •'? ? S??J[///`??y
# Other Fee # Service Enirance Size Fee # CircwtslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 -Amps
Signs irispecmr's use OnN " TOT
?-
Imgation Booms (.,tQ ^ ?'G
S ecial Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
O[her Fee COMPLETED WITHIN 76 MO 5.
I, Ihe Electncal Inspector, hereby
certity th
t th
b
ti
h Ro.qn-in ' oare
a
e a
ove mspec
on
as
been made Final c Da?e
OFFICE USE ONIY
This requast vastl 18 manlhs fmm
_ ? °5/? ??"'
0
$4 ?
1
?7 s
a/?i ??D
-
Raquesl at Fire No Rough-In Inspeclion Require0 Ins ction O[her Than ough-In
/ _?J (VOU m II inspector when reatly) Reatly Now WiII Noltly Inspeclor
Yes ? No ?ale Read
I? licensed contractor Acwner hereby request inspection ot above electrical work at:
Job Atldress (SVeel, eo or Roule NaJ Ciy
515 Qdrllore •
Seqion No ownship Name or No flenge No County
DEa
r? an Cr-o A Phone No-
Power Supplier Atltlress
Eleclnc I C ntrattor (COmpany Name) Coniractors License No
0 P'K ry
Mailing Add ess (Co tractor or Owner Making Installa[ion)
d
ANhonzetl SignaWre (C cbdOwner Making stall n) PhOne Number
? (84- 9o i /
MINNESOTA ST TE BOARD OF ELECTRI I THIS INSPECTION REOUEST WILL NOT
Griggs-Midwey Bltlg. - Room 5-128 BE ACCEPTEO 9V THE STATE BOAFD
51 Paul, MN 55101
1821 f UNLESS INSPECTION FEE IS
Phone (619 642
0800
i ag/9
D12 60
_ E-•
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-o?sy? See mstructions br comple?inq tbis form on back ol yellow copy ?? ? '?O ?5?s 1
"X" Below Work Covered by This Request ?? ::?°' •
Ne Add Rep Type of Building Appliances Wiretl Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApG Bwlding Dryer Loatl Management
Comm.llndustnal Fumace Other (Specify)
Farm Air Conditioner
Other (speciy) Conhaclor'a RemaMs
Campute Inspechon Fee Below
# Other Fee f1 Service Entrance Size Fe # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to Amps ;j
Transformers A6ove 200 Amps Above 100 -Amps . S67
Signs msp.iors use o„ry TOTA L ?
Irrigation Booms f tiJ
C?5
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE OR RPD DISCONNECTED IF NOT
Other Fee COMPLETED WITH MO
I, ihe ElecMcal Inspector, hereby
if
h Aough-in I p ?a?q_ r?_y?? -
?
y f
cert
at the a6ove inspection has
been made. F??'?
? oa?
OFFICE USE ONLY ?
This requesl void 18 months Imm
- I yil;it
?5?37
U'U1Z86U?
Requesl Date rte No Rouqirin Inspxp equirea
(VOU u call inspecror when reatly) Inspec0on other T an Rougn-In
? ReaOy Now opty Inspeclor
es ? N. Dale Reatl
I icensed contractor ?owner hereby request inspection of a0ove electrical work at:
JoE Adtlress (Street, Box or Route No )_ C4 ?}-
% Ciry
?L
Seclion No Township Name or No Fange No Counry
Occupary (QRIN/iy
? / y t"r
/
J Phone No.
l?i
.
• (
Power Suppbor Atltlress
C
Eieclncal Conlreclor (GOmpany Name) Controctor s Ucense No
C.
Maihng Adtlress (COniactor or Owner Making Insfallatmn)
Aul nzotl Signature
'KI c`/OwnEr Making InstallaVpp)-
?
,
?
'?'
Phon Number
-? ?Uy
3t
,
-c
..
? ?--i_ r
MINNESOTA STATE BOARD OF ELECTHICITY
Griggs-Midway BICg. - Room 5128
1821 Universiiy Ave., St. Vaul, MN 55104
Phone (61216620800
TNIS WSPECTION REQUEST WILL NOT
BE HCCEPTED BV THE STATE BOARO
UNLESS PFOPER INSPECTION FEE IS
ENCLOSED
1 PERMIT 3
? CITYOF EAGAN ???/?S?
3830 Pilot Knob Road PERMIT TYPE: e u L D I N G
Eagan, Minnesota 55123 Permit Number: 024851
(612) 681-4675 Date Issued: i l/ 16 / 9 4
SITE ADDRESS:
515 HACKMORE CT
LOT: 3 BLOCK: 1
AUTUMN RIDGE 3RD
P.I.N.: 10-12302-030-01
DESCRIPTION:
r 1.__,
Building_.Permit 7ype SF pWG
Ouilding W6,rk Type NEW
?'UBC OccupanCy?? R-3 M-1
/ Construction Type V-N
iI 2oning R-1
Building Length° ? 68
Building Width ` 48
BVilding stories 2
"-?S?c}?ur?re Feet C ?,-- ? 2,333
cD ?
REMARKS:
PRV S& W PIBR - STAR PLBG
FEE SUMMARY:
VALUATSON
Base Fee
Plan Review
Surcharge
SAC
SAC ?
5AC Units
5ubCOta1
$856.50
$556.73
$81.00
$800.00
100
1
$2.294.23
$162,000
MI5CELLANEOUS $1.828.50
7ota1 Fee $4,122.73
CONTRACTOR: - Applicant - ST. LIC. OWNER:
HUTTNER CONST, WZLLIAM 14523088 0001653 WILLIAM HUTTNER
960 WATERFORD DR W 960 WATERFORD DR W
EA6AN MN 55123 EAGAN MN 55123
(612) 723-4161 (612)452-3088
I hereby acknowledge that I have read this
information is correat and agree to comply
Statutes and City of Eagan Ordinences.
I APPLICANTIPERMI EESapplication end state that the
L
with all applicable State of Mn.
fl RPIrn?
ISSUED B SIGTP 1fURE ?-
. 141'61
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
LQ
"
SINGLE & MULTI-FAMILY copy o energy
2 sets of plans, 3 registered sit surveys, 1
calcs.
COMMERCIAL 2 sets of architectural & structu 1_pLans._1_iet of
specifications, 1 copy of energy ca ics.
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 Valuation of work
Site Address:
STREET SUITE #
Tenant Name: (commercial only)
LOT 3 BLOCK !
I SUBD. 7pd
J
#
P.I.D.
Descri tion of work: :?62 e ?s
The applicant is: ? Owner Contract r? Other (Descri6e)
Name Phone
Property LAST FIRST
Owner
qddress
STREET STE #
City State ZiP
Company 9; Phone kL 3d ?
Contractor Address /lc0 WP7(4fafd Dr, ?, License #/0/53 Exp. 19-5--
City State 10w Zip 5-')123
Company Phone
Architect/
Engineer Name Registration #
Address '
City State ZiP
Sewer & water licensed plumber t?' ?c !' Processing time for
sewer & water permits is two days once area has been proved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable 5tat of Minnesota Statutes and City of
Eagan Ordinances.
.
/
Signature of Applicant:
OFFICE USE ONLY ? ?.? "•
•
BUILDING PERMIT TYPE ? ?? M
?
d.,..
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish
X 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Additian ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
&r 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) ?- M Basement sq. ft . /,6?y MWCC System ?!
(Allowable)
UBC Occupancy ?
?_/ lst F1. sq. ft,
2nd F1. sq. ft i
&c City Water
PRV Re
uir
d ?
Zoning ,e- .
Sq. Ft. total - q
e
Booster Pum
# of Stories
n
h
Z_ ,,?
Footprint Sq. ft. z,933 .?5?°p e4'
st p
Fire SPrinkl
er
De
P
th ?
?110 On-site well
On-site sewage q?V` CensusCode
SAC Code
APPROVALS
Census Bldg ?
_L
Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
? .Site OFooting S?Jraming EY I nsulation
? Wallboard 8-?-Final p Draintile ? F ireplace
Permit Fee vaitmcsa,: g /?Z,aoo
5urcharge
Plan Review ? SfF? gsMT
License ?x /g yx
?'?`? ?$
MWCC 5AC
Clty SAC ?n ?//,S =
: yL C 2r4? 'Cz?
Water Conn. t„ 2, 6 /L
by >
Water Meter
Acct
D
it _
14 x f"b ?o
yiZ ;? b>
.
epos
S/W Permit a rzX 7
5/W 3urcharge
Treatment P1
. ? „r? K 8 ' S
-
' zy 2? ,
0
' ?
Road Unit ?yx ?\ ?
? L3Z, [?yypqL
?-
Park Ded.
Trails Ded ??yg x s"y? 1g%99L ?Oyo
.
Copies z =??? ° Y
Other .i3?rz
Total: zo,X Z y ? ygo
'IS'
16.33r/i" ztt ?O?G7x/6'
SAC %
SAC U
it <SK yry? ' L?>
?ay xsy = r3?,9?6?
r,o,99Z
n
s d ---- L----
--?
?---- - .
?
.
D' 0
0'? 0
D--'0 °o
D •
0 • •
0 •
0'D
0'' D 0 •
D •
0-0 0 •
D`10 0 •
LOT BORVEY CHECICLIBT FOR RESIDENTIAL
BOILDZN6 BERMIT
PROPERTY LEGaL•t
Dat• ef 8urveys
DOCiTMENT BTlNmanng 4.r"
7// ;Py .
Registered Lnnd Surveyor signature and company
Buildinq Permit Applicaat
I.egal descziption
1lddrass
North arrow and bar scale
House type (rambler, valkout, split v/o, aplit entry,
lookout, etc.)
Directional drainage arrows with elope/gzadient t.
Froposed/existing sewer and water services
Street name
Driveway
0'J7
0
- ELEVATI0N8
Eai?tinv
Sewer service
t3'? 0 • Lot corners
0 0 ? • Top of cuzb at the driveway
B?D 0 • Elevations of any existing adjacent homes
9,
0?0
0
0
• Broposed
Garage iloor
• First floor
H? 0 d • Lowest exposed elevatior? (walkout/window)
0??? 0 • property aornere
O? O 0 • Front and rear of home at the foundation
D ?
• POttDING ]1REA8 tif aeclieablel
Easement line
'
D ?
0 H pond N designation
ID • Emerqency Overflow Elevation
? 0
0? 0
0
• DSIiEp820118
Lot lines
, 0 • Riqht-of-way and street width (to back of curb)
jY0 0 • Fropoeed home dimensions including any proposed decks,
overhangs qreater than 21, porches, etc. (i.e. all
O
• structures requizing permanent footings)
show ail e
t
f
d
esemen
s o
recor
and any city utilities within
? those easements
fl 0 • Betbacks of proposed stzneture and setback of adjecent
? existinq homes
a •
Retaininq ysaf?3 requil"ente, if any
October 1992
:LEMOUT$
. . ? 'j?, ? -'r_'._? - ?iz:"dC.-.._^',.,"..-•_ r.o?,: iy_,?, .:eN.3 r
. ? ?? ='r.. ,. . _ _ ?_?...y= G ?... -':^.. AY'?. .._y:,?. '!?• ?,
;OPPER TYPE 'K'.
`"1[J.v-?tg
' /?(. ?/? . > ..;r•?:.: ;s._y :.?;`- -
O ' ' " ' ' ° • ??.. Vwi?.?l?a?? ?t::" F ' . !. ? _ ' ?It?:.';? -'." ?9: ???
THE LOl'S.
S. SHALL BE ,?S; 9?8.?_
ifJE IS. DIP
?f'
. ` • - _ . .. - , , ?:?M s, u?<r_, ?,zV ?`.,' _ :x ::e`.^ ' :r.:.,::^?:
N Tr+E sIoEwnuc SDE ?? . • - , , ? ? ?.., ? - ? '? ?"? ?.p? ? ??`
? ? ,.R ? ., c. a? :? L??1(4? ? f{ x?
S ouTSioE niE
)PS AND CLEANOUTS -. - .. . y... •? _ K ?? _ :. . `;?; - ' ? ? = ? ??'• ?:Q w ` ,:
•- ? ? " <;T'??C. , ,- " ?.
r
o•?. ?.: 1-7
_ . . -%r..a„ • ? ' ?.1 ?'
. ' , _ 'r?._ •.?•y • _3,.E. ?, t,.
MN- : STA: ". t'+7D r
ic8"TEE ?.
, ,?" C??' _ ?8p'6V
87'45'*iB?.A?? ?„
S:• 1 48._kI..
.. ,?
!l:,4s,R.,?
8,
`; , .' ? . #,
E:LEvHT?o
ii0 'S ;
.. p
z I s ;iKNG _-
. ? .,. ,
? ? ?u,, or, siT?.
w ^ ? .
? _ :• CS-929.9
1 `c I-
? N O UVV=919 .3. `.. \?
z CS=929.3 `.?. .?. ?. ? . .
w ] . .. . .. . --? ° .?:
0° HACKMORE DRIVE
-..
EXTEND? 8?" W. M... . - TEE_ R:: ?'?-
[- SEE LEFT 260'.?.TO PROPERTY CINE ._- ` . MI..C7`( _.Y5 r=
MAIN.TIkIN. 7.5' M{N.. GONER' .._ ; .,:.` ..: . ? ? .
50 IDO PLUG END.. ? ...
3CALE IN FEET .
m 50 teet r r A r trvf11 DUl rtl I TDT -
• 94v ::..:.................. .... ::. .:.::.:. :.... :.: .... ::.
.......... . • .... ......... ...
• ' ftE .930.90 : . . . . . . . . . . . . . . . . .
.. .. . .. MH ; ... ._.... :...... . . . ,.: . .... . .... . .
: :. 2 KD. 13..44.:::: ..?...:.......... .:;•-'::. :.:.::: :.:
: : . . . : : : . . : . : : . . : . . . . . :i?tH: ' 'R?:'?2$.35 : . .. '? - . :.. . . . . . . . ... . ... . ,
935 • : : : : : : : : . : : : : . : . : : . : . . . . . . .:.: ' ? ? ? ? . B?•: :?:?.1 i' ; : '. : . : : : ' "_ : ' . :. i: -..
. . . . . : . . . . • : : PROPOSED : . :. : . . . . ...-. .;.;*; ..-.•.
. . . . . . „?: E.?: ? ,-:L:E?.Ui?? Ttl•.iR Lt?-?f' s:, `:
. . . ? .. ? ? ?. . . . . . . . . • . . . ? . . . . ? . ' . .. . • • . OF. .U ?.. Pj.h:l•nSt.?,:...
? ' ' ; . . . ? . . . . . . . . . . . . . . . . . . . . . : ' ' ' . . . . . ? . . .....Ir:-`-;l: d:4: ,? . iFjiiJ' . . . . : _
. . . . . . .7.3? ? . . . . . . . . . . . . . . . . . . . . . . ' . . . . . . . . . :-.. .. . • . . . . .?..:r ?? ?..? .'?'!. - ['U'?'S,?QV4J. . .?',•?-:" . ._. i,? ?
. . • . . . . . . . . _ E ?., ?,r,. ':? ;=t:.?w?" e Ci?l',1??Sj`? '";_ • '
. . . . . . : - . • ' . . . . . . . . ' ' ? . . ? . . . . . . . ? . . . . . .f?.?. ::: : .-,^?f'rf' fr<t.?..?T. J?. ... . . . : . ? . . . .
1• ?
. . . • . . . . . . - - ; . . . . . , . . . . ? : `- '. ..".:.1 ?- . . . ' . . . . . _. _.,
. . . . • • .:?:,?: ? ???= , Th`' ?+??`':
. . . . . . . . . . . . . . . . . . . . . . . . . . . _.!. 't ril IOa?'Oi?3? ,,.. . ... . . ,. . . :_.
. ; . . . . . . . . . . . . . : . . .. : : . . . : - : : ??;?..?..'?,; ? , , . ,.
, . .. '.ti.: ... ..: :.
: . . . 7.5' M(N ca?ER : . : : : : : : : : : : . ?. , . . • . , .:: . ... . . . .... . : ,.,: . ... -
' : : . . 925 . : . . : . : . . . . . . . . . : . . . . . . . . . . : . . : : .... . . . . . . : 8"DIP '. : . ` . ' :. . : : : , ., . . : . . ' .:.: .: . . . ?.LLtG
CL 52 ... .. ....
. . . . • . . . . . . . . . . - . . '. .?.?=?..c.`.. 'a'."''L .._; . .... •`• ' .x.?• r':. . . ..?.:
. . . . . . . . . . . . . ? ? . . . . . . . . . • , _'.?+? ... . ?. w.. ?f:i .w? ?. ..p ??'41 d?, . .v.:,.. - ^;:"??
. . . . . . . . . . . . . . . . . . ., ??9v?: A. •?f?'•?`• ,V• . . ,.. . . • .. . . . -l:•
75 , .~, _.. . ... . : ..
: : : . . . : 920 . : . : . : : . : : . : : : : : : : i? :..5: ? 6:a0'
.. . . . . . . : : , . . . :.. ..: . . . . ??'_? • : : - . •_• . . . :.. ...
. .
.
?k•
?. "
. . . . . . . . . . . ? . . . . . . . . . . _ . . _ . . ._ ? .. _ . .
. . . • . . . . . . . . . . . . . . . .. " ' _
. . . . . . . . . . . . . . . . . . . . . .._
. . . . . . . . . . . . . . ? . . . . . . . . ? . ' .
. . . . . ?T ?..?? C?'.§- . N t. ? ^y ?'? ?:y=? ? • ??.1?'=?' i'+sy
, . . . . . . . . . . . . . . ... . . . . - .?5.'.vf .. . -. . . - _ . ? ? °?,..? Y..+:
........... ... ...... ' ...... ....... ..... . ? - ??T? •?l?"y'A?;v?],? ?.... wSa'...._.t..J?sC'.;.+?
. . . . . . . . . . .... . . . . . . . ' ' . . . . . . . . . . . . . . . ' •. . . . .. . . ... • T?.. . ..: _?` -? r ..-: . .• . ?..n..:?n...u!^'?
. . . . . . . . ? ? ? ? _ • ? ?+-'? ,ti ' ?- vY?' ?•W??'-! ?r .?Y'(T?.ti.:.?i y
_ ....• ' -??? ••••????• ••????•:;???•??...?•'•....? ..? - /?? ?.j:y... t?!
; •N N? .:?:?:'-..;;.?•?Ti:. ?;r; ?r...;:`.: " a..f... ?-- -p-:? _ ? _e>,,
. . . .. ' •N r7- - . ,._.?:y1? - _ . s.y":'.'*"t.Y..: ";.?d,»k:
. . . . . . . . ? . . . . . . . - . . . .[G i0 ? . . . . . . - . ... . ? . . ' . . , . .;?.:..'bi'<i":? _ .. ?'..xr :s.t`-rt ° ? '.4f,w '??a . ... .
.?01 .nX a= -? ?.?:;.A.?
. . . . . . . . . . . ' .. . . . . . . . ??. . . ' : .. . ' .. . . . . . . .,. . . . ;Aj ? • ' . .M1., i.t:'"r _ • {'j ' f. s J ?. :..r.. '?-??•-.l7fi.'" '?t.'??' .F. K,r:..r..= L+?'
_ . ,?' " . ,•-y': y ? Cz.C_-::?.. .,: q.? .
. . . . . . . ' . . . . . . . . .. . . . . . ?. r . . . . "- . .. - . . . , 's'? .'?. .. .X - •tc?_'!'..e'. .rw?.' ?ea+ ? ??? `r.1`iFV' :",.?--?ff'.R..I_ _ay?;?,'.
........' ......... ...?. .. .. .. ..._ . ?s?. . , yi. _:.erbs./~.? ti? .:;'? Mg 'C
. . . . . . . . ? . . . . ? . . - - ' ? ?? a??.. ;`.t` ?'.?a?1??1'??.'. •'?t-?.«''?. ? '•..l.y`?§., .t?.'?;.:?v?.-`s}91.?
. . . . . - . . . . _ ... . ? ? ? . . . . . .? . . _' ' : ' ' . . . , . . .:^j? .? ?? •.,.5-?%.:7.^b -. . .:4-.?_t'r..: ^; ,^?+?";?. :rf?+?;.?,f'x"',-}?x?? 'u?..? .
O - . . . . .
. . . . _ . . ? . . . . . ?.
ya Y?d.'
. . . ' ". . . . . . . . . . . . .. " . . ..ZZ . . . . - ?v:.:a,? ..:U:'°:. • ?,.. ,ar.__ :Y?yf}.?- .4r' ??.`? l- A: ? 4'ti,Y:
.. °... _
. , .•
" . . . . . . . . . . . . ' ..... ='}'.. . , " '3;;• :.r? ?:.?",?'r,'?: ,rY.a'r.;'..`' .q:i;.i-s?a;?!??;.:.;rR "?"?":@.r;9. _ t'
.. . .
,.
. . . . . . . . . . . . . . . . _ . . . . . . _ - .,a? - ??s ?~_ •1??-x.:;.a?;{`xs? .?u.. - . ,:?:a..S ::,„;;; "?" ?-.?7-'? -
.... . . ,.
. .
. . . - _ . _ .. _ . _.. • - ,.?? ? ? ?3M. +. K3??'?' &'t ?a7
3Rp ADDITiON_
?GE
.. . ?.;. ,:. _:;.
MINNE50TA _
. ?
SHEEI' 11
Tf:E.a-y:.. ?,.:,, D, -,.s "' •?
? t . _ ..? . ? , ' ? .. . .+?,: . ;r•.. , _ :_? - ?M1rI , , -a
. k t
' ^.t • .. ?.. 't `_ .. . ' ja . n: '. ^ f . ?
?_ __ . .... . _ . .. . ?_'a
N .' J _"IYf? ? ?
?? .
•"Q ?' ++::.w`.
,..,' ZO PE S1J9:fITicD uIlil DUILAIt:C PiRrfIT /S'PLICATION
7 • •
U.TE?'.IOR 1:;7VF.LOPE AVERACE "ll" CO.`iPUTATI(lW
OlN2R:
sTrE AnnxESS:
3 rd .
?
CANTRACfOR: ?-Pt W'Afel DATE: PtIONE: ?r1 -3ci??
Determine vorking equare footage of each
1. Total exposed wall area......... Z{34!4 eq.ft. x ? l/
2. Total =oofJceiling area......... 1L3 ) sq.ft. x,.bL?o o Z,'/
3.- Total exposed wall area calculations:
Total exposed wall area above floor -
a. Total wall vindov•area .............................. el 5; "O
h:" Total door area ..................................... 5 i
c. Total sliding glass door area ....................... 4z,0
d. Total fireplace wall area ...........................
.?
e. Total wall framino atea (average 107.) ..............
f: Total net wall area above floor ..................... 3 073
g. Total rin joist area ................................ IS(o
? Total expoaed foundation area
h. Total foundation vindow area........................ -'
i. Total net foundation area above grade ............... / Lo
Determine "U" value of each wall segment
? 8. ?f Yo x „U„ ,y I
, b. X „U„ 12(67
. C. X „u„ zz, o
d. ._. X lfUll --- ? _..
. e. ylo X llU,l .07 . Z$, 2?
. f. 30 ?3 X ItUal
' g. /?VO A y IIu11 I V? ? (pr Z?
• h. x $luil "-
-
' 1• / 14 • X IIU11 /Z1 Q
3.
? TQTAI.
?l
If i[em 03 i9 the same as, or less than item 01, you hnve met the intent af
snc 6006(c)2. '
• ? 4. Totai cx-posed roof/cciling calculatlons:
Total e;cposed roof/cailizg area - /? 3-3
J. To[al skylighC arca .............. ................... '-'
k. Tota1 roof/ceiling framing area (averay,e 107.).........
1. Total net Insulated roof/ceiling area ................. /'y 7 O
Detemine "II" value for each roof/ceiling segment
j. X foDl, .
k. ?6-? glUll 3,
?. l y7o R„U„ ,,-: I_. • _ z9. ??
4. ' ?TOTAL .32,46 "
If total of t`4 is the same as, or less than C2, you havc net the intcnt
of SBC 6006(c)1.
Alternate Building Envelope Design
''?i.'?, . ' .. • • " •
To utilize the total envelope system method, the values establislied by '•
the sum of Steris 03 and 04 shall not be greater than the sum of items OL
and 02.
1. + 2. ?
3. + 4. -
.
cExxiP icaxiox
I hereby certify ttiat I have calculated the "U" factors and R values
herein and tha[ the building hero described meeta or exceeds the State of
Ninnesota Energy Conservation Act.
• (Signa[ure)_
. (Aate)
'?? : .
L-d gL ?n USE ONLY RECEIPT #:
SUBD. ?.?./.U.?r..? . . .??,? ? ? DATE: 479L
1995 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 - EACH NO. TOTAL
Shower 3.00 x I = 3.?
Water Closet 3.00 x --
Bath Tub 3.00 x =
Lavatory 3.00 x --3,nII--
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 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal " Dakota Cry. license 20.00 =
U.G. Sprinkler ` home under const. 3.00 =
Aiterations * to existing 20.00 = 70 l
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: S1 ? l.lackxsra1'e Gf
OWNER NAME: 61-u4
INSTALLER NAME? 12"e-
STREET ADDRESS:
CITY:
STATE: ZI P:
PHONE #: ( ) G86-9o11
OFFICE USE ONLY
L _ BL _ RECEIPT #:
SUBD.
DATE'
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? all commercial/industrial buildings.
P multi-family buildings when separate permits are Ilp,t required for each dwelling
unR.
DATE:
WORK TYPE: _ NEW CONSTRUCTION
DESCRIPTION OF WOf2K:
CONTRACT PRICE:
ADD ON REPAIR
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.
IP 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 oermit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
crrY:
STATE:
PHONE #: SIGNATURE:
OFFICE USE ONLY
APPLICANT
ZIP:
METER SIZE: " DATE: INSPECTOR:
PERMIT (?1LO 5/?3Z
.f( CITY OF EAGAN
? 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 026890
(612) 681-4675 Date Issued: 12 J 2 7/ 9 5
SITE ADDRESS:
515 HACKMORE CT
LOT: 3 BLOCK: 7
AUTUMN RIDGE 3RD
P.I.N.: 10-12302-030-01
DESCRIPTION:
r
i
Building-PermiC Type
,9uilding Wor.k 7ype
'Census Code
, ,.
- ?j
A -. ._. ?"
BASEMENT FINISH
AI.TERATION
0434 ALT. RESIDENTIAL
REMARKS:
A SEPflRATE PERMIT I5 REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
5urcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - Applicant -
GROH BRIAN
515 HACKMORE CT
EAGAN MN 55123
(612)686-9011
I hereby acknowledge that I have read this application and state tMlat the
information zs correct and agree to comply with ell applicable State of Mn.
Statutes nd City of Eagan Ordinances.
L -?
?- A (Wl? R, o, 1?_
APPLICANT/ E MITEE SIGNATUqE I SUED BY.''?S GNFURE --?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered aite suneys ? 2 copies oT plan
? 2 oopfes of plans Qndude beam & window atzes; poured ind. design; etcJ ? 2 sRe aurveye (exterior addftiona 6 dedcs)
? 1 energy calaletlons ? 1 ener8y celwlaUons tor heated additions
? 3 copie8 ot 4ee pr8servsGon plan H IM plaCetl eRer 7H/93
required: _ Yes No
DATE: CONSTRUCTION COST: g ba?
DESCRIPTION OF WORK:
STREET ADDRESS: wa C-,/-
LOT J_ BLOCK SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: r-? ro Phone #: 686 ' 90
,., ....
Street Address• s? ? ?? ?• ?? ?f G
City: ?-ea,L, State: MA) Zip: sS/23
Company: Phone #:
Street Address:
License #-
City: State: ? Zip.
ARCHITECTI Company:
ENGINEER
Name:
Phone #•
Registration #•
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once pertnit is issued.
Penalty applies when address change and lot
1 hereby acknowledge that I have read this application and state that the infortnati is correct and agree to comply with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No U `. v 1 5 1995
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY .
.
*
,.
BUILDING PERMIT TYPE ?..
"
0 01 Foundation o 06 Duplex a 11 Apt./Lodging ,&'?16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. a 10 = plex o 15 Deck
WORK TYPE
0 31 New .z`?33 Akerations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
2oning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Engineering
MCMIS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unft
Variance
1/3 y
?
n
Pertnit Fee Valuation:
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Pertnit
S1W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded. •
Other
Copies
Total:
% SAC
SAC Units
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT CmG443
PERMITTYPE: BuzLotNG
Permit Number, 0Date Issued: g g /g 2/g 5
SITE ADDRESS:
515 HACKMORE CT
LOT: 3 BLOCK: 1
AUTUMN RIDGE 3RD
P.I.N.: 10-12302-030-01
DESCRIPTION:
Bu'ildingtPermiC Type DECK
8uilding Wo``rjk Type NEW
i j
? ??,'??????°7rv ;•?: _.?•_.??,?, i??'3 ,
. ? . . ?. , .? ?.
.. . ?
?_.-• _• ITs=
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: -- Applicant -
GROH BRIAN
515 NACKMORE CT
EAGAN MN
(612)686-9011
I hereby acknoWledge that I have read, this application anc} ste,tE that the
9nformation is correct and agree ta comply with all apglicabla State of Mn.
5tatutes and City pf Eagan Ordinances.
?
APPLICANT/PERMITEE SIGNATURE
ISSUnr??, f?WURE
-?-
; IL CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
1995 BUILDING PERMIT APPLIf:ATION (RESIDENTIAL)
681 -4675
New Construdlon Reauirements RemodeVReneir Reauliements
? 3 ropisteretl ske surveys ? 2 copiea M plan
? 2 copies of plans ('vidude 6eam & window s¢es; powed fid. design; etc.) ? 2 site eurveys (euterior atldMiona & decks)
? 1 energy ealculetions ? 7 energy celwletionc for heated additions
? 3 copias ot tree proservation plen H lot Pleqed efter 7/1/93
requirod,; _ Yes _ No
DATE: `?`)Z7?, /99!9- CONSTRUCTION COST: Z'SOO, a O
DESCRIPTION OF WORK:? -1y- 4e-°G A aoJ
CTDCCT Af1f10FSS• :!s I ? /?QG A mO ?-e
LOT 3 BLOCK ! SUBD./P.I.D. 34 A) -
PROPERTY Name: Cs,20k/ ??1,41J Phone #: . 8? go !/
OWNER Street Address, sQ^?° -
Ciry: State: Zip:
CONTRACTOR Company: Phone #:
Street Address: License #•
City: State: ZipL
?
ARCHITECT! Company: ???A?? pu? )Q
0 Phone #•
ENGINEER
Name: Registration #-
Street Address?
Cfty; State: Zip:
Sewer & water licensed plumber
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the infortnaG is correct and agree to comply with all
applicable State ot Minnesota Statutes and City of Eagan OMinances. ?
Signature of Applipnt:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes
_ No
J ll! 3 1 1985
Tree Preservafion Plan Received - Yes - No
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex
0 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
a 04 5F Porch o 09 12-plex
0 05 SF Misc. 0 10 = plex
WORK TYPE
New o 33 Alterations
? 32 AddRion ? 34 Repair
GENERAL INFORMATION
Cans4. (fictual)
(Allowable)
UBC Occupancy
2oning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging o
0 12 Multi RepaidRem. ?
? 13 Garage/Accessory o
0 14 Fireplace o
?15 Deck
? 36 Move
? 37 Demolition
?.." ?... . .
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
_ 8asement sq. rt. iVICNV5 System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sQ. ft• Booster Pump
_ sq• ft. Census Code. vsY
_ Footprint sq. ft. SAC Code 401
Census Bldg I
Census Unit O
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Percnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ l2O°
% SAC
SAC Units
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO : DALE F?tANKE ELECTRIC. INC.
ADOHESS : 12003 FLORIDA LANE
APPLE VALLEY. MN 55124
===?oem=ea=e=??=Q= ______°____=====Q=?==Q°==6=====_=====Q='==Q=======e?:
LOCATION
RECEIPT # / DATE
REASON FOR REFUNO
TYPE OF REFUND
OTHER:
515 HACKMORE COURT
L3, BI, AUtUMN !tIDGE 3RD
37453-03/07/95
DUPLICATE PERMIT
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
SURCHARGE
WATER CONNECTION PERMIT
SEWER CONNECTION PERMIT
3211-9001 $ 87.00
3212-9001 $
3213-9001 $
2155-9001 $
3713-9220 $
3743-9220 $
ACCOUNTDEPOSR
UTIUTYACCT OVEA-PAYMENT
CURB BOX DEPOSR REFUND
CONSTRUCTION METER DEP REFUND
WATER USAGE CHARGE
2252-9220 $
2250-9220 $
2253-9220 $
2254-9220 $
3711-9220 $
S ..
S
S
TOTAL $ $7•a0
1 declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
,?/a? 9s
Siyn t?io y'Z ?0 ? Data
c
L ? gL ? CITY USE ONLY RECEIPT 5055-7 (o?
suBO. 3`-d DATE:
1995 MECHANICAL 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
New construction Add-on furnace
_ Add-on air conditioning Fireplace conversion (to existing fireplace)
Date: I l 3 LA-,
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU /q ? -6-00``
`v?Nwcv J'!`l?
? Gas Outlets (minimum of 1 required @$3.00 each) t, . 00
? State Surcharge .50
TOTAL
?0ZO
SITE ADDRESS: qaW S l S ?14 C/?j'I"0X-0- C i
OWNER NAME://I) 9TiL e l? NoynQ TnV c.- PHONE #: Ls2"3 0 V19
INSTALLER NAME: s1-124 ILtiO Ai'2 r'"fl yW`'
STREETADDRESS:J315'r CJ' -
CITY: ?j!5Z/77,?W?") STATE: h'I N. ZIP:
PHONE #: ( G? Z) G
RURMITTEF_
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: ? ail commercial/industrial buiidings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: w $25.00 minimum fee Q 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State suroharge of $.50 per $1,000 of pgmft fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (iMPROVEnnENrs oNLv)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
SIGNATURE
STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY 2??
L ? BL RECEIPT #: ?Q
i
SUBD. DATE: Y?--x
7995 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 EACH NO. TOTAL
Shc•rrer 3.00 x 1 = 3. o0
Water Closet 3.00 x Cl - o U
Bath Tub 3.00 x (o. co
Lavatory 3.00 x -?
-- = I a- c o
Kitchen 5ink 3.00 x ? = 3• od
Laundry Tray 3.00 x
Hot Tub/5pa 3.00 x =
Water Heater 3.00 x I = ?- ob
Floor Drain 3.00 x 1 = ?o v
Gas Piping Outlet * minimum -1 3.00 x 1 = -7' d0
Rough Openings 1.50 x 3 = K• Su
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 20.00 =
U.G. Sprinkler " home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL -Z?D' 0 b
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
?S23a C?? ? - ° v
STREET ADDRESS: " -
-
CITY: STATE:f\"? ZIP:??
PHONE #: ( 612 L-
?u
I?ERMITTEE
L BL
SUBD.
CITY USE ONLY
RECEIPT #:
DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUindustrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE:
WORK TYPE:
CONTRACT PRICE: -
_ NEW CONSTRUCTION ADD ON
DESCRIPTION OF WORK:
REPAIR
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of gg r?pjt fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAIviE: _
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STE. #
51GNATURE:
APPLICANT
STATE: ZIP:_
CITY OF EAGAN
S(/ (4
2007 RESIDENTIAL PLUMBING PERmir aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
ase complete for modifications to existing residential dwellings.
a Street Address `56 Unit #
Telephone# (lpJI)???''?? ?
)PertY Owner
n' ?'?
1?i1('A?1`M e11N'Q Y-W ?i?"fil?
I
Tale hcne $
P
ntrac.or
Ca?/ri)? b'? Q ?It.a ?t
5(?5 State. ?1J.LN ?ip 5 ?L
?
1?res5
?.>pciicantis: _ Cwner ?Con'trac:or _^ther
I'I
l
N GE*'?ibI5f1BC su--ml[ _ SZ[S 3i plalla dliU ;virc nt,ciioc ?iCIU?=BS COLfI[y r2E u
NQ`
.
:[IC JV5.9f'7
- - $ 100 00
-'°f 35-7L'IIt s 14.00
i Repair lrepiace bur-iea oui'ixcures. atc.; a 30.J0
S 'O.CO
?ratiors to _xisting awelling i
=dd ;wmcing *ix[ures. -i'lis ;ee rauk?es ?sta!larcc -r = +a:er sorte n?: ndlcr vater
,eater at ihe same time. !f vou are ins.ailing oniv 3'N:7[El" sOTfBf7B!" 371C1lO( 'Nater ?
ieater. 10 not romoiete :his sec,ion; mave to he next sec,ion and .necl: he ; H
3pcii2nr_efs1 ,/r.: are instailing.
_Septic System ?,Candonment ' i
Water Turnaround (add $136.00 if a 518" reter is reqwred)
Other:
Water Softener ? Water Heater $ 15.00
_ new ' 4__ repiacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
$ 50
ate Surcharge
$ tS ? D
tal
=reby appiy for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
rk will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
jerstand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
;ordance with the approved plan in the event a plan is re?ired to be ? vie ?d an1?pproved
t .
` - ? ? i ? 1W ??, ) )
???i ?
plicanYs Printed Name App icanYs Signa ure
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150871
Date Issued:07/27/2018
Permit Category:ePermit
Site Address: 515 Hackmore Ct
Lot:3 Block: 1 Addition: Autumn Ridge 3rd
PID:10-12302-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Susan M Kramer
515 Hackmore Ct
Eagan MN 55123--306
Roof Time, Inc.
18928 Katrine Ct
Lakeville MN 55044
(952) 447-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155361
Date Issued:05/13/2019
Permit Category:ePermit
Site Address: 515 Hackmore Ct
Lot:3 Block: 1 Addition: Autumn Ridge 3rd
PID:10-12302-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Susan M Kramer
515 Hackmore Ct
Eagan MN 55123--306
(651) 395-9355
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature