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516 Hackmore Ct? ITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ?j f=' •' ?'; Eagan, Minnesota 55122-1897 Date Issued: 1 l`il /`a fl (612) 681-4675 SITE ADDRESS: ? ? . ?;r?!'KMlflRf f..l A41110MN 14t:fit..t :tRt,i PERMIT SUBTYPE: 1- L -: 19a'.' b9l:J,.f? 1 APPLICANT: TYPE OF WORK: .? ? "IAN REWw;:u HY 011c1-- 8Ar;,'1 I Ail as nf__'f2. s?n ercnnPy0 .i•. . i-.4 , re,7rnI r',r.r1" S f .e.xa i. 1 311 1 t:, iri,t P.f: ? a '16 3 Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS iY1 /11'ri FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST y. INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER lRR4GATfON METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TFST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? .. ? W-ertiftca#e of Cccupanc? Witi) of Cfagan 2e*artmcKt aF SKi[bi»g au4oection This Certiftcate issued pursuant to the requrrements of the URiform Building Code certifying that at the time of issuance this srructur+e was in correpliance wi[h the various orrlinances of the City regulating building corutruction or use. For the foflowing: use clwmr,ca;a,,: SF IW sag. eerm;t r,o. 23018 Oc-p-Y Ty'Pe -?AY12 Zoniag District Ri Type Const. VN Ownerotsuitair#JOES BY r37A.SF. namess 25[Y) W('iY Ril 42, IMV[iJF. euitding Adcbess S16 H'AKMM M1RT l.ocaliry TA- E1. AtTITM RTTY' 3im /'i nate: ? Mtalng o POST IN A CONSPiCUIXJS PLACE .. . `+CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 SITE ADDRESS: `.ti 1 UMN It ! 1+. ON RECORD PERMIT TYPE: Permit Number: Date Issued: 1. t, H61t`,RMUlti. i- iklJl I PERMIT SUBTYPE: 4 fi I ? 1 ?. ,-.. .?....?.. .. TYPE OF W4RK: INSPECTION .. . .. ,, . f: F! fl N K'; ;" 1-' 111 W F' t fi Ft - V ri t i f: Y ir ( Ft 1 I r- -1 Permit No. Permit Holder Date Telephone # SNV PLUMBING HVAC ? ELECTRI ELECTRIC Inapection Date Insp. Comments Footings I I Foundation Framing Rooftng Rough Plbg. Rough Hig. Isul. Firepiace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final ./ Deck Ftg. Deck Final weu Pr. Disp. a4 i 9 REOUEST FOR ELECTRICAL INSPECTION ??? ?? ? 5ae meGuaBre for compleMg ihis larm an back af yellaw copy "X" Below Work Covered by This Request E9.00001-08 ?.?,'?/5?3; ? ?.?r.. aw Add Rep TypeofBwltling ApphanceSWired EquipmentWiretl Home Range Temporary 5ervice Duplex Water Heater Electric Heeting Apt Buiidmg Dryer l.oad ManagemeM CommJlndusinal urnace Other (Specity) Farm Air Condiiioner Omer (sVeciM Conirector's RemaMs Compute lnspection Fee 8elow. s pther Fee # ServiceEntranceSrze Fee # Cucurts/Feeders Fee Swimming Pool ? 0 to 200 Amps /SCl 0 to 100 Amps S O? 7ransformers Above 200 _ Amps Above 100 _ Amps S19n6 Inspeatork Use Only TOTAL Irrigation 8ooms Speaallnspecnon -492 AlarmlCommunicahon ? THIS INSTALLATION MAY R? ISdONN ED IF NOT Other Fee COMPLETED WITHIN i HS I, the Electrical Inspector, hereby trf th Rouqn-in oa?a 30 y cer y at the above inspechon has been made. F,,,ai oe?e ? l OFFICE USE ONLY This request vmtl 18 months fro. ? _ ,.o ? , ? g ,1 ?- 3 ?7 8 ? a?/?a 0 3 o ReQUes 3te rta o. p Fough-In Inpsectmn Pequrt all inspecior when reatly) (Vau m ust c Ins ection OtM1er Than qaughdn ? qeady Now ? Will Natiy Inspector ? -l ? _ / rJ,Yes ? No DateReatly I Q.IrEnsed contractor ? owner hereby request inspection of above electncal work at Job Adtlress (SIreBt 8ox or Route No I S'/ 41 C f' Ciry - ? Sedion N. Township Name or No Range No Coun 0 4A, Occupan[(PRMT) Ppone No oc 11s 3 3 Pow^er SuoDlier Atldress Elxmca ConVaa`or IGOmpany Nama) ?'1i J 8 h ConVactor5 4cense No c 4-0 C) Maibng dEress l nvactor or Owne Makmg InstallaLOn) m' ? y ? ?° ,v_? Au?hon e namre IGonnac?orOwner Making Installabon) hone Number '?? 'v-qlV? - - - MINNESOTA STATE BOAflO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOi GnggHMlpway BIEg. - A.D. 5.173 BE ACCEPTEO BVTHE $TATE BOARD 11121 Unlverslty Ave., St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 601-0800 ENCLOSED Efiddress sifi HaCfq-nuF rrxmr Zip 5512,3_ Lof "' 4' Blk t Sub avmmN PJMM 31M THESE ITEMS WERE ! WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: aJ y' Yes No Inspector: Final grade (6" from siding) LZ Permanent steps (garage) v Permanent steps (main entry) Permanent driveway Permanent gas v' Sod/Seeded grass ? TraiUcurb damage Porch 1/ Basement finish Deck L/ Please vei with the builder the removal of roof test caps from the plumbing system and the shuaoff of water supply ro the outside awn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righFof-way or installing underground sprinkler system. White • City Copy Yellow - Resident Copy Pink - Contrector Copy @ ? _ - _ _ _ _ _ - - - - - - - - - - I pO[O1iiCe?USe ? I ? Permil#: 6?6 i I ? i PermitFee: I ? ? Date Received: i I ? ? StaB: ? L______________ 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Tenant: Site Address: 5- 1 ffv-cLmor-e- ? Suite #: RESIDENT/OWNER Name: / ( `"i5k2 &S?+ CO - Phone: Address/CityJZip: CONTRACTOR Name: hc?Sc?1 Tjw"\ 6;License#: Address: 3Qq,?- LNJ NL,) State: P?A) Zip: 5-T-3 cl / J 4 ? --- - City: l 6 l, 0 Phone: 76 3-?2 7-76g d Contact Person: TYPE OF WORK _ New _ Replacement _ Repair _ Re6uild &Modify Space _ Work in R.O.W. Descri tion of work: PERMITTYPE RES/DENT/AL Water Heater Water Softener Lawn Irrigation ?Add Plumbing FiMures Lower Level) ? RPZ /_ PVB) ? Main X Septic System _ Water Turnaround New Abandonment RES/DENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) I $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 5!8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ ... I hereby acKnowietlge mat tnis mrormanon is compie[e ano aceurafe; mai me worn wm uc nI wII..t.,, .- ....,..,.?..? ..,•.. .----- -•- -, -Eagan; that I understand this is not a permit, but only an application for a percnit, and work i not o start wilhout a ermit; Ihat the work will be in accordance with the approved plan in the case of work which requires a review and approval o ns X X ? . Applicant's Printed Name Appl nYs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: UnderGround Rough-In =AirTest° ' GasTest° _Final zc?Cx?I?X? :?C?:Aczcuxtr.cscsc?c?:czcx{r,nz3:?zcuz?r%?cr.c?ezcu?c?cx,crcr.c%c?C CITY I:F EAGAN CASHIER: S TEkMINRL ND: 782 P4TE: 06/22/58 TIME: 13e45:E3 in_ NaKE: ronn sruRcEoH 3210 4091 53E. HACk:T4DRE DR 74.75 2i55 9001 516 HRCl;riOfiE DR 1.50 3430 3001 516 NRCF;M4RE UFt 0.50 Tofal Receip+, R:nount: 76a75 CR033736 USER rIl: MFNCY FERMIT CITY OF EAGAN PERMIT TYPE: N G 3830 PilOt Knob Road permit Number: 032283 Eagan, Niir'mesota 55122-1897 (612) 681-4675 oate Issued: m 6/19/9 s SITE ADDRESS: 516 HACKMORE CT LOT: 4 BLOCK: 1 AUTUMN RIDGE 3RD P.T.N.: 10-12302-040-01 DESCRIPTION: &`ilding.Permit Type ,Building 4ork Type ?"Census Code."N. p? F? / n q 'F + ..} GARflGE/ACCESSORY NEW 437 ALT. NONRES. ) L t REMARKS: PLAN REVEWED BY MIKE BARCK CALL 445-2840 REGARDING ELECTRICAI. PERMIT AND INSPEC7IONS FEE SUMMARY: VALUATION $3,000 Base Fee $74.75 COPIES ' $.50 Surcharge $1.50 Total Fee $76.75 Subtotal $76.25 CONTRACTOR: ? OWNER: - Applicant - STURGEON 70DD 516 HACKMORE CT EAGAN MN 55123 (612)727-6855 that the T hereby acknowledge that I have read this applie$tinn,and st7S intormation is correct and agree to'comply uith al1 applicab,ltate of-Mn. Statutes and CS,ty of Eagan Ordinances. ° ?? - APPLICANT/P MITEE SIGNATURE I 52,2838 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN -7(; . ? 3830 PII.OT KNOB RD - 55122 681-4675 New Construction Requirements RemodeVRepair Requirements ? 3 registered sRe surveys ? 2 copies of plan ? 2 copies ot plans (inGude beam 8 window sizes; poured fid. design; elc.) ? 2 site surveys (exlerior additions 8 decks) ? 1 energy calculations ? 1 energy calculetions for heated additions • 3 copies of tree preservation plan iF lot platted after 717/93 required: _ Yes _ No DATE: WoS/q t CONSTRUCTION COST;#?d a DESCRIPTION OF WORK: STREET ADDRESS: S/ b ttIt(_ICwta fLc ? LOT: q BLOCK: I_ SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Wl \ -7y?^bKS? --7 G Name: 1 12G0-*`j -r-060 Phone #: !7 ??' /0 II Last First Street Address: ?/ G &,+C1?0--,t- C 7 City ?WC? State: ftit nJ Zip: 5_!?_1'Z 3 Company: Phone #: Street Address: City State: Zip: Company: Phone #: Name: Street City . Sewer 8 water licensed plumber (new consWCtion ony): and lot change is requested once permit is issued. License # Penalty applies when address chang I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to compiy with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. r--. ?? 4 Signature of Applicant: « - OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No _ Not Required Registration #: _ State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 S-piex ? 04 SF Porch ? 09 12-piex O 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations K 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? M 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MC/WS System Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. ?r3 7 Footprint sq. ft. SAC Code ? i Census Bldg ? Census Unit v Building A/1,13 Engineering Variance Valuation: $ 3, ov?. -- ?, ~:e .q-O A i r,o ,v f 11 .Z? -21) DN ?., % SAC' C? Nt?AGuUnOvs?R . ' a.. IUV l? _ /LL> tbD I(? _ 2S V. - ? CI•TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Datelssued: eurLoiNG 023018 03/01/94 SITE ADDRESS: P.I.N.: 10-12302-040-01 DESCRIPTION: 516 WACKMORE CT LOT: 4 BLOCK: 1 AUTUMN RTDGE 3RD Building'-.Permit Type Building Wo,rk Type 'UBC Occupancy ,, ? Construction Ty j ? 2oning ?--? I Building Length % r Build3ng width ?. Building stories ?- ? SF OWG NEW R-3 M-1 V-N R-1 70 36 2 REMARKS: PRV S& W PLBR - VALLEY PLBG FEE SUMMARY: VALUATSQN Base Fee Plan Review Surcharge SAC SAC % 3AC Units Subtotal $818.00 $531.70 $75.50 $880.@0 100 $2,225.20 $151,000 MISCELLANEOUS $1,828.50 Total Fee $4,053.70 CONTRACTOR: - Applicant - sT. Ltc HOMES BY CHASE 18955337 0001619 2500 W COUNTY ROAD 42 260 BURNSVILLE MN 55337 (612) 895-5337 OWNER: HOMES BY CHASE 2500 W COUNTY ROAD 42 BURNSVILLE MN 55364 (612)895-5337 I hereby acknawledge that I have read this information ie corract and agree to comply Statutes,and City of Eagan prdinances. j _ ? - ? - APPLI A /PE S URE applicatian and state that the with all eppliceble State of Mn. ? ?SUED ? BY: ?GNAT E 15011 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681r4675 :70 --- SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 capy of energy 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 issued. Date ;2-- Val uati on of work 1.3? 3O0 Site Address: It STREET SUITE M Tenant Name: (commercial only) IAT BIACK ? SUBD. ?'flfjy/? /SC P.I.D. # Descri tion of work: The applicant is: Owner Contractor ? Other cnescribe> Name .? Phone !'r-S ?S93,Z Property LaST F,RST OWn@C Addresso?rNwD GU• cz?s STREET ? STE # City State -2?'lrt-_ Zip ST3G? Company Phone Contractor Address License # Exp. City State Zip Company _ 42 Phone Architect/ Engineer Name Reaistration # Address ' City State Zip Sewer & water licensed plumber 6 orl- . Processing time for sewer & water permits is two days once a ea has been a proved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all plicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ? BUILDING PERMIT TYPE "? ? • ?°'"'' O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish )p 02 SF Dwg. ? 07 4-Plex 11 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. 13 10 Multi. Add'1. 13 15 Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE ,0 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual ) V41 Basement sq. ft . 1,5)L y MWCC System (Allowable) 1/& lst F1. sq. ft. City Water ? UBC Occupancy 3 2nd F1. sq. ft. 16&?? PRV Required ?- Zoning ? Sq. Ft. total , Booster Pump ?` of Stories footprint Sq. ft. Fire Sprinkler Length ?D On-site well Census Code _hp 7- Depth ? Dn-site sewage 5AC Code APPROVALS Census Bldg ? Census Unit Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? .Site P Fo oting ? Framing JR Insulation ? Wallboard El Fi nal O Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. 7rails Ded. Copies Other Total: SAC % SAC Units vatuecfm: S O? Rg _4-- 3?.r 2 S,r /s; /S_ (S?- 3 Qy zja _ 4O6y r?.rlo ?_ J22%xsy= z Qar. ?zx3z?-??_ ??zb y S??/S( ?? UUIF1.14! ,? - ,?Gm?°c ??y -•,?te^. - -- ...,., .. . ' • . . . • " slil nuuii 7- ESS: CUN111hCT0 1l: bAiEs _f'1I011Et QGj$•5?3? bETEitNIIIE• «OI11;RIli SUUhRE FOO TACE OF' EACI Ia I.. IOtAL EXPOSEU VII1Ll AItEh. ,.?.... sq f t x "U" 2. TOTAL RUOK/CEIIINC ARCA...... ' ?4?2 4i7 • sq ft x "U" r????5? 3. TOTl1L EXPOSK0,14ALL AfIEA CAICUlATI011Sf • • , , ,. , , Total exposed wall ' ar•ea above floor' ' '7 • .. p?d(? Sf) f t ' . . ' . .. .. '1 . , / _ . .. • . .. 4 . • • ''.,'. e) Total 4ia11 wlndow areat • . ' • -?? .Plazed.,... _1?.3 sq ft x "U" glazed,,,,,, sq ft x "U" b) 4F` 4D '' Tota) door oren sq ft x "U" ' ,,,,, c) ', •1"ota) sllJlnn pless'door 'mreat',, . , . • , . . . , . . , . • . . . --? 9lozed.:.... `l"?a sq Ft x uUn L qlrzed.'..... sq, ft x nUn . e , J) Total flreplace wall erca •• rd sil ft x "U" d e) Tota) wa11 fYAining aYea . (nvorac pe tWO ...... , . ..._' "-2697 sq rc x l'U" p 9a- ° .?? ' f) Total net aal) nrea above • floor (Insuluted)..,...._ 7 st, f t x „U„ . 0 IK3 q) Total rim Jolst.area...,._ f? sq Ft x "U'! Total foundat_lon 4 .tirca (Expose•i).......... Ov sq .ft . h) Total foundatlon wlnJort area ............. sq ft x nU'i .-. e . I) Total net fovndation" arca above.qr'aJc?......._' $(? sq ft x "U" "1? s TOTAI a) thru I) if'Item pJ Is tlic san,e as,- or la9s tlian Item pl, yov liove met tl,c Intent of S.h.C. Sectlon 6006 (c) 2. F.x?usi:u nuuiAciL ific I:AICULAfII)tlSs ' , . 'Total expnsed . • • ` .' . " °`, , rnof/cclllnq area?....?.,_ IA&2 sq ft ? . J). lotal ? ,• , , ? skyl loht. arca........ O sq ft x"U" '.rl k) Total roof/ccl llnq framl'ig ..?? ,•,. ? , .. ; • . aren (Averape ......_ Sq (t x nUll ??•7i? n ??/?•'. . ' + ..._T. , I) Total net Insalated - YOOf/CCillflq bI'08. .....r,?? S'q r t X "U" t0?? .tl. .?? i/. .• !?? • . • , TOTAI J) thru 1) total,or N1, Is thc same as, or less than 02, yuu hovc met the Intent oF f.C. Sectlon 6606 (c) I. , . . . . ;. .? . ?. ' , , , • '. ' ''!::''. .. ?? .. ~ :•t'??..;..; . . • . , . . • • • , .r•"j . .? . . . • • ... . . . . , . ., . ALTEItIIA?E UUI111111G EIIVELOPE bCSIRiI , • , ? utlllzc thc total envelope system methocl, the volues,estobllshed by the sum .f Items p) and Fh shall not be greatcr than. the sum of (tems pl and !!2. I' + ?. ,. . 3• + /?, , ?? e• ' ,. . • • \ . , . ? .. r_IntiL,ir_.nrin 1 here6y certlfy'that I have calcullited the "11" factors anJ "R" alucs i?ercin nnd that tlIc buildinh Iierc dcscrihed mcets or excecds the State f Hlnnesota Er?cr?y f.onscrvatlon Aet. . . , . . ? ? ' . . . . i ? rynnt?ire ?`?.?•,?,? ???F ? LOT BtfRVEY C8EC1CLi8T FOx 8E6ZDENTIAL ? H4ZLDING ERlSIT 7?PPLICI?TION ? PROPERTY LE(il?L= rt? Date ei 8urvtps ? a DOCIIMENT BTl1ND},RDe 0 • Reqistered Lnnd Surveyor signature and company 0 0 • Building Permit Applicnnt ' G1?0 0 • Legal description 0 Td? 0 • 7?ddress V13 D • North arrow and-bar- scale I?G 0 • House type (zambler, valkout,. aplit w/o, split entry, / lookout, etc.) @',D 0 • Directioaal drainnqe arrows with alope/gradient t. • Proposed/existing newer and vatez services B'/D 0 • Street name 8' D 0 • Driveway ELEVATSONS Existina 1_'?C1 0 • Sewer aervice B? 0 0 • Lot eorners 6}?0 0 • Top of curb at the driveway • Elevations of any existing adjaeent homes Bropoaed 0 • carage floor H?0 D • First floor 19o?0 0 • Lowest exposed elevation (walkout/window) V0 0 • Property corners 8?0 D • Front and rear of home at the foundation PONDIN6 I?REAS [if tsbiicablel fl C?? • Easement line NWL D V 0 ? HwL 0 0_/?? • Pond f desigaation D O O • E7aergency Overfiow Elevation LI'?6 0 • Lot liaes ?1 0 • Aight-of-way and street width (to beck of curb) L? 0 0 • Proposed home dimensions iacluding any propoaed decks, overhangs grenter than 21, porches, atc. (i.e. a11 structures requiring permanent footings) ' gr't) 0 • Show all easements of record and any City utilities within ? those easements II 0 0 • Setbacks of proposed structure and setback of adjacent ? existing homes , D 0' 0 • Retain?.3? repirements, if any Reviewed z/ZY/ Fe- OCtobez 1992 ' ` F t ? ? ?? ?i? ' °?e! Y a) ; • • ,, h .. i ` r?. ?. . . , u .?' ,Y • ? Ia'' . i. '! ).?. I ' • , . 4 , r . ..:dr?',? °°N? J• ? ??.ti., ;"?i? . wi 'y?i ? ??' . k?.".vi??? ' !. ??..} '"vk?r . . ? , _ ?y ' , a .? •.'?? :r. . ' e . .a 4' ?e? " .t ,<" ,f F?'''. ..?. *'x?vwl? V!jy'.. ?K, '^ ¢?Y. ??:: . r`,, . , ?°n ` .Ar'; • ?.., : ?:?;,., ?5'',,, '?i` . '.n FL? ?,d?., , ',?? ,. ;.ij?.tp'?'r.`i????'••f ;fr,?,.Y:L*n..^?.tv?n. Ct, .t' (?:? ? ' ? ?? 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S*'4`; '6 I ?a fully r+fNclaized I .fiV! shlNiW 006*ww^S ¦d No. I. oontcrminp b ,? ?tit ? I ? ?Nh ieflwf?a? 07 FeinOd and fGfl*i on IMe pats. ?? ??'0111 "d Of WAMN be FaoWa «.nie f'c the U.S.D.O.T. momiO? %RRI CADE $C81e Vert- ?• . 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) , . - cirv oF EAcaN --, 3830 PILOT KNOB RD - 55122 851-681-4875 ??1,?A v, ) ? > s wol.ama we wner +?wft w. n. a wt, .a n. a nw,se 7 a y? - d O s coaie, a?ao antl ?I roofed arew l40% mmdmum bt coveraae dlowetlf t fet ot anergy adculaMwm for healed atldiMons D 2 Copies ol plans (Yww beum 8 wintlow sizea; poured hW. desiyn: ete.) 1 tite wrveY for e?dor adchHOns d dacb a 1 sef o(anerpy CdqilcHOrq a J eopies d Iree preservaMan plan H lot plaMed adler 7/1/93 DATE: 7/7/Z-DdE> _ CON5fRUCTIONCOST: t666D DESCRIPTION OF WORK: CiAC-K PDiCC 14 ( O ? SiREET ADDRESS: '?/ ? C?as o 2C C Vb%ji <1 ! fZ ' A-"-?? ? - LOT: ? BLOCK: SUBD./P.I.D.O: ?-?-??A-V" ? ?) Name: STUAZ-vebnJ 7D6 f) ?f Phone#: PROPERTY taar fliat i..) ?CI -'l 3?- S770 OWNER SheetAddress: Sl(n HITELA '+oYZG 67- G y L-A"lsRr-) srate: MnJ vp: Sc-fz 3 . Company: Phone #: (area code) COMRACTOR Sfreet Address: 1lcense p ExP. City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone g: ( ) \ Sheef Address: Regishoilon C Cryy Stafe: ' ZiP: Sewerlwater licensed plumher (If Installina sawarfwaterl: Ptane #: (I I hereby xknowledpe Ihaf I have read th's appifoaHon, atWe Mwl ihe IMomalbn ffi earect, and agree b eomPly wHh a0 apWcabk Sfe# W Minnesota StahAea and Cify of Eaqan Ordinances. ? ?.? Sipnalure ot AppUoant OFFICE USE ONLY CeRiflCates of Survey Received _ Yes _ No JUL - 7 Tree Preservation Plan Received _ Yes _ No _ Not Required -r2n? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation O 07 OS-plex ? 02 SF Dweiling ? 08 06-plex ? 03 01 of _ plex ? 09 07-piex ? 04 02-piex O 10 OB-plex ? 05 03-piex ? 11 10-piex ? 06 04-plex ? 12 12-plex WORK TYPE dPE-1Q 0 31 New 0 36 0 32 AddiUon ? 37 0 33 Alteration 0 38 ? 34 Repair 13 42 GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning Ad P-- O 13 16-plex ? 21 Poroh (3-sea.) ? 17 Garage 0 22 Porch/Addn.(4-sea.) O 18 Deck O' 23 Porch (screened) O 19 Lower Level p 24 Storm Damage Plbp _Yor _N ? 25 Miscellaneous ? 20 Pool O 30 Accessory Bldg. Foee?A l w R6eF- ? Move Bidg. O 43 Reroof Demolish (Bldg)' ? 44 Siding Demolish (Interior) ? 45 Fire Repair Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building i Permit Fee q S. a. Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SMI Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies TotaL• 11'Ll. G(o SAC Units % SAC sq.ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered G0 Engineering Variance Valuation: $ D Op ? 3f5o k -qo - /0 1 350 6L" . , O 31 ExC Alt - Muib O 33 Ext. Alt - SF O 36 Muw . : - ` PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNIT. X NEW CONSTRUCTION P,DB-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE FEES HVAC: 0-100 M BTCT $ 24.00 ADDTfIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACI-) 6.-7•co ADD-ON/REMODEL (EXISTIING CoNSTRUCi'toN) $ 20.00 STATE SURCHARGE .SO TOTAL ?D•5 7 STTE ADDRESS: OWNER INSTALLER: \' tN-?t . t`o \ 1 ,Q C\ #• ,-,{ o o- /--)" ADDRESS: ?. C) . ` /')- 1 ?C? 1 c?- nl ?v, S J- CIT'Y: VC'K-f'n k nc? ?c°rr--? STATE: (Y) 1 c1 Yl _ ZIP CODE: TELEPHONE #: `"'t IrJL? ?G'C7 ? °lL. 1994 MECHANICAL PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 .-. PLEASE COMPLETE FOR ALL COMMERCIAI,IINDUSTRLAI. BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTI-IER MULTI-FAMILY BUILDINGS WFIEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DrSTE: CONTRACT PRIf;E: $ NEW BUII,DING INT'ERIOR IMPROVEMENT WORK DESCRIPTION: 1% OF gg,?_?M FEE PROCESSED PIPING: MINIMUM FEE: STATESURCHARGE TOTAL FEES $ $25.00 $25.00 $.50 FOR EACH $1,000 OF FEE n>. ._,?. . $ SITE ADDI2ESS: OWNER NAME: TELEPHONE #: TENANT NAME: (aMPxovEMErrts oNr..Y) INSTALI,ER: ADDRESS: CITY STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMTITEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEA3E COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOVJNI'IOMES .AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACN UNIT. NO. FIXTURES t SHOV'IER -3_ WATER CLOSET BATH TUB ? LAVATORY ? KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA ? WATER HEATER ? FLOOR DRAIN _L GAS PIPING OUTLET • minimum - ROUGH OPENINGS WATER 50FTENER PRIVATE DISP. • Dak.Cry. lic. U.G. SPRINKL.ER -home unaer const. ALTERATIONS • to «i:ung WATER TURN AROUND STATE SURCHARGE TOTAL: SITE EACH TOTAL 3.00 3- - 3.00 9- 3.00 (,- 3.00 01- 3.00 3- 3.00 3 ? 3.00 3.00 ?-- 3.00 3.00 3 - 1.50 5.00 20.00 3.00 20.00 20.00 .50 4a. s0 ?. OWNER NAME: INSTALLER: U 9I,?y Q? 6 r ADDRESS: ?D I U C 2a c Y' L. - CITY: STATE: M- ' ZIP CODE: pHONE #: ( ) q A? -a r a, C_?? SIGNATURE OF PERIvIITTEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDLJSTRIAI, BUILDINGS. ALSO FOR MULTI,- FAMILY BUILDINGS WHEN SEPARf1TE PERMITS ARE NOT REQUII2ED FOR,.EACH DWELLING UNTT. _ NEW CONSTRUCTTON ADD ON REYAIYZ WORK DESCRIPTION: CONTRACT PRICE: $ Fi3E: 1'7c OF CONTRACI' FEE. STATE SURCHARG& $.50 FOR EACH $1,000 OF ?!.E„Tfltif? FEE. AtINlDiUNi FEE: $ 25.00 "''"?°°' » CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL S SITE ADDRESS: TEt.iANT NAME: sTE, *` OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1994 PLUMBILVG PERMIT (COMMERCIAL) C1TY OF EAGAN 3830 PIT.'OT KNOB RD EAGAN ,MTF ?55122 (612) 681=4675 ?----------------i i Fbr,cs?c?vse ? Permit #. O/7 7 / ? ' l?D I Pertnit Fee: ? I ? Date Received: ?0 ? j Staff: ? (-!e I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION 12'/a0 Date: ? ?TJ Site Address: Tenant: Suite #: ?7 ?I gS 'A J ? s i RESIDENT / OWNER U ro Phone: i Name: 5 IY 1 Address / City /Zip: S 1(Q I' G'IMO?C CC)Vv'1' ia5J ?7o?,3 Applicant is: _ Owner XContractor TYPE OF WORK Description of wor k ' ?SQ?K t?G ? z "' Multi-Family Building: (Yes NoX) di C C t t ru os ons on : CONTRACTOR CO t"? fl ? License #: oU(l (1d'7'j ? Name: I Y1 ISkcj Qe SC c , Address 1c??Q I.?vL )C ???c 1?1?- J U L YC #1 Zi : t " St p a e: City: Phone: 6 I`j3 V 970 J Contact Person: (?Yf 1 i ln 1?lU!/l ??'l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submi55ion type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permi[ for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: NOTE: Plans and supporting documents thaLyou submit are considered to be public fnformation.= PorYions of ihe information may be. c/assified as non public if you prov,ide specific.reasons ihat would permif the City-to.w conclude that ihe are trade secrefs. I hereby acknowledge that this infortnation 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 onty an application tor a permit, and work is not to art wRhout a permrt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ans. x A6?1 rl',v7 FE x ? Applicant's Printed Name I r? ApplicanPs Signature ? 2008 Page 1 of 3 D_ C 1 -? } DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? OS-plex ? 76-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? 6ct. Alt. - Multi ? 01 of _ Plex ? 07-plex O Garage ? Porch (4season) ? Ext Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screenlgazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building" ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish FoundaGon ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: ? Valuation J/ c .ZZC- Occupancy ? i mCES S ystem Plan Review Code Edition 111 /r ZUO 7 SAC Units (25%_ 10D% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width Footings (new bidg) Sheetrock Meter Size: Footings (deck) FinallC.O. Footings (addition) ?6 FinallNo C.O. Foundation _)6 HVAC Drain Tile Other: Roof: _Ice & Water _Final Pool: _Foo6ngs Air/Gas Tests Final ? Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:?R.l. _?OAirTest Final Windows Insulation _ Retaining Wall Reviewed By: ? Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 40? Clty of EapIl 3830 Pilot Knob Road Eagan MN 55122 (651) 675-5675 RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS: New Construction Reauirements ? 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas ? 1 Soils Report if proposed building is to be placed on disturbed soil ? 2 copies of plan showing beam & window sizes; poured found design, etc. ? 1 set of Energy Calculations ? 3 copies of Tree Preservation Plan if lot platted after 711193 ? 20% maximum lot coverage allowed ? Rim Joist Detail Options selection sheet (buildings with 3 or less units) ? Minnegasco mechanical ventilation form Remodel 1 Repair Reauirements ? 2 copies of plan showing footings, beams, joists ? 1 set of Energy Calculations for heated additions ? 1 site survey for additions & decks ? Addition - indreate if on-site septic system City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 515 Hackmore Ct Lot: 3 Block: 1 Addition: Autumn Ridge 3rd PID:10- 12302 - 030 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: P Fee Summary: Valuation: 3,000.00 Contractor: Seta Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823 -8046 ctures are not acceptable in lieu of inspections. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: $90.00 Owner: Susan M Griesgraber 515 Hackmore Ct Eagan MN 55123 -3068 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Building EA078580 06/27/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA150264 Date Issued:06/27/2018 Permit Category:ePermit Site Address: 516 Hackmore Ct Lot:4 Block: 1 Addition: Autumn Ridge 3rd PID:10-12302-01-040 Use: Description: Sub Type:Reroof & Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 12,000.00 Fee Summary:BL - Base Fee $12K $221.25 0801.4085 Surcharge - Based on Valuation $12K $6.00 9001.2195 $227.25 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 - Todd L Sturgeon 516 Hackmore Ct Eagan MN 55123 (651) 219-2794 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature r For Office Use ‘‘%::1 E AG RECEIVED Permit#: �S .33 y Permit Fee: P.?'69 JUN 172019 Date Received: 6-24/ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: jV1.1,-' buildinginspectionsacityofeagan.com 111 2019 RESIDENTIAL BUILDING PERMIT APPLICATION k,"?))51):19 Date: 01` I Site Address: Ci `1"`-1 U C Unit#: Name: ib DO /ti,(Z_ iN Phone: rio5 Z1 "•=Z 9'1 Resident/ s�(r 1 c-K-AcA+ 7 Cr Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: 13A1 `P'Vdv‘ (1"4-40�Z Construction Cost:ILL, 00O Multi-Family Building: (Yes /No Y.) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x D� 5114AQ-(s,,Z✓•-/ x '` "u' Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE 5) to /qeitte.. ine(e Cfr — /Y6,7-3/ SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi — Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Iteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage — Retaining Wall *Demolition of entire building-give PCA handout to applicant — DESCRIPTION Valuation _9/_ Occupancy MCES System Plan Review Code Edition 42#4 SAC Units (25% 100% ) Zoning IV City Water Census Code 1` Stories Booster Pump #of Units Square Feet PRV #of Buildings Length _ Fire Suppression Required Type of Construction ' 6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) X Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS /`_ Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan ,- Other: Reviewed By: C 7.- , Building Inspector RESIDENTIAL FEES Base Fee !/ Surcharge in Plan Reviewow MCES SAC City SAC Utility Connection Charge (P S&W Permit& Surcharge OA\TI n Treatment Plant Vf Radio Meter Read Copies Oil/ TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160225 Date Issued:02/24/2020 Permit Category:ePermit Site Address: 516 Hackmore Ct Lot:4 Block: 1 Addition: Autumn Ridge 3rd PID:10-12302-01-040 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Todd L Sturgeon 516 Hackmore Ct Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature