522 Hackmore Dr? . .- ?
Wertificate vf cccupancv
Wit4 of ?agan
Tepwrtme«t ? ?*ilb*
This Certifcate issued pursuant to the requirements oj the Uniform Building Code
certifying that at the time ojissuance thu structure was in compliance with 1he various
ordinances of the City regulating building construction or use. For the following:
Use C7assifiprion: S F MG Bidg. Permit No. 22907
Ooapency Type R3/141 Zaoing District R I Type Const. VN
o.-ne,, orau;ia;,g M+l JCHYQM 00ST INC Address 14251 iEM AVF.? APPfR VATIFV
e,iwing Aaanm 522 HAL3KHDRE I7RIVE tAcaiiryil,Rl, Aimt?t
I)a[e:
.{
BuiWingOfficiat 'POST IN A CONSPICUOUS PLACE
y'?
- ? INSPECTION RECORD
? CIT'Y OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ?
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
lir;? ?('?ui;t lit, 1l?IIt; ? ;. It ??
,-,?? I IIIHN F + uc-ih 3r?t) I
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .. . .•
; I „r? , rf,.
? t,.??
(';,?{??f; I f} i f ji?, ? i??t??ll I i•1 1'
' ?t,+? , • ..i? i I Ili?.t
tl NO 1 1y`il1C t'b +IN(I1 I) g tWFupY FWIkHN4.F• f-: r,INF.kF-II
I RV ?; % U i't lI F' Iar ro.'s• I f`t Hrl
-1
L
Permk No. Permit Flo?der Date Telephone #
S/W ' • 1 ,
PLUMBING
HVAC ?J p Q
Oza
ELECTR 0°
ELECTRIC
InspecNon Date Insp. CommeMs
Footings i I ? i
Foundation ?s Q r/?/? _ Q
Z3
Framing .
s -'rT
Roofing
Rough P'bg.
Rottgh Htg.
/? . ?
Isul.
Firepla
c:e 1
Rnal Htg_
Orsat Test
Final Plbg. _lL_ 9 A Zs Plbg. Inspector - Notity Plumber
?
Const. Meter „? _ a ccess' Nl?S' ?
/
EngrJPlan
Bidg. Final /
7
Dedc Ftg.
Deck Final
Well
Pr. Disp.
, /?y ? ?
CI'TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ' i ' N ' ° ' g - } Z
tott
11ArKMi3frF DO
.,ii ? ?I?•1F? i' 1 ??? ;4t[?
PERMIT SUBTYPE:
('(lt); I NA`i
t ( N !1 1
? -
I
PERMIT TYPE: i+" I I ri I KCI
Permit Number:
Date Issued: /4 h
?.0 10 ;'' ' APPLICANT:
? H t ()1 F 1
9 ? ) 4 3 0 -f>7?
TYPE OF WORK:
iir rOa
I"•F"tAUI 1 Nii
i f i
1 lN?:l i?r•rKt
PermR No. Permit Holder Dete Telephone N
ELECTRIC
PLUMBING
FIVAC i i
_ _
Inspectfon Dete Insp. Comments
FOOTINGS ? /
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
(
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address 522 HAGM?tE nxnE Zip 5512 3
L,ot ' I Blk i Sub [LmM xmcE 3ttn
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: J C? Yes No Inspector.
Fina] grade ( " from siding)
Permanen[ steps (garage)
Permanent steps (main entry)
Permanent driveway Y
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish
Deck ?
Pleasc verify wi[h the builder the removal of mof lest caps from the plumbing sysiem and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0
5
?
M 2
14
4
Request Date Fire No Rough-in Ins o
Reqmre 9 NOTICE: You Must Call Elec[nwl InspeMOr
It A Raugh-In Inspeclion
s ? No Is ftequired.
I icensed contractor ? owner hereby request inspection of above electrical work at:
Jab Adtlress (Street, Box ar Route No ) City
s2 -7- ??lf-.-
SecVOn N. Township Name or No Range No. County
?
Occupant(PRINT)
/!/i..vV•. L? Phone No
Power Supplier C
P Adtlress
c. G /
ElacUmal ComracNr (COmpany Name) No.
ConhacWrY Licen
se
^ c
w
??
?
?//? 1717
Mailir?q?ytl?s r ner eking Installabon)
N?
-
:J
LLEY MPJ 55124
Authop?/?pqerv}„
/ wner Mekng Installation) Phone Number
V.?.
ILO
/ n ? /7, . 431-6364
I
MINNESOTA ST CIiV THIS INSPECTION REpUEST WILL NOT
Gtlggs-Midway BIEg. - qoom 5473 BE ACCEPTED BV THE 5TATE BOARD
1821 University pve., St Peul, MN 55106 UNLESS PFOPER INSPECTION FEE IS
Pbone (612) 642-08W ENCLOSED
3??p /?? REQUEST FOR ELECTRICAL INSPECTION
/ See instmctions lor complebng this form an back oi yellow copy
?
? 14 4 4 :x" Be1dw Wark Covered by This Request
??+ E8-00001-OB
? -_ aiff/?--
? .? .
ew Add Rep. ' TypeofBmlding AppliancesWrted EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Bwlding Dryer Load Managemem
Comm./Industrial Fumace Other (Specdy)
Farm Air Condrtioner
Other (specdy) Conlrador5 Remarks
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceS¢e Fee # Crtcuits/Feeders Fee
Swimming Pool 0 to 200 Amps - 0 to 100 Amps 6'-
Transformers Above 200 _ Amps / e _i Amps -
SignS Inspeclork Use Only: <? GG TOTAL
Irrigation Booms
Special Inspection
AIarMCommunication THIS INSTALLATION MAY BE ORD R DISCONN ECTED IF NOT
O[her Fee COMPLETED WITHIN NTH .
I, the Electrical Inspector, hereby Rough-m p oai p.a?
0
certify that the above inspection has
been made. Fl-na, te
OFFICE USE ONLV
This request void 18 moMhs irom
RESIDENTIAL
- • BUILDING PERMIT APPLICATION
T? `-CITY OF EAGAN
? 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewCanstruction Reauirements
• 3 registered site surveys showirg sq. ft. of lot, sq. ft. ot house; and all roohd areas
(20°k mauimum lotcoverage allowed)
• 2 copies of plan shmving beam 8 window sizes; poured found design, etc.)
• 1 set o( Energy Calculations
• 3 topies of Tree P2servation Plan d lot platted after 711193
• Pom Joisl Detail Options selection sheet (bldgs wilh 3 or less uni4s)
DATE !E` 21 /0 Z
SITE ADDRESS 52 2
TYPE OF
.
_% ?S? .7-A Is
RemodellRenair Reauirements
. 2 copies of plan
• 7 set ot Energy Calculations for heated addiGons
• 1 site survey for exterior additions 8 decks
. Indicatel(homeservedhysepticsystemforadditions e-N's.
VALUATION
*750
Y'I V-C MULTI-FAMILY BLDG _Y _ N
4 iPwvkAO FIREPLACE(S) _ 0_ 1_ 2
APPLICANT e3 7 t? ( ?I..IGL ! Y ?+
STREET ADDRESS S? fZaGlCmorc ?Y'L VQ CITY C._?? STATE I?1A?vZIP S
TELEPHONE#6sI "'&RID'509CELLPHONE# L6 1'W23$^23qKFAX#7403
l w"'kx.451-38Q-I(21 xY3?°f
PROPERTYOWNER TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA1'EGORY 1
(4 submission lype) • Residential Ventilation Category 1 Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing systcm includes:
Mechanical Contractor:
Mechanical syslem includes:
Sewer/Water Contractor.
_ Air Conditioning
Heat Recovery System
Phone #
Fce: $70.00
Phone #
I hereby acknowledge that I have read this application, state that the informatio is co t, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance .
Signature of Applicant
OFFICE USE ONLY
Waler Softener
Water Heatcr
No. of Baths
_ Phone #
Lawn Sprinkle
No. of R.I. Baths
Certificates 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 Bidg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex J?(, 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
JEL 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof 0 46 WindowslDoors
? 34 Replacement?0e) "Demolition (Entira Bldg only) - Give PCA handout to applicant
Valuation Qccupancy 2`3 MC/ES System ?
Census Code? Zoning 2-/ City Water ^
SAC Units ? Stories / Booster Pump ?-
Nbr. of Units ^ Sq. Ft. PRV
Nbr. of Bldgs ? Length /D Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
? Foorings (deck) ? Final/No C.O.
_ Footings (addition) _ Plumbing
Foundarion 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
------- ------------------------------------------- -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
?
Total a?4, - 1 S
zeck
?i
1
-I -
?
i _I
V RIjOCE 3RjO AjOPITIO)V
?
7 ? ?? • `?
i
4-0 2?0000
? . , ? ??•42 3 87654'25S"W
30 14(X71 ?
--/-q5l-
//7
?
?yr!Y r ? ? V bi ?'? ?IyT
1..i? ?
3:
?
?
?
?
CopyrigtYt 0 2002, aakm
a
?a t?o
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
NewConsWction Reauirements
• 3 registered sAe surveys showirg sq. ft of lot, sq. fl. of house; and all roofed areas
(20% ma%imum lot coverage allowed)
. 2 copies of plan showirg heam & window sizes', poured found design, etc.)
• 1 set of Energy Calculafions
. 3 copies of Tree PreservaUon Plan if lol platted after 7l1193
. Rim Joist Detail Options seleclion sheet (61dgs wilh 3 or less unifs)
DATE
SITE ADC
TYPE OP
- 3 -U?1
APPLICANT Cedar
Exteriors, Inc.
ULTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
RemadaUReoair Reauirements
. 2 copies ot plan
• 7 set of Energy Calculations kr heated addflions
. 1 site survey for exAerior additions 8 dacks
. Indicate rf home served by septic system for addiGOns
VALUATION q Iq'a , 1S
?o?., ..,,.,. _..__.
STREET ADDRESS Coon Raplds, MN 55433 CITY STATE_ZIP
TELEPHONE #?I(D??-?7J-vZo?aICELL PHONE # FAX # ? ?-T5-5390
PROPERTYOWNER -Q U C.Q TELEPHONE# LZI-Ci1R60-LLSL? 1
vU
-----------------------------------------------°------------------------------------...-°----
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.IS 7670 CA"1'EGORY I _ MINNESOTA RUL.CS 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumhing system includes:
Mechanical Contractor:
.Nlcchanic<d system includcs:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
*5L1-ZI
?
??.
Fee: $90.00
Phone #
Fee: $70.00
Phone #
--- °----------------°--------------------°°------------------------------- °-----°-°-
I hereby acknowledge that I have read this application, state that t information is
with all applicable State of Minnesota Statutes and City of Eagan idinances.
._ .
Signature of Appllcant
OFFICE USE ONLY
_ Water Softener
_ WaLer Heater
No. of Baths
_ Phone #
Iawn Sprinkler
No. of R.I. BatYis
and agree to comply
Certificates of Survey Received - Tree Preservation Plan Received _11 'Not4Reqtjir1a?-'
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 0 08 06-plex O 16 Fireplace ? 21 Porch (3•sea.) ? 31 Ext. AI[ - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 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 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SoC Units Storias Booster Fump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(newbldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ F inal Pool Ftgs AirlGas Tests Final
_ Framing _
_ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
I y 'CItY OF EAGAN
' 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLpiNs
Permit Number: 0 2 7 4 5 3
Date Issued: 0 5/ 0 2/ 9 6
SITE ADDRESS:
522 NACKMORE DR
LOT: 1 BLOCK: 1
AUTUMN RIDGE 3RD
P.I.N.: 10-12302-010-01
DESCRIPTION:
I
:
PERMIT
(INCL DECK)
Building,Permit Type SF PORCH
nBuilding W'wr,k Type NEW
Census Code "`'\ 434 ALT. RESIDENTIAL
?
?
?.-,g--
?G_ r, 9
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
Total Fee
$212.25
$106.13
$7.00
$325.38
$14,000
CONTRACTOR: OWNER: - ,qpplicant -
LECLATR JEFF
522 HACKMORE DR
EAGAN MN 55123
(612)430-5227
I hereby acknowledge tMa,t I heve reack tihis applicat3,qn'and state that the
in'formation is oorreotand agr$e to comply wi3th all appTicabl6 State ak Mn.
Statutes an Cit of Eagan.0i-dinaflces.
?
AP ANT/PERM EE SIGNAT I-,
ISSUSD BY: SIGNATURE '
CITY OF EAGAN
F 3830 PILOT KNOB RD - 55122
!JjjjbqS 19 96 BUILDING PERMIT APPLICATION (RESIDENTIAL) +1 ?4.1 •? D
681-4675
New Con=_Wdian Reauirements RemodeUReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 3 window sizes; poured fid. design; etc.) t 2 site surveys (axterior additions & decks)
? 7 energy calalations ? 1 energy wlwlations for heated additions
? 3 copies of tree preservatlon plan if lat platted aRer 711193
required: _ Yes No
naTF- .4 (' _ CONSTRUCTION COST: ? ? 5 o b
DESCRIPTION OF WORK:
clc( 3s'ea_so'-' lor-ri
STREET ADDRESS: 2'2'
LOT BIOCK ?
(i1n
SUBD./P.I.D. #:
-b NiV-k
o "(6ehiS?lrg 0 rud uv-'L
6" D„y ??? 43o?szz?
PROPERTY Nn^1°• ? P?? 0.1 Y J p?? Phone #: ??0 lz? 68?^S `?U1
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street
LI rwsr `
w? ? z I l ct C 1M0 Y`? ?J y-
City; ?cv:?'C(- V\ State: m "\
Company: Street Address:
zip: 55 ) z 3
Phone #:
License #:
City: State: Zip-
Company: Phone #:
Name:
Registration #'
Street Address*
Ci{y. State: Zip:
Sewer 8 water licensed plumber: ?(`'s
change are requested once permit is issued.
Penalty applies when address change and 101.
I hereby acknowledge that i have read this applica6on and state that the information is correct and agree to comply with aii
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFtCE USE ONLY ?i -'Vrr?-?`1
Certificates of Survey Received _ Yes _ No 1
Tree Preservation Plan Received Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging a
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ?
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
4 SF Porch ? 09 12-plex ? 14 Firepiace ?
? 05 SF Misc. ? 10 = plex --Fr- 15 Deck
WORK TYPE
? 31 New ? 33 Alterations o 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
? ? ? r•A f'??9?'
A+
iV ?1a?O? W ?CN'^?Ip,
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) 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. 31/
Depth Footprint sq. ft. SAC Cade o i
Census Bldg
Census Unit °
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ Ooo
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit p y?
SM/ Pertnit
S/W Surcharge Lp°
Treatment PL ----'-"-
Road Unit z
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
PERMIT ol-ey
-?CITYOFEAGAN
3830 Pilot Knob Road PERMITTYPE: /p/ y
?
Eagan, Minnesota 55123 Permit Number: qz?0
(612) 681-4675 Date Issued: a 2/ 15 / 9 4
SITE ADDRESS:
522 MACKMf.IF?E DR
LfJTz 1 BI.OCK: ].
AUTUMN RIDfiE 3Ri7
P.I.N.: 10-12302-010-01
DESCRIPTION:
BcrildZng`=F'ermit 'I'YPe SF DWG
?uildinq Wdrk Type NEW
rY1BC Occupancy\ k-3 M-1
? Construction Ty?,e V-M
Zonin9 -, R-1
Huil.ding LengT.h i 60
Building Width 36
?. Buiitling sT.ories -'? 2
_ .i
?. `.
t
oo?
REMARKS:
00 NO7 ISSUE CO UNTII DR7VEWAY ENTRANCE IS CONCftE'iE
PRV S& W PIBR - WEN'T.FL PI.Bf
FEE SUMMARY:
vRLuArIori
Base Fee
Plan Review
Surcharge
5AC
SAC %
SAC Units
Lic. Search Fee
SubCotal
$751,59
$488.48
$66.00
$8G7m.A0
100
1
_ 5.00
$2,110.98
$132.000
MISCELLANEOUS $1,82$.50
Total Fee $3,939.48
CONTRACTOR: - applicant - sT. Lzc. OWNER:
JOHNSON CONST, M W 1A826838 0002207 M W JONNSOIV CONST TNC
14251 CEDAR AVE 14251 CEDAR AVE
41PPLE VALIEY MN 55124 APPLE VALLEY MN 55124
(612) 432-6838 (612)432-6838
L
I hereby aoknnwledge that C have read this application and state that the
infiormation is correot and agree to comply with a11 applicable ST.ate of D1n.
Statutes and City pf Eagan Ordinances.
APPLICANT/PE ITEE SIGNATURE
-?Nl0 &P1lt I I11.?J
--rSUED 6 :51 NATUR
J
PERMIT ?` . ?-------..-i; , I ,r ;; -
RfACTIVATE ?? `? ?
?•t9o?? 2 8 ?9? __
CITY OF EAGAN $31???(.
199e-BUILDING PERMiT A PLICATION
10 681-4675._
SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural pl ans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest 1s made or lot chan e is re uested once ermit is issued.
Date ?
/ Ply /'1" 171_ Valuation of wark
Site Address: d02-02 C4K4 /L¢__-D2,V_e gA)
STREEi SVITE 1
Tenant Name: (commercial only)
IAT _L BIACR SUBD. fI(dVMn- P.I.D. M
ad d'W '
Descri tion of work: ftj? ?.7
The applicant is: tg Owner ,QC Contractor Other (oeecr eo>
Name 1ktJ U:?4r,srid Phone Y3?-6/.,7'7
Property LAST FIRST
Owner Address /ydS/
STREET STE N
City ll'- State Zip
Company Yj'?5trPJ ('A)4 _<-Ae . It, Phone ,?43,)
Contractor Address /yoI5/ License #0C19 Exp. '14
City /` State M4LJ _ Zip I Z
Company ? 7ZLI ti. Phone ,4/3?- ? a25D
Architect/
6
Engineer Name Reyistr ation N
Address
City lql"L ? State Zip lil'S/L
Sewer S water licensed plumber fAJ-Qti2?e.l nRL'c.(aEA.= . Processing time for
sewer Q water permits is two days once area as 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:
0 OFFICE USE ONLY ?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging
,Er02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
O 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory
? 04 SF Porch O 09 12-Plex ? 14 fireplace
11 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
P^31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
?Q ?-
ZO?f3o ? ??O
3,
Const. (Actual) ? Basement sq. ft. /p a? MWCC System l?
(Allowable) lst F1. sq. ft. /o° g City Water _
?
UBC Occupancy P,3 2nd F1. sq. ft. g 34 PRY Required ^
?
tonin9 R-I 5q. Ft. total Booster Pump
i of Stories z Footprint Sq. ft. fire Sprinkler
Length
Depth o
3 On-site well Census Code -7017
__
.3? On-site sewage SAC Code 07
APPROVALS ?
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site )Z Footing M Framing 0 Insulation
? Wallboard ,0 Final ? Draintile ? Fireplace
Permit Fee
4u
h vea„ti,,,: s /3-z, dc?
rc
arge
Plan Review 't-i.s./-
License
MWCC SAC z?. _ dyo
C i ty SAC 2=
Mater Conn.
Water Meter ?---
. /00 gX z,
Acct. Deposit ?
S/W Permit
S/W Surcharge 2 ti?
Treatment P1.
Road Un1t ?
34k31: ?3p
rs"Y
Park Ded. ?
Trails Ded, vrOzzn
Copies
Other
Total:
..
?
?46 Biiertf2rttFinish
? 11 Swim Pool
? 18'Comm./Ind.
? 19 Cartan./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
?a9xl? ?
/??3 yy
13/116
SAC %
SAC Units
P .
?
?
8'D 0
? o °o
g"4 W 0
8Er'.b° n°
, D 0?
D' 0 0
V 0 0
? ci
n n
V0 ?
8' ? 0
D? ?0
0 D !d' 0
0
n o
W-- 0
8" 0 D
D aY 0
LOT SIIRVEY CHECICLIST FOR REBIDENTIAL
• Registered Lnnd surveyor siqnnture and company
• 8ufiding Permit 1lpplicant
• Leqal description
• l?ddress
• North arrow and bar scale • Houna type (ramblar, valkout, split .w/o, Bplit
lookout, etc.)
• Directional drainaqe arrows with slope/gradiant t.
• Proposed/exiating sewnr and water services
• Street name
• Driveway
• Sewer service
• Lot corners
• Top of curb at the driveway
• Elevations of any existing adjacent homes
• Garage floor
• First floor
• Lowest exposed •lovation (walkout/vindow)
• Property cornera
• Fzont aad zear of home at the toundation
PONDIN6 fLREAB fi! tRDlicab121
• Ensement line
• NWL
• HF1L
• Pond t desiqriation
• Emerqency OvezPlow Elevation
antry,
• Lot lines
• Right-of-wny and atzeet width (to back oi curb)
• ProposeC home dimensions inoludinq any proposed -decks,
overhangs greater than 21, porches, etc. (i.e. all
structures zeguirinq permanent tootings)
• Show all eesements of record and any City utilities within
those easementa • Setbacks of proposed atructure and setback of adjacent
existinq homes
• Retaining "il zeg,eiirements, if any
S
Octobez 1992 ,
n.te o: 8urv.pi ,/? 2?r
? ?_
?,: y • OWNER
EXTERIOR ENVELOPE kVERAGE "U" CUNWu
, ' SITE ADDRESS
' CONTRACTOR M W,3o E10csah-- DATE ?
7
pNONE `"
Determine working square footage of each.
?. Total exposed wall area ...... ZJ ??1 8 sq. ft. x
2, Total roof/ceiling area ...... O 8 sq. ft.-x .a21?° ,1 8
Total exposed wall area above floor = I a O
.
; -'
? a. Total wall window area ...........................
? b. Total door area .................................
c. Total sliding glass door area ... •.••••••••
?--
'.d: Total fireplace wall area..........................
e. Total wall framing area (ayeragel0%)...........
f. Total net wa11 area above floor ................. iy Z S?lr
g. Total rim joist area ............................ Z lo_N .,•
• Total exposed foundation area
h. Total foundation window area.............. ••••••• ? LPI3R ? .
1. Toal net foundation area above grade ............
Determine "U" value of each wa11 segment. '
a. 21'1 X stuli
? b. 3 8 X,lu„
c. yq x itual?_ _ 7-71 .
d. - X liuii ....-
e. 15f3,q X „u„ ioqto
f. 1425, lo Xliull
? 9. z 6q x „ui, , CM i 6 ?
h. Co,3 X llull , 55 = ??-?-
i. '7B?1? X lluii ?ovZ=_ Lo ?
3 . ......:........... . Z 22 ....Tota1 = ??
\ If item 13 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2. ,
?T?
.,
Total exposed roof/ceiling area I oB y
Total gross roof/ce9ling area
? ? . . 3..Tota1 skylight area ........................ 1 S ? .
' . k. Tota1 roof/ceiling framing area ............ D
• 1. Total net insulated roof/ceiling area....... q? 5. Lo '. , .
. .. Determine "U" value for each roof/ceiling segment.
',:.... • ?_ X „ull ----
: . k, IflB,LI x„ull , oz = 2.10
.. 1. 9'15.Lo x "U"._? yLQ _
4 ........................... Tota1 ' ?2? . •
If total of #4 is the same as, or less than 02, you have met the intent,of
SBC 6006(c)1. : • . . .
Ta utilized the total envelope system method, the values.established 6y the
sum of items #3 and fl4 shall riot be greater than the sum of itens 81 and 02.
?'. '. '... + 2.
3. + 4.
MATERIALS • Therm. &esistance "R"
Exteriar AST
Siding ]deterial ,J 4:+
Sheathing 2. n?O. ..
Insulation
Sheetrock , 4s
Interior 9ir , Ln F, .
Studa ? ef
Rim P-y?-
Canc. Blke.
„ , . , / • . ;?
.. ,
?
LOT ? BLOCK SUBD. C l? ??w?? ?rB
RECEIPT N & DATE
1994 CITY OF EAGAN
IItRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL 1NSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: Commercial GPM ;.l /A
Residential (boulevards) GPM N /rr
Existing residential
Area/address to be inigated: ?ZZ ?Aa-C-6,*,?dYT- br •
Installer: --? ?L2-C.l ci. ? v Owner %5 Plumber O
Street address: _SA r--4-
City, state & zip code: cL°`?T1/V\h SS ?? 3 phone #:
Owner Name: S'a V? 4,-
Street address:
City, state & zip code:
Irrigation contractor, if different than installer:
Telephone !/:
I hereby acknowledge that I have read this application,
comply with all applicable City of Eagan ordinances.
Signatur Title
If construction activity occurs in public easement or City right-of-way, signature of property owner is required.
The property owner agrees to hold harmless the City of Eagan for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within Ciry
property/right-of-way/easement.
Property Owner Date
Approved by: ??Date: A 3 199¢
PRV ? Yes ? No
?-/?
New service ? Yes 0 No Meter Size N/A & Cost N A LJ '?b
--?°-` ? -
----- ---------------------------------------------------------- -------------------- ?
Fees due: W20 - S(? Calculated by: '? ?
2- -2- 9S Na Qu? t??,O?,rtcC?Aw
Phone N:
state that the information is correct, and agree to
saz NaC KnAnaE
C o +
1) $C at Ki /?+Y'fYAI ?1 R; da t aD0lT/oA/
Use BLUE or BLACK Ink
ForOfflceUae_____-_- I
• ~ _
it tt: r✓ 11/
(1T1t1 City of 11 t Perm
TIp EaEd.
3830 Pilot Knob Road I Permit Fee. t J
Eagan MN 55122 Date Received:
Phone: (651) 676-6676.
Fax: (651) 6765694 i Stan:
I
- - - - - - - - - - - - - - - - -
2011 RESIDENTIAL BUILTING'PERMIT APPLICATION
Date: Site Address: ~Z N~K/►'d~~ 7~R: Unit;
Name: ' ~~~F r! EEC'L,l~ I Phone; [o -,e3
U ' ~J y5
RESIDENT
OWNER Address 1 City I Zip: e-limit 02_E ~j2,
Applicant is: .Owner ,••~;.'Contractor
TYPE OF WORK Description of work: • -Ae .pui-&r,
Construction Cost: 4# ZC3Lt.
Multi-Family B siding: (Yes T / No
Company:'-rye n9' C-1~4 GA)0 qtM` 'Pb K Go Contact: Sl8Ile° S)~20wtxV E2
CONTRACTOR Address: ff4oA City: /npLe. j
State: ZIp; ' Sr i Phone: ' gs>: " ~g Y r~ C9 8 ~
ucensa _ L-.3o 33'DDg'z. Lead ,Cetyflcate _ 41A7 - 7 3 7 3- l
If the project Is exempt.from lead cAAAAjj~r~ertlflcatlon/, please explain why.`(see Page 31or additional information)
COMPLETE THIS AREA QNUX IF UTRUCTING A NEW BUILDING
In the last 12 months, has the City,of Eagan Issued a permit fora similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
l
Wcensed Plumber: Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that•yousubmlt•ace cansered to be public information. Portions of
the Informatlon maybe•c/aS5 fled as:1Orfil,ubllC;lfypu p(p,Yldefis l I9 oasons that would permit the City to
-concludo-th't:tlie .a4 tot secrets:
CALL BEFORE YOU DIG. Cog Gopher $.tits One, Call 81 (¢41) 4W-0002 (or,prolectlon against underground Witty damage. Call 48 hours
Wore you Intend to dig to receive locates of untfergfourld.tJtllitiei, aoo state Dora : .
I hereby acknowledge that this Informatlon Is complete and accurate; that the work wig be in conformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a'pgrmit, brit only an applicatlon for a permit, and,.wprk is,not to start without a permit; that the wont will be in
accordance Wth the approved plan in the'case of wont which requlres a review and approval of.plans.
Exterlor work authortzed by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x- 1A6 4 Az AVe~ Applicant's Printed Name x
Ap cant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149602
Date Issued:05/30/2018
Permit Category:ePermit
Site Address: 522 Hackmore Dr
Lot:1 Block: 1 Addition: Autumn Ridge 3rd
PID:10-12302-01-010
Use:
Description:
Sub Type:Reroof & Siding
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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Mary N Zellner
522 Hackmore Dr
Eagan MN 55123
(612) 963-8451
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature