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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