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523 Hackmore Dr.? (NJ-ertiiica#e of cccupanc? ??m of zqartmeur o? Vai[bnig 3xiopccrion This Certificate issued pursuant to the requiremenis of the Uniform Suilding Code certifyireg that a1 the time o}essuance this structure was in compliarece with the variaus ordinances af 1he City regulating building canstructeon or use. For the folloFVing: Use Ciassification: V DX Bld?nnit No. _224 U--:? pccupancY'Iype RI&() Zoning Dimict Type Const. Owner of Building Adttress 14450 R? IU RWr$ IVUL& Bui6diog Address 523- _.D-R7T1Q Locality y.;B3--AIMM-RcMCE 3RD , i 09,402,194 Buildi;g Official ` .. POST IN A CONSPICUOUS PLAGE ,??? , . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: i ? IIMM !r I(??it tkU PERMIT SUBTYPE: APPLICANT: 1. , ,.+ ,1 , 1 to i ,'. } rl'44 .'+, TYPE OF WORK: e//9*?9 L/P , ?ccs -?s3a 7 INSPECTION .. . .• i i ? r! I I ' ;irlki, 1. t {'I j'coRn PERMIT TYPE: Permit Number: Date Issued: 1' i tiH - fl C!q f c: ?1 INSPECTIQN I1- Permit No. Permft Holder Date Te{ephone # S/1N PLUMBING HVAC ELECTRIC, EIECTRIC Inspection Date Insp. Comments Footings I Foundation z Z ? ? jv Sr 3" Q Framing I ? `1 Roating Rough Pibg. 7' J / n J .It ?j Rough Htg. Isul. Q ?replace I - Fnel Htg. !? ?f--'l?/J r !l,fY Orsat Tesl Fnal Plbg. _?,? • ,f./,t Plbg. Inspector - Notfly Plumber Const. Meter Engr./Plan Bldg. Final GO 1 Deck Ftg. DeCk Final Well Pr. pisp. -P I a-.? %Yl 73 ,W /. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ? 14 i? ?I ., Li I PERMIT SUBTYPE: lillI lNli'. f NA? PERMIT TYPE: " " I t f' I Nii Permit Number: r? •'','? tv' Date Issued: ?' ?.?' i b j:) `; APPLICANT: t Ett ?,? ' r??,?? ?.??, F? s?:,?. TYPE OF WQRK: '-- .?. .. i'{, hM I PJ1I F ? ? ? Permit No. Permtt Holds? Date Telephone ! ELECTRIC PLUMBING HVAC Inspwtfon Date Inap. Commenb FOOTINOS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BLDG FINAL ?G• ? ? BSMT R.I. BSMT FINAL DECK FTG DECK FINAI 9 o2y ?j? REQUEST FOR ELECTRICAL INSPECTION °""?"4 Ee-00001-09 ?' ^ 032256 ? Sea ingmclions tor complabng thle form on back of yellav cropy. ??`,- ?° ??f.r+ "X" Below Work Covered by This Request ?•1j ?. Ne Add Rep. Type of Bullding Appliances Wired Equipment Wired Home Range Temporary Service Du lex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Fumace Other (S ecify) Farm Air Conditioner Other (specily) Contracror's Remerks Compute Inspectian Fee Below: OFF pep'tic- # Other Fee # Service Entrence Size Fee # Circuits/Feeders Fae 5wimming Pool 0 to 200 Amps 0 to 100 Am s Transformers Abave 200_Amps . A6ove 100 -Amps Si ItS inspector's Uee Oniy. TOTAL Irrigation 8ooms ? -OC ;tCF* rD S ecial Ins ection Alarm/Communication THIS INSTALLATION MAY BE ORDEHED DISCONNECTED IF NOT Other Fee SJ COMPLETED WITNIN 78 MONTHS. I, the Electrical Inspector, hereby cedify that the above inspection has been made. Rough-In F;nai oare ce OFFICE USE ONLV ? Thls requeat wid 18 months Irom ?093?2 5 6 ? j?55? ~ Requsal Date Ffre No a_? n ? Roughdn Inspedion R u e (YOU must cali Inspedor when reetly) ? Yea 0 No Inepectlon OtharThen Roughdn qeaGy Now ? Wiil Notlty InspMOr ? Reatl I'0 licensed contractor ? owner hereby request inspection ot above electricel work at Job Atltlress (Slreet, 6oa or Route No ) CITy 3 rw Y. ??s-&Zn Sectlon No Township Nams or No Renge No. Counry K Occupent(PRINT) Phone No. h 1 PowerSuppheTr ? b Atltlress Electncal Convactor(COmpany Name) Contraclofs Lkense No. y Mailing AGtlress ( retlor or Owner Making Installatbn) ? ? -5S Author SignaNre (COntrac Owner M Indallalion) ? Phone Number MINNESOTA STATE BOAR CTRICITY THIS INSPECTION REQUEST WILL NOT Grlgga-Mltlway Bltlg. - Roo •1P8 BE ACCEPTED 8V THE STATE BOAFD 1821 Unlverelty Ave., SI. Paul, MN 55101 UNLESS PROPER INSPECTIDN FEE IS Phone (812) 6024M O?b p?/ll - J ENCLOSED J-lo -Y /1?07<a m 71 33 8 4 -? ? "-rl cxitk5 °o Request Date re No. Fl Rough-in Inspe ion ' NOTICE: You Musl Call Electncal Inspecror ? ?^ _ RequireE II A Rough-In Inspeclion ..J es ? N. Is Reqwretl I.er-ricensed coniractor ? owner hereby request inspection of above electrical work at: Job AdOress (Street, 6ox ar Route No Qty ? Sechon No. Township Neme or o Renge No Coun 61 Occupen? ? IMj 1L Phone I'JO. Power her Adtlress ? ?l EI¢clnual Contrador (COmpany Nflme) r Contr r5 License No, DO MaNng Address (Conh clor or Owner Makmg Inslall on) Ci? ? / AuthorizSignature (ConVaclorl wner Making Installation - 14- Phorie Number is, - 3 T ? NNESOTA STATE eOApD OF EIECTpICITV THIS INSPECTION REQUEST WILL NOT lggsMiEway Bltlg. - Room S7]3 9E ACCEPTED BYTHE STFTE BOARD 1821 Unlverolty Ave., SL Paul, MN 55100 UNLESS PFOPER MSPEGTION FEE IS Pnone (612) 642-0800 ENCLOSED ,_? - y r L REQUEST FOR ELECTRICAL INSPECTION p? T pp ? See jpsWCkons br cumpleting ihis (orm on back of yellow copy lol . 713 O?F `X" Be/ow Work Covered by This Request EB-00001-08 i e Add Rep. Typeofeuildmg ApphancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heann Apt Bwlding Dryer Load Managemem Comm./Industrial Fumace Other (Specry) Farm Air Conditioner Olher (spaoiy) CanVactor's Remarks Compute Inspecaon Fee Below: # Other Fee # ServiceEn[ranceSize Fee # Cimwls/Feeders Fee Swimming Pool 0 ro 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps S19p5 Inspectar5 Use Only 'r(J TOTAL Irrigation Booms ? '? Special Inspection Alarm/CommunicaLon THIS INSTALLATION BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspecror, hereby Rough--m J certifythattheaboveinspectionhas 6een made. J F,,,ai OFFICE USE ONLY This request voitl 18 months Imm 0- 9? 046 a 40 Requesl a[e I?? ?? Fve o Rough-In InspocLOn Requiretl ns ectmn Other Than RougM1-In (VOU m call mspector when reatly ? qeatly Now ?WAI Nolity Inspector es ? N. Dete Read I? licensed cornractor Tyewner hereby request inspection of above elechical work at: Job Atltlress (Slreel, Bo or aute Na j Gty u?o?3 ?ekml r'. Seclmn No Township Name or No, Range N. County Occ RINT, l?n elij Phone Na Power Suppher Atltlress Eleqr¢ 1 Controctor (COmOany Name) Contrectors Lmanse No OVh eo w n P.r Me01ng Atldress (Conhaclor or Owner Making Instellation) 0Lj V Fuihonzed g Wre onlraclorlOwn r Makmg Iretalletwn) . Phone Number MINNE50 A STATE BOAflO OF ELECTHICITY I THIS INSPEGTION FEOUEST WILL NOT 4011 - Eway Bltlg. - Foom 5120 II I I II I I I I I I BE ACCEPTED 8Y THE STATE BOAPD 182 University Ave., SI. Paul, MN 55104 ? UNLESS PROPER INSPECTION FEE IS Phoire (6141642-0800 ? ENCLOSED REQUEST FOR ELECTRICAL INSPECTION Vrg?%- ee-oroooi-o/g OV Y/ ? Sea instructions for complenng ihis form on back oi yellow copy ? ?'yJ ?LG 8/?/g5' "X" eeJOw Work Covered by This Request ? Ne A d Rep. Type of Builtling Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Speci ) Farm Air Conditioner Olher (spenty) Conrcacmr's Compute lnspection Fee Below: # Other Fee # Service Entrence Size Fee k Circuils/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Am s Transformers Above 200_Amps Above 100 -Amps S19nS tnspectar's Use only ToTL S,F- Irrigation Booms Special Ins ection AlarmlCommunication THIS INSTALLATION MAY ORDE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 ON I, the Electrical Inspector, hereby dd h h b R°uyn-in ? oaee ce y t ai t e a ove inspection has been made OFFlCE USE ONLY This request wid 18 monfis !mm Address 523 HACKM3PE n?uvE Zip 5512 3 I.ot " 1 Blk 3 Sub AUIiIlmr BmGE 3RD ? THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 02/02194 Yes No Inspector: 4-IJ49 Final grade (6" from siding) Petmanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded grass ? TraiUcurb damage d Porch Basement finish Deck v Please verify with the builder the temoval of roof test caps from the plumbing system and Ihe shut-off of water supply [o the outside lawn faucet before freeze potential exists. Contact engineering division a[ 681-4645 before working in rightof-way or installing underground sprinlcler system. White - City Copy Yellow - Resident Copy Pink - Contracar Copy ? PERMIT -?i CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ck.004 PERMITTYPE: suzLozNG Permit Number: 0 2 5 9 3 7 Date Issued: 0 6/ 3 0 J 9 5 SITE ADDRESS: 523 HACKMORE DR LOT: 1 BLOCK: 3 AUTUMN RIDGE 3RD P.I.N.: 10-12302-010-03 DESCRIPTION: ? (SCREENEO) 8"uildin6_Permit Type SF PORCH ?uil.ding WQ.rk Type NEW ... ? f, M f{:w, .._, ... -.. __ . . REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUA7ION Base Fee Surcharge Total Fee $99.75 $2.50 $102.25 CONTRACTOR: $5,000 OWNER: - Applicant - BIALKE JOHN 523 HRCKMORE DR EAGAN MN 55123 (612)725-5352 I hereby acknowledge that I have read this information is correct and agree to compiy Statutes and City o'f Eagan Ordinances. L P?"&tAo APPLICANTlPEFMITEE SIGNATURE application end state that the with all applicable State of Mn. ts ? {(?l saru?l Ifl? 93 CITY OF EAGAN 14-f 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPUCATION (RESIDENTIAL) 681 -4675 New Conshudion Reauirements RemodeVReoair Renuirements ? 3 repistered 6ke surveys ? 2 copies of plan ? 2 copiea of plens (indutle 6eam & window sizea; poured fid. tlesign; etc.) ? 2 site surveys (exterior addiGona & dedcs) ? 1 energy cakuletions ? 1 energy celalatlons for heated additiona ? 3 copies of tree prossrvaticn plan H IM platted after 7H/93 roquued: _ Yea _ No DATE: 14 Zurn.L aS CONSTRUCTION COST: Q5oo MrL LAbor O DESCRIPTION OF WORK: eo nSk Of 14+ X 1'L' $ cre.t^ ?d r eh Qlka"} io n STREET ADDRESS: S 23 \? o.dL.rv."psti. Dr LOT ? BLOCK 3 SUBD./P.I.D.#: -las•sasz w) PROPERTY Name: 2) t o.\kc. Phone #: (Ogi - q5d 9 Lt.%) OYYNER ""* Street Address- 5n City: State: M^ Zip: 55 ? 23 coNTR?C7oR Company: N o+u. Phone #: Street Address: License #• City: State: Zip• ARCHITECT! Company: So* Phone #- 6t1 -*0 ENGINEER ? , - Name: w11c.? J o?"+^ Registration M-6 I5qA Street Address !C ?vv%wa., - Ciry: State: Zip: Sewer 8 water licensed plumber: . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that i have read this application and state that the information is correct and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No JuN 28 1995 Tree Preservation Plan Received - Yes - No I --------------' OFFICE USE ONLY BUILDING PERMIT TYPE : . , r .? ? 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Mufti RepaidRem. 0 17 Swim Pool 0 03 %:?04 SF Addition o S OS &plex ? 13 Garage/Accessory o 20 Public Facility ,E F Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous n 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE n 31 New o 33 Afterations o 36 Move da"132 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of 5tories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq.ft. Planning Building MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census UnR Engineering Variance y?y o/ ? O Permit Fee Suroharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit SMJ Surcharge TreatmeM PI. Road Unit Park Ded. Trails Ded. Other Copies TotaL• ? Valuation: $ S ,,od ? lZ x/Y % SAC SAC Units ? CITI( OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (672) 681-4675 SITE ADDRESS: P.I.N.: 10-12302-010-03 DESCRIPTION: h \ C)?' PERMIT PERMITTYPE: BuzLozNG PermitNumber. 022492 Date Issued: 11 / 10 / 9 3 523 HACKMORE DR LOT: 1 BLOCK: 3 AUTUMN RIDGE 3RD B.u3ldin'q?_ Permit Type SF DWG Building tJork Type NEW 'UBC Occupancy,. R-3 M-1 ?Construction Tyve V-N Zoning ? R-1 j Building Length 7 58 Building Width 42 \ 1 ,r' ?? ? `-"-• ? O? ( REMARKS: PRV FEE SUMMARY: S& W PLBR - D C MECH Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal CONTRACTOR: - Applicant - sT. Lzc OWNER: KEY LAND HOME3 18942636 0001553 KEY LAND HOMES 14450 BURNSVILLE PKWY 14450 BURN5VILLE PKWY BURNSVILIE MN 55337 BURNSVILLE MN 55306 (612) 894-2636 (612)894-2636 I hereby acknowledge that I,have read this applicatian and staCe thrgt Ehe infiormation is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L 40 ??? ! - / / Ir LIC N R TEE SI ATURE VALUATSON $793.50 $515.78 $72.0@ $750.00 100 $2,131.28 $144,000 MISCELLANEOUS $1,749.50 Total Fee $3,875.78 - ? I :SIGNATURE ? REACTIVATE _ PEFMIT B? - CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPUCATION 4J1q"I' .'I` (r,!' ?,1!-i SINGLE & MUL L-.FAMILY__ ? set of plans, 3 registered site surveys, 1 copy of energy COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: i) 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 1IDLi Valuation af work 10564fp Site Address: 6Z?7 ?144-?iMoe.F- PZ1Ua STREET SUITE N Tenant Name: (commercial only) IAT BIACIC ? SUSD & P. I. D. M )T J Descri tion of work: QEw 5t+1 c.c' 4:?Rm iL ??? 4om The applicant is: ? Owner Contractor 1:1 Other (Deseribe) Name Phone Property LAST F1R5T Owner Address STREET STE # City State Zip Companyi?EY LA1.1 rM- Phone 81'?-Z40z71o Contractor Address 144$0 gUQAS0L-l-?- rV-V7U/R. License # 1"?3 Exp.3-?i1- City gxUP+li?--uju-E- State mq-. Zip S530 Co Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer 6 water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this a plication and state that the information is correct and agree to comply ith 11 applica le tate of Minnesota Statutes and City of w Eagan Ordinances. C Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 02 SF Dwg. El 03 SF Addition 0 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Piex ? 09 12-Plex ? 10 Multi. Add'1. 'w'4 : a M " ",? •"3 ? 11 Apt./Lodging .?,.!&'1P`teaeenV'finish 0 12 Multi. Misc. ?'17 Swim Pool ? 13 Garage/Accessory ? 18 Comm./Ind. ? 14 fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public facility O 21 Miscellaneous WORK TYPE '?K 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 37 Demolish ? 36 Move GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCC System yt?$ (Allowable) V-N lst F1. sq. ft. City Water YES UBC Occupancy R.3 M?I 2nd F1. sq. ft. PR4 Required yav Zoning R_i Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ,5g On-site well Census Code )0/ Depth y 2• On-site sewage SAC.Code o/ ? APPROVALS / Planning Building Assessments Engineering Variance REGIUIRED IN SPECTION S 0 Site 0 Footing ? Framing ? Insulation ? Wallboard ? Final ? 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. Trails Ded. Copies Other Total: SAC % / DD SAC Units -T- veturee;m: S 14 4-I ,Q`X7'" GA„! ZSSx30 ? ?Yc7 zX/0= ?20? 22Xlyr 308 ?_ Zsa X y ? 2 14 K22 (p ,? 13'/2 % fs I zgxzs= ?Sw 1y3, 6Ns zx?y ° ??2 r k?4S?.t5' I?,17? .BSmT ?) 45' x a= s ,..--. I ?,2x,Z= ??3 ?2"23 ? - I 1??? 1926i93 06:54 e? , . 3862-A ? e SURVEYOR'S CERTiFl?AVE KEYI.AND HOMES i1ACK" Q? DR VE 247 . BP7.2 I ? 4- 6°4+i?1 0311 '11=9090000?? Ra445.T9 . g? F2¦20.00 a,.s? 31.42 5878 -. 1 ? ? • ?Q ' g ;?(9zg.3) ? ? - -- -?`-I ?WMAAK ? -- ? r aEV.. Pas.ss PROPOeeo ? s ?K oaiyBwAr .? t?v:-a?'aa9 W l92.z) 928.2 f93o.0 > 30 20. ? 10.0• t-V r 0 n ? . ., _? ? I 929.! ?? ??1?•? QAR. ? 3 0 ?-i---- ;928.3 (430.0) 9YB.4 ??, ? W ,., ?. c' z 1 L4T " o? ? I I ?-- M = DRAM 6. V7iU T ? 30 Y? EOS?? PER ?.,:Z?_ S ? 10 85.41 N 14°3?? •9 n I :/ I ppr INOTE? NO SPECFIG SOILS •INVESTIGLTION MAS BFFN COMPLETEO iNG E "NDMT. ON• THIS LOT BY TME SURVErOR. Tt£ SNTlA9ILlTY dF SOIIS TO SUPFORT TME 3PECIFIC HWSE 4DH0130SEO 18 NOTE: BUILDING DIMFJi510N5 SHOWN ARE WR NDRIZONTLl1 rlO7 THE RESpON3181LI7Y OF THE $URVEYOFI. _ 9 VF7tY1CAL IOCATION OF $TRUCTUpE OHLT. SEE ' +- DENOTES PROPOSED SURFACE DRAINAGEJ ^?'TecruaL Puws ? euiLoiNG 9 FOUNOATILN. DIMENSIONS. O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET 0 DENOTES IRUN MONUMENT FOUND PROPOSED GARn{ ':- FLOOR = 930.3 fEEf X000.0 DENOTES EXISTING ELEVATION PROPOSED Lr: °LOOR - yzz. 6 FEET (000.0) DENOTES PFiOPOSED ELEVATION Po???jo ?E '?,?? ?J ?nFE? U ? LJ WE HEREBY CERTIFY TO KEYLAND HOMFS THAT 7N!5 t5 A TRUE AND CORREC7 REPRESENTATION OF A SURVEY OF THE BOUNbAFiIES OF: Lot I, Block 3, AUTUMN RiDGE 3RDp4I31'rION; according,l.o u'a ;r.-. ,sat thereof, Dakota County, Mlnnesota, IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXGEPT AS SHOWN. AS SURVEYED BY ME UH UNDER MY DIRECT SUP VISION SHIS 6TM DAY OF OCTOBER , 1993. PROPOSED ORADES SHOWN WERE SI(iN : J M R. HIIL, INC. TAxEN FAOM THfi DEYfiIAPMENT PLAN FoR AU7UMN R10OE PiSE- < p?? eY?IONFER EH6. LA9T 8, ?a Z 2 - JOHN C. LARSON, LAND SURVEYOR N?INNESOTA LICENSE NUMBER 19828 m James R. Hil1, inc. 5 ' ? PLANNERS / ENGINEERS l SURVEYORS FzO,n O a W ?m m .y 2500 W. CTY. RD. F. 42 • BURNSYILLE, MN. 55337 • 812-890-8044 Z< LOT BDRVEY CSECRI.IBT FOR RESIDENTZAL I ° SIIILDIHG PERMIT 71PPLICATION S2 ? PROPERTY I.EGAL: ? ` m Date of 8urvey: ? DOCIIMENT BTANDARDB ?? ? • Registered Land surveyor signature and company H` D D • Building Permit Applicant ' -0` 0 0 • Legal description 8---0 ? • Address @' ? 0 • North arrow and bar ecale L? 0? • House type (rambler, walkout, split w/o, eplit entry, lookout, etc.) 0-10 0 • Directional drainage arrows with slope/grndient $. 0 C?I''? • Proposed/existing sewer and vater services 6??D ? • Street name Ef0 0 • Driveway BLEVATIONS Existina D ff'?0 • Sewer service 0? 0 ? • Lot corners • Top of curb at the driveway ? Q-10 • Elevations of any existing adjacent homes Prooose8 ? p ? • Garage floor 0 • First floor Q? ? 0 • Lowest exposed elevation (walkout/window) • Property corners • Front and rear of home at the foundation PONDING AREAS (if a,pplicable) D ? 0 • Easement line D e' 0 • tawL ? ? ? • xwL p ??CJ • Pond # designation p L'T ? • Emergency Overflow Elevation DIMEN6ION6 0'0 0 • Lot lines P?'- 0 • Right-of-way and street width (to back of curb) Q-?p p - Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) ? • Show all easements of record and any City utilities within those easements ?p ? • Setbacks of proposed structure and setback of adjacent ? existing ho Dzr 0 • Retain. rqo!drements, if any Reviewed: OCtober 1992 QNNER; nnrr S?TE ADDRESS:SZ--j' tY64n/f1OZE PZUE-_ • Ph:ONE: 7(p25 (- COYTRAC?OR: /??u1.?"?T7 ?70.•,•%-•?_ _ PLAN R ? 7COCp? Determine work9ng square foota9e of each 1. Total exposed wa"l area..... ? sq. ft. x .11 /fE? 2. Total roof/ceiling area..... sq, ft. x.026 = ??,F6 Total exposed wall area above_floor= 4L_4? z. Total wzll window area ........................................... b.' Total door area ................................................... c. Total sliding glass door• area .................................... d. Total fireplace wall area ........................................ e. Total wall framing area (average 10%) ...........................:. f. Total rim joist area ....................... .:............ ........ g, net wall area above floor .............. :...................... h. wall area a6ove rioor ..................................... i. . wall area above floor ............. ........................ ' . rrzme wall area at io?ndat_on ................................... ? Total exposed toundation area= 71? /3 S ? 0 7 ?L> ? k. Total foundation window area....................... l. Total net?'roundation arza above grade .............. /9Ir Oetermine "u" value of each wall segment (e.g. window, (loor, each separate wail section) X'lu,l 7 = 3, r-.?- b. 3? x „ui, C. o x d. - Y. U.. x U., , T. ?qq X „u „ 9. i??ro X „u„ h. X ilu„ _ x u?? _ i. • j, X"U" ° Ip item ;3 is t? ? X"U" , O = as, or less thar. ?• F1, you have me_ X„U„- ,/ _ intent of SBC cC L?- 3 . .................................Total = ??a Ti • 4. TOTAL EXPOSED RQOF/CEILING CALCULATIOtIS: , ... . . Total exPosed roof/ceilinq area........ ?[? O 5q ft : j) Tocal skylioht area....... "-' sq f[ x"U" --- ` -?- k) Tocal roof/ceilinq framing / area (AveraQe 105?)..... sq ft x"U" OZq 1GAL-1= 1) Total net insulated ??! f roof/cei 1 inq area.......1 ??/ JI19 sq ft x"U" ?vZ6 •i'? Gyz,ri i•'? i L TOTAL j) thru t) 1` total o` -`4 is the same as, or less than r2, you have met ihe intent o` 2MC: Z 1. 16005 _4 ar.d 0. ALTERt;ATE 6U I LD fNG ENVELOPE DES I CN To ucilize the total envetope system method, the values established by the sun of itens =3 and ?4 shall not be oreater than the sum of items fll and °2. t. ?'v?•?? r 2. ?f •?j. tf - sJ<j ? i?./J -^ J + ? li?' J::i ?I. ? +_ PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIl2ED FOR EACH UNTT. NO. FIXT[JRES EACH TOT? ? SHOWER 3•00 ' 00 3 -? 7? WATER CLOSET • _ BATH TLTB 3.00 (o UU ? LAVATORY 3•00 ?? - 6m KITCHEN SINK 3•00 ? ° °a I LAUNDRY TRAY 3.00 ?, uv HOT TUB/SPA 3•00 L WATER HEATER 3.00 3 • ? _ ? FLOOR DRAIN 3•00 - •??? GAS PIPING OUTLET • minimum - t 1 3•00 3? C/Z) _ 3 ROUGH OPENINGS 1.50 _ WATER SOFTENER 5•00 PRIVATE DISP. • Dak.Cty. lic. 15.00 U.G. SPRINKLER • nome uneer const. 3.00 ALTERATIONS • to austing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 x ?? TOTAL: • SITE ADDRESS: dk-41&? -P-' ' OWNER INSTALLER: ? v ?.?M('.hAzc MO - ADDRESS: CITY: ? STATE: ZIP CODES 3 7F PHONE #: ?-??- SIGNATURE OF PERMITTEE 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 1993 PLUMBING PERMIT (CONIlIZERCIAL) CITY OF EAGAN 3830 PII,OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMAERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIltED FOR EACH DWELLING UNTT. _ NEW CONSTRUC710N ADD ON REPAIR WORK DESCRIPTION: CONTRAGT PRICE: FEE: 1% OF WNTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF "R]i3£T FEE MINIMUM FEE: $ 25.00 " CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: $ $ TENANT NA117E: S1'E. # OWNER NAME: W STALLER: ADDRESS: CITY: PHONE #: CITY OF EAGAN STATE: ZIP CODE: APPLICANT LOT t BLOCK ? SUBD. rZ;d- R. ??c( A-?? RECEIPT t! C K O& DATE 1994 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL IIVSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: Commercial GPM Residential (boulevards) GPM ?t_ Ezisting residential Area/address to be irrigated: Sa3 A01r-6"'`°+-e bc ,\-e- Installer: `-50he? IT ?ic?lke Owner 4 Plumber 0 3treet address: Sa3 City, state & zip code: ?Q.a.-. Mt.E Phone !/: Co$1 -5Slo`l' owner Name: Sa y-?"c Street address: City, state & zip code: SA?P Phone #: Sam.Q Irrigation contractor, if different than installer. Telephone !f: I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply with all applicable City of Eagan ordinances. I w " 0-2 Sign re Title If construction activity occurs in public easement or City right-of-way, signature of property owner is required. The properiy owner agrees to hold hartnless the City of Eagan for any damages caused by the City during its norma] operational and maintenance activities to the facilities constructed under this permit within Ciry :ope ry Ow:er Date pproved b Date: PRV Yes ? No New service ? Yes a'No Meter Size & Cost Fees due: Calculated by: z -3 7s ;? PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ? NEW CONSTRUGTION _ ADD-ON A/C ADD-ON FURNACE DATE ll1l0/93 ES NVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@$3.00 EACH) 9. Lv ADD-ON/REMODEL (EXISTING CONS7RUCf10N) $ 15.00 STATE SURCHARGE .50 TOTAL 733. o SITE ADDRESS: Jof J l?-d-L-/C/yL?cx.? OWNER NAME: ? TELEPHONE #: 9 Z INSTALLER: • CITY: STATE: 772? • ZIP CODE: S-S3 7?--? TELEPHONE #: SIGNATURE OF PER EE 1993 MECHAMCAI, PERMIT (RESIDEIVT'IAI,) CITY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 6814675 "i. , ??:. . ... .. _ ._... 1993 MECHANICAL PERMTf (COMMEItCIAL) C1T'Y OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COD9vIERCL4UINDUSTRIAL BUII.DINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII,Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: 1% OF GONTRACT FEE PROCESSED PIPING: MINIMUM FEE: STATE SURCHARGE TOTAL SITE F,BDRESS: FEES $25.00 $25.00 CONTRACT PRICE: $ $.50 FOR EACH $1,000 OF FERMT£ FEE. $ OWIv'ER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLl) INSTALLER: ADDRESS: CTl'Y: TELEPHONE #: STATE: ZIP CODE: SIGNATURE OF PERMITTEE CITY INSPECTOR City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 523 Hackmore Dr Lot: 1 Block: 3 Addition: Autumn Ridge 03rd PID:10- 12302 - 010 -03 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Property Claim Solutions LLC 4655 Nicols Rd, Suite 202 Eagan MN 55122 (651) 994 -2028 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Dana E Schlitter 523 Hackmore Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 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 Building EA087077 10/24/2008 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 523 Hackmore Dr Lot: 1 Block: 3 Addition: Autumn Ridge 03rd PID:10- 12302 - 010 -03 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Property Claim Solutions LLC 4655 Nicols Rd, Suite 202 Eagan MN 55122 (651) 994 -2028 Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Owner: Dana E Schlitter 523 Hackmore Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA088573 03/27/2009 ePermit 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. 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 with all applicable State PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177438 Date Issued:06/30/2022 Permit Category:ePermit Site Address: 523 Hackmore Dr Lot:1 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-010 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Shawn Buermann 523 Hackmore Dr Eagan MN 55123 Metro Heating & Cooling 1220 Cope Ave E St. Paul MN 55109 (651) 294-7798 Applicant/Permitee: Signature Issued By: Signature