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527 Hackmore Dr" .- % . WtrtifICQte df cCCli.pQ1tC4 Witv of Cfagan Zoart1 cut ef 138tbaig 3440crtion This Certifrcate issued pursuant to the requirentents of the Uniform Building Code certifying tiwt at the time of issuance tkis structure was in compliance w•ith the various orrliaances of the City regulating building construction or use. For the fo!lowing: Ux (,'lassifiptian:_ qF_rW Bldg. Pertnit No. 23W -` Oocupmcy lype R-3!?"1 1 Zoning District R I Type Const. VN oweer or e+uwiog GHII'IINEY HM ME.AT'fQM wadxesa 4160 i ANiM t.ANE,EAaAN e?khng aaanms 527 HAb.KHM I7ltIVE t.ocajuy I.2;S3, Atr1T1?t RmF 3Rn ? Z Dace: Bmldag P0.ST IN A CONSPICUOUS PIACE r = 1 CIYY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1;1?1 f tn}:t t?t' 11.16 Sltl) I PERMIT SUBTYPE: TYPE OF WORK: ra? 1.1 INSPECTION .. . . ? ? .• , .sri i 14?s 1 t l•If1i I i ??i? , i re;i? I ? ?. F;k , ?'11 v S& W f' LR3 t; i+l ri t i 14 ? t_1 1J AI+t l. k t. '; .}' I E'3 f3 REcoRD PERMIT TYPE: Permit Number: Date Issued: t< t.? +. t. i.) t c.a_? t ti,rs APPLICANT: ? 1?? I• i? ? i????1 ? i., ? I??t ? ? Permit No. Permit Holder Dete Telephone # SNV PLUMBING (p ??o HVAC ELECTFi ELECTRIC fnspectfon Qete lnsp. Commanta Footings i Foundation 7 Framing Roofing Rough Plbg. Rough Htg. ISUI. Fireplace r?- Final Htg. Orsat Test s Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr.lPlan Bidg. Final Deck Ftg. Deck Final wan Pr. Disp. pd Z. r REQUEST FOR ELECTRICAL INSPECTION -.'?a EB-00001-OB ?? q ? See insimaions for completing inis form on back ol yellow copy 3 3 7 1 "X" Below Work Covered by This Request e Add Rep TypeofBwltlmg AppliancesWrted EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Bmltling Dryer Load ManagemeM Comm llndustrial Furnace Other (Specily) Farm An Conditioner Omerlspecity, Contracrors Remarks Compute Inspection Fee 8elow # Other Fee # Service EntranceSae Fee # Circuits/Feeders Fee Swimming Pool 0 l0 2?0 Amps 0 ta 100 Amps Transformer5 Above200 _Amps Above100=Amps SIgnS , Inspecmr's Use Only ' TO?fA ?tl Irngation Booms J 6j Special Inspection Alarm/Commumcation THIS INSTALLATION MAY B D CQNNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the Electncal Inspector, hereby Roi l certify thal the above inspection has been made. F,,,ai oate OFFICE USE ONLY • This requesl void iB months Irom ,h2l?/? d ? ?S 3 0 ,(.02 3 . ? ; Repuesl Da / ?e ?'?'/7 ? Frze No Raugn.ln Inpsect (VOU muron R irea sf call inspector en reaxi Ins ecibn Ofher Than qauqh?ln qeatly Now ? Will NoOy Inspettar V Yes ? N. Data Fi I? hcensed contractor ? owner hereby request inspection ot above electrical work at ob Atltlress (SireeL Boe or Route No ) va Qry a ,n Secuon No Township Name or No- Range No Caunry Occupam (PRINT) Phone No Power SuOOlier ?{kfrl ecflic qdtlress 411 aaoT" 5-F W. ?4rw?r ElecmcaiConvactor?Gompany Name) ?? +?R- <ec-fr( G Conhactor§ LicensB 146 MaihnG AoCtess ICOnVactor or Owner Making Inslallation) Jv ? 1 7ba? , i Autnonxa0 Signamre COnnaclor ar kmg Ins rvonl Phone NUm ar / MINNESOTA ST BOARD OF TF ITV THIS INSPECTION REQOEST WILL NOT GrlggsMiOwey Bltlg. - Poom 5-1]] BE ACCEPTED BV THE STATE BOARO 1821 Univeraity Ave. St. Peul. MN 551114 UNLESS PROPER INSPEGTION FEE IS Vhone (612) 692-OBDO ENCLOSEO Address 527 enQMW DxM Zip 5512 3 r. , Lot 2 Blk s Sub a[rnm tuncE 3m THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: /? f Yes No Inspector: ? Finai grade (6" from siding) // Peananent steps (garage) Lll Permanent steps (main entry) LZ Permanent driveway I/ Permanent gas ? SodJSeeded grass v TraiUcurb damage ? Porch Basementfinish y5 Deck ?' Please verify with the builder the removal of roof tesl caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. White - City Copy Yellow • Residenl Copy Pink - Contractor Copy ? PERMIT (??? .zx'?Y CITY OF EAGAN 60/y? 3830 Pilot Knob Road PERMIT TYPE: g u x L D I N Eagan, Minnesota 55123 Permit Number: 023368 (612) 687 -4675 Date Issued: 0 q/ 2 g /g q SITE ADDRESS: 527 HflCKmORE DR LOTc 2 BLOCK: 3 AUTUMN ftIDGE 3RD P.I.N.: 10-12302-020-03 DESCRIPTION: .? B,u'ildi g'.-Permit Type SF qWG Buil.ding 46rk Type NEW UBC OCCUpaftcy", ft-3 M-1 ? Construction 1"?p.e V-N Zoning ?--, R-1 Building Lemgth ? 65 SuAld'zng Witlth 7 41 l? Bui,lding.stories -'' 2 ? J lY' q..=' i i.i REMARKS: ? PRV S& W PLBR - MATTHEW DANIELS PLBG FEE SUMMARY: Base Fee Plan Review Surcharge sac sac % SAC Units 5ubtotal VALUATION $881.00 $672.65 $84.50 $800.00 iee $2,338.15 $169.000 MISCELLANEOU5 $1982$.50 Total Fee $4,166.65 CONTRACTOR: - Applicant - sT. Lzc. OWNER: WMI7NEY MOMES CREATIONS 14549150 0008344 WMI7NEY HOMES CREATION3 4160 LANTERN LN 4160 LANTERN LN EAGAN MN 55123 EAGAN MN 55123 (612) 454-9150 (612)454-5332 I hereby acknowledge that t krave read this rmat c? is correct and agree ta co?nply Stats,?a?y o'F Eagan prdinances. ? applicatinn and state that Che wiGh a•il applicable State of Mn. ISSUED 34 SI NAT??? _ J CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION , . 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAI 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 work9ng day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Oate Valuation of work /`3 S f3C? ? Site Address: --5a7 A aC_?'r?oYp ..j e- SiREET SUITE X Tenant Name: (commercial only) _ LOT oz BLOCK --3 SUBD. P.Z.D. # ? Descri tion of work: o,tiSZ, The applicant is: ? Own S Co tractor ? Ot er (Describe) Name o r, ,- Phone 5Y _ S`3 3 0 Property LAST FIRST Owner L ? Address 0 - .k ?,ti atiL ? STREET ? STE # ? City u titi State Zip Company ? e o e? 0." ? Phone 7?5?? a Contractor Address ? License # 3`/ Exp.3 City State Zip Company Phone -S0 7 115 / -/o/ 9 Architect/ Engineer Name Registration # Address 1-?35` I?1a ' .D. ox IS City (!??a o? State Zip,=O& 0 Sewer & water licensed plumber a ?...? ? . Processing time for sewer & water permits is two days nce area has been approved. lattat tha the information is I hereby acknow edge tha I ha r ad this correct and ag ee to compl es ta S atute nd ity f Ea9an Ordinanc Signature of Applicant: ?- ?+ J `? CIFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex 0 14 Fireplace 0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE El 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition 11 34 Repair ? 36 Move GENERAL INFORMATION ? ? 16 Base*nt'Fin't°s1P ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. 13 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Vni Basement sq. ft. 30y MWCC System 4 (Allowable) UBC Occupancy VAI -.? lst F1. sq. ft. 13o y 2nd F1. sq. ft. Iz29 City Water PRV Requlred _ ? Zoning R-/ Sq. Ft. total Booster Pump d of Stories 2 footprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code p/ Depth On-site sewage SAC Code p ? APPROVALS eensus Unit Planning Building Assessments Engineering Variance RECIUIRED INSPECTIONS ? 5ite Footing El Framing _13'Insulation ? Wallboard f?7 Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. COp12S Other Total: SAC % SAC Units vatmc;m: $ ? O?o /s r v6 &,2 = zsSk z _ sl 33G? )'303,p3x 69= g 9/ ZhN 2x3?/ _ H ? lz-?o,,. 13 = ? 9 ?9Op b? 39, /7 17?, 3s ?roLl , '1/ Zn? Z? Z = `/ Z.rzb ? '? ?/YJ. /(o £ 00v ?yG.61 2, N '000 ER ? o r . C •? q ' '(OP BL?GIC- ?L., 933.8 P.?ASEM'ENT ?L. 525 ,7 1 a ,y 94c :1 ? ??'? r ,?a• r?; ? 3°N? ' r6 '` i; q??^ ? S 8?• ?Y?Y+1 '-P 5?u ? W i'^ °_ ?ll 3o M??3 ? n?. -43 ? `?+ ? •: .. 4 3 s ?M9zZE,?? ??? o W R '9 vvi o? 1? , kl o.? N L--- M r.rN O? ? ?'' I I x I? c\? p I _ ? ? =tu ¢ O ? a 3. $'a Y) ., M S? S I'T, ° " 1sz7/ o' N 89°05'96"E u? u p ? ?? o [CRI ? ? DESCRIp7/oN ? L07 2?. 6( OCK 3, AUTUMN R/DG1i `-"-' ?s,?AAV? ?GDD ?, ORTN 3RD ADDJTIOH, ? i ?CALE /"=30' DAKOtA COUNTiY, ?? o0/' ? ALL BEAR/NG5 ASSLIM$D MlNNE SOtA ?J r------ 0 DONOTES /R0N MONUMENT i ? EAGAI? i ADDRES?S: ? R E V 1 E W E U SZ7 K 44,V-r,n.oek, De.i?E BY ? S q?/ I hereby certify that this plan was prepared by me or ?.? / 1'-?? g?r my direct supervision and that I am a duly Registered Land 5urveyor under the Laws of the State of Minnosota. Date :Lr,1 G./ f S sl ?'- ?- LeRoy . Bohlen Registered Land Surveyor No. 10795 ,. ,_? . ? ? f ? LOT iIIR7yY CliLCI[L2lT FOR RLS2DLlQZ'I1lL IVZLDtti 2RKIT AFF 2CATi0:L'z'0-00? ?t ? Y?.? ? //?? -? T? Dat• ei furvoy: -0?? O ? O D • • Aegistered Lnna Burvtyos siqnatnra u?a eompnny a 3l i ' ? v C nq pezmit 7lpplieant D P • ioqal dtscsiption 13 D • 1lddress 0 F D • North •nov and ber scnle • • D D • 8ouse type (tambler, valkout, sp21t v/o, split entry, ? lookovt, etc.) D D D ? • Di:eetional drainaq• asrows vitb slope/qradient f. D 0 8? p 0 • • Froposed/existinq sevez and vates •ezvices ? Stroet name F( 0 0 • Drivevay sLTvas:oNe i ti t D?D 0 • x s nv Sewez serviee 0 0 • Lot eorners 8^ 0 G 8r0 0 • Top of cuzb at the dziveWey • ElevntionR of any existinq adjaeent homes 0?D n " • Preaesee Cnrage iloos . c? n o V • fir:t :loor 0 0 ' • Lovest exposed alevation (valkout/vinLoa) 0? ?0 D • Pzoptrty eorness II D G • Fzont and tenr of boae at tAe toundstien poxnrNO AnxIe rit •pp}icasi.l D ? D Eas:ment line D D F? D ; • ?L aD poaa f desiqnstien ' S O E mezqeney Oveztlov =levation a:mrilBioNB 8' O O ?0 0 L?D 0 D Q 0 • Lot lines • Riqht-ot-xsy anE strist v3dtA (to Daek ci en=b) • pzoposed Dome Qimensions ir+eludinq any p:opoieE doeks, ovezhnnqs qreetez thna 21. porches, *tc. (i.e. •il structuzts requirinq perinnnent foetinqte) • • ShoW all ensements of reeozd •r+a any City utilities vithin tnose eesements • Setbaeks of proposee stzveture anQ setbaek ei adjeeent existinq bomes , • Retein n 11 ze izemenLs, if any Revitweds ? Z ???/?? BENT TREE LANE MH? , STA. -9mFt6' SEE SHEET 2400 U 6 5' LT. 1 DIP CL 52 g v TEE ? EL. 937.0 7 E L_ 939.4 1 ,- - , 1 40.4., ?y a"-go•??;JD_ , ??--? - 1 2t29 %MH STA. ^--n-1-29T ?.\1 2 ?-q , ? - ? O , -; 37.5' 8" G'? - 8 x8 TEE \ S-Q+30 3 ? INV-918.$ CS-929.3 2, 1 ` ?•___? .. , a? 55 •-? ? , , -'?•?? ,? ? a• 7' 30 ; -^ azZ ? :NV-722.3 ; ..`--.,...:., r Z ;3 , ?`?tE Cf1`Y fS?'EA`? ?1'bOE??IUOT GUARA?I'EE ? 442FHE; ACCURA4Y OF U'fIUTY LOCATIONS ELEVATIONS. THIS DATA IS FOR 6NFQRilRAT10N PURPOSES ONLY AND l/ PERSUNS USIiVG IT SHOULD VERarY THE IPVFC3RMA7lOP! ON THE SITE. _ 7 1 1 MN STA. H A W'MORNE WOGOS GR!`v' 11 4`? ? ? ? 1 S-0+70 I i N V- 916. 2 ? CS-926. i 74•3 72.2.' 4 1. , ' '??• ;' ,? r ? ? s' ? i _, . A `- ' n"I.6J-0+80 8" ? NV-916.? - G'J ? CS-9?6.3 ? 1 HaCKMORE COUr2T SEE: RIG?-HT7, 2 BENC; ?NH NorTNwES i o?DRIVE AND 3t- tl-_`1 = ?NH UcRrHwEST ?.;. CRIVE ANC CR4M r. r•., r_- 930 G9 3e..... M R? ? B?C. ,I i.50' ? ? ?` • 925.'.... 945.:.... . 940 92C,.... ... ... 035.:......... CaUr,,RAiVS'EE . . . : . . . '..C:.:52.......... SbR 35 2. 02 ? . .?. 9?q?? . . . ' . . . . . . . . . : . . . . . . . . . . . . . . ?? ?,GCIlRACV OF UTILi`TY Lf3?%??i ?OR .??Z?° RCF. TIELF.VAl'IOI?S. T?iIS D ?NLY,. A4uD . • ?:??,p?iRpAOf'J PURPO?ES 0AC USIING P.TOSN 0?.'oELD VERi?Y TNE : ' C??N`C? TG tX. ST'?JB O.4M ', . . . . . . . . . . . . . . . . ?'1'?i • • ?.,:......... ..............:...ggi` . . .. i ?`--g " PVC SDR: CONNECT :TO X. STUB : ?VERIFY ELEV. N FIEL:D) : ? , ? . • . ...... . . . . . . : ......... ?.?. .? . Ini C c?it0 : CPQ? ,? ? ___ ? ; : • - -- ? ...... 91.5.:................... ----_ ? ..... , . . ........ . ........o N in cr ........:.... 91.?.:.........:........... } !". . ONE AND TWO FAMILY ?. ENERGY CALCULAMIONS - AVERAGE "II" COMPUTATION OWNERt'WHITNEY HOMES/NICHOL SZTE ADDRESS: EAGAN, MN DATE: 3/1/94 C'ONTRACTbR: F.W.P. CALCULATIONS BY: BUEHLER PHONE: 451-1019 Determine working square footage of each that applies. 1, Total exposed wall area .............2882.9,sq. ft. x 0.110 m317.12 2: Total roof/ceiling area ............. 1293 sq. ft. x 0.026 = 33.62 3: Floors over unheated space.... ...... 0 sq. ft. x 0.050 = 0.00 4. Roof/ceiling area (no attic space).. 0 sq. ft. x 0.026 = 0.00 5: Unheated slab on grade .............. 0 sq. ft. x 0.160 = 0.00 6, Heated slab on grade ................ 0 sq. ft. x 0.120 = 0.00 TOTAL WOOD WALL AREA 2756.00 a. Total wall window area........... 259.53 b. Total door area .................. 60.52 c. Total glass door azea............ 72.26 d: Total fireplace wall area........ 102.00 e. Total rim joist area ............. 270.00 f. Total wall fcaming area.......... 199.17 g. Total net wall area above floor.. 1792.52 TOTAL EXPOSED FOUNDATION AREA 126.90 h. Total foundation window area........... 17.57 i. Total net foundation area above grade.. 109.33 j. Total unheated slab on grade area...... 0.00 k, Total heated slab on grade area........ 0.00 Determine "U" value of each wall seqment a. 259.53 x "t7" 0.360 = 93.43 b. 60.52 x "U" 0.070 = 4.24 c. 72.26 x "U" 0.360 = 26.01 d. 102.00 x "U" = 0.00 e. 270.00 x "U" 0.043 = 11.72 f. 199.17 x "U" 0.106 = 21.12 9. 1792.52 x "U" 0.046 = 83.03 h. 17.57 x "U" - 0.00 i. 109.33 x "U" 0.062 = 6.76 j. 0.00 x "U" = 0.00 k. 0.00 x "U" = 0.00 7 .......................................TOTAL = 246.31 If item #7 is the same as, or less than item #1, you have meet the intent of SBC 6006(c)2. NbTE: FOUNDATION WALLS Full basement (Rambler) entice exterior wall must be not less than R-5: Half basement (Split Foyer) entire exterior wall must be not less than x-10. ?;. TOTAL ERPOSED ROOF/CEILING AREA 1293 1. Total skjrlight area .................... M. Total roof/ceiling framinq area........ 129.3 n. Total net insulated roof/ceiling area.. 1163.7 Determine "U" value for each roof/ceiling segment. 1. O XnUn a 0.00 M. 129.3 x"U" 0.028 = 3.68 n. 1163.7 x"u" 0.025 = 29.25 8 .......................................TOta1 = 32.93 If the total of #8 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. To utilize the total envelope system method, the values established by the sum of items #7 and #8 shall not be qreater than the sum of items #1 and #2. WALL SECTIONS "U"@ 1/R WALL FRAMING AREA CONSTRUCTION R-Value 1. Interior air film 0.68 2. 1/2" Gyp. Bd. 0.45 3. 5-1/2inches s oft wood 6.84 4. 7/16" OSB 0.67 5. Vinyl Siding 0.62 6. Exterior air film 0.17 Total 9.43 "U" Value 0.106 NET WALL AREA ABOVE FLOOR 1. Interior air film 0.68 2. 1/2" Gyp. Bd. 0.45 3. F/G Ins. 19.00 4. 7j16" OSB 0.67 ` 5. Vinyl Siding 0.62 6. Exterior air film 0.17 Total 21.59 "U" Value 0.046 RIM JOIST AREA 1. interior air film 0.68 2. F/G Ins. 19.00 3. 1-1/2" softwood 1.89 4. 7/16" OSB 0.67 5. Vinyl Siding 0.62 6. Exterior air film 0.17 Total 23.03 "U" Value 0.043 a. ' "f. FOUNDATION AREA ABOVE GRADE 1. Interior air film 0.68 2. F/G Insul. 13.00 3. 10" Conc. Blk. 2.33 4. 5. 6. Exterior air film 0.17 Total 16.18 "u" Value 0.062 ROOF/CEILING FRAMING AREA 1. Interior air film 0.61 2. 5/8" Gyp. Bd. 0.56 3. Cord depth 3-1/2" 4.38 9. Insulation 29.00 5. Exterior air film 0.61 Total 35.16 "U" Value 0.028 INSULATED ROOF/CEILING AREA 1. Interior air film 0.61 2. 5/8" Gyp. Bd. 0.56 3. insulation 38.00 4. Exterior air film 0.61 Total "U" value 39.78 0.025 PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUT'LETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (sxIS'rIIVG CoNSTRUCI'ioN) STATE SURCHARGE TOTAL FEES $ 24.00 6.00 ?. $ 20.00 .50 '- STI'E ADDRESS: 57 OWNER NAME: lrfM4:t72" IWW , TELEPHONE #: INSTALLERL_,61,(Jax61117,f 9('/1°QZ y` , TE: ZIP CODE• TELEPHONE #: 1994 MECHAHICAL PERMIT (RESIDENTTAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 ' (612) 681-4675 PLEASE COMPLETE FOR ALL COMAERCLALJINDUSTRLIL BUII.DINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR O'THER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH DWELLING UNTT. I?ATE: CL3P7TRAL,'I' P12ICE: $ NEW BUILDING INTERIOR IlvIPROVEMENT WORK DESCRIPTION: FEES 1% OF ,FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF 1:i?;' FEE. L:: T:.4..4 a n n2 NR..Y.. i TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS oNLl) INSTALLER: ADDRESS: CITY: TELEPHONE STATE: ZIP CODE: SIGNATURE OF PERMITI'EE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO; FQR, TOWNF30 `MES :AIVD CONDOS WHEN PERMTfS ARE REQUIRED FOR EACH UNTf. ' NO. EIXT[JRES EACH TOTAL. SHOWER 3.00 a `,JVATER (:LOSET 3.0`0 o ? BAT'H TUB 3.00 ?• c? c? ; ,; 5 LAVATORY 3.00 15. o v.--.. T - KITCHEN SINK 3.00 3. oo ' ? LAUNDRY TRAY 3.00 ? ? - HOT TUB/SPA 3.00 t WATER HEATER 3.00 ?? - o t? ? FLOOR DRAIN 3.00 ? GA5 PIPING OUTLET • mwmum - i 3.00 ' ? ROUGH OPENINGS 1.50 ?4 • ? i?? . WATER SOFTENER 5.00 ° PRIVATE DISP. • naLay. w?. 20.00 U.G. SPRiNKT.FR • nflme unaer co,w. 3.00 ' ALTERATIONS • w ?ting 20:00 WATER TURN AROUND 20.00 STATE SURCHAKGE .SO . TOTAL: STI'E ADDRESS: rJ ?.^1 1A c? c-k. n.?. t.r CWINNER NAM''': «: - - INSTALI.ER: ADDRF.SS: [S Z 3 d CIT'Y: STATE: ZIP CODE: 'S S?b L? PHONE #: (?OIZ) ? a3- '-?-13U .?#' SIGNATURE OF P ITPEE - 1994 PLUM$ING PERI4UT (RESIDENTIAL) C1TY OF EAGAN 3830 PILOT KNUB RD EAGAN MIV 55122 , (612) 6814675 PLEASE COMPLET'E FOR ALL COIvIl?1ERCIALJINDUSTf2L4L.BUII.UINGS. AISO'`FQR'MiJLTI- FAMILY BUILDINGS WI-EN SEP'AR?ATE PERMITS ??RE I+TOT REQUIIiBD.:F"QR. EACH DWELLING ilIVTT. _ NEW CONSTRUCTION ADD ON _ REPAIR WORK DESCRIPTIONe CONTRACT PRICE: FEE: 1% DF CONTRACl' FE& STATE SURCAARGE: $.50 FOR EACH $1,000 OF k?:FEE. MINIMUM FEE° $ 25.00 CONTRACI' pRICE % 1% $ STATESURCHARGE TOTAL STfE ADDRESS: $ $ TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CI'I'1': $TATE: PHONE #: w ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1994 -ALLIMBfiNG P..ERMIT (COMMERCIAL) CITY.OF :Ei1GAN 3830 1'II:O.T KNOB RD EAGAIY MN 55122 (612) 681-46Z5 RESIDENTIAL BUII.DING tr-J$5`? `p Permit Application City Of Eagau 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?on D ___1 NewConsWCtionReaui2menp RemodelRteoairReauiremenb 9tficeUseOnN 3 registered site surveys showing sq. R of lot, sq. R of house; and all roofed areas 2 copies of plan _ Ced of Survay Recd (20% mauimum bt coveraye allowed) t set of Energy Cakvlabons for heated addi6ons Tree Pres Plan Recd 2 copies of plan showmg beam & window sizes; poured found design, etc. 1 site survey for additions 8 dedca _ Trce Pres Not Reqd 15etofEneyyCalculaUans AddRbn-irMrcateilon,sdesepficsysfem _On-sfteSepticSyslem 3 apies of Tree Preservation Plan'rf bt platted after 711193 Rim Joist Detail Op6ons selection sheet (bldgs wAh 3 or less unAS I Date _'L/?/ ?3 Site Address Sj7'l ?66?py6^.P ConsVUCtion Cost 11Q? p /1r- UniUSte # Description o[ Work pe-6k Multi-Fami?y Bldg _ Y ? N Fireplace(s) _ 0_ 1_ 2 Property Owner ri/Il1ln /1Ji Lo L Telephone #(15-l l a a Contractor Address ^ State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 _ Mimiesota Rules 7672 Enercgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submined • Energy Envelope Calculadons Submitted Licensed Piumber Telephone #( Mechanical Contractor AIPR 0 2 2003 I J Telephone #? lu u Sewer/Water Contractor i? <:?z 's Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN Statutes; I understand this is not a permit, but only an applicarion 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. U-,nYt M' c.d ) ApplicanYs Printed Name &?, A"U?? Aiplicant's Signature OFF'ICE USE ONLY Sub Types ? 01 FoundaGon ? 07 OS-ptex ? 13 16-plez ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex 1?3 18 Deck ? 23 Porch (screenlgazebo) ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types r 31 New ? 32 Addition ? 33 Alteration O 34 Replacement Valuation DOO Census Code q 3? SAC Units Nbr. of Units Nbr. of Bldgs Type of Const V Yl Footings (new bldg) Footings (deck) _ Footings(addiflon) Foundarion Drain Tile Roof Ice & Water Final _ Framing _ F'ueplace _ R.I. _ Air Test _ Final Insulation Occupancy MClES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIREDINSPECTIONS FinallC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By 2' l , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 38 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors `Uemolkion (Entire Bldg) - Give PCA handout to applicant 1? ? C 1< 'foP 8L-oc.t4- r=y, 93a, g 6ASEM?NT ?L. ?ZS •'7 ? 1 ? 1 1 x? 5 _ r ^, 1 l- - " ? S 8?• 1'1'YY 1- I55.?W - _ --- ?? ? I W ? M ^ ? ? tn w = Yv I ?? Q J ? ? K^ 00 p; o; v s s - - o ? a ti 0 a? • ?11 m ?.! ? W 3o M?N VI VQ ? d J ? S?I ! v Ul a` ?? , j 0 L--- O ?`?s? ? Gx 933.1 ?lFki? e•yE N -Faw933_o - - - - - y- - ---?, ' 1sz7/ ? N 89°O s'tib"E I ? eX,93sA ' i 933•0 ? ?-- {i ?M ? DESCRlPt/oN L07 2,, 6LOCK 3, AUTtIMN RIDCr`-"-" --?- E 3RD A DD/T /O? , ;If%? i D A K 0 TA C OLI N T?Y, 0 ?' ? MlNNE SOtA ?J r------ i ? I ? . ly I? II V I N i i n A n - ui J r ? aCl ? ? ? O M ?I J r IT' 4 D 2 GAx pKjj6INE RING DEP1; ORT H SCAL E /"= 3 D' ALL BFAR/NGS ASSLIMED • Dr-NOTES /RON MONUMENT E F? G A cv ' A4?RE?S: R E V I E W k U ? 52.7 N A???.r/.,o?.G D2.??/E BY \ l/l1? ??? I hereby certify that this plan was prepared by me or r my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnosota. Date : Zf"I- e. If S ?i? ??.J2?- LeRoy W. Bohlen Registered Land Surveyor No. 10795 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 527 Hackmore Dr Lot: 2 Block: 3 Addition: Autumn Ridge 03rd PID:10- 12302 - 020 -03 Use: Description: Sub Type: e- Reroof Work Type: Replace 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 BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Kevin C Nicol 527 Hackmore Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA091697 10/20/2009 ePermit If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. 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 � Use BLUE or BLACK Ink r-----------------� i For Office Use � � � � I � Permit#: / � � � �l� 0� �� ��. � .. : � v�, � �� � ' � � � � Permit Fee: � 3830 Pilot Knob Road � : OC1' � � 2p1't ' � pafe Received: /�-/ -/ + Eagan MN 55122 � � i Phone: (651)675-5675 <}{��� "�'"��� i statf: � Fax: (651)675-5694 __..._._� _____ �-------- � --------� 2014 RESIDEN�IAL PLUMBING PERMIT APPLICATION Date: ��-� `-l' � L� Site Address: �l�� �1 �( � � �105"�Q � � Tenant: '� � � . l� Suite#: . � �°�, 1�-! �~ ���?�'' �; ` Name:�� � .i � �.�l "�� Phone:� }���- , , � �������1����' . � � }� — � .. Address/City/Zip:� � 1 L.�'l� , � � ; ���� F .. ,.:<. : _, �`� � v Na�: �A�.�,�� l� � Li�ense#: � � �(" l 1�;l.�� � � � �},�, � Address: L � � JI� City: �� ; � F � ���E'���1` ; � ; , ---� '� ,`� `� t� 4 � �� � � State:�� ,�Zip: Phone: 3 � ,. � � � Contact:`��- � EmaiL � ' ��, � _ ��,k„�� � New Re lacement Re air Rebuild Modify Space _Work in RA.W. � � 7`�t��;'�Q�C�€ ,; — � p — P — — P � �� Description of work: � �� �� RESIDENTIAL � A Water Heater � � � � �Water Softener � �awrr trrigation(`RPZ 1_f'i/8) � ������� " Add Plumbing Fixtures�Main/_Lower Level) � Septic System ; New Water Turnaround � � � �� ���� � ' _Abandonment �F.� ��„ _:,�,�:r,� RESIDENTIAL FEES: ��� ���� � � $60.Q0 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) � � $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) � $60.00 Add �iumbing F�ctures, Septic 5vst�r�Abandcn����,1Nai�r Tur�aro�rad*(includes�5.00 State Surcharge) � � "Water Tumaround(add$200.00 if a 5/8"meter is required) ",� � � � $115.00 Septic SYStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) C� v � �� � �. ..�.��. � _ . �, . � . TOTAL FEES$ ,��.�,��,a,� � CALL BEF�RE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against un�erground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wvvw.aopherstateonecall.ora I hereby acknowledge that this irrformation 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 rrot to start without a permit; tFxit the work will be in accordance with the approved plan in the case of work which requires a review and approval of lans. x � .�. x � Appli nt's Printed Name Appli ' ignature ������l���� :�� ��^ '� �,` �Y �������Y ���r.;�: _': _� ..• , : :. , :.: . . . ���nr��t��r��t�+�s �,,;���r����� �����#r�n ,.�..�.,�r T� �:�..,�,�;'�"� ���� ; ���r����ett��� !�#�i�5��, ��itl���� : �f�#�, .. .$ . _.,..� ..,..,.�.�-�.,.v..�.., .. , _-�---� , , : .� ..; , PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140899 Date Issued:01/30/2017 Permit Category:ePermit Site Address: 527 Hackmore Dr Lot:2 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 (WS &/or WH)$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 - Kevin C Nicol 527 Hackmore Dr Eagan MN 55123 (651) 681-0623 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144957 Date Issued:08/17/2017 Permit Category:ePermit Site Address: 527 Hackmore Dr Lot:2 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-020 Use: Description: Sub Type:Reroof & 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 leave on site. Windows/Doors: If altering the opening size, a framing inspection is required. 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 - Kevin C Nicol 527 Hackmore Dr Eagan MN 55123 (651) 681-0623 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature For Office Use "%% ° i :1' :::e: k.„ "-.... -0 _4? EAGAN .,,,... .4„,. /vim a, Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections[a�cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4i.,- : / Site Address: 77k.A4oi7r:'' „�..ri? : Unit#: f � yy /� Y Name: /. v r;`.> 1\..> I co [ Phone: iResident/ I Owner Address/City/Zip: S"Z.7-1 / 4c4,,,,i4 i 2 j2 % , I Applicant is: Owner A Contractor Type of Work Description of work: 7??,,e-, ��r ,/2. A� LC, 'O L'P C?L ��j l 6 " Construction Cost .. O o 6 Multi Family Building: (Yes /No ) s Company r.1()U v JGC Contact: b� c' '_fE? .1- r t,� Address: 2- ✓ LA_) • i 5--ft,-,.46?;er ie City: e6'Qj'2_ Z..../94e. 1 Contractor �r State: Vii,- Zip: . � i{ Phone: ( (2 -�Q •mail: y ®F.1 ti eS T.ICC ted ; L /i Ceiti License#: RC2 5 7Z. Lead Certificate#: 1 If the project is exempt from lead certification, please explain why: j 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: I I Licensed Plumber: Phone: i 1 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 •ublic if ou •rovide s•ecific reasons that would•ermit the Cit to conclude that the 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.citvofeagan.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.gopherstateonecall.orn 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 sta without a permit; i at the work will be in accordance with the approved plan in the case of work which requires a review and a val of plans. x ------)1J.4"-)'e --ge,•-liC(hA)IS/C-i X f ---. 7 Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175311 Date Issued:03/28/2022 Permit Category:ePermit Site Address: 527 Hackmore Dr Lot:2 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kevin C & Lori L Nicol 527 Hackmore Dr Saint Paul MN 55123--304 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-7052 Applicant/Permitee: Signature Issued By: Signature