536 Hackmore Dr16 L? `j
?..... ?
Kertificate of Cccupanc?
%it4 of Cfagan
20aor1 ateur of s$KiibWq anoectioa
This Certifcate issued prrrsuanl to tlee mquirements of the Uniform Building Code
certifying that at the time af issuarece this srnucture was in compliance with the various
ordirrances of the City regulpting building construction or use. For the following:
use Onsirk*jon: SF DW Bwg. Pamit No. 23474
Occuporcy 7'ypc R3M] Zoning District Ri Type Conxt.
ovim ac su;wing PARISH MiG & IIEVEL ODRP Addn,. 37ciq SUAMM U
VN
F?L'aAN
swia;,g naem. 536 E3ACKM DRTVE LaM;ry L8, B I, AtTlM R= 3RD
? Dae:
Bu"ng Ottiriw
POST IN A CONSPICl10US PLACE
.. . INSPECTION RECORD
CITY OF E AGAN
3830 Pilot Knob Road
Eagan, Minnesp ta 55123
(612) 681-4675
SITE ADDRESS:
I ; . .,!1tI.?i
'.I ?tFirl ia 8 .-i I•
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .. . .A
• .?•! I N?? ,?;?? i tt?.
1 i0l.,II I r; 1 s ???•????1 1 r? ;i ( ?.
I I IJrs1 f'I i;?r i t'•i;?1
I r.l
?
114 Ivt VIati' tN I KAIMi [ wW, I [if If I", itf Ii c+r- r0 i;r
'k "' '. h I.d i'i It1: I AP ? , f Ili I"! I141
PERMIT TYPE:
Permit Number:
Date Issued:
R hi ,,, I. . , APPLICANT:
4 h r 41>2 .. {,64 4
/U I:AH Nh I '.•??Ii.1
. -Ole --I
L
Permit No. Pe?mk Holdx Date Telephone A
SNV
PLUMBING ? aI ?'?-??pQd
HVAC rA,
• Q 9 tiDOQS
ELECT 3?' • L/ (? 9 ?
ELECTRIC
Inspectlon Date Insp. Commmts
Footings I $-I/O/q?f
Foundation `
Framing ?/Y ?
RooNng
Rough Plbg. ?
Rough Hlg.
IsuL
o
i g? - ??TiTiou?-•G
Fireplace
Fnal Htg.
Orsat Test
Final Plbg. Plbg. Inspector-Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final ?
Deck Ftg.
Deck Final
Well
Pr. Oisp.
?vvw
P
ilJ I
. ,
Address 536 xnaOUttE DRIW Zip 5512 3
I.ot' 1 s' Blk I Sub _ Aun[[m xm 3?m
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway V/
Petmanent gas
Sod/Seeded grass ?
TraiUcurb damage ?
Porch ??
Basement finish ?
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off 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 undcrground sprinkler system.
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy 0
REQUEST FOR ELECTRICAL INSPECTION
Tvn li? See mstmclions (ar comple[inq this lorm on baak al yellow mpy.
N 33593 'X'=6elow Work Covered by This Request
es-ooam -/oa
e Add Rep TypeofBwlding AppliancesWired EquipmeniWnetl
Home IRange Temporary Service
ouptex water Heater Electric Heating
Apt. Bmlding Dryer Loatl Management
Comm /Indus[rial IFurnace Other (Speciiy)
Farm Av CondRioner
Dther(spealy7 GonVector§ Fsmarks
Compute Inspecnon Fee Below:
# Other Fee # ServiceEntranceS¢e
Fe
e # Cvcmts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ?
Transtormers Above 200 _ Amps Above 100 _ Amps
SgnS , Inspector§ Use Only ? TOTALp Q
Irnqanon Booms S?
Special Inspection
Alarm/Commumcallon THIS INSTALLATION MA qI5CONNECTED IF NOT
Other Fee COMPLETED WITHI ONT
I, the Elechical Inspectoc hereby Rough-in
? Dat
--?/J lP
certity that the ahove inspection has
been made. F,nai , oate
OiFICE lISE 9NLY ?
The reduest wid 18 manths iram
a 3?35/9 3?,8/31 3r? ? ?75Z/
RpQUest D e • Fne No
)
? Q) - 9 Fough-In Inpsaeli Req ed
(YOU usl wll inspaclor when reatly)
Yes ? No InsOecbon Olher i an oughi
? ReaCy Naw Will No1M Ins0ector
DatePeaay
I?Clicensed contrector _7 owner hereby request inspection of above electncal work at:
Jo0 Atldress (SVeet Box or Route No ?
3 a e.,?imd?c.? CM1y? ?
?--
Sechon No Towns ip Name or No. Range N. Gounry
Occv m tPRINT) ( ?
H/ ? ! ! it `/- ' Phone N.
Pawer lier AOtlress '
i om?acto? IGOmpany Nam
Elecb el r
Coniractors L¢ e No
? do
Madinq qoare/ss/i mractor or Owne? Mabnq Ins?ail, foni
( J / (
AuthonreC gnature IConhactorr0 r Makmg In Sllation) ,
? Phone Numper
- 3
MINNESOTA STATE BOARD OF ELECTPICITY THIS INSPEGTION REQUEST WILL NOT
Grigga-Mitlway BICg - Room S173 BE ACCEPTED BV THE STATE BOARD
1821 UNVersiry Ave.. St Gaul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Flwne (612) 602-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
- r hio See mshuctions for wmpleLng this lorm on DaG of yeliow copy.
? 19973 ."X -Below Work Covered by This Request
kaKYy
EB-00001-08
ew Ado ReV TypeoBmlding AppliancesWired EquipmenlWired
Home Range TempOrary Service
Duplex Water Heater Electric Heating
Apt. Buildin9 Dryer oad Management
Comm./Industriat Fumace Other (Spedly)
Farm Air Conditioner
Olher(W.dY) ConlractorSRemarks.
Campute Inspec6on Fee Below
# Other Fee # SerwceEniranceS¢e Fee # QrcutlslFeeders Fee
Swimming Pool 0 to 200 Amps D to 100 Amps
Transformers Above 200 _ Amps Above- 0_ Amps
Signs Inspector5 use Ony \ TO7pL ? Q
trnqanon Booms
Special Inspection LO
Alarm/Commumcation 16CONNECTED
THIS INSTALLATION MAY BE O IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rl oate
certly that the above inspection has
6een made. F,"i
OFFICE USE ONLY
This rtquest voitl 18 moMhs irom
8/?//s ?r?s?r
?I 19 9 3 ,C8' yo?? `ro
Rea??? D e Fire No. Rougn-In InpsecLO eQuiretl Inspe n Other Tnan Rough-In
/?
? (vau musl cail inspec?tor w/hen reaoy) qeaGy N ? ill Nati Ins lor
C/
LJ ? Yes (G No DateRea
I`' censed contractor p owner hereby request inspection of above electrical work at:
Joc Adtlress (SVeet Box or Rome No I Ciry
/- C ile . A ?
Section No Township Name orNO. Range N.
Counry
Octupa PRINT) Phone No.
.1e / Ttw
awBr Supplier Atltlress ?r
Eleclncal ConVactrn Company Name) CanUaClw'S License No
Matling AOCress IContractor o Own aking InstallaM1on?
Author¢e re IConha<ior, r M' q InstallskQn) P?one Number
ESOTA STATE B 0 OF ELECTFICI
Grlggs-MlOwey Bltlg Foom S1]3
1821 Unlversity Ave. St. Feul MN 55104
Phone(61]) 642-080D
THIS INSPECTION FEOUEST WILL NOT
BE ACCEPTEO BY THE STATE BOARO
UNLESS PROPER INSPECTION FEE IS
ENCLOSEO
Allib-
City of Eap
3830 Pifot Knob Road
Eagan SAN 55122
Phrnm: (851) 675-5675
Fax: (651) 6753694
? r•or orree use ?
i !?? t
i
j PermitN: ?
I
I Petmg Fee:
I
? Dats P&GeWa& i
i ?
i StaH: ?
? -------
2008 RESIDENTIAL BUiLDING PERMIT APPLICATION
oare: _sire a'aaress: ? ? (o
?'?- I U
swce a: _
Tenant•
RESIDEM 1 OWPIER Name: L)CLi cn rnare:
nedmss r cav I rro: r??
Applicant is: Y_ Oumer _CAntractar
TYPE OF WORK I DescriPtim+ af work: l t' .-
" CAnstructlon Cos4•
CONfRACTOR ? Nam=
Mu11i-Fartdly Buildm9: (yes _ / No J)
?-?n b a-?3 ? S
zjP:SSU,33
ony: , N ..% .
Phona: I^51- U 31- q l?? contact Person:
rIeN
COMPLETE THIS ARE'A ONLY IF -^-!nNSTRUCTING A NEW BUILOING
• n?a Rules 7670 Cateaarv 1 ? Minnesoia Rulas 7672
.,
New ? r? wo*snee?
Enwgy Code . Resaenua? vew?on casegorr I worksneei s
CategorY suuMdtea
(d auwadaswn tYpe) • E"erdi' E""'el0pe catc"rn,s sudnmed
!n Me last t2 monthe, Aas tlre CHY ? F.?an Issuad a Pemm (m a slmilar Plan based an a masw &n? .
Yes ___tdo tt.Ye& date ar+d address of master?Ha^:-
tleensed P1lunheT:
MechaMcal Gantractcr:
Sewer & Water Oawecto?:
ldpT'E: Plans and suppo?Nr+g documerrts that you
rire irDk~Nmr maY be classiNed as rmn-public
WronB:
Phorte:
PMOrre:
iR ara conside?ed ro trs pubNe Irdormal- Port(ons of
provide spscfNc rerasons lhet would perm/t ihe CItY to
conclude . .•.o _ _ ---- -
odes I her?r ? tMert ? nnormman o?? aa.,,rme: n?t i ?ana ?.wrk is n?ot vriaR a p?k: ewmkf mw?? t ? e ? but Eap?- m?wlth U?ie ?aPP?? P?? ttte?pm? d wwk which reqWres a revlew
> > ?J?' 7 ?? c)L 's Page 1 of 3
x A SI9??E
pppllceM's Printed Name
z•d
eLZ:iT BO 20 unC
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
( 3830 PILOT KNOB RD, EAGAN MN 55122
/
651-681•4675
New Conatructbn Reauiremenb
• 3 registered site surveys showirg sq. R. of lot sq. R. of hause: and all roofed areas
(20°k maximum lot coverage allowed)
• 2 copies of plan strovnrg 6eam 8 windax s¢es: poured Pound Aesgn, elc.)
• 1 set of Energy CalcWations '
• 3 copies ol Tree Preservalion Plan if lot pladed afler 7/1193
• Rim Joist DeWJ Options selecGon sheet (61dgs with 3 or less unds)
DATE
SITE ADDRESS
TYPE OF
cedar Yalley Extertors, Ync•
APPLICANT 99=g 2fIIB B-Oeei
STREET ADDRESS Coon R6ipids. Mld 55403 CITY STATE_ZIP
iELEPHONE #
CELL PHONE #
MULTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
FAX #
PROPERTYOWNER,,,,. ? V?TELEPHONE# L51'069"0?3
-------------------------------------------- ------ --------------------- ----- -........
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RliLES 7670 CA1'EGORY I MI: ? fA RUL.k:ai 767y i'
(J submission type) • Residential Vendlatlon Category 1 Worksheet Submitted • rgy Code Worksheel S?t
• Energy Emalope Calculations Submitted U; jJ::? '1
Plumbtng Coniractor: Phone # _ - -v ---
Plumbing system includes: _ Water SoRener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor.
Vlcchlnical system includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
-----------------°------------------°----------°------•---------°----------------------°---------°------------------
I hereby acknowledge that I have read ihis application, state that ormation is nect, and agree to comply
with all applicabie Siate of Minnesota Statutes and City of Eaga O dinfinances.
Signature of Applicant
-_-•..__..____---..._._.?__W.._._-°--_._ ?...._..?....._._...M___._..?...._.__ -----
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updaled 4l02
S-
RemodaVRewir ReauiremeMs
. 2 coDias of plan
. 1 sel M Enragy CakWatlans for heated additions
. 1 sRe survey for exteAw addiham 8 detks
• Indicate if home served by septic system for addAians
VALUATION ?, '5()
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 Ot of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolltion (Entlre Bldg anly) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings(deck) _ FinaVNo C.O.
_ Footings (addiuon) _ Plum6ing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing Siding Stucco Stone
F'veplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC1ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Buiiding Inspector
-?CFTY C1F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55723
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
?? ? 3yf 3
u ILDSNG
023474
05/04j94
SITE ADDRESS:
P.I.N.: 10-12302-080-01
536 HACKMORE DR
LOT: B BLOCK: 1
AUTUMN RIDGE 3RD
DESCRIPTION:
B,uilding'.Permit Type SF DWG
Ouilding Work Type NEW
UBC Occupancy," R-3 M-1
! Construction Type V-N
2oning R-1
Bui.iding Length % 56
Building Width 50
Bui3ding stories 2
nl 1 co)
?
REMARKS
?RIVEWAY ENTRANCE MUS7 BE CONCRETE BEFORE C/0 CAN 6E ISSUED
PRV S& W PLBR - LAKESIDE PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
5ubtotal
$793.50
$515.78
$72.00
$800.0@
100
$z.a.ei.zs
$144,000
MISCELLANEOUS $1.828.50
Total Fee $4.009.78
CONTRACTOR: - Applicant -
PARZSH MKTG & DEVEL GQRP 14526644
3799 BRIARWOOD LN
EAGAN MN 55123
(612) 452-6644
sr. Lic. OWNER:
0001054 PARYSH MKTG & DEV CORP
3799 BRIARWOOD LN
EAGAN MN 55123
(612)452-6644
I hereby acknowledge that I have read this
information is correct and agree to,comply
Statutes and City of Eagan Ordinances.
L '
APPIICANT/PERMITEE SIGNATURE
application and state that the
with all app?licable State of Mn.
J
--TS?IED B? SICINATURIF
??
CITY OF EAGAN ? ?_. .? ??
1994 BUILDING PERMIT APPLICATION ?'°???? V?UD
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date April / 27 / 1994 Valuatian of work
Site Address: 536 Hackmore Drive
STREET SUITE I!
Tenant Name: (commercial only)
LOT 8
I I BLOCK 1
SUSD. Autumm Ridge 3rd
p,I,D. #
Addition
Descri tion of work: Si le Famil Home
The applicant is: ? Owner [D Contractor ? Other (Describe)
Name Parish [darketine & Development Cotp. Phone 452-6644
Property LAST F1RST
Owner Address 3799 Briarwood Lane
SiREET STE #
City Eagan State Minn. ZiP 55123
Company same Phone
Co ntractor Address License # 1054 Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Lakeside Plumbing - 894-7600 processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this applicatio an tate that the information is
correct and agree to comply with all applicable Sta of M' nesota Statutes and City of
Eagan Ordinances. ? ?
?
Signature of Applicant: ?.t? /fi..?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
E3 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
J:P 31 New ? 33 Alteratians ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) ?V?2L1
(Allowable)
UBC Occupancy
Zoning R.t
# of Stories
Length ?
Depth ?-?
APPROVALS
Planning
Engineering _
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-s9te sewage
Building
Variance
12 Foot9ng
121 Final
4p!
? Al. ?
r 40 A. •w.,e?-_
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolisfi
)S?, t MWCC System ?
/.56e City Water ?
PRV Required
Booster Pump
Fire Sprinkler
Census Code 70
SAC Code _7F_7
Census Bldg ?
Census Unit /
Assessments
0 Framing
? Draintile
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 %
SAC Units
!S
= 9?S.S0krs:
13,) 3z,so
_?-
veLustim: s .?y?/. aoo
Ah ?-
yyX3o ? 1320
d? zy - /y2
/ vk t/ = 5 41
rsh i3 < <9r
? o. sxl S =
(SZ,S°,t.S`Y-3 jZ3r
0 Insulation
? Fireplace
z? / ? ? Zy
2
/03a?
* 4c *
* PIONI
? en=gn
*** *
Certificate of Survey for:
,
Q
?
V
935.5
30
FAGAIV
DEPT.
BENCH MARK
TOp OF HUB
ELEV.=935.91
= g
Po?o V o R E Q ??tl??E?
PROPOSED GRADES SHOWN PER GRADING PI.AN BY: PIONEER EN6
??07'e
32.9 ?
x9323 i
\ 1 .4 v
x932.2
2 _
030
?
4OF? /
?
, C93o,S)
l 30,5
!? I
>
oN
tr?
J?j 2
O
QQ O
' co
s
EAGAN ?
RElfVEWED?I
BY /J
OA? r 2" `? ? y
NOTE: BWLDMG DIMENSIONS SHOWN ARE FOR HORIZON7AL ANO VERTICAL
LOCATION OF SiFiUC1URE5 ONLY. SEE ARCNITECTUAL PLANS FOR BUILDING I
AND FWNDATON DIMENSIONS.
NOTE: CONTRACTOR MUST VEPoFY ORIVEWAY DESIGN. THIS CER71FlCAlE DOES NOi PURPORT TO SHOW EASEMENTS
O1NER THAN THOSE SMOWN ON iHE RECORDEO PLAT.
N07E; NO SPECIflC SOILS INVESTCATION HAS BEEN COMPLETEO ON 1HI5
LOT BY 7HE SURVEYOR. THE SUITABIUT7 OF SOILS TO SUPPORT THE BEARINGS SHOWN hRE ASSUMED
SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILIN OF iHE SURVEYOR.
x ooo.oa Denotes Existing Elevation
( 000.00 ) Denotes Proposed Elevation
- - - Denotes Drainage & Utility Easement
Denotes Drainoge Flow Direction
-i- Denotes Monument
a Denotes Offset Hub
LOT 8 , BLOCK I
DAKOTA COUNTY, MINNESOTA
PROPOSED HOUSE ELEVATION
Lowest Floor Elavation: Izi.q
Top of Block Elevation: 3g•0
Garage Slab Elevatfon:
AUTUMN RIDGE 3RD ADDITION
Yle hereby cerlify that :his survey, plon or reoort wos pre0ored by me or under my diroct supervision ond thot I qm duly registerd Lond Surveyor
under Ihe lows af ihe Slate o/ Minnesota. Dated lhis 25TH tloy of QPHL A.O.
Scale: 1 inch = 30 feet
PIONEER EN P.A.
o.
2422 Enterprise Drive
Mendota Heights, MN 55120
• pNL ENqNEERS (612) 681-1914 FAX: B81-9488
WOSCAPE AR0HI7ECl5 625 Highwoy 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
PARISH MARKETING
536 HACKMORE DRIVE
I -? BENCH MARK
/TOP OF HUB
ap / EL£l=935.57
P)
30 ? I 3 33s fx?sr?N? /
9330 •- (9- 936.1 K0 usf
?7 x
33.3 rn?0 06h,?O _
!0
35.7 14. 50
?.
ICE M M ?
??- 9S
a? - ---- ? g
q,0 '3
/ 9
? 9356 o
^
" ? oy
"T g
?
a° w M N ?
O ) P ? I 0.
r V
ao M :o Q / ?
o c?
IO ?'1 ° o
2
?35
3
Z8•0 ?
.
? .
3 N
355 935.1 x932.8
h
' 34 ?
n \ Op \
?
/ \ \ \_ _l4.SOC
S
?
Cg 3 5,5) 1 ?-OO
S 740
LOT SURVEY CHECRLIST FOR RESIDENTIAL
¢
W ,
.
w
HUILDING PERMIT APPLICAT ON
m
-J U
>
N
¢ ?
PROPERTY LEGAL:
w /
w < N Date of Survey: ??
?
? if
Z 2 DOCOMENT STANDARDS
e? p • Registered Land Surveyor signature and company
2-? ? ? • Building Permit Applicant
9-0?0 ? • Legal description
V? ? ? • Address
p ? • North arrow and -bar scale
? ? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
pi ? ? • Directional drainaqe arrows with slope/gradient t.
R? ? ? • Proposed/existing sewer and water services
@"?p ? Street name
? :
? Driveway
ELEVATIONS
Existina
e? ? • Sewer service
poo ? ? • Lot corners
p? 0 • Top of curb at the driveway
p? p? • Elevations of any existing adjacent homes
Provosed
e0 ? • Garage floor
p"?? ? • First floor
? ? ? • Lowest exposed elevation (walkout/window)
p"-?C] ? • Property corners
p? ?? • Front and rear of home at the foundation
PONDING AREAS (if applicable)
? Q? ? • Easement line
? L'? ? • NWL
? p? ? • HWL
? ['J??7 • Pond # designation
? p?? • Emergency Overflow Elevation
DIMENSIONS
C3? ? ?
C ? ?
a1? ?
?? ?
? C? ?
• Lot lines
• Right-of-way and street width (to back of curb)
• 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
• Setbacks of proposed structure and setback of adjacent
existing homes
Reviei
October 1992
S-1+45 5=0+60
INV-925.1 . INV-923.2
CS9-936.6 CS-933.7
MH STA. 22+32
3 ?-?
ioo
ei?
FEET
S-1+73 ? ,?•
INV-922.81
?CS-932.8 i
7
?-- -
1
8°GV
L-f- 8"-11 1 /4' /
;G, i BEND 8,.x8;,TEE-?
? 6 8"GV ?.-
?
ThlE Ct i 1r OF EACACv DnES NG'1 (aUARAN'i EE
TI-IE ACCURACY OF UTILI7Y LOCATIOiVS
ANDlpF: FLEVATIOh1S. THIS DFtTA iS FOR
f(i' " AfUD
=Onf4':?\TIOhI PURPOSES O;lL
pcR?.^? U?IfJG IT ;;HOU! i'? ?`-
? r, ?-
O?! Of?i Tl-;.?!T??.
HA C'KMORE DRIVE
.?????- -
'
'
?? 11
HACKMO
SEE
?..
MIflbESOTA STAT$ ENE@CY CODE CAI,CUI,A'('ION9 q/-Zgr
BASED ON CiIAPTER 5 OF TItE ? ItMODEL• ENEBGY COQE - 1993 FipjTION
Adoption Effective
Owner?'34U !?f-t Phone Date
Site
contrF
Huilding claseiflcations Type A1 (9lnqle Family 6 Duplex)
Type A2 (Residential, 3 stories or lesa) (OVer 3 stories) (Othec)
ri4TEiCsmRlgtspases 3-nnd a fir@t.
9EHEM__I11FM8TI4H z/6' yi
1. Huilding Perimeter14 ?'v*v?, 11 ft.
2. Wall haight (ground to eave) 11 ft.
3. 1. X 2. (above) grose wall erea ?L7i S a eq.ft.
4. Building dimensions (L) X(W) Lw sq.ft.roof b floor area
5. Sq. foot area of rim joist - Floor joist?ize (2 X0
10 X 7 Drr (Perimeter) _ ?sq.ft.
6. Doors - Arga ia
? ?,/
Thickness 1n U. factor ?r
Type of Conetruction Perimeter Et.
Manufacturer
7. Total door'e perimeter ft.
t
e. Windows: Manuf cturer?SUL ?%4'l1 State approved
O factor ???
TYPE SIZE AREA (3q.Ft.) NUMHER OF TOTaL
EACi1 UNIT9 SQ FEET
9. Total sq.ft. Glase
lo, Fireplace area: Width X Ileight = X = eq.ft.
11. Exposed foundatlon: iieight X Perimeter/&
C017PLETION OF TIIIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJpR
RE170DELItIG Atlp BUILDINGS BEING NOVEp WfIERE ENERGY, OTIiER Tf1AN TIIE MINIMAL
COpE AI.[A{iATICE, IS USEp.
-1-
ir
12. Framinq area = l0t of groes wall erea.
11. Gross wall area Z 7! 4f :1 aq.ft.
Window area A Z!7 3 sq.ft. U windowe 36_
Rim joist area A GI? sq,gt, U rim joist= -O??
T-
Door area A ? sq.ft, U door erea= '?L?
Other doors area AC/0 eq.ft. U other doora= '47
Bxposed fndn Aaq.Ft. U foundation= '07 b
Framing area A? sq,[t. U framinq area= ,0 s
Net wall area A?1I eq, ft. U wall? r Z-9¢ Z
(178) TOT71L . . . . . . . . .
-# W4-20/
uXa -
UxA = _ ?_..
UxA = 1
UxA =
UxA = ,1/19_
?
UxA =
UxA = ?
'LIv
UxA =
14. Gross wall area x 0.11 (A-1 eingle femily 6 duplex) = allowable UxA/Code
(13. abova)
x 0.23 (A-2 other reeidential) • .
x .23 (other bulldinqs)
x .28 (OVer 9 etories)
BTUtI muat be larger than or same
A- x U Code ae 13B above
15. Ceiling fraiuing area (AE) equele 101 of aetling area
15A. Grose ceiling area =(L) I x(W) --- = llJUU sq,ft.
158. loist area (Af) - lo; ceilinq area 4 o D•o eq,ft.
15C. Net Ceillnq area (Ac) (15A - 15B) By.ft.
U ceiling X Ac = j- / 140 7C ,?2
U framing x Af = 10_?__0 _x tDZ7? a?_
15D. TOTAL U x A ..................
:•....?:...._
16. Ceiling area (15A) x 0.026 (A-1 eingle family & duplex)
= allowable UxA/ ?ode
x 0.077 (A-2 other reeidential)
x 0.06 (other)
A(15A) b0 BTUH muet be larger than or eame
x U Code DLCO op, se 15D above
HOTE: Usa U anit A values obtained from peges 1, 3 and 4.
CE[iTIEIMIQH: I hereby certiEy that I have aalculated the °Ull faators and
I'fi" valune hereln and that the building here desoribed meeta or exceede the
State oE 111nnesuta Eitergy Conaervetion Act.
Date
9lgnature
-z,
,? ?W
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH UNTf.
4__?W CONSTRUCTION
_ ADD-ON A/C
ADD-ON FURNACE
FIREPLACIE INSERT
DATE (PLC2z'
f
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OLTITY TS (MINIMUM 1@$3.00 EACI-)
oZ X
F-tcy-AAce-_ '? Ff)
ADD-ON/REMODEL (ExiSTuNG CorrsTRUCr[or)
STATE SURCHARGE
TOTAL
srrE
S_?3
$ 24.00
A-W
?o. o-e
$ 20.00
.50
Owiv'ER NANIE: ?_Rei axl /' l GfiYkP?)o TEI..ErHONE #:
INSTALL,ER:_Bdrnsyille i lea%ing-& I?/C, ?nr
12481 Rhode Island Ave. So.
ADDRESS: Savage,-MN 55378-1129
CITY. 894•0005 STAT'E: ZIP CODE:
TELEPHONE #:
SIG OF PERMITTEE
1994 MECHANICAL PERMIT (RESIDENI7AL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLE'I'E FOR ALL COMIvIERCIAL,/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUILDING
INTERIOR INIPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICE:
FEES
1% OF,FEg
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
$
$25.00
$25.00
$.50 FOR EACH $1,000 OF F'EE.
.?. .,?e,..
$
STI'E ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS oNL;Y)
INSTALL.ER:
ADDRESS: -
CITY:
STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPEGTOR
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
a SHOWER 3.00 4.60
3 WATER CLOSET 3.00 4..0
17 BATH TLJB 3.00 4. 'fo
LAVATORY 3.00 /? .9?0
KITCHEN SINK 3.00 3•10
? LAUNDRY TRAY 3.00 3.?
HOT TUB/SPA 3.00
/ WATER HEATER 3.00 • S.
v
/ FLOOR DRAIN 3.00 3.1N
GAS PIPING OUTLET • minimum - 1 3:00 3.w
ROUGH OPENINGS 1.50 "
WATER SOFTENER 5.00
PRIVATE DISP. - Dak.Cry. lic. 20.00
U.G. SPRINKLER • nome under const. 3.00
ALTERATIONS • to caSting 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL: 'vv•cv
STTE ADDRESS: u?c3 G .469LK?io/C.E OGt
OWNER NAME:
INSTALLER: 1.9JCEJf 00 G'A 4 G'
ADDRESS: /vdyG S o`?/?Rf1?? 4Jc S b
CITY: STATE: i''l-J ZIP CODE: X2;M
pHONE #: ( L Ia ) PSy- 'Gw
?? r r
SIGN URE OF PE ITTEE
1994 PLiTMBING PERMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMER'CIAL/INDUSTRIAT,'BUILDINGS. ALSO 1'OR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
_ NEW CONSTRUCTION
_ ADD ON
_ RG?AIR
WORK DESCRIPT'ION:
CONTRACT PRICE:
FIiC: L% OF CONTRACT FEE.
STATG SURCHARGE: $.50 FOR EACH $1,000 OF P?tjGIP1; FEE.
11iINIDiU114 FEE: E 25.00 "" "
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$ ?
$
TENANT NAME: - - ° STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STA1'E:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
1994 PLUMBING PERMIT (COMMERCIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122'
{612) 6814675
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÷
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152059
Date Issued:09/25/2018
Permit Category:ePermit
Site Address: 536 Hackmore Dr
Lot:8 Block: 1 Addition: Autumn Ridge 3rd
PID:10-12302-01-080
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
David Meyer
536 Hackmore Dr
Eagan MN 55123--304
(612) 889-0296 X0
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162719
Date Issued:07/27/2020
Permit Category:ePermit
Site Address: 536 Hackmore Dr
Lot:8 Block: 1 Addition: Autumn Ridge 3rd
PID:10-12302-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
David Meyer
536 Hackmore Dr
Eagan MN 55123--304
(612) 889-0290
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:EA176070
Date Issued:04/29/2022
Permit Category:ePermit
Site Address: 536 Hackmore Dr
Lot:8 Block: 1 Addition: Autumn Ridge 3rd
PID:10-12302-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
David Meyer
536 Hackmore Dr
Eagan MN 55123--304
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature