540 Hackmore Dri - :n , , 4
Wertificate af Cccupanc?
Kim of Cfagan
?e?artaeut of 13INGbhig an#0cctivn
This Certi,ficate issued pursuant to the requirentersts of rhe Uniform Building Code
certifyirtg lhat at the time of issuance this sttucture was in campliQnce wrth the various
ordinances of the Ciry regulating building construction or use. For the following:
use ciamrmmm: SF UdG swg. Penn;t Na. 24257
Ooarpancy 7ype R3IH1 _ Zming District $ I Type Const. VN
owneror sui?aing Ila0IR9CN EYIMES IIVC Aaa,= 4466 WMGArM IlR, EAC?l1N
Building Addmss 540 HACKHM IRIVE Lo,WnyLq , B I, ALTnMWIDZ 3M
/?, I -?- - ( I - A._
oim":
&Wdi -
POST IN A CONSPICUOUS PLACE
?
J
CIT'; OF 1 EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
?= r?:?tt? I)I
? r,ll 1 IIMW I< 1 I1121 .i1r11
RMIT SUBTYPE:
; f,
TI4N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
? ?, i ,• ? ??f.?i 41?.,?IN
TYPE OF W4RK:
tcti i 1 11 r?vil
e.'4.•?.:
0 / //
INSPECTION .. . .A
, . ,?. . . ,
I i I 1'i i
11 1 1 If?? I:titl+?ll 11" ? I??
i t Itilit 1 1 (4111
'1 F! IC
1-
Ukl'Jtl,illY ttd(kF1Ni.f: MUI l`it r I)Nt Ii I IC Ntl`(fP ! L A Wll.! H1: 1UFl±
f • R V S b 1,! I ' 1 li It P A Y Pt AI Is I' 1 146
LL_
,
Permft No. PermR Holder Date Telephone A
S/VII
PLUMBING ? Q
HvAC
ELECTRI 17A/fSD
ELECTRIC
Inspectbn date Insp. Comments
Footings I
v s,1
Foundation
Framing
Roofing I
Rough Plbg.
7
Rough Htg.
I5ui. v`?? G.?r.v r?.? .,.? ? ?,..?ac
s --
Fireplace
Fnal Ht9.
orsall Test `%l.zl4 y 44f
F'inal Plbg' Plbg. Irupector - Notiy Plumber ,
Corist. AAeler
EngrJPlan
Bldg. Final .
?
.. 1.1
![/Q
Deck Ftg.
Deck Final
Well
Pr. Disp.
6Q s
r2,
v
?I
? -
,?-
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:'
tak ili+ i rt+ir? ??{?
A1! I I?tli1i k i Itrl
PERMIT SUBTYPE:
(1n T1N(i`:
1;13011- 09Vf N:I
5) J? t.c,?.r; ? t
PERMIT TYPE: ? tt+, ?. ? i? i r???
Permit Number.
Date Issued: ?? •a ! J i/ w tt
.?.?>_..- ._ f. w1if IsAP
?
TYPE OF WORK:
II i ',t i. i I I 1i i H
lMAI
k.1? liAi?(?
,?, ..• ?> > - • ??
.? _
i i 1? ? 41l?F {??)i1i t1 T
l! 4 UF rK F 1[it, Akt Ct) NAVF DI liMt FF:1« tiF I. I. ; 1 n p I I ilt,J FUR i"U ? ilK(= {'nFrr li
? P w, ';'ilf'17 FAk t'LVAFl "1'ihM If?I1?:?E"?, Rttr lIAN1i i ! ?,r,,;
ti;
F
?
? L----- ---- ----------------- -° ----- ---?
Parmk No. Mrmit Holder Dats 7oleplwne •
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD I
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FT(3 ''^
DECK FlNAL
-a.- I
?/?5/C? HEQUEST FOR ELECTRICAL INSPECTION
? See inslrucLOns for camplating Ihis torm on back oi yellow copy
074950 ?"X" 8elow Work Covered by This Request
t di? ee-0
oomaa?s
?.?
a Adtl Rep TypeolBUdding ApphancasWired EquipmentWiretl
- Home Range Temporery Service
Duplex Water Heater ElecUic Heatlng
Apt Budding Dryer Load Manegement
Comm llndusirial urnace Other (Specify)
Farm Av Condrtioner
Otner lsyecry) Conirecbr's Remarks
Compute InspecLOn Fee 8elow.
# Other Fee # Service EniranceSrze Fee S Ciawis/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps 0_ Amps
Sgns inspecto.§ Use oniy
O TOTAL
'
Irnqahon Booms ?
? ? .?O
Speciallnspection ?
Alarm/Communica6on THIS INSTALLATION MAY 8 ONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 M
I, the Electncal Inspeciot hereby Rouyn-m
certify that the ahove inspection has
been made. F,nai oe?e?b !*-Y
OFFlCE USE ONLY
This reques wia 18 monms Irom
d'//s ?j d oYao71v
C3 7 4 0 l'
Re0uesl Dete
?
? Frte N. Roughdn Inpsetlwn ire
(YO muel II inepector when reatly)
Ves ? No Inspeclion Other Th an Raugh-ln
0 ReaEy Now ? Will Nably InspecMr
Dete Reatly
licensed contractor .rJ owner hereby request inspecnon of above electrical work at:
Jo A es
s s (Slreet. eo
or floWe N
1)
City
Sp[yo?NO ?
i
hJ nshiD Ran No. C n
? IPRIT?
Oc an Phon@
V
I N5
y ??
y?
Pawe: Supplipr AtlOrB65
?rnC-)) N •
Elecv ca onVac[or [COmoany Na e) ConUaclor's L¢ense ^No
ddT A0d'ess ICOIn`I aCt OwnerlAakinJ Ins
rW-N V
AuL? rz`0 Signamre ICOnVado^Owner MakinS Installalloni hone Number
U._ ?'Y?? . ?5i aU ?/31-
MINNESOTA STATE BOAflO Oi ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Grlggs"MiEway Bltlg - Room 5-173 BE ACCEPTEO 6V THE STATE BOAFD
1921 Umversily Ave, St Paul, MN SStOC UNLESS PROPER INSPECTION FEE IS
Vhone(814)64Y-0800, ENCLOSED
Address 540 xnaW?tE niuve Zip 5512 3
Lot "q- Blk I Sub AiriiEMt BIDGE 3RD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: / p/ /Z 4 Yes No Inspectot:, 400,
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway ?
Permanent 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 watet 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 - Resident Copy Pink - Contracror Copy
a?
. Residential Ventilation Category 1 Worksheet Submitted
. Energy Envelope Calculations Submitted
New Construction ReauiremeMs
• 3 registered sRe surveys shovring sq. fl. of IoL sq, ft. of house; and all roofed areas
(20% mauimum lot cova2ge allowed)
• 2 coples of plan showing beam & window saes; poured found design, etc.)
. 7 set of Eneryy Calculations
• 3 wpies of Tree Preservation Plan if lol platled after 711193
. Rim Joist Detail Op6ons selection sheel (bldgs wilh 3 or less unils)
DATE
SITE ADC
TYPE OP
APPLICANT C8ft
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
IIIC.
ULTI-FAMILY BLDG _Y _ N
PIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS Coon Rapfds MN 55d.aa CITY STATE_ZIP--,.. ?
TELEPHONE #-ll? ?SS?d?3? ? CELL PHONE # FAX #rZ(D.??' '1S? S5? V
PROPERTYOWNER TELEPHONE#' 2?PS
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'I'A RiJLFS 7670 CATGGORY 1 MINNESOTA RiJI.ES 7672
(J submission type)
Plumbing Contractor: ____
P1umUing system includes:
Mechanical Contractor:
Mcchanical syslem includcs:
Sewer/Water Contractor:
Phone #
Phone #
Pee: $90.00
Fce: $70.00
------------°-----°--------------------------------------------------------°------°------------°------°°-----------
I hereby acknowiedge that I have read this application, state that t e information iN c t, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan r in ces
Signature of Applicant 4? o I
OFFICE USE ONLY
_ Water Softener
_ Water Heatcr
No. of Baths
.33?,;?
RemodeVRewir ReaviremeMs
• 2 copies of plan
. 1 set of Energy CalculaGons forheated addNOns
• lsitesurveyforexterioradditions&decks
. Indicate if home served by septic system for addNons
VALUATION q 6 a ?. ??
Phonc #
• New Energy Code Worksheel Submitted
_ Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
Hcat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dweiling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
0 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Eut. Alt - MWG
? 33 6ct. Alt - SF
? 36 Multi
? 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 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg only) - 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 W idth
REQUIRED INSPECTIONS
_ Foorings(new bldg) FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Frd=g Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _
_ Final _ Windows (new/replacement)
_ Insulation _ Retaiuing 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
Total
Building Inspector
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
540
LOT:
AUTUMN
P.I.N.: 10-12302-099-01
HACKMORE DR
9 BLOCK: 1
RI6GE 3RD
DESCRIPTION:
8611dtn4.Permit Type SF DWG
,Building Wbrk Type NEW
J,UBC pccupaney",, R-3 M-1
f CnnsCruction Ty-0e V-N
?
Zoning ._.-? R-1
8uilding LengCh 1 62
{ Building Width 51
?-- BJ?3lding stories 2 ??
?L
REMARKS:
DRIVEWAY ENTRANCE MUST BE CONCRETE BEFORE C 0 WILI BE ISSUED
FEE SUMMARY:
Bese Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
SubCotal
PERMIT c-H 3cr0(,
2-a9 -9 c)
PERMITTYPE: auzLozNG
Permit Number: 0 2 4 2 5 7
Date Issued 0 7/ 2 9/ 9 4
VALUATION
$765.50
$497.58
$68.00
$600.00
190
1
$2,131.08
$136,009
MISCELLANEOU5 $1,828.50
Total Fee $3,959.58
CONTRACTOR: - Applicant - 5T. LIC. OWNER:
THOR50N HOMES BRIAN L 14540644 6001317 THORStlN HOMES INC
4466 WEDGWppp pR 4466 WEDGWOOD DR
EAGAN MN 55129 EAGAN MN 55123
(612) 454-6644 (612)454--0644
I hereby aoknvwladge Chat I have read Chis
' xnformation is qorreGt and agree to aompTy
5Catut<es and C3ty af Eagan Ordfnances,
?
APPLICANT/PERMITEE SIGNATUFE
app2ieation and stete thatthe
ctith a],1 app3.?cable State af Mn.
c
ISSUE S} ATURE
?
i4mq
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered e sur ??? f energy
calcs.
Ji,; 2]
>
4
,9?
COMMERCIAL ,
r
Elans,
1 set f
2 sets of architectural & struc ural
_
_
specifications, 1 copy of energ -
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,?_ Valuation of work.c/2eJ 4eoi2s .e
Site Address:,3?0 ?C/aa?f'iriote .de i?G
STREET SUITE #
Tenant Name: (commercial only)
LOT ? BLOCK SURp ?
/7u u in „ P.I.D. #
Descri tion of work:
The applicant is: ? Owner 'econtractor ? Other (Uescribe)
Name Phone
Property LAST FIRST
Owner Address
STREET STE #
City State Zip
Company i o.eja.-/ lfdmes ? ZiJe Phone
Contractor Address 44W G &40?gdledo? Q?Pi??? License #OCe/31r Exp.33i ?
, a
City ?anJ State /77?? ZiP SS??3
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber A ,ll?1e? 0n.6,'ngv . Processing time for
sewer & water permits is two days o e area h 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.
J?-? •
-
/
?
?
?
?
`
[.
Signature of Applicant:
OFFICE USE ONLY
B UIL DING PERMIT TYP E
M .. pNf??s r ii f 4
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
p 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
woRK nrPE
pr 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) Basement sq. ft. rZ 3 z MWCC System
(Allowable) 4 lst F1. sq. ft. /2 3 z. City Water
UBC Occupancy
Zoning /1 2nd F1. sq. ft.
S z a PRV Required
# of Stories
-z q. Ft. total
Footprint Sq, ft. , Booster Pump
Fire Sprinkl
er
Length
Depth i,(a 2
, On-site well Census Code o/
T/.
33 On-site sewage SAC Code ?
APPROVALS Census Bldg
Census Unit
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .Site 9 Footing AB framing -?Insulation
? Wallboard El 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:
vatuac;on: g 13 ?o ? 00c,
za,r z C,
? '- 79C
?/X3o _ ?30
?
J / ?g $
?9 ???: L9C l3?73?22
SAC %
SAC Units
RT *
* PIt7NG?iR
* ?F1? M6BP
* ?*
?
/7
?
4
4
?(f o
? u
O
?
V $
939.5 ,.i 019,
s
op
?
? y
/QO 931
?", `30.00 ? ?f
h v? ?
-BENCH MARK
? TUP oF Hus
krs?r ELEV.=936.03
r? I
tOUS g
K ?
00 x9358
xrE ?, PEa?>>>I
? / ?7973 1_
/ 1
- 7SERVICE `
/ tNV.=sz6.1 ? ? 0 26 U
N74 3a?I
07', w
933,? ?- ?
x
\ r ? o ? OW/ 9322 )3? "wi3 M 221
/
?
U) ?- _! \
` 3000
?
TV.&TELE. PEOS, fg3j,
innw, ?
s
BENCH MARK
TOP OF FA_B ?
E LEV.= 941.75--
10 IM
33
N 5
k ??,
?' G
i°
se
?.
,0 40?
N1 .
v I
M
/J 0. x v ? a?
i
24 ss -? ? $4 3
? z932.8
4
931 9 geu
x
.
938.7
? w !
_
CD
937.0
ssa.ss ;1";030, ---? s ?
0?„
?
9 2 8.6 (ci j G,
M
?
,
E AU10
REVtEWEd ?
\1 ? ? ID
??T ERT II?TEERIN DE?
oa?? p )
?? O ??? {I '?
PROPOSEO GRADES SHONN PER GRADING PLAN BY: P IO NEER
- ?O ULi Op\\/p/ V o F
`J ???+
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL ANO VERTICA4
IOCATON Oi 5TRUCNAES ONLY. SEE ARGHITECTUAL PLANS FOR BUILDING
ANO PWNOA770N OIMCNSIONS.
ORIVEWAY OE51GN. 7NI5 CERTflCA7E DOE5 NOT PUFPORT TO SNpW EASEUENIS
NOIE, CONIRPOTOR MUST V?,PoFY O7HEp mqN 7F1py'f St1pWN W THE itECOf2UE0 PLAT.
NOTE• NU SPECIFIC SGILS INVESIIGATION HAS BEEN CaMPLfTED ON THIS
LOT 8Y iHE SURYFYOR. THE SUITABILITY OF SdLS fo SUPPOfiT 1HE BEARMGS SNOWN ARE ASSUMEO
SPECIfIG HOUSE PROPGSEO I$ N0Y ME RESPONSI61LITY Of iHE SURVEYOR.
_eRnPD5Fn unuSE £LEVATION
x0aooo Denotes Extsting EIevaUOn t??; ?
( 000.00 ) Denotes Proposed Elevotion Lawest Floor Elevalion:
-- Oenotes Droinoga & Utility Eosemenl C??? ?
-?- Denotes Droinoge Flow Direction Top of 81ock Elevotion:._,_.Y
--r- Oenotzs Monument
? Denotes Offset Hub Garage Slab Elevotion;
LOT ? , BL4CK 1 AUTUMN
DAKOTA COUNTY, MINNE50TA
Wp nsreby cerldy thot Ihn aurvey, Oiun ar raport woa prepareG 6y ma or under my direct supeYvfsio?
J U LY A.D. 1e
Z1ST ?]Oy O(
JOdff d,0 lOwY Of (hE St0le'OI MiilnE9UIJ. DOIdd SqiS --
tANU suRVEroRS •
e
IANL ftA1MCRS
2422 Ent6fpfi86 Ori,.e
Mlendotu Hcighls, MN 55120
fHCNEEAS (612) 681"1914 FAX:681--9488
E AAG11IlECT3 625 Hlghway 10 N E N
Blaine, MN 55434
4' (612) 783-1880 FAX:793-1883
Certiticate of Survey for: THORSON FJOMES
50.0 HGCKMORE DRIVE
3i
? 935.2
?
RIQGE 3RD ADDITION
thqt I om duly rEgiSferoJ lo,A Su,eym
P.A.
B /'
SCC7le. 1 inch =30 feet John C. Lars
...
S-3+45
c ? I N V-94Q.1
' S-2+75-
: CS-950.6 INV-934.8
?. ,
CS-945.3
?.
?i
r?
?
CO NNECT TO EX. STUB -
8"-11 1 /4' BEND
S-3+15
? INV-937.3
•.F- ,-` CS-947.8
12"-6" DIP CL 52 W
8° x 6"' TEE 9
O GROFJND EL 937.0
2 I _
5-1+83 '
IN V-928.1 1
CS-938.6
8°-90'BEND
S- 2+30
INV-931.2
CS-941.7
10 O
I .*..
fl
S-1+45 S-0+60 , i
INV-926.1 INV-923.2 S-1+73 i .=
CS-936.6 CS-933.7 INV-922.8; ?
g S cs-s3z.a ?
0 25 SD 100
i
GRAPHIC SCALE IN FEET
i ;nch.= so reet
MH (D STA. 22+32 7 _
3 ?;?.?---•- , .:
?p'i?4:1,.. 'A •? ?5?. I?t? ?...? ? • ?I?.?.?.L)
?: ?., (? r
O u
i t??.
•T?. .. .
:z-uLG?
:'?
?`
'r??
?
???j. -.
,
??
PU?? 0
?,
1.f g{-1CL! +•
ING
U
^
+
.
:fl0^, OR1 TN -..? ??•
; :.i.
HACKMOr)- .
, ?. . •
? .
i ?
LLI
m
0 .
GrI3 13 •
cr-p 0 •
a---a o •
t}?0 D •
Y? 0 •
?0 ? •
H?0 0 •
LOT BIIRVEY CHECRLIST FOR RESIDENTIAL
HUIL
BROPERTY LE6AL•
DOCUMENT STANDARDS
Registered Land Surveyor signature and company
Building Permit Applicant
Legal description
Address
North arrow and treta-scale
Aouse type (rambler, walkout, split w/o, split
lookout, etc.)
Directional drainage arrows with slope/gradient $.
Proposed/exfsting sewer and water services
Street aame
Driveway
entry,
?
?
• Exiatina
Sewer service
?
` ? • Lot corners
-°z`^1^?1"
;
y? ? • '
Top of curb at the dr.?
p?fj ? • Elevations of any existinq adjacent homes
Prooosed
0? 0
?? 0
? •
• Garage floor
t floor
Fi
p rs
0? 0
' 0 • Lowest exposed elevation (walkout/window)
&"
p ? • Property corners
?0 0 • Front and rear of home at the foundation
PONDINa AREAS (if aoalicable)
0 ?0 • Easement line
O ? ? • NwL
0 ? ? • HwL
• Pond # desiqnation
0 0?0 • Emergency Overflov Elevation
DII+iEN820NB
oe-?13 0 • Lot lines
11?'0 0 • Right-of-way and street width (to back of curb)
?0 0 • Proposed home dimensions including any proposed decks,
overhangs qreater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
II?0 0 • Show all easements of record and any City utilities within
CY D
0
• those easements
Setbacks of proposed structure and setback of adjacent
existinq homes
? D?? • Retaining waj)5?-reWirements, if any
Reviewed•
Name
October 1992
Date of 8urvey: 7 /? 9
.
.,?
. r? .
)++ne r?
512-4'74-06;-; L`r'I1nh-1 E:;CELSIJf? 'r'ArD
' Hinnt]u?.? o?n?.. ?.... •
-r? HO EPCY OD
Adop:lun 6ff4etlv t/
;Tte AddreSs
:ontra[LOr
Phqne
ne
uiiding Classiricatlon: Type A1 {S1ng1? 6 Ouplex) ? Type aZ (Residentlal
• (3 stories qr ess
(Qthdr)
ENERAL INFORtU1TI0H
(nver 3 Stories)
. Butiding Perimeter \tt.
5?,., 9 w sc?l
. uall height (ground W eave)ft,
. 1. x 2. (abova z
) 9ross r+al l d7'ro 1 G,C7 ft.
. Building dlmtnsions (L) _-A-:!i- x(11) '?,? ft.2 roof 3 fTaor area
. Square fcot area of r1m jotst - Ftaar jaist size (2 x lc> ? z
1x Perime[er • Rim o st area ¦?\, (?z-ft
• Doors - Arla Th1C n?'iess ? c, "-Tn-.7U`retpr nG?q
Typ* of Construct On
Perimeter_ 1?,?7.? (a°?, ?? ft•
Manufactnrer--s?3X- a 1-' ...?__?
Tota1 door's perlrtieter
ft
Wtndoxs: Manufacturer State approved_ {?\
(1 flictor ? :i-y
TYPE 5IZE AREA (F:,2) NUNBER OF TOtAi. FEE7 z
i (? ZLa EACH UNITS
-4
S
-
' -- .
- C
.?..?. -z-4: -A o l 0 9 4,_
7? Z
Z_d ? z
21 0c?0 ,
?z]. _ ?-a lc 4( ati --•?..? -- ` - ? ?a. ??
Totat ft.z Gless
6 Flreplace drea: liidth x heiaht ¦ ?x -<f?.. . ? tt 2
, Exposed foundatton: Hei9ht x Perimeter _? x• p Ft Z
LETI0N 0F T11IS FORH IS RECJUIIED FOR ALL NEW C01157AULT10N, f1AJOR REMODELIOG ANO BUIIDL+GS DFI1
D vHERE fNERGY, OTFiER TIV1,y THE MINIMAI, CO[1E ALLOHANCE. 15 USED.
422 F'O1 JUIJ 12' 42 1'? : q^r
?'YV n •Y?
TH trr
=Di7I0N_ w_r•?'
512-474-J677 LYMAh•! EXCELS I Op. Y'ARD 422 F02 JI_IN 18 "?2 17 : 4Et
Framing area • lOX of gross wall srea. '
Gross watl area z
YlinEor+ area A I; wlndow5 +.-4k-Tw'J x A = to?=`iGa
Rim ioist area A
.
ft.Z
U
rim joist •, o? U
x
A
* ?O
4. ?,
poor area A A
J
doar area +• O(c? U
x,
A
* o0
Z
`"
FireplaCe area A t-. U fireplate ? -?- U x A ¦ -E?r-
Expased foundation A -:!4 -O ft.? U foundation U x A • 'F-).C73
Framing area A_ "'Z.. C. _ft.? :1 franing area *.O U x A ¦ 1q
het wall area A IZIX 0t. 'J wa11 „C7:!!S7a U x A ? C19
(]?9; '.,;A t, ... . . . . . . . . U x A
---
Gross wall area x 0.11 (A-1 single family S 4L. ;.;=x ? alloKable U.c A/Codp ._---
(13, above)
x 0.23 (A-2 other resiCencia'.;
x .23 ;Other buflding:;
+! .iB (OYEY 3 SCOrif:) .
Must be larger than
A ?. x S ?Roe. ..__ . ?\? • ???_ 138 :bove
Cetling framing area (Af) equais 10.". e)f :4;1{no area or the same as)
Gross cellin9 area • (L)., C 16? k 'Z,? 0 ft.2
xZ 9--- -'
Joist area (Af) • 101 ceiling area A?-? ? ft.Z
."te•_ ceillna area (.4C) (15A » 15$) ,t.2
U ceiling x A ?¦ . OTt-\`b '-Z,??.--? ?
U framing x A f+
741A1 U x A ........................................ ?ci-3_
I Ce111n9 area (i5A) x 0.026 (A-1 single family 5 duplex - code dilo:+able U x A
x 0.033 (A-Z other resid2^:iai)
x O.C6 (other)
8T11H ,Must 6e larger Chan 150 (aCove)
A (15A1 x ?fC4delc ,p °F (or the Same as)
r--
NOTE: Use U and a valve: obtained f7•om nF5 1, 3 and 4.
PERMIT
.? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
c200i
PERMITTYPE:
BuzLozNe
PermitNumber. 026367
Date Issued: 0 9/ 11 / 9 5
SITE ADDRESS:
540 HACKIMORE UR
LO7: 9 BLOCK: 1
AUTUMN RIDGE 3RD
P.I.N.: 10-12302-090-01
DESCRIPTION:
-?-, (PUTURE PpRCN)
Building?Rlermit Type DECK
Building Wo'rk,Type NEW
t,
,
REMARKS:
ALL 4 DECK FTGS ARE TO HAVE 26" DIAMETER BELLS TO ALLOW FOR FUTURE PORCH.
FTGS SIZED FOR CLEflR SPAN TRUSSES OR HAND-FRAMED RAFTERS W/ CENTER RIDGE
FEE SUMMARY:
Base Fee $30.00
Surchar9e $.50
Total Fee $30.50
CONTRACTOR: OWNER: - qpplicant -
KRUE6flR RICHARD
540 HACKMORE DR
EAGAN MN 55123
(612)688-2023
Z hereby aokriowYedge that I have'read this application and 5tate that the
information is cbrrect and agree to cdmply with all applicable 5tate of Mn.
Statutes and City of Eegan Ordinances.
? - -
APPLICANT/PERMITEE SIGNATURE
R.DA ? IY1?.-
?' ISSUED : SI ATUR
CITY OF EAGAN
.?3d ?0
? 3830 PILOT KNOB RD - 55122
95BUILDING PERMIT APPLICATION (RESIDENTIAL)
iL%9 681 -4675
Naw Conshuction Reaufrementa RemodeVReoair Reaufremerrts
? 3 regialerod aile surveys
? 2 copies of plans (mdude beam 8 window sizes; poured fid. design; etcJ
? 1 energy wkulations
? 3 copies W Lee proservetion plan H bt pletted after 711/93
raquired: _ Yea _ No
DATE: as? 30?, l?9S? C
DESCRIPTION OF WORK: 4 ??
STREET ADDRESS:
LOT ! 3LJCt:
r.L
! S::&7.!°.I.13. #:
PROPER7Y
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Name: Kru-?sd? CQla^a Phone #: 4FX - 7-023
Street Address* S?O r?a ck Avt-?r1
City: State: MA/ Zip:
Company: Phone #:
Street Address:
City;
License #:
State: Zip'
Company:
Name:
Phone #-
Registration #•
Street Address,
City:
State: Zip:
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the infortnation is an to oomPlY wfth all
appiicable State of Minnesota Statutes and City of Eagan Ordinancea /7
% /
Signature of Appiicant:
OFFICE USE ONLY
? 2 copies of plan
? 2 slte surveys (exterior additiona 8 decka)
? 1 errergy celwlaGons for heated eddHions
'ION COST: t
sS,rkatA4, Po
Certificates of Survey Received Yes _ No 5?p o 7 1995
Tree Preservation Plan Received _ Yes _ No
---------------
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
0 02 SF Dwelling ? 07 4-plex
0 03 5F Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
0 05 SF Misc. 0 10 = plex
WORK TYPE
a 11 Apt./Lodging o
0 12 Mufti RepaiNRem. o
? 13 Garage/Accessory o
0 14 Fireplace o
c=8415 Deck
?m- 31 New ? 33 Alterations
0 32 Addition o 34 Repair
GENERd?L INFORMATION
0 36 Move
0 37 Demolition
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq, ft.
U8C Occupancy Sq, ft,
Zoning sq. ft.
# of Stories sq. ft.
Length Sq.ft,
Depth Footprint sq. ft.
APPROVALS
Pianning Building
Engineering
Variance
Pertnit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
V1later C;onn.
Water Meter
Acct. Deposit
S/W Permk
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: g /Zba
r? w
f '?:? Y IIY?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Ac? 41 rz"-rmuys y91 22'
h?Ai/y 13 tLGS Ib &G OccJ
? ?u?zt? Fa?ua.
? 7?i7. .j! 1[D ??= CGL.pR- JpiGN ?'!NaSf-S
GR !441D Fiam?n /L?r??-s ?
? - e,6 Atrt/z /Z, t, 4t
? P. Ly?-HEb? ., •. C?tciw?
MCNVS r
$ystem
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. `/3y
SAC Code 01
Census Bldg I
Census Unit o
% SAC
SAC Units
PLAT aanwiNG
f. ` (. :.s is not Intended as a survey) _ •
File No. : 01-VO38
Properly Addross:
„
)"-20
?
36.
?
/
?
?
?
?
U1? L.?TY a-
pRs?, NAas-
N
T
NETWORK
TITLr, I NC.
2121 Clltf Dr1ve, 6100
Gagnn, MN 55122
? ?yZ «0
. ._ ? _
i i
? Y
fe?i'lir-
?
a
Ay2
?
.?
?
/
? i
/
?
?
s
llie locatlon ot Ihe improvomonts shown on tNs drowing aro approxlmolo ond ore based on a visuol
Inspection of 1he premises. The lof dlmenslons are token from the counry rocoids. ihis drawing Is lor
intortnollonal purposes and should not be reAed upon os a survey. II does not conslllule o Ilablllty oi the
company and Is Intended for morigage purposes only.
IN? ?
v`t Deck Specifications for 540 Hackmore Drive, Eagan, MN
I (MAIN PORTION OF DECK)
2 X 10 X 20 Ledger In Place
Ivr (?
1 P? ?? ??b" (? I I I I I I I I I I ,
Ti-!:7,00 PL N?41U<
z i.-
s ` 1a'
4 B JA JA A JA JA A JA IAI A JA JA A IA JA B
5 I I I I I I: I I I I \ti:
B I I I I
]
13 12 11 10 9 g?° I I 6 I I Double B am on top of posts) I I
I I I i I ???
I rF' I I, I I I `
?,-,. , - L v
??' ? i
1c+ D Sideyard
,?•, .
- 6 X 6 Treated Posts ? ',? • v7 15 ' 5' 12'
?°^ ? ,?;5 F? ?-•??{y??o pt?FSP'
v
O 4 X 4 Treated Posts °? •? „<i ?1 ??t` v t
p?o i: l ' 4?' ? ?
' , ? • ,?,
?d{' ??. ', ,?b
? k? Backyard 46'
i,umber: D Beam ?` fher Parts:
A 13- 2 X 10 X 14 #2 Treated Joists (All Inside Joists) 2 2 26 - 2 X 10 Joist Hangers
B 2- 2 X 10 X 14 Cedar End Joist (North & South Enc) X X 2- Nail Jast Hanger Boxes/150
C 1- 2 X 10 X 15 Cedar End Joist (East End) 10 10 2- 3 X 1- 5/8 X 10' Galvanized Deck Flashing
D 1- 2 X 10 X 5 Cedar End Joist (East End) Mftd Beam Support
E 2- 2 X 10 X 20 #2 Treated Beams 6 X 6 Post
F 47 - 5/4 X 6 X 16 Cedar Deck Boards for Decldng/Stairs
Footing Parts:
O ner Specifications: 6 X 6 Post 10 -12" X 48" Quik Tubes for foo6ngs WEST
Joists will be 16" on center Note: S" bottom of holes to be bell shaped SOUTH NORTH
Beams will overhang posts by no more than 1' 56 - 60 Ib Bags of Concrete Muc EAST
Joists will overhang beams 6y no more than 2' 12 X 48 FoOtingS 10 -112 X 6 Foundation Anchors
,:
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
x NEW CONSTRUCTION
ADD-ON AJC
ADD-ON FURNACE
_ FIREPLACE INSERT
DA'I'E August 24, 1994
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
Installing Lennox G20Q3/4E-100 furnace. Venting
tcvo bath fans.
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (FacISTnvG coNSTRUCTiON)
STATE SURCHARGE
TOTAL
mS
$ 24.00
6.00
3.00
$ 20.00
.50
2? _ S(
STI`E ADDRESS: 540 Hackmore Drive
OWNER NAME: Brian Thorson Homes TEI,EPHONE #:
INSTALLER' Kleve Heating and A/C
ADDRESS: 13075 Pioneer Trail
CI'I'Y; Eden Prairie STATE: MN ZIP CODE: 55347
•I•ELEPHQNE #: 941-4211
1994 MECHANICAL PERMIT (RESIDENITAL)
C1TY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCLAL/INDUSTRIAL BUILDINGS. AL50 COMPLETE
FOR APARTMENT BUILDINGS OR O'THER MLJLTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUII.DING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRAGT PRICE:
1% OF '(?{3?,"f?;4'>.?. FEg
?::xJ.i::::.?i>.Yai?n::.f: 4w.o
PROCESSED PIPING:
MINIMUM FEE:
STATESURCHARGE
TOTAL
FEES
$
$25.00
$25.00
$.50 FOR EACH $1,000 OF ¢xe?«.>?.?aa, ? FEE.
$
SITE ADriRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (MROVEMENTS ONL1)
INSTALI.ER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMTI'TEE CITY INSPECTOR
1994 MECHANICAL PERMiT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4673
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNI=iOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTT.
NO.
/
?-
?
?
?-
SITE
OWNER
FIX'1'[TRES
SHOWER
WAT'ER CLOSET
BATH TUB
LAVATORY
KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OLTTLET • mwmum - i
ROUGH OPENINGS
WATER SOFTENER
PRNATE DISP. • nat.cry. uc
U.G. SPRINKLER • home uadv ?t.
ALTERATIONS • to adstijiB
WATER TURN AROUND
STATESURCHARGE
TOTAL:
_/ °
EACH TOTAL
3.00 C154 -
3.00 (d -
3.00
3.00 ?
3.00
3.00 ?
3.00
3.00 3- -
3.00 3 • -,
3.00
1.50
5.00
20.00
3.00
20.00
20.00
.50
?`=
jd.ed? ?-?-
?.
CITY: , STAT'E:
PHONE #: o/-4
ZIP CODE?
SIGNA OF PERMITTEE
1994 PLUMBING PERMIT (RESIDENIYAL)
C1TY OF EAGAN
3830 PIL:OT KNOB RD
EAGAN MN 55122
(612) 6514673
1994 PLUMBIN.G PERNIIT (COMIIZERCIAL)
CITY OF EAGAN
3830'PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDING5 WHEN SEPARATE PERMITS ARE NOT REQUIltED BOR EACH
DWELLING LJNIT.
_ NER' CONSTRUCfION
ADD ON
- REPAIR .
woRuc nESCRIMox:
CONTRACT PRICE: $
FEE: 196 OF CONTRACT FEE.
STATE SURC??HyA?RGEy?
?? FEE.
$.50 FOR EACH $1,000 OF W..v.-v,
MINIMUM y 1'1'J.'?i- (? ,F 2.+.W
CONTRACI' PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
S
$
TEI+Tr},idT NA2.'IIE: _ STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CPI'I':
PHONE #:
STATE: ZIP CODE:
FOR:
CITY OF EAGAN APpLICANT
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144992
Date Issued:08/18/2017
Permit Category:ePermit
Site Address: 540 Hackmore Dr
Lot:9 Block: 1 Addition: Autumn Ridge 3rd
PID:10-12302-01-090
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Mark Johns
540 Hackmore Dr
Eagan MN 55123
Renewable Solar Resources
1115 Vicksburg Lane N, Suite 18
Plymouth MN 55447
(952) 486-7834
Applicant/Permitee: Signature Issued By: Signature