544 Hackmore DrPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA160121
Date Issued:02/18/2020
Permit Category:ePermit
Site Address: 544 Hackmore Dr
Lot:10 Block: 1 Addition: Autumn Ridge 3rd
PID:10-12302-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
David M Okeefe
544 Hackmore Dr
Eagan MN 55123
Hero Plumbing Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
.• . ? ,
? . --?
wemficate nf cccupanc?
M04 of cfaegm
Oi ?? ?"ediou
This Certificate issued pursuant to the nequirements of the Uniform Building Code
certifying that at the time of issuance this structune was in compliance with the various
ordinances af the City regulatmg building construction or sse_ For the follawing:
SF DWG 21773
use classificaroioo: Bidg. ramit Wu.
D
Owner of B 'Iding l"?? •?R?? ?r ? Addrem BM 21327, FAGAN
B. g Addres4 544 HlalCKMOW, I7RIVC L..IL ?? B ?, MT" RIME RD ? Date.
Bailding OWwial
POST IN A CONSPICUOIJS I'LACE
, . 1.
CITY OF EAGAN
` 3830 Pilot Knob Road
? Eagan, Minnesota 55123
I (612) 681-4675
? SITE ADDRESS:
I ! i ??n? i Mt?tt l?k
{ A11) IIMPI F? f I11lF. 3kU
' PERMIT SUBTYPE:
IIII I+I ntrnra
I I E rl n,.I
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
10 k i ri rK, - APPLICANT:
t;I il0 :1 r! ; I iri. I
TYPE OF WORK:
f I?API I Nii
I I ? ?NAi
R i m n1:r " - s. it w I }i H ri -" I .14 4 ,i. t) i, . r, r 1+1
?
?
?
PermR No. Permit Hotder Date Telephone i
S/W
PLUMBING
HvAC
•
ELECTRI 0 ??? ? 4 / f
ELECTRIC
Inspectbn Dete Insp. Commenfs
Footings I
Foundation z
Framing Q- S? S
Roofing
Rough Plbg.
Rough Htg. Zd 73 ? rC -
Isul. Z ?
Freplace q p
Fnal Ht9. IV0 6As 1-6 o ps- _
Orsat Test
`
Fnal Pibg. spector - Notiiy Plu ber
Const. Meter
Engr./Plan
eldg. F?nai f I/o Gf?c. ?U u3 ? ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
02 i
g-a7J? ?41
INSPE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
? (612) 681-4675
SITE ADDRESS: ? „ ? ..
?.Il?1?'kMOfst t)1?
,; ; tl:ifl fti t
PERMIT SUBTYPE:
I
I I } rNAt
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
owl "RV?'A•
10 f3ltll'ke
It!! 1 I t? [ Nbi
H 303 N61?h/9l
, APPLICANT:
MAI4 1
' 'TYPE OF WORK:
irl .1 ,; t i i i 111•i
N ru ?ot i r. FUn'CTMas F,Mt y
i?
?
?
?
Permit No. Pertnit Holder Dete Tel*phona •
ELECTRIC
PLUMBING
HVAC
Inapection Deta Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
Address 544 HACRIME DxivE Zip 5512 3
I.ot ' lo Blk 1 Su6 AUIIA9tv RIDGE 3SD
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: //?? ? Yes No Inspector: Ff)
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry) j/
Permanent driveway y/
Permanent gas ?
Sod/Seeded grass
TraiUcutb damage ?
Porch ?
Basement finish )4
Deck ?C`
Please verify with the buildet the removal of roof test caps from the plumbing system and [he shut-0ff of wa[er supply [o
the outside lawn faucet before freeze potential exists.
Contac[ engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contraclor Copy
REQUEST FOR ELECTRICAL INSPECTION
p? p 1. See instmclions br canple6ng trns form on back of yellow mpy.
lol 210 4 O 5 "X" Below Work Covered by This Request
E13-00001-08
ew Add Rep. TypeoF6udding ApphancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heatmg
Apt. Building Dryer Load Management
Comm.llndustrial Furnace Other (Spealy)
Farm Av Conditioner
Other(specify) Contractor5 Remarks
Compute Inspection Fee Below:
# O(her Fee # ServiceEnVanceSrze Fee # Crtcuns/Faeders Fee
Swimming Paol 0 to 200 Amps a to 10o Amps
Transiormers Above 200 _ Amps Above 100 _ Amps
Signs InspecforS Use Only TOTAL
Irrigationeooms (l?'0 $86.50
Special Inspection b
AlarmlCommunication THIS INSTALLATION MAY BE ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in oane
oa+e
OFFICE USE ONLY
This requesl void 18 months Imm
r 7/ y? /??
M 2 0 4 8 5?p °"
RBquest Date ire No Rough-in Inspectl NOTICE: Vou Mus[ Call Elec[ncal Inspector
9-15-93 pg?estl? ? No Is Requ 9tyln Inspeclion
IM licensed contractor ? owner hereby request inspection of a6ove electrical work at:
Job Atltlress (S[reet, eoz or pouta No ) Qry
544 Hackmore Ea an
SecUOn No. Township Name or N. Range No. County
Occupant(PRINn Phone No.
Mark Johnson
Power SuOplier Adtlress
Dakota Electric
Eleclncel Contractor (COmpany Name) Conhactor5 License No.
Lazer Electric, Inc. CA 01110
Mailing Atltlress (Contractor or Owner Making InstallaM1On)
8383 Sunset Road N.E. Minnea lis hIIV 55432
AWhonzetl SignaNre (COntreclorl ner Mabng Insiallauon) Number
-?A 1, 6 Lj 7784-3729
MINNESOTA STATE BOAPD OF ELECTHICITV THIS INSPECTION REOUEST WILL NOT
GHggs-Midwey Bldg. - Boom S413 BE ACCEPTEO BYTHE STATE BOARD
1821 Unlversky Ave., SL Paul, MN 55104 UNLE$$ PROPEP INSPECTION FEE IS
Phone(612)602A800 ENCLOSED
41?5 jo3-1 ?
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construciion Reaulrements
. 3 reg'stered sile suneys showing sq. ft. of lot, sq. R of house; and all mafed areas
(20% manimum lot coverage allowed)
• 2 copies of plan showing beam & window saes, paured faund deslgn, ek.)
• 1 set o( Energy Calculations
. 3 copies ot Tree Preservation Plan rf lot platted after 711193
• Rim Joist Detail Ophons selecUon sheel (bldgs with 3 or less unAs)
DATE ?
SITE ADDRESS
TYPE Of
.Y BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT C8ftVB?eXmip($tkw
: STREET ADDRESS ?? 2311a Stiset CITY STATE ZIP /?
TELEPHONE # CELL PHONE # FAX #?5"???? U
PROPERTYOWNER NjaFLL `-,"MJXI TELEPHONE#?? ??P, :96Dq %
-------------------------------------------------------------------------°-------°-----------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSOTA RULES 7670 CA'1 CGORY 1 MINNFSOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contraetor.
Mechanical system includes:
Sewer/W ater Contractor.
Water Softener
Water Heater
No. of Baths
Air Conditioning
Hcat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
-°-----------------°----------------•-------------°----°---------° --------------------------------------------------
I hereby acknowledge that 1 have read this application, state tha t e informatio 's c ect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga d' ances.
Slgnature of Applicant ', -
OFFICE USE ONLY
RemodeAReoair Reauirementa
. 2 copies of plan
. 1 set of Energy Calculations for healed additions
. 1 sile survey for enlerior additions & decks
. Indica[e'rf home served by septic system for additioru
VALUATION 14?
1
_ Phone #
L.awn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6d. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AReration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Foorings (deck) Final/No C.O.
_ Foo[ings (addition) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulafion _ Retaining Wall .
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plum6ing Permit
Mechanical Permit
License Search
Copies
Other
Total
c1TV OF i=nr.-Fn
CAf;I-IiFfi: £i l'F'R11SPlFlL. NtJ: 33
narE;; 06i27/97 T7:ME.:
ID -?
NPihfE:, MARI; A J(JhINSOH
300 9001 544 HFlCt;M01;E LiR 2:I.00
205 900:1 544 NACI,MUkE riFi 0.50
7nt71 Nferea.ia+, F3inour}i.: 2j..56
CRO i fi4 C15
IJSE'R :I:Cie NAtdCV
X:?yk:kXt.?,(XtWYF ?hY5X?C1X?k?'M;K?kY!$ik'?,CNt>hMik.'KYF'M'7f'.'1,;?k1'?"•'FYFXt?:Y?
0 - _ . PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number. 0 3 0 316
(612) 681-4675 Date Issued: 0 6/ 2 6/ 9 7
SITE ADDRESS:
544 HACKMORE UR
LOT: 10 BLOCK: 1
AU'PUMId RZDGE 3
P.I.N, : 10-12302-100-01
DESCRIPTIOPI:
? I)FCK FOOTINCS
B2?iz3,dinq ,.?Permit: Type
1§u3,ldzng aAh?r'k Type
CCer+6us Code 434
?.?
E
•J e?'?? S L I ??..'v"v
t
t?
QNLY
SF (MISC,)
NEW
RLT. RESIUENTIAI
n
+-?S1 ".-»2,1'i'?.:1.s
REMARKS:
FEE SUMMARY:
VAl_URTIOIV $500
6ase Pee $21.00
SurCharye $.50
Tot,'?il Fee $21.50
CONTRACTOR:
OWNER: - Appiicant -
JONNSON MARK
544 1-iACKMORE D12
EA6FrIV MN
(612)366-5053
I
ssp plinatiot, 6nd tC"ate that the
I heroty ackiaawlaclge °that 'T bauc?' read" thkt
informat34n is ccrrr^ect?ah43 agr•'ee tp corr[p3.y ?`th a3.l 'ap'plidaYilis 5C`ate o'F Rin.
Statute„ and City a# 'Eagerr- Rrdiiiancee,
APPL NT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE
31997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
B81-4B75
Naw Construction Reauiremenfs RemodeVRenelr Reauiremenffi
? 3 registered ske surveys
• 2 copies of plans (Indude beem 8 wintlow sizea; poured fid. doafgn; etc.)
? 1 energy celculations
? 3 eopiea of tree preservation plan 81ot pletted efter 7/1/93
required: _Yea _ No
DATE: (9 - ?Q- 27
DESCRIPTION OF WORK:
STREET ADDRESS:
LO'f _L? BLOCK
S??+GO
CONSTRUCTION COST:
SYY D^
? SUBD./P.I.D. #:
? 2 wpias of plan
• 2 site surveys (ex[erior adtlitions & dedcs)
? 7 energy ealwlationa for heated atlditions
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
t.farfG ?fn?-5453
Name: JlOti,,S , Da?/f?yS?-??Y
.a? ?1xr& PhOrfe#: ?
u..
StreetAddress: s'y`f yaEIc44, 0 ro-' Pr°
City: 4,QPw State: ? Zip: 5"5-123 ?
Company: _ sQ ns-t-P Phone #:
Street Address:
City: 5tate:
Company:
License #:
? a ?6
e? ?
Zip:
Phone #:
Name: Registration #:
Street Address:
City:
Sewer 8 water Iicer.5ed plumber (new construcGon only):
and lot change arc tequested once permft is issued.
Penalty applies when address change
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: t. '?
OFFICE USE ONLY
RECEIVED
Certificates of Survey Received _ Yes _ No
JUN 2 3 1997
Tree Preservation Plan Received _ Yes _ No _ Not Required ss?
BY: /vv
State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaiNRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
? 31 New o 33 Afterations o 36 Move
`o ?32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION P4FIZe r007A0K &uLy
Const. (Actual) .
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building FM Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
?
?
,
Permft Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Totai:
Valuation: $ 62;V.4)a
% SAC '
SAC Units
F------- -1
I EASEMFNT UUES ? ;
L OT 10
,s
I 6'•0" 10 PROPECtTY ONE I
?3'-0" TO EhSEMENT L1?E I
I PROPOSFO
oEC.K
I ?
? ?GARAGE
I
I
HAGKMORE DRIVE
P LOT PLAN_ _ No 5c,.Le
ECCaSG?.l M
M?CH 1? D
Bv Z&?griv
DATE r/Ur?? i / y°!'9 %
:.
BUILDING,1NSPECTI6NSDEPT. DECK PLAN
I MARK 4- TAM1 JOHNSON
.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT . S-/S -y"-1 ? q
PERMIT TYPE:
Permit Number:
Date Issued:
544 HACKMORE DR
LOT: 10 BLOCK: 1
AUTUMN RIDGE 3RD
BUILDZNG
021773
08/17/93
DESCRIPTION:
r ?.. ,.
B=uildirtq?Permit Type
Building 6dork Type
--f18C Occupancy?
? Construction Type
f 2aning L?
, Building Length t'
? 9uilding Width
1
_--
??
$2,125.00
Qo-?lr? ??JL I
REMARKS:
S& W PLBR - SCHULTIES PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
3AC 8
SAC Units
Subtotal
VALUATION
$790.00
$513.50
$71.50
$750.00
100
1
3F DWG
NEW
R-3 M-1
V-N
R-1
70
28
$143,000
MISCELLANEOUS $1.744.50
Total Fee $3,869.50
CONTRACTOR: - APPlicant - 5r. Lrc. OWNER:
JOHNSON CONST, MARK 14511676 0003288 MARK JOHNSON CONST
P 0 BOX 21327 P 0 BOX 21327
EAGAN MN 55121-0327 EAGAN MN 55121
(612) 451-1676 (612)451-1676
I hereby acknowledge that I have read this application and staCe that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinancee.
C?e??--- _,fi ^I ? _
RE ISSUED B SI ATUR2 1-
? APPLICANT/PERMITEE SIGNATU
REACTIVATE,_
P?RMI"7 4 1' qq?j
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION $910' tO
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work /OOo
Site Address: gk MO^e- bs rt'.?.?
STREET SUITE 9
Tenant Name: (commercial only)
IAT ID BLOCK ? SIIBD. ? P.I.D. N
u?u..,., ? A
Descri tion of work: ? i
The applicant is: ? Owner CK Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
pddress
STREET STE #
City State Zip
Company /ylo-A< (fel- r-f Phone 445'/- /676
Contractor Address P. o. & a a(3a') _ License # 3;9 8$ Exp. 3 3/ I9
City 152n ?.. State I'nvU Zip SSia !
Company Phone '7>0 ° So?l5?'
Architect/
Englneer Name z?ir+-. Ca...{so?. _ Registration #
Address r9387 iYS-^o-P Ac Ne
City ?? K_Je? _ State 91 .U Zip SS//g
Sewer & water licensed plumber ?c?c.0??iww P? ?.?,•-.? . Processing time for
sewer & water permits is two days once area has been appro d.
I hereby acknowledge that I have read this aPplication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
? ? ?
-
Signature of Applicant: ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
JEr02 SF Dwg.
0 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
13 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
0 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
?
? 11 Apt./Lodging'r
? 12 Multi. Misc.
0 13 Garage/Accessory
? 14 Fireplace
0 15 Deck
? 35 Tenant Finish
? 36 Move
? 16 Basemgpifinish
o 11 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System y?
(Allowable) ? lst F1. sq. ft. City Water Y&5
UBC Occupancy ?j 2nd F1. sq. ft. PRV Required
Zoning R-i Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. fire Sprinkler
Length On-site well Census Code lot
Depth 29' On-site sewage SAC Code _b1
APPROVALS ?
T
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
0 Final
? Framing
? Draintile
? Insulation
? fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % J o0
SAC units ?
Yalumtion_ $ 14 1
RA& E; ZV KZy = 5?? X!G ^ 9,2l6
Bs_ 3?xza= looe
Isr'FwoR; ? 86u rs =
SSmT-_ qtsK
(0?21 =. 210
2K ?6 r2= 1?
-2Np -FLoa-RO
3?X ?'.??'loos
aKro? (zo)
585 xS14:
14$20
61,00 /a
2
???VFEYOR°? ??RTM?ATCE
? 'o f(A;;.?' I 42,00 574030t 07" E
66,00
?939.2
-
i ? ??1 ' 9Q0.7 it;f;+?; »N? I5
>1
°'y? ? i p O ??fd•iq4?L??j
$? 2 LO h
p fl
`? /'? ? I An
?
c+ed
0 iA- 0?2 ?U)
k
I L^i 0 ? Z
wt,
? z ?10 I ?7S `?N ?/??i N I`5 183&7
945.3
? ( 14GJ? . . . _•
'? ao 36.0145. 51 574°30' 07"G Cag?z?,$?
0
?
WIV w???^? ??
?
No7E: NO SPfii.plC SOR.S •tNVES'r*qTiUN Ha5 6EEN r,pyiPLETEp
ON THIS LOT $Y THE SUl7VEYL3R. THE 51h°7't+,81L.1TY. flF
SQILS TO SuPCOR7 THE 3PECdfiC HWSE p'fI+7P6MA IS
NOT THE ft68PON51BILi i Y 0P THE $Ui2Ve'6?R. •
tiOTE: 5UI4D1^tG OIM@NSIpNS SHpVIN AftF FGH wCiRiEONTAL, CATION ARCy{ITEGTIALLOPLANS FOR BUIL raNC a?ouNatt?t?'.w ?RIAI?; DrPZ .?
OIMENS107J5,
.m- QLNOTES PROPOSED SURPACC DRAINAC`iE
Q QctJ07ES IftON 1VIONUtvIENT SET SGALE: 9 INCH = 30 FEET
iD UENpTES IROtV MONI;McN7 FOUND PkOPOSEp GARAGk FLOOR = yg-7,4 FEET
XUG0.0 PENOTES F-XISTtNG ELEVA71pN PROPOSED LOWEST FLOOR - y317. 7 FEET
(000.0) DE(vOTES PROPOSED ELEVATiON PROPOSEd TOP OF BLOCK = y q 7. B FEET
WE HEREBY CERTIFY TO NiAR K JGH(VSON THAT THfS !S A TRUE AND CORRECT
REPRESCNTAFION OF A Sl1RVEY QF THE BdUNDARiFS.OF:
Lot IG, B!ock I, AUTUMN RiUGE.. $RD ADOITtQN, occordlnq to The recofded plat thel'eo1, Dpk01a
Cour,ty, Minnesota. (ThlsLegaiDescriptfonwilibecomevaliduponliting
aneplatot Autumn Ridqe 3rd A0111on)
,
IT DbES NOT PURrORT TO SHOW IMPROVEiVIEUTS OR ENCftOACHMctVTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME dR UNDER MY DIRECT Sl1P.€RVISlON THIS IOTH DAY OF AUG. , 1893.
PROPOSEp GRApF3 SNOWN WEkE
TAKEN FROPaI 1 HS D$V"PMENT
Pt.AN FOR AUTUMN RdDiliz AdiE-
PAREfl ?Y A1pN?lti Ed1G, LAST
DAY(ED - 22°90.
JOFi{V C. LARSON. LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
HILL,INC.
. r
?ary-teS K. fill, i?1?.
P LANNERS / ENG1NEERS ! SURVEI(qRS
2500 W. C'fY. RD. 42 9 6URNSVILLE, MN. 55337 9 612-890•6044
? LOT 6IIRVEY CHECRLIST FOR RESIDENTInL
m ?. BtlILDING IT APPL CATION
pROPERTY LEGAL:
Z
w Date of Survey:
pOCUMENT BTANDARD6
C3? 0 El Registered Land Surveyor signature and company
'? D D • Building Pex-mit Applicant
?-/0 • Legal description
0 [? 0 • Address
? 0 0 • North arrow and bar scale
p? ? ? • House type (rambler, walkout, split w/o, split
lookout, etc.)
D'? ? • Directional drainage arrows with slope/gradient $.
D C', 0 • Proposed/existing sewer and water services
0 Q • Street name
[a' D ? • Driveway
ELEVATION6
Existina
G C7"? 0 • Sewer service
Cy" 0 ? • Lo*_ ccrners
D Ca'' 0 • Top of curb at the driveway
C VD • Elevations of any existing adjacent homes
entry,
?
Proposed
?? ? ? • Garage floor
CC? ? 0 • First flocr
C? 01) • Lowest exposed elevation (walkout/window)
0? 0 • Property corners
? D • Front and rear of home at the foundation
pONDING AREAS (if acelioable)
D ? 0 • Easement line
0 0' 0 • T: k L
I7 B' G xwL
? D • Pond p designation
R? ? • Emergency Overflow £levation
DIMEN6ZONB
0?0 0 • Ict Iines
''' Q? • F.ioh:-cf-way and street width (to back of curb)
/ ? D • Froposed home dimensions including nny proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
0? D 0 • Sho» all easements of record and any City utilities within
these easements
-0' ?? • Setbacks of proposed structure and setback of adjacent
ex.isting homes
0 CJ/b • Retainin ?w r ai ments, if any
Reviewed:
h me / ate
October 1992
Ehr?-I.cyLW Av:a+.aGUE "o" corMA
NOa CF';?7 Lq?P
SI'PE ADDRE'SS DATE AP"'L_?L 70 i Mq 3
CONTRACTOR? - - --- -- ---?__aPHONE__
Detarmine working square Footags of each
1. Total exposed wall araa..... . Z9je)#5_sq.ft. x??? 04?
2. Total roof/ceilino area..,... «t?'4 sq,ft,
3. Total floor/cant, area....... __sq,£t, z
Total exposel wall area above floor Z???'?
a. Total wall wirdow area ....................... W , cr.;;,
b. Total deo: area .............................. r i!o
c. Total sliding glass door araa ................ ?to'-
d• Total fireplace N81l area..................se
e. Total wall frarai.ng area (averags 10%)...... .. ?0 ?
f. Total not wall area above floor..............
..- 0•_
g. Total rim joist area ......... ..............
Total exposed foundation area «A 'S
h. Total fouridatien windaw srea...........e...o•
.
i. Total net Poundation area above grade.......
Determina "U" value of each uall segment
a. ??-s's x "U" .35 = 1 ? la
b. St y x"U" 12$ = i
c. 40,0? L x ^II" .1
3 d. x nUn
--7- -- ??
? f . I-SM-0 x "U" ? ?.
g, 0,0 x ^U" ? = L1?
h, x nDn
1.? 7c nU^
4 . .............................. o Total s6(cOq
If item #4 is the same as, or less than item #?Nyou have met
tha intent of SBC 6006(c)2.
. ??. ? .
TotaZ exposor3 rooficeil.ing araa Iv Of!=0
3. Total skyligAt area ....,.o,....<..,>,m .., .,.,..,
k. Total rnof/ceiling framS,ng aray (a8er,(,10,W"ojc), .,,
?
( .052 "2?F"o1c) . .. ? '?
1• `r0 t81 136t, j.l'15 UI.B,t,6d P0o-f1 C811.7.T1o 22'&3.................
e
Determine "U" value for each roof/ceiling segazen$
10?..,?. X nUlr
k. X nU'v
_
x
f• •........ I .as.e........eeo
If total of f5 is the sama as9
intent of 53C 6046(c)i.
...,t9?' 72? ? --..
..._
..,.o......ape....e.,a. Total
or less tnan #2' you have met the
Total expoaed floor/cant. a;aa
m. Total f2oc+r/aant. framin area (average ,10%) ..,.e..e..
fl• Total net insul..ked floor?C3'!1ts 3T86 y m.s a s ..............
Iletermine °I1" value £or each floor/cant, seg.aenL
m. x
n. x
6. •.....a.....e.s..e..r.sa....asaeea.a...es.esareea `rOt.81 = F-J
If total of K is the az,me asp or less than f3, you R398 met the
i71t0i1t O£ SBV 6006(a)3e
J
' KLTa"NATE BUILS?ING &NVELOP& D•3SIGN
To utilize the total envelape system mothal' the values established
by the sam of items #4, #5 and #f, shall no be greatar than the sum
of items #1 t #2 an3 +3.
1, `1ND, C74` 2, "71 4 &1 3. ?1 111
4. ?rlfo9 5, 'Zr:? .b I? 6. _ Z:Iot°?
Pregared by?, QVL1s"°"-
Date ?-`?°0 ""q 0;2
- • - - - -
. ----- - ------_ -
-- --t -- -- - ---
- --- ---
rgtU sTilD Inte Rir .68
wf S.R. & SIDTFC- 1/20 S.R. .45
25f32*' Bi1ct. 2s06
Sirairg
! EhC'Y+s A-i.C
i, Tota1 "H41
1 --- -=___, .- --_ 1/R °J'O ?
- - - ,0
- -
: THRU RIN 7nt, Air .68
• JOISg Yris, id
,
E
i
i
.?
r
.
TfiRU CLG.
MEMBER
oPt. styrc.
0
1 1/2" kfocd 1.89
25l32N Ha1ct. 2,t16
Sit1ing ,(0'Z-
Ect. A9.r .17
Opt, Brick ?
Tb#a1 "R" ? 12A As
1/R = "t7w = ,O¢'i
ZIi'frs Ai1° •61
S.R. (q4r) #5,`0
Cl.g. Mgffib. 4•35
Ins s C p), ll+'iQ
Still. Aix
rotai pxw = ¢1 tVvi
I/R = pU" _ 7FT4
1WW INS, WALL
Wf 3R. & 3TD:Lsz
G,
TERO COk1C BL,OGK
,• v
% s .
e
TFIRg CIC e
INS[LVTON
, -
Int,. Air .58
1'29 S.R. .45
CF+ ° Ins,
25'329 Bild. 2.06
33ding 1f47..
&Kta Air •L
, Tot81 °R" ? 2°t.l°lb
1/R = "i7$ _ L02°
Ints Air
C.B. ( ('Z.-v)'
aPt. xns.
Ebct. Air
Qpt. S.R.
Cpts S,irl e
Total, °W _
1/& _ "Uoo _
.68
I 0S5
S.ca
.iry
TIlts A'18' .61
S.R, (?) e?°
sns.
Sti1Z Air .bi
Total "R" = 4{p
i/x = Oaa = , 024
, .f:. . .? ? ..
'..:'r,.: ::z... n.'s.< <>;t's: ?.,?F'?'.?{:?'u:..xw"'Y ?•a.. ,
.. ..::?.: . .<.:............ ,: .,i . .
?j ..i ,.,?.% . ' : ...? .. .
.....,F ?+y aQ? . .?.?....i' ?..:P'... .'.:...:f.?n....ai}.:':.....?:i:J:<'f'i )`:$•?i ::fj)5?•?)•: ?.<:Y?!fi::??
b?:.. . . . ...... ?..... ....'re._:.e. vw...Z: R?'.....r 5.:..::fRe...a ..:'..e>.y... , tf.:b• ' ,T.'?ia.$'¢'.a.j???`<' :4`i:.;:,'.
k?re;.y/;.1.d'' -..?.? ? : . , „ :,.?. ::.: <???:.'r .,.. c?.;..;;...a.. .i.?.:Ea:::•:;,;,x>:,<3'y;i,:;i, .,.;.?'?.?.?<J,.;...,$?£.?:.......E.,.?:'»:?.ltwa. . :c>'"s.48.,.?,`:c.,:°:s;;.J_qF;:
..
.. ... y^
.
v. .. . . ? . ..... .. . .... ? .. .: ? ?. . . y.i N ? i .
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNNOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO.
?
SITE ADDRESS
SHOWER
WATER CLASET
BATH TUB
LAVATORY
KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER '
FLOOR DRAIN
GAS PIPING OUTLET • minimum -
ROUGH OPENINGS
yIe'rEu gnrrEN,Eu
PRIVATE DISP. • DakCry.lic.
U.G. SPRINKLER • Eome undtt mnst.
ALTERATIONS • io aosting
WATER TURN AROUND
STATE SURCHARGE
?R?I?M??•EEACB TOTAL
TOTAL:
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
15.00
3.00
15.00
15.00
.50
OWNER NAME: ?A?K f?C?.n3?on?
INSTALLER: IaI
ADDRESS: %Oa) /`?fdf{ ) ? ?l ?? .
CITY: ?4n + 6?? ./4 c-, I STATE: ''lZIP CODE:
PHONE #: ( Gtx )
1993 PLUMBING PERMIT (RESIDEN'I74,L)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
?;".....,;:.,?A BL.,.,_ ..:.....:....
?D: . ... .. .:........ .....
1993 PLUMBING PERMTf (COMMIItCIAL)
CTl'1' OF EAGAN
3830 PIIAT KNOB RD
EAGAN NIN1 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMHERCIAIJINDUSTRIAL BUII.DINGS. AISO FOR MULTI-
FAMILY BUP 7INGS WHEN SEPARATE PERMTfS ARE NOT REQUIKED FOR EACH
DWELLING U:,:'T.
_ xEw coxsTxucnox
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRAGT FEE.
STATE SURCHARGE: $•50 FOR EACH $1,000 OF FwiTt FEE.
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NARTE: STE. #
OWNER NA114E:
W STALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CI1'Y OF EAGAN APPLICANT
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
COND05 WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOT?
? SHOWER 3.00
_.
_.
3
WATER CLOSET
3•? = ??
/ BATH TUB 3.00
3 LAVATORY 3•00
/ KITCHEN SINK 3•00 c - -) o
? LALINDRY TRAY 3.00 ':5
HOT TUB/SPA 3•00
! WATER HEATER 3•00 '3 ?
FLOOR DRAIN 3•00 -:s (on
? GAS PIPING OtTTLET •?imum -1 3.00 3 06
? ROUGH OPENINGS 1.50 `f.Sn
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cty. lic 15.00
U.G. SPRINKLER • nome unaer mnst. 3•00
ALTERATIONS • to austing 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE
TOTAL:
.50
V7.U0
SIGN RE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDFIVTIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
CTT'y; STATE: . ZIP CODE:
PHONE #: (G?) 7?C? - 7CJd-7
1993 PLUMBING PERMIT (COMMERCIAL)
C1TY OF EAGAN
3530 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMIvfERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUCfION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $SO FOR EACH $1,000 OF FE&
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CTI'1':
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
_s?e4
?...,,.. .;A. _.............._ ,..:,?,.,:>,.?::._..., .?
.,?... ..... .:.. . :; .>. 9,*?
A
-.e:5 ??. ... . . ., ,..::'?::.J?... .. ).": .s??i>3^i.:S•M:e: :i:S:s "f?ry# ?+
f . ..
?:.?.• ._'??.. :'P?i.':...;c•?,?.y ....... ..:.... °<..:..?M..j:A..?e..?an:6..ia ?:?^?+@g)t . :ri^ .
.?.s?..,.. : .. . .. ... .... .......<?t.,,,..:..,.,;:::?x?i°;.<';a,::;;>,::;"::>?o::,..;::,;<a:• ??s.
>:?:.,.. . ?. /?, : ,..:r!:r'.t:q,:'s':?s ? •:'q?.i.<:?-.x£A%c;?;o??::.;..,..s..;,:.,;? . ". : ??. .
....... . ''} . q:?[i..:.n., r . r . . .....'.qi«i.'p,..y„?{ i^ ,'?s?.nd:' 1;° p•tM.l?'?G:..:'y3:.Y l .:
-0 ..?'. .. .,??>:i<L{i',f'.>''?:'ir., ?.?n;T'?R.,.ywty.iva.. ...ai .. :JR:fS. ..•y6. ;
. . ....,. . .....cG,p "
;??iN':. ' /??, • ?.
? .. ? .... : .. . .: ?'.:.?:? i... ?.vT::i:[^: ?::.?a ^..i. f . SC? . ?'. ,???.n,:'vi i? •?•'•f6l,^.
? _.,.??.'2?£wR.n G4i'?5r??'.f?'•?7?::»:,`?,?`?.?..,.^.?..??w`.'.:i:.^:°w":?$:°s??:ro.::n?£a:..?¢z`??o-4S??' ??'?v?..,.a..n,..:wNCa'Y?c.i?? .??t??.:c:>.t:.{<??`?.;h<;::i.£?:'i;,
1993 MECHANICAL PERNIIT (RESIDEN'I7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
C013DOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
?
NEW CONSTRUCTION
ADD-ON k/C
ADD-ON FURNACE
!g=2
DATE I / a e
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLET$ (MINIMUM 1 C $3.00 EACH)
ADD-ON/REMODEL (EXIsTtNG coNSTtUCTiON)
STATE SURCHARGE
TOTAL
$ 24.00
6.00
a "
$ 15.00
.SO
SITE ADDRESS: -QY"T ?CTGt-C%k I'YI / ve-
OWNER NAME: 'JmYISc9n C q?14-r; 'I'EJ..EPHONE #:
INSTALLER:
In
12481 Rhode Island Ave. So.
ADDRESS: Savase. MN 55378-1122
894-0005
C1TY
STATE: ZIP CODE:
TELbPHONE #:
Ad
S E OF PERMITTEE
:.:;, n.„r,: .: ,. .>............
, ,.+ . . .... .,..r r:..,..,;.:,-_...... . ..
?T ...:.,. _
. -..OL ? . ....,.;,, ...
?y ,. .. ..;,t.
?•'s.:'i;:.,::::'',xe..!?.?`osJ 'X:?tf..
x
......_,...,.„.. ?'??'?Y¢:??,::;,+.:?:?•?i.;q-
zan::...... : . . .a>`. .. .. . ... _.;.a.... ..
..;...
,? . .- : ,. .. .....v,.. :r... ;...n..?
... ...... :s.
. .. .. . . ... . ..• ..... ::. g .. . ..r.e.. °;.: :X;..,.::.a. ?<.
?:cn?
: .? .p.. _ . . , . >... .., e:.:.? ..._,,,., u .,a? . . ......:.. .. r ?. ....n. . .
_ ..; •'.? a.a ..
<5:>
.nf:, t.. .am.?k§?a.¢??"'.i•.<?4•",i:..s:• ?@x:i.:...&g;?.?z?<..:c:x?nn.<,.
.a.>. , ..... ... .: ...: _....?,..;,,... . ..<... ..<:. ? ..
' . ..' . ..;. . .. ...q.:.....r'_s'_..N...\`. :....a..n'.'.o•Cn),•' :n°'n`. ' .?...z
. :• . . . . .... .;.... ., a5M'.:. :"i ili, i. S:' .: ?: ? \
1993 MECHANICAL PERMIT (COMMERCIAL)
C11Y OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAERCIALlINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMEN7" BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS VVHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UN1T.
DATE: ? ..?. CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONI'RACT FEE $_
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHAI2GE $.50 FOR EACH $1,000 OF PERMU FEE.
TOTAL $
S?fE AUC7KE35:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CTTY:
5TA
ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CTTY INSPECI'OR
Use BLUE or BLACK Ink
r
For Office Use
tLi
City of Eaaall ::::e:
���
!i°
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax:(651)675-5694 Staff:
n2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 71/ 01 L Site Address: 59-4 J' (, rIr Unit#:
Name: f• %tV9 CI � � Phone:(, 0- O'i1' 5 9
ownr Address/City/Zip: ( W' ckyn Y/fir 1 4f% i ►4/ 43-1)3
Applicant is: Owner )1 Contractor
T e of Work Description of work: )', Ark ov ey r� &h'c
w
Construction Cost: 13 06t). Multi-Family Building:(Yes /No )
4 Company: ffr'lC5hite /JøC S01t4445- Contact: L4h &''uv1v1
Contractor Address: lof PiAbak L/1 /U Su,k ACity: g
State: i Zip: 1O Phone:(pJa- 3' 6?6JEmail: bØlar4s9bc'L4 C4'i
License#: aC,(PJ I d'/ J Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you,submit are consid areal o be `ublrc nformation. Portions.of
the information may be classified as non-Public if you provide specific reasons that would permit the Cityto
conclude°that they are trade s�ecrets
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.00pherstateonecall.orq
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 fora 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota St.to Building Code must be completed within 180
days of permit issuance.
/1//x
Applicant's Printed Name Appli 's Sig' ,fffre
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174308
Date Issued:01/18/2022
Permit Category:ePermit
Site Address: 544 Hackmore Dr
Lot:10 Block: 1 Addition: Autumn Ridge 3rd
PID:10-12302-01-100
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
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 M & Rebecca M Okeefe
544 Hackmore Dr
Eagan MN 55123
(651) 357-6774
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature