545 Hackmore Dr
Wertifica#e of Cccupanc?
mo arta?eat aF Vailbacg aaol+ection
This Certifecate issued pursuant fo the reqreiremenis of the Uniform $uildtng Code
certifying that at the time of issuance this structure was in campliance wrth the various
nrdirrances of the City regulating building construction or use_ For the following:
use ch.ssswa;on: SF I7WG siag. eeffnic r+a. 23184
Occupancy 7ype I/M I Zooing District Ri Type Const. VN
owwr at auiieing PARISII MATRI::TING SUDEVEL. Add,.. 379q BRIA.?!) LANE, F1aBAlN
eui wiq8 naae,545 I1A(IQM DRIVE t.,tny L2, S2, AITItAld R= 3RD
, ;.
A;
POST IN A CONSPICUOIJS PLACE
? . INSPECTION RECORD
Cf1'Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
?
r# !:? Ff l? ?' k M?.? k t U i
1{ 1 IJMM I? i ui,t-.It?i
PERMIT SUBTYPE:
,,,
VAh 1Mn. TO . a, [?E'Vt t k nftl
ibi") 4-n6 11 1
TYPE OF WORK:
. .. ,.
I
1MA ii Y'. 1' b' 1d
& W H' lDfi-- L i1 k. f•.i 1. 0F f' I.. F3 li
,
,
???. ?? ?--------- ---
- -
- - -----_ ?
Permit No. Permit Holder Date Telephone It
SNV
PLUMBING o1?/ tnQ
HVAC
ELECTR
ELECTRIC
Inspsctbn Date Insp. CommsMs
Footings I
Foundatbn µjC'O`
Freming
Roofing
Rough Pibg.
t'
Rough Htg.
Isul. - ? ?
Freplace
Final Htg.
orset Tes, ??O 4
Fjnel Plbg '7 aa
/ Plbg. Inspector - Notffy Plumber
Const. Meter
EngrJPlan
Bldg. Final ro 8,
Deck Ftg. q,
r/
Deck Fnai
Well
Pr. Disp.
A;k ?es+ P'I a. ? H 3a'? ? ?J
• See mslmc QUEST FOR ELECTRICAL INSPECTION
5?9Z RE
M 3 5 6 2 lions lor com0leling this lorrn on Dack ol yellow copy
X
?U +' "' Below Work Covered by This Request
EB-00001 -08
ew btltl Rep TypeofBmltling AppliancesWired EqwpmeniWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heafing
Apt Bwldmg Dryer Load Menegement
Comm /Industrial Furnace Other (Specify)
Farm Air Conditioner
OtM1er (spenly) Commctor's Remarks
Compute lnspechan Fee 8elow
+f Other Fee # SerwceEnlranceSize Pee # Circuits/Feeders Fee
Swimminq Pooi 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
S190S InspeclorS Ose Only TOTAL
IrngaUOn Booms
?C S ?W
? ?
?j S
Speclal Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NTHS.
I, the Electncal Inspector, hereby R°ugh-in ? oai o Y?
certify that the above inspection has
been made. Datf
OFFICE USE ONLY
?
IDis request vaitl 18 moNh4lrom
I .C/C /? i/
n ?O^,c
5542
ReQUest Oate
S! ? Rre No Raugh-In Inpaeciron R Ired
(YOU mu5( c?fl?ll?inspe O No rBatly)
?j InspecLOn Other Than ougRln
?,e Ready ?WJI Notdy Inspector
I)6-licensed contractor ? owner hereby request inspection of a6ove electncal work at:
JoD Atltlres5(5veet Box or Rou?e No ? City}J
C?
Section No Township Name or N. qange No Coun
Q
Occupa RINT) ?/? 9
/ / L/G llV ? phone No
Power 5 ier Atldress
Elecincal n[ractor ?Go:npany Name) ? Comr r5 L¢ense No
Mai6ng qtloress IC vactor or Owner Making Inslallationl
?(Y / ? /
nuroonzec S?q ture ContractvrOwner Making ins an`atmn?
LJ? Pnone Num?er ?/-
<R,9?0 MINNESOTA STATE BOAHD OF ELECTRICITY
Griggs-MlGway Bltlg. - Room S-113
1621 Universily Ave, St Paul. MN 55100
Phane (613) 6C2-0800
THIS INSPEGTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
8?/? REQUEST FOR ELECTRICAL INSPECTION
? See instmc0ons for completing ih5 farm on beck ol yellow copy
M19972 Be/ow Work Covered by This Request
EB-0000
^ 7ypeofBwltling
Home AppliancesWved
Range EquipmenlWiretl
Tamporary Service
Duplex Water Heater Electric Heating
Apt. Buildmg Dryer oad Manegement
Comm./Industrial Fumace Othar (Specity)
Farm Air Conditioner
Othersuecdy) Conlractor§ Pemarks
Compute lnspechon Fee Below:
# Other Fee # ServiceEntrenCeSrze Fee # CirCmts/FBaders Fee
Swimmmg Pool 0 to 200 Amps 0 m i00 Amps
Transformers Ahove 200 _ Amps Rb6ve,700 ? Amps
Signs Inspecmr's Use Only ? OTAL
Irngation Booms ? ?
C? •
Special Inspection
AlarmlCommu
nication THIS MSTALLATION MAY BE O DEREDAI CONNECTED IP NOT
her Fee
Ot COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspecror, hereby oata
cerhty that ihe above inspechon has
been made. Final oate
OFFICE USE aNLY
Tnis requesl void 18 montns Irom
/
0
?/
?
1
9
972 4
Request ? e , ire No Rough-ln InpsecLOn Q r
(Vau musl call inspe
whenle
atly) Inspec er Tnan qough-ln
Now
tl-Heady Will o?iry I pecWr
^
? Yes y?? Oale Reatl
I icensed coniractor D owner here6y request inspection of above electncal work at:
Job Atltlress (SVeet Box or Route No ) Qty
'
<KNLO?-e .a12. ?
Seciwn No Township Name or No Renge No Counry
T? ?? vC/ ?
Oocupa RINT) Phone No.
/Q r` it /?R Kcf i?t
POWBr $UpPhBr Atltlf066
?? LCG-(.?CC?•
/T/C??I CV/ C'?'
l- /?a1iY •
ElacVreal Conhactor fGOi Nane) Contrsotor6 Licenae No
t CR .?.°. C'' a -?.?
ailing Aatlress (Coniractor or Own Mak g Installauon)
? -1?? ?
373
utponzetl ure fConnacmr Ow M mg IrmtellaLOn)?7
_ ?/ / Phone Number
il / / A A n 2 ?
iE50TA STATE BOAND OF ELECTR
gs-Mitlway Bldg - Rpom S-113
1871 UnivenRy Ave St Peul. MN 55104
Pnone (612?642-0600
?+ v
THiS INSPEGTION REQt1EST WILL NOT
BE AGCEPTED BV THE STATE BOARD
UNLESS PFOPER INSPECTION FEE IS
ENGLOSEO
Address _ 545 H6M)2?tE DRM Zip 5512_3
Lot ••9 Blk 2 Sub arminmr urnra? 3rm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
.
Date: 91"Y Yes ,No Inspector:
Final grade (6" from siding) VIO"
Petmanent steps (gazage)
Pertnanent 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 water supply to
the outside lawn faucet before freeze poten4al exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yeilow - Resident Copy Pink - Contractor Copy
'5 149 a tj RESIDENTIAL
BUILDING PERMIT APPLICATION
C1TY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction Reauirements
• 3 registered srte surveys showing sq, k. of'al. sq. ft. o( house, and all roofea areas
(20%rnaximum Io1 eoverage allowed)
. 2 copies of plan showug heam 3 windcw ;rzes, poured lound desgn, etc.)
. i ret of Energy Calculanons
* 3 coptes of Tree Preserva[ion Plan J lot platted aRer 711193
. Rim Jorst Cetail Optwns selecnon sheet (Cldqs wrth 3 or less unifs)
DATE 6 _Z_
k
SITE ADDRE55 S`4??b^( MULTI-FAMILY BLDG _ Y _ N
iYPE OF
APPLICANT
STREET ADDRESS ?((S)U G?C?lycsf %2
TELEPHONE #(PLZ ?2.3" CY6CELL PHONE #
RemodellReoair Racuiremenb
. 2 copies of pian
• 1 set of Energy Calculations for heated addibons
• 1 sde survey Por extenor addNOns & decks
• Indca[e d home serveC 5y sephc system ror adddions
ijF•LD `2 W ^,STATFj'ALU 2!P JJTI !!)
FAX #
PROPERTYOWNER c S(!M )?? ` TELEPHONE#
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ M[N\'1:SO'C.1 R[iI,r:S 7670 C:\"f'LGORY 1 IMIVNESO"C.1 RUL1:S 7672
(v'submission type) . Residenhal VentilaGOn Category 1 Worksheet Suhmitted • New Energy Code Worksheet Submitted
. Enerqy Envelope Calculations Submitted
Plumbing Coniractor: ___
Plumbiug sys[em includcs:
Mechanical Contractor:
N[cchsuuco-il s??lcni mcludcs:
Sewer/Water Contractor:
:1ir Condiuoninn
- Hcat Rccovcry• 5yslcin
Phone #
3-7q.? 5
Fee: $90.00
? P ?
lp AUG 2 6 2002
Phone 1? II
I hereby acknowledge that I have read ihis application, state that ihe information
with all applicable State of Mmnesota Statutes and C+ty of Eagan Ordirjfances.
Signature of Applicanl
mply
OFFICE USE ONLY
Water Soltener
_ Water Heatec
No. oF f3adis
FIREPLACE($) _ O r 1_ 2
+ L-?aCe._ Sc?cS'r'
VALUATION t Z3) q?5-n , ?
Pt10Rl` #
_ Lauvn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Receroed - Not Required _
Updated 1102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 Multi
? 05 03-plex ? ti 10_plex ? 19 lower Level ? 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 Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration IJ 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Giva PCA handout to appiicant
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 Canst Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Foorings(deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Firepface _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAG
City SAC
Water Suppiy 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
?
,CITY OF EAGAN
3830 Pilot Kno6 Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.Z.N.: 10-12302-020-02
DESCRIPTION:
PERMIT
545 HACKMORE OR
LOT: 2 BLOCK: 2
AUTUMN RIDGE 3RD
PERMIT TYPE:
Permit Number:
Date Issued:
Bu"ilding'--Permit Type SF OWG
Building Wo.rk Type NEW
iUBC Occupanc?","
C
t
ti
T R-3 M-1
V
N
?
ons
ruc
on
yp,e -
Zoning , R-1
?
/ Building Length % 62
Building Width 53
Building stories 1-' 2
?-
1t
BUTLDING
023189
03J31/94
i
?
REMARKS:
PRV S& W PLBR - LAKESIDE PLBG
.r
FEE SUMMARY:
VALUATTON
Base Fee
Plan Review
Surcharge
SAC
5AC %
SAC Units
Subtotal
$800.50
$520.33
$73.00
$800.00
100
$2.193.83
$146,000
MISCELLANEDUS $1,828.50
Total Fee $4,022.33
CONTRACTOR: - Applicant - $7. I.IC. OWNER:
PARISH MKT6 & DEVEL CORP 14526644 0001054 PARISH MKTG & DEV CORP
3799 BRIARWOOD LN 3799 BRIARWOOD LN
EAGAN MN 55123 EAGAN MN 55123
(612) 452-6644 (612)452-6644
S hereby acknowledge that Z have read this application and state that tfie
infiormation is correct and agree to comply with all applicable State of Mn.
5tatutes and_City of Eagan Ordinances.
? - -
APPLICANT/PERMITEE SIGNA RE --- ASSUED : SI NATURL'
.n'
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
?L? i
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 March / 29 / 94 Valuation of work
Site Address: 545 Hackmore Drive
STREET SUITE p
Tenant Name: (commercial only)
toT 2 sLoCK 2 susn. AutLmm Ridge 3rd Add. p,I,D. #
Descri tion of work: Sin le Famil Home
The applicant is: ? Owner E3 Contractor ? Other (oescr;be)
Name PARISH MARKETING & DEVEIAPtVENT CORP. Phone 452-6644
Property LAST FIRST
Owner qddress 3799 ariarwood Lane
STREET STE #
City Eagan State Minn. ZiP 55123
Compdny same as above 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 PlumbinQ - 894-7600 Processing time for
sewer & water permits is two days once area has 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 St of Minnesota Statutes and City of
Eagan Ordinances. -
1
oux
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition 11 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch p 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Mave
GENERAL INFORMATION
? •? ?
,, ; A .?%,
,, .? ?.r ...?
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Uemolish
Const. (Actual) Basement s ft. 9Y2 MWCC System
(Allowable)
UBC Occupancy
. ?,?/
?
?
lst F1. sqQ ft.
2nd F1
ft
?
City Water
4=
PRV R
i
d
?
. sq.
. equ
re
A
Zoning
R
Sq. Ft. total _
Booster Pump
# of Stories 2 Footprint Sq. ft . Fire Sprinkler
Length &Z On-site well Census Code 777-
Depth 5-3 On-site sewage SAC Code ?T
APPROVALS Census unit
4-
Planning Building Assessments
Engineering Variance
REGIUIRED IN SPECTIONS
?.Site 0' Footing ,O Framing 12 Insulation
? Wallboard C! Final ? Draintile ? Fireplace
Permit Fee
S
h veiuanm: od
urc
arge gs,,,t
Plan Review -2?
License
MWCC SAC
Cit SAC
W
t
C
'?3zX/s_
l?o 2
a
onn.
er
Water Meter M
•?n 93 `k?6 ?
Acct. Deposit zp
?
/?
S/W Permit ?ySxP = ? )
'
S/W Surcharge
Treatment Pl. 3 o,r z y° Z --r
Road Unit
Park Ded.
Trails Oed ?g
.
Copies f ys- 345. 6 b '
Other
Total : 2 NQ
SAC % g k / - - ?
SAC Units I ?? Sy ? y3,? Yi
2422 Enterprise Drive
q? * ** Mendota Heights, MN 55120
* PIONlmA LWD SUR1£YORS • ONL ENQNEERS (812) 681-1914 FAX:681-9488
* ena neer np L""o PL^M+ERS• LWoWAPE A1101117EM 625 Highwoy 10 N.E.
* * * Blaine, MN 55434
4t (812) 783-1880 FAX:783-1883
Certificate of Survey for: PARISH MARKETING
545 HACKMORE OPoVE
EB'1G19.1Y
;tEV1EWE D
°?'° ? BENCH MARK
\ I 8? ?TOP OF HUB
9 ELEV: 94Q71
??? 3 -3 o y
? h
938.9 `'- 142.13
N62°I6'45" ? ? TELE.PED.
53.32 w ? ?. -/
- 3028 3T8 3p
\ 99Q7 x 941.7 x,??1.45 NYD.
3&33 941.8 y`?+r ? Ip I 93&2
=^ ?? 2 P^ o o rn 0- 1'-r.' nry
Uj `pa 90 3 (a SERVICE /
? ti cT ¢_. .5-.:IN1PER qTYV.=9281)' ?
q r.? ?
q4y ?7.0 ? 1.9 I ?
9 41.7 z
i 5 0A? 942.0x ?f7 l W 30 ./ l
42.3 1 ?PtA y3 l.'
% N
O ?
?oo saz.s ? a ?ao.s ?
I
f 43 23eaz.rr I
/ 52.83 -- 2.3io 0 ?
N 74 030,07 '' v? / / I
BEMH MARK o3p,00 ? .
TOP OF HUB 43 427
N ELEV.=942.51? ?ANS.---' O 0 TELE. PED.
3
?
0 0 0
p ? ?
?IDs
BAG.&
,l.v ?NGnVEExIIV %DEPT
PRCPOSED CRAOHS SHONN PER CRADINC PLAN BY: PIO NEER ENG
N07E: BUILDMIG DIMENSIONS SMOYM ARE FOR MOR120NTAL ANO VERTCAL
LOCA710N OF S7RUCNRES ONLY. SEE ARf7117ECNK PLANS FOR BUILDINC
AND FWNDATION DIMEN40NS.
N07E: CON7RACTOR MUST VEPoFY DRIVEWAY DESIpI. 11115 fYRi1FlCAlE DOES NOT PURPORT TO SHOW EASEMENTS
01HER 1HAN THOSE SHONM ON iHE REWRDED PIAT.
NOTE: NO SPEOflC SOILS IN+iE571GA710N MAS BEEN CqAPLETEO ON 7HI5
LOT BY T1E SURVEYOR. THE SUITABNT( OF SqLS TO SUPPORT 7NE BEARINCS SHONN ARE ASSUMED
SPECIi1C HOUSE PROPOSED IS NOT THE RESPONSIBIUh' OF 7HE SURVEYOR
x ooo.oo Denotes Existing Elevotion
( ooo.oo ) Oenotes Proposed Elewtion
- - - Denotes Dralnage & Utility Easement
- Denotes Oroinoge Flow Direction
t Denotes Monument
e Oenotes Offset Hub
LOT 2 , BLOCK 2
DAKdTA COUNTY, MINNESOTA
PROPOSED HOUSE ELEVAT10N
Lowest Floor Elevation: qlG1
Top of Block Elevation: Ct44, (c,
Garage Slab Elevation: 99 3-5
AUTUMN RIDC£ 3RD ADDITION
We heroby eerllfy thot thia survey. Dion or raoat wae pro oreA by me or undm my Olroet wpNsion <
under the lows o1 the "tole af Minnesota. Dated this 28?„' day of MARCM A.O. 1914-
cm auly
.A.
Scale: 1 inch = 30 feet
L
94047.01
LOT sIIR4LY C8LCELZBT t0A it82DU'P771L
? SIIILDZ110 ZLR,l4IT "FLI@&TION
-
?ROPLRTY L•20i+,2 1'??
? - ?
Date e! Survey:
nocnrCrxT sT•,MMe
O?II D
D •
• Registered Iand 8urveyor siqnature and eompaay
8uildin
pe
it
i
•
?
?
• q
rm
J
pplicant
' IRqal description
?'
D O • 11ddress
D- a
B''D D
D •
• North arrow and bas •r.ale
gouae type (rambler, vallwat, spiit r/o, split entry,
I lookovt, etc.)
t
9'D D
D •
• Directiorral drainaqe artavs with slope/qradient C
8'?
D
• Proposed/axistinq sevsr and vatsr services
strset name -
D' D O • Drivevay
ELLOLT20N8
YD
D
• sx3stine
5tver service
D' 0 fl • Lot corners
8' D
D!K D
0 •
• Top oi curb at the driveway
Eievations ot aay existinq adjaeant Aonios
p
e
8" D D • rone:o
Garage ilooz .
?"' 0 D • First lloer
?' n
a
"13 D
D •
• Lowast sxpcsed elevation (waikout/viridov)
? Property eornsrs
E' n D • Front and rear of lsome at ths ioundation
a ?
D
• pONDiNG IRE718 fif tpplietb2e1
Tasement line
D
? ?
'
0 D • ?
G 9?r ? O • Pand J dssigriation
a ? D • Em:sqeney ovsrflow Llevatioa
?
O
• a=xrxa:oiva
I?ot linas
D?D D RiqAt-cf-vay aaQ street wiEtb (to heek of eurb)
. Fropos*d Lome Eimensions includinq any propostd -Lseks,
overhanqs qreater than 20, porchss, ste. (i.e. all
structnres requiring permnnent Sootinqs) •
D 0 ? show aii essements of reeord and any City utiiities vithin
those •asements '
? m 0 • Setbacks of propesed structure ana setbaek of aejacent
D L1-10
• existing homes,
Retair,ir,qyA;l r*quizements, it tny
atteber '30e1?
ri:ra?..,;?
?<? ' ? - ^??? ?`?? "' • ? r ?' ?'' ? ? ' ' ' _
`?'t' `i .. t..'.C '.r',' a:Y " y?.n.,<..;?^' r•? +ry'' - ??..'tt,? A,y?_4'ry1.?a' ;?-w:.`.?. _ - :c y.°4:??,, :.-x ya.., ' . ,?•- 5:
} y _,?rC?.4? _ ??.t??i •} F,.i-' c.qt:.i' y? ?`s:? l •{ _ .
„ ?5- ,y:l'.:i4J..,a.M1;?." ' .:'r's.'Fk:?.,'" •?i., ?^yu0,: .s,`•y; .a c, " '?'?.h`SY. Wt.' ?.c? "ro. 3?a, . , .. `.r- .? •
y _;'. •.,,?A..z- _?:.::?..?`?, -;?:"`' r fr ".Gl1ARAME_ '.,E?
;n<?• ?,_ ' .: :?:-„? ?-._?:. -;.: ?` ?P? Cl. `"? -
,. ??IL>tTYt LO?ATION -?:j -. • t. , ? ?,' ? ?
?G?l??r?CY. `??, ?.. . ? BEN.T TR ?;
? : ? ??;:.;-, ': ' `?" ? - ' -.• ?.-:?rofl t?? ?r?v?ri ?i?is ? DATA. rs'FoR' -?
?? ..., ,,?_.'?:..:r>• -??c.` 4 .,- -- ' - ?EE-SHEE? .3
R V i ?
r.a+??s: ?URPosEs _ c?N LY -a?.
?:, x• ??-,?-`u - ?? . ... : ? ? ? ` ? :.,
' TNE
p? /??('n? .p? p'/?p,
!y?e? VI?, ?//?.
`-ai??,•y? l'2? ? y?e7'S'. ?_ `?? `s-.` ,'-?§,1' %' . A' V?L!R? ."'" `? ?i (?IV:UIY ?.1?? 1 ?:?. ??• A/j?(? M. DIl" (''?
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NINNESOTA STATE EHERGY COpE CALCULATIONS
BASBD ON CEiAPTER 5 OF T}IE
"!j? 78
MODEL ENERGY CODE - 1983 EDITION *n
Adoption Effective ?
Owner ('???>f7fK?f?14J[.lJ?)
Phone Date
Site Address
contractor P one
Building Classification: Type A1 (Single Family & Duplex)
Type A2 (Residential, 3 stories or less)_(OVer 3 stories) (Other)
NOTE: Complete qaqes 3 ?nd e first,
GENERAL INFORMATION G,?j N
1. Building Perimeter, " oft.
?
2. Wall height (ground to eave)
t.
3. 1. X 2. (above) gross wall area.io 7 sq.ft.
4. 8uilding dimensions (L) - X(W) =4+ sq.ft.roof & floor area
5. Sq, foot area of rim joist - F oor jois slze (2 X?U ^)
X (Perimeter) = 2.?i g sq.ft.
gs 6. Doors - Area 12 Thickness in U. factor, JqA7
Type of Construction Perimeter ft.
Manufacturer
7. Total door's perimeter ft.
8. Windows: Manufacturer &e7LL /-5I4!f State approved
U factor , Zi?o
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
??? p/??n S ?y h EACH UNITS SQ FEET
--? r
9. Total sq.ft. Glass J.-Y.?.?"J
lo. Fireplace area: Width X}ieight = X sq.ft.
11. Exposed foundation: Fleight X Perimeter, lo i_X4:j-=?l'T sq.ft.
CoP1PLETION OF TttIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL
CODE ALLOWANCE, IS OSED.
-1-
12. Framing area = 108 of groae wall area.
13. Gross wall area uv sq.ft.
Window area A l,tJYJ sq.Pt. U windows lk
Rim joist area A 2 38 sq.ft. U rim joist=??
Door area A sq.Pt. U door area=
other doors area AA-0sq.ft. U other doors= 1
Exposed fndn A_(I sq.ft. U foundation= ?D b
Framing area A_102?sq.ft. U framinq area=,0_1L2
Net wall aroa A (Ol% sq.ft. U wall=
,f R4-hg
UxA = l03
UxA = _10
UxA =
UxA =
UxA =
uxA = _L_57
UxA = ? ??
(13B) TOTAL . . . . . . . . . UxA = . L-15-'_ -
14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code
(13. above)
x 0.23 (A-2 other residential)
x .23 (other buildinge)
x .28 (over 3 etories) 2194 BTUli must be larger than or same
A?x U Codej= °F. as 13B above
15. Ceiling fratuinq area (Af) equele 108 af ceiling area
15A. Gross ceilinq area =(L) ? x (W) _,17-"1t_sq.ft.
158. Joist area (Af) = 10$ ceilinq erea
o
15C. Net ceiling area (Ac) (15A - 15B) _ sq.ft.
ff'
U ceiling x Ac = l? x,.1„Qi / _!2
U framing x A f = r.r4A x,D7i 21 = 4
15D. TOTAL U x A ..............................
16. Ceiling area (15A) x 0.026 (A-1 sinqle family & duplex)
= allowable UxA/qode
x 0.037 (A-2 other residential)
x 0.06 (other)
r BTUti must be larger than or same
A(15A) `? ? x U Code°F. as 15D above
NOTE: Use U anii A values obtained from pages 1, 3 and 4.
CERTIFICATIQN: I hereby certify that I have calculated the "U" factors and
"R" values hereln and that the buildinq here described meets or exceeds the
State of Minnesuta Energy Conservntion Act.
oate Signature
-21
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO,, F.OR TOWNHOIviES AND
COND05 WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
NO. FIX'I'[JRES
d SHOWER
d WATER CLOSET
i2 BATH TUB
_L LAVATORY
? KTTCHEN SINK
j LAUNDRY TRAY
HOT TUB/SPA
I WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET - minimum -
ROUGH OPENINGS
WATER SOFI'ENER
PRIVATE DISP. • nek.cry. r?
U.G. SPRINKLER • home under consi.
ALTERATIONS • to ccisiing
WATER TURN AROUND
STATESURCHARGE
TOTAL:
EACH TOTAL
3.00 G.w . ..
3.00 f -v
3.00 6.<b
-
3.00 zig 160
3.00 d.av
3.00 d • ?
' 3.0.0
3.00 ,3.A?. "
3.00 ,?.m
3.00 " .3. "o _
1.50 "
5.00
20.00 '
3.00
20.00
20.00
.50
x; A--v
SITE ADDRESS: S'YS .49c,"oAE OGC
OWNER N
INST,
?
ADDRESS: A4V6 9 ?l.??.? Ar/G sn
CITY: 571114GC STATE: /rl.?? ZIP CODE: ??-3 9-e
PHONE #: (G/a ) b"Sy ?7 G "
SIG TURE OF P-ERM117EE,
1994 PI;UMBING PERMIT (RESiDENTIAL)
CITY OF EAGAN 3830 PILOT KNQB RD
EAGAN•.MN 55122 .
(612) 6814675
PLEASE COMPLETE FOR ALL COMNIERC .'IAL/INDUST'RI.AL'"B.UILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WI=IEN SE?AR"ATE PERMITS ARE NOT REQUA2ED FOI? EACH
DWELLING UNIT. '
, NEW CONSTRUCTION
ADD ON
_ RF:PAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FL'fi: l% OF CONTRACi' FEE.
STATE SURCHARGE: $.SO FOR EACH $L;OQO QF?kM?"?'. E$E.
11tIN[114UAT FEE: $,25.00 ?
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS: - ---"-
CITY:
PHONE #:
STATE: ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
1994 PLUM$ING. PERMI'C (COMMERCIAL)
CITY QF EAGAN
3830 PILOT KNUB RIi
EAGAIV 1VIN 55122
(612) 685=4675'
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
COND05 WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
1J NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLA E INSERT
DATE ? O
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1@$3.00 EACH) Ca )
ADD-ON/REMODEL (EXISTirrG CONSTxuCTION)
STATE SURCHARGE
TOTAL
$ 24.00
6.00
??ll a
$ 20.00
.5
?. - eN
3ITE ADDRESS:l;sW;_
,'b Yi ve?
OWNER NAME:? ?YisG? 2V ?? TELEPHONE #: ???'
?
1NSTALLER: o,,.,,?„me L.Inntine R a?r. tnc.
12481 Rhode Island Ave. So.
ADDRESS: 5avagP, MN 55378•1122
894-0005
C1TY: STATE: ZIP CODE:
TELEPHONE #:
I ATU OF PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTLAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
E
?
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEAS$ COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. .4LS0 COMPLETE
FOR APARTMENT BUII,DINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DA'?'E:
CO;+dTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF FEE $_
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PPItMiT' FEE.
TOTAL g
SI i ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONL7)
INST
ADDRESS:
CITY:
ST
ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114200
Date Issued:09/12/2013
Permit Category:ePermit
Site Address: 545 Hackmore Dr
Lot:2 Block: 2 Addition: Autumn Ridge 3rd
PID:10-12302-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Carbon monoxide detectors are required by law in ALL single family homes .
Audrey Flattum
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 -
Chris A Beaucage
545 Hackmore Dr
Eagan MN 55123
(360) 607-8287
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
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APR 2 2 2020 AGA N
Permit Fee:_ 19J-tip_
- 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: ��
buildinginspectionsCa�cityofeagan.coma:_AM
2020 RESIDENTIAL BUILDING PERMIT APPLICATION C<r)
Date: 4/22/20 Site Address: 545 Hackmore Dr. Unit#:
Name: Beau Brandner Phone: 701-367-9678
Resident/ 545 Hackmore Dr. Eagan MN, 55123
Owner Address/City/Zip: g
Applicant is: 1 Owner Contractor
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes /No )
Company: Contact:
Contractor Address: City:
}
State: Zip: Phone: Email:
License#: 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:
g R
Licensed Plumber: Phone:
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.qopherstateonecall.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 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.
Digitally signed by Beau Brandner
Beau Brandner Brandner DN cn=Beau Brandne�9ocom
x )(Beau Date 2020 04.22 09 0316-05'00'c=US
Applicant's Printed Name Applicant's Signature
NOT WRITE BELOW THIS LINE - c(,—r — LC'�( I I Os/SU
SUB TYPES J C`
Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family)
X Single Family Garage Porch (4-Season) Exterior Alteration(Multi)
Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation � Y00 " Occupancy fe- 2 MCES System
Plan Review )C Code Edition Zao cw,vr c SAC Units
(25%_ 100% X,) Zoning R-i- City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V13 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) X Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test Hood
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
?C Framing X 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES We,, •Qp��,.
Base Fee3
/2ri51 =46 Yoe
Surcharge
Plan Review
MCES SAC
City SAC •
Utility Connection Charge
SSW Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163685
Date Issued:09/10/2020
Permit Category:ePermit
Site Address: 545 Hackmore Dr
Lot:2 Block: 2 Addition: Autumn Ridge 3rd
PID:10-12302-02-020
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: 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 -
Beau D Brandner
545 Hackmore Dr
Eagan MN 55123
(701) 371-0716
Keystone Builders Inc
11670 Fountains Dr, Suite 200
Maple Grove MN 55369
(763) 280-0568
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166121
Date Issued:12/14/2020
Permit Category:ePermit
Site Address: 545 Hackmore Dr
Lot:2 Block: 2 Addition: Autumn Ridge 3rd
PID:10-12302-02-020
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 -
Beau D & Sarah A Brandner
545 Hackmore Dr
Eagan MN 55123
(701) 371-0716
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature