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548 Hackmore Drr , z ? . . .,, ? . . ? ($?CL`ttjtCQ.t¢ of cCC"Q1tC? Witi) of W-agan Ze}?arbae* of jDMiibarg 3adpcction This Cerlificate issued pursuant to the requiremersts of the Uniform Building Cade certifying thai at the time af issuance lhis stnrcture was in compliance with the various ordinances of the City regulating building corrstnrction or use. For the following: use cimirwadon: 'S'F T1WmG aiag. Nnn;t r,o. 23576 Oocupancy'lypc R3/M1 Zflping District R 1 Type Const. VN owner of eWtding SrEPH-AN HC?W IlVr, Adam4130 NAMME DRIVE , EAGAN e,,;mi.g naan?,, 54$ HAQa-M DRIVE Locw;y L 11, Ii 1, AUit144 = 3RD • ,? p,te Bui4?ina Of6cial POST IN A CONSPICUOUS PLACE . JL CITY. OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ? 0I Hi,l r MilItE llFc 11 I IIp? i+ I iltik :3R11 ON RECURD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: .f i 1 1; ?f! ;1?t}•!f PERMIT SUBTYPE: .......,??:,,... ,? ;;.?? y. -; TYPE OF WORK: I n INSPECTION .. . i . .. ?N?, ;!•J III I'J II I 1 I t!„1 I' 1 1:1, r 1 tJ111 IrtAR#0R1VFI.,Il1Y f.NCkAN1:F NW:f ftF [,uNCRETE tiF 1'1,114 C /fl LJII l Nf: 1',':Uf U F'kV s A W 1'f liit -- , _J Permit No. PermR Holder Dete Telephone M S/V11 PLUMBING ? (l HVAC GI .? rj ,c`/?•(? ? ELECTR OV ELECTRIC inspectlon Date Inep. Commsnts Footings I Foundation Framing ? in/ta- ? O Roafing Rough Pibg. ?3 9y Rough Htg. _.Y?-j / isui. G P ? Flreplace Final Htg. Or52t Test ? Flnal Plbg. s? Plbg. Inspector - Notily Plumber Const. Meter Engr./Plan Bidg. Final GI A Deck Ftg. Deck Final Well Pr. Disp. ?// T „?J • U ON CITY OF EAGAN PERMIT TYPE: I 3830 Pi1ot Knob Road ?+ .' 14 Permit Number: , I Eagan, Minnesota 55122-1897 Date Issued: I (612) 681-4675 SITE ADDRESS: `' ? 5 i 1 ° APPUCANT: t,I I E! 1i) ?.'1 >, aiAI 1,?+101;4 fW I PERMfT SUBTYPE: TYPE OF WORK: . ,, F1iu 1 1 N,,. r tMas R# ? _ ? Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST IN$UL GYPBOARD FIREPLACE FIREPLACE AIR TEST FlNAL PL9G FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ? ! Address 548 HAGw?tE nRivE Zip 55123 Lot • 11 • Blk ] Sub rnrmnv RmZ 3Ru THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECTION. Date: lj Yes No Inspector. Final grade (6" rom siding) Permanent steps (gazage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass js TraiUcurb damage Porc6 ? Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to [he outside lawrt faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing undcrground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contracwr Copy 7 C? 119 8 0 RpQUest 0 Ip? 5? 1L /y(f I Fire No I Rough-ln Inpsecti ReW tl ?VOU musl cell ins clor when ree0y) InspecYOn Other Than Rough-ln ? pea0y Now g] Will NaMy Inspactor :E Ves ? M. Dete AeaC 19 licensed contractor ? owner hereby request inspection of a6ove electrical work at. Job Atltlress ISVeeI. Box ar Foule No I 548 Hackmore Drive Gty Eagan $ection No TownsNp Name or No Range No. Counry Dako ta OccupanllPRWT) StephAn Homes PhoneNO 681-9777 Power SvppLer Dakota Electric Co. Atltlress 4300 220th St. W., Farmington Elecincal Comraclor ICOmpany Namel Comramor5,l??qens?? 9 61 .Toos Electric Co. Mamng Atltlress IConlractor or Owner Makmg Installationj 3980 Beau D' Rue D rive, EAgan, MN 55122 IAUCnonzeo SSnawre IGOmracloVOwner Making a!)Pa i Pbone Number 688-6180 L ? MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION FEOUEST WILL NOT Gngge-MlOwey Bltlg. - Room 5-173 BE ACCEPTED BV THE STATE 60ARD 1821 liniverahly Ave., SI. Paul. MN 55100 UNLE55 PROPER INSPECTION FEE IS Vhane(612)6aY-0000 ENCLOSEO RE ? See insVUtlrons ?UEST FOR ELECTRICAL INSPECTION r- for wmpleLng this form on back of yellow copy 01-19 8 0 -"X" Below Work Covered by This Request E' / ?t41.1 ; ?. ew Kda Rep 7ypeofeuiltling ApphencesWired EquipmentWiratl X Home X Range - Temporery Service Duplez Water Heater Eleclric Heating _ Apt. 8udtling Dryer Loatl ManagemeM _ j Comm /Industrial g Furnace Other (Spaci(y) Farm Air Conditioner 01ner (syeciry) Gonvector5 Remarks Campute InspecLOn Fee 8elow: # Olher Fee # ServiceEntranceSae Fee # CircuRS/Feeders Fee Swimming Pool 0 to 200 Amps 20- 0 to 100 Amps Trensformers Above 200 _ Amps Above 100 _ Amps Signs Inspacror§ Use Only TOTA Irngation Booms $94. 5u Special Inspection AlarmICommunication THIS INSTALLATION MAY BE ORDERED S?ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 PAOR HS. I, the Electrical Inspector, hereby Rougnuin « certify that the above inspeCtion has been matle. Final oaie OFFICE USE JNLY ? Tnrs reQuesl voitl 10 montns Gom RESIDENTIAL BUILDING PERMIT APPLICATION LITY OF EAGAN 3830 PILOT NNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reouiramants • • 3 registered srte surveys 5howmg sq ft of lot, sq ft. of house, and all roofed areas (20 a maaimum tot coverage allowed) • ? cocies of plan showing beam 8 window srzes, poured found desgn, etc ? • i set of Energy Calculanons . 3 copies of Tree Preservatbn Plan it io1 oatted aker 717/93 . Rim Joist Detail Ophons selectwn shee[ (blEgs with 3 or less units) DATE SITE ADDRE55 54` g HfC? ;`1c''-e da TYPE OF WORK MULTI-FAMILY BLDG _ Y a N fIREPIACE(S) _ 0 _ 1 _ 2 APPUCANT !r $TREET ADDRESS v C? • 6(oGY+ ^ "'NC e ?« ,?/4eopFCITY /j (GC ? STATE /'Z? ZIP TELEPHONE #Gt S;?- <S o3 CELL PHONE # G -867 -d? - / FAX # ?is ?-8Fs'/' nZ 93? PROPERTYOWNER TELEPHONE# ....................... --------------------------------------------------- --------------°---- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ N[[vrES01':\ RULES 7670 G\'tF.GORY l YfINNE501':\ RCLES 7672 (v submission type) • Residential Venhlation Category 1 Worksheet Su6mitted . New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Piumbing Conhactor: Plumbing system includes: Mechanical Confractor. Mcchmiril svstcm mcludes: Sewer/W ater Contractor. _ Water Softener _ Water Heater _ No. oF Ba[hs All CO[1(IILIORIIIg Heat Recovery System Phone # Phone # Fee $90.00 ? n 0 $ 2l f cr. 570.0( ----- -------------------------------------------- --- ----- --------- ---- ------ - --------------------------- °-----°--------- I hereby acknowledge that I have read this application, state thoi the information is correct, and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan dinances. SlgnafureofApplicant OFF[CE USE ONLY RemodellReoair Raouitementa ' 1 ? • -75 • 2 copies o( plan • 1 sel of Energy Calculatbns for heated adtldmns • 1 sile survey for eztenor addi6on5 & decks • Indirate if home served by septic system for addihons VALUATION ?-SDG. ?/ u _ Phone # Lawn Sprinkler No. of R.I. Bad Certificates of Survey Recerved - Tree Preservahon Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldq ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 16 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 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) El 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration C3 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entira Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED IN SPECTIONS _ Footings (new bldg) FinaVC O. _ Footings(deck) FinaWo C.O. _ Footings (addition) _ Plumbuig Foundarion HVAC Drain Tile Other Roof _ Ice & Water ` Fina] _ Pool _ Ftgs ^ Air; Gas Tes'ts _ Final _ Framing Siding Stucco ` Stone _ Fireptace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAG City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit license Search Copies Other Total Building Inspector PERMIT ' CI`i'Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number Date Issued: BUILDING 027472 05/07/96 SITE ADDRESS: 548 HACKMORE pR Lo-r: ii BLOCK: 1 AUTUMN RIpGE 3Rp P.I.N.: 10-12302-110-01 DESCRIPTION: DECK NEW 434 ALT. RE5IClENTIAL REMARKS: ? .'ry`?P FEE SUMMARY: Base Fee $45.00 3urcharga $.50 Lic. Search Fee $5.00 Total Fee $50.50 CONTRACTOR: - Applicant - 5T. I.IC .OWNER: SUNBURST BLORS 16665892 0008582 KLEIN DALE 4270 SUNR'ISE RD 548 HACKMORE DR EAGAN MN 56122 EAGAN MN (612) 686-5832 P fi t4 , t P _ . . 5 ! E.' p ' i ' • ( . S 4P$ Y 1 NS Q . ' . Y V' F ?'IEfC??`!y ?l4i0??'C???'?`?? f'[ 'Afld &`???t3 ? £' , . . ?Gt1? 0 l'i`? ith I`? ? l i "? + ? c „ 'f , ?+ w ? . pp ?nfics?? a i?zn .?a5sr e? c#lhp S?a?utes a?d,?????;r??` d3€n?i????,?? x p5 y r i4 ? m ? 'M ::? r . ,. ,. . .e,,......, _ _... .. . ...<.., , ..z, , ICANT/PEFMITEE SIGNATURE ISSU TURE CITY OF EAGAN JL q JL 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-3675 New Construdion Reauirements ? 3 registered sile surveys ? 2 copies ot plans (incWde beam 8 window sizes; poured fnd. destgn; etc.) ? 1 energy calculatfons ? 3 copies of tree presarvation plan ff lot platted after 711I93 required: _ Yea _ No DATE: 5-?-?t(o DESCRIPTION OF WORK: Remodel/Reoair Reouiremante CONSTRUCTION COST: - 3az ?2100, STREET ADDRESS: s`d 8 t1ac?/_ v?'tove- 6 P? LOT _I I BIOCK _I SUBD./P.I.D. #: PROPERTY owNER CONTRACTOR ARCHITECT! %GINEER Name: ?1.?otm r J.fs Phone #: ?? MT StreetAddress, City: a.? State: 0-1/v Zip• Company: S? s Phone#: 669--2-'? 3L Street Address: ?4z7o Sti..,,. r 5' License #: 0S82- City: ?At)a ? State: aMN Zip: SS-r a- Company: S?, Name: Street Address: Ciry: Sewer & water licensed plumber: change are requested once permit is issued. Zip: Penalty applies when address change and Ict 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 af Eagan Ordinances. Signature of Applicant: ??-"---- aFFICE USE ONLY G?GV? C ONI?DD ? Certificates of Survey Received _ Yes No ? ? i?9.?r? ; --------------- Tree Preservation Plan Received Yes No State: ? 2 copies of pian ? 2 site surveys (exterior addkions & deeks) ? t energy calculations (or heated addftlons 3K; Idc, s Phone Registration OFFICE USE ONLY BUILDING PERMIT TYPE o -p1 Foundation ? 06 Duplex ,?Cg-?2--SF-Qweliing ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE New A? ? 33 Alterations 2 Addition 1 ? 34 Repair GENERAL INFORMATION Const. (Actuai) (Aliowable) UBC Ocnupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Ladging ? 0 12 . Multi Repair/Rem. ? ? 13 Garage/Accessory ? o J+ Fire lace ? Deck ? 36 Move ? 37 Demolition T ?l?i. ?+ w yt M'.t v1Y4Y 16 Basement Finish 17 Swim Pool 20 Pubiic Facility 21 Miscellaneous Basement sq. ft. MC/WS System Main level sq. ft. City Water sq, ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump Sq. ft. Census Code. v3y Footprint sq. ft. 5AC Code Census Bldg i Census Unit I!f Buiiding Engineering Variance Permit Fee Surcharge Pian Review License MC/WS 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 Total: Valuation: $ % SAC SAC Units ? M? ? i I2 \ S e? ? ?a con 4 p pC+i oatE \ bT N? t1? ?k. \ 5 / ? E??, 9 ci? ,YP ..?r?aEN1EN?"` ?'1., 943,7 ? 4' /'1 > Q! ?, , ?.? qS ? o+V ? tl1 ? ?I ? ? 0 ~ Q. ?1 ? .t '? • ?V a'S ?Y /. ,d , 7+ ?3 ? n• A ..? . a.OCJ(2.?; 5 4? 4? t?.CJK.nltiD2C- DtiZi?lE?: 7 ? ? ? m ;???fcc 956.? o,N? ysI `? I?o"•'? ` ?'?7 s4 3 ? `b ? - k ?6•33 tiu 9A7> ? ,?° !- ---•. v ? Qa ? I /23 i 1&14 IP C-x 9dt7,3 ? I9N- rv :N???°?za 0.9374d cr,. 9xz. a ? R ` J N V+?W F, p ,? .. aY s, r? ?y r? ;; " ? i Abl?..-PJ?+?ItJlf7 A?7?il1MEfl aD?ifh IiZa?-1 ?v?ot+ivt,A??1*... 1 EN ER DEPT. Pi¦ YaPa`r ?EQUIRED:. ?JTJMa1 fL1?G-i?= I aP.A??o?a. cca?.iN-tY;.;.``;??"=: Mt?NES?TA. `F?; :* I hereby certify.that this sur.vey was prepared by me or under my direct aupervision and that I am a.duly Registere Land Surveyor under the laws of the State of Minnesota. , Date: M,o ? TlS'45? LeRoy H. o? Regi.stered Land Surveyor No. 10795 r Q u' I z ? h D !?j : . . d.? I ? ? •' ? ? Q Y ? D o I Q ? . , .i T: ¢„1 q34.'f . ; - r ? ? 1 . .' ''?•._ ? ? PERMIT A- C1TYOF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number. 023576 (612) 681-4675 Date Issued: 0 5/ 12 / 9 4 SITE ADDRESS: 548 HACKMORE DR LOT: 11 BLOCK: 1 AU7UMN RID6E 3RD P.I.N.: 10-12362-110-01 DESCRIPTION: .? BUilsiing'-Permit 7ype SF OWG Building Wo?r_k 7ype NEW "UBG Occupancy`', R-3 M-1 r? Canstructi.Qn 7yV-N Zoning R-1 i Bwild3.ng Length ! 54 Building W3dth 38 v, `4 v .,l?:i.•• ? ,(-?z REMARKS: DRIVEWAY ENTRANCE MUST BE CQNCRETE BEFORE C/0 WIIL BE Z55UEp FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % 6AC Units Subtotal VRLUIiTION $758.50 $493.03 $67.@0 $800.00 100 $2,118.53 $134,000 MT5CELLANEOUS _ $1,828.50 Total Fee $3,947.03 CONTRACTOR: - Applicant - sT. Lzc STEPH-AN HOMES 16819777 0001457 4130 9LAGKHAWK RD 114 EAGAN MN 55122 (612) 581-9777 OWNER: STEPN-AN 130 A6AN 612) HOMES INC BIACKHAWK DR MN 55122 I hereby acknowledge that I have read this information is oprrect and agree to com.ply StaCutes an City of Eagon prdinances, L ICANTlPERMITEE SIGNATURE apPlioatian artd staCe that the with all appliaable 9tate oF Mn. ? Na ba1A2 ISSUED B : 51 NATURE n ir r , ? ?. 13516 CITY OF EAGAN 1994 BUILDING PERMITAPPLICATION G?,????? 681-4675 r., t,? U y $?, Q ?'1• D9 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 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 !7 / / Valuation of work 60V Site Address:? ,CT/??fiyi?o?e e_ STREEi SIIITE # Tenant Name: (commercial only) LOT ? BLOCK ? SUBD? .J h-n..-, P.I.D. ik Descri tion of work: The applicant is: ? Owner f$1 Contractor ? Other (Deseribe) Name Phone Property LAST FIR57 Owner qddress STREET STE # City State Zip C o m p a n y r5 .6?'L Phone 4?07-9772 Contractor Address Aiiie_ License # ??e7 Exp.,,?-,!5 City State 17 Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read thi lication and state that the information is correct and agree to comply wit pl'cab State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 46016itasement Finish ,E7 02 SF Dwg. 11 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Ponl ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 Sf Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Fac911ty ? 21 Miscetlaneous WORK TYPE ja 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) ??- Basement sq. ft. MWCC System ,_ (Allowable) UBC Occupancy lst F1. sq. ft. 2nd F1 s ft i io City Water PRY Re ui ed -? . q. . 1 q r x- Zoning R-! Sq. Ft. total Booster Pump # of Stories footprint Sq. ft. Fire 5prinkler Len9th On-site well Census Code 161 Depth sp On-site sewage SAC Code o/ nd C APPROVALS it -7- ensus U Planning Building Engineering Variance RELIUIRED INSPECTIONS ? .Site ? Wallbaard Q Footing 03 Final Assessments 13 Framing b Insulation ? Draintile ? Fireplace Permit Fee veiuacim: I e Surcharge 7?, S,..t a, sf Plan Review 7W-34 6 ? 823,vz License MWCC SAC 70?- / z? Wate S o r nn. C Water Meter r(lo,/?/?-?g_ `?? ?99,6L Acct. Deposit ti S/W Permit S/W Surcharge Treatment P1. A Road Unit ? Park Ded. ? ?6y Trails Ded. z ?X 3a ? Copies 9? z !P Other Total : ? ?? '--- g?yos? ?Oo.?sk5y -- ?? SAC % _ (? a f ?- / 3 3 ? 9G,a'o J ? I 5AC Units ? 5 I ?:. -?;?.? a,?.?<.. ?? , g??. v l-71 k ? h ? .?.n 9y ? ?9 ?. r O ? F? ? x oN i, v`o'? , ,ra ?7 / 'V? ? y ,qst, ? i lT ,,54\o?ti . a vN ViX ? 54Yb 4?b.c?-nn?G- b?t?? , S 7A.o3o \ ? ?,33 ?'N+?•$ q ? ?.?s9A??S wa i ? ?? «+ 9++7, ' ?? N47 0-937„ ?9sa,o4 A G N VIE V'??' . ,? .. . °D? ?EE7 IYZotiI pADn3UM?M'r .. ? 1- ? z 2 Q u` h e \r ? X Q F Q( J o ,-- I J ?•. _ ,. do? 1 ? ?q?-T,4.;; ? 1 ?5 I q ?' ? p i ? I ? qjir,4 d EIV6IIVLERIlOG DEPT. I po Ga M. FR r= ????--?•??";i ? ?,? . , ?;.? Z)C?IP'r%an} i?? ;Jnn+-? C•?..?oc?= ? ?• -C?11?0 P?01TIOti.1? . DAK-o'Tp. coa?vYY1 M??.?NESoTA I hereby certify.that this sur.vey was prepared by me or under my direct aupervision and that I am a.duly Registered Land Surveyor under the laws of the State of Minnesota. Date: LeRoy H. ohlen Regi.stered Zand Surveyor No. 10795 ? l? `t8, a .;?•a`Na ir:I r n?. Cn AHI.I rna vi! d O' w m ?$ W ? 41 ¢ a m ? ?0 ? • ? ? ?? ? • Q---0 0 • ? 0 ? • ?0 0 • fd? ? ? • LOT.BURVEY CHECRLIST FOR RESIDENTIAL PROPERTY LECiALs .? Date of Susroey: AOCIIMENT STANDARDS Reqistered Land Surveyor signature and company Building Permit Applicant Legal description Address North arrow and btm- scale House type (rambler, walkout, split w/o, split entry, lookout, etc.) Directional drainage arrows with slope/gradient %. Proposed/existing sewer and water services Street name Driveway ELEVATIONS Exietiaa $?0 ? • Sewer service 0? p ? • Lot corners pfg ? : Top of curb at the driveway 0?0 0 Elevations of any existing adjacent homes Bropose6 0'0?13 ? • Garage floor tK?p ? • First floor [,?' p ? • Lowest exposed elevation (walkout/window) 0--a 0 • Property corners Q,,,-D" ? • Front and rear of home at the foundation PONDING AREAS (if apnlicable) 0 rD • Easement line ? Cd-O • HWL p 0?,0 • Pond # designation p(Y p • Emergency Overflow Elevation P103 Lot lines Right-of-way and street width (to back of curb) p • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) p' ?? • $how all easements of record and any City utilities within those easements g"-Q p • Setbacks of proposed structure and setback af adjacent existing homes 0 ?0- • Retaining w re ir ments, if any Reviewed: 97 October 1992 \ 1 ? y '`?'M1 ' ? 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H gnaL-Urn , ' . î ÿ þýý üûúùû úú øýýùîíô÷ þ ýýóô þýô þýüûúùôêñ ýûúù øûúùôù ùòý ÞÝ ñ ý ñíýùú ð þïýî ê ù ùùêÿ óý ó ù÷öêüë ý ý ùüýê ù ë ñüóé ïýüú÷ êóú ó ë îçæçååëåëå óø þý èýçæçëäëä èýÿë òñ ôðï ùù æ é æøý åàà åòó ãõ áàßàååààå üú÷ ì ùù êó óùú÷ ùùüþ êã þý ñúê í ë ùùöóþ ý ýúþ ý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b1+'B'(+)C=;& !V59'HCM$-+)'4C*W1\]'<=*1'Z!58V9'D-%&IC1'4C E1+)-'D1*0M;'EH''88!75X-0-+'EH''88!7Z JU87L'99!6U555 3'M1C1>@'-%&+.$1)01'M-'3'M-W1'C1-)'M*;'-AA$*%-*+'-+)';-1'M-'M1'*+GCI-*+'*;'%CC1%'-+)'-0C11''%IA$@'.*M'-$$'-AA$*%->$1'<-1' G'E*++1;-'<-=1;'-+)'O*@'G'X-0-+'YC)*+-+%1;N (AA$*%-+S21CI*11 '<*0+-=C13;;=1)'#@ '<*0+-=C1 SEDGWICK HEATING & AIR CONDITIONING CO. 1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 881-9000 ADDRESS `o F[34 -More, ED f i m OCCUPANT 5:•1/11,e- SOLD >A'tG SOLD BY /;,% MAKE ` -en,n-enG r .. SERIAL NO / 1� . THERMOSTAT (ALM (OZd % t� VALVE ��'� y �i TYPE OF LINER 1 ''---- LIMIT l /,' LINER SIZE LIMIT SETTING / , L --. FILTERS: SIZE 1 � NUMBER It HEATING TEST RECORD V1� f OWNER S)nd6- An145� JOB NO `13/10— CITY /10 CITY INSTALLED BY MODEL Pit «O u4 U I O P 360 2015 INPUT r b, VENT SIZE .. FAN SETTING ""`"f WIRING PILOT TYPE r% I; - TEST TAG IGNITION MODEL / ' LIGHTING INST.__ ___ PILOT TIMING ° 1. (.21 DATE TESTED PRESSURE N x s PERCENT CO2 I INPUT CFH PERCENT 02 COMPANY TESTING= °� ,. , STACK TEMP. / =" ' PERCENT CO i ( NAME OF TESTER V i FORM 235 (REV. 10/10) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY PERMIT City of Eagan Permit Type:Building Permit Number:EA145773 Date Issued:09/25/2017 Permit Category:ePermit Site Address: 548 Hackmore Dr Lot:11 Block: 1 Addition: Autumn Ridge 3rd PID:10-12302-01-110 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Kent W Andrusko 548 Hackmore Dr Eagan MN 55123 (651) 329-2298 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature