553 Hackmore Drt - I
CIT.Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
lin} }1fi1.; t,?:
PERMIT SUBTYPE:
?
O
PERMIT TYPE:
Permit Number:
? .'!N! /•) c
Date Issued:
w t+t 01 K: ,. APPLICANT:
t}„4 11
TYPE OF WORK:
INSPECTI
ON .. . ..
t t? .i?? r I ?,?t? t f f?i 1•1 a'1? t
I N t1 1 !' I t; t it t•1 •f l
t: E•1 I'1. Et1'; R l1`r HA! t; F'I Eile
-1
'
J `
- -- - - -- - - - _ __ _ .?. --- --- - -` ? ?_? --- - - - - ' . ?. - - - ? -
Permit No. Pe?mft Ffolder Dffie Telephone #
S/W
PLUMBING
HVAC /Q y Q " ?f
ELECT 59(,J6 3 uFe
5 ?O
ELECTRIC
Inspsction Date Insp. Comments
Footlngs I i Z! A 2
! c/
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. 30/
FireplaCe
P/J
w c.,cor??
•,1s?
Flnal Htg. Z ?
orsat Test ?S
Finfll Plbg. Plbg. Inspector - Notity Piumber
Const. Meter
EngrJPlan
Bidg. Final
Deck Ftg.
Dedc Fnal
weli
Pr. Disp.
Al 1. rrss% / -l3 -?Y' -- ?ls1 - 1°-*?2
? fa a +y
?- -. ? ?? -_ --- "
WeTtificate vf cccupanc?
miv of cfag«n
_ ZeVartaebt of ftiibiag 3"oection
This Certijecute issued pursuant to the requirerrsents of the Uniform Building Code
certi, fying that at the time of issuance this structure was in compliance with the various
ordirwreces of the City tegulating buildrng corrstructron or use. For the follawirsg:
SF DWG/GAR Bid&Per,,;LNo.
22603
Occupancr Type E-3 H-1 zoning nistrict R-1 rype cansE. Vn
oWnerofauitding THORSON HOMES 1N^v pddnms 4466 WEDGWOOD DR., EAGAN MN 55123
euiwing ndd. 553 HAL'KlrlbRE DR L4, B2, AUTUMN RIDGB 3EdD
Date: FEBRUARY 23, 1994
ewi ?
POST IN A CONSPIGUOUS PI..ACE
RESIDENTIAL
BUILDING PERMIT APPLICATION `
CITY OF EACAN 7A ?j 0 V?
-1 3830 PILOT KNOB RD • 55122
651-681-4675 ( O ? ?
New Conslruclion Requirements RemodellReoairReauirements
• 3 registered site surveys showmg sq ft. of lot, sq. ft. of house; and911 roofetl areas • 2 copies of plan
(20% maximum iot coverage al6wed) . 1 set o(Energy Galculations kr heated additions
• 2 copies oi plan showing 6eam & window saes; poured Pound design, etc.) . 1 site survey ior extenor additions & decks
• 1 set o( Energy Calculations . Indicate rf home served by sep4c system for additions
• 3 copies of Tree Preserva4on Plan if lot platted after 711193
• Rim Joist Defail Options selection sheet (bldgs wiih 3 or less unifs)
DAiE o'*u3qA 3" 20 o t
vaLuaioN ? 6.36 )
JOB SITE ADDRESS 553 F-IAet.+ton.4 L?t;jrz , 64&.,r..3 vA ri Ssr z 3
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
?
PROPERTYOWNER CoLL4? VK4«oti ? k,k.Si.SN' Tso6'rEw?4
iYPE OF WORK FIREPLACE(5) _ 0_ 1_ 2
APPLICANT ??5 Mr??$4..tiaaiZae. fl8? ?^?`"?L ck 5°"?` ?w??,PHONE# ?s1-5'S?I-4o?-Z
ADDRESS (Y f??s ?Jon Roto ?I/(-l ZIPCODE SSIZ-2
PAGER # CELL PHONE # CoIZ--l Ocl -6S 3Z FAX #?51-99
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNE50TA RULES 7670 CATEGORY ??? n n?j r
(check one) - Residential Ventilatlon Category 1 Worksheet Su t ? IJ ??I L
- Energy Envelope Caiculations Submitted
Io ncr p4 zcoi
_ MINNESOTA RULES 7672 ?LIU
,
- New Energy Code Worksheet Submitted
4y ?
Plumbing Contractor: Phone #:
Plumbing System IncIudes: Water Softener I.acvn Sprinkler ree: $90A0
Water Heater No. oFR.I. Baths
No. of Baths
Mechanical Contractor:
Mechanical SysCcin Includes:
Sewer/Water Contractor:
Air Conditioning
_ Hcat Recovery System
Phone #
Phone #
Tec:
$70.00
All a6ove information must be su6mitted prior to processing of application.
I hereby acknowledge that I hove read this application, state that the information is correct, and agree to compiy
with all applicpble State of Minnesota Statutes and City of Eagan r(n nce .
Signature of Applicant ? •
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
p 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 31 New
X 32 Addition
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
TF ;
? 30 AccesSory Blarl
? 31 E#. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg only) - Give PCA handout to applicant
o?-
Valuation -?000
Occupancy
MC/ES System
Census Code 131 Zoning ?- r City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. o? 3pc •S PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
?
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Stdmg Smcco Stone
_ Windows (new/replacement)
Approved By
REQUIRED INSPECTIONS
Footings (neW bldg)
Foohngs(deck)
Footings (addition) Pl
Foundahon
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
Base Fee
Surcharge
Plan Review
MGlES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex X 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
Fi
naUC.O.
? FinaUNo C.O.
_ umbing
HVAC
Building Inspector
/O. 6t?
r?
RESIDENTIAL
BUILDINC PERMIT APPLICATION /?
y? /?/ I J 5I? CITY OF EAGAN ? 70, D V
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reaulrements RemodellReoalr ReauiremeMS -
• 3 regislered site surveys showirg sq. k of lot sq. R N house; and all roofed areas . 2 copies of plan
(20°6 mazimum bl ooverage alloxed) • 1 set of Errergy CalaWtions for heated additions
• 2 copies d qan showing beam 8 window sizes; poured fouM design, etc.) ^ . 7 sile survey for exterior additions 8 decks
• lsetafEneigyCalcLiauons
• 3 aopies ol Tree Preservation Plan il lot plaHed atter 711193
• Rim Joat Oetail OpUons seleGwn sheet (bkJgs wflh 3 w less unils)
DATE 3 ` S - c(
.,JB SITE
If MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Ccj S'.?k\ SoS
TYPE OF WORK FIREPLACE(S) "!0 _1 _2 _3
APPUCANT ?•_? ?.C? £ ? S PHONE # I' SZ;a-- I I I Lf
ADDRESS Ct?'Ar ZIPCODE S.S07-7
PAGER # CELL PHONE # SG? ?t...c _ FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Cade Worksheet Submiried
Plumbing Contractor: _
Plumbing S}-stem Includes:
Mechanicai Controctor: _
Dlechanical System Iucludes:
Sewer/Water Conhactor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above informaGOn must be submitted prior to processing of application.
I hereby acknowledge that i have read this application, state thot the information is correct, and agree to comply with
all applicoble State of Minnesota Statutes and City of Eagan Ordinances.
Signature ot Applicanf
Certificates of Survey Received _ Tree Preservation Plan e' ed _ Not Required _
Updatea 1/01
_ Water Softener _
Water Heater _
No. of Baths
(EXCLUDING LAND) 9 4goo
Phone #:
I.aivn Sprinkler
No. of R.I. Baths
- Air Condiaoning
_ Heat Recovery System
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex O 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. AIt- Multi
? 03 01 of _ plex ? 09 07-piex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) 0 36 Multi
? 05 03-plex ? 71 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) O 44 Siding
? 32 AddiGon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Damolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Watei
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg ) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footiags (addition) _ Plumbing
_ Foundation _ HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
I
Building Inspector
Address
553 HACKMORE DR
Zip 5512 3
IAt 4 Blk 2 SUb AUTUMN RIDGE 3RD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE F1NAL INSPECITON.
Date: 2/23/94 Yes No Inspector:
Final grade (6" from siding) f/
Permanent steps (garage) j/
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 water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in righhof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pinlc - Contractor Copy
Reque te
? Fve No Rough-in Inspeclion
qequ '+
es ? No NOTICE You Mu81Call ElecUica ecto?
If A Rough-In In tio
Is fieqwrea
IU/Icensed contractor ? owner hereby request inspection of above e tncal w
Job e (S et, Bax r Route N) Cily
Seclion N. Townshp Name or No Range No Co?
Ocm (PRINTI Phoqe PJG'
?"1 J
Power Supphe Atltlress
pe&
E r I Comrncl r(Cwnpany N me) C tmc? S Ls s N
Ma i tl ( o aclor wner Making Installation)
A or¢etl SignaWre (racrorlOwner Mak g I sl Ilatlon) e um r
MINNESOTA STATE BOAND OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
Grigga?Mitlway Bltlg. - Naom 5-173 6E ACCEPTEC) BV THE STATE BOAPD
1021 UniversHy Ave., St. Paul, MN 55109 UNLE55 PROPER INSPECTION FEE IS
Phane (612) 802-0900 ENCLOSED
!,2/aij/9?? REQUEST FOR ELECTRICAL INSPECTION
p? ? See insimctions ior mmpleting Ihis torm on back ol yellow wpy
lol
( 5 9 0 3 6 , "X° Be`low Work Covered by This Request
?-? Ee-aoooi-
?? ?j`
V- • c 3 7Y
Rw d R p TypeofBwlding ApphancesWued EquipmeniWired
- Home Range Temporary Service
Duplex Water Heater Elednc Heating
Apt. Bwlding i Loatl Management
Comm /Industrial Fumace 01her (Specily)
Fartn Air Conditioner ^
Other(speciry) Contrador's Remarks "
Compute Inspection Fee Below:
# Other Fea # ServiceEniranceSrze Fee A Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SIJnS Inspecto
se Only
U
Irrigation Booms ?
/
??
Special Inspection ?
c1J
AIarMCommunicaiion THIS INSTALLATION MAY BE 0 EH D DISCON ECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Eleclrical Inspector, hereby Rough-in oalf
certity that ihe above inspeciion has
been made. F,,,ai oa
OFFICE USE ONLY
This request vaid 18 months irom
? • CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-12302-040-02
DESCRIPTION:
PERMIT
PERMITTYPE: euzLozreG
Permit Number: 0 2 2 6 0 3
Date Issued: 1. Z/ 01 / 9 3
553 HACKMORE DR
LOT: 4 BLQCK: 2
AUTUMN RIDGE 3RD
Bu-f-ld"irtg) Permit Type SF DWG
9uilding-Work Type NEW
rY16C Occupan`cy R-3 M-1
? Construction ?-ype V-N
/ Xoning ,? R-1
/ Builsiing Length ? 53
J Suilding Width `-, 51
?
O?f `u rc
L
J u
Ll- ?kPyA
;.;I,',Ip3
REMARKS:
? PRV S& W PLBR - RAY WAEG PLBG
I\
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC &
SAC Units
Subtotal
vaLuarzoN
$814.50
$529.43
$75.00
$750.00
100
1
$2,168.93
$150,006
MISCELI.ANEOUS $1,744.50
Total Fee $3,913.43
YxORWWHIRES BRIAN Ln??1114540644 0001317 n?/???p
'fT?O'R517N' HOMES INC
4466 WEDGEWOOD pR 4466 WEDGWOOD DR
EAGAN MN 55123 EAGAN MN 55123
(612) 454-0644 (612)454-0644
I hereby acknowledge that S have read thS,s application and state that the
infarmation is correct and agree to cnmply with alI app]iceble State of Mn.
Statutes and City of Eagan Ordinances.
L
¢--
APPLICANT/PERMITEE SIGNATURE
III R,ettL ?
.t?
-nSSUED B SI NATUR
?
REAL4,VATE _ R ??????? CITY OF EAGAN
PEwa1jr 1993 BUILDING PERMIT APPLICATION
??2 2 1993 681-4675
SINGLE 8 MULT1-FAMILY 2 sets of plans, 3 reglstered site surveys, l copy of energy
calcs.
COMMERCIAL 2 sets of architectural E structural plans, 1 set of
speciflcations, 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 i.s reQuested once permit
is issued.
Date Yaluation of work
Site Address:
ETREE7 fUITE 0
Tenant Name: (commercial only)
LOT BIACK •? SUBU./J /3,pD 'j'?'[7yO?N
? P•I.D. M
/7/s fZc/h/1
? dl??
Descri tion of work:
The applicant is: ? Owner Contractor 0 Other (Deccribe)
Name Phone
Property LAST FIasT
Owner
Address
STREET CTE Y
City State Zip
Lompany 1,4cPSo,J ,C/o,res r? ? Phone
Contractor Address 4JIZZ Ge-e4zdjoe; c? /?,e r02 License # e,,;fo/317 Exp.- L3/j
City Z?+4a" State /J7rc/r Zip .rsi?z3
v
Company Phone
Architect/
Engineer Name Registration y
Address
• City State Zip
? . Processing time for
Sewer 6 water licensed lumber i? , Ca 9W ??+ mil /? ?
sewer 8 water permits is two days ofice area as been appro3%d.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply w? h all plicable State of Minnesota Statutes and C1ty of
Eagan Ordinances. ?
5ignature of Applicant:
OFFICE U5E ONLY
BUILDING PERMI7 TYPE
? OI Foundation
Zf 02 SF Dwg.
O 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
? 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 I2-Plex
? 10 Multi. Add'l.
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 fireplace
? 15 Deck
1
l
rs?
?0 1.6.6a5mpt finish
b 17 wim Pool
? 18 Comm./Ind.
? 19 Coium./Ind. Misc.
? 20 Public Facillty
O 21 Miscellaneous
101 New O 33 Alterations O 35 Tenant Finish 0 37 Demolish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION .
Const. (Actual) Y- N Basement sq. ft. MWCC System yc's
?Allowable) v_rJ lst fl. sq. ft. City Hater ?
UBC ccupancy -R 3 M_y 2nd F1. sq. ft. PRY Required t
Zoning Sq. Ft. total Booster PumP
/ of Stories Footprint Sq. ft. Fire Sprinkler
length ? On-site well Census Code lo/?l
Depth SL On-site sewage SAC Code C!I
?
APPROVALS j
Planning Building Assessments
Engineering Variance
REOUIRED INSPECTIONS ? Site ? Footing ? Framing O lnsulation
p Wallboard O Final ? Draintile ? Fireplace
Permit Fee S I+So+ 00 D r
5urcharge
Plan Review
GnRAG?;
3 Z k
27-=
'lt>V
License Z K I2= (Z?I)
MWCC SAL
City SAC
Water Conn.
?-'
2o x39 = `?j16o 6Sso X Ib I? BB?+
'
Water Meter
Acct. Deposit -7 X 6 - (4Z) -1
S/W Permit
5/W Surcharge f
738 'r II
?e IS = ! 6 '7
----?
Treatment Pl.
Road Unit ?'h qi ri FL u,)2'
'
ZNO
Park Ded.
Trails Ded.
?SmT= ? ??? ?-
ZyK3o%2 = 932
r?
p s
Other I XS =
q K 2=
la I/2x11
Total: 2xg?
2
SAC % IDo ,
a4K29 yrl oK`6
SAC Units I Z?rl = Z2
IU82 x5U=;'$U,o26
?
?
?
C'l D ?
sYo 0
0--0 ?
?q
?l7 ?
PO ?
IY8,0
LOT SIIRVEY CHECRLZST FOR RESIDENT2AL
??? •??7+Z'?
Date of 8urvey:
DDCQMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant '
• Legal description
• Address
• North arrow and bar scale
• House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
• Directional drainage arrows with slope/qradient t.
• Proposed/existing sewer and water services
• Street name
• Driveway
Exfsting
D 0' ? • Sewer service
@?lf1 ? Lot corners
:
H?' ? ? Top of curb at the driveway
C1 CJ ? • Elevations of any existing adjacent homes
Provosed
II?I ? : Garage floor
?i0 ? First floor
.
PT ? Lowest exposed elevation (walkout/window)
?'?0 •
? Property corners
?
H' 0 0 • Front and rear of home at the foundation
PONDING AREA3 tif avfllicablel
D B" FJ •
? Easement line
0 [?
j? NWL
? m?D HwL
:
D Pond # designation
D ? Emergency overflow Elevation
? ? .
D •
0 ? •
H? ? ? •
D--6 ? •
n ct-??
DZMENBIONB
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
exi
Ret
Reviewed;
October 1992
. ,
E12-474-OE77 L'Y'I•IAF•! EXCEI_SIOI? 'rRRD
_,. • y . nldNG?VIw .r?n?? .. ,.
BASE aV r, ? T6N '
. .? ' ?'?'^ Hp EaGY COD
AddP.?VR ?i[(fCCLVR
wner THr pHOFNIX
ite Address
7ntr0Ctor
422 F'01 JUfJ 19' 92 17: 47
r V/?VYVYA??V??
OF T
983 "Ucrzort _ .:.,_,.,•
Phdne _ ^ar• ?'?? r
hvne
,11d1ng Claasification: Type A1 (S1n91e Famtly 6 Quplex)__.?Type A2 (Residential
' (3 stortes ar ess
(Ott+er) (qver ] staries)
:NERAI INFORWLTIpH
9u11d1ng Pertmeter \ -
'dt(o fx,
3-?Lrcz,-?2
ilnll height (ground to eave)_ ft,
i. x 2. (abovs z
) 9ross walt dpe? 1?O fc.
Buiidtng dimensians (!) -A:a z(N) 'z?9 ft.? roof 3 flaor area
Square fcot area of rim jo15t - Ftoor jaist size (2 x lo ? j Z
i?,? x perlmeter • Rim o st area *??. ??fe
Doors - Arla Th1C nts? n, actnr?_O.G?? .
Typt of Construct on? .?;
ManufacWrer _ _ _ _ - . L
Totai Coor`s perimeter
ft
YindoMs: Manutacturer?? State apprOVtd
U fActor
TYPE SIZE AREA (F:,2) !JUMBER Qf TOTAL FEE7 z
EACH UNIT5
.5
:::I -x °1
o
t .. .
q,"z. l0 9?_'z
s M
Z 7 ,
10,. 0 ?4 3 ?r, oq
C=a x 4( oA -
?
? l ? r
C
- i?
..
---= W.
I
`('b ? `
r
. i
[
d
. Total ft.Z Glass \ . \!
? Flreplace area: Hfdth x height ¦ ?x -?- - -?=j. Ft.2
. Exposed faundQtion: He1ghL x Perimecer ,,, ?j, x('? p Ft.Z
'L£TIOfi Of T11I5 f'ORti 15 RfQUl?IEO FOR ALL kEU COIiSTAUCTION, FVIJOR REIXIOELIK ANp BUILOI'+GS 6EI1
:D SlHERE ENERGY. OTHER TNAY 7uF H1aiNei rnnr ei I n„uirr re ncrn
612-474-06^r7 LYMRN EYCELSIOR YRRD 422 PB^c JIJN 10'92 17:48
Framin9 area o 10% of gross wall araa, `
Grvss watl aree ?. ? (o C) - - - f*.'Z •
2
window area A ft. i.' ++lndaaS J x A¦ ?0?,,`1(Q
Rin,.jo1se ared A u rim joist •
C7-6T U x
„ A+
poor area A ?
`I _Ft.? ' __
_
J doar area *• ? C?(v`? U x•
A ¦ ? . ?O
FirepldCe area A f
Expased toundation A "13 .O _P!.-
Framinq area A "'Z, ft,2
net ?a11 area A _ t.
U rirept3Ge U x a=
U faundatiart - «\ U r. A• 03
J franing area ?. O 0 x A
'J wail - „0:!!S-
a„ U z .+ _
(119; 'i„% . .. . . . . . . . . U x A
Gross xa11 area x 0.11 (A-1 single family i dL;.;=x = alTauahle UA A/COdp
(13. above)
x 0.23 (A-1 other resiCenCie'j
x .23 ;Other buiidtng;;
c .28 (Ovei- 3 storie.)
wu' be larger than
A x _ 4 • l :bdve
Cziling framing area (Af) iquals 10r of :a,linq area r the sam e es)
Gross cetlinq area +(Q_x(?g C 16? ???0 ft.2
? ---- -
Joist ared (Af) • 16^, ceiling area {t.Z
Net cefitno area (AC) (15A - 758) ¦ _\ K,`Zb A ft.Z
U ceiting :c A?¦ W._ oTt.\Rn x?"??_
U framing x A f• * p-Jr- 6, x?„
7O1AL U x A ........................................ -21`?
---
Ceiling area (15A) x 0-026 (A-1 Stngle `amily 5 duplex - code a11o-Aable U x A
x O.C33 (A-2 oiher reS1d2^:ial)
x O.Cfi (other)
HTl1H Must 6e largEr Chan 150 (abave)
A(1Sa) \"Z.C2,0 xLutodel: .O'?-,? °f (or the same as)
??? ?? •
40TE: Use U an9 a vaiues obtained f-om np5 1, 3 and 4.
.
WAL}r .'
. SPC7'ION
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s,
r
.
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i
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IND VALL '
STJ;TI?ti .
4(N
JOTST
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LYh1AN EXCELSIOR YRRD 422 P03 JUN 18°92 17:48
9N;?9?
"I F--`?d+;it:`:ir?
..
.
. '
'
. .
,.? ???ay?? InCes101C Wi?'' w. i . ?..
.
, '?•'???
EW41t) Lr ? , :;
,
S
?
b° KSa?u?aclun W ; ?=`?
Y
?
..? PN l ?tdtng . (ca'T? ?? 04`?
v`urridr air fllm •
.17
. ,z
R TOTAL
inslde air Etlm ?
? V. Tntu:lot ++tll •A!i
.cud q= AA2?7 (Fr+NU[ng) U w t . '
,..
?hRathtng Z..b4ea
stasns . 47 • :"?,.
li buCslao sir (i!m
, • . .17
?'
• ?? :.
; ,
,
. ,;
:'ornL .
Inside air f:lm R' :68
Int?r?or uail .45 •
??
in¦ul4e(cn .
?ua12 .`;`
°
Tt
'
?`
Z .. .•
.
.
: -
,SheaChtnB
?.;
•
Exeertor vsll cor•eeina , l?l. . .
;
?
? ?•
Extertoc air (liir. "n ..1 i '• '''`
, ?..
R TOTAL
lntitriur air (!lm
?• ,68
. ,.
`.;
?. :r.suli:.too ti'i•°o --
?•
11i inch satr wuut! U• j? 0
. a?
°'fl ?h aJo1st) ?
'•:_??
tl?ar wsl[ coveelnr •??
=.:•_:t
? 6xterlcr -etr fllm Re .17
... ;1r rorAc
T
Int"rtor air ftt^j R'
+ / . ..A-.
? in:ul4:tor. .N'.?.
'FS . 0 ? i J
4tc:foundaciuo (Fdn.) U = 1F ?` ?-?
? b~?xterlor air flln R• .17
i _.?•
F ?OTAL
? 'fxpuftd 3Luck ::'•''?
-,. .
? _.
512-474-0677 LY'MAN EXCELSIOR YRRD 422 P04 JLI 1S' y{'?
7;: 4
? '+{ ii i r i;-', ? ? ti, i'.,r,J ,1? 'pt?i'•. 9
.?•y}?14?p E ,i ???'"?,:? •. ????., ..F',d?`.,'l?r??'??'i..?. ?,' "i:?;.:
'?uti r. ' lY'iAi
+1'?Mf 1:'??? . :1:,.;?'Fji , .j?'j,'?y.^?''''.:... . . ' . • ? ?, , ' ,??,?.?
Af1" Pi'i1M
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., •- ? ? . * . . ?
, _, . .
?
? . ,....
? ~t? In?utetlen 4.4 ._? . °
.i -
0 Ce911rtQ
?, .
Air Film 0.61 __ ...:+
TpCdl R ?{
1
u°?.
lnside dir fi
Ceiting
Joist (stu
Tnsulntion
Air space
?,
ROOt dqcking
tnsulatfon
Built*uo rocf
Outside air }'
Tota1 R
?.
R UALUE
CEII.[NG
0.61
I.indow lnftltratten ,5 cfm/iineat foot of crack
*ldential door tnfittration 0.5 Ctm/square fooc or dcor and mtnimue code requtrertlent
Zn-r.siCenttal door intiltration 11.0 cfm/ttneal faot of crack
fp 12" concrete block rro lnsulatton =,41 R 2.1
1b 12" contres@ bloek insulated cores =.26 R 3.8
? 12" tightwsight blatk =.3Z R 3.1
12" 1 igntwlght bictk irfsulated cpras =.12 R 9.3
! sinpie giass ¦ },}3; y,ith :ftom Mfndox .54
? tbuble g)ass = .36 .
1 trtDle giess - .41 '
l11 exterior xails and Ceitings rr,ust have a vapor barrie*' (C.10 perm ?ax.),
,4For birrlar Must Ds on the inside (heated siae) af wall.
?f.por Darrltrs of tht polye6balana thin i11m have no R ealve.
?
t
• ?::
i=t
. .::?
- ?i
f!.4i ROOF OR CAr'r1EDS CeIliiiC
IR VauTe
FtL;HING
.001
_r,.T.TV qF Ef1CAN
CASH:f.FR- S TE:kMINEtL NtJ: 786
?F5'TC. 06/E4/93 TTMF'r, 14;40:55
IIi :
NAMC: SELA ROUFZNG Y. F;L•=MODEL.iNG
32117 9001 533 HACF:MGf,E AR 167.25
1G.I.5J 9001 533 HACt:rsor,.r•. DR 4.50
Tota1 F<NC.eipt Amountc 1'7:l.75
CR:I. i :t 3t=,6
USG:F ID: NANCY
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3L '-4 'S.i?) 3830 PILOT KNOB RD • 55122
651-681-4675
New Conahuetion Reauiremenh Remodel/Renalr ReaulremerMs b"??- ( 7
(
? 3 regisiered sRe surveys fhowing sq. R. of lot, sq. ff. of house 2 copies of plan
and all roofed areas f207 maximum lot eoveraae aliowed) 1 set of energy calcWaflons tor heated addNions
? 2 coples of plans (show beam 3 window sizes; powed ind. design; etc.) 1sNe mney for exfeAOr addHions 6 deeks
? 1 set ot energy calculaflons
D, 3 copies of hee preeervaHon plan H l01 platted afler 717/93
DATE: 6 - -)-3 _ % 7 CONSTRUCTION COST:
DESCRIPTION OF WORK: (°- Afl&SP Frp n t
STREET ADDRESS:
H Gt- C Ke, OR f.
LOT: ? BLOCK: Z SUBD./P.I.D. #:
Name: A (G') (?7 vYI f'_ / Phone#:
PROPERTY last Ftrst '
OWNER ?
SfreetAddress:
Cify
State: Ztp:
Company: SELA ROOFING & REMODELING. INC. Phone #: zpO2 S??3 6
4100 EXCELSIOR BLVD. (area code)
CONTRACTOR 3T. LOUIS PARK, MN 55416
Sheet Address: ID #0001050 License #10 s 0 Exp.
ciy
State:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Street
City
Sewer 3 water Ilcensed plumber (reaulred tor new conslrueHon onlv):
State:
Zip:
PenaMy applies when address change and lot change Is requesFed once permM is issued.
I')ereby acknowledge thaf 1 have read this appllcaNon, state that ihe information is cortect, and agree to comply wffh all applicabl
State of Minnesota Stotutes and CHy of Eagan Ordinances.
? Slgnature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Zip:
Registra!!ors #:
Tree Preservation Plan Received _ Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only . ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
*Give PCA hvndout to npp!i c3nt for dEm0!:t: 0n perrc:it
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC!ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building Engineering Variance
Valuation: $
SAC Units
% SAC
PLEASE COMPLETE FOR SINGLE F?1vIILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQLJII2ED FOR EACH UNTT.
----------------------------------------------- ------- , _____.._....___...---•------?.___..___....._..___------
? NEW CONSTRUCTION '`*"Installing 1 Lennox G20Q3/4E-100 Furnace, 1 Lennox 10AC-311
ADD-ON A/C 21i Ton Air Conditioner, and Venting 2 Bath Fans for New Cons.
ADD-ON FURNACE ,
DATE • CJ) I GI
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1@ 53.00 EACH)
ADD-Oh/REMODEL (ExisriNC coNSrxUCnoN)
STATESURCHARGE
TOTAL
STI'E
FEES
$ 24.00
6.00
3."W
?
.50
33, ?
U..Q
OWNER NAME: ici.- rl 1 r lC)Y' SU fl TELEPHONE #: L'I S y- OL2?I LI
INST
"?L
ADDRESS: U `t E) QiU r)-P .P r--Fr-<t A Q ?
CTl"Y: JE &-P.Y1 -I)ruLr LQ STATE: YYl iC) ZIP CODE: 6 S 34?
TELEPHONE #: Q LI I- y a I ?
?------ ?/-?
SIGN RE OF PERMITTEE
11
1993 MECHANICAL PERWT (RESIDENTTAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
]EAGAN MN 55122 `
„ (612) 6814675
?.Dia'._ .....
1993 MECHANICAL PERMTf (COMMERCIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUILDTNG
INTERIOR IMPROVEMENT
WORK DBSCRIPTION:
FEES
CONTRACT ?RICE: $
1% OF CONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF P44WT FEE.
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONL1)
INST.
ADDRESS: I
CITY
TELEPHONE #:
STATE: ZIP CODE:
SIGhATURE OF PERMITTEE CTl'Y INSPECTOR
'?LJBI1.
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf. .
NO. FIXTURES EACH TOT?
( SHOWER 3.00
G0
3 3• ?
? WArk Ci,vSET . ?
BATH TUB 3.00
1 LAVATORY 3•00
KITCHEN SINK
I 3•00
_
LAUNDRY 'I'RAY
I 3.00 ? -
_
NOT TUB/SPA 3•00
WATER HEATER 3•00 3-
1 FLOOR DRAIN 3•00 3-
GAS PIPING OUTLET • minimum - i 3.00 ?
? ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. - DaLQy.lic. 15.00
U.G. SPRINKLER • eome unaer oonat. 3.00
ALTERATIONS • to aoaiing 15.00
WATER TURN AROUND 15.00
STATESURCHARGE
TOTAL:
.50
? ??•?
sri'E A.DDRESS: 353-6t`r-?
OWNER NAME: `?'?
PHONE #: ( )
SIGNATUR OF PERMITTEE
, 1993 PLUMBING PERNIIT (RESIDENI7AL)
CITY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 6814675
CITY: zL!R STATE: e9G?rx- ZIP CODE:
41
:E::.-.:. "a... ?..: .? .... . .y. C$ .?t
w ..... ..:. .....? . . .. .. . ...>.. ..... .,...y.?.,e..>_a.<?.o< :^;', <':f.`:f"4:'SF? '6'r.
:t:...?'f?f?
,,:.?..:.''':'..F . ... ? <??,.•?,•? e ?m• ? ;.;? k,} ;
,... BL .. ..... : , :.: .
.. . . .... ,.: ?. _.: . . , ?..a...?..
..e . ?cv.??.?e.?R...i'.°..S`.a;??'„<.'..a.a ??:< g.:?? n•i<<LY:?.,?;.;h;., `q
:-
•?....::,?_...... . ,,;:;°; •:, .<'-;y,,? ..
?..7'?' ._. ? . . . ... . ... .. ..
?. ???? -?? .....:..... ..... . ........ .....>t,_,......:........?._:.o.??,:.: ?v?'??':; .? .t.aLer.:.°':.a.....:w?:.^.>.t' ;:?: ?3:.>2!;'?:s......
. .r.:H :.... ....:::.....a..,?-.......,ss:,?:.:K::,:
^.op ..
,..., ..,« ? •yq7?.?. ;Cdy . sb:3?:.;:;...
a. . . Y:?... . .
Y
. . '- .:. -'..: . . ....:?..... . . . .. . :?. ... ?..? . ??.:
........ . ...... ..:'.:.:.:::.. .. _.ii'?"":5 /?Y?1 C6
_ :. ...;...;. ."... ... ..`::... . .Y ,. ......??,. .u?Y nSa, ?':2!:.w_ . ?.. _ ( ..
. .:....::.......y,.:::: ..>d?:?.??_ ??..?...Jiy:,:'??,?,":i5.?,m...`<?`:`t?'IFpm., i$.,tin)?°?'i?i'{:?i3'i•Si.??.<?'??p?i:.1v:'?.?•'I
?? , .. .. . ... ?.?.....,, ? • S?Su ?>??..L ? .?E?E+y?'4i¢mY:.i??nin?SvSF? I x ?? . 3 u x ?..?.
?'..L. .a< F %+?`..' w ? ?' .>A ?f 'S';<I... .•t
1993 PLUMBING PERMIT (COMMERCIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUI: DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING L'_ .T.
_ NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACf PRICE: $
FEE: 1% OF COh'TRACT FEE.
STATE SURCHARGE $•50 FOR
MINIMUM FEE S 25.00
CONTR.4CT PRICE X 1%
STATE SURCHARGE
TOTAL
SI1'E ADDRESS:
EACH $1,000 OF PERMTC FEE
$
$
$
TENANT NAA'IE: STE. #
OWNER NA114E:
WSTALLER:
ADDRESS:
CITP:
PHOr'E #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
`W / d79-
zoo7 RESIDENTIAL BUILDING rERvnT nrpLicaTroN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsVUChon Reuuiremenls
3 registered site surveys showing sq R. of lot, sq ft of house; antl all roofed areas
(2D°kmmmum lot cove;age allowed)
1 Soils Report d proposetl buldng is to be pWced on disNrbed soil
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 sM of Energy Calwla6ans
3 wpies of Tree Preservatlon Plan A lot platted after 711193
Rim Joist Depil Options selec6on sheet (buadings vntlh 3 or less unds)
NBnnegasco mechanical ven6laGon form
RemodWReoair Reauiremenis
2 copies of plan showinq footings, beams, joists
1 setof Energy CalculaGOns for heated additions
1 site survey fw addifioia & decks
Adddion - irrdicafe 6on-site sephc sysfem
Telephone #(
Plans are considered nublic information unless vou state thev are trade secret and the reason.
Date , i /,;?V_7 Construction Cost x 1?• 0?
?
SiteAddress 553 )4r;,c_E-W`Ol`0_ .Uo,?t UniUSte#
551,)3
Description of Work
Multi-Family Bldg _ Y Z N T Fireplace(s) _ 0 4 1 _ 2
Proper[y Owner L, JV,,? 2J10V Telephone #?j -!C6
'
? ?
Con[ractor ?W? ntl
4 x W??-
Address 1
1'? 1
?? Dl? ?fZ, i 1 City L.
?
5tate n / / " t 4) Zip .561 aa Telephone # (C)_5)) ? -7 -Qrf)YL>
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted Submilted
. Energy Envelope CaIwlaAons Su6mitted
In the last 12 months, has the Ciiy of Eagan issued a permit for a similar plan based on a masTer plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
I herebv annlv for a Residential Buildine Permit
Telephone #(
Telephone #(
?10 , r)
Olfice Use OnN
CertofSurveyRecd _Y _N
SoilsReport _Y _N
Tree Pres Plan Recd Y = N.
Tree Pres Required _Y
? _ N
On-siteSepdcSyslem' _Y _N
that the information is complete and accurat
e;
that the work will 6e in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 ?in the case of work which requires a review and
approval of plans. /
Applicant's Printed me Appl?c nt's Si n? ture
DO NOT WRITE BELOW THIS LINE
Sub Tvoes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex O 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 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04•plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish 6uilding" ? 43 Reroof ? 46 WndowslDOOrs
? 34 Replacement •DemoliUon (Entire Bldg) - Give PCA handout to applicant
DBSCrIDtioff: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUII2ED INSPECTIONS
_ Footings (new btdg) _ Sheetrock
_ Footings(deck) _ FinaUC.O.
_ Footings (addition) _ FinalMo C.O.
Foundation HVAC
Drain Tile Other
Roof _[ce & Water _ Final _ Pool Ftgs AidGas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone La[h _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
11/22i53 08:36
003
SYDRVEYC)R'S CERTIFIGATE
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THE SURVEYOR TFE S?tABILICY
OF IEA?'aARTERTQy' Ej Qy'YDM ?
SOiLS T6 SUPFbR7 7Ht 5PeclF4 HOUSE PfiOPOSEb IS
NOT THE RHSpONStBiLITY OF 7HE SURVEYOR NOTE: BUILDING DIMENSIONS SHOWN ARE tVR FqRIZONTAi.
d VERTICAL 1.OGATIDN OF STRUCTUflE ONLY. SEE
is D@NQTES pRbPOSED SURFACE pRAINAGE ARp1I7ECiUAL tLANS FOR 6UILDING 0 FOUNpqT10N
O DENOTE5 IRON MONUMENT SE7 oIMENsioNS. SGALE; 1 INCH - 30 FEET
0 DENOTES IRdN MONUMEN7 I=oUNU PROPOSED GARAGE FLOOR @ 9sc1 6 FEET
X000.0 DENOTES EXISTINO ELEVA7IDN PNqPUSkD LOWEST FLOOR = q49.9 FEET
(000.0) 6ENpTES PROPOSED ELEVATION PROPOSED TOP OF SLOCK = Qc,,b,9 FEE7
pa1 ? ?
??IiZ
WE HEREBY GERTIFY TO BRIAN 7HORSON HOMES f A RR
REPFiESENTATiON pF A SURVEY OF THE BpUN17ARIE5 OF;
L01 4, Block 2' , AU7UMN RIOGE.3RD ACUITION, accortling to 1he recorded plat rhereoi, Dpkota
•County, Minnesota.
IT POES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCRUACNMrNTS, EXCEPT AS SHOWN. AS
. SURVEYED BY ME OR UNDER MY DIREC'1' SUI'kHV1310N THIS IOTH DAY OF NOV. , 1993.
51GNED: . HILL, INC. ?l
PROPOSED 6RADES SHOWN WERE ? ??
TAItEN FROM 7HE DEVELpPMENT
upq?nFO4YAUpTUMhF RI?JLiE PRE-
CA7ED 8' 22-90.?R ENO. LA ST gY; (l
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HAROLD C. PETERSON, LAND SURVEYOR
James R. Hiil, 'rnC.
PLANNERS / ENGINEERS / SURVEYORS
2600 W. GTY. RD. 42 • eURNSVILLE, MN. 55337 • 812-890•6044
,4VEYQR'S CERTIFICATE
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p: NO SPEGPIC SOILS -lNVESTGATION FSAS BEEN CDMPI.ETED
ON 7MI5 LOT' BY THE SVRVEYOR. TFE SUtTABILITY Op
SOILS TO SUPwR7 7Mt S1'LCIFIC HWSE PROPOSED 19
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EAGAN
DEPT.
NOT 7HE RE370NSIBILITY OF 7HE 5URVEYOfi. N07E; euiLDING DtMENSIONS SHGWN AAE fOR hqRI20HTaL
9 VERTICAL I.oCATION OF STRUCTVRE O NLy, SEE
+--- DENOTES PROPOSED SURFACE DRAINAQE AACHI7ELTUAL RANS FOR 9UILDING 0 FDUNpATIQV
O DENOTES IRON MONUMENT SET oIMENSbNS. SGALE: 1 INCH •- 30 FEET
• DENOTES IRON MONUMENT FUUNU PROPOSED QARAQE FIOOR 6`?5c1•6 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = qW$.9 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK= Qr,,,?,4 FEE7
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WE HEREB Y CERTIFY TO DRIAN THORSON HUMES
REPRESENTATION pF A SURVEY OF THE BpUNpARIES OF;
Lot 4, Block 2' , AU7UMN RIDGE.3Rb ACGITION, occorUinq to the recorded plai th'ereof, Ookoto
County, Minnesota.
IT POES NOT PURPOHT TO SHOW IMPROVEMENTS QR ENCFiUALHMENTS, EXCEPT AS SHOWN. AS
. SURVEYED BY ME pa UNRER MY DIREC?(' SUI'kHVISIDN THIS IOTI-I pAY OF tJOV. , 1993.
PROPOSED ORADES SMOWN WERE SIGNED: INC.
TAKEN FROM THE DEVELOPMENT ?
RF.? O4V Ap7UMk pIdGE PRE-
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ONEFR ENU. LA ST ?Y.
DATEO e- 22-90.
MAROLD C. PETERSON, LAND SURVEYOR
MINNE50TA LICENSE NUM6ER 12294
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125335
Date Issued:07/22/2014
Permit Category:ePermit
Site Address: 553 Hackmore Dr
Lot:4 Block: 2 Addition: Autumn Ridge 3rd
PID:10-12302-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
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 -
Michael & Erica Stead
553 Hackmore Dr
Eagan MN 55123--304
(651) 278-1892
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139202
Date Issued:10/13/2016
Permit Category:ePermit
Site Address: 553 Hackmore Dr
Lot:4 Block: 2 Addition: Autumn Ridge 3rd
PID:10-12302-02-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
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 -
Michael & Erica Stead
553 Hackmore Dr
Eagan MN 55123--304
(651) 278-1892
Twin Cities Siding Professionals
664 Transfer Road, Suite 22A
St. Paul MN 55114
(651) 255-2844
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142989
Date Issued:05/26/2017
Permit Category:ePermit
Site Address: 553 Hackmore Dr
Lot:4 Block: 2 Addition: Autumn Ridge 3rd
PID:10-12302-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
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 -
Michael & Erica Stead
553 Hackmore Dr
Eagan MN 55123--304
(651) 278-1892
Allstar Construction Residential Llc
5145 Industrial St #103
Maple Plain MN 55359
(763) 479-8700
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156483
Date Issued:07/02/2019
Permit Category:ePermit
Site Address: 553 Hackmore Dr
Lot:4 Block: 2 Addition: Autumn Ridge 3rd
PID:10-12302-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Michael & Erica Stead
553 Hackmore Dr
Eagan MN 55123--304
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA160100
Date Issued:02/14/2020
Permit Category:ePermit
Site Address: 553 Hackmore Dr
Lot:4 Block: 2 Addition: Autumn Ridge 3rd
PID:10-12302-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Michael & Erica Stead
553 Hackmore Dr
Eagan MN 55123--304
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature