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560 Hackmore Dr úïø ÿ ÿþþ ýýüýüûý ùþþïìöî ÿ ñýýóô ã ãðñ ÿþö þýüûúù ø ò ø ûúù õ ÷ ø ò â þÞ â ûúù âýéý þ õýóü ô ó õýóü þÞ ûú þ ãýúôñãø ý ë ÿâõðð ãñðãññã óí àøþÝö øòßæêäêñä õù þý íè æêêã çýäê ôïïó öòñ ùù ûúÜ ôü áø ó ãýúôñãø òó ý âõãð àãßñðãññã üú÷ ë ùù é ó óùú÷ùùü þ éâ þý úé ì ê ùùö ó þ ý ý úþ ý INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: ?? ? ?+? ? N?+ 3830 Pilot Knob Road Permit Number: .•.t K?s Eagan, Minnesota 55123 Date Issued: • •' ?? ii ? (612) 681-4675 ' SITE ADDRESS: NU { iIpFN h 1 lil 1 [1111 - I 111 411:1 finr r: MOr:r ui< 1 .'IV1+ APPLICANT: a tJA11I.?? t t?(?M kMiE i+ ( PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .. i I Pertnit No. Permit Holder Date Telephona # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspsctlon Ders Insp. Commenta Foolings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Orsat Test Rnal Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final DeCk Ftg. i DeckFinal G• `-,J'.,, , ?? _ ??? Well Pr. oisp. . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date fssued: (612) 681-4675 SITE ADDRESS: t o r: z 1,t.0 aAcAMoRk AU TI}piN R IhqE 7MlI PERMIT SUBTYPE: , t t tl?; control No. (? ? ? 5 FluiI nI rrii Aoott/1 •6/?3/91' fitnCK , q APPLICANT: MIfTtL5TAFDi' aRar"Eres (bfz) 4t,6-922b TYPE OF WORK: N F !a INSPECTION .• . IINS111 Ai iCIN FIMAL C {Rf.t'i ACI I i RE MARlf 3 : PitV S i W CDNI'RAC1"dR - MCqOMAI.p PlHs PKmlt Ho. Psnntt Holder DMe TMsq?hone i SJMI pLUMBING HVAC ELECTRiC, ELECTRIC Inspectlon D@b Insp. Qoma»nts Foothp ' 16Ifz ?J Famdation 7i fJ .var g4.o- C,4?, - Framing Rooflng Rouph Plbg. Ro'o ft ?G Cx? leul. ?? -4 Flnal Htg. -?9•9z ? Orsal Test Final Plbg. Plbg. Inapectw - Noti(Y Plumber Co? Meter Engr.lPlen Bfdp. Rnal Dedc Fip. Deck Flnat VYeH Pr. Disp. / fter#t#ir?te of (Orrupaury tirp of (fagan ilppwftPtit Af S1tleitU3 iwPt1Wn Thrs Certifrcate issued pursuant to the requrrements of Section 306 of 1he Uniform Buildrng Code certi?'ying rhat at the time of issuance this structure was in compliaxce with 1he mrrous ordinances of the City regulating building construction or use. For the following: I1se Class;f,aaoo Mft. Nraik No. 871 o-,p.ay rya R3 Zoning DaUxt R 1 rya co?r ? oWner orauudind= S?'AFt7r BRC3S CTNST naares 785 QUM T12o ,AN Bwmirig naarm 560 HACU[1RE ILRNE c,,,Ii?yL I, 84, AUlZM RIDC,Z' 2@ID Building DW: s12o/g2 POST IN A CONSPICUOUS PLACE RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN "1 3830 PILOT KNOB RD - 55122 5`1() , U 651-681-4675 NewConstmctionReauirements RemodellReoairReuuiremenls I U ? .0? . 3 registered site surveys showing sq k. of lot sq. tt. of house, an&II roofed areas • 2 copies of plan (20% maximum lot coverage albwed) • 1 set of Energy Calculafions for heated additions . 2 copies of plan showing 6eam & wmdow sizes; poured found tlesgn, etc.) • t sde survey for extenor addilions & decks • 1 set of Energy Calculations • Indicate if home served 6y sep6c system for additions • 3 copies of Tree Preservahon Plan it lot platted after 711193 • Rim Joist Detail Op6ons selectlon sheet (bldgs with 3 or less units) DATE JOB SITE A ? VALUAfION ?0,006 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER N14,4 (/,J19,MB?V'orv? C'enJ /+V'I-Gne, leri-t TYPE OF APPLICA _0Y 1 _2 PHONE#D 6 ADDRESS 5-6 0 1711JkmOr,2. lr",')-L ??? lra m ? ZIPCODE 53??3 PAeR #651-aa-7-6sod CELLPHONE# 1/11(- 64JP- 6 s3a FAX# 6'3/-J?7? ie4 31 a6 NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category MINNES01'A RULES 7670 CA1'EGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Subenitted^ , - Energy Envelope Calculations Submitted i? _ MINNL:SOTA RULF.S 7672 J& '?X[ - New Energy Code Worksheet Su6mitted ;- ??'? _ -1 ?-.. ? Plumbing Contractor: Phone Plumbing System Includes: 'Water Sof[encr Lawn Spruil:ler Fee: $90.00 Water Heater No. oF R.I. Baths No. oF Baths Mechanicai Contractor: Vlechanical Svslcm Includcs: Sewer/Water Contractor: Air Conditioninn Heat Recovery System Phone # Phone # ree $70.00 All above information must be submitted prior to processing of application. I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply wiih all applicable State of Minnesota Statutes and City of Eogan Ordinances. l Signature of Applicant ti\?&j Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 I?EPLACE(S) ? OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-piex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex J( 19 Lower Level ? 12 12-plex Plbg_Y or ZN ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ?33 Aiteration ? 37 Demolish (81dg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire 81dg only) - Give PCA handout to applicant Valuation ' oo p Occupancy MC/ES System Census Code q 3 7 Zoning ?- / Ciry Water SAC Units O? Stories Booster Pump Nbr. of Units a Sq. Ft. PRV Nbr. of Bldgs / Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. Footings (deck) FinallNo C.O. _ Footings (addition) Plumhing _ Foundation I-NAC Drain Tile Roof Ice & Water Final Other Framing Pool Ftgs Air/Gas Tests Final ? Fireplace _y R.I. Air Test L/Final _ Siding Stucco Stone ? Insulation _ Windows (newheplacement) Approved By 6 1" , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ? ? LL Fi.,s 4 J2uod :It ?Ip .._ Total ' Address: 560 HAgWgE DgjVE Lot I Blk4 Sec/Suh AUTLM RIDC? These items were/were not complete at the time of the final inspection. D . 8/20q2 Yes No Finalgrade (6" from siding) ti . Permanent steps - garage VI" Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass ? Trail/curb damage Porch V Basement finish ? Dack ? Please verify with the builder tha removal of roof test caps from tha plvmbing system and the shut-off of watar supply to the outside lawn faucet before freeze potential exists. ? r?cmEOru?n White - City copy Yellow - Resident copy Pink - Contractor copy rso ,so ? ,I C, J/ 50112u? Requesi Date Fre No /^?? _?? ? Roug -m In cn Req retl? es ? No `? ? Reatly Now ]?1 WAI NaM1ty InspectOr / ? When Reatly? I hcensed contracror D owner hereby request inspection of above electrical work at: Job Ftltlrass ISVeeL Hox or Routa No 1 s?o D Ply ?i Section No Townshi0 Nama or No Range No. County C;CPRINT, LS7 ' Phone N. y$' - 2-5 Power SupDlier Atlaress 'A Elenncai ConVactor(COmpany Name) Lontraclor9 Lmense No Matlmg ACNess iCOnrcaclor or Owner Making Installalrons / ??????? r/Ozc_ nat e iGOmracmnOwner Making Insiallanon7 ? Phone Number ?it°.?n,?o?- ? 'PYU-'ZIgb5t MINNESOTA STATE BOARO OF EIECTflIC1TY Griggs-Mitlway BIEg. - Room S113 1821 University Ave. SL Peul. MN 55106 Phone (612) 642-OB00 THIS INSPECTION FEQUEST WILL NOT BE AGCEPTED BV THE STATE BOAflD UNLESS PflOPER INSPECTION FEE IS ENClOSEO REQUEST FOR ELECTRICAL INSPECTION es-ooom-oe / ? See mshuc0ons br complenng this lorm on back of yellow mpy ? -? J5071 2 ?: }8elow Work Covered by This Request 6',? ew AdC- Rep ' TypeotBmlding ApphancesWiretl EquipmeniWired Home Range Temporary Service . Duplex Water Heater Electric Heating Apt. Building Dryer Other (Speaty) Comm./Intlustnal Fumace Farm Air Gonditi0ner Other (spanly) Gontracror's Remarks Compute InspecGOn Fee Below. # Other Fee # ServroeEnlranceSrze Fae 8 Cvcuds/Feede ee Swimming Pool D l0 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspector's uu onry ? OTAL Irrigallon BoomS /? 6 g Speciallnspec6on ?? " Alarm/Communicalion THIS INSTALLATION MA E ORD H 1}ISCONNECTED IF NOT Other Fee COMPLETED WITHI NT I, the Electrical Inspector. hereby Rouqn,m ? y G?i?y7 oa ? ! certify that the above inspection has been made Final ( oa `G ry 6 OFFICE U3E ONLY ? This request v0itl 18 manlhs Iram ???? Cj o V O J Feques pale 3 Fre No ough-In InspecUOn Reqmred (YOU must call inspector en reatly) ? Nspecbon Other Tha?ough-In ? Reatly Nox? Wdl Nolify Inspeclor 6 NO ? Ves Da?e Read I[A licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlrass ($VeeL Bax orROUte No) Gly Sedion N. Township Name or No Range No CouMy Occupant(PRINT) PhonB No G 8 6- 6 5° 6 Power Supplier Aatlress Electncal ConVaclor (COmpany Neme) ConVactor's Dcense No tF(?, , C 4 o Meiling Atldress (Contraclor or Owner Mak[ng Installalmn) ?So 7 7 /-j 11t G 4ri . a 3 G Gt..-z . . - Au[honxetl SignaWre (COn[faclo40wner Making Installation) P ne Number S? \JA? S/ - V e s ry AGe B RoPa SMN 51041CITY 82 9U M 1 1 1 1 I II? II I? I III 60ERDT T E v 1 1 11111 1111 11 1 11111 111 ? I I I I R INSPEC ION OP UNLESS Phone (812) 642-0800 . , NCLOSED E REDUEST FOR ELECTRICAL INSPECTION es-oaooi-os ( < < j4 10? See mstmceons br compleUng this brm on back of yellow copy. ? 5z ? ?? ?J(p "X" Below Work Covered by 7his Request New Add Rep. Type of Bwlding ,P- s Wired Equipment Wired Home Range Temporary Service Duplex Water Heatar Electric Heating Apt. Building Dryer Load Management Comm,/Industrial Fwnace Other Specrfy) Farm Air Conditioner Other(speoty) Contmctors Remarks Compute Inspection Fee Below: 71 Other Fse # Service Entrance Siza Fee N Circuits/Feeders Fee Swimming Po01 0 to 200 Amps 0 to 100 Amps /.m Transformers Above 200_Amps A6ove 100-Amps Si nS Inspecror's Use Onry TOTAL Irrigation Booms S ecial Inspection Alarm/Commumcation THIS INSTALLATION MAY BE-ORDERE DISCONNECTED IF NOT Oiher Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rougn-m oa?e certify that the above inspection has been made. Final oa OFFICE OSE ONLY f? This request vaitl 18 monihs irom :;();(>k;tX:Y,^.?.>'F ..• C;:f7Y L;F Efit:,AN CASNICIi: S TEFiM:(NAl_ \,•:7; 77i3 J4Tt=a Gi/10l93 7T"": 00704 7% OPi!c;: fif]k3[:FiT t WPXLE:?RC;1 1210 3001 S(O vPCKMf jQf_ !i'{ 50..00 20rl 9901 560 HACKP':=`.r: Ll,i fr.[!Q '0 'roW Rer_ei.pt rrr.atmi; : °-tJ..:=O CRU43`r'; l!.^-c': Irie "tP,RC`/ A ..S;::J{>;Ct??k"?':?{);7,:%n;JRak:?'.:?Y:• :'f:''.• wi....a,:;f k ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 51TE ADDRESS: P.I.N.: 10-12301-010-04 DESCRIPTION: FERMIT PERMITTYPE: euzLorNG Permit Numbec 032419 Date Issued: 0 7 J 0 8 J 9 8 560 NACKMORE DR 10T: 1 BLOCK: 4 AUTUMN RIDGE 2ND Bruil,di`ng, Permit Type ,Buildin9 Wqrk Type ;iCeneus Code : '`+. . P./ ?r_ •??? ? , ? BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL M ., 53 f,.?:-, . wr :.: ? _.? ?, ?i •-. ' { i ? -_ ..?7' .. ? ?_ ?,? m,. ¢,•- ? "2.4Y .. REMARKS: PLAN REVEIWED BY MIKE BARCK CALL 445-2840 RE6ARDIN ELECTRICflL PERMIT AND INSPECTIONS SEPARATE PERMIT REQUIREp FQR ANY PLUMBING WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - ,r WAHLSTRqM ROBERT ' 560 HACKMORE DR EA6AN MN 55123 ? (612)686-6906 T` hereby acknowledge that I have read this applicatian and state that the in'formation is correct and agree to anmp,ly with'all appii'cable State af Mn. Statutes and C.iZy of•Eagan Ordinances. ??? I)ISS , AP I ANT/PERMITEE SIGNATURE I ? D B SIGNA URE ./ ?r??'?98 BUILDING PERMIT APPLICATIOPi (RESIDENTIAL) CITY OF EAGAN I 3830 PILOT RNOB RD - 56122 681-4675 ? New Construc[ion Reauirements RemodeUReoeir Reuutrements ? 3 rogistered site surveys ? 2 wpies of plans (inGude beam S window sizes; poured fnd. dealgn; etc.) • 1 energy caleulffiions ? 3 wpies of tree preservation plen fl lot plattad after 7l7f93 reQUired: „_ Yes _ No DATE: F/ 30 I Pg ?-, DESCRIPTION OF WORK: STREET ADDRESS: LOT: f_ BLOCK: -f?_ SUBD.IP.I.D. #: ? 2 copies of plan ? 2 sile surveys (exterior addkions & decks) ? 1 energy calaletions for heated addftions CONSTRUCTION COST; Name: Q . r'a'?' - ka u1 T Phone #: ?&?,6 - 6 J CyG PROPERTY L%Si F"n OWNER StreetAddress: S60 NGtt?,morQ. L*? V`R- City &n !p vl State: zip: SS/?3 Company: r% &n 4 Phone CONTRAC'IOR Street Address : License # City ' State: Zip: ARCHITECT/ ENGINEER Company: Nonl Phone#: ? Name: Registration #: Street Address : Ciry State: Zip: Sewer & water licensed plumber (new construction ony): Penalty applies when address chang and lot change is requested once permit is issued. I this application and state that the infortnffiion is correct and agree to compy with all applicabl of Eagan Ordinances. USE ONLY Certficates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-piex ? 05 SF Misc. ? 10 _ ptex WORK TYPE ? 31 New h? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowabie) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning O 11 AptJLodging X ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace , ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. ri pxlt 16 Basement Finish 17 Swim Pooi 20 Public Facility 21 Misceilaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code oi Census Bldg / Census Unit o Building A4f2 Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units , PERMIT C°nt °"° 0685 ITY,.OF f-AGAN 830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDZNG 000871 06/23/92 TE ADDRESS: 560 HACKMORE DR LOT: 1 BLOCK: 4 AUTUMN RIDGE 2ND DESCRIPTION: Building Permit Type SF DWG BuildinglWork Type NEW ' U8C Occupanay R-3 Construction-, T.ype V-N Zoning R-1 8uilding LengCh ? 52 Building Width ? 64 _•\ '_ ?: U_? REMARKS: C_ ol C1 4-7 y o:;? PRV S 6 W CONTRACTOR - MCDONALD PLBG FEE SUMMARY: VALUATION Bese Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $699.00 $454.35 $58.50 =760.00 100 $1,911.85 $117,000 MISCELLANEOUS $1,610.50 Total Fee $3,522.35 CONTRACTOR: - Applicant - ST. LICpWNER: MITTELSTAEDT BROTHER3 14569125 0003443 PtITTEL3TAEOT BROS CONST 785 SUNSET DR 785 3UN5ET DR EAGAN MN 55123 EAGAN MN 55123 (612) 456-9125 (612)466-9125 I hereby acknowledge that I have read this applicat3on and etate that the information is correct and agree to comply with all applicable SCate of 19n. Statutes and City of Eagan Ordinances. ? M APPLICAN?/P EE SIGNATUR d'??? -f 1ED '69 NAIURE , PERMIT I fill CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681 -4675 SY ? 4 Recr, 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 when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date .S / _k / 9-2, Valuation of work /2 9 L.? a?z D/G Site Address: ?, STREET STE Y Tenant Name• Lor BLOCK P.I.D. # Descri tion of work: The applicant is: ? Owner 4Contractor O Other (oe6«ix) Name Phone Property LAST FIRST Owner Address STREET STE f City State ZiP Company A 2=6rp ffl!tr Phone y?G ?ia5 _ Contractor -f- .4J124kle License # 49039Y 3 Exp.^3Z34ZZy Address 71;9'5 Srs.?i6 City IeAfsiPxI.) State ?.a>. Zip 1?6'173 Company Phone Architect/ Englneer Name Registration # Address City State ZiP Sewer & water licensed plumber ? ? .. Processing time for sewer & water permits is two days once area has bee approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wi all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: , , vr r ?vG V?7G VI\LI BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg O 09 Basement finish 02 SF Dwg. O 06 Garage/Accessory O 10 Swim Pool 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comm./Ind. WORK TYPE P 31 New O 32 Addition 0 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION ? 37 Demolish ? 99 Undefined Const. (Actual ? -N V Basement sq. ft. (AlTowable y- N lst F1. sq. ft. UBC Occupancy 2-3 2nd F1. sq. ft. Zoning R_I Sq. Ft. total 8 of Stories Footprint Sq. ft. Length ? On-site well Depth On-site sewage APPROVALS Planning Building Engineering Variance REGlUIRED INSPECTI,ONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile 11 Insulation ? Fireplace Permit Fee 699.00 voi,ec;p,: s// 7 6 J J ? Surcharge Plan Review ss , so 4zm 35 ' GAX 'Yt-S '0ykZ7Z? 5Zf3 X 16 = gvN license cWtC SAC ? oo, ov g?', zv k ZU ? 51),6 Water Conn. i,?s, oo ? x 12= 96 Water Meter Acct. Depasit S/w Permit 30, o? 6 1 S= ?0 v%v d / fLS S/W Surchar e Treatme t P1? - Su I ------f t?p? L ?Qg -- - n . Road Unit g??.? 30 x? 4=720 Ss?t = 67Z Park Ded. = Trails Ded. Co ies p?Xy_ ?y 720 X 53- 3?lbv Other ' I'?zxqYi= 1_ Total : G N1:IN1';HED AkFi4 2$ K?'r.3= SAC % 100 16X -32L_( ?5-168?f SaC Units 1 < X 2p? D? ? 3r ? -?gT,/f-L JIG? - ? 3 Putilic Fac. ? 4 A`gricultural ? 15 Miscellaneous MWCC System ES City Water rc-n, PRV Required YEs Booster Pump Fire Sprinkler Census Code SAC Code o? Assessments DATE ' . . • EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION DETERMINE WORRIrG SQUAAE FOOTAGE OF EACH. 1. Total exposed wall area ... 3p2,17, 3 sq. ft. x •11 - 333.0 2. Total roof/ceiling area ... ) y rj $, o s4. ft. x •026 e ? Total exposed wall area abova floor - 2.Q I(0. a. Total wall windaw area ......................... 2JSL.9 b. Total door area ............................... '+j9.?F c. Total sliding glass door area .................. L 3.le d. Total fireplace wall area ...................... O e. Tatal wall framing area (average lOx) .......... '10 2. 7 f. Total net wall area above floor ................ ? Q q 2, 2 R. To[al rim loiet area ........................... 3 GI. 2 Total expoaed foundation area h. Total foundation vindow area ................... 11.2) i. Total net foundation area above grade .......... /00. D Determine "U" value of each vall segment. a. 254. q x„o" 0 Y2 - l07, 9 b. 34,y z „U„ ,07 - 2.g C. G3.? x.,v,e , 4i2 - 26.7 a. o x^vlt o - o e. 302 , rl x"v" .1I - 33.3 f._j!j92•2 x "v" ?oy34 ! $. 31-e i . L x IrUlt r QLI L7 ~ I? / n. 11. 21 x„u.t 1 y17_ - y. 7 i. I00. D X „U,t .D9L - -7 (e 3 . ...............................Tatal ' 8 0 If item 93 is the same as, or lesa than item $1, you have met the iatent of SSC 6006 (02. -1- CONfRACTOR NL. nnnxESS 7 S? '?fIJSiGT 6n_ 9A &^) eaoris y" - 41 z. 1; Total exposed roof/ceiling area - 1y,17 g j . Total skylight area ........................... p k. Total roof/ceiling framing area (average lOZ)., y 2, y 1. Total net insulated roof/ceiling area ......... f'3g 5. G Determine "U" value for each roof/ceiling segment. j- n g ?lUll n ZS k._ 92,a/ X flU" .0155 ° 2.'/ 1. /?iBS G R "Un .?ZI'g ° 4 ..........................................Tota1 e If total of 04 is the same as, or less than G2, you have met ehe intent of SSC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items 03 and 04 shall not be greater than the svm of items lil and 02. 1. ? - ----°-- + 2. 3. + 4. s -2- PERMIT a ? q, dov ? ? CIT-.`: OF EAGAN ?/7``? r3830 Pifot Knob Road PERMIT TYPE: PermitNumber: BUZI.pZNG Eagan, Minnesota 55123 023852 (612) 681-4675 Date Issued: g 6/ 0 9/ 9 4 SITE ADDRESS: 560 WACKMOftE DR LQT: 1 6LOCK: 4 AUTUMN RIDGE 2ND P.I.N.c 10-12301-010-04 DESCRIPTION: 9uilding?-C?ermit Type tBuilding Wirr-k 7ype ? .? ? ? ?- " pECK NEW ??u' ff'L? REMARKS: FEE SUMMARY: CONTRACTOR: I Base Fee $36.60 Surcharge $.50 Total Fee $30.50 OWNER: - ppplicant - WAHLSTRQM ROBER7 560 HACKMORE DR EAGAN MN 55123 (612)227-6500 I hereby aaknowledge that I have read Chis appl.3eation and state thet the information is correct and agree ta eomply wittr ali applicatr3.e State of Mn. 5tatutes and City ofi Eaga•n Ordinartces, Gij? /1-.4-7 APPLICANT/PER E SIGNATURE , ISSUED BY: IGNAT J . CITY OF EAGAN , • ?? 1994 BUILDING PERMIT APPLICATION 681-4675 ! SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site survey's; 7 c3 y of energy cal cs. h66t gig !! ; r COMMERCIAL ns , l se 2 sets of architectural & str c 1 pl of i ? ? specifications, 1 copy of ene 3 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 \j u.ne 12 Valuation of work 00 Site Address: 5 60 ?krrNert ll?v,;v,¢- ,?c?G?,^ 6M C?la-3 STREET SU1TE # Te nt Name: (commercial only) IAT BLOCK ? SUBD. P.I.D. # ?j.i... 1 . l7- 13O , OO- Descri tion of mork: ?? rwclripn C'L $c• Cf? acilrn8 kOwC'Q- The applicant is: L9/Owner ? Contractor ? Other (Describe) Name (.t*h(s4roM ?a(oGr? Phone 0-6-690-4 Property LpsT FIRST ?k a?7- 6sod Owner pddress 5_60 1-ftk4r?u'ite. bro,)'L STREET STE # t9,ri State Zip City La Company Phone Co ntractor Address License # Exp. City State Zip Company Phone SS?-1Q4? Architect/ Engineer Name LI _S'aw!4.e.L 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 this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex 13 13 Garage/Accessory 0 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. p 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION .. , ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. O 19 Comm./Ind. M1sc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ys Oepth On-site sewage SAC Code a/ APPROVALS Census Bldg i Census Unit o Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? .Site fd Footing ? Framing ? Insulation ? Wallboard P Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge 7reatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Yaluetim: SAC % SAC Units CITY USE ONLY ? L ' BL ? . RECEIPT#: C+ 577:?- C, •SUBD. tj RECEIPT DATE: ? - 3 ? - ? ? 1998 PLZJMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, l•II7 55122 (612) 681-4675 Piease complete for: ? single family dweltings D townhomes and condos when permits are requlred for each unit ? backflow preventer for underground sprinklersystem FIXTURES EACH # TOTAL Shower 3.00 x = Water Cioset 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drein 3.00 x = Gas Piping Outlet ' minimum - t 3.00 x = Rough Openings 1.50 x = Water Softener "for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G.Sprlnklef `fordwellingunderwnst. 3.00 = U.G. aprinkler `forexistingdwelling 20.00 = AItBr2ti0nS ` to existing residence 20.00 Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and returbished systems) Private Disposal Systems ' nbandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50 TOTAL ------------------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that 1 have read this application, stete that the infortnation is cortect, and agrae to compty with all applicable Cily of Eagan ordinances. It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance aGivities to the facilities constructed under this pertnit within City propartylright-of-wayleasement. SITE ADDRESS: 560 yArik",I e priJj- OWNER NAME: INSTALLER NAME: TELEPHONE #: 686-G 96,0? STREET ADDRESS: 60 N ize rti0 ra, A1^ i v-(- CITY: L?Q[ALCn STATE: /`?N ZIP: SIGNATURE CDIPERMIT FORMS/RPLBG PERMIT (RES) - 1998 , L( B CTfY OF EAGAN SUBD. ? MECHAHICAL PERMIT _ (612) 6814675 RESIDENTIAL ?3flIc RECEIPT # /D & &/ L4 DATE 41/Q?9/9.1- PLFrLSE COMPI,ETE UPPER ppRTION ONLY FOR SINGLE FAMII Y DWELI.INGS. ALSO, COMPLETE FOR TOR'NHOMFS/CONDOS WHEN SEPARATE PF,RM?1'S pRE REQIIIREp FOR EACH DWELLING UIVIT. OWNER: IY) j ??5?{u?? ? ? S I?CG FEFS STl'E ADDRFSS: ADD ON/REMODEL (EIIISTING CONSTRUGTION ONLI) $ I5.00 INSTALLER: AVAC: 0.100 M BTU */00 1 PHONE #: e d L'19d ??o ADDITIONAL 50 M BTU 6.00 -11 2 .,,npFCC; Savage, MN 55378 GAS GU??? ii?? I CW $3 F& 3 00 CITY: ZIP: SURCAARGE $ .50 SIGNATURE: Azv? ?'Z;zd TpTpI,; 3 . v ? COMMERCIAL PLEASE COMPLEl'E THIS PORTION FOR ALL COMMERCWIINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERhIITS ARE NOT REQUIRED FOR EACH DWELLING UNTC. WOTtK DESCRIPTION: CONTRAGT PRICE 1% OF CONTRACf FEE. FEES STATE SURCHARGE LS $.50 FOR EACH $1,000 OF PERMTT FEE. $ PROCESSED PIPING . $25.00 MIxIMUM FEE - $25.00 S OWNER: TOTAL: $ SITE ADDRFSS: TENANT: ` SUITE #: INSTALLER: ADDRESS: CI1T: ZIP:. PHONE #: CITY SIGNATURE SIGNATURE: tBb CITY OF EAGAN PLUMBING PERMIT SUBD. (612) 681-4675 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 a` SHOWER 3.00 ? ? WATER CIASET 3.00 / BATH TUB 3.00 :21?7 IAVATORY 3.00 J,; / KITCHEN SINK 3.00 % LAUNDRY TRAY 3.00 % HOT TUB/SPA 3.00 ? / WATER HEATER 3.00 3 ? FI,OOR DRAIN 3.00 ? GAS PIPING OUT. _Z_ (MINIMIIM - 1) 3.00 3 --" ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 _ W.,TURNAROUND 15.00 WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: ? O 77Q.1 /Mli dC/ c"' INSTALLER: annxESS: 1Ra7z &E?04An? CITY:ZIP: PHONE STATE SURCHARGE .50 TOTAL: s V,522-- COMMBRCIAL PLEASE COMPLETE THIS PORTION FOR ALL C0M4ERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: _ TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITl': PHONE FOR: ZIP: CONTRACT PRICE: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF PIItMIT FEE. $25.00 MINIM[IM FEE. CONIRACT PRICE x 1X $ STATE SURCHARGE TOTAL: CITY USE ONLY RECEIPT # 0- 1 / ? DATE ALSO, FOR TOWNHOMES AND CONDOS $ (SIGNAT[TRE) CITY OF EAGAN 32- 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 please wmplete for: single famiiy dwellings & townhomes/condos when permits aze required for each unit ik; 30 66 Date ('? / 11 / oS Site Address sXu Ll ?? M ", ?N- , Uoit # Property Owner f''({CW n"t _(:?A ?? Telephone #(1n6? ) ?D?SID "ULl(_)LO Contractor ?a V W Street Address ) `+ ?-A I Vit-i'v1?? ( L? CitY Sta[e mu Zip J J _1 Telephone # Bond#: 4??C??( Zc?1 ?-?- Ezpires: The Applicant is _ Owner _ Contractor _ Other Add-on or alteration to existi ng dwelling uoit $ 30.00 furnace _,Additional _Replacement air exchanger air conditioner ? _ New `? Replacement other State Surcharge $ .50 Total $ 0,60 I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. <; 'K .4l , 1% Applicant's Printed Name ApplicanYs Signature 2005 COMMERCIAL MECHA1vICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for• commercial/industrial buildings multi-family buildings when separate permits aze not required for each dwelling unit .61. Date Site Street Address Unit # Tenant Name (if appiicable) Previous Tenaot Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicanf is Owner Contractor Other Work Type _ New Construction _ Underground Tank _ Instali _Remove `*see below _ fnterior Improvement _ Install Piping _ Processed _Gas Nature of Work: '"When instafling/removing underground tank, call for inspection by Fire Marsltal and Plumbing Irtspecfor PeI'mlt F¢¢S: $70.50 Underground tank ins[alla[ion/removal $50.50 Mireimum (includes State Surcharge) or Contract Value $ x I% _ $ Permit Fee • If oe rmit fee is $1,000 or less, add $.50 ? $ State Surchazge If ne rmit fee is over $1,000, add $50 for every $1,000 oe rmitfee $ Total Fee i nereby appiy tor a Commercial MechanScal Permit and acknowledge that the information is complete and acwrate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permir, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspecror ._. ........-_,.: "4i'u;aa„t_?ItY'°'nCi?c.'?FW'.:..+64:°'n"•?:s??..k•,.i?+::+i'L"CT.-S';_i'?'1"'w°LA-:.'!-..u.-?u... ?.aW A,"=Y.Y.'M:t??",..? ..Ma:?nrrni`.,:rr?r--r'r_TnFi'7?^'M?.w.?..'.a. r.........,.. :. _ 2005 RESIDENTIAI; MECAANICAI. PERMIT APPLICATION ' -?-- n , . , , . ? . • . ? „ . .. _ . , . -City ?Of Eagan 3830.Pilot?KnobRoad;EaganrMN 55122, . .. ? . ,' ;,,.:Telephone # 651:=675=567.51^..; . ,. .. n , : - . ? , ' . - ' , d , b ?T' ?.. ? .e. . •.. Jry .E.? ?, ?7 ,(-' R ? .??n? • . *Y p . . ? ' . ? 'r . . Please coinple[e for: `single family dwetlings & townhomes/condos when permits arerrequire( foryeaeh?unit , , ? . . . . ?. , , . , ? - • . . r?, ... . ., . .. , , ., ; I . ? Date SiteAddress . . , ,?? . Unit# ? . V '? 'T'elephone Property Owner l ConEractor via ? • - ??L?i,` . - _ Street Address 3 ?T ? ? {N N? " ,,., hS V 2 I $ vi ??..- , 5tate Zipa,553=3.` rt? :.Tetep6ane# esk) 4065 2r? 12A, Bond#: ? E Yls ?C2.p? U. ? Expires: . '' The Applicant is -= Owner ? Contracior " Ottter f ?' ° ? ' ? . P' - a• ?'' ?y?ttq? a'.,'`w,. e F e ii, Add-on or alteration to existing dwelling unit -30.00 furnace• AddiUonal =Fteplacem(nt,` .. air eicchanger s ? / 7 ? air'conditioner " =New'? ?!'? Replacement eth4 StateSurcharge' ? . „ ?. ". .. . ? . ,•. ? ; _ ' ` , '? ,. ? ? , $ Total ? _ ? . ., ._ ; I hereby apply for a Residentia] Mechanical Permit and acknowledge tha[ the information is complete and, accurate; [hat the work will he in conformance wit(i the ordinances and codes of the City,of Eagan and with the Mechanical Godes;. that I understand this is not a permit, but only an application foi a permit; and work,is not to start without a,pettriit; that the work will be in accordance witli the , approved plan in the case of work.which requires'a review and approva} of plans.'' f t?I_rs ft4la N i?kersah : bt.I-?? i?k ,r-sa?a y?. , _ . i_ ?. ? ?a,? ;: Applicant's Printed Name • Applicant's'Signature - . . , . . ?1 'J . aav na SURVEYOR'S CERT ! / 30 ??P VaQ a ? . ?1 954.0 ?37 x ? ti FICA 0 ???' ? 952,i ? / ??ON\ NOOF 3?Jp 4? '? \O `<4+O IN Qk' ?i? ? h1\ ? A4 30 9w v , , / c? ?} \ \ eExcd Maex / \' '0 .1 GP ?s ?VI;y? ?I _o!?/ I Q MITTELSTAEDT BROS. CONST. BENCH MaRK 70P OF PIPE E1EV. =952.14 ?Sp \ Ale ?y .- ' e ? Rqp. \ ,. ?I'k g?,?y60. B i \ 950.4 ? ? / ? ?ig? ? . \?. ???-....- ?: ??(1??JV 9502`, \ ?yQ`p/ 1.? y , S I ?,. ?. \ $o Yx/ 50?A l (9,f Y 7) ? Mo ? i p D DEPT NOTE: BU4.OING qMENSIONS SHOWN ARE ?'p R MORIZONYAL 8 VERTIC1u. LOC- ATiON OF STRUCTURE ONLY. SEE NOYEt NG SPECFIC SOlLS INVESTIGAT10k FfAS BEFII COMPlE7ED AACNITECTt1At PlANS FUR BUtLDING Of 6 FOVI:DATION DIMENSIOHS e---- DENOTES PRpPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUNQ X000.0 DENO7ES EXISTfNG ELEVATION (000.0) DENOTES PROPOSED ELEYATION ON 7HlS LOT BY THE SUHYEYOR. s1£ SUl7AlfLITY SOfLS TO SUPWRT 7NE SPECIFIC HOUiE Mq/09ED IS NOT TFiE RESPONSI&LITY OF 7HE 4URVEYQR SCALE; 1 MCH - 30 FEET PROPUSED GAftAGE FLOOR - 7SG• S FEEf PROPOSED LpWEST FLOOR = 9¢?B 8 FEEf PROPOSEO-TOP-OF BLOCK - 95$ •5 FEET WE kEREBY CERTIFY TO MITTEISTAED7 BROS. CUNST. THAT THIS IS A TRUE AND CORRECI REPRESENTATION OF A 5URVEY dF THE BOUNDARIES 4F Lot l, Bbck 4, AUTUMN RIDuE 2Np ADDITION, according to The recordeC plut Thereof, Dakoio County, Minnesota , . IT DOES NGT NURPORT TO SNUW IMPHUVEMENTS Uk rNCkOACHMENf5, EXCEPT AS SFtOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 13T H DAY OF MAY , 1992. PROPOSEp GRADES SHOWN WERE TAKEN FFiOM TME DEVEIAPMENT PLAH FOR AU7UMN RIpCaE 2ND ADDITIpN PREPARED BY PIONEER ENG LA5T DATED 5-1I-92. SIGNE . M S R. HILL, INC B ?- ? JOHN C LARSON,LAND SURVEYOR MiNNESOTA LICENSE NUMBER 19828 N ? ? m ? Q m N ? N p ? ? n c tn a - W? ? Vl ? D 6z n -? .? I o u,? z 0 T m O si Z c) , z ? w _ o m I ( James R. Hill, inc. PLANNERS / ENGINEERS ! SUFtVEYQRS 2500 W. CTY RD. 42 * BURNSVILLE, MN. 55337 • 612-890-6044 sso+as . " ? SURVEYOR'S CERT ? / v ? -1° \. ? 452b x , ' ?LiPi • S /? I? ?a g •\?.V\,? ??? f3ENGN MARK ` s TOP OF PIPE O EL£Y.= 935.05 0/ Ll1'1i r "O ,0s2 1 FICATE MITTELSTAEDT BROS. CONST. ? 952.?_ ` ? \ BENCH MARK O?~TOP OF PfPE ElEY. - 952.14 •' . ? JO . ?4 ? L^?? ? ?i J29 r94/ / A\ ? \ ? \ 9 A, r?% ? ? . i? G 96a O n 17, L4be 4'a g?' ?y x 950 41? \ Q \ Y1'°6 t° Scctt? ? ' I OQpJy I 1 ? i ? QQ`Z• ? o J /? v? ? i l?49.9 0 I ?6 \ / ? +_?'?n ' /? ?p Q?4 9502\./ ` 'O \ Q? Gx0Q4ij ..? ?? ? ? yd`'? ? g???' ? - ? VO F ? , ?6z, - / '(F-r9 r) M° 949.4 \ \?9? NOT£: BUtL.71t7G pMEN5i0N$ SNGYfN ARE Fp R !i'JR120M1'AL B VERTICAL tAC- ATION OF STRUCTURE ONLY. SEE NOTE! NG SPECFIC SOILS INVES7GAT10N NAS BFEN COMPIETED AqCHITfLTUCL PLAlfi FCR BUILDING Oh TNIS LOT BY THE SURVEYOR. TI£ 3U7Al4lRY Of B F7lNU4TI0N OIMENSIONS SOILS TO SUPiORT THE 8PECIFIC HOU1E ?Ib?OlED IS ?r---- DENOTES PRpPOSEO SURFACE DRAINAGE "oT rHe HESPONSIBILITY oF YHE suavevort O DENOTES IRON MONUMENT SET SCALE: t INCH - 30 FEET Y DENOTES IRON MONUMENT FOUNG PFiUPOSED GARAGE FLpOR - YSG- S FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 9tg8 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 9S? •'ri FEET WE kEREBY G'ERTiFY TO MITTEL;TAE;JT BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION'JF A SURVEY OF THE BOUNDARIES OF Lot I, Elo:k 4, AVTUMN RiCvE 2ND AGDITION, =CCurding to th¢ recorded plot thereot, Cakota County, Mirmesrna. , . IT DOES NGT PURPORT TO SHOW fMPROVEMENTS OR ENCROACHMENTS, EXCEP7 AS SHOWN AS SUFiVEYED EY tviE pP, UNDER P.1Y DIRFCT SUPERV!SION THIS 13T H DAY OF MAY 1992. PROPOSEO GRA;:ES S HOWN WERE SIGNE . M S R HILL. WC TAKEN fHtiM TME DEVEtAPMENT PLAN FOR AUTUMN RIDOE 2ND ADOITION PRfPARED BY PIONEER ENG LAST DATED 5-11-92. B ? JOHN (D -LAkSON,LAND SURVEYOR MINNESOTA LICENSE NUMBER 19826 C m ? ? Z? ?D O N A C) _ O RI rn p 7c (A ? D ?S ? Z O P ? ? z ? James R. Hii1, inc. PLANNERS / ENGINEERS / SURVEYORS 1500 w ?i'r :iD 42 • BURNSVILLE. MN. 55337 • 612-890-6044 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 560 Hackmore Dr Lot: 1 Block: 4 Addition: Autumn Ridge 02nd PID:10- 12301 - 010 -04 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Foss Exteriors 1891 Sandbar Circle Waconia MN 55387 (612) 229 -8617 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Robert J Wahlstrom 560 Hackmore Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA087250 11/03/2008 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA109153 Date Issued:02/13/2013 Permit Category:ePermit Site Address: 560 Hackmore Dr Lot:1 Block: 4 Addition: Autumn Ridge 02nd PID:10-12301-04-010 Use: Description: Sub Type:Exterior-Single Family Dwelling Work Type:Windows/Doors Description:House 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, 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 - Robert J Wahlstrom 560 Hackmore Dr Eagan MN 55123 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145017 Date Issued:08/18/2017 Permit Category:ePermit Site Address: 560 Hackmore Dr Lot:1 Block: 4 Addition: Autumn Ridge 2nd PID:10-12301-04-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert J Wahlstrom 560 Hackmore Dr Eagan MN 55123 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA147693 Date Issued:01/26/2018 Permit Category:ePermit Site Address: 560 Hackmore Dr Lot:1 Block: 4 Addition: Autumn Ridge 2nd PID:10-12301-04-010 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 - Robert J Wahlstrom 560 Hackmore Dr Eagan MN 55123 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165950 Date Issued:12/02/2020 Permit Category:ePermit Site Address: 560 Hackmore Dr Lot:1 Block: 4 Addition: Autumn Ridge 2nd PID:10-12301-04-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Robert J Wahlstrom 560 Hackmore Dr Saint Paul MN 55123--304 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166844 Date Issued:02/09/2021 Permit Category:ePermit Site Address: 560 Hackmore Dr Lot:1 Block: 4 Addition: Autumn Ridge 2nd PID:10-12301-04-010 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 - Robert J Wahlstrom 560 Hackmore Dr Saint Paul MN 55123--304 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature