564 Hackmore DrINSPECTIUN RECURD
' CIY•1( OF EAGAN
4 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Luz t q
;r14 HAf.KMURE DR
, A1?711MN Ir tl.7fiF ?'N?
i PERMIT SU,BTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
,,! & s HOIAES YMC
(612) 686•-9992
TYPE OF WaRK:
MSPECTiON
i`???? i I N?i ,. .
t f1A1+1[I?!$ .•
[MtiUt.A1IOM F7"N+RL
FIRf.Pi Afl' ?
;
R!- M A V K •. 7 REi:E J F'1 *
2m
-
i ;bW f'I,Ak - i?l:SENCV p1.Ei6
Control Na 0915
!lllIlllINA
0012216
AeJA7/9?
?
?
Permit No. PermR Holder Date Telephonre #
$/V1!
PLUMB{NQ V%P
HVAC
ELECTRI
?,
i: ,n?7?'`o?D
.'• ? cra.?v-- /.. ?:
/%, i?s?-'
•?`,,°
ELecTRic
Inspoetion Dsta insp. CornmeMs
Foptingsl ?.lZ-?2 &
Foundation &
Framing
Rooting
Rougn Ptbg.
Raugh Hns- r? ?' 7Z
Fireplace
Finel Htg.
omat rest O6
Final Plbp_ j
???? Ibg. pector- o ify u er
Const. Meter
EngrJPlan
Bldg. Final cl
Deck Ftg, ?
pedc Finel
weu
Pr. Disp.
?a /3 3}s??
a? - ? • *° ?
WAc?.?tificate of CccuVanc?
? ? ???
A. ? ??S anapeetift
This Certi, ficate issued prrrsWant io the requirements of the Uni}'orm Bailding Code
certifying thut art tlee time of issuance this siructure was in compliaRCe with the various
I•
I -A
orriinances of the City ngwlating building construction or use. For the following:
SF DwG/GAR 1226
use ciassif,afim- s?. r? rb.
- - n
°`°u°-cy Typ` J&S X V °,saia ?5 , LuINA 55439
owneir or suilding naa? 504 v L ; B4,
Building L.ocality ? JUNE 4, 1993
?-
oa,?
P06T IN A CONSPICUOUS PLACE
RESIDENTIAL
. y BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651.681 .?s?
NawConsWCfion Reaulrements
• 3 registered site surveys showirg sq. R. of lot, sq. R. of house; and ell roofed areas
(20% mazimum bt croverage allowed)
. 2 copies of plan showing heam & window sizes; poured found design, elc.)
• 1 set of Energy CalculaCwre
• 3 capies of Tree Preservation Plan if lot plaked efter 711193
• Rim Joist Detail Options selecUon sheel (bldgs with 3 or less uniGa)
DATE S.
JOB SITE
?9001(
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWN
TYPE OF WORK_
APPLICANT L'
ADDRESS S4
PAGER #
170, z5
72o-of
4(y)
FIREPLACE(S) _ 0 ? 1 _ 2
_ PHONE#6DS( 686 -61179
914E- J/TUUe ZIP CODE ?71 d_2
CELL PHONE # 6(a--5GS-FS7V F,,X # 6sr- 9os-9a 3S"
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MNNESOTA RLJLFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Sut
- Energy Envelope Calculations Submitted
MINNESOTA RULFS 7672
- New Energy Code Worksheet Su6mitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor.
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
Heat Recovery System
Phone #
Fee:
$70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read ihis application, state that the inform tion is correct, a d agree to comply
with all applicable State of Minnesota Statutes and City of Eagan r?nan WZZZT
Signature of Applicard
Certficates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
_ Water Softener _
Watcr HeaCer _
No. of Baths
RemodeVRaoair Reauirements
. 2 apies of plan
• xlneigy Calc lations for heated addition,a
• 1 site survey tor ra3erior additions 8 decks
•4nelimalWWRRIA3€"rved by septlc system for addNOns
ALUATION
Phone #:
Iawn Spruikler
No. of R.I. Baths
OFFICE USE ONLY
r
? 01 Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bldg
? 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 08-plex ?8 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
,k'-'31 New ? 35 Int Improvement El 38 Demolish (Inte(or) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33Alteration ? 37 Demolish(Bldg)* ? 43 Reroof ? 46 Windows/DOOrs
O 34 Replacement *Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation ODU.?O Occupancy Q-3 MC/ES System
Census Code y3H Zoning City Water
SAC Units G l Stories / Booster Pump
Nbr. of Units 0 Sq. Ft. PRV
Nbr. of Bldgs I Length .na.? 16 2r1S1 Fire Sprinklered
TypeofConst -17AI Width Sr?q CA.6 xSl
?
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
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
ToWI
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) FinallNo C.O.
Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fueplace _ R.I. _ Au Test _ Final
Insulation
FinallC.O.
?
HVAC
Addtess 564 HACKMORE DR
L,ot . .4. Blk 4
Sllb AUTUMN RIDGE 2ND
Zip 5512
THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECTION.
Date: 6/4/93 Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass
TraiUcurh damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to
the outside ]awn faucet before freeze potential exists.
Contact engineering division at 681-4645 bcfore working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Coniractor Copy w
.,
Request Date Fire N. Rough+n Inspa wn
qeqmred+
? Ready Now P{yJill Notity Inspector
s G No When Reatly4
IY-licensed contractor p owner hereby request inspechon of a6ove electrical work al.
Job Nadress (Stteet Box or Fovte No ) Qty
? r
C
Seqion No Towns?ip N, me or No Range No Counry
Occupanl(PRiNT) Phone N.
?
PowerSUppl?er
Aatlress
Elettncal onlractrn (Company Namel Convac?or's License N.
-
Matl.ng Atl4RSS IConVactor or
k,rigInstallaLOn!
r
?
-
_
Aumorrzea 99nalure omrattonOwner Ma ns II on Phone Number
MINNESOTA STATE BO O CT RV THIS WSPECTiON qEOL1EST WILI NOT
Grlggs-Mitlway Bltlg. ]? 0E nCCEPTED BV THE STATE BOARD
1821 Unrversity Ave., SI. Pau. MN 55100 UNLE55 PROPEP INSPECTION FEE IS
Phone (612) 641-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION , eeooomoe
6 9 20 , See iysamcbons lor compleling Ihis form on back oi yellow copy
"X" Below Work Covered by This Request ew Ndd Rep ' TypeofBmldmg ApplianceSWired Eqmpmen[Wired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Budding Dryer Other (Speafy)
Comm /Industnal Fumace
Farm Air Condrtioner
DNer (syealy) Convacmr5 Remarks
Compute Inspechon Fee Belaw:
# Other Fee a ServiceEntrenceSrze Fee # Circwts/Feeders Fee
Swimmmg Pool D b 2D0 Amps 0 to 100 Amps
Transformers Above 200 _ Amps _ Amps
Signs Inspeclor§USeOnly. TOTAL
Irrigation Booms
Speciallnspecllon
AlarmiCommunicauon THIS INSTALLATION MAY BE OR RED DISCONNECTED IF NOT
Oiher Fee COMPLETED WITHIN 16 MONTHS.
I, the Electncal Inspector, hereby R°°9n"n
cerOfy that the above inspection has
been made. F,,,ai oa?e
OFFICE USE'JNLY
This requesl voitl 18 months Irom
10 6 ti
-4 0 ? 2006 RESIDENTIAL BUILDING rEx?T nrrLicnTioN Ck,? ?ta ?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Construction Reauirements
3 registe2d sAe surveys showmq sq. tt. oi bl, sq. ft. of house; and all roo(ed areas
(20% maximum lot wverage allowed)
2 wpies Df plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 717193
Rim Joisl De[ag Options selection sheet (buildings with 3 or less units)
Minnegasco muhanical ventilation form
RemodeVReoair Reouirements
2 copies of plan shovring footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Additron - indicafe if on-sde sepfic system .
Office Use Onlv
Cert ofSurveyRecd _Y _N
Tree Pres Plan Recd _ Y_ N.
Tree Pres Required _Y _ N
On-sde Sep6c System _ Y_ N
Date_Z/ 7'1 I 00 ? ConstructionCost ?3e?J
Site Address 5V? L? ?//??C ??1QL L)K UniUSte #
Description of Work v /?7 r A4L'sA'/ CM7"J'63 66Aq1b
Multi-Family Bldg _ Y?Z N Fireplace(s) _ 0 J1 _ 2
PropertyOwner rTelephone#(_G 57) 686-GIy
?r??
Fireside Hearth & Home
Contractor _ 14399 Huntington Avenue
Address Savage, MN 55378 ciry"
952J36J761 Tele hane#;(? ) J !
scace _ License#20512060 - p
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Calegory , Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(J submission rype) Submitfed Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City 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 Coniractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
I hereby apply for a Residential Building 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 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 plani the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name Appli t's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 oi_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuIG Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 StoRn 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 Altera6on ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) • Give PCA handout to appllcant
D@SCriptioll: WaterDamage_ 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
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheehock
_ Footings(deck) _ FinaUC.O. -
_ Footings (addition) _ FinaVNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/G as Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Suilding inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
2006 RESIDENTIAL PLUMBING PERnniT apPLicaTioN A? _ EP
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 3 ! /O 1
Site Street Address J?7a? nKJ'Y1CU"?. ?L.?YiY?P? llnit #
.
i /
Property Owner ?ark_ ? t C. ?inX Telephone # (rn5/ ) /08/0 - 6/449
?/) 7?3-3730
hone# (/
Tele
(
'
?
????
`?
?
,
p
5, Jn
C
.•
Contractor
12Lt
ct
-
Address 15-& City State M/V 2ip ,5306R'
The Applicant is: _ Owner _ Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
?Add plumbing fixtures. This fee includes instailation of a water softener and/or water
heater at the same time. !f you are installing onlv a water sner and/or water
heater, do not complete this section, move to the next se i d check the
appliance(s) you are installing. `S
v Q j?
Septic System Abandonment MAR j
_
_ Water Turnaround (add $130.00 if a 5/8" meter is required) ? ZO06
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ '6-4"6D
.?_. .?,.
I hereby apply for a Residentfal Plumbing Nermit ana acKnowieoge cna[ [ne inTOrmauon 1s cuIIIpIcW ai u aCC'Lira«, uia< ui?
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is requ to be revie ' ed and approved?
Ela?l?el?. l?ulcou??ez ire c.L
Ap ical nYs Printed Name Applica 's Signa re
_?-Zso0
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when pecmits are required for each uni[
*30. so
Date C' 4--
Site Address s? ? 7 14 1+G 1L Ivt c P 11- 7 V c Unit #
Property Owner Telephone # ( )
Contractor ?'flal ? ?? ??+'-? "? ?- 1 ?'i"C b•?L 6 ?-El?t ? e-' L-• ta-?^-?f:> ?, ? YL ?,?+ t-
Street Address City ?St?J.tio ?
State 11' ?v Zip S Sb Telephone #( 4 t Z? 3?rt fa - 5 3`1 3
Bond k: 5 S t q P' Z- Expires: ?i LG4 ?
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existi ng dwelling unit $ 30.00
furnace _Additional _Replacement J_s New
? air exchanger
air conditioner
heat pump
other VOAA?
State Surcharge .50
$
Total " ? -
?
[ hereby appty 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
er it, but only an application for a permit, and work is not to start without a permit; th he work will be in accordance with the
?ved plan in the case of work which requires a review and appr s.
Applicant's Printed Name A icant's Sigi ture
2006 COMMERCIAL MECHANICAL PExMiT arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc commercial/industrial buildings
multi-family buildings when separa[e permits aze not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicabie) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Conhactor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and P/umbing lnspector
Permit F¢es: $70.50 Undugmund tank installation/removal
$50.50 Minimune (indudes State Surcharge)
or
ConvactValue $ x 1% _ $ PermitFee
$ State Surcharge
If ep rmit fee is less than $1,000, add $.50
IFpermit fee is more than $1,000, surcharge
is $.50 for every $1,000 owed.
$ Total Fee
I hereby apply for a Commercial 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.
Applicant's Printed Name
Approved By:
Required Inspections: - U.G.
ApplicanYs Signature
Inspectar
R.I. _ Air Test _ Gas Service Test _ Infloor Heat _ Final
?
? CITY O'F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SF DWG
NEW
R-3 M-1
VN
R-1
_ 68
,.., . ,._ ..? _.. .....?.,... ,_.,,.32._ ..:...
BUILDING
001226
08/07/92
SITE ADDRESS:
DESCRIPTION:
Building Permit Type
' Building -Work Type
UBC Occupan`cy
Conetruction Type
_.._ZOning ,
,. Building Length
_Buildi,ng„Width,.
•,,
- i
.:,
REMARKS:
,....., RECES&W. PlBR.,-..REGEMCY,..,P.,LBCvi..:..,....?._.r....,.:..?..:;,P,RV :..:?.
FEE SUMMARY:
Base Fee
Plan Review,.
Surcharge
3AC
SAC %
SAC Units
Subtotal
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
564 HACKMORE OR
LOT: 4 BLOCK: 4
AUTUMN RIOGE 2ND
..VALUATION _...., ...=15.2,.A00.:,. ?,:,
. .. _.,. .j821.50
... _..,.?.?..,.b , . _... , ; 633. 98
$76.00
;700.00
100
;2,131.48
MISC.
Lotal..Fee._.,.,....?._..._...: r.-,....$3..741.98 .....
CONTRACTOR: - APPlicent - sr. Ll pH?NER:
J& 3 HOMES ZNC 16669092 00048A J& S HOMES INC
P 0 80X 39652 P 0 BOX 39652
EOINA PIPI 55439 EDZNA MN 55439
(612) 686-9092 (612)686-9092
..-I hereby acknowledge that I have read Yhis application and state that the
information is correct and agree to compJ.y with all applicable State of Mn.
Statutes and C3ty of Eagan Ordinances.
?
-?-?---? ?, ?
APPL ANT/PERMITEE SIGNATURE `
,n 4 a i' ?I_1
ISSUE BV. SIGNA UFi
Control No. 0915
PERMIT # , CITY OF EAGAN $L3 7?(/t -?'f 2
REACTIYATE 1992 BUILDING PERMIT APPLICATION
681-4675 g({,?
`%
'SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but nat picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work
Site Address:_
STREET SUITE N
Tenartt Name: (commercial only)
LOT
1
BIACK ?
FSUBD.
N
P
I
D
?u rU , .c? G c .
.
.
Descri tion of work:
The applicant is: O Owner IZ Contractor O Other coescrsne>
Name _ g 2- Y ??Kf! Phone G54-`?a 9' Z
Property LA5, F,RS,
Owner
Address
STREET ' STE 1
City , State Zip
Company s `loAti S -%c , Phone 6 y6 " qO q2
t,ontractor Address License #00yW Exp.2 31 `f
City State Zip 5S?3f
Company Phone
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer 3 water licensed plumber Y fz-4,-2 giy-G . Processing time for
se?ver 8 water permits is two days once area as been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
Signature of Applicant:
v
OFFICE IJSE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
RL 02 SF Owg.
? 03 SF Addition
O 04 SF Porch
11 05 SF Misc.
WORK TYPE
14 31 New
? 32 Add9tion
? 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
O 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
El 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
O 35 Tenant Finish
? 36 Move
Const. (Actual) V-/ _ Basement sq. ft.
?Allowable) V.rv lst F1. sq. ft.
UBC ccupancy R_3 M•j 2nd F1. sq. ft.
Zoning R-% Sq. Ft. total
#! of Stories Footprint Sq. ft.
Length ? On-site well
Depth 32, On-site sewage
APPROVALS
Planning Building ?s 8 (,$z
Engineering Variance
REGIUIRED INSPECTIONS
.
0 Site ? Footing ? framing
0 Nallboard ? Final O Draintile
O Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Oed.
Trails Ded.
g es
er
Total:
SAC % 100
SAC Un9ts -T
vatuacim: g ISz,OOu'
GARAtsC; 32. X 22 = `70Y
?So X/6 =
BSMT; -X )e 3 Z= I I 52
w oXIS=
!s'T FlooY1
KSM?= l?Llo
G%X Iti,?Z=lu
It?o)e 53=
Zrao i,a--/2.
32?C3? : (15Z
zXl2= ?y
i1
? 16 Basement Finish
? 17 Swim Pool '
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System YES
City Water ??£ca
PRY Required t-g
Booster PumP
Fire Sprinkler
Census Code pi
SAC Code (Dt
Assessments
'-I
/b 88 0
17 )o0
(o It (4 Vo
- ?o Z
)s117 ee
F,%TERIUR F.H4G4gPE hPEP,hGP. "II" I;IOPII1'AT1i1X 04-Aut•-72
OWMF,N MUIIL6 `' ? (> Z,? p r(D? i? o r??
+ SITL6UORf.SS ?a'?'.T J??cci<?1? r'??.n.:rnu •o?E
,165 IIIkIPS INf,? pIIONP
CDNT6hCTUfl
DESENRINE YOARING SI?tlAft? FOOTAGB nY GCN
AtOTA6 EPO5C0 NhI,L M1REh 2115.100 SU,FT. R 0,110 = 70S.?t1
p TOThL AOOF ? CR,14lflG AALA 1104,000
000 S9 FT, x O.OSO
C T??TAL FIA09 I rAtlT. AAPA
2756.00 SQ.PT,
MI7A6 E1IPUSEII V6L6 hAVA
x, T(ITAL NhL6 VI11111ri1 ARBA 104.1100 Sl13T. 1 0.460 = 160.024
6. 1YITdl? UUUR AREA 611A110 SQ.FT. S 0.01?1 - 6,070
SQ.`T. X 9,615 = 9.000
c. fOTA6 SI.IIIIflC f1,ASS IIOUA AAP,A Sq.Fi. H 0,140 ° 0,000
d, Si1t6L f79LPIACE ARPA
e. TOTAI, AhI,L FRAMIBC ARFR 225,600 Sp,Fi. Y 9.09p = 20,719
tYIThL Nf.T H6L AREA 6804f, fLU114 1?1S:q00 SQPT. fl 0 04l 9,537
p, 10TA6 RiN JOIST AREA
Sp,PT.
TOTA6 B8(CP, WALL AREA
h. TOTAL 46L6 NIH0OV AREA S4.FT. X 0.460 ° 9,000
i. SOT66 ?O(? ARtA SQ,FT, lf OAfii = OA00
Sq,PT. X 0,415 = 0.000
TIITAL SI,IUINC CLhSS OWN AW SQ FT X 0,140 , 0.000
TOTh6 FI9CPIAC1 AAP,h
I, TUTA6 VA6L PRAMIAG hNGd 0,090 Sq,FT. X l.li5 ° 0.000
n, TOTh6 NET VALL AREA 0.000 SQ,FT. 1 1,116 = 0,000
I SQ.tT. l 0.046 = 0.000
,
TUTAL AlN JOIST AREA
190.000 sq,er.
? TOTAL PM NDkTlOd AdLL hAG
n, 10YA4 VALL W(NIItN hREA 49.U00 SQ•PT• R Q•??a `?2.Sh0
p, TUthl. DOAR AREA SQ,FT, A 0.061 ' 0,000
SQFT, X 0.415 ° 0.000
q, TO'thL SLIDIIIf GLA55 OOOR hRP.A 5Q X. R 0.110 ° 0.900
t, T0TA6 FIRF.PLAf,R. ARP.A 19 ,000 SQ.FT. % 0.6'IE • 1,109
TIiTM1L YAI,I. FRAMIMf, AREA
t, 70TAL NFi WALL AREA 122.000 SII.FT, N 9,064 = 5,163
U, TOTAL lPSU6ATF.D COdCA[TE ARI,A 74.100 SQ.PT, x ?•140 11'182
SQ,FT.
TUTA4 PLRAEU POUNOATION AREA
•? $1!.`T. 1 O,OOII - 1.009
v, TOTAI, FIitlNOAtfIiIV 4IBIIOWS
p, TIITAI, 911qNIlATllltl PUA81AG AAYh II.?00 Sq.FT. X L{16 ° ?,40?
TUTAL FOUNDATIUN 1H5U1?iEV kAE6 0.001 SQ.FT. lI ?,?16 `
II` ? ttiThl.II 1P8.)45
+i
. ?.
-.--? -..
?
`11UflDAT109 YALi, 1flA0 StUU R FAfTOA
INYGAlUR A!R `ILM 0.690
SOEETAOP.Y, (IiPT.)
STtlV 6.810
SIIP.F.TIIIflG 11490
SIUIBG O,RIO
FxTFR[OR AIR f11.N 0,110
TOTAL A YA6Ut • IO,h20
tl 4h6Ui, lllA) ` 0,074
P(WNDhflOX W666 TAPO 11SIIId410N R FAI;TOA
1NTP.flIOR AfR FILH 0,680
SIILETRBCR tUPTJ
INSOI.hTIOM 19,000
SIIEEiH1tlG 2,070
SIUfAG O,RiI
ECTLPIOA A19 FILM 4.I10
TOTAI, R YhIAL ° -21J50
u vALar. nJai : 0.044
tARll RIN ,IOISP VIS191Nf R FACTIiR
1bT6RlUA AIR FILII 9,680
IBSOLAf[fip 19AO0
I-112" YOOD I,A90
SBEEPBIBG 2.090
SIDIM6 0.810
GIfF.NIOR A1fl PI6N 0.110
R1TAI, 8 VAI,UP. : 24 .fi40
U YALU! (IIA) ' 0.061
TIIRO AIN 7Uf5f YIBRICR OR STOME
IATERIOft h1R fILN
INSUlATION
t-ilz0 runo
ser,EtniRc
eetcti 0 sroKe
` PITFRIOA 61A ilLl
iOfhL R VlIb08 =
U VAI,O[ ll(ftl `
N FACfOA
0.6R0
19.000
I ,890
a,na
21,1h0
0,046
?,.
_ I
1
i
1
TRUSSEII AO(IP TIIRU FRhHIM
IBTY.RIOR AtR FIIH
SflF.P.TROCK
fEILING NHMbF!{
IMSUI,ATliIN
S11LL Alfl Fllll
TOTAL R VAI.I!P.
tl VAIAE ( I IR)
A FACIYIR
0,610
9,580
6 110
33,000
0.619
l9,ISd
0.02(
ffiVSSLII R00` TI!Atl IASUIATION R PACiiIR
IXTP.AIUR h1N PILM 0.610
SNP.EiROCK 0.500
INSU6ATIOA 44,000
STILI, AIft PILM 11,610
TOT61, R VAI,OP. - 6S.B00
U YAIAE (I fA) ' 0.02Z
YAIIL78D R(IUP TIIP.II FBANING R tM:iDR
f.IITEP,IOR A1R FIIlI 0110
AOUPIBC
PLfloOI!
SNP.LT INSVLITIIIN
AAFTFR ?
SNP,P,TR(MK
INTBAlllB AIR F11N 0.610
TOThI, R P6LIIE - K.790
U YA611611)R) ° 1382
Y6ULTED RDUP TNRU 1tlSOLATIUfl R PAfTOR
1,11PJl1M 6Ifl `iLH 0.110
ROOFfNC 0,000
PLYV00I) 0,900
SIILLT IBSIIld1I0N 0.00o
INSllUT[9N
SNELTftDCK 01900
INIERIM AlR PIIN 0.610
TOTAL R YhIUF ° 0•160
U YhIAE (IIRI • 1,282
SAII.ITE U FACTOR 2 PANL I LON-t
:
,_-. . _ - _'•_ _... -, .•--;•:•-•?,v?c^?--r
..... . ... ,. .. _. . __'_ .. , ? . ... ,._..?f,C. ?.
FIPVSED YA6L THRU 9TUU R FAfTDP
IMTGAlOA AIR FII,N Q.680
SNEMOCR O.kSO
SND h,Aill
SOF.EtNI MG 2.070
SIOING 0,810
fITFAI!IA AIR F11R 0.119
TOThI. N Ya6UF. = II,010
tl VALUP (IIR1 ° 0.090
UPO5E0 4ALL TNRA tNSULATION A fACTIIR
IATIAIUA AIR ?IIN 000
SH¢EPROCK 0,450
ihsuunnn 19.090
SIIF.P.TIIIMC 2.940
SfoIMf 0.210
ERTPRIUN AIR fILN 0•110
TOTAI, R 4ALUE = 71,100
u mAE IlfR) ' 9,047
6RICK YAIb TIIBII STtlD P. 1'AI:ttIR
lPTLRUIft AIR fllll 0,680
SIILtTRt!CR '
STUO
siicemiRr,
B81CK OA STUNE
El(TFAItIP dIR fILN 0.110
TOTAI, A YFI,OL ° O,RSO
U VhIUE (IIA) ^ L116
6AICR YALL TNRV INSU!dTItlA N FAf,T11R
INTERIUR AIR PILN 0,680
SAEE1AlISR
IRS06ATIOB
SIIELfAING
BAICa (IR SiUAF.
68TPAlOR 6(9 FIIH 0.I10
TDTAL R Y61AL ° 0,50"
U 9A6UC IIIR) = 1.116
TBRU tNSIIIATED COMCRLiP. POUBUATION 6 f1AEPIACt A FACTOR
IMTLRIOA AIP PIIN 0,680
IBStlL6T10X (OPT.{ 5.000
CONCRLTE NALI. 1.189
LXTPBItlB dl9 F11N 11,110
TOTFL R YpI.UP. = 1,110
U 4h6UP, 0.140
FUflREU FOOBDi1T10N AA61. TNAU STUD P FACTOR
IAitRIOA 61R F11A 9,680
S!IELTROCR (OPi,)
stuo
CUBCAETt YALL
sioiae
E1fPPAlU9 AIR PIIJI 0,110
TIITA6 R YALUP. = 050
U YALtlP IIIRI ? I,I)fi
FIIRRP.O FOtlNOATIIIM VALL TIINU INSULATION R FACTOR
lAT1,R(UR klA YS1N O.bBO
SIIP.F.IROCII (9PT,)
INSUI,hT(UM
CUNCAlTE Vhld •
SlOI Mf,
PXTPRIOft A!R fIIA 0,110
TOTAI, R YA6UE II.ASO
U 4ALU8 11lA) = 1,116
NItlI?iN II PACTOA Y PABE ( I,IAI-P, 0,660
lASCNLflT YIRII011 7 fACiUA 2 PANt I Lml-B
D6!!R tl FACTOR 01061
PdT10 INIOR 9 FACTOR 1 PAN[ I UW-C 0.415
U_i Ubiu aL1_ hi.i.i. i,..u L¢JUU3/UOi
rnte6 TRIISSP.Q RflOf A41A
TOTAL 9AIILt?p ROOF 6RPA
TOTAL CAIITII.P.4LRL0 ARER
TIITAL 1UCIltlPULR FRIA
1204,0e0 sp,Fr.
a. TOTAL AOOP AINUUfI515Y,TLIfES SQ,FT, A Q,U90 = 0,000
D, TOTAI. AOOP FAANING AREA 120.400 Sq,FT. I 0.026 = LIIiS
r. TOTAL NGP lNSUIATP.lf Rftl1I AR¢A 1087.600 SQ.Fi. A 0,012 ° 27.659
d, TOTAL RVIIF YIHOOIISISKYLITFS
P. TOThI. ftIfOF tRAMIBf ARPA
f. fYlfAl, M[S 1N5111ATE0 RUOf hAEA
a. TOTAL CAdT PRhMINC pREA
6, TAFhL RET IRSALAT£o CdNT AflEA
SQ.Fi, '
Sq.FT. R 0.000 = 0,009
0.000 SiI,FT, t 1.282 ° 0,009
0.00a SQ.ff, x I.t82 = 0.000
TOTAL P. ?6,iJS
60,000 SQ,Ft,
6,000 Sq.PT. % 0.011 = 0.627
51,000 Sp,`T, 9 0,031 = 1.662
SQ,FT.
c. tt1i66 NCF.UNOfA FRANING ANEh 0.000 SQ,FT. S 0,413 = 0,099
d, TOTAL NET 1ASbL. TI}I;BUNnP.k 6AP,A 9,000 SQ,`i. % D.d!] ^ 0.000
TOTA6 Y 1.OAp
SUNMARI X61IIHtlN
6. )OS,]Ii !F YlITA6 IR T8E ACYIiAL f,liLUflN IS
B. 31 304 LCSS fflAN TflP, TOTAL f8 111P.
C, 3.000 MA1flHUN CUWM% [W HAVE Ph55P0
T05AI, 119,6)I
DATL: E.?.?.. /. ?r _.
ACiiIAL
0. 2RA,1hS
e, t6,lIS
F, I.ORfl
TUfh4!? 111.S6R
r
???
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RO • 55122
651-681-4675
ew Conshuctlon Reaulr
D 3 reg(stered sNe surveys showing sq. H. ol lot, sq. M. of house
and all roofed areas (20% maximum lof coveraae allowed)
? 2 coples of plans (show beam d window fizes; poured fnd. design; etc.)
? 1 set W energy calculalions
D 3 coples of hee preservafion plan M loi plaHed alfer 7/7/93
DAiE: MT Qljo? Iqqcj
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: '4 BLOCK: ?"_ SUBD./P.I.D. #:
Name: IJ1L C?in-EU Nlc?r?? 1?1c?OLry'1 Phone#: 6o`?i) Cv?,lc-(ol'-??4
Lan ? First ?
PROPERTY
OWNER
Street Address: JrCA 14[ZCknnr'k-P 1)riWe
ciy Ea Q stme: M t?l ztp: .i5?t ?Z3
Company:??i? ? ?QV2 BiJ?tt-ey- Phone#:
(area code)
CONTRACTOR
Sheet
City
ARCHITECT/
ENGINEER Compi
License # Exp.
Remodel/Recafr Reaulrements
2 copies of plan
1 set ot energy calculaflons for heated addMlons
7 sXe survey for extedor addttlons a deeks
CONSTRUCTION COST: 4.25Co. 6,0
State:
Name:
Telephone #: area code ( )
Sfreet Address: Registration #:
City State:
Sewer & water Iieensed plumber (reau(red for new consfrucNon onlv):
Penalty applles when address change and lot change is requested once permiF Is Issued.
Zlp:
Zip:
I hereby acknowledge that 1 have read this applicaFbn, state that the informaifon is cortect, and agree to comply wffh ail applicabl
State of Minnesota Statutes and CMy of Eagan Ordinances.
Signature of Applicanh
/
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 4-piex ? 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 ? 08 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 'fYPE
? 31 New ? 35
0 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
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:
Valuation: $
5AC Units
% SAC
L? sL ? CITY OF EAGAN
PLUMBING PERMIT
SUBD. (612) 681-4675
PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY
RECEIPT ? C• G junc
DATE
AL50, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST °
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS:
INSTALLER: 5c')N&462y?5
ADDRESS : L 15.2- I? S JH ti? ? lr -
CITY:tRF ih+ri /&?) ZIP: 55 ?? ?(
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
I SHOWER 3.00 °-'
,_3 WATER CiASET 3.00 ?
BATH TUB 3.00 & `-O
-i--i IAVATORY 3.00 /=
? KITCHEN SINK 3.00 :3
? LAUNDRY TRAY 3.00 -3
HOT TUB/SPA 3.00
4: WATER HEATER 3.00
FLOOR DRAIN 3.00 ?
GAS PIPING OUT.
?2 ?
(MINIMUM - 1) 3.00 ?
? ROUGH OPENINGS 1.50 _ OTHER -
WATER SOFfENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTAL: S '?O"2 "O'v
.
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/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:
CITY:
PHONE
FOR:
CITY OF EAGAN
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
pxorrE #: 7S 7"6,77 S'
CTI'I' OF EAGAN
L? B ?cg.a?xicai, rExMff xECEIPr #??.?C 8? G
SUBD. (612) 681-4675 DATE -/ L• 4a
RESIDENI7AL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAhfIIY DR'ELI.INGS. ALSO, COMPLEI'E FOR
TORNHOMESlCONDOS WHEN SEPARATE PIItMITS ARE REQUIRED FOR EACH DR'ELLING UNTf.
OWNER: J'f 57?? ? ADD-ON A/C ADD-ON FURNACE?
SITE ADDRFSS:
5' V/ fia?l
,r. , ADD ON/REMODEL (FJQSTING
CONSPRUCI'ION ONLl) $ 15.00
INSTALLER: I.. F' e 1 c INAC: 0-100 M B1'U 24.00
PHONE #: 7 -? 3 J S? ADDITIONAL SO M BTU 6.00
ADDRFSS: (, y=L GAS oU'fLEI'S - MIIVIhiUM 1@ $3 EA. 3
?
CITY: ?. ?.
ZIP:SSYS` ?
SURCHARGE:
$ .SU
SIGNATURE ? TOTAL: $ pZ?J 5
NO PERMIT ?tEQUIRED FOk DUCTWORK ONLY!
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTAIAL BUILDINGS. ALSO COMPLEl'E FOR
APARTMENT BUII.DINGS OR OTHER MULTI-FAMII Y BUII.DINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
R'ORK DESCRIPTTON: , CONTRACf PRICE:
1% OF CONTRACT FEE FEFS
STATE SURCAARGE IS $.30 FOR EACH
$1,000 OF PERMIT FEE.
$
PROCFSSID PIPING • $25.00
MINIMUM FEE - $25.00
$
OR'NER: TOTAL• $
SITE ADDRFSS:
1'ENANT:
SU1TE #:
INS'fAI.I.ER:
ADDRESS:
CT1T: ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE.
?2965 RESIDENTIAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constnuction Reauirements
3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas
(20% mazimum lot coverage allowed)
2 copies of plan Stwwing beam 8 wirtdow s¢es; Doured found desgn, etc.
1 sel of Energy Calculetians
3 copies o(Tree P2servation Plan Rlot platted ailer711193
Rim Joist Detail Options selectton sheet (buildings wHh 3 or less unils)
_A??o. 0-0
Remade6Reoair Reauiremenls Offce Use Onlv
,/2 cop'w of plan Ced of Survey Recd _ Y_ N
7 set of Energy Calculations forheated addHions Tree Pres Plan Recii _Y _N
7 site survey (ar addiGons 8 decks Tree Pres Required`?"- ,-_ Y_ N
Add'd'wn-Md'.?ceteifon•siTesep&csystem On-sfleSepticSystem Y _N
Date OZ /15 / 06
Site Address 5401V ¢??t Construction Cost Z5 70 OU (0
UniUSte #
Description of Work
Multi-Family Bldg _ YZN Fireplace(s) _ 0 ? 1 _ 2
Property Owner leA2e ig?/? 6.? 62fe 6iti2::71 Telephone #(In5 j) 5 012- s' (o z 7
Contractor ?/L-Sf?L? /NLf
Aadress
State lti(1/'UN?i50T,?}
Zip 5S04G City
Telephone#((ps1) ?a? y78y
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 +I l? rr' Minnesota Rules 7672
Energy Code Category '' ??`I
• Residential Ventilation Category 1 WorksFieet .?°p •rNew Energy Code Worksheet
submissiontype) Submitted
• Energy Envelope Calculations SubmifledjLjlo
Have you previously constructed a building in Eagan with asirriilar plan8 Y N If so, 25% plan review
fee applies.
Uicensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone
Telephone #(
Telephone #(
I hereby apply for a Residential Building 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 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 plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name
ApplicanYs Si ture -
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck O 23 Porch (screenlgazebo)
D DS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Altera6on
? 34 Replacement
Valuation G tro
Census Code 11.414
SAC Units
# of Units
# of Bldgs
Type of Const Ni 15
_ Footings (new 61dg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
k. Framing
? Fireplace _4 R.I. )L Air Test Y- Final
Insulation
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
FinaVC.O.
? Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool = Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Otfier
Total
? 30 Accessory Bldg
? 31 Ext. Alt - Multl
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 48 Windows/Doors
•Demolition (Entire Bidg) - Give PCA handout to applicant
Ll 95?r
?l`?
? ?
?
* PIONEEp UND SURVETOftS • aML
* engineering UND PUNNERS • UNDSCAI
* ? *
?
/
Certificate of Survey for: JBCS HOI'T1eS Incorporated
? House Address:
?
?
i
g^
1
.
i ?
?
/ 952.3 ?R gbb
? . ?
\
?y N y-
?
? EAGA)M IEIITGIRIEIERIRTG IJEPT
?
85,D
------- 23.?70-i? tAt???
. 900.0 Denotes Existing Elevation N 89•41'28" E PROPOSED HOUSE_ ELEVATION
. eoo.o Denotes Proposed Elevation Lowest Floor Elevation:948.16
Denotes Drainage & Utility Easement Top of Block Elevatton:956.26
- Denotes Drainage Flow Direction -----
-o- Denotes Monument Garage Slab Elevation:955.93
-$.- Denotes Offset Hub Bearings shown are assumed
LOT 4, BLOCK 4 AUTUMN RIDGE
DAKOT/? COUNTY MINNESOTA ???D I T?
m duly Repistered Lend SurveyOr
I hereby cenify thet Ihis survey, p an or reporl w f prepared hy -
under Ne laws ol fhe State o1 Minnetota. Dated this ? day ot Pub • n.o. is ? Z
/ % . ^.
?rnlA1 3^ch=-zi n feet pOBEAT .SIKI . EG.NO.1<89]
2
/
/
/
/
i
949.?
7
?.
?Z -
950.7
V ?
?
i
?
,
,
? 952DG
Hackmore Drive Eaaan. MN
? ^ r
i
i y \
/i
/ p GP?P
33
"J
?
2422 Enterprise Drive
Mendota Heights, MN 55120
612) 681-1914•fax 681-9488
y
A
36'-
'0, ?s
/
625 Hfghwoy 10 Northeasl
Blaine, MN 55434
812) 783-1880•Fax 783-1883
?
i
a ?g???j??
.y??} q5og \
\
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5
/
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v?:A•CS
?
9? 92365.00
r
?
y* PIONEEF!
* -- -a-- -
****
625 Highway 10 Northeast
Blaina, MN 55434
812) 783-1880•Fax 783-1883
Certificate of Survey for: J&S HOY1'leS, Incorporated
2422 Enlerprise Orive
Mendoto Heights, MN 55120
612) 681-1914•Fax 681-9488
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23.70
x 900.0 Denotes Existing Elevation N 89•41'28° E PROPOSED HOUSE ELEVATION
• 9@6o Denotes Proposed Elevation Lowest Floor Elevation:948.15
Denotes Drainage & Utility Easement Top of Block Elevotion:956.26
- Denotes Drainage Flow Direction -- - --
-o-- Denotes Monument Garage Slab Elevation:955_93
-$-- Denotes Offset Hub Bearings shown are assumed
LOT 4, BLOCK 4 AUTUMN RIDGE
DAKOT/1 COUNTY. MINNESOTA ??D??N
I hereby cerUly Ihat Ibit survey, p an or report w e prepared by m duly Registered Lend Surveyor
1?4 day of Pub ? n.o. 19
under the laws ol Ne State of Minnesou. Dated this ?-
/ 7 ?02.
ROBENT . IKI 1EG. NO. 14E91
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169563
Date Issued:06/01/2021
Permit Category:ePermit
Site Address: 564 Hackmore Dr
Lot:4 Block: 4 Addition: Autumn Ridge 2nd
PID:10-12301-04-040
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 -
Mark A & Margaret M Mcginty
564 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