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572 Hackmore Dr?-L ? - INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: I 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ? f? t l( U!1 M It I l? [i t- .' N il PERMIT SUBTYPE: ( ) N 6'i: APPLICANT: ? ..rf 011YAk4 (??1.'y i.?ti •il.'"u TYPE OF WORK: Lr i'I+AI Pertnit No. Permit Holder Data Telephone S ELECTRIC PLUMBING HVAC Inapection Date Inep. Comments FOOTINGS FDUND FRAMING ROOFIN(3 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG ? z -y DECK FINAL EtTYDF EAGAN 3830 Pilot Knob Road - Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ?? , ?;?r•i i, ? i???i .'NI? PERMIT SUBTYPE: APPLICANT: TYPE 00 WORK: . .. ..,.. t ?, ?. .?.; . t? . •.? . . INSPECTION .. . t rV.111 i i t I;•, . I,iplt'',IIiV 1'i lti, E'il? ? PECTION RECORD PERMIT TYPE: Permit Number. `"' Date Issued: ? PermR No. Permit Holder Date Talephone k SNV PLUMBING Hvac ELECTRIC ELECTRIC Inspeetton Dats Inap. Comments Footings I Lv Four.dation Framing y? / 3 ? Roofing Rough Plbg. IV Rough Htg. Isul. Firepiace Final Hc9. Orsat Test Fnal Plbg. Plbg. Inspectw - Notity Piumber Const. Meter Engr./Plan Bldg. Final ? Deck Ftg. Deck Final Well Pr. Disp. ? ?1- ? W,ertifrcate uf Cccu.vanc? ?i?j o? ?agan ?cpart?cxt af ?4x?i»g ?a?ection This Certificate issued pursuant ta the requiremeRts of the Uniform Building Code c&rifying that at the time of issuance this structure was in compliance with the various -? ordinances of the City regulating buitding construction or use. For the following: Uu Classification: SF DW, Bldg. Petmit No. 20NO OocuPancY 7ype Rf 1'lj 7,,,ning Uiuricl Ri Type Consl. VN owner orewimng TRDWS IiaWS nadmu B[ff 24m45, APPii? VALdEY ewwing naarm 572 HACDM IxZiVE I,ocalktyj,h., B[?,A[IItM AIIl($ 2Mn . Du. ' Building OffiC1a1 , .i POST IN A CONSPICUOl1S PLACE r ? Address 572 HAGWttE DRIvE Zip 55123_ Lot,. 6- Blk 4 Sub AvnAfrr xmm 2nID THESE I'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 614 9s Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded gass TraiUwrb 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 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 - Contracror Copy Q?? /C? ,/ REQUEST FOR ELECTRICAL INSPECTION ? i ???J ? See inslruMions far completing tMS form an back of yellow copy C? 6 6 3^ '+ "X` Below Work Covered by This Request e EB-00001-08 14 e @Jd. Be Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleclric Heating Apt 8uilding Dryer Load Management Comm /Industrial Furnace Other (Spacity) Farm Av Condihoner Olher (spenfy) Contracmr's RemaB3 Compute lnspecfion Fee Below: ? ? yIkN # Other Fee # ServiceEntranceSae Fee # Cirwits/Feeders Fee Swimming Pool 0 to 200 Amps 0 ta 100 Amps Transformers Above 200 - Amps Ahove 100 _ Amps Sgns InspeMOr§ Use Only TOTAL ? Irri9ation Booms V SpeciallnspecUOn ?? ? Alarm/Communication ' THIS INSTALLATION MAV B ORDERED ONNECTED IF NOT Other Fee COMPIETED WITHIN 18 MON I, the Electrical Inspector, hereby - Rouymin certify thal the above inspection has been made. F,nai • oate, OFFICE USE ONLY This requestvoitl 18 montns Irom i 5 6? "? '$ Dw CJ6 4?G /?? o? ? ReQoest Date ' Fae No Raygh-ln inpsemao equ e? (VOU Tu61 tell n5 cror when reaEy) In ron Other Tnan Rougn-In qydtly NOw ? Wil) NOtrfy InSpCClOr ? Ves No Date Reatly 1?0 hcensed contractor {J owner hereby request inspection of above electncal work at: Job Atltlress (Street Box or Rome No ) ` // QryJ SacOOn No Township Name or No, Range NO Counly ? OccupanllP NT Phone No. ? Power Supplrer 4 AtlCre35 ? p,^ (COmpan'N; c? lIvV Elecincal C'G t <raFctorW` • ???« GLr. ?? ConVaclor ?rR Ui! :dIG ner M nq tnstallationl Matlmg ACaress ICOniractor or OwLAtJ? FLORiDA AppLE VALI.EY dAld 55124 Amno„ueo s,5naw,e ioamracm wne, M?ek.7n9 mstauat?o?, PhoRa.N??`i-6364 - '- - - SC,?s 1 MINNESOTA STATE RD EL TCE FICITY GrigDS-Mitlway Bltlg. - oom 5479 V 1841 Universfly Ave., St Paul. MN 55104 _ r51?IF63.OB00 THIS INSPECTION REOUEST WILL NOT BE ACCEPTED BY THE $iATE BOARO UNLESS PROPERINSPECTION FEEIS ENCLOSED /oo ao d 63 ? d x G i?= Rep est ?e.e Fire No. Roug?-rn nspe on qe?v ? ? Reatly Now ?,' Will Notiry Inspector Wh R tl ? LUj"I es C No en ee y I ?/Iicensed confractor ? owner hereby request inspection oF above electrical work at: Job Atltlress (Slreal Box o, Route No.) Qry 6-12 ;, r'2 E=O SaMian No Township Name or No Renge No Counry e ? n 0 Occopam (PRINT) Phone S lol - ?Z3 - 3 Pawer Supplier Adtlress j1?j -t fhKqh ? t Becmcai Connaclor (COmpany NamE) nirectors L¢ense N. 1 / Y-1 -- ?. L Madmg ACtlress ICOnVector or Ownar Making Installatipn, AuponzeE Iu:alContra oriOw r aa I:alYe?ion PhonO Number /?<?? ? ?G?l.o l2- 452 - MINNESOTq 9TATE B Afl OF EL CTHICITY THIS INSPECTION REOUEST WILI NOT Grlgge-MiOwey Bltlg. - floom S-113 BE ACCEPTED BY THE STATE BOARD 18E1 Ury?ersiry Ave., SI Paul. MN 55104 UNLESS PqOPER INSPECTION FEE I$ Phone(812)fidf-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ee.0000-0e 4:: `flr p ?$ee mslmcLOnsIoccorti Ihis form on back oi yellow copy. , /oQ/0 (? ,rj X" Below Work Covered by This Request ?`.+? ew Atltl Rep. VTypeoiBUilding AppliancesWired EqwpmenlWired Home Range Temporary Service Duplex Water Heater Electnc Heaimg Apt Bwldmg Dryer Other-(Specityi Comm.llndustnal Furnace Farm Air Condilioner Olner (speoily) Gonhacmr's Remarks 3'oi 55 Compute Inspec6on Fee Below. # Other Fee # ServiceEntranceSze Fee # I Crtcuils/Feeders . Fee Swimmmg Pool ? 0 to 200 Amps l.G17 ?D 0 ta 100 Amps 1 40-04) hansformers Above200-Amps Abovel0o_Amps Sgns Inspector's Use Only, TOTAI Irrigation 8oom5 J?'?•G ?j ? Speciallnspection Alarm/Communicauon THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT Otner Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector hereby certfy that the above inspection has been made Ri F,,,ai oa? 7r ? ?g oe?? a-y3 OPFICE USE'JNW Tha raquest mitl 18 montns irom ? CITY OP EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 572 HACKMORE DR LOT: 6 BLOCK: 4 AU7UMN RIDGE 2ND P.I.N.: 10-12301-060-04 DESCRIPTION: i r? Bulilding,_Permit Type SF DWG BWilding Wo,rk Type NEW i? UBC Occupancy\- R-3 M-1 ,Construct3on Type V-N Zoning R-1 Building Length i 58 Building Width 38 ; , ?J s ?y 40 BUILDING ? 020908 05/12/93 ? ('? L: L? REMARKS: S& W PIBR - THOMPSON PLBG FEE SUMMARY: Base Fee Plan Review Surcharge 3AC SAC % SAC Units Lic. Search Fee Subtotal PRV VALUATION $755.00 $990.76 $66.50 $750.00 100 1 55.00 $2,067.25 $133,000 MTSCELLANEOU3 $1,744.50 Total Fee $3,811.75 CONTRACTOR: - APPZicant - sT. LtC OASE HOMES, THOMAS 18945954 0001434 P 0 BOX 24@095 APPLE VALLEY MN 55124 (612) 894-5954 OWNER: THOMAS HOMES P APPLE VRLLEY (612)894-5954 I hereby acknowledge thaY I have read this , information is aorrect and agree to comply Statutes nd City of Eagan Ordinances. L A PLICANT/PERMITE SIGN E p BOX 240095 MN 55124 application and state that the with all applioable State of Mn. -j -fizc,n & LrI,J ?_ ISSUED :S NATU? REACTIVATE _ fi(??ENED CITY OF EAGAN ?? ji( ,16 PERMIT V ' 993 BUILDING PERMIT APPUCATION ? MAY 0 3 1993-_ 681-4675 ? Isola _ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy catcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month_ in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work 14'( 3' oaa Site Address: 5-"7;?_ l-lA(?.k w?y)2P `??? SiREET SUITE Y Tenant Name: (commercial only) IAT ?P SIACK ? SUBD. n?? ? F? P.I.D. 0 w ,?.? ? Descri tion of work: Nec,? C-° e e,e e,?) The applicant is: ? Owner 0 Contractor ? OtI12N (Deseri6e) Name s f 4 a"A Ps Phone Property LAST FIRST Owner pddress \ TREET STE X \ C;ty State ZjP fK `G. Company ?!, o w?:s 4m ^'e 5 Phone G9y - ?"S`f Contractor Address PC Qa? License Exp.3 9.r City L\-AQ1e State /lN Zip .S? Company Phone ArchitecU Engineer Name Registration # Address City State Zip Sewer & water licensed plumber PL ..-,.6. T_. 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: IL- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging )9 02 SF Dwg. ? 07 4-Plex ? 12 Multi: Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 3F Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ? 16 asemelFt f?i ? ll wim Oaol ? 18 Coimn./Ind. ? 19 Comm./Ind. Misc. ? 20 Pub19c Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) v- N Basement sq. ft. MWCC System Y? (Allowable) ? lst F1. sq. ft. City Mater UBC Occupancy R_3 M_1 2nd F1. sq. ft. PRV Required Zoning R-I Sq. Ft. total Booster Pump # af Stories Footprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code !o/ Depth ?? On-site sewage S C Code a APPROVALS ? ?I? ?vf?U? •?=?r"?c`t, ?....? Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? 5ite ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permi t Fee : vewacion: Surcharge Plan Review License GAVL,a&E; 2oK22 = y4p -- MWCC SAC ?xja= ? oQ„ city sac ? Ia2C-1 o Water Conn. ?-? Water Meter ?bx,z$' 7Z 8 I Acct. Deposit aflK/b 320 5/W Permit ? 5/W Surcharge Treatment P1. /o4a X/S= l5ir!'Zo Road Unit Park Ded. Trails Ded. igSMT= I048 Copies Other gAy _ ?y Total: 1062 Xsy? s71 '348 SAC % (Da 2?•tn?ooR; SAC Units ?_ e?5?3y,67= $6(e q,s? sy? y9 sfr12- ,?z . ss.? r O ? • 'U w . , r J ~ N m w a" 5; ? U ¢ a Q m w ? Q z f LOT SURVEY CHECRLIST FOR RESIDENTZAL BUILDING PERMIT PROPERTY LEGAL• DOCUMENT STANDARDS of Survey: [? ,0' ? • Registered Land Surveyor signature and company ?? ? Building Permit Applicant 0 : ? Legal description ? ? 0 • Address V^? ? • North arrow and bar scale l?? ? • House type, (ramhler, walkout, split w/o, split entry, lookout, etc.) ?? ? • Directional drainage arrows with slope/gradient ?. ? 0 0 • Proposed/existing sewer and water services p?p ? • street name fa/p ? • Driveway ELEVATIONS Existina p fd' 0 • Sewer service or ? ? • Lot corners ?? ? • Top of curb at the driveway ?? ? • Elevations of any existing adjacent homes Proposed ? /p ? • Garage floor - C? ? ? • First floor ? p ? • Lowest exposed elevation (walkout/window) ? ? ? • Property corners ?p ? • Front and rear of home at the foundation PONDING AREAS (if applicable) ? t?1 ? • Easement line ? ? ? • NWL ? B 0 • HWL ? ? ? • Pond # designation ? ? • Emergency Overflow Elevation DIMENSION3 I? ? ? • Lot lines ?J? ? • Right-of-way and street width (to back of curb) H? ? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all ? structures requiring permanent footings) ithi i ? ? • n es w Show all easements of record and any City utilit those easements p, ? ? • Setbacks of proposed structure and setback of adjacent mes existing ho ? p ' ? • ? ? Retainincyrvallements, if any Reviewed: October 1992 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION ?\- r OWNER ? Y?r-wtA-s C' SZTE ADDRESS 5?a ?-r/3Gy( mo?c? d 12 CONTHACTO ?-?.,.?? l?Q?.?t,p5 DATE 4/ 2- PHONE Determine working square footage of each 1. Total exposed wall area...... sq• ft. x. ?? = I75 ,oSl 2. Total roof/ceiling area...... J S 4( S sq. ft. x, c7?(o =I '-/D, (-) I Total exposed wall area above floor 1-'S55 a. Total wall window area ............................... lS2?2? b. Total door area ...................................... ?? S. SS? c. Total sliding glass door area ....................... d. Total fireplace wall area .......... ............... oo e. Total wall framing area (average 10%) ................. Z ,5 f. Total net wall area above floor ....................... ?f?(•`'t g. Total rim joist area ................................ IlP g Total exposed foundation area a 1 lo h. Total foundation window area ....................:..... I-A i. Total net foundation area above grade ................. 2 Q2 Determine "U" value of each wall segment. a. l S-), •-)- ? X11ill .?1 = 31Iq(I b. `? S• 5? X"v" c. 3?.22 x"u" . 25 = ???(o d. 4 ti, a? x"U" , f?38 e. a?5• lt?) x"u" f. I ?`?`?•`t? X'u" 09 g. XlUt, h. )`,1 X,.U„ i. a0 -2- X,U„ . 0,9 13 3 ......................................Tota1 T Y • T If item I!3 is the same as, or less than item Il1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = ? E J. Total skylight area............................ k. Total roof/ceiling framing area (average 10%).. 1. Total net insulated roof/ceiling area.....,.... /? y 5 Determine "U" value for each roof/ceiling segment. j . X,fU„ _ k. X vUll _ 1. X..U.. o a\ = 3:2,,?s- 4 .................................Tota1 = -3 If total of /14 is the same as, or less than A2, you have met the intent of SSC 6006(01. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the swa of items ll3 and /k4 shall not be greater than the sum of items Ill arid 112. 1•_ -'?.o? + 2. '2y°i .2 Z 3._ )`{S•cy'? + 4. ?'?. ?(S = / .1 - .3 CSTY UF l7FlGAN CASH.T.ER; S TFfiMSNAI... N0: 40 PATEe 05/28/97 TIMC: 16e02.03 ID: NAME: NfiSAN t GUNLtEtcSON 3210 9001 572 HACF:MOF2E OR 50.00 21:55 9001 5'r'2 HACMPfOfiE D6i 0.50 Tn+.al Rereipt, Amotxrtit c 50.50 CkCI i 43E,c l.iSF:F ID: NFlNCY tGIT°: OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: BuzLozNG Permit Number: 030100 Date Issued: Q 5/ Z g I 97 SITE ADDRESS: P.I.N.: 10-12301-060--04 DESCRIPTION: 572 hIFlCKhiORE DR LOT: 6 BLOCK? 4 RUTUMhJ RIDGE 2N0 Bu?fdinc??E?.,ermit Type B?t`ili3ing W?i?e,k_ TYPe ?C-ensus Cqde ?. ? DECK NCW 434 ALT. RE5SDENl'IAL ? t'i P .. 4&°? ., .... .4 i .. . r N ..? ..? W ...?i#+,i•'Wy.l i?.."." u.? ? . t REMARKS: FEE SUMMARY: Base Fre $50.00 Surcharge T_, ?•`?0 ToCa.l Fee ?58.50 CONTRACTOR: OWNER: - A P p 1 i c a n t- GUNOERSON BRYAN ? 572 HACKMORE DR ` EAGAN MN ` (612) 661--9722 ? I hereby acknowiedge thatI haveread Ch15 application and state that Cha ioformaCion Is ctaKr$ct,artd ag,ree to arvmp?ty witi'r,'.a13 applirable State of Mna Statutes and City af Eagan`Ordinanceg. APPLICANT/PERMITEE SIGNATURE ISSUED BY: S ATURE 1297 BUILDING PERMIT APPL' ICATION (RESIDENTIAL) CITY OF EAGAN 8830 PILOT KNOB RD - 55122 . B81 -4675 ? 01 ?/Gc-?.e?'rncrr P ? 3 reglstered ake aurveya ? 2 copies of plan ? 2 copies ot plans (Indutle beam & window saea; poured fid. design; eta) ? 2 site surveys (extedar additlons & decks) ? t energy calwlatlons ? t energy calculatlons for heated additions ? 3 coples of tree Preaervatlon plan iF lot platted aRer 7/1193 requlred: _ Yes _ No ' DATE: CONSTRUCTION COST: °? ?? ' a SW DESCRIPTION OF WORK: dCL? /Lj`ec"? COLSEAL'e-? STREET ADDRESS: LOT 6 BLOCK ? SUBD.lP.I.D. #: W cr1P< P & %-r- '? 7 a a PROPERTY Name: <S C.c nd-e r.s?•-? 4,eP441 Phone #: '7/ S a`VY U OVYNER , . ... ? Street Address: S422 Lcc,6102110r'P Z"f'- City: ? Iq Cc, /=l A/ L' State: /4 Al• Zip: -S?5 /a 3 ^ CoNrrtACTOR Company: sp--n-'4 /,-- Phone #: Street Address: City; 45-0,z License #: _ Zip: State: ARCHITECT/ Company: ENGINEER Name: Phone #: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construckion only): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this applicatlon and state that the infortnation is cortect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY - Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Not OFFIf,E USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex 0 02 SF Dwelling o 07 4-plex ? 03 SF Addition o 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. 0 10 _ plex WORK TYPE A 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth 0 36 Move 0 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq.ft. sq. ft. Footprint sq. ft. APPROVALS Planning Building FM 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MGWS System City Water Flre Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg ? Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MCMlS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Un"ds 0 11 Apt./Lodging o ? 12 Muki RepaiNRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? x 15 Deck Valuation: $ ,peffj ; i i i N rh T sT..? er ?e. .,? ? ' G?Cw ? gy s ?j DATE IM91, 7 a?17 ? BUILDING IN PECTIONS DEPT. ? APPROVED PLAN3 MUST ' REMAIN ON JOB SITE BLDG. INSPEC7M copy r? r -- ------ "y"_•".'e ..._.____._. ""'__ . . ( A L ? , i i ! i _ w''`/D PLUMBING PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf. NO. FIX'I'[JRES EACH TOTAL SHOWER 3•00 WATER CLOSET 3•00 ? BATH TUB 3.00 LAVATORY 3•00 = HITCHEN SINK 3•00 LAUNDRY TRAY 3.00 HOT TUB/SPA ) WATER HEATER(EI 3•00 3•00 ? u. FLOOR DRAIN 3•00 ? GAS PIPING OLJTLET • minimum - t 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5•00 PRIVATE DISP. • DaILcry. ue. 15.00 U.G. SPRINKLER • home under wngt. 3•00 ALTERATIONS • w adsung 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE 3 Lt. So .50 TOTAL: 3so? SIT'EADDRESS: 5'7a OWNER NAME•-ThO d 4art-,D INST. ADDRESS:1,v?L?\ CITY: STATE: M? ZIP CODE: 9S?AS PHONE #: ((o ?a ) °? ?a? °'`Iri 1'1 SIGNATURE OF PERMITTEE 1993 PLUMBING PERMIT (COMIMEIItCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMAMERCIA14NDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUII.DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH DWELLING UNIT. _ NEW CONSTRUCI'ION ADD ON REPAIR WORK DESCRIPTION: CONTRACP PRICE: FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.SO FOR EACH $1,000 OF pTgMTj' FE& MINIMUM FEE $ 25.00 " CONTRACT PRICE X 1% STATESURCHARGE TOTAL SITE ADDRESS: $ $ TEN?,Ie'T NAl`.?E: STE. # OWNER NAME: INSTALLER: ADDRESS: CI1'1': PHONE #: STA1'E: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 0 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. f? NEW CONSTRUCTION AUL-U1V A/l, ADD-ON FURNACE DATE _b'i??73 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU -6:68- •.iAS OUTLETS (MINIMUM 1 @ 53.00 EACH) '?' do ADD-ON/REMODEL (ExrsTtrrc corrsTtUCr[oN) $ 15.00 STATE SURCHARGE .50 TOTAL ??756 SIT'E .? J?,, OWNER NAME: / ?/ID/naS r/UIz"1en TELEPHONE #: INSTALLER: GENZ-RYAN PLUMBING & HEATING C0. ADDRESS: 14745 South Robert Trail CITy. Rosemount STATE: MN ZIP CODE: 55068 TELEPHONE #: (612) 423-1144 40 MECHANICAL PERbIIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 2007 RESIDENTIAI. BUILDING PERMI'C APPLICATTON City Of Eagaa ? 3830 Pilot Knob Road, Eagsn MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Ne!n Catttructlm Reauiremenh 3 re9ivtered site simieysslnvmg sq.IL dWt. s4 R oFhause: and all rooted amas (2(1% mazimum lot coverage elqxred) 7 Soik Repoh iFpoposed hudd'm9's to EeDbCed on d'o4tihN sal hed 2 capies oF pkn showmg beam 8x'vMox s¢es: poured found design. etc 1 setNEneigyCakula6om 3 capies ofTiae Preservation Pkn 9 bt plebd eer 711193 Rim Jaet Oefal OpdonaeWcbOn sAcet (hu8tlcgs widl3 orless wits) Minnegesca metlreniml venhlation Twm 2wpiesdVienshaxegfoofin? heams.joeLa 1 set of Energy Cakutetims brMffiad adOons 1 adesurveYtweddifiom6AxJs mddtim - Hxtgb d arnxie sptic sy*m Telephone #( Plans are considered ublic information uniess ou state the are trade seeret and the reason. Dste SiteAddress ??72, /7Q(„Il(?C Constroctloe Cost ti'?b /?Qr? VY • UnitlSte # Description ot Wor& rn e ? ? Multi-Family Btdg _ Y _ N Inreplace(s) _ 0 _ 1 _ 2 Property Owner Tetep§u¢e t{ ?j f) 76z' o4OZS Contraetor .T?St?l4 a`??,, b}7 Addresa J? State (?_ ? Yi 1.?"n l.L ?•?, -E-nC--' C51Y ? 2mD ItAAA- TetePhone tF (/?G'J 7t?O ' I a'I 2-? COMPLETE TMIS AREA ONLY IF CQNSTRUCTIN6 A NEW BUILDING EnergyCode Category - M1O°esota Rules 7670 Catesorv 1 _ Mirmwsota Rulas 7672 ?? 5?.?? ?? . Resldantial VeMilation Calegary 1 Workshee[ . New Enefgy Code Worlahe? Submitted Submftted . Enert,ry Envelope Cakulafions Submittetl In the lasf 12 months, has the City of Eagqn isued a permit fw a similar plan based on o masfer plan6 _ Y _ N If yes, daTe and address of mcater plan: Licensed Plumber Mechanical Conimctor Sewer/Water Confractor I hereby apply for a Residential Building Permit and acknowle tUat the work will be in confotmance with the ordinances and Statutes; I understand this is not a pernut, but only an applicati permit; that the work will be in accordance with the approv,ed p1 approval of plans. j ? nr?u? ?-twl? A plicanYs - rted Name Telephone #( Ige that the information is complete and accurate; codce of the City of Eagan and the State of MN >n for a permit, and work is not to start without a 6 in the casg,of work wl4 requires a review and I ?G eft LLge onro CertdSunsyHecd'- _Y _N SdISReOod .. ' _Y _N TreaPresPlenpjEd. " _Y _N. TmePresReqWred . _Y _N OnstleSeq'icS/slem _Y _N Teiephone #( I ?ti . ? P.ex * PIONEER uJm suRvEVOr+s • ,? ?-°- °_ µNO PIANUOts . LAN ? EaP1??1'14?PYi?Y? ? 2422 EntafpriSe DriVe Mendota Helgnts, MN 95120 (672) 681^1914.Fmt 881-9488 625 Hlghway 10 NDrtheaet Biaina, MN 55434 16121 783-1980•fax 783-1883 Certificate of Survey for: Thomct5 Hom.es. It1C. House Address: 572 Hockmore D' n+1 n ? 9 '3931 ??,u. w+'?c ?' 0 "•- FZ ? ?a5?•3 -?. ! ? `? ~ ?r l a??? ? ? ? `'? qy4} b ? 3 q? N - +s ? fl S ' 1 e. p?p.aQ n ` to.o ti ?- ? ?? pr PR??HA?`?? SE S um ? 1 ?r?•in L? 16R3 l J 57 ;&?R ? 48 00 q y?' ? ?1 f/f } 7. ` q4?,q j ? p •v tW3+a rn:t l qq1? , ? 1 sn CAa A?14 rn ? ? FO F-D) ? ? ? 7 o fj V ? - - tl u , N _ + __-' _ t - ---, 108.42 -? N 89•41 'aa° EBY .? _ NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS 91,((j= . 900.0 Denotes Existtng Elevation PROP05Ep HDUSE ELEVATION .<? Denotes Proposed Elevation Lowest Floor Elevotion:947.52 r Denotea Drainage & Utiltky Easemen# Top of Biock r-lewtfon:955.63 -Aenotes Drainage Flow Direction Garoge Slab Elevation:955.30 -o- Denotes Monument --o-- Denotes Offset Hub Searings shown are assumed LOT 6 , BLOCK 4 '_ '_ QAKOTA C(111N1Y uAulCnnT. Past-11° bmnd fax transm{rial Memo 767i ? oI na9ee ? ID AUTUMN RIDGE 2ND ADD. \Or unAer mY direct supervKiol Md thet I aM duW Repl6tered lend SurvWOr A.0.7913-. ? ?'?- D u .i?3 5 R=969o 05-11-93 01:56PM P6TT-guy- City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 572 Hackmore Dr Lot: 6 Block: 4 Addition: Autumn Ridge 02nd PID:10- 12301 - 060 -04 Use: Description: Sub Type: e - Water Heater Work Type: New Description: See Comments 09.09.09 Meter Size Meter Type Manufacturer Applicant/Permitee: Signature Contractor: Dean's Professional Plumbing 21301 County Road 81 Rogers MN 55374 (763) 428 -1321 Comments: 09.09.09 Bk - contractor called & stated they are no longer putting in water heater at another address to exchange for permit fees. Lisa 763 - 428 -1321 Fee Summary: PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: PERMIT City of Eaan - Applicant - Owner: Brian J Gunderson 572 Hackmore Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number $50.00 0801.4087 $0.50 9001.2195 $50.50 Plumbing EA091034 09/04/2009 ePermit Line Size his address. will call back with 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA115705 Date Issued:09/30/2013 Permit Category:ePermit Site Address: 572 Hackmore Dr Lot:6 Block: 4 Addition: Autumn Ridge 2nd PID:10-12301-04-060 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Brian J Gunderson 572 Hackmore Dr Eagan MN 55123 (612) 723-6345 Gates General Contractors, Inc 3500 Vicksburg Lane North, Suite 400-351 Plymouth MN 55447 (763) 550-0043 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA123450 Date Issued:06/09/2014 Permit Category:ePermit Site Address: 572 Hackmore Dr Lot:6 Block: 4 Addition: Autumn Ridge 2nd PID:10-12301-04-060 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. Craig Angell 12253 Nicollet Ave. S. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Brian J Gunderson 572 Hackmore Dr Eagan MN 55123 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use )/�(r 1 4 City of Eaall :::::e: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 buildinginspectionst7a citvofeagan.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ) Site Address: 1-7()R . YVIC�� Unit#: Name: 1—)C\,4..k) t 1G��1 Gc. ,- i-�o n Phone: 4:37 7t 7 Y 3 Resident/ � �� '� Owner Address/City/Zip: .�� -rE`��" W�C�,�� J ;- Applicant is: Owner 4/ Contractor Type of Work Description of work: coo Construction Cost: 21 , DC7C7 Multi-Family Building:(Yes /No ) Company: L. ce 1 'y f e_c 15r ' Contact: Contractor Address: ?3 JO�, L�v'lcial f? City: ( ✓ &i v- C, k/2A) State! "" Zip: 02`( Phone: 5/`t'V '/c Email: License#: &7 3 b,..(22--- Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information."Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are`trade.secrets.; You may subscribe to receive an electronic notification from the Cityof proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the srdinances and codes of the City of Eagan; t I understand this is not a permit, but only an application for a permit, and ,• . not to start with,ut a permit; that the work will be in ac ance with the approved plan in the case of work which requires a review and as sroval of plan/. x h .. `r. Ap icant's Printed N me .plicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA178280 Date Issued:08/09/2022 Permit Category:ePermit Site Address: 572 Hackmore Dr Lot:6 Block: 4 Addition: Autumn Ridge 2nd PID:10-12301-04-060 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Brian J & Karla K Gunderson 572 Hackmore Dr Eagan MN 55123--304 Ron's Mechanical 2026 Colburn Dr Shakopee MN 55379 (952) 445-8585 Applicant/Permitee: Signature Issued By: Signature