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576 Hackmore Dr
. . INSPECTI4N RECaRD C°"tr°' "°. 1376 'CIYY OF EAGAN PERMIT TYPE: t+l? I 4 rt 1 M+? p3830 Pilot Knob Roa Permit Number: *019 19 [ Eagan, Minnesota 5 23 Date Issued: i (612) 681-4675 I SITE ADDRESS: vio; t1j.0ck ? *se#PPLICANT: 1-IACKMltR2: flft 141111 ER. !IQlISIM6 COKP ? A4l i i?Pi!v i)tlF 2tQC1 t?• 1 2 1 +131-F,BNIs ? PERMIT SUBTYPE: TYPE OF WORK: '; F QLIh NF bJ INSPECTION I nnT?N6 . . ! kArl l Nr .• rN;fil nr I r?N FIMAL r•il4fV[ACE RFMAFtr`;: RFCFfPfi • PRV 5& W CdNTRACTOR -- WgITF.R OI.AY1tlr.K 1141 11SZYEWl4Y ENTRANCE.MUST BE CONCRETE BEFORE CO CAN BE ISSUED • JIr??'-. i.vu . ? = rw Parmit No. Pamft Ffoidw DdM TN"hoft i S/VN PLUMBING HVAC X,05' 4-7 ELECTRiC , o17. ELECTRIC Inapectlon Dow hop. Comrtrents Fooangs i S Foundation Framing 3 Fiaigh Plbg. .G Rough Htg. `sui. ///13 F^ep'flce 2 . " OS Final Htg. 6-21 Orsat Test Finel Plbg. ,S rS 4 PIb9- InsPector - NotitY Plumber Canst. Meter EngrlP{an Bldg. Fnal Dedc Ftg- Oedc Fitial we4i Pr. Disp. 'Oo6f zcrl } u -11y/ 7,3 /vlr-- v ? '?ll (Itx#t#irate of (Orrupanry Citp of (Eagan iorprtauett2 a# ladim jttsprrtiun 71ris CeWfkate iSSUed pursuant ro the requirements of Section 306 of [he Uniform Building Code cer?ijying lhut at the tinie oJrssuarce Ais struclure ms in conrpliance with the mrious arrWrances of the City ngulaft building constncetion or use. For the foUowing: ? uncwm&ae10, SF IU; Mk. Pawk No. 1919 ? . O-m-rTM R3/MI r.,ning obWa RI iYne conn VN ownao(WAding S[TIIER HYLS7rr: MRP. A&,. gg 24597, APprr? V 7F.Y POST IN A CONSPICUOUS PLACE Address 576 HaaWxE DEM Zip 55123 Lrot : 7 Bik 4 Sub nrmm urrr7 2nm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION. Date: 03 OS 93 Yes No Inspector: 14,12 Final grade (6" from siding) ? Permanent steps (garage) ? Permanent steps (main entry) ? Petmanent driveway ? Permanent gas ? Sod/Seeded grass ? TraiUcurb damage ? Porch ? Basement finish ? Deck Please verify wi[h the builder [he removal of roof test caps from the plumbing system anJ the shutoff of water supply to the outside lawn faucet before freeze potential exists. Con[act engineering division at 651-4645 bcfore working in righ[-of•way or installing underground sprinkler system. ? White - City Copy Yellow - ResideM Copy Pink - Contractor Copy HOUSE HEATING TEST RECO D RE 6 MA"o 5 1993 ADDRESS ? 6 i4--l?m,rr APT._F100 CtTY OCCUPANT OWNER HEAT LOSS?,.?- DATE H?TG,. ?INS'T. SOLD BY /'s.JC6._( ( t'? INSTALLED BY Elschical Work By Gos Line By _ TYPE OF HEAT GA _FA FiW _STEAM-SPACE HTR. _ T HTR. -OTMER L? 6, GAS DES GN CONVERSION (? MAKE ? -A ?'? Y ,? ?-MAKE OF BURNER ? O.-- ?y- ?y ? Model IsAl-J i7 C?,Z C(.f^ OA? Medsl s..?ei ? 3 6,C ? I n c{ ?{ Max. BTU Ratcop . . INPUT ??-? C]Of1 MAKE OF FURNACE Minneftp O IS, "', M,d.i 825-6867 CONTROLS THERMOSTAT 2/5 Hear Plu V•nt Si:• g Volrs ? KIND OP IINE R SIZE NONE Limif ??.°?{,}??'- ? ? ? DrahHood -7 ?'? ?0 r ?+? Rspulomr Limit ?xing ?`?6 6 Filrors Siz* /r zs:Z r Numbsr l c Fon Sstting Chimney Lotction l y_ide Ojlfsids Pilot TYpe 41?a z- SUl,?E=Y1LJ-[ , Cliimney Consfrudion Pilor Maks ? Pilot Modsl Smoke Bem6 Wirinq - C Pilot Timing Drak T*st Tg L.W. Cut Of Dew Prossuro Liqhtiny Inst. ? ' r Pressure 2 cL Peresni CO ^? 9°a' Date Teatsd ?'?? ?f L_r 3 - _ . Z Inpuf CFM Psrcent O? y ?C?B Company Tesefng '-1'? Stock Tam Percenf CO z At Nams of Tsster ?"I" /? ? p. 4 -,,b - Fwm 235 *dtV oF eagan PATR[CIA E. AWADA Mayror PAUL BAKKEN PEGGY GIRISON CYNDEE FIELDS MEG TILLEY Council Members THOMAS HEDGFS CiryAdtninisuaror Municipal Center. 3830 Pilot Krio6 Road fagan, MN 55122-1897 Phone: 651.681.4600 Fax: 651.681.4612 TDD: 651.454.8535 Maincenance Facility: 3501 Coadiman I'oint Eagan, MN 55122 Phone 651.681.4300 Fax: 65 LG81.4360 TDD: 651.454.8535 www.dryofeagan.wm THE LONE OAK'rREE 11ie rym6ol of strength and growrh in our communiry December 23, 2002 SELA ROOFING & REMODELING 4100 EXCELSIOR BLVD ST LOUIS PARK MN 55416 RE: REFUND OF BUILDING PERMIT 56633 TQ WHOM IT MAY CONCERN: On August 16, 2002, Building Permit #54442 to reside the residence at 576 Haclanore Drive was issued to Sela Construchon. On October 31, 2002, Building Permit #56633 was issued for the same work. As this is a duplicate permit, we are refunding $243.25 to you under separate cover. A processing fee of $50.00 applies to this permit and we are unable to refund the $9.00 state surcharge collected. If you have any questions, please feel free to give me a call at 651-675-5675. Sincerely, K J - e D. Severson Office Supervisor cc: Dale Schoeppner, Chief Building Official CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: SELA ROOFING & REMODELING 4140 EXCELSIOR BLVD ST LOUIS PARK MN 56633 LOCATION: 576 HACKMORE DR RECEIPT t1/DATE: #36545 10/31/02 REASON FOR REFUND: DUPLICATE PERMIT PERMIT #: 56633 TYPE OF REFUND: Plumbing Permit 9001.4087 $ Mechanical Pemil[ 9001.4088 $ Building Permit Fee 9001.4085 $ 243.25 Plan Review Fee 9001.4222 $ SAC(MC/WS) 9220.2275 $ SAC (Ciry) 9379.4681 $ SAC (Admin) 9001.4246 $ Water Connection 92203865 $ Sewer Permit 9220.4532 $ Water Pemvt 9220.4507 $ Account Deposit 9220.2252 $ Water Meter 9220.4509 $ WaterTreatment 9220.4685 $ Surcharge 9001.2195 $ Oveipayment 9001.2250 $ Curb Box Deposit Refund 9220.2253 $ Construction Meter Dep Refund 9220.2254 $ O[her $ TOTAL $ 243.25 I declare under the penalties of law that this account, claim, or demand is just and tha t no part of it has been paid. qo-?? 12/23/02 SIGNATURE DATE f m i ? ?. cG nC-e I led -*-- r???ded idJa.3 ? oZ S c2--e- c? wp 1'ic a? s ? q q ---- RESIDENTIAL ? BUILDING PERMIT APPLICATION CITY OP EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ? New Conatruction Reauiremenri r+ 'T 3?0 ?SRemodeURewir Renuirementa . 3 registered site surveys showing sq R. o( lot, sq. 8. of house; aM all roofed areas • 2 copies of plan (20%mazimum bt coverage allowed) • 1 set of Emrgy CalcWations for heated additions d (aund design, etc.) . 1 site survey for e#erior ad 'tions & decks • 2 copies of plan showirg beam & window size\aft ptic system for add'Aions 1 set of Energy Calculations • Indipte il home se • 3 cropies of Tree Preservatbn Plan if lot platta/i193 • Run Jmst Detail Options selecfion sheet (61dgs or less wits) DATE SITE ADDRESS TYPE OF -,:z n_?) a APPLICANT sELAROQFING}& STREET ADDRESS 3T, LOUI3 PARK, Mlv \ TELEPHONE #6,1`2-9'33--tiYrID Cff PHONE # PROPERTY OWNER COMPLETE FOR Energy Code Category (J submission type) Plumbing Conhactor: ___ 1'lumbing sys[em includes: Mechanical Conhac Vlcchanical syslem Sewer/Water Phone # Phone # ?-? ---?-?? ?? TA RULES 7672 '?'I ?i Code9Jlllcsfl,e?t?u mitled - J r p IFee $90A0 ? C?-3071:? i Tcc S70.00- I hereby acknowledge that I have read this applicaTion, 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 le `4INNLSOTA Rli ?,ES 7670 CATEC • Residential Venti tlon Category 1 Works • EnergyEnvelo CalculationsSubmitted A Water Softener 4Vater Heater No. of Batlis ENTIAL BUILDINGS ONLY tl ? Su6mitted • Phone # _ wtt Sprunkler _ . of R.I. Baths Air Conditioning _ Hea[ Recovcry System VALUATION L) ? MULTI-FAMILY BLDG _ Y _ N PIREPLACE(S) _ 0 _ 1 _ 2 CITY STATE_ZIP fAX # ) TELEPHONE# Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4/02 OFFICE USE ONLY ' • ? 01 Foundatlon O 07 OS-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex 13 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muld ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AReraUon ? 37 Demolish (Bidg)' O 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolltion (EnUre 81dg only) - Give PCA handout to appliwnt Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plum6ing _ Foundation HypC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tesu Final _ Franvng _ Siding Smcco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConsWction Rwuirements . 9 registereC site surveys showing sq ft. o( lol, sq. R. of house; and all roofed areas (20Yo maximum lot coverage allowee) . 2 copies of plan showiig 6earn 6 window saes: poured found desgn, etc.) • 1 sel oF Energy Calcula6orn • 3 copies M Tree PreservaGon Plan it lot platteC atter 711193 . Rim JoislOetail Optlorts selection sheet (hldgs wAh 3 or less unAs) DATE D' (z - 0Z _ Water Softener Water Heater No. of Baths SITE ADDRESS S-]l(p ?L4CkY12„?Slre_ twl 13 e_, MULTI-FAMILY BLDG _ Y _ N TYPE OF WORKQ2u,,2? 0 ?j;4 '4- FIREPL E(S) 0_ 1 2 SELA ROOFING 8 REMODELING ? APPUCANT 4100 EXCELSIOR BLVD. STREET ADDRESS in etnmmnFn CITY. TELEPHONE #(aIZ-$Z3-K1)L/6, CELL PHONE # FAX # ATE _ ZIP PROPERTYOWNER I6rn ?P'f2FYlcw? TELEPHONE# VSZ- L{39 I ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONIY Energy Code Category ?IIV NL• SOT:1 ItL"LES 7670 C:\TEGORY 1 PIA 2"' 16 (J submission rype) • Residential Ven6latlon Category 1 Worksheet Submitted ?ergp d?Vp?s Submdted • Energy Envelope Calculations Submitted UG 1 2 2002 I Plumbing Confractor: _ Plumbing system includes: Mechanical Conhactor: Mcclianical system includcs: Sewer/Water Conhactor: Phone # Phone # Fce: 570.00 ----°----------°---------°---------------°-------------°---------..._------------•-------°----------°---°--•------ I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ord'nances. Signafure of Applicant c-l G OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4l02 Phone # ?7 3')'S, RemadellReoair Reuuirements • 2 copies of pan . 1 set ol Energy Calculalrons far heated additions . 1 site survey for ezterior additions & decks . Indicate if home 5erved 6y se0bc system (or addibons VALUATION A 15 1 L(F(?5' ? _ Larm Sprinl:leLW No. oF R.I. Baths :1ir CondiUoning Hcat Recovcr}' Systcm OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 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 ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex p 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12_plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New p 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish (Bidg)' ? 43 Reroof 0 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to appiicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED IN SPECTIONS _ Footmgs (new bldg) FinallC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ plumbing _ Foundation HVpC _ Dram Tile Other Roof _ Ice & Warer _ F inal Pool Ftgs AiriGas'Cests Fina] _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulahon _ Retaining 14a11 Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT Control No. 1376 U PERMIT TYPE: Permit Number: Date Issued: E3ULLDIN G 47N197.9 1.2;10/92 SITE ADDRESS: F'.TeN.? 9.0-12301-070--04 576 HACKhiORE OK LO'C: 0007 ELOCK: 00OA AUTl1MN RIDGE 2N0 DESCRIPTION: Buildiny Permit 'rype sF owr - Buildznq',l.Jor4, Type NE6J U8C Occupancy R-3 M-1 Canstruction 7.,ype V - hJ Zoning ?t-1 Building Length ' 62 Buil.clany Wid1.it 36 ' ' `-;?' - - - , ?`i1?L? ?`?1 *??:?':???????'?__ ?. ? REMARKS: REC.EIf?`f 4 COa1 ??? PRV S P, W CON?"f2fVCTOR - WGLTER CiI.FlYLUCI< INC FEE SUMMARY: VAl_UATIOP! Bac.. Fee PLan fteview Surcha r9e SNG SF4C ? SAG Uni.ts SubT,o tiel $:800.5ti $520.33 $73.00 1a0 1 IF ,09:i.2? $14ti, 0a(A M1CEI LANEOUS 11.610 >50 Total Fee $3,709-33 CONTRACTOR: - Applicant - sr. LzcOWNER: BUTIER HOUSIN6 CORP 74325885 0001715 BUTLER HOUS7NO CORP P G 60; 24v)97 P 0 BOX 24597 APPLE VALLEY MN 55124 FlPPLE VFlLLEV MN 55124 ffi12) 43:'-68t?5 (612)43--5885 I liereby acknowledge that t have reacf this appl3.cation and state thrnt the int'ormation is carrect and aqree to camply with all applicable State ofi Mn. S'tatutes ancl City of Eagan Ordinanca=. ? - 1 ?.o??r o ? I tta?f _ E '. ? APPL4 T/PE " G A R ISSUED 13N.'SIGNATUR pFRMIT A REACTfVAT€ _ 13, i 4_?9 DEC g 2 RECD " axuwA) rzao 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 _- IZ_ / 30 / '?2_ Valuation of work ` Site Address: .5'7?1 l4ke %i-iore t?4eiv& STREET SU17E M Tenant Name: (commercial only) IAT ?7 BIAC& ,_ SUBD. P.I.D. N Descri tion of work: The applicant is: ,€?Owner $( Contractor ? Other (Deseribe) Name Xlez- 5//F CJC' - Phone?? .?? Property LAST F t Owner Address STREET STE N City ctate 1?71r1t/AU- Zip ??aT Company Phone Contractor Address • ?? 01?/? 02 _ License. #/ 715 Ex . 3? City State 4?N' Zip 1551e_?Ia_ Company Phone t? ArchitecU Engineer Name ? ?? r?rl Registra t-io-n # Address ? City /?J?/ n? 5ta eA1112 Sewer 3 water licensed plumber f?C. Processing time for sewer 3 water permits is two days ce area has een approve . I hereby acknowledge that I have read this application and state that the information is correct and agree to comply ith all applicable S te of Minnesota Statutes and City of Eagan Ordinances. Signature of Applica : f CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation g 02 SF Dwg. ? 03 SF Addition ? 04 5F Porch ? 05 SF Misc. WORK TYPE B 31 New ? 32 Addition 1:1 06 Duplex ? 07 4-Plex ? 08 8-Plex O 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair GENERAL INFORMATION O 11 Apt./Lodging O 12 Multi. Misc. ? 13 6arage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move C.onst. (Actual) v-,,r Basement sq. ft. (Allowable) v-,-r lst F1. sq. ft. UBC Occupancy d-1 Ni_I 2nd F1. sq. ft. Zoning r-, Sq. Ft. total #? of Stories _ Footprint Sq. ft. Length E;Z? On-site well Depth 3 On-site sewage APPROVALS Planning Building Engineering Variance REGIUIRED INSPECTIONS 0 Site O Yallboard ? Footing ? Final . 0 Framing ? Draintile ? Insulation O Fireplace Permit Fee v.iuscim: g j y16,c0o Surcharge Plan Review GARAGE: 30n22- 660 License x z ; 2p IC?i'+tC SSAC AC ?yo ?c /? ? /oZ4ca Water Conn. Water Meter Acct. Deposit S/w Permit 1".?? !S = I 4S S/W Surcharge Treatment P1 . 1 yL-A 36 Road Unit 1067 x lS= l(obO s TrailDeDed. o?ec , •?4 . r??2= 1(.YXyS= 71560 Copier es Oth ISr FLv09; ,S?,yT = )Obryytg3; Sby55i Total : ZNnrl-wR: 32 SAC % 100 15k13= !aS SAC Units ?. lo XG5? ro ? 1nq5 Ar ... -0 Y8 BaseAnt Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility 0 21 Miscellaneous ? 37 Oemolish MWCC System City Water yQ PRV Required yEs Booster Pump Fire Sprinkler Census Code 7a-/- SAC Code ol Assessments • LOT BIIRVEY CHECICLIBT FOR RE82DSNTIAL SIIILDING pERMIT 7?PPLIC71TI0lI ? 000 4ROPERTY LEGAL 'ez S Dale of surveps //?? 9r Z pGCIIMENT BTAND nna 0 • Reqistered Land Surveyor siqnature and company U 0 • Building Permit Applicant ??0?/? • - Leqal description o ,D" U : Address B?fl 0 North arrow and bar scale 8? 0 0 • House type (rambler, walkout, aplit w/o, split entry, ' lookout, etc.) V 13 0 0 C?? • Directional drainage anows with slope/qradient =. ? • Proposed/existing sewer and water services ? 0 H • street name ? L?l" 0 0 • Driveway BLEVATIONB 0 0/ 0 ' • Existina Sewer service L3 0 0 • Lot corners 6r 0 0 • Top of curb at the driveway 9' 0 0 • Elevations of any existing adjacent homes pronosed 6? 0 0 • Garage floor e 0 0 • First floor D?? • Lowest exposed elevation (walkout/window) II? 011 • Property corners • Front and rear of home at the foundation PONDiNG AREAB (if arolicabie) D C'r ? • Easement line 0 0' o • xwL o Q o - xwL 0 0r 0 • Pond # desiqnation D 0 • Emergency Overflow Elevation DIMENSSONB ' 0'0 0 V' 0 0 0'0 D B' 0 0 n 0' n • Lot lines • Right-of-way and street width (to back of curb) • Proposed home dimensions includiag any proposed Qecks, overhangs qreater than 21, porches, etc. (i.e. all structures requirinq permanent footinqs) • Show all easements of record and any City utilities within those easements • Setbacks of proposed atructure and setback of adjacent existina homes Reviei October 1992 . ,, Page 1 OF 6 OWNER= BUTLER HOUSIN6 CORPORATION SITE ADDRESS= 576 HACKMORE DRIVE• EAGAN, MINNESOTA LEGAL= LOT 7, BLOCK 4, AUTUMN RIDGE 2N0 ADDITION CONTRACTOR: BUTLER HOUSING CORPORATION DATE: NOV. 30, 1992 -------------------------------------------------------------------- DETERMINE WORKING SOUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA: 3076 S0. FT. X.11 = 338.36 2. TOTAL ROOF/CEILING AREA: 1143.5 SO. FT. X.026 = 29.73 A. TOTAL WALL WINDOW AREA= 270.10 B. TOTAL DOOR AREA: 37.80 C. TOTAL SLIDING 6LASS DOOR AREA= 80.00 D. TOTAL FIREPLACE WALL AREA: 0_00 GAS LOG E. TOTAL WALL FRAMIN6 AREA (AVG. 10%)= 307.60 F. TOTAL RIM JOIST AREA: 240.00 G. TOTAL NET WALL AREA ABOVE FLOOR= 2,140.50 ' TOTAL EXPOSED WALL AREA= 3,076.00 H. TOTAL FOUNDATION WINDOW AREA: 0_00 I_ TOTAL NET FOUNDATION AREA ABOVE GRADE: 75.50 J. TOTAL OVERHANG AREA= 33.50 DETERMINE "U" VALUE OF EACH WALL SEGMENT= a. 270.10 X "U" 0.367 = 49.13 b. 37.80 X "U" 0.066 = 2_49 c. 80.00 X "U" 0.367 = 29.36 d. 0.00 X "U" 0.074 = 0.00 e. 307.60 X "U" 0_090 = 27.79 f. 240.00 X "U" 0.041 = 9.76 g. 2,140.50 X "U" 0.043 = 92.50 h. 0.00 X "U" 0.367 = 0_00 i. 75.50 X "U" 0.140 = 10.59 j. 33.50 X "U" 0.024 = 0.81 3 ........ .......... ..... TOTAL '.U,. = 272.43 IF ITEM #3 IS THE SAME AS, OR LESS THAN ITEM #1, YOU HAVE MET THE INTENT OF SBC 6006 (02. ?a Page 2 OF 6 TOTAL EXPOSED ROOF/CEILIN6 AREA = 1,143.50 k. Total skylight area: 0.00 1. Total roof/ceiling framing area (avg 10%): 114.35 M. Total net insulated roof/ceiling area= 1,029_I5 DETERMINE "U" VALUE FOR EACH ROOF/CEILING SEGMENT= k. 0.00 X "U" 0.367 = 1. 114.35 X "U" 0.025 = M. 1,029_15 X "U" 0.021 = 4 ....................... TOTAL "U.,: _ 0.00 2.65 21.96 24.81 IT TOTAL OF #4 IS THE SAME AS, OR LESS THAN #2, YOU HAVE MET THE INTENT OF SBC 6006( c)1 _ ALTERNATE BUILDING ENVELOPE DESIGN: TO UTILIZE THE TOTAL ENVELOPE SYSTEM METHOD, THE VALUES ESTABLISHED BY THE SUM OF ITEMS 43 AND 04 SHALL NOT BE GREATER THAN THE SUM OF ITEMS #1 AND #2_ 11_ 338_36 1+2. 29_73 = 368.09 ---------- ---------- - _ = 297.24 '3. 272.43 1+4- ---24.81 I HEREBY CERTIFY THAT I HAVE CALCULATED THE "U" FACTORS AND "R" VALUES HEREIN AND THAT THE BUILDING HERE DESCRIBED MEETS OR EXCEEDS THE STATE OF MINNESOTA ENERGY CONSERVATION ACT. BUTLER HOUSING CORPORATION . . , ' =- ---------- --------------- L'SI NATURE- IS F. BUTLER, PRES. DATE= NOV. 30, 1992 rl Page 3 OF 6 - ------------------------------------------- WINDOW AND OOOR SCHEDULE ----------------------------------------------- OUANTITY TYPE SIZE FACTOR WINDOW OPENIN6 0 BASEMENT 27 X 14 2.60 0.00 2 PATIO DR 6 X 6 40.00 80.00 0 CASEMENT 20 X 36 6.80 0.00 0 CASEMENT 20 X 48 8.50 0.00 O CASEMENT 20 X 60 10.80 0_00 0 CASEMENT 24 X 36 8.00 0.00 2 DBLE HUNGS 36 X 24 15.00 30.00 1 DBLE HUN6S 32 X 16 8.90 8.90 2 DBLE HUNGS 20 X 26 9.10 18.20 3 DBLE HUNGS 32X24/36 17.00 51.00 0 DBLE HUNGS 24 X 36 7.62 0.00 3 DBLE HUNGS 20 X 22 8.50 25.50 7 DBLE HUN6S 32 X 26 14.70 102.90 2 DBLE HUNGS 24 X 24 10.20 20.40 2 ------- SIDE LTS. ----------- 1 X - 1 .3 - 6.60 - - - 13.20 --------- - 24 -------- ------- - - ---- TOTAL ----- GLASS ---- --- AREA: - - 350.10 --------- --------- DOOR SCHEDULE QUANTITY TYPE SIZE FACTOR DOOR OPENING ------------------------------ ---------------- 1 THERMATRU 3'-0" X 6 20_00 20.00 1 THERMATRU 2'-8" X 6 17.80 17.80 0.00 0.00 0_00 0.00 0.00 0.00 0.00 0.00 TOTAL DOOR AREA= 37.80 TOTAL WALL WINDOW AREA= 270.10 U-VALUE 0.367 TOTAL PATIO DOOR AREA: 80.00 U-VALUE 0.367 TOTAL BASEMENT WDW AREA: 0.00 U-VALUE 0.367 350.10 TOTAL DOOR AREA: 37.80 U-VALUE 0_066 Page 4 OF 6 THRU EXTERIOR FRAME WALL: INTERIDR AIR - - - - - - - - - - - - - - - - - 0_68 SHEET ROCK - - - - - - - - - - - - - - - - - - 0.45 THERMO-BREAK - - - - - - - - - - - - - - - - - 0 STUD - - - - - - - - - - - - - - - - - - - - - 6.93 SHEATHING - - - - - - - - - - - - - - - - - - - 2.06 SIDING - - - - - - - - - - - - - - - - - - - - 0-78 EXTERIOR AIR - - - - - - - - - - - - - - - - - 0.17 TOTAL "R" VALUE - - - - - - - - - - - - - - - - 11.07 1/R = "U" VALUE - - - - - - - - - - - - - - - - 0.090 THRU INSULATIDN WITH SIDING & S.R. INTERIOR AIR - - - - - - - - - - - - - - - - 0.68 SHEET ROCK - - - - - - - - - - - - - - - - - 0.45 THERMO-BREAK - - - - - - - - - - - - - - - - 0 I NSULAT I ON - - - - - - - - - - - - - - - - - 19 SHEATHING - - - - - - - - - - - - - - - - - - 2.06 SIDING - - - - - - - - - - - - - - - - - - - 0.78 EXTERIOR AIR - - - - - - - - - - - - - - - - 0.17 TOTAL "R" VALUE - - - - - - - - - - - - - - - 23.14 1/R = "U" VALUE - - - - - - - - - - - - - - - 0_043 THRU CEILING MEMBER INTERIOR AIR - - - - - - - - - - - - - - - - 0.68 SHEET ROCK - - - - - - - - - - - - - - - - - 0.58 CEILING MEMBER - - - - - - - - - - - - - - - 4.35 INSULATION - - - - - - - - - - - - - - - - - 33.92 STILL AIR - - - - - - - - - - - - - - - - - - 0_61 TOTAL "R" VALUE - - - - - - - - - - - - - - - 40.14 1/R = "U" VALUE - - - - - - - - - - - - - - - 0.025 THRU CEILIN6 INSULATION INTERIOR AIR - - - - - - - - - - - - - - - - 0.68 SHEET ROCK - - - - - - - - - - - - - - - - - 0.58 INSULATION - - - - - - - - - - - - - - - - - 45 STILL AIR - - - - - - - - - - - - - - - - - - 0.61 TOTAL "R" VALUE - - - - - - - - - - - - - - - 46.87 1/R = "U" VALUE - - - - - - - - - - - - - - - 0.021 r. Page 5 OF 6 TMRU CONCRETE BLOCK INTERIOR AIR - - - - - - - - - - - - - - - - 0.68 CONC. BLK . - - - - - - - - - - - - - - - - - 1.28 INSULATION - - - - - - - - - - - - - - - - - S SHEET RK. ( OPT . )- - - - - - - - - - - - - - - 0 EXTERIOR AIR- - - - - - - - - - - - - - - - - 0.17 TOTAL "R" VALUE - - - - - - - - - - - - - - - 7.13 1/R = "U" VALUE - - - - - - - - - - - - - - - 0.140 THRU RIM JOIST INTERIDR AIR - - - - - - - - - - - - - - - - 0.68 I NSULAT I ON - - - - - - - - - - - - - - - - - 19 RIM JOIST - - - - - - - - - - - - - - - - - - 1.89 SHEATHING - - - - - - - - - - - - - - - - - - 2.06 SIDING- - - - - - - - - - - - - - - - - - - - 0.78 EXTERIOR AIR- - - - - - - - - - - - - - - - - 0.17 TOTAL "R" VALUE - - - - - - - - - - - - - - - 24.58 1/R = "U" VALUE - - - - - - - - - - - - - - - 0.041 THRU CANT. @ MEMBER (ENCLOSED) INTERIOR AIR- - - - - - - - - - - - - - - - - 0.68 FINISH FLOORING - - - - - - - - - - - - - - - 1.23 UNDERLAYMENT- - - - - - - - - - - - - - - - - 0.93 PLYWOOD - - - - - - - - - - - - - - - - - - - 0 JO I ST - - - - - - - - - - - - - - - - - - - - 1 1 .88 SHEET ROCK- - - - - - - - - - - - - - - - - - 0.58 STILL AIR - - - - - - - - - - - - - - - - - - 0.61 TOTAL "R" VALUE - - - - - - - - - - - - - - - 15.91 1/R = "U" VALUE - - - - - - - - - - - - - - - 0.063 THRU CANT. @ INSULATION (ENCLOSED) INTERIOR AIR- - - - - - - - - - - - - - - - - 0.68 FINISH FLOORING - - - - - - - - - - - - - - - 1.23 UNDERLAYMENT- - - - - - - - - - - - - - - - - 0.93 PLYWOOD - - - - - - - - - - - - - - - - - - - 0 I NSULAT I ON- - - - - - - - - - - - - - - - - - 19 SFIEET ROCK- - - - - - - - - - - - - - - - - - 0.58 STILL AIR - - - - - - - - - - - - - - - - - - 0.61 TOTAL "R" VALUE - - - - - - - - - - - - - - - 23.03 1/R = "U" VALUE - - - - - - - - - - - - - - - 0.043 ?. Page 6 OF 6 THRU CANT. @ MEMBER (EXPOSED) INTERIOR AIR- - - - - - - - - - - - - - - - - 0.68 FINISH FLOORING - - - - - - - - - - - - - - - 1.23 UNDERLAYMENT- - - - - - - - - - - - - - - - - 0.93 PLYWOOD - - - - - - - - - - - - - - - - - - - 0 JOIST - - - - - - - - - - - - - - - - - - - - 11.88 SHEATHING - - - - - - - - - - - - - - - - - - 0 SOFF I T- - - - - - - - - - - - - - - - - - - - 0.47 EXTERIOR AIR- - - - - - - - - - - - - - - - - 0.17 TOTAL "R" VALUE - - - - - - - - - - - - - - - 15.36 1/R = "U" VALUE - - - - - - - - - - - - - - - 0.065 THRU CANT. @ INSULATION (EXTEf2I0R) INTERIOR AIR- - - - - - - - - - - - - - - - - 0.68 FINISH FLOORING - - - - - - - - - - - - - - - 1.23 UNDERLAYMENT- - - - - - - - - - - - - - - - - 0.93 PLYWOOD - - - - - - - - - - - - - - - - - - - 0 INSULATION- - - - - - - - - - - - - - - - - - 38 SHEATHING - - - - - - - - - - - - - - - - - - 0 SOFF I T- - - - - - - - - - - - - - - - - - - - 0.47 EXTERIOR AIR- - - - - - - - - - - - - - - - - 0.17 TOTAL "R" VALUE - - - - - - - - - - - - - - - 41.48 1/R = "U" VALUE - - - - - - - - - - - - - - - 0.024 FILE NAME= ENERGY.BHC FA% 432 0398 P02 Hieliard E. Eckroe:d, I,u. ' ConcuJHng Srruetuml Englnara 30180 88th Plaoe North • Plymouth. Minneoo?8 584i1 •(812) 594-8598 Lecember 9, 1992 m. Ma:k aagel Phillipa Planniag inc. 14750 balaxie Ava. Appla oalley, MS 55124 Com. Uo. 209-42 8a: Lndvigsan rasidanca, lot 7, block 4, Antwmt Ridge 2ttd Addition, Eagan, 14Q To be bnile by Bueler Houeiog Cesp.. App1e valleq, NN Daer Sir, At your request I have chncked Ct+a inaster 6edroom flooY 3oiats oaer the Familq soom and fouod that me ahould uee Aouble 2Y10le Q 16"oc Eull lengCh of Lhe masear bndroom vhtra the resr aecond etory wall is inset from the vai! , balew. 'Phe tleer joieLs ghquld be et least 12 tlt bettet SPF. Pleaee eall if pev have aay queetione. Sincerly, Richard E. Eckroad P.B. Struatural 8oginser ?......^????? ?"? 432 0396 • 12-09-92 03:-5L"PM P002 #13 655?7 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslmction Reamremenis RemodeUReoair Reoulremenis Of?Fe-l'be Onlv 3 regisfered sAe surveys showing sq fl of lol, sq. fl of house, and all roofed areas 2 copies of plan Cerl 04 Survey Recd,. "4 Y_ ..:: N (20% maximum lol wverage allaxed) 1 set of Energy Calculahons for heated additions Itee PteS PIBr+ Recd Y' 2 copies of plan shaxing 6eam 8 window srzes, poured found design, etc. 1 site survey (or adddions & decks TFee Pres ftequiraf Y,,;,,N isetofEnergyCalculahons Adddron - indicafeitonsiteseptc system Dlrsile$eRtie5y5iCm :.:.Y,_N 3 copies of Tree Preservation Plan rf bl platled afler 711/93 Rim Joist Detail Ophons selection sheet (61dgs wdh 3 or less units Date q /cko/ U Construction Cost "` ?) l A l)? Site Address 5?p kAnC' xfm0rt! ?T Unit/Ste # 55123 ? Description of Work Q.4-')CA I? ,/? Prt r) dA_n. ?U ? r ?onC? , Multi-Family Bldg _ Y?(J N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner ?(?'yl B QS/V?PYYK?+? Telephone#(&SI) 'TSCA 13'1 -I BAC Construction Services ??n ^ ? ? n? ' Contractor 6015 Lyndale Avenue S rG? C ?, Address Minneapolis, MN 55479 City State ?* ;?oI ct,-?o(pQL_ Zip Telephone # ((Q Ia) -7 (?J -5S0 0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 ??esota Rules 7672 Energy Code Category • Residential Ventilalion Calegory 7 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submiried • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. ? Licensed Plumber ??li'` ?? a ? IIII Telephone #( ) 1 ?llt 2 7"LUU4 U Mechanical Contractor "i? I Telephone #( Sewer/Water Contractor i., 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. &?CKc."_? S 'e-x-1un Applicant's Printed ame ( Nn 0 a r- Applicant's 5i ture OFFICE USE ONLY Sub Types ? 01 Faundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt- Multi 0 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 EM.AIt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 P,Itera".ion ? 37 Demolish Building' ? 43 Rerocf ? 4E Windows/DOOrs ? 34 Replacement `Demolition (Entire 81dg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof _ Ice& Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W PeRnit & Suroharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS FinaUC.O. FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windaws _ Retaining Wall Building Inspector D' ? ?? ?------------- 4111? iTL -- j Cit6y Ofl LU? P(? (? LLn 2` 2049 L? i Permit# i ? ?? 3830 Pi lo t Kno b Roa d Permit Fee: - i I Eagan MN 55122 ? Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 ? StaB: I L ----------------? 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ` 111 0 Site Address: - Patrick Kontz Tenant: 576 Hacksnore Drive Suite #: Eagan, MN 55123 RESIDENT/OWNER Name: 6514531500 ione: Address / City / Zip: CONTRACTOR Name: NORBLOM PLUMBlNG r(DLicense#: OtP 156-M FM adaress: (612) 827-4033 2905 GARFIELD AVE SO . city: . State: Zip: INNEAPOLIS, MN 55408 Phone: Contact Person: TYPE OF WORK _ New X-Replacement _ Repair Re6uild _ ModiTy Space _ Work in R.O.W. Description ofwork: f' z WLI.LQir y 1eaw- PERMIT TYPE RESIDENTlAL I Water Heater Water Softener Lawn Irtigation Add Plumbing Fixtures ? RPZ /_ PVB) C_ Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RESIDENTlAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) ' $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) `Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (indudes County fee and $.50 State Surcharge) $90.50 Flre Repair (replace burned out appliances, duclwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ i nereoy acKnowieoge mac mis mrormanon Is complete anA accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, 6ut 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. X t1 &?? 1, ivorbc or2 X 44 2< ApplicanYs Printe Name A icanYs Signa ure City of LaRan 3830 PIIot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------- --- ? For OHlce Usa I I Permil ? Permil /??? ? v ii? ? Da1e Received: ? I ? ? StaIC I ----------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: l` 1 L3 v? Site Address: ??LD ?? C-? (1'?(,?? ?t? • Tenanl: RESIDENT 1 OWNER Name: L?64`?_??`?Z._ _ Phone: L ??? ??! U Address ! CiIY / Zip. 7y - -1- CONTRACTOR Name; SQ ry; Lo L`C?e1-j LL-) --??L ? ;? Address: L?-? L.? -- City: StateZip: -- Phone: OIU-DConlacl Person --? L m -- ---_-.------ TYPE OF WORK _ New XReplacement __ Repair __ Rebuild _ Modily Space _, Work in R.O.W. Descri lion of work: PERMITTYPE RESIOENTIAL ' Water Flealer W21er Softener Lawn Irrigalion Add Plumbiny Fixlures ( RPZ /_ PVB) (__ Main ___ Lower Level) Seplic Syslem Waler Turnaround New Abandonmenl flESIDENTIAL FEES: $50.50 Minimum Waler Heater, Water Softener, or W2ter Heater and So(tener (includes $.50 State Surcharge) $30.50 Lawn Irrigalion (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 Slate Suroharge) 'Waler Tumaround (add $136.00 it a 5/8" meler is required) $100.50 S2ptic System New ($10.00 per as buill) (includes Counly fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned oul appliances, duclwork, elc.) (includes $.50 State Surcharge) ? TOTAL FEES $ JU _-c- Suile q: i nereoy acKnowienge Inal inis inbrmation is complele and accurale; Ihal lhe wotk will be in wnlonnance wilh Ihe ordinances and cvdes ol Ihe Cily ol Applicant's Prinled Name Applic il's Sig ure >I a 3 Eagan, Ihal I undersland ihis is nol a permil, bul only an apPlicalion lor a perrnll, and work is nol lo slarl wllhoul a pemtil, Ihal Ihe work will be in + accord nce wilh Ihe 2p oved plan in Ihe case ol work which requires a review and approval o7ns. x x Q ? ?>-----? FOR OFFICE USE Reviewed By: Date: Requlred Inspections: _Under Ground _Rougli-In _Air Tesl _Gas Test _Final Emor•8 G? SURVEY FOR: Butler Fiousing Corp. DESCHIBED d$: Lot 7, 131ock h, AUTUM!N RTDGE 2ND ADDITIOT, City of fi:tgan, Dakota County, Diinnesota and reserving easementj--Qf record. _ - ---.. ? NACKMORE 9R• ? 951.O ? 95y q= 589' 41' 8' ll • 6' 591 3!' 2 31 A-57.72 g ; --- ? i ? OztrO 1. ]7? I 454. 992 /L /8 87 95j 4?L ? g 8 ?0. 4? ?J d 9g3.0 4 a ? Ci 0.83 l3 W /rK? J ` r.B•9 Pra a?d ? ta Ql 14 1- _ JPCant' .. t k?. M ? p V rl ? 97 996. 20 POtE6 DIOk 1 O !L Oi d ? sL __-------- Js _.-_ 9q0.9 N89' 41' 28' E 98. 68 `?4= LOT SQ. FOOTAGE _.i 2, 802.+ ?a?ol/o ??\-5????D OPOSED ELEVATION Top ol Foundallons . q55•i Gerega Floor . q54J Basemenl F?oor . q47.0 Approx. Sewar Servlce Elev. . gwia,. ver:fA Propoead Etavalfons . Q Exleling Elovetbns .? Dralnage Olrectbna ........ Denolea otlaal S1eMe . O lifEDLUND PlannMg Engineering Surveying noi e.n ememiiq}a nienonil?iawer• Mw»W.ebm Elev= 453.41 `AIN S TBAGK REOUIRHMBNTS Front - 3o Houee Sfde • 10 Rear - 15 Qarege Slde - 5 SCALE? I Inch ¦ 30 Fest JOB NO.; INEREBYCEf1TIFY1HATiH1819ATRUEANOCORAECiPEPIlE3ENTATION 92R.4132 OF 1HE HOUNDARIES OF THH ABOVE DESCpreED PROPERTY AS SUR• BOOK: PAGE: TO 9HOW MPiWYEAIEN S?OR ENCNOACNWIENI6E?PT AS SHOWN. o.,. LJ 9Z ? • 0 DOREN, UWD S VEYOR CAUD FILE: DWO. CHK I NESO?AUCEN9E NUMBER 1?870 Nt`trat --- . -----.. ._ ??? ??.-.r -,-,.. rn«,n nc?n ?rn•nn? 1?? [1A;T??77e?rnn?7 nnlnlrt7u -5i`?uAd' AlmC;INEERIATCa DEPT B,€NCHMARK. THH @ 4/1 ' For o )ffice Usej 4 r~ °;Jc},i o l City of Eapff Permit 3830 Pilot Knob Road Permit Fee: tiU Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694. Staff: L---------------- 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 11/09 Site Address: Patrick Kontz Tenant: 576 Hackmore Drive Suite Eagan, MN 55123 RESIDENT / OWNER Name: 6514531500 lone: Address / City / Zip: CONTRACTOR Name: NORBLOM PLUMBINGCO. License © t 5l PVV1 Address: (612) 827-4033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: TYPE OF WORK -New 'X-Replacement -Repair _Rebuild - Modify Space _Work in R.O.W. Description of work: re-xWz water heave PERMIT TYPE RESIDENTIAL I Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L_ RPZ / _ PVB) L_ Main - Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; 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. x I'Jorbt ®m• x - Applicant's Printe Name A icant's Signa ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Au Test Gas Test Final PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131709 Date Issued:07/02/2015 Permit Category:ePermit Site Address: 576 Hackmore Dr Lot:7 Block: 4 Addition: Autumn Ridge 2nd PID:10-12301-04-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Patrick L Kontz 576 Hackmore Dr Eagan MN 55123--304 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature F . Use BLUE or BLACK Ink . . � r----------------� . ` I For Office Use � C' � Permit#: 1 3303� � lty of �a��� I Permit Fee: � � -` ��. _ 3830 Pilot Knob Road � / � Eagan MN 55122 � Date Received: '"l ' � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I �-------------`�-it� �j 2015 RESIDENTIAL BUILDING PERMIT APPLICATION q.���sb / �si�� Date: � �� �S Site Address: � 7� �7`4���c� �. . ���• 4 ti �-� Unit#: ��'�� Name: �� ��.��/� l\ o�, �Z Phone: �S/-�S3- /Sc�U : F��:S��i4t1�1 L Q11ut��'' ` Address/City/Zip: 'S 7�, u'�!� c..o� e�, �. Q',� �.til�r/ �`.1` .3 Applicant is: Owner Confractor `' ' ��- �"�7"!-bC-'� ] T�3� O'��O�'k Description of work: � .�`r` � � ��? � .�`rG G.��;r � e x�:;�=, ��r��, 7 � �`T.�,�S Construction Cost: ���� Multi-Family Building:(Yes /No� (`` f . �. Company: ^J��T Contact: . �� �� �� � Address: City: GQ�n�'act�cl�r : ' State: Zip: Phone: Email: : License#: 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: . N�TE:Pl�r��a�d';��ppar�r�g tlQc�r��rr�s t�iat y��t'.�r�br��a�car���rerf fa-#�e��b�:i��``��1� Port�oi��:n� tf�e c��orrr�,a�iot�r�r�y be s}as��ed�s r�ar�-���b�c��';�o�pro�rid���e�':�c re�+car�s t�t aw�fd p�r��t�� Cf�jr tt� ' �c�de that the are t��fe�ec�+�t�. °°' 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.gopherstateonecall.org � hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a perm�; that the work wilf be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exteriorwork authorized by a building permit issued in accordance with the Minnesota State B ' 'ng Co e completed within 180 days of permit issuance. �����c �� ----_.._.__,_ X J�ac, T`Z x Applicant's Printed Name Appficant's Signa ure Page 1 of 3 ✓ � � T"TGl G�I�Y�OVC. �� DO NOT WRITE BELOW THIS LINE 1 33O(� � � , . SUB TYPES Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wal) *Demolition of entire building-give PCA handout to applicant DESCRIPTION �a Valuation �� Occupancy ��L "� MCES System '— Plan Review Code Edition ,Zu/7 SAC Units "` (25%_ 100%� Zoning �j,--! City Water -- Census Code 3�! Stories — Booster Pump �– #of Units / Square Feet ..� PRV .._ #of Buildings � Length — Fire Suppression Required �— Type of Construction � Width � REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/ No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee _ �� Surcharge Plan Review �..�p � MCES SAC City SAC Utility Connection Charge S8�W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 !" #$%&'()' *+*, -./$%'"&0-1 43/7$,+ -./$%'63/7-.1 89::;<; =*%-'!>>3-5199?9D?A@9B -./$%'#*%-+(.&1- -./$% C$%-'855.->>1''B<D''P*HF/(.-'=.'' \[#$ %& ''")**+ + , '')> >I,'\\+*F/'(,* 267 89:8(!98:9":9\[9' <4/ =->H.$0%$(,1 =>?'@1A/ \\/4+*/, +3$ C 0&'@1A/ )$ /03 + , 7/4%0+A + , P/ /0'=+a/P/ /0'@1A/P3,>L3% >0/0=/0+3$'Y>I?/0\\/I /'Y>I?/0 +,/'=+a/ 2$/34/'%3$$'#>+$*+,F'6,4A/% + ,4'3 'OXU8\]'X\[U:UX\[U' '4%5/*>$/'3'L+,3$'+,4A/% + ,J #(//-,%>1 -30? ,'I , M+*/'*/ /% 04'30/'0/G>+0/*'N+ 5+,'89'L// ' L'3$$'4$//A+,F'0 I' A/,+,F4'+,'0/4+*/, +3$'5 I/4'OP+,,/4 3'= 3 /' #>+$*+,F'- */\]J 2 ':'2/0I+ 'B//'OI+4%/$$3,/ >4\]SUVJ99'9;98J"9;\[ I--'C3//*.&1 =>0%530F/:B+M/*S8J99'V998J(8VU "(%*41 JD@K@@' #(,%.*H%(.1LG,-.1 :'')AA$+%3, '': Y 0?$ I'2$>I?+,F23 0+%&' 'T , a 8"XU'=/$?1')./U\[X'Z3%&I 0/'70 = '23>$'PY''UU89"W3F3,'PY''UU8(!::!9" OX8(\]';(\[:"9!!OXU8\]'"U!:8U99 6'5/0/?1'3%&, N$/*F/' 53 '6'53./'0/3*' 5+4'3AA$+%3 + ,'3,*'4 3 /' 53 ' 5/'+,L 0I3 + ,'+4'% 00/% '3,*'3F0//' '% IA$1'N+ 5'3$$'3AA$+%3?$/'= 3 /' L'P+,,/4 3'= 3 > /4'3,*'-+ 1' L'W3F3,'H0*+,3,%/4J )AA$+%3, K2/0I+ // '=+F,3 >0/644>/*'#1 '=+F,3 >0/ PERMIT City of Eagan Permit Type:Building Permit Number:EA145868 Date Issued:09/26/2017 Permit Category:ePermit Site Address: 576 Hackmore Dr Lot:7 Block: 4 Addition: Autumn Ridge 2nd PID:10-12301-04-070 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 - Patrick L Kontz 576 Hackmore Dr Eagan MN 55123--304 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature . For Office Use` l /����^ ®�+ a ®aa :::::e - ® a 0! : Date Received. 9. 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections&..citvofeagan.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Sept 24th,2018 Site Address: 576 Hackmore Drive Unit#: Name: Patrick & Lisa Kontz Phone: 651-249-8059 Resident/ 576 Hackmore Drive, Eagan, MN 55123 Owner Address/City/Zip: Applicant is: Owner X Contractor (]/ Remodel Kitchen T e of Work Description of work: (///� yp 4 X Construction Cost: 65'000 Multi-Family Building: (Yes /No . ) Company: Country Creek Builders Inc Contact: Dan Drenckhahn Address: 23885 Beard Ave city: Contractor Lakeville _ Phone: 952-484-9812 Email: Dan@countrycreekbuilders.com State: MN Zip: 55044 License#: BC636393 Lead Certificate#: NA If the project is exempt from lead certification, please explain why: Home built in 1992 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 City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.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 ordinances and codes of .- i of Eagan; that I understand this is not a permit, but only an application for a permit, and work is •• to start wit t a p it; t •• will be in accordance with the approved plan in the case of work which requires a review and approval• • - xDan Drenckhahn Applicant's Printed Name •licant's Si nature , 7 S-03,9?3/ DO NOT WRITE BELOW THIS LINE 5 7 pa cI- ,n dirt L ( -SUB TYPES _ Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage Porch(4-Season) Exterior Alteration(Multi) Multi /// Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* _ Addition Move Building _ Reroof Demolish Interior Alteration _ Fire Repair Windows _ Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation O10 Occupancy A I4.w /; MCES System Plan Review Code Edition OA SAC Units (25%_100%') Zoning t t City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction VO- Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Hood Roof: Ice&Water _Final Pool: Footings _Air/Gas Tests _Final y, Framing X30 Minutes 1 Hour Drain Tile )(, Fireplace: N4Rough In /`Air Test , Final Siding:_Stucco Lath _Stone Lath _Brick EFIS K Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan / Other: Reviewed By: , Building Inspector Ile RESIDENTIAL FEES r) (5 110 Base Fee / ,. Surcharge ; V `'' it Plan Review 1 ' MCES SAC City SAC Utility Connection Charge 3i _ V ca S&W Permit&Surcharge / Treatment Plant Copies 1'- al( , �g �, �t` i� I t/.3 TOTAL IP ( h ,►,� d9 V V.�`�� 40,9 ) ge 2 of 3 1 V For Office Use *®� o i °®4" Permit#:EAGAN �.�• ®, Permit Fee: .� Date Received: 9 .."-/r 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsAcityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Sept 24th, 2018 site Address: 576 Hackmore Drive Tenant: Suite#: Resident/Owner Name: Patrick & Lisa Kontz Phone: 651-249-8059 Address/city/zip: 576 Hackmore Drive, Eagan, MN 55123 Name: BoeVaag Pluming Inc License#: pm 062966 Address: PO Box 1257 -kA i,Ai, -� ' £&Prior Lake contractor „ , f i fitvi . State: MN Zip: 55372 `Phone: 612-270-6872 Contact: Joe Boe Email: Boevaag@integra.net Type of Work —New Replacement Repair Rebuild ✓ Modify Space Work in R.O.W. Description of work: Re-plumb kitchen sink, new faucet, connect sink, Connect DW RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/ PVB) Permit Type Add Plumbing Fixtures(_Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeanan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; 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. Joe Boe x .J /;‹..APPlicant's Printed Name Applicant's ignature FOR OFFICE USE Reviewed By: Date; Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: