589 Hackmore Dr0 CASH RECEIPT
CITY OF EAGAN ?
'` ?
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DnTE l + ' t9?
RECErvEO I l
F ? Ir1 41
AMdUld7
DOLLARS
1m
? CASH W CHECK
Thank You
8Y ?
017031 W,i,e--peyers Copy
YeUOw--Posting Copy ?
- Pink--file C',opy
.
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wa i?,?_ .? i
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•
4.
0 ,
- .: - • CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan,.MN 55121 1;4?2?v
; PHONE:6$1-4675
BUILDING PERMIT Receipt #
To be used for sF OWN" Est. value $131 •000 Date JlIN 21 ?g 92
Sile Address 5$9 ?C?RE gR
4
ALM" RiD02
I OFFICE U5E ONLY
Sec/Sub.
Lot
Block F EES
ParCel N0. ? Occupancy R-3 HMI 7?.00
R-1 eldg. Permn
N?pg KEY I.AtiD H029ES (qctual) Const V-N
. Suroharge 65.50
? ?
u
7 pddreS 14450 EURltSYILLt PiCHY (AllO1Mab1e) - alan Ftevie+v 486.00.
? Cjty 6URNSYILLE MN zjP 55337 # ot Stories L
ih ? s'?
php? 894-2636 eng
DL-ptn ? snc, cny 100100
cr nJapg $AHE S.F. Total
- SAC, MCWCC ?? *00
_
V
Mdress S.F. Footprints
On Site Sewage
_
Water Conn 675.00
?y Zp a, site w?i wacer Meier 9 5.00
? Phone Mwcc sy5tem X
x nca. Devosit 30.00
S 0?1 5 5 3
V
# City Wa1er ?.00
ce? PRV Required - S/W Permit
I hereby acknowlege that I have rqad this application and stale ihat the
' Boosler Pump - 5!W 5urcharge •50
informatian is correct and agree`'io comply;with
all applicable State of
Minnesota Statutes and City of E? Ordinan S. r
Treatment PI ????
Signature of PermiteQ4 'L'?.
, APPROVAIS qoad Unit 380.00
A Building Permit is issued to: KEY LANU gomES Plan^er - Park Ded.
on the express condition that all work shall be done in accordance with atl coumi --
applicable State of Minnesota Stalutes and City of Eagan Ordinances. gldg_ pff, _ COp'eS
3,615.50
•
Building Official
Variance
-
TOTAL
- Permit No. PermR Holder Date Telephone #
s,^^i ?-
ftMBING
FNAC 44,11- I
ELECTRI
079
°6
QECI'RIC
Inspnctlon Date Insp. Comrtronts
Footings I 7-? z
Fourbdat,on ?_,, z Ds
Framing
Roofing
Rough Plbg.
L
Rough Htg. ?3
Isul.
Freplaoe
Final Hlg. '
Ci-
Orsat Test 1
Finel Plbg. plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final L Q
Dedc Ftg.
Dedc Final OGc(?- i ? r
Well
Pr. Disp.
. .
.? ?
(Itx#i#irafie o# Orrupaury
titp of (tagan
r?rta- a# lwding jtwriinn
?his CernJ'rcale lnueri pursuant to the requirements of Seclion 306 of the Uxijorm Buflding
Code crrtij.yin8 tliat at the unre of lssuance tl?is struclure was rn conrpl'rance with the wariotcs
vrdincxces of the City regulating building construction or use For tJre following.
ux a.uisdr•oo SF DGG/GAR. me`. Re,nu No. 20002
O=++a&-r TM R3/M 1 zoow Dbuict R 1 r* rQ.w VN
owoerotqMd* KEYLANID NDW Ad&= 14450 BURN.SVM PKWY, B'VIId.E
Ihadins Adkm 589 HAMM IIRIVE L-414 I.l, B4s AUnA'TI RIDGE
4/23/A2
eu?es .
POST fN A CONSPICUOUS PU?CE
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i `?ITY OF EAGAN
3830 Pifot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
? SITE ADDRESS: I ? !
I :,? ? 11?? k Il1!rt
PERMIT SUBTYPE:
ON REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
. , . . , . • Fti ? s : ?
( F,.! l .:' ? ? • ? c' - ?i ] tr? ,r
TYPE OF WORK: ,frW
INSPECTION D. . ..
Psrmit No. Permft Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FlREPLACE
AIH TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG 1 _ q -7
QECK FINAL
:1'q Y1t>JffH4 Ctf YCF{MI I
OF EACAN
Pilot Rnob Rd.
MN 55122-1897
JAN Zls 1992
METER #
CHlP #
METER SIZE
ISSUE DATE vrrIvc W.+? v1¦...
PERMITDATE 01?29?92
PERMIT # 12 509
? ot7o31
B.P. RECEIPT #
B.P. RECEIPT DATE 01 / 28/92
_ PRV - BOOSTER PUMP
ADDRESS 589 ?CKMORE OR PERMIT REQUESTED
1 BLOCK 4 SEClSUB AUTUMN RIDGE
y- SEWER X WATER - TAPS
, STATE ZIP
AgER; D C MECHANICAI.
RESS: 13845 DAN PATCH LN
,STATE SAVAGE MN ZIP 55378
NE: 447-2323
:R: KEY LAND HON1E9
ESS: 14450 SIJB,NSVILLE PKWY
STATE BURNSVILLE MN Zip 55337
E: 894-2636
ALLOW TWO WORKING
COMM{IND X RESIDENT4AL
7C NEW - EXiSTING
Lawn 5prinkler Meters are to be Installed
Ahead q! Damestic Meters on Water Utne.
Credii411,1- NOT,bq/given for Deduct Meters.
CITY OF
SIGNATURE WHEN METER ISSUED
INSPECTIUMS. FOR STORM
; SEWER & WATER PERMIT OFFICE USE ONLY
` CITY OF E:4GAN ` METER #. PERMIT DATE ? 1/ 29 / 9 2
3830 Pilot Knab Rd. cH?P PERMIT # 12509
Eaga,t, MN 55122-1897 B.P. RECEIPT # C 017031
METER SIZE 01 /28/92
{SSUE OATE B.P. RECEIPT DATE
DATE .?AN 21, 1992 _
_ PRV - BOOSTER PUMP
SITE ADORESS 589 HACKMORE DR PERMIT REQUESTED
LOT i BLOCK 4 SEC/SUB AUTUMN RYDGE X SEWER X WATER - TAPS
? APPLICANT:
ADflRESS: _
CITY, STATE
PHONE: -
ZIP
COMM/IND
X RESIDENTIAL
PLUMBER: D C gCHANTCAL
ADDRESS: 13845 DAN PATCH LN
CITY, STATE SAVAGE MN ZIP 55378
PHONE: 447-2323
OWNER; KEy LAND HOMES
ADDRESS: 14450 BURNSVILLE PKW'Y
CITY, STATE BURNSVILLE MN ZIP 55337
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead,0 Domestic Meters on Water Line.
CredO4U,L NOT,be/given for deduct Meters.
CITY OF
SIGMATURE WHEN METER ISSUED
4545220 FOR INSPECTIONS. FOR STORM
rL,
SEWER PERMITS, CONTACT ENGINEERING DEP7.
- . _ _ . ) _. _...._.?,.......?
CITY OF EAGAN ?0?0042
3$30 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55721
BUILDING PERMIT PHONE: 681-4675 Receipt# 0
n 01-7601
Tobeusedfor SF DWG/GAR Est.Value $131,000 Date JAN 21 , 19 92
Site Address 589 HACKMORE DR
Lot 1 81ock 4 Sec/Sub. AUTUMN RIDGE
Parcel No. Name KEY LAND HOMES
W AddreeSSS 14450 BURNSVILLE PKWY
? City BURNSVILLE MN Zjp 55337
Q Nazne SAMF.
? Address
? C4 ZP
Phone
8 ucense # oooisss
I hereby acknowlege that I have d ihis application and state that the
intormation is correct and itall applicahle State oi
Minnesota Statule n %COmpiy rdi? SignaNre ol Pe itee A Bmlding Permn is issued to:
on ihe express contlilion that all work s al1 be done in accordance with all
applica6le State of Minn../e?sota Staptutes and City oi Eagan Ordinances.
Bwiding Oflicial f ?1Sf14 I1,Ot ??
?
OFFICE USE ONLV
- FEES
Occupancy R-3 M-1
Zoning
R=1
Bk13. PertnR 748.00
(Attual) Const V-N Surcliarge 65.50
(Ailowabie) V-N plan Review 486.00
# ol Stories
Lenqlh 4$ ' Licertse S_ 00.
oePm 39' snc, cay t nn _ nn
S.F. Total - SAC, MCWCC 700.00
S F Fooiprints -
On Site Sewage _ water Conn 675.00
On Sae well Water Meler 95.00
Mwcc system x 30.00
Cny Water x
Acct. Deposit
PRV Reqmred _ S/W Permil 30.00
BooslerPump _ SIWSurcharge .50
Treatment PI 300 _ nn
APPHOVALS Road Unit 380.00
Planner - park Ded.
Council -.
BI0g.011. _ Copies
variance - TOTAL 3.615.30
DATE: JAN 29, 1992
RE: 589 HACKMORE DR (KEY LAND HOMES)
Y
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
_ Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plum6ing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED 8Y LAW.
CON7ACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
??/r'y? REQUEST FOR ELECTRICAL INSPECTION
P ? See instructions for wmDleung this lorm on back ol yellow copy
"X" Be/ow Work Covered by This Request
r°.•-••?q
4 EB-00001.08
/0
8-°?-
°?-
liV"
e Adtl Rep TypeofBwlding ` ApphaRcesWired EqmpmentWued
74, Home Range Temporary Service
Duplex Water Heater Electric HeaUng
Apt. Bmlding Dryer Other (Speciy)
Comm./Industrial Fumace
Farm Av Conddioner
Other (syenty) CoMracror5 Remarks'
Compute Inspechon Fee Below:
# Other Fee # ServiceEniranceSrze Fee # Crtcuitsffeeders Fee
Swimmmg Pool 0 to 200 Amps to 700 Amps ?
Transformers Above 200 _ Amps Above 100 _ Amps
Si9ns lnspector5 Use Only TOTAL
Irrigation Booms aQ
(? ' ?
Special Inspectwn
Alarm/Commumcation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
• Other Fee ego COMPLETED WITHIN 18 M S.
I, the Electrical Inspector, hereby ROUgn-In oete'
cerlify that the above inspection has
been made. Final
nel oate ? yZ
OFFICE IISE ]NLY
This requesl voi0 18 mon(M1S imm
?
34255 ? tx??v
Repuesf Oale Fire No'
•
I
Inspe on
Rougl+-i
?eqmr,
J
? ReaOy Now p w,ll Nohty Inspector
?? f 7'
9 ?
??^f4s G No
When Featly'
1 icensed contractor ? owner hereby request inspection of above electrical work at.
Job PEtlress SVeet Box or floN N.
.) P
ty s
Section N. Towns ip Name or No Range No Counly
Ocwpant ?PRINT)
? Phone No.
Pawer uppLer Atltlress ?
?
Elecmcal ConVattor ICompany Name) Cqnlractor ¢ense No
J D / ?.? ?3
Matling qaeres (Conlractor or owner Making Installauon)
? G
aumonzee S natore ner Makmg Instal aL ? Pn
one
Numoer
?
g
, /
MINNESOTp STATE BOARD OF EIECTPICITY V 1 THIS INSPECTION PEOUEST WILL NOT
Griygs-Mitlway Bltlg. - Foom 5413 BE ACCEPTED BV THE STATE BOARO
1821 Umversiry Avp, St Paul. MN 55100 UNLES$ PROPER INSPECTION FEE IS
Phone(6/2) 6634900 ENCLOSED
AcLdress; Sgq HAaWgg DRM I.ot I Blk 4 Sec/Sub AUTLp,I RIDGE
These items ware/were not complete at the time of the final inspection.
D t : 4/23/92 Yes No TnAperror
Final grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry
Permanent driveway /
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch /
Basement finish ?
Deck
Please verify vith tha builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet be£ose
£reeze potential exists. ?
P(CKIRNRR
White - City copy Yellow - Resident copy Plnk - Contractor copy
I have complied with all application requirements for the State of Minnesota contractor's
license, and I have submitted all required information to the Department of Commerce for
approval.
Date
n
am of busines
1114WM0?t ?k?$>Kif XC?;?.',(>;:SS:?CY.tN,I?,$t$:Y,tX? kt.l'
CITY OF G.P•GAN
L.(tF.;f!.T.fi:lio !; 11:14:147:NAL.. N(7. 52
L'R.I'I:;: Oi'/28/97 r ItiEC lli;,:0509
NA,4G MAI;GAF'E7 A I-I01''('MAPI
32:ifl 9001 589 I-IACI MilfiF_ DF: 50..00
29.'.;`i `.?nC!:I. ?:..^iLI
'A
i
Ir7'C,-_I. IiF?C:t?lp; AmqiJ.Yi1;A 5d).,50
cE,.a 7904.
1J51:7R :f.DN t.dAP!C`(
??ri•Stri#:K'k?k??ktY,.;Y4n;;;bk1FiY;k,?.k'?k?'? i«kMz;k?.i?X:B=.%k?'M'
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-12300-010-04
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
589 HACKMQRE DR
LOT: 1 BLOCKe 4
AUTUMN RIDGE
Permit Type DECK
4prk Type NEW
434 ALT. RESIDENTIAL
8
117i
sli'
?; -
w?
4§
BUILDING
030516
07J25/97
v; ,??o
??,?„iv :?s" a? .?+ ;?.
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: VIN?:
J H p P 1
L?
N
M A R K
O
? 589 HRCKMORE OR
EAGAN MN
(612)602-3797
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ISSUED BV: SIGN URE
. • . ? ;;
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
L cirr oF EAGaN
3830 PILOT KNOB RD - 55122
6814876 .
New Conetrudion ReauircmerMs RemodeUReoair Reauiremerna
? 3 regretered si[a aurveys ? 2 copies of plan
? 2 topies of plana (indude beam 8 window sizes; poured fid. design; etcJ ? 2 site surveys (extotior aEtlitions & dedcs) .
? 1 energy plwladone ? 1 eneigy nlculatWns for heated addiGona
? 3 cnplea of tree preservadon plan if lot pleriad efter 7/1/93
required: _ Yes No '
DATE: 7?a 3?7 CONSTRUCTION COST: --?? 3`3
DESCRIPTION OF WORK: QQGk ' NE1'i ? RQ-nM7Yq I rs-f-
STREET ADDRESS: s89 ack`nvre, Dri ?L
?
LoT ? BLOCK ? SUBD./P.I.D.#: .,?0+v v? R?dqe pV10113000I.ooq
44- 45,4-41Cv7
PROPERTY Name: 44vr=)-?,rikN MAP-K Phone#: w- &0a-3-797
OWNER u.. ,,..
Street Address: S 8 q N A C K M D K E -?> P- i vL:::
City: ? ? 6 A-^' State: A"' N Zip; f55,17-3
rONTRACTOR Company: mmc Phone #:
Street Addr"ess: License #:
City: State: Zip:
ARCHITECTi Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City:
5tate:
Zip:
Sewer & water licensed plumber (new construction onty): Penalty applies when address change
and tot change are requested once permit is issued.
I hereby acknowledge that 1 have read this apptiption and state that the infortnation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
--
OFFICE USEONL'Y JUL 2 3 1997
Certificates of Survey Received _ Yes _ No HY,
Tree PreservaGon Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY . ,r
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dweliing ? 07 4plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-piex
? 05 SF Misc. ? 10 = plex
WORK TYPE
9( 31 New o 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
0 11 Apt./Lodging ? 16 Basemerrt Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
X 15 Deck
0 36 Move
0 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprirrt sq. ft.
Planning Building
MCNYS 5ystem ?
City Water ?
Fire Sprinklered
PRV
Booster Pump
Census Code. U 3 d
SAC Code , 01
Census Bldg _L
Census Unit O
Engineering Variance
g J. • •
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Oed..
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
;S:;;t:+R;§:`L<M?':$O;'•Y,:1Crvk 7:i::7?0„y;,$aF{,:;:Y{:.:.(7?%:).1Y?1'; 7Y},{?r.;Y::kM:N
CT_TY Oh' EAC,AN
(.;ASiH.T.('F2w S l"I:::Ri1INAL iv(1° T,;Ei
DflTt'-:.: dS1;,.199 'LMI=: V149153
TP°
t,'a'1E:: 5lla&=L. Ct1I;Pt]Rt1TTON
:??i'J 5001 503 N(-1CVMC!fiE j1;• 3705
205 3001 583 Finf_KMOrtE Dsi c'.(:[7
;i
t
'rA'',_:I. "'t3.^E?i,?t
I.1SI?R TDs i?!FlNCV
:?l:?1)',<.'FY,:%'?:'!'?<iY7:i U?{:R:'?3::.i<Y:?:?:XS. ,l??1?,,..X:<;$?t 6>?7,"•t'r:#:'#:k
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
t 3830 PIL'OT KNOB RON 55122 s CI ?-?-?
651-681-4675
N w 9
nstrudion ReauhemeMs Remodel/Reoalr Reaulremenh
? 3 registered sMe surveys showinA aq. N. of lot, sq. M. of house
and gf! rooted areas (207, maximum lot coveraae allowed)
? 2 coples ol plans (thow beam 6 wfndow sfzea•, poured fnd. design; etc.)
? 1 sef ot energy calculaflons
? 3 cop{es ot hee preservafion plan M lot ptafFed after 7/1/93
DATE:
2 copies M plan
1 set of energy calculallons tor heafed addfffons
1 aHe survey lor exterlor addMions a decks
CONSTRl1CTION COST:4 1:2?1472 CTb
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: i BLOCK: _4 SUBD./P.I.D. #:
Name: M6T-i' wlto Wk,I4 1'S Phone#:
?
PROPERTY Lan first
OWNER ?
Street Address:
Cit St
y a
Company: f4 , S32 ? C G f a Phone #: b_? /
(area code)
CONTRACTOR Sheet AddressJ ? CIYM ? TI Ve, llcense # L ?Exp 3"3/'2,006
City 14 ? State: Zip: -!..5^
ARCHITECT/
ENGINEER Company: Name:
Telephone are cod ( )
Streel Address: e istration #:
City State: Zip:
:,
t Sewer d, water Iicensed plumber (reauired for new conshucNon onlvl:
, PenaHy applies when address change and lot change Is requested cnce permN (s issued.
I hereby acknowledge }hat 1 have read this appiication, state fhat Me inlormaffon is correct, and agree to comply with all appitcabl
State of Minnesofa Statutes and Cify W Eagan Ordfnances.
Signoture of Apptlcant: '&af., c("J?1 1-3
OFFICE USE ONLY '
Certificates of Survey Received _ Yes _ No ?
Tree Preservation Plan Received _ Yes _ No _ Not Required
'`?/
OFFICE USE ONLY
...r ?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex )9 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATIOM
Const. (Actual)
(Allowable)
UBG Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC -
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNi! Permit
SN1! Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq. ft.
Main level sq, ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
9'7,15
R,Od
R'11iZS
Census Code 143N
SAC Code o I
No. of Units ?
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Valuation: $ 1422?z 00
Gr,?
0 X2 ,7, 16
.
l
SAC Units
% SAC
O
SUSSEL CORP. RESIDENCEOF:DATE:?n Irip
645-0331 ADDRESS: D(/ PLAN NO.
OF ?J 1852 COMO AVE., ST. PAUL, MN AREA: Uml(, 4v-) M0' DRAWN BY:DJ
. 1992 BUILDING PERMIT APPLICATION
CITY OF EAGAN
REGUIREMENTS: 10041
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTiPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPUES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE QR LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For: 3ijT (R ? Valuation: (3) 000 Date: ?- 8-Q "?--
Site Address 5? ? 11? 4D (L
Lot ? Block y
Occupancy g-3 M/ Bldg Permit
Parcel/Sub / AA&b.. L& Zoning R-I Surcharge
Actual Const Plan Review
Owner - ?S Allowable License Fee
` n # of stories SAC, City
Address /y?/
, gZ Length ? SAC, MWCC
Depth Water Conn.
City/Zip S.F. Total Water Meter
Footprint S.F. Acct. Deposit
Phone Q - 10 4 S/W Permit
On-sfte sewage S/W Surcharge
Contractor On-sRe wetl Treatment PI.
MWCC System ? Road Unit
Address City water ? Park Ded.
PRV Trail Ded.
City/Zip Booster Pump Copies
SUBTOTAL
Phone License 55 APPROVALS Penalty
Planner Lot Change
CounCil TOTAL
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
n < n
- ? .C 1V
Sewer/Water Licensed Contr.
for sewer/water permits is two ays once area
.SD I
Processingtime
agrees that all work shall be done in accordance with
ignature o ermittee
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
? ?s?N ? IS r
z?- ?` R
,
l2.3,? zv " ?Y6 Q„?''"'? `` ' •
iy
fo•3k ly =?
Ze r?.
___-.---
z??
z a k t?.? = z y?
9sa?-S-3 = s?s%
?
zo.3?Zo ` Yo6
- ••/,
13b) yoQ, Y
EXTERIOR ENVELOPE AVERAG[ "U" COMPIITATION LX ?O
--•----?----- . ..__.. -----. . . . . . . ?
?wnER;
SITE ADDRESS:
onTr
PF;ONE:
CONTRACTOR: KC4ANc?) PIAN # fZ '3sCaS^S?
Determine working square footage of each
1. Tota7 exposed wall, area..... Z$ IS?`'« sq. ft. x .11 = 309 (oq
2. To'tal roof/cei 1 i ng area..... I p-1 Li sq. ft, x .026 =
Total exposed wall area above.floor=_z-`k3y,q,6
a. Total wall window area ........................................... 13 ?
b. Total door area .................................................. 3$
c. Total sliding glass door area .................................... 32?
d. Total fireplace wall area ........................................ ?
e. Total wall framing area (average 10%) ............................ ?45
f. Total rim joist area ...........................................:. 304•31
g. net wall area a6ove floor ..................................... z-19 10 3
h. wall area a6ove floor ..................................... -
i. . wall area a6ove floor .....................................
j. frame wall area at foundation ................................... -
Total exposed foundation area= ?(a,C,(P
k. 7ota1 foundation window area .......................
l. Total net foundation area above grade .............. `Ilt
Determine "u" value of each wall segment
(e.g. window, door, each separate wail section)
a. 1 38,`? X..U.-_
b. X l,ull ?3Z = t2, tlp
c. X „Ul,
d. -- X liuii ? _ ....
e. Zti'3,?-I S X
f. ?o y 131 x
y. Zi`11,b3 X
uu?
„u„
Hu,l
h. X 1. u 1. _
i. X ltuii °.
x 1. u?? _
?.
r SZ(o X„u„
?. -7 i,N X 11U„
?
3 . .................................Total = r?Ili
If item f3 is the s
° as, or less than it
#1, you have met tF
intent of SBC 6006
Total exposed roof/ceiling area
.n_ 'rotal skyli.glzt zrea ..........................••
z. Total roo`/ce:lin, framing area (:lvcrayc 102) ; lOJ-41
o. _otal net i^sulated roof/ceiling are:a...._.:...•.?: • °I4Le , ln .
Determine "U" valuc Por each roof/ceiling segnent
M.
X "U"
?44
n. (O?. a ?V, DZ
X I.Ull ,pv = (Gj i?? . :
'.......................... Total - 2 1?G1?
to=a1 c` -4 is the same as, or less t:han H2, you have met the intent of .
Sb? 50?5 frl 1 •
Alternate Building Enve:.ope Design
^o _t±i±>_e tre total envelope'systen method, the values estzblished by the s.ua o£
iwenns r3 z.d r4 shzll r.ot be greater than the sum of items Y1 and n2. .
i. + z. 3?,tDi .
3. + 4.
.4.' TOTAL EXPqSED RQOF/CEILIhlG CALCULATfONS:
Total exposed
' roof/ceiling area........ sq ft -
j) Total skylioht area....... 'sq f[ x"U" °
k) To[al roof/ceilinq framing
e 1(i?)
area (Avera
r) 1
4 sq
ft
x"U" t (7e??l
......
9 j
,
1) Totzl net insulated
roof/cei 1 inq area.......
V sq
ft
x"U"
q, TOTAL j) thru 1)
If [otzl of °h is the same as, or less than 92, you have met the intent of
? `SC?Z 1.16008 A ard 0.
. ALTERNATE BUILDIFIG ENVELOPE DESIGN
7o utilize the .otal envelope system method, the values established by the sum
of items 4?3 and '4 shall not he nreater than the sum of items dl znd °2.
t. + z. 2,7,?j Z = 33 7, Le l
3. 7Z5,t?4- + a. Z-7,2:1 _ IZ, 9
,
PrAN # ?- 33cQs_v'
* LIN£AL £EET E?POSID WALL
ar,ocx- Z g r-z, ? 7+ zo + 1 Z.1 ?+ G? 3 3+ I y.? ??- i O, S' f?- Z_7, 4'7+ 2 co =!S3 ?3?
KP1EE:
W.O..
FULL 1* zcd fiL,4Z+ZO +IZ,N? + Ce, 3 3+ IkI+Ia-I 1o, ?(??+-ZCo ° IS3,3:=
fvLL 2: ?-q', S'>t,c,-7+Zo+e,lc?,-r 3.81(o+ iII?+LB+(y +I?S?4 IZ=tSv,9L
FIREPIACE : I
RIM: '?c K 3 i
* SQUARE FEE'P EXPOSID WALL AREA
Bi.ocK: t S 3 ,'33
KNEE:
W.O..
FULL 1: 153,'3?
FULL 2 : ? S'O , ol $
£IREPLACE:
.
x. 5= "! Cp ? to Cp
x 5 =
x 8 =
x 8 = lZZ4•4+?
x 8 = IZoZ.$?}
X =
xn•t: -
3??I ? 3 f X 1° ?oy ,'?I
TOTAL Zs1S,4S
? sQuaxE r-EEr EXPosm cEZLarc \o-? y
k?vI uco?YS
(I II -'3 z`lo ? 8?89= 3s.S c,
ll I 1 - ZK?I $_ ?i ? 3 2
t'- L3 3? - Sto : Si Cp
1 ? 12'ly =?
)J, -23s?5 ??.yz?zs.ZS?
__---
!
? Dooxs i & 3 B
c
? e zJ
5C PATFO DOORS
? sASEMErrr cnNrrs
? i -Z.-7 x I `i = Z - cr3 = s,e4:;,
ROOF-CEILING
VFNT
l p ?/
?,?r ? NE,°,T FLXi'?;
'Lip
FIG. #5
CONSTRUCTION ' R-VAI.UE
1. INTERIOR AIR FIIM 0.6&
2. ? -
3.
4.
U = .02
C R011+
1, INfERIOR AIR FI'i.M 0.61
2.
3. x
4.
U = 0.024
CONSTRUCTIOid
INSIDE AIR FILM
2.
3.
0.61
4.
S . ?' TQ"'lAL
U =
? ITAT FTAW UP
FIG. #6
N6N-VEN'I'ED
HEAT FLOW
UP
VENI'ED
?
FRAME
1. INSIDE AIR FILM . 0.61
2.
3.
4.
5. ?T --. •
U =
INSIDE AIR FIIl4 0.61
2.
3.
4.
5.
U =
NOTE: USE ADDITIONAL SHEEtS IF t"_ORE SPAC' IS
pIEEDED FOR DETAZLS PND C.41LIJLA"!'TOuS.
rTG. €7
ROOF-CEILING
R-vAIUE
-Aoz- ??H , cv l
?
3 r`? 2.
4• IAirC. tvl
'It7iAi? 3 1. fx
VFNt ? U -. o Z 5
yJ ?
VENI'ID HEAT FDOFa
uUP
FIG. #5
tHEAT FIDW UP
FZG. #6
?-?
2. . ,
3.
4.
U = o ??
1.
2.
3.
4.
5.
1. TOTAL.
U =
?
2.
3.
4.
5.
'
1. U =
2.
3.
4.
5.
7.Y)TAL
U =
NOTE: USE ADDITIONAL SfEE.TS IF MJ12E SPACE IS
NEIDED FOR DETAILS AND CATI-'[JLATrONS-
FIG. #7
N41N-VLN1t1J ?
, HEAT FIAW
.. UP
Y'?Li- Jc?.l a+-Y l7
Use r % of ot?a4ue wa i 1 area fvr
, . {YaYr,C CCxtStruCE ic?n
r+?u
ESG. *t
R- VALUE
corrsrxucrzoN=- FxAMrzxr - -
1. INTERIOR AIP. FILM 0.68
2. 2 D
3. 5V2 SOFf WOOD 6.9
4. /4°
5. ?5iD G .6?
6. OR AIR FILM 0.17
T BI. R= 14•lq
U= .ti7
NET
1. INTERIOR AIR F'ILM 0,68
3, '1i2 GYPBD ,45
3.
4. j" rtivtin ?a-?.1?Nv,Cwsw.l 5.4
5. S ING .62
6, R A R
TOTAL
_ o7Lo. 3a
D
- ?- 9
Si t- I SEhLECZ
{d?,RT71*)
W,4LL
?G
. 43
,
? I
`'L
t ` ? O
?., , .
C7 'a "? ' •
F,T?. aq
?
i • . ? -- 1l I
'
'
ft
_.__ ?
,
_
, • , ,, lJl ?rr
?
'
,.
(I
) !r l = t,; ? I(t ?
? NOTE: INDICATE TYPE, "R" VAIJJE. DEPTH AAID
PLACBMENT OF INSLJLATION.
1. INT'ERSpR AIR FIIM 0,68
2. 6 INSUL. 19.00
3. 2x1 JO
4
5. , IDI? .52
6, MCMOR AIR FI . 7
Tu=
U=
BLOCK
1.
2.
3.
4.
5.
6.
INfERIOR AIR FILId 0.68
5.00
PROTECTIVE BARRIER
'POTAL R= 7.13
U= ,I4
SLAB ON C-,RADE
PRAr1E wnL-t
,. 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
3830 PILOT KNOB RD - 55922
651-681-4675
New Consfructfon Reaulremenls Remodel/Reoair Reavtremenh
9 3 regfstered sBe surveys showing sq. k. of lot, sq. fl. of house 2 copies of plan
and ail roofed areas (207, maxfmum lot coveraae aliowedl 7 sei ot energy calculatlons tor heated addMlons
> 2 copies of plans (show beam & wtndow slzes; poured fnd. design; Mc.) 1 aRe survey for exTerior addMlons 3 decks
> 1 set ot energy calculaTions
> 3 copies W ree preaervatlon plan H IoT platted afler 7/1/93
DATE: ? 1 CONSTRUCTION COST: qqoo
?
DESCRIPTIpN OF WORK
STREET ADDRESS: '-? I T- 1L.5.-V,' ? f LCJ'V, ( Y-' - 1
LOT: ? BLOCK: SUBD./P.I.D. #: a,,-?,, v\, ??-
Name: Phone #A?A
PROPERTY lhsv Fi ?Qj
OWNER
Street Addresst
City ?C?. State: fp? z,P: 6S /a3
/
Company: Phone #: 7`S A3 p ?CU
c- (area code)
CONTRACTOR
Street Address: License # ?Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City State: Zip:
Sewer 8 water Iicensed plumber (reauired for new construction only
PenaMy applles when address change and lot change is requested once permit is issued.
I hereby acknowledge thot I have recd this application, state that the Infor o Is orrect, and a ree comply wRh ail applicable
Stafe of Minnesota Statutes and C'rty of E4gan Ordinances.
Signature of Appllcant a ? ?N? ?
OFFICE USE ONLY I? ?? r? '? 1 II
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
?. . .
BUILDING PERMIT TYPE
OFFICE USE ONLY
C] 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling 0 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 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 TYPE
d 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/SoffitslFascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Aiteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
5AC Units
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Valuation:
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
% SAC
r'f.TY QF F..AC.,AN
H]:rFi: fi T'F_Ri°iINAI._ NO: 693
E;:
f 04/02/99 7TMr. 12:3i3:l.i
lU:,
NANFr. MAI;I! D. I-IOFFMAN
3210 3001 589 HAC:t:MUI:E DR 60.40
205 91701 589 F1FlC;E:MORF.: Diti U„':;J
3430 9001 589 1-IFlCf.t10RE DR 0.25
7ot,a1 ficreipt, Amount -, 60.75
Cfi:LO'.=,Rc 3
I..lS(:'F Iiia NANCY
?C%tXtEc9F?X?'FX?yFyFX?Mh:?F?X9FNc?kyF?X????kxt?X??%iX?k?c?k 'M?Y?kW.?k?K?
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?.
3530 PILOT KNOB RD - 55122
651-681-4675 9 ?
New Construction Reauirements RemodeUReoair Reauirements
? 3 registered site surveys showing sq. ft of lot, sq. ft of house
and al7 roofed areas (20% maximum lot eoveraae allowed)
? 2 copies of plans (show 6eam 8 window sizes; poured tnd. design; etc.)
• 7 set of energy calcuWtions
? 3 copies of tree Orese tfon plan if lot platted after 7/1193
DATE: f?/Y g
DESCRIPTION OF WORK: Se
? 2 capies ot plan
? t set of energy calculetions for heated additions
? t site survey tor exterior additions 8 decks
CONSTRUCTION COST: ox , flC)
STREET ADDRESS: S?S ?I
LOT: ? BLOCK: ? 4 Gkln'?GI'-e
SUBD./P.I.D. #: Or
Q?-? k-,?-V`A
y'\ C-A 1')C 4
4
Nazne: Phone #:
PROPERTY
OwNER
CY-e (//"
s-s? C
?
SacetAddress: /
GYl
Ciry _?C`i 9G3 " State: Zip: ? SI Z?
p
?
i?
m
az
i
COI`"I'RACI'OR Phone k:
Street Address: _ License fi Fap.
? Ciry State: Zip:
.ARCHITECT!
ENGINEER Company: Phone ti:
Nante: Regist-ation q:
Street Address: _
Ciry State: tip :
Sewer & water licensed plumber (re auired for new construc tlon onivl: ,
Penalty applies when address change and bt change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ail 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 Rsceived _ Yes _ No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
w
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage O 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 TYPE
31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code ?y
(Allowable) Main levei sq. ft. SAC Code ?
UBC Occupancy sq. ft. No. of Units O?
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Bu ilding Gj ? Engineering Variance
?
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Dsposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Valuation: $
% SAC
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #
DATE: ? 9
R?SSqENxxAIPLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
r.... : . . . . ..... .: .. .
TOWNHOMES/CONDOS WFIEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -------------------------------------------------------
WORK DESCRIPTION FEES
NEW CONST ?
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS:
IAT: I BLOCK ? SUBD.
INSTALLER: _ /rle,i/ia
ADDRESS:
CITY:_?? ZIP: .JrJ`?'7a-?
PHONE tt:
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
?
SUBTOTAL: $ 270
STATE SURCHARGE: .50
TOTAL: $ ?27, So
C\?
SIGNATURE OF PERMITTEE
C_OMMERCIAT,jTNDpST'AIAL`; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MtILTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FE!?E/.
i?aOviSJEL i1nL1I?V ° Q ?+LS.VU
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
r r-. 3830 PILOT KNOS ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
9"noG<.`;P"m
?SIk3E1?`?f?,?
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLSNGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTIDN
NEW CONST _
ADD ON _
REPAIR
OWNER NAME:
SITE ADDRESS: J e 17/? ? ?' e
tAT:BLOCK -&/- SUBD. ?
INSTAi.iBR: DCm.o_??
ADDRESS: 99A ? I, Llv .
CITY:. S
a 2IP: 4w ' _--?537tl
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 3•pb
WATER CIASET 3.00 Q. o 0
? BATH TUB 3.00 ?
? LAVATORY 3.00 9,00
L KITCHEN SINK 3.00 7,d c?
! LAUNDRY TRAY 3.00 '3 . CPO
HOT T[JB/SPA 3.00
? WATER HEATER 3.00 777"
? FLOOR DRAIN 3.00
GAS PIPING OUT. ?v
I (MINIMUM - 1) 3.00 3?• l
? ROUGH OPENINGS 1.50 ?`a-
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
SUBTOTAL $ y3, 5 0
ST. SURCHARGE .50
TOTAL: $ 4(5f`
CtfMMETtGTfi???[TS'fR?AY:i_ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
_? ? MULTI-FAMILY BUILDINGS Wk1EN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
----- _______----- ____
CONTRACT PRICE:
OWNER NAME:
FOR CITY USE ONLY
PERMIT #
RECEIPT #-
DATE: 9
SITE ADDRESS:
LDT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
2IP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE m $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE $
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
958274
aoroxir asnas
PRE88DRE RED9CIHG 971L9E LGRZIDME'1' This Agreement, mude and entered into the 7?1? day
o! ? u? GST , 1990, by and betveen the CZTY OF EAGAN# a
municipality of the State of Ninneaota, (hereinatter called the
?
City), and the Wner and the Daveioper identilied herein• i
The term "Developer" as used harein rnfars to: AUT[114i RZDGE
LI![ITED PARTNERSHIP, a 111nnesota limited parinership, c/o JAMES
pgygyppMENT COMPANY vhose address ia 7808 Craekridge Cirele, Suite
310, Bloominqton, Hinnesota 55435.
Tha tarm "ovner" as usad harein rafers to: AUTtTlB7 RIDGE LIMITED
pARTN8RSHip, a Minnesota limited partnership, c/o JAIiES DEVELOPM[Et7T
COMPAttY whose address is 7808 CYeekridqe Circle, Suite 310,
Slooainqton, Minnesota 56135 and RUTH CCNRAD vhose address is 5015 -
35th Aveaue South, Apartment 215, Minneapolis, Minnesota 55617. . ,
WHffitEAS, the Developer has applied to the City for approval oP tha plat or subdivision known as AUTUl4t RID6E, located vithin the
Ciiy; and
ppEREAS, the Owner and Developer agree to notify the proposedpeiantial buyers of all lots vithin A9TUlIId RIDGE ihat Lots 1-7, Block
1, Lots 1-8, Slxk 2, Lots 1-9, Slock 3, Lots 1-17, Block 4 and Lots
1-5, Slock 5, are in a hiqh vater pressure zone and a pressure
reducing valve shall be installed in each home balow the elevation o!
966 feet. All eosts shall be the responsibility of the Owner and
Developer and shall be installed to prevent dama9e due to high vater
pTeasure.
' '?d
f
Nox, TfDMWoitE, the City, Ovner aad Developer aqree as follovs:
1. Recordina. This agreement shall be recorded with the Dakota
County Recozder so as to prwide notice to the ovmers of Lots 1-7,
Block 1, Lots 1-8, Block 2, Lots 1-9, Block 3, Lots 1-17, Block a,
and Lots 1-5, Block S. The Owner shall provide and execute any and
all documents necessary to implement the recordinq of this aqreemant.
2. Notice. The recording of this document shall constitute notice
to all owners aad future ovners of property in the AUTUMN RIDGE
subdivision that Lots 1-7, Block 1, Lots 1-8, Block 2, Lots 1-9,
Block ], Lots 1-17, Block a and Lots 1-5, Block 5 are in a high water
prsssure zone and that a pressure reducinq valve shall be 3nstalled
in sach home below the elevation of 966 Peet. All eosts shall be the
responsibility of the Owner and Daveloper and shall be installed to
pZevent damaqe due to high vater pressure.
3. Validitv. If aay ppTtion, aection, subsection, sentence,
clause, paraqraph or phrase of this aqreement is for any reason held
to ba invalid, such decision shall not affect the validity of the
remaining portion oP this Contract.
a. Hindina Aareement. The parties muLually reeognize and aqree
that all terms and conditions of this recordable agreement shall run
rith the land herein described and shall be bindinq upon the heirs,
succeasors, administrators and assigns of the ovners and developers
referenced in this Contraet.
ZN MITHESS WfdREOF, ve haare hereunto set our hands.
CITY OP E71GAN OW1ERS=
AO?A ! t1TOt41 eRIDGE 1iLIMIeED paARTNERSBpP.
a
%? By: JAMES OEVEIAP![ENT C0ISPANY,
as 1?. an a uinnesota Corporation
_},s; }?ypr Its: Genezal Partner
.t.;st J. VanOvarbake y: g Date 7+9P
I4: ity Clerk its•
/
gy; Date
Sts•
?
ya&
R H CONRAD at
DEVEIAPER:
AUTUI4t RIDGE LIISZTED PARTNERSHIP,
a Minnesota limited partnership,
By: JAHES DEVELOPMENT C01YII'ANII,
a ISinnesota Corporation
Its: General Partner
By: d-A Date ?
Its:
-v
-..._?
i
gY; Date
Sts:
ST11TE OF MINNESOTA
ss.
COIIliTY OF DIUCOTA )
On Lhis Zr& day ot eZ , 1990, belore me a Notary
Publie vithin and for eaid Coun , personally appeared THOMAS A. HGAN
and E. J. VanOVER8EICE to me rsonally known, who 6eing each by me
duly sworn, each did say that they are respeetively iAe Nayor and
Clark of the City of Hagaa, the municipality aamed in the loregoinq
SnsLrusent, and that the seal atfixed on behalf oi said municipality
by authority of its City Council and said Nayor and Clerk
acknowledqad said instrument to be the lree act and deed of said
sunicipality.
,YC:? Yllnr,n L NOCBERPFF1116 (? ;.. ,?fir?-•?"`-r
to:xarr?c.r.-wsqesora
? CAKOTA CCVNTY N tIII Pt1b11C
II? [ommrs:on 6D «? e ?'? Z ,
ST71TE OF lIINNBSOTA )
) ss.
COUNTY OF `) ?
`W
On this 2L day of , 1990, bafore me a Notary
Public w in. nd or said Cnunty, personally
appeared ?e.!'??? to me
parsonall?' knovn, vho beinq each by me duly s n,. -ch ' say that
?y are respeetively the
OY JAMES D ELOPMENT COMPANY, a
tlinnesota corporation, general partner of AUTUI4d RIDGE LIMITED
PARTNERSH Ninnesota limited parinership, to me personally known,
rho be me duly sworn, did say that they are
?e 'a ana of the
corporation a? limited partnership x?amed ia the foregoinq
instrueent, and tAat the seal aPfiYed to said instrument vas siqned
and led on 1?p.t?p? f of said corporation and limited pnrtnership and
said ? L.?Ml? an& acknovledqad
said instrument to be the free act and deed of said corporation and
limited paztnership.
Notary P ic
1a
l'? ? ?,p„
.,
.?- ?r?t.?....._ ..... . .. .
: • ?? _.
.?-?--?-------_ ?--
? i?-? ;: .
. .._ :.?•:
. v?u,iJ ?N,.r,_.?.:
'r-Aa -"
ST71TE OF MINNESOTA )
' ) ss.
COIINTY OF 4AW ??')
On this ILI-- day of HA4aaLl , 1990, before me a Notary
Public vithin and tor said County, upersonally appeared RUTH CONRAD tu
¦e pezsonally knovn to be the persoa described in and who executed
the tozegoinq instrument and acknoxledged that she executed the same
as het free act and deed.
-?_
•?-,•?„ :?.' .?„ ?F&wi L .
Notary Pu lic
a.. [* a.?aw
APPAOVBD AS TO FoRM:
Attorn 0
/tatod- e Z
APPItOVBD 115 TO CONTENT:
1, aw y?WLGG?
Public Wozks partment
Detads - o
THIS I17STRIIKEliT NAS DRAPTEO BY:
S8VffitSON, WI7.COX i SBELDON, P.A.
600 riidway National Bank Bldq.
7300 liest 147th Street
apple Valley, Mi 55126
(612) 432-3136
lHiD
L I BL ?
SUB0. W\ VL
3S 13?-
CITY USE ONLY
a
?r
RECEIPT #:
RECEIPT DA?TE,:?i n'1 q
PERMIT # f6`?S ? `-?'(Y
1999 PLUM$INfi PEtMIT (RE.SIDENTtAW
crrY oF EAeruv
3$30 PILOT KN09 gD
£r46AN, MN 551 22
(651) 6$1-4675
Please complete for: ? single family dwellings
9 townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
GBS i ifl Outlet ` minimum - 1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $ p
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1 50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s nnkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener I( dwelling under construction 5.00 X = $
Water soflener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50 ?
Totai --> --? ----> ----> $ ? S
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------•------------- -----------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that fhe information is conect, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by lhe City during its
normal operational and maintenance achvities to the facilities wnsVUCted untler this permit within Ciry properryMght-of-wayleasement.
SITE ADDRESS: _ ?-Q % L(` lcv"o /`P (Dr
OWNER NAME: : !? tar ? H p k--? ryran TELEPHONE #: y7 ?O?
A (AREA CODE)
' INSTALLER NAME:
TELEPHONE #: k /z c3 C Z' 6 ? rcSS
(AREA CODE)
STREET ADDRESS: ((oS L a ?a rt o u? ? tf-Q
CITY: STATE: oqo'C ZIP:
SIGNATURE OF PERMITTEE
2005 RESIDENTIAL BUILDING a-ERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons4vction Reauiremenis RemodellReuair Reauirements OKce Use Onlv
3 registered site surveys showing sq. ft. of lof, sq ft of house; and all roofed areas 2 copies of plan CeR of Survey Recd Y N
(20°h maximum lot coverage allowed) i setof Energy Calculations forheated additions Tree Pres PWn Recd _Y _ N,
2 copies of plan showing beam & window sizes; poured found design, ek. t si[e suney fa additlons & decks Tree Pres Required _ Y _ N
7setofEnergyCalculations Ada'lfron-irMicateifonsrteseptksystem O"ReSeplic5ystem _Y _N
3 copias of Tree Preservation Plan'rf fot plaltad atter 711193
Rim Joisl Detail Options seteGian sheet (buildings wBh 3 orless units)
Date CQ /4C4- /0S? CoustructionCost ? I`Ls-
Site Address S109 140L [lrYl[T('a_ ?L I ? u--e. UniUSte 9
Description of Workq\lZD l U.C.2. 1 IA!1 AAr'l.k?) S1?r ll-?i
?I
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner? GQU etbCN42i jN_1::> Telephone #4¢5 1)
RENEWAI, By ANDERSEN
Cootractor 1920 COUNTY RD. "C" W.
Address ROSEVILLE, MN 55113 _ C,ty
State 651-264-4777
LICENSE #20130983 Celephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) SuGmitted Submitted
• Energy Envelope Calculations Submided
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 Telephone #( )
Mechanical Contractor Telephone #( )
SewerJWater Contractor Teiephone #( J
?
i, r
I hereby apply for a Residential Building Permit and acknowledge that the information is' completel ?dlaccurate;
MN
that the work will be in conformance with the ordinances and codes of the City of Eagan and thejStat of
5tatutes; 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
appr val ofplans. i?? -- -- -_ I
ApplicanYs Printed Name ApplicanYs Signature
` --- -
? . • _? ? ?
? PION?E?t ?M?OSUP.V[YOfiS?
?engineering.. <AHOYLANN[It$- L„„
i
I? ?•? ??
Ai1CM1't Ec+]
(9:
CertificaFe of Survey for• K@.ylat1Ci Constructi I
?
Fi6use Address: 589 Hackmore Drive Eagan MN
Model Name: 3365 - M
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(C12) 68 1 •191
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• enn es Er.is,ing Elevahen PROPUSED HOUS tLEVAli01v
•g) Dehotes Prcposed Elevation
Lowest Floor ?Ievation:947.0E
--• Denotes Drainage & Utility Easement -- '
----- Denotes Drainage Flow Direction Top of Block Elevotion: 955.16
--o-- Denotes Monument , Garoge Slab Elevat;on:954.83 i
-g- Denotes Olfset Hub Bearinys shown are assumed ?
LOT_1, (3LOCK 4_ AUTUMN. RIDGE
. , - DAKOTA COUNTY, MINNESOTA
I hnrbY COitl1Y Ihpt Ihle furvey, Plon o? qF0f 1 K??p1 p?E q,pd bY m+ ?? i-„dcymy dirsct wn?rolslan end tNei 1 em Auly RephiernI lo-)d Surveyor ;
uMe, die Iswf of ths Slete of h11nn1?ute. DaU.J lhll r?? dav ei n_4. _Cir? A.D. 19 • , . ? 4LSPEI ? iCh`?OfeBf .NQ.l/?
lell I
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. ? r'O?CF?11 IAtIDSUPVEYOR3. CIVILENCiN£EFIS--- MEOdOSB 19hjS,MN55120
y? e(1 ineering•• LANOPLANNEfKOLAN03v'nPEARCMI'fECT5
!?
T* * ** _ (612) 681•19 ` 14
Certificate of Survey for: Kevland COflStl"UCtlOil, I1"1C.
House Address: 589 Hackmore Drive, Eagan. MN
Model Name: 3365 - Y -
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DEPT
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L°o?9o C?CC???
• aco.o Denotes Er.isting Elevati0n r3 pftOPUSED HOUSE tLEVAl101J
C-Q o.u Denotes PrcpOSed Elevation Lowest Floor Elevation• 947.06 .
--• Denotes Droinage & Utility Eosement -"
Denotes Drainage Flow Direction Top of Block Elevation:955.16
-rr- Denotes Monument Garage Slab Elevat;on:954.83
-.-g_ Denotes Offiset Hub gearinys shown ore assumed
LOT 1, E3LOCK 4_ AUTUMN RIDG E
DAKOTA COUNTY, MINNESOTA
I hrrebY tNUfy thet lhlf eurvey, plen nc rcmt wet n, a,H by nn-P qr undcymY dirsct niparcislon and that I am dufy Re7;ste,eA land Survryor
un?fer iNe levn ot tbe Stete ot Minnlsote. Datsd th??day el ?A,D, 19 •
i
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?CUIe. 1-in3O- RcJBEA?H.SiKIf, 1L.S.aEs.10•14971
iLif2] 9Io5c.04
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143445
Date Issued:06/15/2017
Permit Category:ePermit
Site Address: 589 Hackmore Dr
Lot:1 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mark D Hoffman
589 Hackmore Dr
Eagan MN 55123
(651) 398-3148
Allstar Construction Residential Llc
5145 Industrial St #103
Maple Plain MN 55359
(763) 479-8700
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154098
Date Issued:02/19/2019
Permit Category:ePermit
Site Address: 589 Hackmore Dr
Lot:1 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mark D Hoffman
589 Hackmore Dr
Eagan MN 55123
(651) 398-3148
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154935
Date Issued:04/18/2019
Permit Category:ePermit
Site Address: 589 Hackmore Dr
Lot:1 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Mark D Hoffman
589 Hackmore Dr
Eagan MN 55123
(651) 398-3148
River Valley Rpz Llc
1623 210th St E
Farmington MN 55204
(515) 210-2094
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172475
Date Issued:10/04/2021
Permit Category:ePermit
Site Address: 589 Hackmore Dr
Lot:1 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Mark D & Margaret A Hoffman
589 Hackmore Dr
Saint Paul MN 55123--304
Bob Boldt Hvac
4310 Trenton Tr
Eagan MN 55123
(651) 454-7760
Applicant/Permitee: Signature Issued By: Signature