592 Hackmore Dr0 CASH RECEIPT ?
?
CITY OF EAGAN t ?:
3830 PILOT KNOB ROAD ?
EAGAN, MINNESOTA 55122
onrE 19
RECENED . ; # x .,; i . ( i ?. . `
AMOUNT
8 DOLLARS
,ao
? CASH ?f CHECK
FO, ,
? -
Thank You
ev
2 rmue--?arem coov ?
veaow--vos*V caor
Pink--Fik Copy 7
?Si'?. . - . .. .. . ' . . . .. .
'':??IVt1TED FnR DECK 05/03/93
?Bxlt?tc?i,o 293-2549 CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55121
, PHONE: 681-4675
Bl1tLDING PERMIT ' Receipt #
To be used for 5? DW?GAR Est. Value $i S1 +000 Date FIB ZC
Site Address 592 HACKMO'&E Dl!
U
Lot 4 Block 1 Sec/Sub. AUTUl?lN 6tIDGE
Parcel No.
Name _
W AddC2SS
?
0 cfty _
Zp 55337
Name bA=
AddrBSS
c4ty ZP
that I have read this appiication and state that the
and agree to comply with all applicable State of
AI
on
Building Official
19 92
OFFICE USE ONLY
o?upancy R-3 !1 FEES
818
00
Zoning R 1 Bldg. Pertnit .
(Actuaq Const y-+?. Sum.harge 75• 54.
(Allowable) Y=H plan Review 53 00
# ot stories
Len9th 60' License 5.00
Depth 411 SAC, Ciry 100000
S.F. Totai - SAC, MCWCC 700•00
S.F. Footprints -
t
C
W 673.?
On Site Sewage _ a
er
onn
On Site Well Water Meter QS •OO
MWCCSystem
Ciry Water ?
X Acct.Deposit 30•?
PRV Required x S/W Permit ??'?
Booster Pump - S/W Surcharge • 30
Treatment PI 3W• 00
APPROVALS RoadUnit 380•00
Planner - park Ded.
CounCil
BIdg.Off. _ Copies
Variance - TOTAL 3,741.00
I
?• Permit No. Pertnit Holder Date Telephone #
' S/w< p? ??D? • ?
PLUMBING
HvAC r8 9?-
ELEcTRic 5 c95 S °?
ELECTRIC
Inspectioo Date Insp. Comments
Footings I '/.2 6 l?)
Foundation 3-Z 'g 2
Framing 3-73 ?Z s
Rooling
Rough Pibg. 9 Z ?
Rough Htg.
Isul. /
? O
F?rep,ace 3-.1„3- S 3-2-7 12
Final Htg. z _?z
orsat Test Z Z 9'Z /?
Final Plbg. Plbg. Inspector - NoGfy Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. ' 3 i n/ o - TULO TG' G?C
Dedc Final '-
wen
FM. Disp.
I
?
(ter#ifira#t uf (IDrrupatt?y
titp of (Eagan
Erprbatrnt nf Irmdm 3wprtiorc
Tlils Cadjrcate irsue,d pursuant !o tlu requirewntr of Sapon 306 ojtlre unffonm BuMag
Code cerd'fyTRg tIrat at llee tlnre of fssuance this slrurlune wrrs in compllawae wlth 11re mrious
ordinances of tJu City reguda(i)W building construction or use. For 1ke followrr?g.?
tbe aaaTatioe SF
OMPG-7 T77e
20121
VN
MUM AbOm --- --- ----- Locav -?, --, -----? ---
n.= `5?-
? o?
POST IN A CONSPICUOUS PLACE
l:l l T Vf LAVAPI
3830.flilc ` Knob Rd.
Eaoan. MN 55122-1897
METER #
CHIP #
PERMIT DATE 02/24/92
PERMIT # 12562
METER SIZE B.P. RECEIPT #
DATE FEB 20. 1992 I ISSUE DATE
ADDRIESS 592 H/1CIQSORE DR
4 BLOCK i SEC/SUB AUTUMN RIDGE
STATE
ABER: STAR PLBG
ZIP
B.P. RECEIPT DATE
x PRV -. BOOSTER PUMP
PERMIT REGIUESTED
a SEWER X WATER - TAPS
_ COMMliND _X__ RESIDENTIAL
-1- NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be iven for Deduct Meters.
RESS: 1018 l10UND SYRIHGS TERR
,STATE $?KINGTON MN Zlp 55420
NE; 884-4149
ER: MCDONALU CONST IIiC
3ESS: 1212 BLUEBILL BAY RD
,STATE BURNSVILLB My ZIP 55337
k,r-. 688-706 t
ALLOW TWO WORKING DAYS FOR
PERMITS, CONTACT ENGINEERING C
_R & WATER PERNAIT
OFfAGAN
Pilc ' Knob Rd.
n. MN 55122-1897
FEB 20. 1992
I AGREE TO G`OMPLY WITH CI7Y OF
EAGAN ORDINANCES
SIGNATURE WNEN METER ISSUED
CALL 454-5220 FOR INSPECTIONS. FOR STORM
METER # q-52 716-51f PERMIT DATE 02/24/92
CHIP # Q a- V "/7 y 6 PERMIT #-??
METER SIZE _ eA'?su s B.P. REGEIPT #=S.
ISSUE OATE y`OZO I ra B.P. RECEIPT DATE 02/20/92
R PRV _ BOOSTER PUMP
SITE ADDRESS 592 IiACKMORE DR
LOT 4 BIOCK 1 SEC/SUB AUTUMIIN RIDGE
, STATE
PERMIT REDUESTED
X SEWER X WATER - TAPS
COMMIIND XL_ RESIDENTIAL
ZIP X NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
'LUMBER: STAR PLBC Ahead of Domestic Meters on Water Line.
NDDRESS: 1018 MOUND SPRINGS TERR Credit WILL NOT be given for Deduct Meters.
;ITY, STATE BLOOMINGTON MN Zlp 55420
PHONE: 884-4149
I AGREE TO OMPLY WITH CITY OF
JWNER: P'lCDONALD GONST INC EAGAN ORDINANCES
4DDRESS: 1212 BLUEBILL BAY RD
55337
gURNSVILL
'
;.ITY, STATE E MN
ZIP ER ISSUED
PHONE: 688-7061
. SIGNATURE WHEN MET
PLf?$? LLO DAYS FO?i PROCESSING.
W TWO?Q KING CALL 45? 5 20 FOR INSPECTIONS. FOR STQRM
SEWER PERMITS, CONTACT ENGINEERING DEPT. i, f
RESIDENTIAL
BUILDING PERMIT APPLICATION
I_ CITY OF EAGAN
3830 PILOT KNOB RD - 55122
RC9_R94_AR7G
¢ 7? o0
W ?
New ConatrucUon Reauiremenls RemodellReoair Reauirements
• J regisiered site surveys shmving sq tl of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20%maximum lot coverage allowed) • 1 set o(Energy CalcWatlons forheafed addAians
• 2 copies of plan slwwing heam & windovr saes; poured tound desgn, etc.) . 1 site survey for exterior addilrons 8 decks
• 1 set ot Energy CalcWatian • Indicate N home served 6y uptic system for additiore
• 3 copies of Tree Preservation Plan if lat platted after 711193
. Rim,lasf DelaR Opfians selection sheel (hldgs vrilh 3 or tess units)
DATE P1?1%1 A O_l._ 7(' J
J08 SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW
PROPERTY OWNER?U r i ?
TYPE OF WORK Q
APPLICAPIT ` C_?'Y
ADDRESS -? ? ??) I.[>, fY
PAGER # ?
\
!ll
ITS?
PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RLTI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Confractor: _
Plumbing System Includes:
_ Water Softener
_ Water Heater
No, of Saths
vALuAnoN /Tgc112g
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Mechanical Contractor. /1' e f 2- Phone # &L-0?L7-KJ 2,?o
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer(Water Contractor:
as' FIREPLACE(S) _ 0 1_ 2
PHONE#
ZIPCODE
Phone #
All above information must he submitted prior to processing of application.
I hereby acknowledge that I have reod this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' ces?
Signature of Applicanf ?
Certificates of Survey Received _ Tree Preservation Plan Received _ ot Required _
Updated 1101
OFFICE USE ONLY
Y `
? 01 Foundation ? 07 05-plax ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02' SF Dwelling ? 08 06-plex ? 16 Fireplace O 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 OS-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 48 WindowslDoors
? 34 Replacement `Demolition (Entire Bldg only) • Give PCA handout to applicant
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 INSPECTIONS
Footings (new bldg)
Footings(deck) FinaUNo C.O.
Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ AirlGas Tests _ Final
F'ueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
FinaUC.O.
HVAC
Building Inspector
- CITY OF EAGAN
-
Pil ?l??O 1 27
3830
ot Knob Road, P.O. Box 21- 199, Eagan, MN 55121
PHONE: 681-46 75 /F
?-7?%
BUlIDING PERMIT Receipt # O'
Q
?- ? 7
To6eusedfor SF DWG/GAR Est.Value $151,000 Date FEB 20 , 1992
Site Address 592 HACKMORE DR
Lot 4 Biock 1 Sec/Sub. AUTUMN RIDGE OFFICE USE ONLv
FEES
Parcel No. occupancy R-3 M=1
Z g
1 61dg PertnR $18.00
oning .
=
N2If18 MCDONALD CONST INC (nctuaqConst Y--N Sumnarge 75.50
w
? AddfPSS 1212 BLUESILL BAY RD (Anowable) ]LN
plan qevieW 532.00
'ones
Ci(y SURNSVILLE MN Zp 55337 h
L ? m 5_00
Lm
0 eng
Phone 688-7061 oeath 41' snc,cty 100.00
? N2fll8 S? S.F.Total - SAC,MCWCC 700.00
?
Addr2SS S.F. footprints
O
Sit
S
waterConn 675.00
n
e
ewage _
Cjry ZjP OnSneWell - WalerMater 95.00
? Phane MWCC System ? pmt Deposil 30.00
? ciry
water
LIcef1SB # 0002376 PRV Required _X_ SnN Permit 30.00
I hereby acknowlege that I have read ihis applicahon and state Ihat the Booster Pump - SM! Surcharge • 50
informaUOn is correct and agree to comply wRh all applicable State of
Minnesota Statutes and City ol Eagan Ortlina? s-?.'
Signature ot Permitee `?^?v?.? ?
APPROVALS Treatment PI 300.00
Road Unil 380.00
MCf]f1NAi.T1 f'(1NST TNf•
A Building Permit is issued to:
Planner
-
parkDed.
on Ihe express condillon ihat all work shall be tlone m accordance with all CouncA
applicable State of Minnesota S
tatutes and City of Eagan Ortlinances. gb9, pp, _ Copies
p
BuildingONicial A(?.q I1.Oi ( m?
? Vanance -
0
TOTAL 3,741.0
DATE: FEB 24, 1992
Ffr 592 HACKMORE DR (MCDONALD CONST INC)
X Your Sewer & Water Permit for the a6ove property has been completed. It will be held at the
Pubiic 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 8 Water Permit tor the above property cannot be completed tor the following
reasons:
Your Sewer & Water Permit for ihe a6ove 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 (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, 8uilding Inspections Dept.
orJ?yd-- ? 1/OS.2 -/5
Request Dat Fre No Rough-in nsp _rJ
Wili N
trt
I
s
ctb
d
N
qeq ydv y
pe
ea
y
ow
o
n
v
I Ves N
G `?e e y
I li
d
t
t
p t i
l
h
b
i
(
b t
l
k
fo
cense
con
rac
or
owner y reque
ere ove e
s
nspect
on o
a
e :
wor
a
a
Job Atldre (Street Box or Raute No 1 D CAy
Secnon No Township Name or o Renge No Cowrty
Occup 1 qINT
L Phna - NOI
Power S er rWtlress
EI t cal onva or ICom any Name CoMract
^
rSoLCena10
Z '1
Maing
J tltl ess ICOnira
r or paner Makin Ins1allat n?
Aul nze0 Si nalure IC nVactonUvnerMaking In tallation]
12 Pho e umber
-
MINNESQTA STATE BOARO OF LE THICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway BIEg - Room S BE ACCEPTED BY THE SThTE BOARD
IBPt Univeraity Ave., SL Paul. MN 55104 UNLESS PPOPER INSPECTION FEE IS
Phane (612) 60I-0800 ENCLOSED,
R " T ,OR ELECTRICAI INSPECTION
? Se ior wmpletng IM1is form on back af yellow copy
"X" Be/ow Work Covered by This Request
?s? '? EB-000p1 OB
an /0,14? ?/5
e Add Rep. TypeoiBwlOmg ApphancesWired EquipmentWired
Home Range Temporary Servica
Duplez Water Heater Elecinc Heating
Apt. Bmldinq ryer Other (Speafy)
Comm./Industrial Fumace
Farm Av Condi[ioner
Other (spenty) ConVaMOr's Remarks
Compute lnspechon Fee Below. '
# - Other Fee # ServiceEniranceSize Fee # Circmis/Feeders ee
Swimming Poal ? 0 to 200 Amps lywo o to ioo Amps
Transtormers A6ove 200 _ Amps - Amps
SI[Jn5 Inspeclor5 U. Only ? TOTA
CO
' Irrigation Booms
/al-
?7 ?
S
Special Inspection ,
? 3 ? ? W
Alarm/Communication THIS INSTALLATION MA OflDE ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN WFJWTH r
I, the Elecirical Inspector, h2reby Rough-in _-,,j., ate?;
certify that the above mspection has
been made. F,,,ai 1 oa2 p
_
„r7^ /.z
OFFICE IISE OHLY
This request witl 18 momhs from
Address: LotL/ Blk / Sec/Sub u m j e_
These items were/were not complete at the time of the final nspection.
Date: Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass ?
Trai1/curb damage
Porch ,
Basement finish
Deck
Please varify with the builder the removal o£ roof test caps from tha plumbing
system and the shut-off of vater supply to the outside lavn faucet before
freeze potential exists. &
rccneowen
White - City copy Yellow - Resident copy Pink - Contractor aopy
CZTY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # /O (v .3
C?AI'1SCAI.
?,....::.. : ?...... DATE: .3/8 9a--
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WFlEN PERMITS ARE REQUIRED
---------- FOR EACH UNIT.
--------------------
----------
------------------------ ----------------
WORK DESCRIPTION FEES
NEW CONST V ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24,00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME: SUBTOTAL $
qQ
, 00
?Q
d mC'
? H :
TATE SURCHARGE: -
-
50
lce.
`J I
ci
SITE ADDRESS: S .
LOT: `G BIACK ? SUBD, lw' vcw%? ? TOTAL: $?a:60
INSTALLER: ??4mO-P A V 1
J
ADDRE55: T?. ??)• n 1I?q?L J1 ? GNATURE OF PERMITTEE
CITY: C Q?C). ZIP:
2 ( ) -LL)NOI
PHONE 4
qq"??tC;i(iyfT?`7DU5TltTAT;,:. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
. ........... ...
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WFiEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRF.SS:
LOT: BIACK _ SUBD.
INSTALLEA:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
° °-------° °--------°---
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE g $.50 FOR
EdrH $1;000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN FOR CITY USE ONLY ,
3830 PILOT RNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
DATE: ? 9o?L-
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
,,V?AZY A TOWNHOMES/CONDOS WHEN YERlSITS ARE REQIIIRED FOR EACH UNIT.
--
--.__
------------------------ ------
WORK DES RIPTION --------°----------- --- --------------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST
? ADD-ON MINIMUM 15.00
0
3
ADD ON SHOWER 3.00 .
REPAIR WATER CLOSET 3.00 00
) BATH TUB 3.00 3•04
J
1 ? LAVATORY 3.00 1 a ,cd
a
OWNER NAME: ?f- P IOh G•
{1 0 ? KITCHEN SINK 3.00 ..a
IAUNDRY TRAY 3.00 ?.or
SITE ADDRESS: S e OrkVg HOT TUB/SPA 3.00 ?(?,j
LAT:? BLOCK
SUBD. AtA+
uv)ivi ? ? WATER HEATER
FLCOR D2AIN 3.00
3.00 ?d0
-S.tln
GAS PIPING OUT.
00
3
C?
INSTALLER: (MINIMUM - 1) 3. ,
OPENINGS
ROUGH 1.50 ?(j
OTHER
ADDRESS: _
WATER SOFTENER 5.00
CITY:C/o d?- pvt Y. Zip; -_97 I b _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.0
PHONE ?
SUBTOTAL
ST. SURCHARGE .50
IGNATURE OF PERMITTEE
TOTAL:
HI(G;TA??If1?.t.S,T1tT6yI?,,?? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDING
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNZT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
REACTiVA:?
T? -?- ?
PE IT ;€ ? ?UC"i? ? On>
CITY OF EAGAN
1993 BUILDINCa PERMIT APPLICA IR (?ENED
681-4675 APR 3 0 1993
ma : l , r.?he„ aA ?l
--------
SINGLE & MULTI-FAMi Y -------
3 registered site surveys, 1 copy o
2 sets of plans
,
calcs.
COMMERCI 2 sets of architectural & structural plans, 1 set of
specificatians, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 30/ ?-3 Valuation of work
Site Address: -5?a jo{^
SiREET SUITE 0
Tenant Name: (commercial only)
IAT ?
I
BIACK
SUBD. 7
l
P.I.D. if
Descri tion of work:
The applicant is: 0 Owner ? Contractor 0 Other (Destribe)
Y Phone??
o
??
Property Name ??
`
r
7
FIRS
Owner Address
STREET STE M
55,IcZ3
/*,A-) Zi
p
City State
Company Phone
Contractor Address License # ?Exp.
City State Z P
Company Phone
ArchitecU
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apptication and state that the information is
f
d Cit
y o
correct and agree to comply with all applicable State of Minnesota Statutes an
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDlNG PERMIT TYPE
? 01 Foundation
? 02 Sf Dwg.
13 03 SF Addition
0 04 SF Porch
? 05 Sf Misc.
WORK TYPE
031 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
19,15 Deck
O 35 Tenant Finish
? 36 Move
. . ,
?? _ .
? 16 Basement Finish'
? 17 Swim Poo1
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
0 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Cortst. (Actual) Basement sq. ft. MWCC System
(Altowable) lst F1. sq. ft. City Water
UBC Occupancy ? 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage S C Cod
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
0 Wallboard
? Footing
? Final
? Framing
? ? Draintile
? Insulation
? Fireplace
Permit fee ?V C,
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies l,oo
Other
Total:
v.tuBc;on: $
SAC %
SAC Units
Lot ? Block ?
Subd. ?
UNDERGROUND SPRINKLER SYSTEM
PLUMBING PERMIT
Date & `aQ` 7-?
Receipt # (4-1) / 9 & 502
_ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
?c Existing,residential: $15.50 (Plumbing permit not required if backt7ow preventor was
previously installed).
_ Residential develoQments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
5?? ? .'L. Icole,
(Address to be sprinklered)
Homeowneri'Fiumber:
Phone #:
Street Address: 4 7 ? e??e - (rUd •
City, State, Zip:
Owner Name: ? ??"
Street Address: S? ?4 c l< v?n d e"e r o" .
Phone #: d
A
Inigation Contractor: y4: -j-
Phone #: ? Y l - l/ ??? -
I hereby owledge that I have read this application and state that the information is
conect agree to mply with all applicable City of Eagan Ordinances
? -
cc: Engineering Department
1992 BUILDING PERMIT APPL{CA4iQN
CITY OF EAGAN
REQUIREMENTS: 2/'?I i? •
SINGLE FAMILY 2 SETS OF PLANS3 R GISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE -Q$ LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS 15 DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUEp.
To Be Used For:
SRe Address Sci 2
Lot ? Block (
Parcel/Sub Q?A?u,.,,Owner
Address
City/Zip
151lOOO"'
Occupancy
Zoning
Actual Const
Allowabls
# of stories
Length
Depth
S.F. Total
Footprint S.F.
Phone
On-site sewage
Contractor On-site well
MWCC System
Address a Uc City water
PRV
City/Zip 5533 eooster Pump
Phone (,gg -70(o I Lice se APPROVALS
Planner
Council
Arch./Engr. Bldg. Off.
Variance
Address
City(Zip Code
Phone #
Sewer/Water Licensed
for seweriwPtWper0
is
area
R-3 M-I Bldg Permit
R-I Surcharge
V- 7 Plan Review •
V-N License Fee
SAC, City
?r SAC, MWCC
?L Water Conn.
Water Meter
ACC[. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
? Road UnR
? Park Ded.
? Trail Ded.
Copies
SUBTOTAL
Penalry
Lot Change
TOTAL
?32.001
Processingtime
work shall be done in accordance with
?Exc.?udirr? lat)
valuation: ? Date: Z -1 `4 - 92,
all applic??#e 9( Mirsr(e§Aa Statutes and Ciry of Eagan Ordinances.
VA LU E4T 1 O N
3Zx23=`i3?
?Xy= (?y)
2x Iz= (Z4)
_ _ .?---
?$? x 15=
Ib3Z?
gSMT,
._-------
z 4s x 2(? _ ? z?
I x `1 = 9
2x L = 12
Lqx6
1,7D ,r' , I r • ,
i
? I 31 X 1`? % I.?F3 3?)
I s r Fi.du)2
qx
--r-
.? I I 5'l X 53 =?s l, N Z7
zNa FLan2,
?bx2?3 = 72e
LX?3= ?O ,
2?3s? r? 0
f`?? Jd= ?4
I? g?1?53 = ?2??152
ISU,-?33 v?,'` 1 Sl,vav'
CALCl1L.ATtU14S
BASED ON CIiAPTER 5 OF TIiE
MODEL• ENERGS? CODF_71983 EDITION ?
? Adoption Effective
Type A2 (Residential, 3 stories oY less) (OVer 9 etories) (other)
NOTE: ComplAEe paye - s 3 and 4 firet.
1. Buildinq Perimeter???Dt.
2. SVall heiqht (ground to eave) ft.
7. 1. X 2. (above) qrosa wall are? J'?pi? J 6y,ft.
4. Buildinq dimensiona (L) X(W) =14W gq,ft.roof b floor area
5. 5q. foot area of rim jvist - F o j ist ize (2 X ?0 ) X?(perimeter) a ?C?'sq.ft.
6. Doors - 11rea 12 1
Thickness in U. factor 14Y ?• 1 l
Type oE construction perimeter ft.
Manutacturer
7. Total dovrts peritoeter ft.
8. Windows: Ma?fpcturer( N?,..1,[, 3tate approved
U faator ? CO
TYpE sIZE ARE1? (Sq.Ft.) NUMBER OF TOTAL
?AeM t\ 1r ' f??? I??-?-1 I EACIt UNIT3 3Q FEBT
?1 1
9. Total sq.ft. Glass
lo. Fireplace areas Width X 1leiqht = ~ X = aq.ft.
il. Exposed foundations Heiqht B Perimeter&!?Xtt?-a
COMPLETION OF TllI3 FORH IS REQVIItED FOR ALL NEW iCON9TRUCTIOHp Hl1JOR
REMODELINO AND BUILDINGS BEINO NOVED WlfERE ENERGYp OTHER THAN TIiE HINIHAL
CODE ALLOWANCEr I9 USEb.
-1-
Buildinq Clasaificationt Type A1 (9ingle Family b Duplex)?
12. Framinq area = lo$ oE qross wall area.
13. Gross wall area?2'/ s(;:Pt sq.ft.
Window area A 7? , rsq•ft. U windows = I' _ UxA = V 1?
Rim joist area A2!P!31(q.ft. U tim joist=10 ' UxA = l01
Door area A 4 eq.ft. U door area= UxA =?
Other doore e rea i0?q,ft. U other doors=t ? UxA At(9
Exposed fndn A'01 ?sq. ft. U foundation=1? UxA =& 1T:5 P-)
Framing area A%? q.ft. U framinq area=`"??:/ UxA =?
Net wall area AL04V&3a ft. U wa11= 1 o4?.> UxA? -?
(1J8) TOTAL . . . . . . . . . UXA =
14. Grosa wall area x 0.11 (A-1 eingle family & duplex) = allowabTe-dx-h/Cod?e
(17. above)
x 0.23 (A-2 other residential)
x .23 (Other buildings)
x .28 (over 3 stories)
BTUH must be larqer than or seme
??L1L_?x?ll Code '' _1 i 2 °F. ae 17B a6ove
15. cailing framinq area (Af) equals 10E of ceiling area
15A. Grose ceiling area =(L) `? x(W) _4`Y sq.ft.
15B. Joist area (Af) = 10$ ceilinq area =t4l sq.ft.
15C. Net ceiling area (Ac) (15A - 15B) _ L05L4_Bq.ft.
U ceiling x A c _• ? ??-1' x t0V = 21 I
U framing X A f = kI 1 x_?0 ?'?5p
15D. TOTAL U X A ...........................1. u? ?
16. Ceiling area (15A) x 0.026 (A-1 eingle family & d lex)
= allowable UxA/Code
x 0.0 33(A-2 other resident al)
x 0.06 (other)
tt ??4_?oTUlt must be
A(15A •larqet than ot same
) x U Code t ____R?? F. as 15U above
NoTE: Use U and A values obtained from pages 1, 3 and 4.
CERTIFICATIONt I hereby certify that I have calculated the t'U" faatore and
"R" values herein and that the building here described meets or exceede the
State of Minnesota Energy Conservation Act.
Date
signature
-2-
t 5; z
k r. 3
? ??4 dP -(?'.?`?
?( -r;7.v?'o
?o f ?v7 k CQ-fv-??,o+ ?rCa+?,a? ? ICo?f , ?
?,
?t
\ l1'
(vo=???? 4 =
OGT?-??OX?=
2O I C?ip cotX 1-
?0x
STLr?j.,
4p2-4-1 t n y5E?P, K2 -.
I?,d
??,???o _
44?49 2?+ 6
? *z
???
R VALUE U VALUE
WALL
SECTION
Inside air Eilm :68 '
Intetlor vall •4 y (Nall) U- R i
lnsulatlon lqoo •
Sheathing 2•0?
Siding ,fo? • b??
Outelde air E11m .11
R 'fOTAL Z3.O?j`
Inelde.alr film ? .68
STUD
SECTION
Intartar wall .?
tplr stud R= 4?0$ (p.5p(Eraming) U - R .
Sheathing ?2.ocp
S(ding
Outslde•alt Ellm ' .17
R 70TAL I 0• r7 3
2ND NALL
SECI'IQN.
Lnelde air Eltm Rzi .68
Intatlor vatl.
Ineulatlon
Sheathtag
Extetlor wall covertng
Exterlor air ftlm' R ..17
(Well ) U • R .
z
R tOTAL
R1M
JO1ST
lntetlor air film R2 .68
d ' •
insuletlon ?q.? .
lh inch eoEt wood R=1.88 (Rim
JOiSt)
Sheathing 7,0(0
Exteclor Na?l covering .(P7
'
Ertertor air Eilm R2 ,17
R TOTAL 2-4. 4(o ,
??-
?
Lnterlor air Eilm R= .68
Lnsul8tL0n)F16E9(atJkyy I1•00
TIIz,o4
Extart?o?r*ati Ettm R= .17
R 70TAL 2I - $1
-Exoosed Block
•\`,rade
A?
U ° It °
, 041
?-
(Fdn.) U
-. ?
3.
R VALUE
FRAMING
R VALUB
CEILING
0.61 AirFilm 0.61
? (0-12 insulation 45.0
Window infiltration 0.5 cfm/lineal
Residential door infiltration 0.5
reguirement
Non-residential door infiltration
4.38 Joist -------
_ 0.56 Ceiling 0.56
0.61 AirFilm 0.61
42.1(v Tota1R +o.7.8
.u =i/R , oZ1
foot of crack
ofm/square foot or door and minimum code
11.0 cfm/lineal foot of crack
Ub 12" concrete block no insalatioh =.47 R 2.1
Ub 12" concrete block insulated cores m.26 R 3.8
Ub 12" lightweiqht block =;32 R 3.1
U6 12" lightweiqht block insulated cores =.12 R 8.9
q sinqle qlass = 1.17; with storm window .54
U double qlass = .55
U triple qlase = .41
All_extetior walls and ceilinys must have a vapor barrier (o.io perm max.).
Vapor barrier must be ori-the inside (heated side) of wall.
Vapor barriers oE the polyethelene thin film have no R value.
i
. .•, 95827?
aoraxir Asucss
YREBBDiE ItZDIICiA6 VALVE AGRMMT . .
This Aqreameni, made and entered into the /1C anY
of rJf.??' / ST , 1990, by and batween the CITY OF EAGAN, a
¦micipality of the State of Minnesota, (hereinafter ealled the
?
City), and the Ovner and the Developer identilied herein. y
Tha term "Daveloper" as used herein iefars to: AUTIJt41 RIDGE
iS![STED PARTNERSHIF, a Minnesota limited partnership, c/o J11tSE5
pgpffi,pp!lpaT CO![PANY whose address ie 7808 Creekzidge Circle, Suite
310, Sloominqton, Minnaeota 55435.
The term "OWner" as usad harain relers to: AUT0141 RZOGE LZMZTED
p1?RTNSRSHIP, a ISinnesoia limited partnership, e/o JAMES DEVELO?MffiiT
Cp1P71tiY vhose address is 7808 Creekridge Cilcle, Suite 310,
Blooainqton, ISinnesota 55435 and RUTH CONItAC whose address is 5015 -
35th 1lvenue South, Apartment 215, Minneapolis, Minnesota 55417. - .ih[gREAS, the Developer has applied to the City for approval oE
the p1aL or subdivision knrnm as AUTUrRt RIDGE, loeated vithin the
City: and
pAEREAS, the Ovner and Developer agree to notiPy the proposedpotantial buyars of all lots vithin AUTO[41 RIDGE that Lots 1-7, Block
1, Lots 1-8, Block 3. Lots 1-9, Blxk 3, Lots 1-17, Block 4 and Lots
1-5, Block 5, are in a hiqh vater pzessure zone and a pressure
=educinq valve shall be installed in each hame belorr Lhe elevation of
966 feet. All costs shall be the responsibility oY the Ovner and
Developer and shall be installed to prevent damage due to hign vatez
preseure.
-''?d
1i0V. TiERREFORE, the City, O`mer and Developer aqree as foliws:
1. Becordina. This aqreement shall be recozded vith the Dakota
County Aacorder so as to provide aotice to the owners oP Lots 1-7,
Block 1, Lots 1-8, Block 2, Lots 1-9, Block 7, Lots 1-17, Block <,
and Lota 1-5, Block S. The Ovner shall provide and execute any and
all documents nacassary to implement t!?e recordinq of this agreement.
2• Notice. The recordinq of this documeat shall constitute notice
to all owners and Puture ovnars of property in the AUTUHIi RZDGE
subdivision that Lots 1-7, Block 1, Lots 1-8, Block 2, Lots 1-9,
Block 7, Lots 1-17, Block 4 and Lots 1-5, Block 5 are in a high vater
pressure zone and that a pressure reducing valve shall be instelled
in each home belov the elevation of 966 feet. All costs shall be tha
responsibility of the Owner and Developer and shall be installed to
pravent damage due to high rater pressure.
3. valfditv. If any portion, section, subsection, sentence,
clause, paraqraph or phrase of this aqreement is for any reason held
to ba invalid, such dacision shall not affect the validity of the
rsasininq portion of thia Contraet.
4. Bineinc a m n. The parties mutually recoqnize and aqree
tdat all terms and conditions of this recordable agreement sha11 run
with the land herein described aad sha11 be bindinq upon the Seirs,
successors, admiaistrators and assiqns oP the ovners and developers
reterenced in this Contract.
:
ZN ttITNFSS WHEREOF, re have hereunto set our hands.
CITY OF
AUTOI47 RZDGE L2ISITED PARTNERSHIP,
a Minnesoia limited partnership,
% Hy: JAlSES GEVESAPI[EtiT COMPANY.
Th6mas A. an a ![innesota Corporation
ib: Mayor Zts: General Partner
test . J. VanOverbeke y: Date mmill,
8747-
Ita: ity Clark ItBI
r
gY; Date
its:
D
RUtH CONRAD at
DEVEIAPER:
7?UTtJ14i RIDGE LIMITED PARTNERSHIP,
a liinnesota limited partnership,
Sy: JAMES DEVEi.OPMENT COMPANY,
a iifnnesota Corporation
Its: General Partner
? ?
Dale ?
8y:
its•
.y.
_ ?
i
gy; Date
Its•
STATE OF }IINNESOTA
ss.
W9NTY OF DAROTA I
Oif this 7Z?& day of ,-,Z , 1990, before me a Notary
Public within end for said Coun. , personally appeared THOMAS A. BGAN
and E. J. VanOVERBEKE to me rsonnlly knoxn, who beinq each by me
duly svorn, each did esy that they are respectively !he Mayor and
Clark of the City of Esqan, the municipality named in the toregoing
instrument, and t4at the seal aftixed on behalf of safd munieipslity
by authority of 1ts City Council and said Mayor and Clerk
acknorrledged said instrument to be the tree act and deed of said
municipality.
uer.r? L Wastnrrttns 7 ?, ?e ,?t??..••.?r
ytt??` 110AM
:/LTU:-MI!:NESGTI
/
=-??t+ OAKOTA CCUNTY N tar Public?
yr tommna?n E,o r?e e i:a ?
?
ST71TE OF lQNNESOTA )
) ss.
CODNTY OF
On tAi )
day of 1990, bafore me a Notary
Public ri in. nd or said County, personally
appaared ,_. . ?i to me
paraonall:r knovn, who being each by me duly s n? ch d' say that
ihay are zespectively the
awl of TA!!ES D?E SIAPMENT COlPANY, a
Minnesota oorporation, general partner of ADTtA4i RIDGE LZMITED
PARTHERSH;Rj Kinnesota limited partnership, to me personally known,
vRO ba ? duly svorn, did say Lhat they are
?e awd of t6e
corporation and limited partnership namad in the Laregoi?
instrimant, and Lbat the seal aPliYed to said instrument vas siqned
? a sepled? 'n p?h?? f}o?t?said?corporation and limited pa an?i? ?
" ]MI ? , .FJ4;cIL-' _
said iastrumant to be tde free act and deed of said corporation and
limited partnership.
quwo Notary P@V ?c
.? ? x?ioar
? . :.,.; . . .
• • ?,_.. _.
P,0i .0+
ST71TE OF NlIESOT 'A )
) ss.
COIINTY OP L-N
On ttris ml?- day of i , 1990, before me a Notary
Publie vithin and for said County, rsonally appeared RUTH CONRAC to
me personally knovn to be the person deseribed in and who executed
the toraqoing instrument and aeknwledged that she executed Lhe same
as har free act and deed.
T.
???? V-Nc4 E . LdLA/
Notary Public
? 4 ? raw
AP?ItOVED AS TO FORM:
ted•7lttorne o
?
IWPAOVSD 115 TO CONTENT:
P blic Nosks partment
DetW• 8-7-90
THIS INSTRDlE[iT WAS DRAPTED BY:
68VAiSON, HII.COX i SAELDON, P.A.
600 Midvay National Benk Bldq.
7300 Nest 147th Street
7lppla Valley, M7 55124
(612) 432-3136
IIGD
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ? K-7 C) •(0 ?
New Construcdon Reauiremems RercwdellReoair Reawrements ? s
3 registered sRe surveys showing sq. il. af bt, sq. ft of house; and all roofed areas 2 copies of plan ?
(20% manimum lot coverage allowed) 7 set of Energy Calculations for heated addiGons
2 copies o( plan showing beam & window sizes; poured found design, etc. 1 site suney for additions & decks
lsetofEnergyCalcuWBOns Addition - indicatei(on-sReseptlcsysfam
3 wpies of Tree Preservation Plan if lot plafled afler 711/93
Rim JoislOefail Ophons selection shcet (bldgs wAh 3 or less unAs
Date s/ ?vc / 0/ Construction Cost SJ C c <
/
Site Address
Description of Work
Multi-Family Bldg _ Y_ N Fireptace(s) _ 0 _ 1 _ 2
Property Owner ??9"'?/ ???• o`?j a(? Telephone #(p f/)
Contractor
Address City
State Zip 74!?' Telephone # 7
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateaorv 1
• Residential Ventilation Category 1 Worksheet
(d submission type) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone #(
Telephone #(
Telephone #(
2004
I hereby apply for a Residential Building Permit and aclrnowledge that the informat is complete and acc rate;
that the work will be in conformance with the ordinances and codes of the City o ? o 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 ofplans.
???A/? ?°'?4/I ?.l`?.£i ???,°a.??-_
Applicant's Printed Name
Applicant's Signature
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Muiti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_V w_ 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
13 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Ooors
0 34 Replacement •Demolition (Entire Bldg) - 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
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _
_ Final _ Windows
_ Insulation _ Retaining Wall
ApProved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
? * * 2422 Enter nse Dnve
"?PIONEER 4AN•RVEVORS•CIVILENGINEERS _IMendotaHeghts,MN55120
*en ineerin LANOPLANNERS•LANP'..CFPEARCHITECTS
9* 9?? (672) 681-1914
* * * -
Certificate of Survey for: MCDOnClId Construction, InC.
House Address: 592 Hackmore Drive,_Eg.gan,_MN
Model Name: 91-536
° HACKMORE DRIVE
? R = 394.24
0 = 04'0 '14" 89'41'28" E .
_ L=28.35 54.44 9`?2 g
954.0 ?
o?---- -----?o
n pRlv[WAV ?
5 ? ?. •
_IS
i .
_ 10.00 72.00 0 20 33 A 9552D --T15.00
I ? ,83 9.17 I .
p i m CARAGE ? o m 12.67 I .
J ?
1400 _J m It
W a ? iu fn
s ? PROPOSED HOUSE -.+ 0
N -P O
q? ? 12'98 35 33 a 10.67 15.00 - - j?
O
? ?
N
m
?
:.
I ?
I ?
i ?
ri?
5i li o?
?------------J
--- ? --- -?_?° •- -
C35,? 941.0 B? ??
93.03
s a9'41'28" w te
ZAGAN ENGY1\t?E1I1Ti\?G
• 900.0 Denotes Existing Elevation PROPOSED Fi0U5E ELEVATION
. eoo.o Denotes Proposed Elevation Lowest Floor Etevation:
1¢?:9
Denotes Drainage & Utility Easement Top of Block _
Elevation: RS ,
Denotes Drainage Flow Direction
--o- Denotes Monument Garage Slab Elevation: vss.o
--g- Denotes Offset Hub georings shown are assumed
LOT 4, BLOCK 1_ AUTUMN RIDGE _
DAKOTA COUNTY, MiNNESOTA o?? ? ? ?
1 hereby certify tLdt Lhis survuy, plan or report was pre ared 6Y me or nder_m iiecsupe/ryviso.
ion an ? a?/t I a77 du y egislere and Surveyor
under Lhu luws of dhe Stela uf Mimresota. DateU dtisday of A.D. 1g_/_Z
[Ze+ 2'l2'9Z' Qdc?ed 19 s.cG
Scale. 1 inch_30feet
R EftT B. SIKICH L.S. REG. NO. 14891
92062.00
* PIONEER
? eng* eering,.
LNNDSUNVEYORS•CIVILENGINECFs
2422 Enteiprise Drive
Mendota Heights, MN 55120
(612) 681-1914
Certificate of survey for: McDonald_ Construction, InC.
House Address: 592 Hackmore Dri.v_e,__Ea.gan, MN
Model Name: 91-536
? HACKMORE DRIVE
n R = 394.24 04'0 `14" 89'41'28" E
L=28,35 54.44 952.8
9Ea I c
/ g
'? i ( DRNEYlAt ?
I i
I 5
10.00
I 12.00 p 210.35 9557 r 1500
I I
?? ? 583 g17
I Z11 GARACE 0 N 12 C 7
_I ? ?
w
P I
'? f
I m
14 00 I
i
W a I {
?„
U i
N ? I PROPDSED HOUSE I
Id. ? I I N1067 I
? CO 12.ee I_ -- as 33 °-- - - is o0
".
_
O ? i ? 947? - i
Z
? I
I
I
5I I
I
I
L- __-_ _- J
?
-P O
Ul Co.
? Gd
N
m
;
ll
"'---'- (936.5)
C941.? "-' ---
93.03 -
-
S 89'41'28" W
• 900.0 Denotes Existing Elevation FROPOSED I-IOUSE ELEVATION
•(IgO Denotea Proposad Elevatlon Lowest Floor Elevation:___q¢?' 9
Denotes Drainage & Utility Easement Top of Block Elevation:
_??7
Denotes Drainage Flow Direciion _ Q$
-o- Denotes Monument Goroge Slab Elevotion:_(I% _9
---B- Denotes Offset I1Ub ,gearings shown are assumed
LOT 4 , BLOCK 1 _AUTUMN _RIDGE _
DAKOTA COUNTY, MINNESOTA
I hereby Certity thm ttns survuy, plan p, reporl wu,a^ p'r/?ared by m?e.or}'ndur my Uueci suyurnsion dnd Ihal I um duly Regislered LanA Surveyor
under {he law> ol lhe Stdtu ul Muwesota, DateJ Ihis ?day of ?q D. 9
Ree 2-tt-4z- Adclyd ?0 a-e
Seale: 1 ?nc?fi,?30feet o.eiKiciii..s.aec.NOn--?
. 1 091
21 92062.Q0
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139939
Date Issued:11/15/2016
Permit Category:ePermit
Site Address: 592 Hackmore Dr
Lot:4 Block: 1 Addition: Autumn Ridge
PID:10-12300-01-040
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 -
Darin Tstes L Rysan
592 Hackmore Dr
Eagan MN 55123
(949) 233-6676
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143834
Date Issued:06/28/2017
Permit Category:ePermit
Site Address: 592 Hackmore Dr
Lot:4 Block: 1 Addition: Autumn Ridge
PID:10-12300-01-040
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 12,000.00
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Darin Tstes L Rysan
592 Hackmore Dr
Eagan MN 55123
Heartland Roofing Siding And Windows Llc
4552 Saddlewood Dr
Minnetonka MN 55345
(800) 681-4169
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153794
Date Issued:01/23/2019
Permit Category:ePermit
Site Address: 592 Hackmore Dr
Lot:4 Block: 1 Addition: Autumn Ridge
PID:10-12300-01-040
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 -
Darin Tstes L Rysan
592 Hackmore Dr
Eagan MN 55123
(949) 233-6676
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154601
Date Issued:04/03/2019
Permit Category:ePermit
Site Address: 592 Hackmore Dr
Lot:4 Block: 1 Addition: Autumn Ridge
PID:10-12300-01-040
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Darin Tstes L Rysan
592 Hackmore Dr
Eagan MN 55123
(949) 233-6676
Capital Construction Llc
406 Gateway Blvd
Burnsville MN 55337
(855) 766-3221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170542
Date Issued:07/08/2021
Permit Category:ePermit
Site Address: 592 Hackmore Dr
Lot:4 Block: 1 Addition: Autumn Ridge
PID:10-12300-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Darin L & Jacqueline J Tstes Rysan
592 Hackmore Dr
Eagan MN 55123
(949) 230-0508
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature