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593 Hackmore DrG PERMIT for SF i +5 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Est. Value Site Address S93 HACKaSdRE DR Lot 2 Block 4? Sec/Sub. _AElTldMN gIDCE Parcel Na W Name ftATURE BU14DEO ; Address 15513 LOGAM l.N ° City IWUSYILLE Phone 435-41"3 o Name? S? V UO Q Address ? City Phone W w Name City Phone I have read this application and state that the agree to comply with all applicable State of applicable State of Minnesota Statutes and City ol Eagan Qrdinances. Building Officiai Receipt # 11 Date JUN 5 , 1941 OFFICE USE ONLY Occupancy R-3 -&4 FEES Zoning R--1 (Acluaq Const Bidg. Permit 752•00 ? (A4lowable) V? Surcharge "•oo ; # or stories 360 Plan Review { Length Depth 38' SAC. City 1004? ? S.F. Total - SAC, MCWCC 650,? ? S.F. Footprints - ? On Site Sewage _ Water Conn We ? On Site well Water Meter 95,? MWCC System ? ? ? City Water ?_ Acct. Deposit ? PRV Required x S/W Permit ?•? Booster Pump - S/W Surcharge • ? Treatment Pi Z 76 *00 APPROVALS Road Unit 370,00 Pianner - park Ded. Council BIdg.Off. _ Capies ? 317.30 3 Variance - TOTAL , Permit No. PermR Holder Date Telephone # WATEq 0 5/0 ? 7 9 SEWF,A? PLUMBING 7 8 / - S?79o2 "/ $ O? H.VA.C. 0'?-Dj,/D ELECTRIC '??/? ?'! Inspsction Dste Inlp. Comments Footings I Foundation Framing Roofing Rough Pfbg. Rough Htg. Isul. / 'A Firepiace ,5, p, ? Final Htg_ OrstatTest Final Plbg. ?:?? •?n% ? ? Plbg. Inspector - Notity Plum r Const. Meter Engr,/Plan Bldg. Final Dedc Fig. OeCk Finaf f ? I&I We1l Pr. bisp. 8' 2?`// Z DATE: _ 593 EIACKtlORE DR1V6, L2, E4, RE 6/7/91 AUTUHN B1DGH 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. .3 Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the metet, cannot be issued or cccupancy 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. -"MRNING: BEFQRE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. - ? ?- . . „ ....,. ,ri:s. :......., ...,.....:F,H?.?.?,x'.?s:...,., ....?,..?: jafi.: , L?FJiCTiVA? PCkt IEQC-PiMi ESVEDn 6/5/92 . _ : . . _ _ - • . AIM -r0W*+4A0.W5, C ? Citp of eagatt EPp2bmtt Df %lwm.3mTP1'ttDtl T/cit Cert:fuxrte issued pursumu l01he requirements of Secliore 306 of lfre Uniform Building Code aertijyrng thar at the ume of issuanae Aa:sstructure wrrs ui canpliancae with the mrious ordina?reses of dre Criy regulaAing building corutnuYion ar use. For rJre jollowing. tbc ci.swicaaom SF IlF1GYGAR Bkl& Pennk rro. 1q 185 ? R VN ?? A1Tlf?E B[TIIS ? ? 15513 I?OC?D--LAI?, ? FE ' AAh- 59?T IgiIVE ?y L2, 134, AITIiMd RT= o.re: 09/06/q ] Bwldi°E . r POST IN A CONSPICUOUS PU1CE ,. A , ? SEWFR & WATER PERMIT CITY OF EAGAN 3830Pilat Knob Rd. Eagan, MN 55122-1897 DATE JUN 5, 1991 SITEADORESS 593 t'ACt:?iilkE Vr LOT l-BLOCK 4 5EClSUB AUTUMN RIDGE APPUCANT: ADDRESS: CITY, STATE ZIP PHONE: PLUMBER: IiOKANSCR PLUMBING ADDRESS: 9174 IGA`I`I sT NE CITY, STATE PI..AII'?E tti•l Zip 55434 PHONE: 784-4742 OWNER: ' 0'f JRE BU I LDBRS ADDRESS: 155113 LOGARTO LN CITY, STATE Zip ?5337 PHONE: 4 ' ? • ` 4 - { PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR SfWER PERMITS, CONTACT ENGINEERING DEPT. SEWF,R & WATER PERMIT CiTY OF EAGAN 3830 Pilot Knab Rd. Eagan, MN 55122-1897 DATE N 5 1991 6/7/91 METER # CHIP # _ METER SIZE ISSUE DATE ,- PRV ? SITEADQRESS 593 HACt:MORE llR LOT ,' SLOCK 4 SEClSUB &UTUIEN RIDGE FEATURE BUILDERS ,STATE PERMIT REDUESTED X SEWER X WATER ? X SEWER X WATER .? _ GOMM/l ND _?_ NEW - EXISTING Lawn Sprinkler Meters are to be In: Ahead of Domestic Meters on Water Credit WILL NOT be given for Deduct M I AGREE TO COMPLY WITH CITY OF EAGAM ORDINANGES SIGNATURE WHEN METER ISSUED OcFFICE USE ONLY 6/ 7?; ? METER #?? u o? PERMIT DATE CHiP # PERMtT # 12040 METER SIZE ? B.P. RECEIPT # C13811 L6 ? B.P.RECEIPTOATE 6/6l91 ISSUE DATE _A_ PFiV - BOOSTER PUMP ZIP ABER: HOiCAIdSON PLLiMBING RESS: 9174 IMNTI ST NE ,STATE B-',AI"dF. MN Zlp 55434 NE: ``'` :R, FEATURE BUILDERS IESS: 15513 LCGARTO 11N STATE BUriNSv'LLE MN ZIP 55?37 PERMIT DATE PERMIT # z zo4a B.P. RECEIPT # 1 3 9 1 1 , t B.P. RECEIPT DATE PERMIT REQUESTED COMM/IND R RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. -Cce.dit WILL NOT be given for Qeduct Meters. 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIdNATURE WHEN METER 15SUED '`YV(la WQRKING DAYS FDFt PI'IOC"NGi CALL 4544220 FOR INSPECTIONS. FOR STORM 5, CONTACT ENGINEERIMG DEPT. . ` - BUILDING PERMIT To be used tor SF I Site Address 593 HACKMORE DR Lot Z Block 4 Sec/Sub. AUTUMN RIDGE Parcel No. w Name FEATURE BUILDERS o Address 15513 LOGARTO LN City BURNSVILLE Phone 435-8443 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 value $132,000 N° .19185 Receipt # C 1,311 II }o Name b? H. Address `- City Phone u? wW t ?w a Name _ Address Phone I hereby acknowlege Ihat I have read this applicauon and slate that the information is correct and agree m comply with all applicable State of Minnesota Statutes and Citly..?ef??Jagan Ordmanc(e?s.,,Q? ? Siqnature ot Permnee X/t ? a'?'?i`+ ??T°'u'^?- A Building Permit is issued to: FEATURE BUILDERS on Ihe express wntlillon that all work shall be done in accordance with all applicable Stale of Mmnesota Slatutes and City of Eagan Ortlinances. Building Ofiwial OfFICE USE ONLV Occupancy R-3 M-1 FEES Zoning R-1 1/ctuaq Const V-CI eldg. Permit 752.00 (Allowable) V-N Surcharga 66-00 k ol Stories Lengih 56 ' Plan Review 488.0 n Depih 38 ? SAC, City 0 100.0 S.F.TOtal - SAC,MCWCC 650.00 5 F. Footprints _ On Sile Sewaga _ water Conn 660.00 OnsneWen - WaterMeter 95.00 MWCCSystem x CM1y Water -X- Accl Deposif 30.00 PRV Requirad X SNV Permit 30.00 Booster Pump - 5/VJ Surcharge .50 TrealmentPl 276.00 APPROVALS Road Unit 370.00 Planner - park Ded. Council BItlg.OH. _ Copies Variance - TO7AL ?>> 1 i. Dv :EDUESTmFORoEP ECTRI?CA?LbINSPECTI?ON 1 `J 1 1 7A- 'X" Below Work Covered by This Request F7 1..9i^v? EB-00001?08 ( "?. n e Atiai Rep TypeofButlding ApphanceSWired EqwpmentWired ? ? HOme Range Temporary Service I Duplex ? Water Heater Electnc Heating Apl. Building Dryer Other (Specify) Comm./lndushial Furnace Farm Air Conditioner Olher IsUecdyl Compufe Inspecbon Fee Below' Gomreclors Femarks # Other ? -Fee # SermceEntranceSze Fee # I CircwtsiFeetlers Fee Swilnmmg Pool 0 to 200 Amps 0 ro 100 Amps I Trenstormers Ahove 200 _ Amps Above 100 _ Amps I? j Slgns Inspemor's Use Omy TOTAL CJ? Vv Irnganon 8ooms ? ? Speaal Inspectron Aiarm/COmmumcation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee o COMPLETED WITHIN 18 MONTHS. I the EIeC[rical Inspecror, hereby Ro°g"-'" t cernfy ihat the above inspechon has 6een made F,,,ai ? ?. OFFICE USE ONLY This request voio t8 momhs trom • '?' C2,0/?/ /0? p ? 1748 ? ??14 . ??Oo ReQUest Dale Fre No ? S ? Rough-inlnspection ReqwreC? ?Yes ? No J Reatly Noll Notiry Inspecror W?en Reatly? hcensed contractor ] owner hereby request inspection of above electncal work aY - , Job Atloress (Sireei Bon or Rout o) Gry? Sedion No Town ip Name or N. Ranye N. Count ? Occuppm IP T) hane N. Pawe pber Atldress ? • ? ?i Eieclrtcal ado1 fCOmpony Neme? ? ConV lor's icense No . MaJinq Atldress IC nlractor or Owner Makmg Installationl Aumonera?oOwnet Makin9lnslall ? ? le,o ??? f'?" I Phon? ? MINNESOTA STATE BOARD OF ELECTRICITY ? THIS INSPECTION REOUEST WILL NOT Gnggs-Mitlway Bltlg - Room 5-113 BE ACCEPTED BV THE STATE BOARD 1821 Unlverstly Ave.. 56 Peul. MN 55104 ' UNLESS PROPER INSPECTION FEE IS Phone (612) 643-0800 ENCLOSED :EQUESToFORoE?LE9TRI?CA?LbINSPECTION [ I .24i 7 "X" Below Work Covered by This Request `M?•?"? EB-00001-08 ew RdS REp.? TypeofBwlding AppliancesWVed EqmpmeniWired ?HOme Range Temporary Service Duplex water Heater Elecinc Heating Apt. Bmlding Dryer Other (Spealy) iComm/Indushial Furnace Farm Au Conditloner OIDer ?speafy) Conlraclor's Remarks r Compute Inspechon Fee Below. n Other Fee # ServiceEntranceSize Fee # Qrcuils/Peeders Fee Swimming Pool 0 t0 200 Amps 0 to 100 Amps Transformer5 A6ove 200 _ Amps ve 100 _ Amps SignS inspeMOr's 11se Onry TOTAL ? IrrigationBooms /?Q ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT O[her Fee " COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby Rouyn-in oare certily that the above inspection has been made F,,,ai oa p OFFICE USE ONLV " This reyuest voitl 18 monihs irom 2 117 io/ ?7/ Jr- p Request at' Fre No ?J Rovgh-in Ins ion R eqAmretl? fJ Raetly Now , tll NoAty Inspector Wh R a > - ! 1es C No en ea y 12011-censed coniractor D owner hereby request inspection of above electrical work at' R Job Atltlress ISIreeL Box or Poule N. ? _? Q Seclion No w Township Name ar No Range Nn Counry O cupan PRINTI PM1One N. ?_5 P Suppher. f Atltlress ^ Eieancal Comredor,COmpany Name) onVector5 L¢ense N. C ? / CJ? Ma.hn(J AtlCrPSS ICOaVactor orOw!'er //Making Insidlldlion) fff I / n Amnor ed Gnamre ICOmracmv0 er Makin ns?allation? ? Phone Number i MINNESOTA STATE BOARD OF ELECTPICITY THIS INSPEGTION REQUEST WILL NOT Griggs-Mitlwey BIEg. - Foom 5-113 BE ACCEPTED BV TME STATE BOARD 1821 Umversity Ave. St Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)64]-OB00 ENGL SED REQUEST FOR ELECTRICAL INSPECTION 3p? gp ? See insimcbonklor complehng this form on back of yellow copy. I'I '+ 475 •X" Below Work Covered by This Request E8- 01.08 l 8x- ?i ew Adtl Rep. TypeofBuilding AppliancesWrted EqwpmentWired Home Range Temporary Service Duplez Water Heater Electric Heaung Apt. 8wlding Dryer Load Management Comm /Industnal FUmaCe Other (Specrfy) Farm Air Contlitionar Olher(apecRy) CanMaqor§ Remarks Compute lnspection Fee Below: # Other Fee # ServiceEniranceSae Fee # Circmis/Feeders Fee Swimmmg Pool 0 to 200 Amps 0 to 100 Amps -? Transformers A6ove 200 _ Amps Above 100 _ Amps Sigf15 Inspectar5 Use Only Irrigation Booms * Speciallnspection Alarm/COmmunication ECED THIS INSTALLATION MAY BE ORDERED ISCON F NOT Other Fee COMPLETED WITHIN 18 HS. f I, the Elecirical Inspector, hereby Rouqn-in r t7 ee certify that the above inspection has been made. Finai ? te -?-Q OFFICE USE ONIY This request wid 18 monlhs fmm ?/a9 9? ? 2 4 7 5 Request ate ,4U....... od Musl Call Eleclncat InsOector Require0'U II A Rough-In Inspeclion L es ? Na Is Requiretl I? licensed contractor ? owner hereby request inspection of above electrical work at: Job AEtlress (Sfreet, Box or R ou No ) Ciry / ? /,. ? [ Gt LF- n L) Section No I TownsNp Name or No Range No CoutnJty/? f?? Y/?l?C.l a«uwn Re?-e? ?a l?e Pho?N00s ?-o Pow suppher aaaress e'g00 ?;k,7t0 _"` / ? - ? ?-??N.l r ?1 Elecln CoMraqor ( mpany Neme) Conimctor License No. Maib g Atltlress (COntractor or Owner Ma?k/rtg Installahonli (? 5 .J Cd . ? 3 Ca D C3^ ?U Au[hon SgneWre(COntracwplner Making Installation) Phone NumOer L , i ._. _ SOTA STATE BOAHD ECTRICT' THIS INSPECTION REQUEST WILL NO Griggs.Mltlway BIEg. - q 1]3 BE ACCEPTED BV THE STATE BOARO 1821 Univerel[y Ave., SY. P, MN 55106 IINLESS PROPER INSPECTIOIV FEE IS Phone (812) 612-0800 ENCIASED. Address: 593 HAOWRE DRIVE Lot 2 Blk 4 Sec/Sub [,,U7qyqd gID(E ' These items were/were not complate at the time of the final inspection. 9/6/9l Yes No Final grade (6" from siding) Z/ Permanent steps - garage LI/ Permanent steps - main entry ? Permanent driveway ? Permanent gas ? Sod/seeded grass Trail/curb damage Porch Basement finish ? Deck Please veri£y with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to tha outside lawn faucet before freeza potential exists. ? P[CIRFDMRP White - City copy Ye11ow - Resident copy Pink - Contractor copy ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Naw Construction Reauirements . 3 registered site surveys sMwing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% mazimum lot coverage allowetl) • 2 cropies of plan showing beam 8 window sizes; poured found desgn, etc.) . 1 set of Energy CalcLdatlons • 3 copies of Tree Preservahan Plan if lot platted after 711193 . Rim Joist Detad Options sNeUion sheet (hldgs with 3 or less units) DATE --I -1Z-U2- SITE ADC TYPE OF FIREPLACE(S) _ 0 _ 1 _ 2 3?t>l Z5- APPLICANT Cedar Valley Exteriors, IDC STREET ADDRESS 9920 Zllla Street CITY STATE_ZIP TELEPHONE # CELL PHONE # FAX # PROPERTYOWNER( IX??_I? l\ TELEPHONE#?r,? IJo5.3 -69yD COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA'1'EGORY l MINNESOTA RULES 7672 (J submission rype) • Residential Ventiladon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system incfudes: Mechanical Contractor: Mec}iaiiical svslem includes: Sewer/Water Confractor: _ Air Condiuoning _ Heat Recovcry Systcm Fee: $90.00 o?c?r?o Pnone # 1 5 ----------------°------------°--------------°-------°------------°- •----------------- ------------ I hereby acknowledge that I have read this application, state that h information i c ..artcG with all applicable State of Minnesota Statutes and City of Eagan Or in es. ? Signature of Appllcant -______________W_____»_._ _________._._._____..._____ OFFICE USE ONLY Certifcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ Water Sottencr Water Hcater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Phone # ULTI-FAMILY BLDG _Y _N RemodeVRaoair Reauiremenb . 2 copies oF Plan • 1 set of Eneyy Calculatioris for heated addilions . 1 sita survey for ezlenor addillons 6 decks • Indiwte "rf home served by sepUc system for additions ca3 VALUATION 3q3' Updated 4l02 PEWq.-T ? s cinr oF eaGaN 9/ 1992 BUILDIPiG PERMIT APPLICATION /%5 ssi-as7s ??? ? +? RECa SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made o lot chan e is re uested once ermit is issued. Date 0c1fZ. //95'2 Yaluation of work RTVF_ Site Address: f-{i4l'K1116?£ D STREET STE * Tenant Name: LOT ? BLOCK 4L SUBD.a'w"v7Y" P.I.D. ! Descri tion of work: ??- The applicant is: ,Owner ? Contractor ? Other (Describe) Name O UAAj ? E- Phone &g3 -Dyy? Property LAST FIRST Owner qddress 5_2? 17ACKMURE STREET STE i City ??6AM State MA) Zip Company Phone COntl'eCtOr. Address License # Exp._ City State Zip Company Phone Architect/ Engineer Name Registration N 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 application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:( v 1991 BUI ANI ? PLICATION ?i CITY OF EAGAN SINGLE FAMILY DWELLINGS M[TLTI°I.E DWELLINGS COMMERCIAL ?p ? 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL ? ? 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS ? 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To 6e Used For: IxR.W- Valuation: ?? Date: ?- Site Address 01 , Lot 2 Block * USE ONLY l 32, avo - occupancy R-,5> r'1' ? Parcel/Sub Owner Ra? ?-Zw Address / - V2 City/Zip Code ?-YZAA.,. SS??7 Phone 'L? 57 - 2r 4'43 Contractor ?'?.0.?4a?o. ?ye,c.?.??en.?. Address 1 SS1 3 - '-V'h . City/Zip Code Z"AWJ,? yhn... SS337 Phone S-YN 3 Arch./Engr. Address City/Zip Code Zoning R- 1Actual Const N ? Allowable # of stories ?- Length Depth 3fj' S.F. Total Footprint S.F On site sewage_ On site weli MWCC System ? City water PRV Booster Pump _ APPROVALS Planner Council Bldg. Off. ?-,/-9/ Variance !?11+ Q 1- FEES Bldg. Permit ?J Surcharge Plan Review 810 0 SAC, City 106,00 SAC, MWCC Water Conn. 0100 Water Meter 967,00 Acct. Deposit 30. AC) S/w Permit 3(?00 S/W Surcharge 150 T_:eatmant Pl. .2?(ns(.?tl Road Unit 390,w Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL 'S J S ? Phone # 6?,agrees that all work shall be done in accordance with (Signature of ontractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. T? . G A'RAGI=. IO X22= Z20 23X?°?46a 2??3? ? ?- ?,g6 x1s= Ioz9O 65 mr ?6 X 3G ?x7= 3XS s IZ? 16= I ST F?oDr? 93G C 5? > Ibs? ?l`?= ftir?Ge j5SMT= 1OSrl z x? = /4, PA-73 X 53 = 5686?I R-oDa- -3?> S x ?XS= HX 131) -7-7-7 , J o•* 752•00-F '06•00+' 0 483•00+ 2?2ti•5oF >>57i•sok AAvv4n ?, n I 3 Z? pa ?? r ? ? ? •••???? ? ? ?11? JLiI Y lLr- e?ULLI?'s Pu+N sL?v?,:c . , AO:rO w. 1451h suwl ,,, . _ . . . . . . ADGbvzj1ey,MN 03124 EXTERI?. ENYELOPE tiVERAGE °U" COt4PUTATC •, R. ? ? .. • ' OWNER ?'•?,a,?•.? ? ?2.?a.? ? SITE AUORESS ?F3 CONTRACTOR FFO,-vuaa 'P;.dcs DATE ? ?PNONE ?35 -$4 x - . . ." Determine working square footage of each. 1. Total exposed wa11 area ...... a "}, a?l u 8 sq. ft. x • 1 1 n d?.. S 2. Total roof/ceiling area .... 1008 sq. fi. x .021,° d.at Total exposed wall area abave floor = 19 8 a. Total wall window area ........................... b. Total door area ................................. c. Total sliding glass duor area ................... µq d. Total fireplace wall area ........................ !j A_ e. Total wall framing area (average 10%)....... ..... tnq. I'L f. Total net walt area above floor ................ 1 2 Z.o R g. Total rim joist area ............................ 'Z Ste Total exposed foundation areai= , 814 - y 8 h. Total foundation window area..................... Lo3 1. Toal net foundatian area above grade............ '? R, R_ .. Oetermine "U" value of each wall segment. ° a._ Z..S g aguit e. 36 x „u„ .13 = 5.a8 c. x11u', , 5 - a 2.. a. 4B x „u„ ,36 = i?.as e. I lo9 ? IL X"u" , 09 to= i6 ay f. 1?j2Z.08 X°u,l .0111 = 65.45 =- 9• 7_5lA x°ut, , 041 = Iu.so h. 6.3 X „ull 3•47 • ?.41 i. 7R.1 S X 31U" 3. ......... a3 0l?{ :yg ...:......... ..Tota1 If item 03 is the same as, ar less than item 91, you ave met the jntent of SBC 6006(c)2. ? ... ` _ . ,.. .f .? ! ? ?µ ? f• . ' - Total exposed roof/ceiling area = 1008 f Total gross roof/ceiling a rea = ? 008 • j. Total skylight area . ....... ............ ---- k. Total roof/ceiling framing area ............ 00, 1. Total net insulated roof/ceiling area....... De tennine "U" value for eacli roof/ceiling segment. X liUli k. ?00.8 x °u° 1. x "u" p2t = tq q6 a .................. l..o.QB.......... 7otat = aa.a / If total of #4 is the same as, or less than #2, you-have met the intent of SBC G006(c)}, To utilized the total envelope system method, ttie values established 6y the sum of items #3 and fl4 shall not be greater than the sum of itens 11 and 02. 1. + 2. ? + 4. _ 14ATERIALS E:terior Air Siding Naterial Sheathing Insulation Sheetrock Interior Air ' Studa Rim Conc. Blka. Ttterm. Resistance "R" 119 .45 Z, Olo 19_ ,45 ,b8 ?•57 /. SR 13..8_ CITY OF EAGAN 3830 PILOT KNOS ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # GI 43 DATE : ' 97I jt?goEMW PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELL2NGS & TOWNHOliES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH iTNIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: S 1? ?G?YYlOU"? LOT:? BIACK _? SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE ?qlA " - ° SIGNATURE OF PERMITTEE COMPLETE THE FOLIAWING: N0. FIXT[IRES EA. TOTAL ADD-ON MINIMUM 15.00 1 SHOWER 3.00 3, oa ? WATER CLOSET 3.00 `100 BATH TUS 3.00 3•00 ? LAVATORY 3.00 1.-.t - OD 1 KITCHEN SINK 3.00 '3•co I LAUNDRY TRAY 3.00 3•CO 1 HOT TUB/SPA 3.00 3• W I WATER HEATER 3.00 3co ? FLOOR DRAIN 3.00 _a?00 GAS PirING OUT. 1 (MINIMUM - 1) 3.00 3 ? ? ROUGH OPENINGS 1.50 4•? _ OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL S LLq ' ?90 ST. SURCHARGE .50 TO':SL: $ ?oo !?(1Mf?jEkGZ?:T:"?T3DCTS'P&?E.I.;. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND _ t.... . ;:..: . _. _,. 2NLTI-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: 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) CITY OF EAGAN 3830 PILOT RNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 09, FOR CITY USE ONLY PERMIT # RECEZPT # DATE: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE F ... ...:.: :. ...:......:..:: :.. TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ DWELLINGS 6 OWNER NAME: 1-C`vqTV)ec 6UlLD6(2S SITE ADDRESS: L22) PACK"6t2E, tAR,? LOT: ? SLACK 'S- SUBD. ? INSTALLER: ADDRESS: g?:- CL-Cf,(- JefY., CITY: 4iRv.iSvlucr_-- iJ ZIP: J J-6i32 PHONE #: ?`(cS-O31o FEES ADD-ON MINIMUM $15 00 HVAC 0-100 M BTU 4:00 ADDITIONAL 50 M BTU 00 GAS OUTLETS - MINIMUM 3.0 OF 1 PER PERMIT SUBTOTAL: $ ;0° 0 STATE SURCHARGE: .50 TOTAL: $ !7•??() SIGNATURE OF PERMITTEE o.Q?iMER??AY:?IIdTT'fTS1'CtJfiS:?. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ----------- ° °°---------____________________--_______-_________ CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING @ $25.00 LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE #: (SIGNATURE) FOR: CITY OF EAGAN . ?.? CLAItt VOUCIIER - REFIIND RLQUES7 CI7Y OF EAGAP7 CI.AMANT DRONENS HEATING & AIR CONDITIONING, INC. ADDRESS 1141 EAST CLIFF ROAD BURNSVILLE, MN 55337 Lc+ca[ion 593 HACKMORE DRIVE L2. 34, AUTUMN RIDGE_ P.ereip[ No./Da[e C14312-7/3/91 Rea«n fer Refund DUPLICATE PE?tMIT Tt•re of Refund Eiec[rical Fermit 01-3211 $ Plumbing Fermit 01-3212 $ Pfechanical Permit 01-3213 $ 27.00 Surcharge 01-2155 $ Water Connection Fermit 20-3713 $ Sewer Connection Fermit 20-3743 , $ Account De'posit 20-2252 $ ? U Utility Account Over-raymen[ 20-2250 $ Other: $ S tOTAL $ . 27.00 I declare under the penalties of law that this account, claim or demand is just and that no part of it has been naid. 7/8/9l S na'[ure Date . - .. q? l CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 PGk???CA? PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE 1 TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT. ------------------------ -------°__--------- WORK DESCRIPTION NEW CONST ADD ON REPAIR 9) OWNER NAME: SITE ADDRESS: n3 /S?GKMbiQA` IAT:? BIACK 41 SUBD. INSTALLER: T.?2.ba.l?1JAq2K-? d-I°I& ADDRESS: 11`41 E"-i- C.?/H '14eJZ. CITY: ??)Q?..(f?? ? ' ZIP: 5-.5?3,37 PHONE #: ?P cr O? Id ?`,Q?XtCYA?:?T[J1111`STRTAT?I; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARR NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: 2IP: PHONE #: FOR: FOR CITY USE ONLY PERMIT # RECEIPT DATE: 7 3 FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $ 4.00 .00 0 $ "1. L9 .50 $'Z,7'ro /11 /( J DV" "A..? SIGNATURE OF PERMITTEE? FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ ? STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN . ? , -, $58274 aVZM amas pflESSIIiIE AEDIICS86 VALVE 71MEEMM . . This Aqreement, made and entered into the /12daY of pulll%sT , 1990, by and betreen the CITY OF EAGAN, a ¦unicipslity of the Stata of 8innesota, (hereiaatter called the r City), and the Owner and the Developer identilied herein. ip Tha tarm "Developer" as used harein rafers to: AUTUAIIN RIDGE LIKITED PHRTNIItSHIP, a Minnesota limited partnezehip, c/o JATtES pgVgLOpMENT COMPANY whoBe addrass is 7808 Creekridqe Circie, Suite 310, Bloomington, Minnesota 55635. T6a term •OVner" as usad herein refers to: AUTOla7 RIDGE LIMZTED pARTNERSg=p, a Minnesota limited partnership, o/o JAMES DEVELOPlSffi1T COlPaNY whose address is 7808 Creekridqe Cilcle, Suite 110, Slominqton, Minnesota 55438 and RUTH CGN1tAD vhose address is 5015 - 75th 1lvenue Soulh, Apartment 215, Minneapolis, Minnesota 55417. .. pgp,REAg, the Developer Aas applie8 to the Cily for approval of the plat or subdivision knorm as AUTtIlQ1 1tIDGE, loeated vithin ihe City; and itHE2EA5, the Ovner and Developer aqree to notiYy the propoeed potential buyers of all lots withia AUTt7lR1 RIDG£ that Lots 1-7, Bloek 1, Lots 1-8, Block 2, Lots 1-9, Block 3, Lots 1-17, Hlock 4 and Iats 1-5, Slock 5, are in a hiqh rater pressure zone aad a pressure seducing velve shall be installed in each home below the elevation ot 966 feet. All costs ahall be tlse resPonsibility of the Owner and . Developer and shall be installed to prevent damage due to Aigh vater pressure. •r;6 + POW, T1EREFORE, the City, Ovner and Developer aqree as follovs: 1. Recordina. This agreement shall be reeor8ed vith the Dakota Connty Reeordez so as to provide notice to tAe rnmers of Lots 1-7, Slock 1, Lots 1-8, Bloek 2, Lois 1-9, Block 3, Lots 1-17, Block C, aad Lots 1-5, Slock 5. TAe Owner shall provide and execute any and all doetments nacessary to lmplement the recording of thie agreement. 2. Noticg. The recording af this document shall conatitute notice to all ormers and future ovners of property in the AUTIJlN RZDCE au6division that Lots 1-7, Block 1, LOts 1-8, Block 2, Lots 1-9, Biock 3, Lots 1-17, 81ock < and Lots 1-5, Slock 5 are in a high water proseura zoae and ihat a pressure reducing valve shall be installed in each home belov the elevatioa of 966 feet. All costs shall be tha responsibil3ty of the Ovrier and Daveloper and shall be installed to pravent damage due to h3gh vater pressure. 3. YalidiEv. If any portion, section, subsection, seateace, clause, paraqrapA or phrase of this agreement is for any reason Aeld to be invalid, such decisioa shall not affect the validity oY the remaininq portion of this Contract. 4. Bindina Aoreement. The parties mutually recoqnize and aqree that all terms and coaditions of this recordable aqreement shall run vith tde land Rerein described and shall be bindinq upon the heirs, succassors, administraLOrs and assiqns of Lhe ovners and developers referenced in this coatraet. : ti ADTOD4i RIDGE LIKITED PARTNIItSHIP, a lSinnesota limited partnership, Sy: JAMES DEvEI.OP!ffiN'P C01'SANY, a ISinnesota Corporation Zts: General Partner - 4 ?l 4 BS'= Date Its: •ip IN MITNE55 NfEREOF, ve have hereunto set our hands. CITY OF • ?.??: AUTUI4t RIDGE LI![ITED YARTNIItSHIP, a liinnesota limited pastnezship, or By: JAMES DEVEI.OPNENT COMPANY, as A. an a Minnesota Corporation fIta: Hayor Its: General Partaer Date 4 test . J. VanOverbake Y: Its: ity Ciazk Its* 1 gy; Date Its• ZZ& R H CONRAD 89 Le ? DEVEIAPER: ? ? gy; Date Its: STATE OF MINNESOTA ss. COONTY OF DAROTA ) On this Z229' dsy o! ;, 1990, betore me a Notery Public vithin and for said Coun , personally appearad THOMAS A. EGAN and E. J. VanOVERBEKE to me Sersonally knovn, who beinq eaeh by me duly sworn, aach did say that they are raspeetively the Meyor and Clsrk of the City ot Eagan, the munieipality named in the toreqoing inatrument, and thai the seal altixed on behalf of eaid municipality by authority of its City Council and said Nayor and Clerk acknowladged said instrument to be tha free act and deed oi said municipality. ,ir=? ?uer.r? ? wo?atnvftms ? L ? / ? ,?-.s .••-?-? Y\ ??? ?o:?a.n::u-rnr?esoT? I ;=-2? OAKOTA CCUNTV H tII R1b11C 1p [nmmns?en F+0 f?? ! f^_^? ?v / f ST11T8 OF lQ1iNESOTA ) ss. COONTY OF On this (I day o! , 1990, balore me a Notary Public _ wi,thin?.• ??nd`? or said county, personally appearad ??I?t [JSifW to me parsonall knoxn, vho beinq each by me duly ef n„ =d' say that tRey are respectively the _ aft oZ JAAES D ELOPlIENT CO1SI'AltY, a !lianesota corporation, general partner of AUTlTlIDi RIDGE LIMITED P1IRTNIItSHa Minnesota limited partaership, to me personally knovn. ?e ?me duly ?rn, did say that ?of thare e corporation and limited partnership named in the foreqoinq instriment, and that the aeal aftixed to said instrument vas siqned and led on f of said corporation and limited partnership aad said ? ? ' afl& acknovledged sald instrument to be the free aet and deed of said eorporation and limited partnersh3p. G. Notary Pu ic NNelr ! ?1000j r 7cw 4 ~O`W '- 4?t. _.. . . . . . • _._.. _ ?.._?. ?.. ?. , .AJ.?.: . ?.. :.,. - ----- ?:.i ri4v-F: ST11TE OP ![INNESOTA ) ' ) ss. CODNTY OF ?? On Lhis JA- day of 1990, befare me a Notnry Public within and for said county, rsonaily appearad RUTH CONRAD tc a0 personally knorm to be the persoa described in and vho exeeutaII tAe foreqoinq instrument and acknovledqed that ehe executed the same as her free act and deed. ._.._. ??? ?F&mcq E . Notary Public ' ?44 aw 11PPItOVED AS TO FORlS: 1lttorn i o tod: APPROVSD 115 TO COtiTENT: Qf. u ??&aj Public Norks apartment DatYd• 8-7-90 T9IS SNSTRtlME7iT WAS DR7IPTSD SY: SHVffitSON, iIILCOX i SHELDON, P.A. 600 ltidvay National Bank Bldg. 7300 Mest 147th Street )lpple Valley, tQJ 55124 (612) 472-3136 11GD _- .,? t METRO .. ? SURVEYORS ' INC. - Certificate of 5urvey for. FEATURE BUIL.DERS 1875 PLAIA OR, SUITE ?00 EAG14N, MIK 55l22 (612)452- 7850 LEGAL 'DESCRIPTION: LOT-?-98LOCK4 , AUTUMN RIDGE ACCORDING TO THE RECORDEO PLAT bb. r THEREOF DAKOTA_ COUNTY,MINNESOTA LO-y 6? ?69 q7a N ? 6 ? rf? ? w c. ? I M ? }-QT 2 953?? ?. ST 1953 O ? F O p cy-4 , 953i f 95? u) 0 R?T• m ? AD _? 7 ? h L0I• I • l+1 1? , ^ I m ? ?? /? / p ' 53 "-1 - , ?4tR. ..a I p. ?e • 9??? - -- •L A$.T9 ZO _ ID.O O, ? .7-I j 1. = J 0 ` a - ..) REvr Z ^?----- - - ? 9sz n4? 45.03 87.40 N 89° 41' p" En' 4 11'. ,4 a= 7° 4 3- qsz 4c, 9sz : ? HACKMORE DRIVE ? ?.. aR ' . ? . i? SCALE I ? PROPosED FULL BA-5FMF/tT ? /`/o t'?4K607- LEGEN INVERT ELEVATION A7 SERVICE EXTENSIONO o DENOTES IRON MONUNENT PROPOSED GARAGE FLOOR ELEVATION? s? 5 o DENOTES WOOD HUB SET PROPOSED FIHST FLOOR ELEVATION• 5t- - DENOTES EXISTING POT ? I PROPOSED BASElAENT FLOOR • 9 I ELE VI?T. Q ON ELE VAT DENOTES PROPOSED SpOT . ELEVATION DENOTES DRAINAGE GIRECTION ?- NaOTE:. VERIFY ALL FLOOR HEI6MiTS WITH FfNAI. H WSE PLANS I Iwebr cehify fhat thfs survey,plan ot repat aos prspond Dy ms or under mY direct suprviuon and that I am a duly Reqistered Lund Sorveyor undM tM Lows of tM Slate of Minnesot4 &odley J. Vt?wn/ Mn. Re4 No. IS23b 5/29 I91 Oate - METRD SURVEYORS INC. - Certificate of Survey for: FEATURE BUILDERS 1875 PLAZA pR suirF 200 EA6AN, Ml1t 3tiJ22 (612)452- 7850 LEGAL 'DESCRIRTION; LOT2,BLOCK4 , QUTUMN RIDGE ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA. COUNTY,MINNESOTA " 67 2 9 02 ^ ??. •S LQ-C c. 972? N 7 6? -' ??? s C\j M LOT 203?j 0 p /c54 954i RWr h t_OT -i ? - 4,6, qsg? ., 70•V7 -n-r-- ? 1R&r? T 0 9sa-Z ?L = 45.03 87.40 ,? d = 70 43' !1„ va'?? !? 5 O 89° 41j8' cP?,!TC.`)sz , . .. ?'_? ) ..:J z: HACKMORE D F y N T - D.7s EAGAIV SCALE 1 LECaEND o DENOTES IRON MONUhENT a DENOTES WO00 HUe SET DENOTES EELEVqTIQN?T DENOTES PROPOStD SPOT ELEVATION ? DENOTES ORAIN""'DIRECTION t MrWW certffy tAat tNs wwy,Plon a report ra prepand py nn or undor my di?ect suprviaian and thal I am a duly Reqiste?ed LanA Swvtya undW fM Laws of tM Stofe of Mim?*wto &o/Iey J. Dot? ? _ 5 Mn. Roq. Mo. ISZ33 N R ? 1 r ?•?, 4 ? ENGtiNEERIIVG DEPT P R.V, R- EF (7, WoQosED FUt.L Bk6EMFiJl- - /`l° lli?XOOT INVERT ELEVATiON AT SERVICE EXTENSIONO I PROPOSED GARAGE FLOOR ELEVATION• sG 5 PROPOSED FIRST FLOOR ELEVATION = PqpPOSEO BASEMENT FLOOR ' 9?• ELE VAT1011 N? VERIFY ALL FLOOR MEIGMTS WITH FINA1. NOM PLANS Sep 26 13 08:20a AA Garage Door 651-702-0838 p.1 Use BLUE or BLACK Ink j For Office Use j o1155`1 O1 Permit#: Wy p Wan of 1 I I I I 830 Pilot Knob Road Permit Fee: 3 1 I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I t I L-----------------~ ~n 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address 5q3 HA o-frr(y re ~L . Unit M !Name: f t fea r I € Resident! f Phone: Owner Address i city zip: t l~ ~~`e j -)r Cy 11~ ,qj _55-x~5 ~ Applicant is, Owner ,!/Contractor Type of Work Description of work: co ~ L. i Construction Cost. G t Mulb -Family Building- (Yes / No i E Company: Contact: IU b?Cse.~~de_, Contractor Address: P~ {,/J~ (V City: L ~ri~ rx-, I State: ! 1~" Zip: Phone: I I License Lead Certificate ( I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of L the information may be classified as nonpublic if you provide specific reasons that would permit the ally, to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 46 hours before you intend to dig to receive locates of underground utilities. %vww.ooahersrateonecall oro Hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of oermit issuance. C,h i X_Dwpo X11. _~dS 4~d x )(n, Gc Applicant's Printe Name Applicant's Signature Page 11 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA127752 Date Issued:10/14/2014 Permit Category:ePermit Site Address: 593 Hackmore Dr Lot:2 Block: 4 Addition: Autumn Ridge PID:10-12300-04-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: 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 by law in ALL single family homes . Molly Grossman 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 - Pong Vang 593 Hackmore Dr Eagan MN 55123 Premier Remodeling 2091 Viburnum Trail Eagan MN 55122 (612) 245-8378 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink .- For For Office Use qqlq) City of Eaall Permit#:Ju Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax: (651)675-5694 Staff: �% 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date // - ) 7 Site Address: J 3 1 c_ op, '✓I' r,., Unit#: , Name. . C.rers;. !IIIl■Nn71k ._ IP .* c,� Phone:(D5j _39E--3bk3 Resident/ I Jt Owner Address/City/Zip: c L LA" 'r _ /2 Applicant is: Owner Contractor Description of work: c; CJ ��/i x 11 t� ) f�'�- CV) .'y c, ( e. cl Type of Work �` Construction Cost: t0 Multi-Family Building:(Yes I No>(- Company: /I-11 ' Cgr J a easljAAs4 Contact:Z. e dI 01, Address.: �4- 'i1 ,,,col tl V r City: �-JI Contractor ,tit o f i 1 1 / State:t t/I' Zip ') ' Phone:74-67� ? Email: ZJ r7�( c,// )v iJy G d'', License#: y C1 ci ( 2-" Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans,and:supporting documents that you submit are considered to be public n formationPortions of th information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuanc . x ack bd._ Applicant's Prin d Name Applicant's ignature Page 1 of 3