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600 Hackmore DrCITY OF EAGAN ' 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 CASH RECEIPT UATE ` i ?^ 19 % , nECE?EO -?? ] . AMOUNT S , U 7J7, i, 100 O CASH _9,CF?iECK DOLLARS FOR ;}(,-1-?`?,1 i 11 ?l ?l?''' C?!' • ?!'??(J ?!?:r ? I?C. i; JO+'r? sv C 14692 WhAe-PaYers ?DY y?/?'?? Yelbw-Postlng Capy ?F4 N-/ ?_nri Pink-File Copy `. I Thank You `FE-`tzY S70xP' 68b-"2 CITY OF EAGAN ? -? 19494 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `'• "' PHONE: 4548100 3UILDIPtG PERMIT Receipt # "o be used for ?'G / rAR Est. Value $123,OW Date JvLY 26, , ig c1 Site Address ow RACKNUM aalyis Lat b Biock i Sec/Sub. AUTUM RlDGE Parcel No. W Name JBRRY SZOlU 0 Address 1230 STH 3'I 111 55413 City MpLS Phone 625'3601 t10 Name SAME 896-2829 ' 0a Address U¢ ? City Phone U ? .y . WW Name ? ; Address <W CitY Phone I hereby acknowlege that I have read this application and state that the infwmation is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Permitee ?.. A Building Permit is issued to: JERRY S?ARA on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?Y i1 ' Building Official ti_%' `•-k-. F" 1 s? • OFFIC E USE ONLY Occupancy R-3, M-i FEES Zoning C_i ; 72Q?? (Actual) Const VA Bldg. Perm;t ? (Allowable) VJL- Surcharge J 61 • 50 #, of Stories bd Plan Revie* "8.00 Length Depth ? SAC, City I00000 S.F. Total - 650'00 S.F. Footprints _ SAC, MCWCC On Site Sewage _ Water Conn 1160 J110 On Site well - water Meter 4s600 MWCC 5ystem ??• ?Posit ??? Ciry Water ?_ 3a?? PRV Required X? S/W Permit Booster Pump - S/W Surcharge • 50 276•00 Treatment PI APPHOVALS Road Unit 370'00 Planner _ Park Ded. j ? Council idg. Off. Copies Variance - TOTAL i S3•461•00 i ? permit No. Permit Holder Date Telephone # WATER SEIMER PLUMBING ? 9 9 8qT7G00 v , H.VJ1.C. ELECTRIC ,ra'? 3 •?' •:?.r?• ?? ? ??? ? Inspectlon Date Insp. Comments Footings I ?? / •-? ,S ?" `? ?,S FoundaGon ?(rl?1 ? Framing 1f l Roofing !/2U Rough Plbg. - Rough Htg. - lsul. 4,9 Fireplace Final Htg. 7. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Finai /0, ?ff Deck Ftg. DeGc Final ! Z 3 AO . iy 1- weu Pr. Disp. -? DATE: JUL 31, 1991 600 HACKMORE DR (JERZY SZOKA) . x Your Sewer & Water Permit for the above'property has been completed. It will be held at the -? Public Works Garage (350'1"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 properry cannot be completed for the following reasons: Your Sewer & 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 Bil4 Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. F - ? ?• ? (Srrti#irafe uf Mrrupatu titp of (Eagan appott? of udb* iwPt#1Dt1 This Cerlfficate rssued pursuant to tlte requiremenu of Sectian 306 of the Uniform Building Code eertifying lhat at the time of rssuance this structure wus in caripliance with the various ordinances of rhe City regulating building construction or use. For the fo!lowing: Llm Cbmkoom SF DWG/GAR BWg.Permit xo. 194q4 oawi-r rype R3/m? Zonine nisu;a RI Tya c.onst. VN ow?r of euilmng JF.EtU SdCICA Add,,. 1230 5IH ST Id:, MnS o. ia:.,.. e.u- `M `QM OLSl Yri -:... W• D 1• LYJ l lM i= o.re: IU/ 101q 1 eWdine o oW ?- POST IN A OONSPICUOUSPLACE 3 i , ? SE1/tH t!c WAI EH PEHMIi OFFICE I. CITY OF EAGAN METER # 3830 Pil Qt Knob Rd. Eagan,'#TV 55122-1897 CHIP # ' METER SlZE S? DATE JUI. ZO, V491 ISSUEDATE PRV B fE ADDRESS 600 :j: iT b BLOCK t SEC/SUB "'•bzUhiN RiDGE 3ESS: , STATE ZIP NE: • .? ; JIBER:'i.?A_K?. ? IIi?: P?.C1ttI1? NG RESS: 12469 LIMr?At= :417 , STATE SAVAG£ K' ZIP .55":,7t IESS: 1230 f'TFl`H S', STATE M=NNEAPOLIs ZIP z4.,1 ,,., l ,.... •s??.T ` ._ ... _ .. _ K..,_ . -„? _.. _ .. _ SEWER & WATER PERMIT CITY OF EAGAN ; 3830 Pilat Knob Rd. ' Eagan, MN 55122-1897 DATE_ JUL 25, 1991 PERMIT DATE PERMfT # 121 B.P. RECEIPT # B.P. RECEIPT DATE L' i OSTER PUMP PERMIT REGfUESTED ?- SEWER WATER - TAPS - COMM/IND A RESIDENTIAL NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ?Y I AGREE TO COMPLY WITH CITY OF EAGAN OFTDINANCES SIGNATURE WHEN METER ISSUED METER# q y! 4IDSY/ cHIP#aa3s 7a0 4- METER SIZE ? ISSUE DATE -;? - g / ?E ONLY PERMIT DATE v 1!31 /`? l. PERMIT # 1 421 f '+ B.P.RECEIPT# , 146`?2 B.P. RECEIPTDATE ? ' 91 v PRV - BOOSTER PUMP SITE ADDRESS 600 h`_)RE DR LOT (_' BLOCK i 5EC/SUB AtTU'C?r: RIUGF APPUCANT: ADDRESS: CITY, STATE ZIP PHONE: PLUMBER: ?! ,AKCSIDE PLUMB'tNG ` ADDRESS: 12469 2IA?RAI' A':`E ? CITY, STATE :)AVAGE .+'1 Zip 5 ? PHONE: 894--7600 PERMIT REGIUESTED X SEWER _ WATER - TAPS - COMNF/IND - RESIDENTIAL x NEW EXISTING Lawn Sprinkler Meters are to be Instailed Ahead of Domestic Meters on Water Line. Creclit WILL NOT be given for Deduct Meters. , . .? .., COMPLY WITH CITY OF ' OWNER: tiERZY S2UKA EAGAN bRD NCES ` ADDRESS: 1230 FIFTfl ST T'E j CITY, STATE t INNEAPOI.IS Asr ZIP 55413 PHONE: -? -f-3 (,0 1 C''?. SIGNATURE WHEN METER ISSUED ; PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ? SEWER PERMITS, CONTACT ENGINEERING DEPT. , BUILq1NG PERMIT To be used for SF DWG/6AR Est. Value $123,000 Site Address 600 HACKMORE DRIVE Lot 6 Block 1 Sec/Sub. AUTUMN RIDGE Parcel No. Name I? I Y Cd?ress M1230 PLS STHOST hone 623-3601 5413 I ;i F Name SaMR 896-2827 I ga Address ? City Phone W w Name ,? Address aw City Phone I hereby acknowlege that I have read this application and stale that the mlormation is correct and agree to wmply with all applicable State of Mmnesota Statutes and C/iry ?o?f Ea?gan .O?rdinanc'es. Signature of Permitee ("l ?- / ? `? ? A Bmlding Permit is issu?mRRY SZOKA on the express condition ihat all work shall 6e done in accordance with all applicable State of Minn t atutes and Ciry Eaga^ O inances. Building OPoaal U -? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE: 454-8100 N° 19494 Receipt # - CRA111-11 Date JULY 26 , 91 19 OFFICE USE ONLY Occupancy R'3+ M-1 FEES 2oning R=1 Vn $ 720.00 (ACtuapConst eldg Permil (Allowahle) y1L 61.50 Surcharge s ot srories 468. o0 Length 64 Plan Rewew Depih 58-- SAC,Cdy 100•00 S.F. Totsl SAC, MCWCC 650.00 S.P Footprinls _ on Sda Sewage _ Water Conn 660.00 OnSilaWell - WaterMeter 95.00 MWCCSystem xX_ 00 30 Cily Water Xy__ Acct Depasit . PRV flequired S!W Permi[ 30.00 8ooster Pump - S/yy Surcharge • 50 7reatment PI 276.00 APPROVALS RoadUnit 370•00 Plannar - Park Ded Cauncil BIdg.Ofl. _ Copies Vaziance - TO7AL ?3 ,461. 00 REQLI&T FOR ELEC7RIC41L INSPECTION ? ?ee rnarzu .ions (or comG%eting mis lor.n on back ol yellow <opy "X" Below Work Covered by Thrs Requesf Ee-ooa ?.?+i?? /G3o?o w A Rep. TypeofBwlding ApphancesWued EqwpmenlWired ? Home Range Temporery Service Duplex Water Heater Elecinc Heating Apt Building Dryer Other (Speafy) Comm ilndustrial Fumace Farm Au Conditioner Othe: Ispecutyl Gomrector's Remarks Compufe Inspecbon Fee Below k Other Fee # ServiceEntrance 5rze I Fee # CrtcwtslPeeders Fee Swimming Pool 0 to 200 Amps 1 ? 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Sgns inspectors Use Oniy TOTAL IrrigaLOn Booms 66.50 Speaal Inspection Alarm/Communication THIS INSTALLATION MAY ORDERE CONNECTED IF NOT Other Fee COMPLETED WIT 18 MO I, the Elecincal Inspector. here6y R°°q""" t Date certrfy that the above inspechon has been made F,,,ai o ? OFFICE USE ONLY ? This reouest Ymtl 18 momns Imm /0/i/9/ v - /l ?5? p 52533 ? 0 , °- ReQUest Oale Fire No Rougnin Inspecuon Peqmretl'+ ? Reatly Now ? Wtll Noltly Inspector 4/30/91 ?Yes =NO WhenReady' I2X licensed contractor ? owner hereby request inspection of above electncal work at Job atlaress IStreet Box or Pome uo 1 Giry 600 Harkmore Drive E a = Name or No Range No Counry Occopant(PRINT) Phone No Jerzy 5zoka Const. Power Suppher Rtltlress Dakato Count Elec. Farmin t n Mn Eletlncal Gomractor ICOmDany Name) Convactor's Ucensa No Lein Heatin and Electric 0424 86 Maemg Address ICOnVaclor or Owner Making Inslallation) 6525 E. 170th St. Prio Lab Mn. 553 2 IraQOr'?^ Mdking N5? ti0rj AWhor¢eC Sqnd( 7) ?? (? Phone Number .4 L?LM.?? 0 /Q, 2490 MINNESOTA STATE BOAflD OF EIECTRICITV ? THIS INSPECTION REOUEST WILL NOT Grlgqn-Mitlway BIEg. - Hoom 5473 8E ACGEPTED 8V THE STATE BOARD 1821 Unrversiry Ave. St. Paul. MN 55104 UNLE55 PROPER INSPEGTION FEE IS Vhone (612) 642-0800 ENGLOSED Address: 600 HAaMRE DRIVE Lot 6 Blk 1 Sec/Sub AURM Ttlp(E , These items were/were not complete at the time of the final inspection. 10/18/91 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entiy Permanent driveway ? Permanent gas Sod/seeded grass Trail/curb damage ? Porch Basement finish ? Deck Please verify wlth tha builder the removal of roof test caps from the plumbing system and the shut-off of vater supply to the outside lawn faucet before freeze potential exlsts. ? REC1L1[OMRP White - City copy Yellow - Resident copy Pink - Contractor copy rp$EII[R; JS TEFi'1IPlAL NOe r'i i DATE. 01/04f00 TTHE: 13:24:23 IL1: NAMEe ALLIEU FIFESILiE7 SNC. 3E0 9001 600 HFtChMOftE DFi 60.00 2155 900:1. 600 HAGF.MOFtE. Lq2 0.50 To#al fieceipt Artiollnt ; 60.50 Cfii.2:L9r 1 USER IL1; JAN 1999 FIREPLACE PERMIT APPUCATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: ?JCCV] ? ??r/?. \Qd ? a ? ?C).C?-o 1 -ti-4dd d Alterations to existing _ Install gas line ordp 7oh address: Loo tL( r? y3g0i/` e aoj p / n r {? Lot: W Block: ? Subdivision/P.I.D. #: Vv\ Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Description of Work: Construct new fireplace /)?Gas _Masonry ! Install gas insert only Other /? Name: I / ('/t C h 01 Oy` e, Jd A ? 14- Phone #: ?j?- 7yQ ?/, PROPERTY Last First -TT? OWNER ?1? f ? Street nddress: ?n ?n ]Y lI C I/ 12?PtV' ppv?r u p. City State: A Q Zip: Company: 9` IY? ?t L Phone # (area code) FIREPLACE INSTALLER Street Address: City i1 s State: lowe - Zip: 533 ? GAS LINE INSTALLER Sueet City State: Zip: I hereby acknowiedge that I have read this application and state that the information is conect and agree to comply with all applicable State of Minnesota Statute d City of g Qrdinances. ? , Sign e 0-? Phone #: (area code) ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterarions ? 39 Gas Line ? 41 Wood Stove ? 32 AdcLtion ? 34 Repair ? 40 Gas Insert GENERAL I_NFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be mspected before concealing. , ? i CITY OF EAGAN ? `?... 3830 PISAT RNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 1SEC1iANZCA?. "YERMTT FOR CITY IISE ONLY PERMIT # RECEIPT # DATE: oZ jtESiDE?TIAT.: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ] TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ADD ON _ REPAIR _ 18 OF CONTRACT FEE. STA'TE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. OWNER NAME: ? .u? e?'^>!a:?,''l?-/?'? _ _ ? - lf SITE ADDRESS: v t v?' v SAT:6 BLOCK ? SUBD. ' INSTALLER: ADDRESS: ?i ?" 7-h? CITY: a ? ?•n ZIP: 5 t?" ?J GLL/ . . . PHONE 4-1 ADD-ON MINIMUM $15.00 HVAC 0-100 M STU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTL.ETS - MINIMUM 3.00 OF 1 PER PERMIT o% SUBTOTAL: STATE SURCHARGE: .50 ? TOTAL: $ SIGNATURE OF PERMITTEE qHMERCiAY./TNbV52RIAT.; YLEASE COMPLETE THIS PORTION FOR ALL CO?SMERCZAL/INDUSTRIAL BUILDINGS, ?..._..:. ... ... . ,...........,.,< APARTMENT BUILDINGS, AND liULTI-FAMILY BUILDINGS WHEN SEPARATE PERTtITS ARE NOT REQUIRED FOR EACH DWELLING IINIT. ------------- CONTRACT PRICE: OWNER NAME: _ SITE ADDRESS: IAT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: CITY OF EAGAN FEES FEES CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: DWELLINGS & $ (SIGNATURE) CZTY OF EAGAN FOR CITY USE ONLY + . _ 3830 PILOT RNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIYT #?-- ? 5 al mp;pm"g DATE: PLEASE COMPLETE DPPER YORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ----- ----- ------------------- WORK DESCRIPTION ----- -------------------------- ----- ---------------- COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ? ADD-ON MINIMUM 15.00 ADD ON / SHOWER 3.00 .?? REPAIR JA WATER CLOSET 3.00 L.w 02 BATH TUB 3.00 L•,ca .2 LAVATORY . 3.00 .e? OWNER NAME: .)LR7,l 7 cSZr kA _j KITCHEN SINK 3.00 « i LAUNDRY TRAY 3.00 3•,l SITE ADDRESS: wlUV A, ?044,VVRL DGt HOT TUB/SPA 3.00 WATER HEATER 3.00 3. =ti LOT:BLOCK / SUBD. a&jovrc.(QA? I FIAOR DRAIN 3.00 3-cv GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 3 w 3 ROUGH OPENINGS 1.50 9.3a ADDRESS : I?y6 S ?/? .?9?? Ar/L S`J _ OTHER WATER SOFTENER 5.00 CITY: ??,/?GG- Zip; PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE #: s3,v'?6 ? SUBTOTAL S '?? - uv wl/ 0 L " ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: ?t12afER?iAI:'.I1?]DITSTB3AT?i ? ' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIA L BUILDINGS AND .._..,.:.,.. .,...: MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ____________________________________°-_-°-___-___--___--________-___ CONTRACT PRICE: FEES OWNER NAME: _ SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: t CITY: ZiP: PHONE #: FOR: CITY OF EAGAN 16 OF CONTRACT FEE. STATE SURCHPRrE ° $,Sp FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) PERMIT # REACTIVATE ? CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 APPLICATION (e-_ JJk 1 6 prm SINGLE & MULTI-FAMILV 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date & - 15 Yaluation of work Deck. Site Address: Ci/ylOYe. Dr. EQm-x At/(l 9,51,;L,3 STREET SUfTE M Te nt Name: (commercial only) IAT l0 BLOCR ? SUBD. n ( f ` P.I.D. * : t v n / Descri tion of work: c The applicarrt is: Jd Owner ? Contractor ? Other (Deeeribe) Name OK,O+ Z Phone_ 44' 99yy Property CAST ?RST Owner Address ?o a more, Dr. STREET STE N City State MAI Zip SJ1023 Company Phone COntr8Ct0r Address License # Exp. City State Zip Company Phone ArchitecU Engineer Name Registration k Address City State Zip Sewer d water licensed plumber Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read this a Plic tion and state that the information is torrect and agree to compl all app19 le ate Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant w OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 02 Sf Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 Sf Misc. WORK TYPE q 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex 11 09 12-Plex O 10 Multi. Add'1 ? 33 Alterations O 34 Repair GENERAL INFORMATION tonst. (Actual) (Allowable) UBC Occupancy t2-3 Zoning # of Stories Length ? Depth iWD3 ` APPROVALS Planning Engineering REGIUIRED INSPECTIONS ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Ftreplace W15 Deck ? 35 Tenant Finish ? 36 Move Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance , ?, ? ? p • r ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. O 19 Comm./Ind. Misc. ? 20 Public Facility O 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? ? Site Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Vermit Fee 1J?U Valuetim: Surcharge • P1an Review License MWCC SAC City SAC Nater Conn. Water Meter , Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units T LAND SUR V E YORS • U V IL [RCINEEBS . . l RND PI 11N?lE1?? • Certiticate of Survey tm:_J±±?`L? * .9oU.o Deitoles * oo.o Uei?ofes -----'-- Denofes --r -r- 0 von Lowe v Easemenf Iop Direclion Gal, &or iiIs shown ale OT &, BL ocW .r ,A0TUM1v niD6C 95a.14 ?Sg_67 04K0r.A COIJNry? M1NAESOrA i llerpnv «,uiv ci,m tni, e... .-. v. N,,, nr ?rpmt wns piepnrrd LV mn nr undrr, mY dirnul <np..?vi•:inn?„1h111:q I mn JuIV N i-w,ndf n d$nrvpYO, ?dn the IPwf nl lhe Sfnlr ol Minnn.sotn. bAlyd Ihia?'3fd 7 m dnY l1 D. 1? ?? , , ,. . i.I I , . i,i : t,; , 14aq1 4-5 Scale 40?_'n1 _ -?'- -- - --- 0 ? M \ 7177 Fntripiise prive _ Mvul,,ti II69lrts, MN 55120 . C_.__- II'1112I 601 1914 SZ oKA _- - ?? NoatN 123. a2 s8g° 41co Ele volion EOUMEU • 1991 IIVING/ERKIT#iFLICATION EAGAN CZTY OF SINGLE FAMILY DWELLINGS t4[TLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PI,ANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 itEGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS 1 SET OF ENERGY CALCULATIONS (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 SlHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE YERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLAWED 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 PLUMSER. To Be Used For: ?RyValuation: v . . a .. Site Address Lot ? Block ? Parcel/Sub /??,GCiyvWt &?40 Q owner ??'IZ2 ?l v?'2 p K?l Address 30;??? ?• ?? . City/Zip Code A4PLS, ,14'4r. s S413 Phone e.91 a2 8°e Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # .??. Date OFFICE DSE I'L31apV ? Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F R°3 ?t-I V-N v. N 5B, On site sewage_ On site well MWCC System ? City water -kf PRV Booster Pump _ APPROVALS _ Planner Council Bldg. Off. Variance ?? 6 / r 1,2 FNLY FEES Bldg. Permit 720,00 Surcharge o S d Plan Review 8,00 SAC, City l Oi00 snc, rtwcc (OSVO04D Water Conn. 62 QiUC Water Meter Siv j Acct. Deposit 30,00 S/w Permit 3 J?00 S/W Surcharge oh'b Treatment Pl. Road Unit 7 D Park Ded. Trail Ded. Copies SIIBTOTAL Penalty Lot Change TOTpL Sewer/Water Licensed Contr. -!;;C.czP agrees that all aoCk shall be done in accordance with (Si ature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. (:?ARAGS 3zx22= I 2? 2 ? (2 y? ?----- GSO X?S = VA L(A aTt ON iaZao , ?SrviT _-------- 3Z? 4?3 IS 36 rK?Se (r?) __---- )3ko = Ay3 ?- , /6Gy X ly = 2329 42 15's t"4aan ssynr - l66,U J IG72 X 53= '%b IZ2i 112 mrz 1Z31 oo,?- ? * * A$ 7197 Fnt??piisn Drive * PIONEER IANOSURVEYOtt3•tlVIILNWNEER3 I1A^?IfIn1011niqh15, MN 55120 Gflg?ile@I'?I'Ig•. ur+°w-"HHCm•Lnr+o.u.nrcnwcHrter,Ts ?* * II (517) 681-1914 Certificate of Survey Tor: v?INd.., IL NORTH a,??o262g, O- ?VE s a S a 78 >3 : 3942? 0 m? ??n` Ze 958,0 le $ Sz M e' o N,G? ?Q \ / M \ - 1 p Q O b/ o PN?osn?( J?` V 14 N ?n i? ..e D:At_]G ?? /? io q5op SL- - - - - - ? c ap D ?23.P?2 rED)EQU 41 ' 2-a" W 3a0 er'el D Elev, = 959. 7S x9oU.o Ueno%s [xc'slin E/evofion PR?oCO,SED f louSE ELfVAT , oo.o Ue?xtes Pr•opo?ed £levafion Lo %o?r f leva7iM 92, i4 -------- faenofes U?nina¢ei vfilily Evsemer? To p o; 'BlockCi?'valivn 9 s s_&7 -?---- Denoles DrrrincYQe Flo?+?'Direelion Gatx7jp .S/(rbf/evcrfivi) sa.s o Opnodes Alonuh3en! QParings shown vr•e vs.sumni oUeiv es q e fbb LOT ? ,BLOCk 1 ,QUTUMN IZQ:?C lx4KoTA COUNTy, MIN fSOTA 1 herirbY cenifv thnt thk wnv.y. ptan nr rrport wm prnpnrrd bV mp ar umler mV dirrr, apppndain'13"lhar 1 am dnly fl iatmnA - nd Sn.veVOr UOArf ihE IPWf OI tINf SIDtP o/ MinnCSOtA. OBfM thiR Z3? AnV of 3JI y A.D. In q11. / ? 9?345 - t ,.?,?1.T o. I•i 1 1 - „tt,: TM.,Aani Scale :1ko 1 40tvt - - - -?°- - , k DATE -7 -II-D OWNER SZTE ADDRESS L. o"r ??t ` Gie I ? ^/J CONTRACTOR PHONE WaJ -3(00I w?& -aK92 EXTERIOR ENVELOPE AVERAGE „U° COMPUTATION Determine Working Square Footage of Each. 1, Total Exposed Wall Area ..27-40,O?Sq. Ft. X,s,11 2, Total Roof/Ceiling Area .. )701.Sq. Ft. X .026 3. Total Floor/Cant. Area .S9• Ft. x? _ Total Exposed Wall Area Above Floor s I/C9 ?.L-p t, a. b. c. d. e. f. 4• Total Total Total Totdl Total Total Total Wall Window Area. . . . . . . . . . Door Area . . . . . . . . . . Slidinq Glass DoorArea .. . . . . . Fireplace Wa11'Area . . . . . . . . Wall Framing Area (avsraga 10!1 . . Net Wall Area Above Floor ..... Rim Joist Area. . . . . . . . . . . Total Exposed Foundations Area = h. Total Foundation Window Area ...... f i. Total Net Foundation Area Above•Grade .. Determine "U" Value of Each Wall Seqment. fl. b. c. d. e. f. 4- h. i. X "U" X "U" X "U" x "U" X "U" X "U" X "U" X uVn X "U" e a a 6 a a . a1577. s ? SUBTOTAL = ? ?LD, 4 TOTAL = a?7 If item N4 is the same as, or less than item yt, you have met the intent of SBC 6006 (c) 2. , Y t Total Ezposed Wall Area Above Floor a. Total wall window area . . . . . . . . . . b. Total door area . . . . . .. . . . . . . . - c. Total aliding glassdoor area . . . . . . _ •cx? _?_ d. Total flreplace wall area . . . . . . . e. Total wall framing area (avrg. lOt) f. Total net wall area abova iloor ..... ' g. Total rim joiat area . . . . . • . . . . , Total Bxpoaed Foundation Area Total Foundation Window Area Total Net Foundation Atea Ahove Grade =235,07 Determine 'UO value of each wall segment. 8. x U 10t7 N M C x p V p a• X OUM 0 . % n U f aV: ?? ' • x p u ~ ? h • x pUp i• x pUp SUBTOTAL = G ?, 75 ? 0 z_. j - d Total Exposed Roof/Ceiling Area / -7p].Oh j. Total skylight area . . . . . ., - k. Total flat roof/ceiling framing 'area . i„LO 1. Total net inslted flat roof/aeiling area M. Total vault roof/ceiling framing area-108 n. Total net inalted vault roof/ceiling area --' Determine "U" vaYue for each roof/ceiling segment. j • X "ZJ" k . x " U" 1. X °U" lCw ° . 111. ? X aVa n x .u¦ -- 5 TOSAL = 7 7C;2 W ? If item i5 is the same as, or lesa than item #2.??tiave met the intent of SBC 6006 (c) 1. Total Expoaed Eloor/Cant. Areas o' Do _ o. Total floor/cant, framing area (avrg. 108) , p. Total net insulated loor/cant. area ... ?^ Determine "U" value for each floor/cant. segment. 0. D X OU ° 05 _- p. 7 x "U" 6. TOTAL = .? ? If total of t6 is the same as, or lesa than /3, you ave met the intent of SBC 6006 (c) 3. ALTERNATE BVILDING BNVELOPE DESIGN ze the total To util envelope system method, the values established ? by the um of 3tema 14, i5 and #6 shall not be greaCer than the sum of items tl, t2 and #3. 1 4 2 ? 3•? ° ?? ._?U/. ?_ . ? 4 9?LD ?y 5.??? G. I ?? . - ? Prepared ?? y??•'•" )9 .-? - ? _ ll Date '?-/ / -p /L r 7'Fltl) 5TUf1 . '%F-! S.R. b SIDIHG I .I ? lnt, /:ir .GB s:n. .45 S t ud (y, fj''1 Shtg. a.o(9 Sidtng I kl Cxt. Air .17 Total "R " =/1,04' lIRc NUp =m TNRU CLG. M=Y:9ER 1 Iht. Air ,61 S.R. (?-") JZO cI8. rlemb. 11.35 Ins. QU") ?JI Ae2 5ti11 Air •.61 7ots1 "R" = 3'75'J •1/?. a nUu TIIAU U.S. 41A4L Int. Air 6u u/ S.R. L SIDTNG S.R, Ins. 1`f,(X7 SH7G. ac,co Siding .?/ F.xt. Aim .17 Total "K" a 1/R = "U" = ? THRU CLG. IliSULATI01l Int. Air .61 s . n . (d-" ) .57o Ina. (/9") -fl•W Sti21 Air .61 Total "R" = yJ•?? 1/R THRU CONC BLOCK•,Iht. Air .60 C.B. (laN) Opt. 'Ins. 'rJC? Ext. Air .17 Opt. S.R. ? Opt. Sid•. Total "R" z 7,6 • ]/A s nUn THRU_k7H JOIS? Int. Air ,6e Ins. 1y ov 1%" Wood .1.89 Shtg. o7.0(v Siding 1911 F.xt. Air • .17 Opt. 6rick Tatal "R" 1/R - ?U? r P4if ST•U}J Int. Air .68 THRIT INS. Int. Air .68 G/B" F.C. Stud 5/6" F.C. S.R. (Qpt.) Shtg. S.R. BOTH SIDES (Opt.) Shtg. AOTH SIDES Ins. 5'/8" S.R. ..56 5/e" S.R. .56 5/8" S.R. .56 S/8" S.R. .56 Ext. Air .17 Ext. Air .17 Total "R" _ ?otal "R" _ 1/R 1/P. - nUn = ? THRIJ STUD Int. Air .68 TNRIJ IAIS. IdALI. Int. Air .68 w/o S.R. Stuft w/o S.R. Ins. w/ SIDIt•'G Shtg. w/ SIP.ITJG Shtg. Siding Sicling .i Ext. Air .17 Rxt. Air .17 I Total "R" = Total "R" = ? I i 1/R = uuit _ 1/F THRII MT'MBF.R Int. Air .92 '"HRLI IP?S. Int. Air .92 AT CAP'T. Carp.-Pad 07.08- AT CA*?7'. Carp.-Pac? Vinyl -- Vinyl ? Und. Dnd. r Ply. ,qy Ply. • , Qy ' Joist Depth f/,SZD ? Ins. 3C7OU ' Ply. -17 Ply. Ext. Air .17 Fxt. Air .17 Total "R" = /(p, /c/ Total "R" _ 3Y5y" 1/R = ???J" _ EXE] 1/R= ffLi,l = yM t ; MJ??? AUTMW pRa884YS AEDQC=56 1/uVE ROLZEMM • . This Aqreement, mada aad entered into the /1C day c! /7L/? U ST , 1990, by and betveen tAe CITY OF EAGAN# a mrticipality of the Stata oP ![innesota, (hereinalter ealled the • City), and the Owner and the Developer identitied herein. ? The tarm "Daveloper» as used herein rafere to: AUTI1lQ1 RIDGE yD1ITEp pARTNERSHIP, a Minnesota limited partnership, c/o JNSES pEVgyppNENT COISPANY whose address is 7808 Creekridge Cirele, Suite 310, Bloominqton, Minnesota 55435. TAe tarm •Owner• as usad harain refers to: AUTUt4l RIDGE LIltiTED p11RTNEFSHZP, a Minnesota limited partnership, c/o JAMfiS DEVELOPMHiT COMP)WY rhose address is 7808 Creekridqe Circle, Suite 310, Bloosinqton, Minnesota 55435 and RUTft CONRAD vhose address is 5015 - 35th 1lvenue South, Apartment 215, Minneapolis, Minnesota 55417. . .' i1F(EREAS, the Developer has applied to the City for approval oP tha plat or subdivision knrnm as AUTOl41 1tIDGE, located vithin the City; and pHEREAS, the p"ner and Developer aqree to aotify the proposed potatftial 6uyars of all lots viihin AUTtllQ1 RIDGE that Lots 1-7, Bloek 1, Lots 1-8, Blxk 2, Lots 1-9, Block 3, Lots 1-17, Block 4 and Lols i-S, Block 5, are in a hiqh vater pressure zone aad a pressure reducinq valve shali he installed in each home belov the elevation o! 966 faet. All costs shall be the iesponsibilfty of the Ovner and Daveloper and ehall be installed to prevent damage due to high water prassure. `:'?:? NOfi, TiEREFOitE, the City, ovner and Developer eqree as folirn+s: 1. Becordina. Thfs aqreement shall be recorded with the Dakota County Recorder so as to provide notice to the ovners of Lots 1-7, Block 1, Lots 1-8, Block 2, Lots 1-9, Block 3, Lots 1-17, Block a, and Lota 1-5, Block S. The Omer sAall provide and exeeute any and all documenta neceasary to implemeat the reeording of this agreemant. Z• N9.Licg. The recordinq of this document shali constitute notice to all ovners and tuture owners of property in the AUT[1lN RIDGE subdivision that Lots 1-7, Block 1, Lots 1-5, Block 2, Lots 1-9, Block 3, Lots 1-17, Block 4 and Lots 1-5, Block 5 are in a high water preasure zone and that a preasure reducing valve shall be installed in aaoh home below the elevation o! 966 Peet. All costs shall be the reaponsibility of the Ovnez and Developer and shall be installed to prevent damage due to high vater pressure. 3. Validitv. If any portion, section, subseetion, sentence, clause, paraqraph or phrase of this aqreement is for any reason held to be invalid, such decision ehall not affect the validity of the remaininq portion ot this Contract. 4. Bindinv xareement. The pariies mutually recoqnize and aqree lhat all terms and oonditions of this recordable aqreement shall run vitA the land herein described and shall be binding upon the heirs, successors, administrators and assiqns oi the owners and developers raterenced in this Contraet. IN WITNESS WHEREOF, ve have hereunto set our hands. CITY OP OWNERS: ASiTOl47 RIDGE LIMITED PARTNER.,^HIP, a Minnesota limited partnezship, % Hy: JAMES DEVEiAPNENT COISPANY, Wmas A. aa a 1Sinnesota Corporation Ilf: ISayor ILS: Ceneral Partner test . J. VanOVarbeke y: Date Its: ity Clerk Its: 1747 / gy; nate Zts: ? Y"& RUTH CONRAD at DEVEIAPER: AUTOl47 RIDG£ LIMIT£D FARTNERSHSP, a Minaesota limited partnership, Hy: SAHES DEvII.OPMII'1T COMPANY, a Minnesota Corporation its: General Partner 'J/`W gy; ^Date ItS• -r ? gp; Date Its• 5TATE OF NINNESOTA se. COUNTY OF DAROTA 1 On this Zryjl? day of d--'o' 1990, bafore me a Notazy Public wittiin snd !or said Coun, , peraonally appenred THOMAS A. EGAN and E. J. VanOVERBIICE to me i5ersonally knovn, who beinq each by me duly sworn, each did say that they aze respectively the Mayor and Clerk oi the City of Haqan, the municipality named in the loregoing Snatrumant, end that the seal atfixed on behalf of said municipality by autAority of its City Council and said ttayor and Clerk acknovladqed said inatrument to be the free aet and deed of said municipality. uAr,tr L ?atrtrrmi6 -7 Iq'APY R-.M. - 1n^NESOTA 111 ? DAKOTA CCVNTV N tII PtlbliC 1// Commrs:?en (?0 icD / 1^,,..1 = Mrn4f ? ST71TE OF ![INN850TA ) ) as. CODNTY OF ) On thi day of 1990, before me a Notary Public v i. nd or said County, personally appaared to me parsOnallyZ' known, who bainq each by me duly s n„ ch d' say that tl?ey are respectively the St___-- awd o! TAMES DEVEIAPriENT COMPANY, a Itinnasota corporation, ganezal partaer of AUTUlai RIDGE LIMITED PARTNffitCH? a Minnesota limited partnership, to me personally knovn, vro be}g? , me duly sworn, did say that they are the S IILS ari of the corporation and limitad partnership named in the foregoinq instrument, and that the seal atlixed to said inatrument was siqned and led on h??f of said corporaLion and limited partnership and said L Wf& acknowledged said instrument to be the free act and deed of said corporatfon and limited partnership. C. Notary P ic NMOp? ? •? ? t? ti _ . ?:,:. ._ .,. . .. _r. a?t._..._..._. . .. . ? ' -- - •'?I?? 4?? r•?? ) STATE OF N;NNESOTA ) ss. COIINTY OF Wn4?y-) On tAis ILI- day of !I , 1990, before me a Notary Public vithin and for said County, ersonally appeared RUTH CONRAD to ¦a peraonally known to be the person deseribed in and who exeeuteII the foreqo3nq instrument and acknoxledged that sAe ezecuted the game as har lree act and deed. .?..__. v-&c,,, E . ?/ Notary Public APPROVSD AS TO FORM: t?ttorna o ted: 9 APPIt0V8D 11S TO COtiTENT: Public works epartmeat DatW• 8'7-90 T9IS INSTRUlENT 91A5 DRAFTSD BY: SBVM2SON. tiILCOX i SHII.DON, P.A. 600 Ilidway NaCional Hank Bldq. 7300 xest 147th Streei llpple valley, !N 55124 (612) 432-3136 lEGD 2007 RESIDENTIAL PLUMBING aERMiT APPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ase complete for modifications to existing residential dwellings. ? 1 2N / O?- :e a Street Address Unit # C*'A L"Y-' wA`'?-v Telephone #(? iperty Owner P:echone r :; f? z"' acTor t r, r ' SQ StaceMfN C ?- ' t Ol? J? ? =,>oplicarf,s: ^wner )L Contrctcr _Other ? ?erurbished :-omir = sets of pl2ns and iVIFC icense i Inc! New stem ic S cdes County iee J ? _ _ y .c ; f,? J,0 ? ?eras-built ',0.00 ? 90.00 i a ,Reoair irepiace our^ed oui'ixtures, acc.; i ? ; 50.OG ? :-a'tions to zxis.ing dwelIing aa?? ,iumbine ?', -=s. -ti;s ?ee ncludes ?n=:=.lation -r ?.vater ofte?s- andlor wa 2r ? ieGcer 3i ?he same ::me. :f you ?re ;nstallj ?g ????1v i 'Nacer sortener md/or water ? heater, do -o[ complete his iec:ion: mo,.a to [he ne; i:ecnon ana check the i ? ?Dciiance?s;; •;cu are ;r,scallinc. 9 Septic =vstem abanconment - I , Water Turnaround (2dd 5136.00 if a 5!8" me[ar is reGuired) Other: Water Softener ? Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 $ 50 ite Surcharge $? tal ' ?reby apply for a Residential Plumbing Permit and acknowledge that the information is complete and rk will be in conformance with the ordinances and codes ot the City of Eagan and the plumt Jerstand this is not a permit, but only an application for a permit, work is not to start without a ermit ? :ordance with the approved plan in th event a plan is req red to be review d nd ap ved. ?????? Applican plicant's Printed Name Signature be in 2 8 2007      ï  þ    ýøý     ÿÿ þ üüû     ùþþÿÿ úîõí   ÿÿóò  ë   ÿõ  ÿþýüûúö æù â ùÿýüû úùýüûúö æù ÷öæòû ó  ùûíÿ  â ÿ âðëðáÿû ü Ü àÿ ùé óûù ó óùàÿù óù  þùó î ø ùööû  øùøù ó  ÿ  ûîâ øùø  û øù   î â ùþóãù  ùùàÿùþü ö ø óüó î  éäëÞäììîñìîðìñ ôù  ÿù ù ß ÿ äëÞäîñêîêñ ß ÿ ë î  óò õ ñ÷ ûû  ùùùù ÿóþùâóû üÛú  êðëù î÷í óùù ÿð  õ÷ññë ùü ùõ÷ññðì èêñå ùþü ö   ù   ûû     øùó  ùù  ùóûüö  ûû þ  øõ   ÿ  âüø  áù  î ûû æ ÿü ÿù Use BLUE or BLACK Ink r -+ (;;OFE,q For Office Use tits1CIL/ 7 /( / tt ; ; •a• 'y Permit#: . ., / Fee: O .:259e<r s N S° Permit Fee �$� Date Received: 3830 Pilot Knob Road I Eagan MN 55122 Staff: Phone:(651)675-5675 I Fax:(651)675-5694 buildinginspectionst cityofeagan.com 2017 RESIDENTIAL = UILDING PERMIT APPLICATION Date: ` Site Address: t ` / J10DUnit#: Name: �EJ/1n "L) Phone: J1"3C7-'45-"efie) Resident/ Owner � �' ' Address/City/Zip: W101b bOf Applicant is: Owner K- Contractor Description of work: i; � • 9v.= . Type of Work Construction Cost: 7q 63.7-. "") Multi-Family Building: (Yes /No Company: _ r { ( , r Liw'1 I l�Pl ' Contact: ii 0, P _ Phone24 :(.6Address: 91?I 3/g14• i City: O. Stater Zip: 5) t Phone:4i -)-22,- q` mail cS .' j /i— -ld' License#:?C.-21043 if( Lead Certificate#: If the project is exempt from lead certification, please explain why: /; 4 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-•ublic if •u •rovide s•ecific reasons that would •ermit the Ci to conclude"that the are trade secrets.ordinances by You may subscribe to receive an electronic notification from the City of proposed update a " ._... signing up for an email updattee on the City's website at www.citvofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 permi k is not to start without a permit; t t the work will be in accordance with the approved plan in the case of work which requires a review and pproval o plans x D,41,0 . ,i,,)t` pas x -S� Applicant's Printed Name 1 App icant's Signature ) Page 1 of 3 For Office Use 0 /� ,�!:tØ E AGA N Permit Feer Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(a�cityofeac an.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J 1 d Site Address: l 4� �. Unit#: Name. {1/t 1'V Phone: 66( "357-58' Resident/ ," ',Owner Address/City/Zip: (000 1—( vt tom„ kp) Applicant is: X)Owner Contractor Type of Y11lric Description of work: � , +- I y Construction Cost: (4 d 1©80 ,0 Multi-Family Building:(Yes /No/> ) ` µ Company: ,e,, , L.... Contact: b '&,tr Con#rac#Qr rFihn Address: 17-7 i 312-41� £` � City: -✓ a._--re:126 t State:iry Yv Zip:15_15__ _ Phone: (o 12.72 -1 email: d5 rb l`e---C--4 b(4/1.tie/— License License#: BC2,1:::›7)f I 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 mat usubmit are consider be public.information. Portions of h infor ation maybe :., classiest as non-, b is ifyouspecific reasons that' .. Y" . ,..:e Plies... provideaild.permitfhe;Ci;yto41tY ..r. .za its e:` You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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, .,n. is not to start without a permit; tha the work will be in X r e with a ad planl in the owork which requires a review and ap•royal of. -ns. d– a • ,.-.. kr Au App nt's Pri ted Name Applicant's Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149544 Date Issued:05/29/2018 Permit Category:ePermit Site Address: 600 Hackmore Dr Lot:6 Block: 1 Addition: Autumn Ridge PID:10-12300-01-060 Use: Description: Sub Type:Residential Work Type:Gas Line Description:Only doing the gas line for a fireplace. 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 - John E West 600 Hackmore Dr Eagan MN 55123 (651) 484-2447 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature To: 6516755699 From: 7637108061 7-18-18 9;30pm 2 of 3 (1c_ For Office Use ‘..4.,. �r.• :::: : �. � E'o/lEAGAN � (p 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: Z-1 /8 V (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 buildinginspectionsta"?ciiyofeaoan.com Staff: L ., 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date s, ghS Site Address: 600 Hackmore Dr Unit#: John West Name: Phone: 651-681-8076 1 1 Resident/ i Owner I Address/City!Zip: 600 Hackmore Dr, Eagan 55123 1 1 Applicant is: Owner X Contractor I Replace existin overhead a Type of Work Description of work: 9 garage door on attached garage. I I $3000.00 1 I Construction Cost: Multi-Family Building:(Yes 1 Na X i a Company:AA Garage Door LLC Dave Sands Contact: i Contractor Address: 562 Lundy Lane City: Hudson , State: WI Zip: 54016 Phone: 551-702-1420 dave@aagaragedoor.com garagedoor.com F..m....w..-,,..,,..�..-_ I License#: Lead Certificate#: NAT 671642 If the project is exempt from lead certification, please explain why: [? d j 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: ii ii Sewer&Water Contractor: Phone: i IFire Suppression Contractor: NOTE:Plans and su Phone: pporting documents that you submit are considered to be public information. Portions of the information may be --' ' classified as non-public if you provide specific reasons that would permit the Ci toconclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. ca 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.gocherstateonecall.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 appr I o plans. xDeborah Nyasendex 1 t itfi (1)(130-04C— Applicant's Printed Name Applicant's Signature