616 Hackmore DrCASH RECEIPT
CITY OF EAGAN ?
3830 PILOT KN08 ROAD
EAGAN, MINNESOTA 55122
OATE
4 • ?- ?
REa? yl? a,
AMOUNT
? JV f
8 DOLLARS
,oo
? CASH _a CHECK
W/ 7
C ? 2769 '?'?-P??
Yeft? copr
..._.._.?_Pwnk-fd.cooy....?_
Thank You
BY ?=?
//YL
, CfTY OF EAGAN
130 Pilot Knob Road, P.O. Box 21-199,
PHONE: 454-8100
=131,000
Site Adfess ?•? `???"? -
Lot Block Sec/Sub.
W Name ?'?147iT b /1SS()(:lA'[gS 1NG
0 Addres
City Phone
Name
Name
Address
City Phone
I hereby acknowlege Ihat I have read this application and state that the
inlormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of apoes:^ _
Signature ol Permitee
"CKNIGii? & ASSOC IDIC
A Buildirg Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
8uilding Official ?
,A?i,?, , _ •- _ .
18847
Eagan, MN 551,21 . ,? ,...?
Receipt #
oate ? 4 1 9 91
OFFICE USE ONLY
?-?
1l-1
Occupancy FEES
2oning
74?'?
(/actual) Const ? Bldg. Permit 63•?
(Allowable) _ Surcharge
N of Stories ?$6.QQ
Length
?r Plan Aeview
100.00
oWm - snc, ci,y
630.00
S.F. Total
S.F. Foolprints -
- SAC, MCWCC
660.00
On Site Sewage _ Water Conn
95.00
on site weu -? Water Meter
MWCC Syslem
?-
Acct
De
it ?•?
Ciiy Water ? .
pos ???
PRV Required S/1N Permit
Booster Pump - S/W Surcharge .50
276.00
Treatment PI
APPROVALS 370.00
Road Unit
Planner - park Ded.
Cauncil - , ?Q
BIdg.Of1. _ Copies .?
? •
Varianca - TOTAL
PermM No. Permit Holder Date Tekphone #
WATER Q ? c? 9
SEWER
PLUMBING
0 9&0
r+.v.n.c. ?jp /v 9/ ?(iG -GD
E?CTRIC
Inapeetion Date Insp. Comments
?ings I y/s 9 w '
Founda6on
Frayiing S- ?-9i ps
RoofoV
Rough Plbg. -z^q
Rou9h Ht9.
?. S?s 9/ Ds
Frceplace
Fnal Ht9•
Fnal PIb9.
Consl. Meter Plbg. Inspect ti lumber
Engr./Plan
81dg. Final
Deck Ftg. L
OeFlc Final ?--
WeU
Pr. Disp.
?
DATE: APR 8, 1991
?-? • ",?
616 H/?C1QNORE DR (l4CKNIGHT b AS30CIATES INC)
RE:
X ? -
ur Sewer & Water Permit for the above property has been completed. It will be held at the
?Public Works Garage (3501 Coachman Road) untii the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your 5ewer & 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 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.
- REQUIRED BY LAW.
I CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
?
? Secretary, Building Inspections Dept.
I .
$ ? 7i .($' 1 . o'? , ? ? ?.
Aw-
?r --
?
(ger#i#iraft uf Orrupanry
titp of eagan
lorpartmritt of luiibiag 3wertinn
,
This Certiftcale rssued pursrrant to tJre requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building consuuctiox or use, For the fo!lowing:
use claWficalion SP DWGXrAR Bw Pamil No. 18847
R VN
Occul-r Trv? NC3?]I(? 6 AS40C?[SS
o? or eWum? Aaarm
ewldins naa?s ? LoWity
? Bmum Officod-T a? -
10/24/Q1
LAKE
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 111 1 0 1 Ni
3830 Pilot Knob Road Permit Numbei: 8 7 0
Eagan, Minnesota 55122-1897 Date Issued: 3 0
(612) 681-4675
SITE ADDRESS: ` -1 - " ' ' '' n
.
I.c) t o
• ! i? r' Y' M! e:? ?t i" i3 f.
PERMIT SUBTYPE:
APPLICANT:
N k 0C t; :
TYPE OF WORK:
l,; ( , - ! ! t!:;
A1 TF ftfli 1 ON
rO 0 11 A'.f nf N r trt 0 Hac,41 aF,
INSPECTiON DA . rA
.IJ ??.i I f I`?, } ? tJr", i
? ?sAP KS : ?.F-E'ARA tr, f'E'R MTis R f 0 " Ik f.tt F'clR pNY lTtUMFttk[, [)R fl.E['1'k 14.A 1 t.1ilFtk
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspeetion Date Insp. Comments
FODTINGS
FOUND
FRAMING
Qj
r?
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY 604p?GAN METER # PERMIT DATE 04/08/92
3830 Pilot Knob Rd. 12903
Eagarfi, MN?5J122-1897 CHIP # PERMIT #
0 METER SIZE B.P. RECEIPT # --
k DATE ? APC 4. 1991 ISSUE DATE B.P. RECEIPT DATE oA /04191
X PRV - BOOSTER PUMP
SITE ADDRESS 416 RAClQdORE DR PERMIT REQUESTED
LOT 2 BLOCK 3 SEC/SUB wUTUMN RTDGE X SEWER X WATER - TA
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER:,"
ADDRESS: ???? 12469 LII?F
CITY, STATE ZIP
COMMlIND X
A NEW - EXISTING
Lawn Sprinkler Meters are to be Ins
Ahead of Domestic Meters on Water
Credit WILL NOT be given for Qeduct M
WITH CITY OF
OWNER: NCKNItH't 6 ASSOCIATIB ItiC EAGAN ORDINANCES ?
ADDRESS: 14198 CONMRCE wVE Ii8 f ?
CITY, STATE PRY0R LAKE !4d Zlp 55372 ?
PHONE: 440"7100 SIGNATURE WHEN METER ISSUED ?
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STO
SEWER PERMITS, CONTACT ENGINEERING DEPT.
= ? - - - --? ? -? -- --
?..>.,.,,??
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE ApR 4, 1991
METER # r'r ! °"° ! o /
cHiP # b? 33 y/ 8' 3
METER SIZE 4 ' ?''JS?
ISSUE DATE 6 - / 7" 71
?E ONLY
PERMIT DATE 04 J 0"
PERMIT # 11903
C I 'iB_P. RECEIPT #
B.P. RECEIPT DATE 04 d4 91
X - PRV - BOOSTER PUMP
SITE ADDRESS 61 C IiACKMOi:E DR
LOT 2 BLOCK 3 SEC/SUB AUTUMN RIDGE
APPLICANT:
ADDRESS:_
CITY, STATE
ZIP
PHONE: -
PLUMBER:
YZSXBOMX*Y$ 124,69 ZINRA.N AVE
ADDRESS:
CITY, STATE ZIP 55378
PHONE:
:R: MCKNIGHT & ASSOCIATSS INC
ESS: 14198 COMMExCE AVE NE
STATE P&IOR LAKE MN ZIp 55372
440-7100
PERMIT REQUESTED
X SEWER Y WATER - TAPSil
_ COMM/IND X RESIDENTIAL
X ryENy _ EXISTiNG
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WIL,L NOT be giv,en for Deduct Meter-5.
CITY OF
ISSUED
fW0 WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
, ..-J
CONTACT ENGINEERING DEPT. -
CITY OF EAGAN N2 18847
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BU14DING PERMIT Receipt # Ci
Tobeusedfor SF DWG/GAR Est Value $131,000 pate APR 4 7g 91
Site Address 616 HACKMORE DR
Lot Z Block 3 SeGSub. AUTUMN RIDGE
Parcel No.
w Name MCKNIGHT & ASSOCIATES INC
e Address 14198 COPBSERCE AVE NE
City PRIOR LAKE phone 440-7100
Name _
Address
City _
Phone
r
ww Name
?5 Address
aw City Phone
I hereby acknowlege that I have read this applicauon and state ihat 7he
informaaon is correct and agre .to comply wdh all alicable State ol
Minnesota Statutes and City ot 3gan Ordm
?& ?CA
Signalure of Permitee, I ? 1?
n euilding Permit is iss ed ro: MCIINIGHT & ASSOC INC
on the ezpress cond) on that all work shall be dono in accordance with all
apphcable State ol FAmnesota Statutes and City of Eagan Ordinances.
8uildmg Official
OFFICE USE ONLV
Occupancy R-$ M=1 FEES
2oning R=1
(ACIUaqCOnst V?-'?. BIdg.Permn 74$•00
(Allowahle) V-- u Surcharqe 65.50
A of stories
S?F?
Plan Review
486 . 00
Length
Depih 331 SAqCity 100.00
S.F.TOtal - SaC,MCWCC 650.00
S.F. Foolpnnis -
660
00
On Site Sewage - Water Conn .
On Site well - Wa1er Meter 95.00
MWCC System X
Acct. Deposrt
30.00
Cny Water x
PRV Required X S/W Permit 30.00
Boosler Pump - SMl SurCharge .50
Treatment PI 276.00
APVROVALS RoadUnit 370-00
Planner - park Ded.
Council -- SD
BIdg.Off _ Copies .
Variance - TOTAL 3,511.50
a primed in Ihis box
?f/? C? OFFlCE USE ONLV This request void 18 monihs (rom validanon l dm A ?C ?J .
S" 7
? II?
I? I`II•I I?IIII IIIIIIIII II
? Q17
II
?? - / O
IIIIIIIII ?
?
* 0 4 1 6 2 0 5 3
PLEASE PRINT OR TYPE
D
Request Dare
y 30 RooghJn inspaclion reqwredd Yes ? N.
(You mos? mll ?he inspecbr wha readyj Inspecnon Oiher Thun Novghln
Dare Ready:
: ? Reody Naw W II Coll
I, ? Iicensed confractor $a owner hereby request inspection of the a6ove elechicol work at:
l06 Address (Shcef, Bw, or R/,auk No I
? 0.ClC r or`?t- Ciiy
lea wn Zip Code
.l.S
Secfion No Township Name ar No. Ranpe No. fiw No. Cauny
q. k ?
ott??v^
11ev'. 9 v?e No. prt 4.K
PawerSupplier Address
P
Elechical Gonrcocror JCompony Name) Canrcacl« Lcense N. Masix Oc N. (Plonl Elecl. Only)
e
Nwiliig Address [Connoclor or Owlrer Yerfarming Insmiloiron)
ANh ' - ewN`(Cimnisear or ?erformng IiuMllonan) ?hoae No K
7 SgYa
8/96 crelc wneon rnw _ crc iurroiurnnuc nu werr ns vci i nw mov
416-a20-5
REQUEST FOR ELECTRICAL INSPECTION 7O?4
Ell Minnesota State Board of Eledriciry
1821 University Ave, Rm. 5-126, St. Paul, MN 55104
Phone (672) 642-0800
Home Duplex A f. Bldg. Other New Addn
Commercial Indusfrial Farm Remod Re ir
Air Cond. Htg. Equip. Water Hk. Load Mgmt Olher:
Dryer Range Elec. Heal Temp. $ervice
"X° obove the work covered by rhis request. Enter remarks in rhis space and on Ifie bock of k1e while ropy only.
Colculate Inspecfion Fee - Tha /nspection Requesf will not be occepled without fhe rorrecl iee:
Other Fee # Service Entrance Size Fee X Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sheet Ltg./TraRic Sig. Above 200-Am s Above 100-Amps
Tmnsformer/Generoror INSPECTOP'S USE ONLV TOTAL
?ry
?
,
$ign/Oudine llg. Xfmr. ?
1
?J V
Alarm/Remote Control
Swimming Pool i hereloy can1 elcrn?c in:miloiwri dau.i66d herain on ihe dares sWlikl
Irrigafion Boom aoophte Dah 7
Speciallns
ection ?
p
Invesfigafive fee /
F??I ,-- ? ?k,2j 2A Z
"ff
THIS WSTALLATION MAV HE ORnEREO DISCONNECTED IF NOT COMPLETEO WITNIN 18 MONTHS_
yK
00
p06960
Pequest Dele ?
%?
? Fre No Ro4qh-in Inspeclion O '
Ready Now Will Nofiy Inspector
?
Wh
R
a
'p Ves C No en
ea
y
I` licensed coniractor D owner hereby request inspection ol above elechical work at:
ab AdtlreS; ISiree[ 8ox or te No ?
cv.?cr Cdy ?
Senion No rownship Name or No Ranqe No Counry
OccuOantI
? Phone No
e%fr
pel
Power Sunptier 1 LF
I?l ? Atltlress
Eiec;ncalGOmr ,or Company Na -
+ ConVactor5
Lmense No
Meiling Adtlr I Vaclo, or Own r kmg Installalilon,
67
?/
AulnonzeC Siqnaw?wner aki?alon? Phone Numb? ?
/
MINNESOTA STATE BOARO OF ELECTRIQTY THIS INSPEGTION REOUEST WILL NOT
Gnggs-MiEway Bltlg - Hoom 5-173 BE AGCEPTED 9VTHE STATEBOARp
1821 Umversity Ave. Sf Veul. MN 551pC UNLESS PROPER?INSPECTION FEE IS
PM1One(61])663-0900 ENCLOSED
HEQUEST FOR ELECTRICAL INSPECTION
? See mstmqions for complxpng this tonn on back ot yellow mpy
R n-rj C.Q r)n "X" Below Woik Covered by This Request
o-?6n e
EB00001-08 n/
? ??O ? r'f d
Adtl Rep. TypeofBuAdin9 ApphancesWired EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt 6widing Dryer Other (Speafy)
Comm /Intlustnal Furnace
Farm Air Conditioner
Othe?lsyemly? Contrac?ors RemaMs
Compute Inspechon Fee Below.
r? Other Fee # ServiceEniranceSize Fee # Circwls/Feeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps ove 10 = s
S1905 Inspectors Use Only ry
?
l/ T
Irriganon BoomS ?
U
Special Inspec[ion
Alarm/Communication TMIS INSTALLATION MAY BE ORDER Ill ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
1. the Electrical Inspector, hereby Ro°9n-'" • Date ^? ?!
certifythattheaboveinspecnonhas
been made Finai /
^ o - /
OFFICE USE JNLY ?
This requesc voia 19 manths trom
69/9 /5 7
458?sz2 91
REQUEST FOR ELECTRICAL INSPECTION ??
Minnesola State Board ot Electnr,ity
_
1821 Unn?ersity Ave., Rm. S-128, St. Paul, MN 55104 -
Phone (612) 642-0800
Home Duplex A t. Bldg. Olher. New ddn
Commercial Indushiol Form Remod Re ir
Air Cond HI . Equip. Wate! Hfr. Load Mgmt, pther:
Dryer Range Elec. Heot Temp. Service
"X" above fhe work covered by fhis request. Enler iemarks in t6rs space and on the back of the whife copy only.
pQV.xx A-t) c?s ?rt?re.p to"t?
CalculoFe Inspecfion Fee - 7his lnspection Requasf will not be accepred wifhoul fhe carrecf fee:
Other Fee S Service Entrance Size Fee A Circuifs/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 l0 100 Amps
Sheet Lfg./Tmffic Sig Above 200_Am s Abo Amps
TfanSfOfiner/Genefabf INSPECTON'3 USE ONLY TAL
Sign/Oulline Lfg. Xfmr.
Alarm/Remote Control
$wimming Pool i hareby ?em lhm i in, ? mi i mllanan dawibed herein on ihe d?sb
Irrigalion Boom RwqMn Dole
$pecial Inspecfion
Investigafive Fee
Fnol Doie
THIS INSTALLATION MAY BE ORDEHEU OISCONNECTED IF NQT COMPLETED WITHIN 18 MONTHS.
G C? OFFICE USE ONLY This requestvaid 18 monPos &om wlidafion dote pnnled m Ihis 6ox
? - 7 Hc-Pl
9e
acrlllllll?IIIIIII?IIIIIIIIIIIIIIIIIII ?II???3, ?????? /•?-? r-
a
?
* 0 4 5 8 6 L 2 9?K y
!?
PlE SE PRINT OR TYPE
Raquesr Dare RougF-in'nsQeCri«? required2 ? Yes EW. Inspecnan OiMr Than RougMn: ? Ready Now ?flR?ll
-? ?Yau mmY <all the inspecror whm reoM Dak Ready:
I, icensed conhattor 0 owner hereby requast inspecti on of the above elechical wark al:
,
lab Address (Slreet, w Route No )
? Iy
G
?
Zip Code
1911D 1
a Ye. v)
Secfion No. Township Name or N. Range No. Fire N. Cauny
Ottopam ? `
1 Phone No. ?
Power Supplier Address
Elttmml Connotla (CompaM Name?
?? A . e?)(? Conrcacbr Liceme No AMeler Lc. No ?
Mni ing Address (COnhrcw or Owner Perfofmi Insmllanon?
S?
Q 55 i Q
N
p
-e. L
LL
Aothonzed $ignaNre (Conhacror or Owner Performiy Insbllanon)
_&-,b uAlriz_nI -Q^ l?
Phorc No.
tE60qN1#&j_8/96 , A y7pTE BOAHD COPY - SEE WSiAIICiIONS ON BACK OF VELIOW COPY
d/W9i
a 66886
REOUES`FOR ELECTRICAL INSPECTION
ll? i1ee msimctians for comple0ng this form on back ol yellow copy.
"X" Belaw Work Covered by This Request
ee.oooo, a
???'? JOO?oO?
?. ;,..?
ew Adtl Hep: '-'?ypeofBuiltling ApphancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heahng
Apt. Building Dryer Other (Specify)
Comm.llndustrial ' Furnace
Farm Air Conditioner
Other (specily) ConVactor§ Remarks
Compufe Inspection Fee Be/ow:
# Other Fee # ServiceEnirance5rze Fee 8 CircuRS/Feeders Fee
Swimming P001 0 to 200 AmpS O l0 100 Amps
Transformers A6ove 200 _ Amps A Amps
SIgf15 Inspecmrk Use Onry' C"V.9 TAL yv
Imgation Booms 00
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WffHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rou9n,n oere
certify that the above inspection has
been made. Final ? Date Y
OFFlCE USE ONW
This request wi0 18 monIDS 1rom
?
?
68 8 6
?6 ?. ,?ao 00
?C o2 .3 ?
Request Dare Fire No Rough-m Inspact
?o
? Ready Now ill Nonfy Inspeclor
When ReaO
'
? No y
I licensed contractor ? owner hereby request inspection of above electrical work at:
Joe Atlaress (5 eet Box or Rout rvo.) Pry
C
Sechon No Township Name or No Range No. Caunly
Occupant ) Phone No.
Pawer SupOher Atldress
";-6
Electrwsl Conhact mpeny Namel ConVattor§ Lcense No
?P
MaAing ACtlres (CO &w orO.vner Making Installa?ion)
a?. ??
Authonzetl Sgna CoMratlorlOwner ing Ingallatwn)
O?GU ?A?/ Phone ?N/umbe?r
/UT O( ?/
MINNESOTR STATE BOARD OF ELECTflICRY TMIS INSPECTION REQUEST WILL NOT
Grlqga-Mldwey Bidg - qoom S478 9E ACCEPTED BY THE STATE BOARO
1821 Unlvernky Ave., St. Peui, MN 55100 UNLE55 PROPEF INSPECTION FEE I$
pMna (612) 642-0800 ENCLOSED.
Address: 616 HACMDRE D?tIVE LOt Z Blk 3 Sec/Sub ALTIpIN RjMM
These items were/were not complete at the time of the final inspection.
10/24/91 Yes No
Final grade (6" from siding) ?
Permanent steps - garage UI_/
Permanent steps - main entry
Permanent driveway Ll?
Permanent gas Ll?
Sod/seeded grass tl-ll
Trail/curb damage ?
Porch
Basement finish ?
Deck ?
Please varify vith the builder the removal of roo£ test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. 194,
HCIIYFOMRR
White - City copy Yellow - Resident copy Pink - Contractvr copy
,? Lwua-
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date _-7 I 71 I
Site Street Address &cC?Cf?1'YlU1?? l J?f ll-Qs" Unit #
Property Owner???i y r 1 G?? Telephone #(?q?) f???
Contractort '??-/`? T r?r ' Telephone # (?? `TlL'? - lU (?
Address t fllg6b V.(, C?INL, City State (v Zip ?14
11-11
The Applicant is: _ Owner ontractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 518" meter is required)
Other.
Water Softener Water Heater $ 15.00
_ new _ replacement
_ Lawn Irrigation _RPZ ?PVB ?new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $?dL_
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, wvrk is not to start without a permiY and work will be in accordance w'lth the roved plan in
the event a pl n is required to be reviewed and approved.
ApplicanYs rinted Name Applicant's Sign ure l `"?
f I l l l JUL 1 1 2005 ?
? SsV,
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,
New Construction Reaulremenk RemodebReoair Reauiremenls Oflice Use Onlv
3 regtsterad sde sunreys showing sq. ft. of fot, sq. R. aF house; and I roafed arees 2 copies of plan CaR of Survey Recd Y?PI
(20% maximum lot coverage allowed) 1 set of Energy Calculatians Mr hea[ed additiore Tree Pres Plan Recd _ Y
2 copies of plan showing beam & windaxsizes; pou2d found design, etc. 1 site surveyfor additions & decks Tree Pres Required _Y _N
lselofEnergyCalculations Adddion-irMicateilortsdeseptksystem On-giteSepfic5ystem , _Y _N
3 copias of Tree Preservation Plan'rf lot platted after 711793
Rim Joist Dehail Options selecUon sheet (buildings with 3 ariess unils)
Date 1J / O$
SiteAddress 6',?4_, h?461?0e'leZ Construction Cost
UniUSte #
Description of Work z6l UC'
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owoer /?e v Telephone # (?(s' )??• oI0 ?S
Contractor W E'.5'1',e ?
Address
State City yi77oc!7X
Zip ? Teiephone # (7E:a) S41
'nJ ?g
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worcsheet
(+1 su6mission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Piumber
Mechanical Contractor
Sewer/Water ContracTor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans. A `//- IX/ f? ? rl? f? U ?I ? n
l? LS
Applicant's Printed Name Applicant's
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plez ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 08 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuRi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration O 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 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 Canst Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final Windows
_ Insularion _
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC1ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
CTTV OF EAGAN
CFlSHIEk: iS 7EKMINAL NOe 92
DATE: 04/30/97 TIME: 13e59a37
:cn:
NAME: F:EUIN G F'U5T
2155 9001 616 HACKMORE DR 1.50
3430 3001 616 HACt:MQK'E Dft 1.00
3211 3001 616 NACF;MORF. DR 40.00
3210 3001 616 HACF:M(KiF DF 50.00
3212 9401 616 HACF:MURE Lik 20.00
To'ta7. Rnceipt Amount; 112.50
CRf} i 285?
USER ID: JAN
, ; PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
p.I.N.: 10-12300-028-03
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
PERMITTYPE: BuzLolNG
Permit Number: 029870
Date Issued: 04130197
DESCRIPTION:
;.-, NO BASEMENT BEnR00MS
R`ui3.ding-.Permit Type 6ASEMENT FTNTSH
„8uildinq W?),r„k 7ype ALTERATION
eCet96us Cti.de I- 434 ALT. RESIOENTSAL
. ?1
i
j 4
.,
„-'
, - >
x ? ° _s`'d..ar
.? ;
?1? " .?a?
bz; r?-f ?+i ", -
i t
?\.??-.'J'^?'
REMARKS:
SEPARATE PCRMITS Rc4uzREo FOR flNY PLUMBING OR ELEC7RTCAL 6JQRK
FEE SUMMARY:
CONTRACTOR:
?
I
616 liACKMORE DR
LOT: 2 BLOCK: 3
AUTUMN RIDGE
OWNER: - Applicant -
POST KEVIN
616 HACKMORE DR
EFlGAN MN
(612)687-5880
I hereby acknowledge that I have re,ad this appl,icatiorr and state that the
information is, correct ond agree to comply ydth 4,11 appliaable 5tate _flf Mn.
Statutes €ancl Caty afi Eagan ifrdirtances. '''
APPLICANT/PEFiMITEE SIGNATURE ISSUED B. SIGNATU E
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?
?)LY7`" 5830 PIL'OT KNOB RDN 55122 ? s0 ' S G,
681-4675
New Construdion Reaviremenfs RemodeVReoair Reauirements
T(
? 3 registered ske surveys • 2 copies M plen
? 2 coples of ptans (indutle beam & window sizea; poured fid. tlesign; etc.) ? 2 Site wrveya (exterior additlons & decks)
? 1 energy calwlations ? 1 energy caleuletions for heated aCditlons
• 3 copies W tree preaervaGOn plan H lot plaCetl eRer 711/93
required: _Yes _ No '
DATE: CONSTRUCTIONCOST:
?
OESCRIPTION OF WORK:
,,S'CREET ADDRESS:
F,?i;s? !S2[ame.,'f
/7al, kmorv-
LOT C;? BLOCK \3 SUBD./P.I.D. #:
PROPERTY Ln? 1
Name: / 05 / ?
JleV, ?,?6 8'7 -SSffO
Phone#: N6 gg'28'v5
OWNER
Street Address: (12/6 Nr, ck?6 e -e °?-
City: F,? a? State: M N Zip; SS ! a-2?, ^
CONTRACTOR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHRECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction onty): . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the information is corcect and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?-Ie!?2924 -
OPFICE USE ONLY RECEIVFD
CeRificates of Survey Received _ Yes _ No APR 2 A 1997
Tree Preservation Plan Received _ Yes _ No _ Not Required Blr, ??
OFFICE USE ONLY •
•' . M •
BUILDING PERMIT TYPE
o 01 Foundation o 06 Duplex ? 11 Apt./Lodging A"*?16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
? 03 SF Addition o 08 8-plex o 13 GaragelAccessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 _ plex a 15 Deck
WORKTYPE ?10 {?c,Sg,n,e.,7f' hc?voo,M?s)
0 31 New ,tf 33 Alterations o 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCM/S System ?
(Allowable) Main level sq. ft. City Water i
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq, ft. Booster Pump
Length sq. ft. Census Code. y34
Depth Footprint sq. ft. SAC Code eO,L
Census Bidg
Census Unit o
APPROVALS
Pianning Building M Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
To whom it may concern:
,,;:,>w: •' ;?t?.i;s.l
Kevin & Christine Post
616 Hackmore Drive
Eagan, MN 55123
April 23, 1997
Attached please find a 1997 Building Permit Application and two copies of plans. In
reference to the room labeled as a Den. This room will only be used as a Den. This
room will not be used as a bedroom.
Sincerely,
Kevin & Christine Post
? ? .
???
04 ??
? ?
?too
??
?
?/ ? ? BL ? CITY USE ONLY
SUBD. . v
RECEIPT#: 5z???
RECEIPT DATE:
1998 PLZ24BING PERMIT (RESIDENTIAL)
CZTY OF EAG7N
3830 PILOT IINOB RD
EAGAN, MAI 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes end condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH
Shower 3.00
Water Closet 3.00
Bath Tub 3.00
Lavatory 3.00
Kitchen Sink 3.00
Laundry Tray 3.00
Hot Tub/Spa 3.00
Water Heater 3.00
Floor Drain 3.00
Gas Piping Outlet ' minimum - i 3.00
Rough Openings 1.50
Water Softener "for dwellings under construction 5.00
Water Softener ` for existing dwelling 20.00
U.G. Sprinkler ' for dwelling under const 3.00
U.G. Spfinkl2r ' for existing dwelling 20.00
Altefations ' to existina residence 20 00
Water Turn Around 20.00
Private Disposal System ' MPC iic. 75.00
(new and refurbishedsystems)
Private Disposal Systems `Abandonment 20.00
#
x =
x =
x =
x =
x =
x =
x =
x =
x =
x =
x =
x =
x =
= a?
STATE SURCHARGE .500
TOTAL
TOTAL
--------------------------------- t---------------- • -------------------------------------------------------------------------------
-
I hereby adcnawledge that I have read his applip-tion, state that the information is covect, and agree to compy with all applicabie Ciry of Eagan oidinances.
It is the applicanYS responsibility to notrfy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal opera6onal and maintenance activities to the facilkies constructed under this permit within Ciry property/right-of-way/easement.
SITE ADDRESS: ?(? NU c I?wrol? /' .v?
OWNERNAME:
INSTALLER NAME: '\'e Po 5 t TELEPHONE #:
STREET ADDRESS:
CITY: ?4q?n STATE: ti X'/ zIP: SS/a3
?
SIGNATURE OF PERMITTEE
JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
PERMIp N ?
REACTIYATE ?Imq)
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
? ?? m 15 REd4
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set af
specifications, 1 copy of energy calcs.
Penalty applies when typin of permit is requested, but not picked up by last working day
?
of month in which re uest
s made or lot chan e is re uested once ermit is issued.
Uate , J v.? 4L7 / t5' / 92 Valuation of work
Site Address:
STREET SUiTE 9
Tenant Name: (commercial only)
IAT BIACK ? SUBD. ?rv a?l
r? + P.I.D. N
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name P-LYA bL fm Phone
Property LAST FIRST
Owner Address 414 H?*alCmat_,f- nuvC
STREE7 STE 0
City L,?fif-A'-l State i'Jk4 Zip
Company ?RY244, l?v?<Ac?? Cru z.?r Phone ?ISP-/US,?a
Contractor ?DK
Address 731.7 &4m4?,r pvc- License #40Q91, Exp.r3-3/-1?
City State e15V1 Zip eLo2e
Company Phone
ArchltecU
Engineer Name Registration #
Address
City 5tate Zip
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area as 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 nf Ninnesota Statutes and City af
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
31 New
32 Addition
? 06 Duplex
? 07 4-Plex
? OS 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
13 33 Alterations
O 34 Repair
.
D ?? ?i ,•? '
? 11 Apt./Lodging
? 12 Multi. Misc.
11 13 Garage/Accessory
? 14 Fireplace
0 15 Deck
? 35 Tenant Finish
O 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
tlBC Occupancy 12- ?
Zaning
?Y of Stories
length 9?0 x? ?-
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
O Site
? Wallboard
Basement sq. ft.
Ist Fl. sq. ft.
2nd F1. sq. ft. .
5q. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
q Footing
Y? Final
0 Framing
? Draintile
?
? Insulaiien
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Raad Unit
Park Ded.
Trails Ded.
CoP ies
Other
Total:
SAC %
SAC Units
r.lu.c;m: $
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Boaster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
I
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
.... ?
ex
? :.............. .
FOR CITY USE ONLY
PERMIT # ?.9 S
RECEIPT # D O ?/
DATE:
ggj;MW PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT.
---------------------------
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS:
LOT: a BIACK ,3 SUBD. 61io6-L
INSTALLER: ?Jccs,af f'.?da "L'
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 31"
3 WATER CLOSET 3.00 9•u>
a BATH TUB 3.00 57 LAVATORY 3.00 ??•??
? KITCHEN SINK 3.00 3 w
? LAUNDRY TRAY 3.00 3 -
HOT TUB/SPA 3.00
? WATER HEATER 3.00 3-
FLOOR DRAIN 3.00 3
GAS PIPING OUT.
(MIN:MUM - ?; 3.00 3-9
? ROUGH OPENINGS 1.50 ? •Sv
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL $ ST. SURCHARGE .50
TOTAL: $ S-2>, w
COMMERGIA " ICtIkUSTRIA2ir PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL SUILDINGS AND
. ..?..w....».,. . . .
MULTI-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)
ADDRESS: ?rtJ?65 -z???P.7.J /?t%L Si.?
CITY: ZIP: ?? ?-??
cirr use oNLr .
L BL ? ? RECEIPT#:
SUBD. av?+? / RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . single family dwellings
. townhomes and condos when permits are required for each unit
. backflow preventer for underground sprinkler system
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ` for dwellings under construdion 5.00 X =
Water Softener ' for existing tlwelling 20.00 x =
U.G. Sprinkler fw dwelling under const. 3.00 =
U.G. Sprinkler "forexistingdwelling 20.00 = ?{Z
Alteraticns ' to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System • oak cry iie. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL 0•5D
1 here6y adcnowladge that I have read this application, state that the information is correG, end agree to comply with all epplicable City
of Eagan ordinances. 1t is the epplicsnYS responsibiiity 1o nMify the property owner that the Ciry of Eegan assumes no liabiliry for any
damages caused by the Ciry during its nortnal opa2tional and maiMenance ectnrities ta the tacilities constructed untler this pertndwithin
City property/right-of-way/easement
SITEADDRESS: (n/(c HaCKn-,mee UrSyy
OWNER NAME: ?? ? ? 4CL? •`-sI` {? Pos -t
INSTALLER NAME: TELEPHONE?~C??f?-a?'o5 "bfr] Sfsfsa
STREET ADDRESS:
CITY: ?eo?ti STATE: /in N ZIP:
SIGNATURE OF PERMITTEE
0•A
748•00+
65•50+
49o•OOF
0•50+
2211•50+
3511 - 50-K
74E3•00?
65•50r
486•00F
0•50+
21'L11•50+
3,511•50*
/-
1991 BUIMPKIAPPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
?
MAR 2 2 a
COMMI:RCIAL
2 SETS OF PLANS 2 SETS OF PI.AAIS 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 CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
_# OF FOR SALE UFTITS
PENALTY APPLIES WIiEN: TYPING OF PERMIT IS REQUESTED,?nUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST}$?MADE.
IAT CHANGE IS REQUEST??'DNCE PERMIT IS ISSUED.
l
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
Si.ng7.e Family
To Be Used For: gp,;ap„r;ai Valuation: ?
Site Address 616 Hacicmore Drive
Lot 2 Block 3
Parcel/Sub Autumn Sidge
Owner 1'"cKnight & Associates, Inc
Address 14198 Commerce Ave N.R.
City/Zip Code
prior Lake, Mn, 55372
Phone 440-7100
T"c':night & Associates, Inc
Contractor
Address 14198 Commerce Ave N.F.
City/Zip Code Prior Ldlre Mn 55372
Phone 440-7100
Arch./Engr.
AQdYBSS 1479R f'rmmimarra Ava NF_
City/Zip Code
Phone #
(Sig
all app icabl
Prior Lake *4n 55372
440-7100
of
/3'1"; ooo ,OFFICE USE ONLY
occupancy R-3 m- ?
Zoning R-I
Actual Const ?/_ j?l
Allowable V-N
# of stories
Length SVT-
Depth 3.3 '
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System ?
City water ?
PRV ?
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. ?5S 3•z??5?
FEES
Bldg. Permit 7q8.o0
Surcharge ;$O
Plan Review ,6 .,OU
SAC, City 001OD
SAC, MWCC 6501 Oa
Water Conn. &601 VO
Water Meter 9'SpD
Acct. Deposit 3a Jo
S/w Permit 3 fl'ao
S/W Surcharge , So
Treatment Pl. QL, Uo
Road Unit 370,00
Park Ded.
Trail Ded.
Copies .?D
SUBTOTAL
Penalty
Lot Change
TOTAL ?
agrees that all work shall be done in accordance with
e State of Minnesota Statutes and City o£ Eagan Ordinances.
Date: 3/20/91
Z 2 k Z2 ;L-1 2 6 0
gS w1 T,
3zX3?= efbo
154
?1 I y = 1,5514,
??-synr : r?+y
113? ? /05; ,17-0 y
143 zn2
i -_...,
- ?,
cKEO), L.vntvt
f./ o l ?n Fq n/
?3?y6s?3 ort 13?,.?vo
1
9 i-3"I
E7CTERIOR ENVELOPE ENERGY CODE COMPUTA'I'ION WORKSHEET
? .. To Determine Cbnpliance with the M.innesota Ehergy Code
(Section 502 of the State Amended 1983 Mcdel Energy Ccde)
ojeoL Title
I:f' Address 616 Hackmore Prive
? EJ{POSED WALL CALCULATIONS
A.
?s
?
oPaque Wa11
1• Masonry/ rcrete
a.
b. -
c,
2. Fo at cp Wa e Gra e)
a./,,Au./zxu w'A//tx'
b.
3, Frame Wa
a. Insulated Area
b• Framing Area (Ave. 158 at 16" oc)
c. Framing Area (Ave. 108 at 24" oc)
9. Peripheral Floor Edcje/Rim Joist
a._ _ 2xiE' c?/ ,e'-i9 z?v:
b. .
Glazing
1. Winduvs .,
b,
2. D170X8_ /rP -r- / "
Drors
1. Wboci
a. Solid
b: With storm oor
2. hktal
3. Overhead
9. Other
AREA "U" yAI,CJE
x
x
X
ARFA x "U"
B.
,.
C.
4c
D.
TOTAL WP.IL ARFA, sq. Et.....................
?
x ?07.6 = ?7 7v .
x =
/9/, 71 x
77 x
x =
,227,5u x .439
x =
?'3fl X /v 75`?
X =
' S'EJ X ?.SrJ = '?i 7 . ?
X a
x -
37 7 x +/!s ? ? b•7
x -
x =
E. 110TAL of AFtEA x"U" ................................................ .. ??--•
$OOF/CEILINC3 CALCULATION3
A. RooP/Ceilinq Insulated Area x
8. ImoP/Ceiling Framing (Ave. 158 at 16" oc) X ?
C,
D, Ftoof/Ceiling
Skylight Framing (Ave. 108 at 29" oc) X,'? ` -?
x ?
E. 'im'AL FMF/CEII,IM ARFA sq. ft ..............
F.
'InMY, CF' ARFA
X "U° _?.
?
9
..........? ....... ...... .......................
.?.
'
/
'""?Y'.t,L"?7,h?j1JPy??i€?;y^'r"'(I?;; ,
,. ' ??''f"' ? r
. .
BUXLDfNa ENVELOPE A$QUIREMEN'I'S
.
., A. Ecposed Walls
H. Roof/Ceilirxg :
Tdml+ ARFA RD7iIRID "U" ALLOWABLE
(From I. D& TI.E) (F5ott1 V. ) (Acea x"U")
?G3 7 ? x 3w?-37
//6?2 .OD x
? ;.. C. 'iO'PAL ALI,ORNZ BUILDING HS1VE,7APE (TOtal of A & B abwe) ... 7Z = _.
ACTUAL BUILDING ENYELOPE
`i i ,?',
. ACTUAL
, • (Area x "U")
A. .' Expased.Wall (Ftcm I.E) ??•,??
B.
RQO?Ceiling (F'ran II.F)
? zZ
:. ,,... . , . . . ----_
' --- - _
' C. '1nTAL PCnJAL SUILDING ENVEGOPE (Total Of A & B) . . . .. . ... ?..3.30, / 9
*?Aeets tode reQultments if less than III.C)
V.':. REQUIItED "U",VALUES •
. :? .. ?..?,.. .,_. --- _. .
• WALL.S RUOF/CEILING
Detachedion?e arid tt,o family dwellings .11 ? .026
MuIt3-Family Fesidential Buildings .238 , 033
: (3 s,tori`es;a'less in height) .
All, O,hher CUnstruction Zypes (3 stories or less)' .238 :06
A11,0ther'Cmstructicn Types (More than 3 ,stories) ,28 ,06 .
• Based on•800T heatiny degree days (Iqls/St. Paut)
Adfust.'U' value; aecordtngiy for otAer locattons .
r_
, I heteby certify that I have
,,Miruyesota State.Ener9Y.
.??, ,
"z,- .8ignature
?,.
8b7,4 ,
^. "s?. '
CERTIFICATION
the above inforniation and that,it ccnplies with
921q,
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT # ?oZ D
RECEIPT #
P'o
DATE: /O
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT.
------------------------ --------------------------------------------"----------
WORK DESCRIPTION FEES
NEW CONST ?
ADD ON _
REPAIR
OWNER NAME: _IV`?, 1CPY1t' ?? SSO C?
SITE ADDRESS: v
LOT: cL BIACK ? SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #: -?(7Oa
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
$15.00
24.00
6.00
3.00
$ 5??_bd
.50
TOTAL: $ 2if )
OF PERMITTEE
?4t?iElt?IAT,?IN?TCSTR?a'Li, 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:
OWNER NAME: _
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $,SQ FQR
EACH $1,000 OF PERMIT FEE.
PP.OC°SSF4 PIPINr = $25.00
$25.00 MINIMUM FEE.
WNTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
( S IGNATIJRE )
CITY OF EAGAN
«
. ^.
958274
aoront asnca
?RE880RE RmIICSm VLLVE MMZMMT
This MJreement, mada and entered into the 72"day
of rl UZO 1%ST , 1990, by and batween the CITY OF SAGAN, a
aunicipality of the Stala of ![irufesota, (hezeinalter called the
s
City), and the ovner and the Developez identilied herein. i
The term "Developer^ as used herein reters to: AUT[JMd RIOGH
i,2NITID PARTNERSHIP, a Minnesota limited partnership, c/o JAMES
pgVffi.OpF[ENT COMPANY vhose address is 7808 Creekzidqe Circle, Suite
310, Bloominqton, Minnesota 55435.
Tha tarm •Oimer" as usad herein rafers to: AUTU4W RIDGE LIMITED
pARTNERSHIP, a Minnesota limited partnership, c/o JAriES DEVELOPlIENT
COWaNY vhose address is 7808 Creekridge Circle, Suite 310,
Sloosinqton, Minnesota 55435 and RUTH CONRAD vhose address is 5035 -
75th Avenua Souttf, Apartment 215, Minneapolis, Minnesota 55417. . .
iiHEREAS, the Developer has applied to the City 4or approval oP
the plat or subdivision known as At1TUt4i RIDGE, located vithin the
City; and
NHEREAS, the Ovner and Developer agree to aotity the proposed
potenlial buyars of all lote vithin AUTOlW RIDGE that Lots 1-7, Block
1, Lots 1-8, Block 2, Lots 1-9, Block 3, Lots 1-17, Block 4 and Lots
1-5, Block 5, are in a hiqh vater pressure zone and a pressure
reducing valve shall be installad in each home below the elevation of
966 leet. All costs shall bn the Tesponsibility of the Owner and
Developer and shall be installed to prevent damaqa due to hiqh vater
preasure.
'r:?
.
NGit, TIERBFORE, the City, Ovner and Developer aqree as follovs:
1. Recordina. ThSs 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, SlOCk 3, Lots 1-17. BlOCk 4,
and Lots 1-5, Block S. The owner shall provide and execute any and
all documents necessary to implement the reeordinq of this aqreemeat.
2. Notice. The recording of this document shall constitute notice
Lo all ovners and future ovners of property in the AUTtJlQJ RIDGE
subdivision that Lots 1-7, Block 1, Lots 1-8, Block 2, Lots 1-9,
Block 3, Lots 1-17, Biock 4 and Lots 1-5, Block 5 are in a high vates
prQasure zone and that a pressure reducing valve shall be insialled
in each nome below the elevation oP 966 feet. All costs sEall ba the
responaidility of the Owner and Developer and shall be installed to
prevent damaqe due to high water pressure.
3. Validitv. If any portion, section, subsection, sentence,
clause, paraqraph oz phrase oE this agreement is for any reason held
to be invalid, such decision shall aot aPfect the validity of the
reaaining portion of this Contract.
4. Bindina Aareement. The parties mutually recoqnize and aqree
that all terms and conditions of this recordable aqreement shall run
ritA tAe land herein deseribed and shall be bindinq upon the heirs,
succassorc, administrators and assiqns of the owners and developers
reterenced fn this Contract.
?
Zlt NITNESS NfMREOF, ve have hereunto set our hands.
CIT1! OF
'ThAmas A.
Ita: Meyor
Attut . J. vaai
Ib: ity Clark
F j''
AUTOlQ7 RIDGE LIMITED PARTNII2SHIP,
a riinnesota limited partnership,
Hy: JAlSES DEVEIAPMENT C0I4PANY,
a Ninnasota corporation
Its: 6eneral Pnrtner
y; Date 4-9p
Sts• filu,
/
gy; Date
Ita•
a
R H CONRAD ai
DEVEI+OPER:
AU14R4i RIDGE LIMITED PARTNERSHZP,
a Minnesota limited parLnership,
Sy: JAMES DEVELOPMENT COMPAHY,
a Minnesota Corporation
Zts: General Partner
gy; Date
Its.
.p
.
?
gy; Date
Its:
ST71TE OF 1tINNESOTA
ss.
COONTY OF OAROTA )
On this 76& day of 'e? , 1990, before me a Notary
Public wit2iin and !or said Coun, , peraonally appeared THOMAS A. SGAN
and S. J. VanOVERBIICE to me rsonally knovn, who being eaeh by me
duly svorn, each did say that thay are respeetively the Mayor and
Clork of the City of Eagan, tha municipality named in the toregoing
instzument, and that the aeal aflixed on behalf of said municipality
by authority of its City Councii and said riayor and Clnrk
acknovladqed said instzument Lo be the free act and deed of said
municipality.
iuAr,t? ? Nots[nrrmis L / ?•. ,.rl,?.-•``-?
7
'J?RY YI,'::I_ - YI!:NESOtA
Ip
Y/ N tar Pl1b11C
2 DAKOTA CCUNTV
Commn:ien Eap fcJ A t^_^a ?
ST71TE OF lSINNESOTA 1
) ss.
CODNTY OF )
On tAis te day of 1990, bePore me a Notary
Publio ? r?i?t?h in. nd tor'? said County, personally
appaared ? ?+lWQ7 ?-.WA oW to me
personall}Z' known, who being each by me duly s n„ eiich d' say that
?y are respectively the
of JAMES DE ELOpMENT COMPANY, a
ISinnesota corporation, qeneral partaer of AUTUt7 RIDGE LIlSITED
PARTNffit5H a ltinnesota limited partnership, Yo me personally known,
yhp ? me du2y svorn, did say that they are
am& of the
aorporation and limited partnership named in the foreqoinq
instrusent, and that the seal affixed to said instrument vas siqned
and led on f of said corporation and limited partnership and
said L?NJ•JW. amd' aeknwledged
said instrumant to be the free act and deed of said corporation end
li'ited parLnership.
C.
Notary Pu ie
?r?1rN?0?
.? ? r??
:.,.; . .
?- a?c._.. _.. ._.. . . . .
? ....... _._.
?,w+?.?+,,,?,?.?.? ?.:1
ST11TE OP ESOTA )
' ) ss.
COIINT1f OF 2n')
pn t11;s IL?- day og ?, 1990, before me a NoCary
Public vithin and foz said Coun yt ?personally appeared RUTH CONRAD !c
¦a personally knoxn to be the person described in and vbo executed
the loreqoinq instrument and aclrnoxiedqed that she executed the same
as her free act and deed.
??rry~ Nota- rlie
'M? 4 s?aM
11PPROVED AS TO FORM:
Attor+fa O
Lpil • 9
APPROVED 11S TO CONTEt7T:
1f M ?{s_ ,?
Public itozks-T' epertment
Detad : 8' 7- 9 O
18IS INSTRUMffi7T WAS DRAPTID BY:
S8VBt50N, WSLCOX i SHELDON. P.A.
600 Midway National Hank Bldq.
7700 West 147th Street
1lpple valley, tni 55124
(612) 432-3136
lIGD
2004 RESIDENTIAL BUII,DI NG PERNIIT APPLICATION ?.? o??
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
?•? Telephone # 651-675-5675 FAX # 651-675-5694
New Cons4uction Reouiremenis RemodeVReoair Reauirements
3 registe2d site surveys showing sq. R of bt, sq. ft of house; and all roofed areas 2 copies of plan ME
(20% maximum lot coversge allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found des'gn, etc. 1 site survey for additions
& decks lsetofEneqyCalculallons Additioo-indicatei(on-sitesepfrcsystem 3 oopies of Tree Preservation Plan if lot platted after 7M193 Rim Joist Detail Opfions selection sheet (61dgs
with 3 or less units
Date
Site Address
DescripHon of Work
Construction Cost
UniUSte #
Multi-Family Bldg _ y_ N Fireplace(s)
Property Owner
Contractor 920 Cp? BY ?DCR WN
UNTY RD.
Address ROSEVII,LE, iVIN 55113
State 651-264-4777
LICENSE #20130983
_ 0 _ 1 _ Z 1 1 y?v-
(?
Telep6one#us?I) 14?? • pc ??
CiTy
_ Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cate orv 1 _ Minnesob Rules 7672
(4submission type) • Residentlal Ventllation Category 1 Worksheet . New Energy Code Worksheet
Submitted Submitted
• Energy Envelopa Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies _ N If so, 25% plan review
.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply, for a Residential Building Permit and aclrnowledge that the informarion is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand tYus is not a pemut, 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 pl in the case of work which requires a review and
appr val ofplans.
Applicant's Printed Name Applicant's Signature
OFt'ICE-7l SE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ?, 13 16-plex ? 20 Pool --
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex 11. 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 OS-plex ? 16 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 30 AccessoryBldg-
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 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
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ A'v Test _ Final
Insulation
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
REQUIRED INSPECTIONS
FinaVC.O.
FinaVNo C.O.
_ Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tesu Final
_ Siding _ Stucco _ Stone _ Brick
Windows
Retaining Wal(
Building Inspector
??.?e,sv•..c iuv ai.oo cti6 tOJ Dt1'440D.?+PItS?l4L?Y3[VU15tfr7lf[Y .
re ?.?. -
EYd„DIIII?• . .
7une 7, Z0U1 - CitY of Fap,an
3836 RiIot Knob Rond Eagan, MN 55122 To wt,oa, It May Concern:
IIder Iones is autltorized to ptffl bniIdgg permits for Renewal by Andexsen- Piease alIow
Etdcr Jon" to provido tbis service for us in EaW. `titia enthocizatian is vaiid for
date bcyond 616/Ul; unti[ ap?euewal byAl? MMM OV22dY revakes it in wrFcEng
to theCity- any
I request tIvs auttiodze,tion bc a • .
our bailding Pomaixe aa fn ?d ??@onsly. av W aot delay in the groc??? oF
contactod at 763-St12-4706.x&cr. Plcasc caII mc IfthctG ara nny quctt[ona., i can 6e
i . . ,.
Your imm9diatc attcntion to t$is mattcr b M#precieted, o Sinctrialy,
offi R Ran
ustaIIation Maxtagcr
Renowa? by A,ndcsscn Coipvratitan
C'r,: Ksirn-F.ide.r Tnn"-
. ???t..?.?c?, ?•?a..:? ,i.?
G - 7-
GH q?y ?(?AMAL
"r?rua"? ? zom
ku UU
Received Ti-me Jun. 1. 111P}d
I SUW?EY J'?REPARED FOR
j McKN16HT & A9SOC.
14198 COMMERCE AVE N E
FRlOR LAKE, MfJ 55372
Volley Surveying Co., P. A.
SUITE 120-C , 16670 FRANKLIN TRAIL
FRANKLlN TRAIL OFFICE CONOOMINIUM
PRIOR LAHE, MINNESOTA 55372
TELEPHONE (612) 447-2570
G E? ?1?NG
i N?ilSE
0 JI1N NH
qIM gV 68
INV 122 e5
a?q s?ne ? fiO
EL 95l 9?'
Top Men
EY 95, 78 1951 ( TC EI. "1 40 ?
9A Od
y? ..3] 0- - ?.
- -- -*? ---- p
N 89° Ofi 55 "E
9se r 9s? 9,, -- 152 75- ,is e
r? - -
? ' I Yf
N m
N I ??
o m
O i
Z i
'1 ? I _ ? UPI?TY e OHR
- ?l
?
9N R?
G>pA'E
vss i
II 0_? ?90? J
/ ?0 ?
]?92
V°- /jl?? ,
a9-„?
q2 a,? 5'I
_ N?ao
rop ar ,ro? or se?e???
EL z y51 SJ
( 956 ? ' ^ " 99 04--
-------- .4075--??E N89'OG'55°;E
zee e'-N7g?a2 24
?
1 1
,
7
ZT \
,
rC f1.
95! Bf ?
If EL95? de u \
99? !l Q
?I O ?
s?a
-
\ 60
\
S.IN MH
pIM 917 )!
O INV 9]/ ?0
DFlSCRIPI'SON ??AKd.? /r ?.y R ?? f,,.?
?` n j
Lot 2, 51oGc 3, nUTUP1fi BCDGE,-.?-,?t ('ounty, Plinnesota. hlso showing the Locatton of the pcopo:;ed house as ?talce8 thi' Lli day of i1arr_h.14'?1.
Plotea !
Henehmark elevation Cop nut of hvdrint at Elarkmoce Ucive and
(;ni_inzpn Le-tf Cnuct•
954.6 D=notes er.istin?? grade el?vations
?see? Ueootec- propo"Id f'inished i;radc elsuationc
-? - Oertotes propoeed direction uf EtWshed drnin.u;e
Set the g¢cage slab at elevatton Q56.h0
Set the top block at elevation 956.73
Note: Garage slab eLevation as shown on deveLopeinent plan.
F«c;Atr EzaGirr?:f:,?r;?;
0 30 60
SCALE IN FF_E7
O Denoln !/2 'mch x l9 mch rnn
monument aef onC morkeE Dy
Lrcenee N6 10163
• Danalef nOn monumm/ (ovnd
m Denolee P K Nml fel
1 hereby enlJy Mol Nxs wrvey was OrepareC
by me or urMer my direcf fupoviman oM Mof
I am o tluly bttnsed Land Survtyor untler IM1e
bwwo/ Me Slo}e oi, hfinnpsolp
Duh=T?.??? r Litenet No f0183
FILE No 6672 BDOK 177 PAGE. 47
SURVEY PREPARED FOR
McKN/GHT a ASSOC.
14198 , COMMERCE AVE. N. E.
PRIOR LAKE, MN. 55372
936.2 933 9 '
i ?
?
I
3 ?
- 1
m ?
N
N
o ?
O ? I
z ?
i
Va?!ey Surveying Co., P. A.
SUITE 120-C , 16670 FRANKUN TRA1L
FRANKLIN TRAlL' OFFICE CONDOMINIUM
PR10R LAKE, MJNNESOTA 55372
TELEPHONE (612) 447 - P5T0 O gaN MH
RIM 949.68
INV 922.83
Y Ex?gTING ? ? Hp?SE
? 60
GAR
sLae 1 ?
EL ?'Z 4S
o "
N8952675-E?1 e Iq a? EL 951.78 "" 951E T.C.EL. 751.48 ?
951 03 •
N ""33
! j
L -
I
UTILIT'
? n
956.G '
_ 4p75
936.3 N7gaq2 Z
?
1 [?
T
979.8\
5p0 ? `?` a N,
935.2 9/30 ? 1 t? ? N d
0 1 ?, o t?'?_lVM
P\` PHQ?gE?
E e+\\`, s349-
? N l
ORIVE.- . ?'
m I ?
'p I
O\ \GpppGE ` H
955.1 ';4 •
qa9' a ?.
8 DRAfNA6E E?? '__ - ?oQ7 5
- 6
N 89° Ofi 55?? E TaPNf i'On 01 SB1DOCk
EL = 955 52
1
`.
?
0
DESCRIPTION PA "'r n J? ? e??/ oR?( n r i-. i,=? ?
? o IR1 ?y'
Lot 2, Block 3, AUTUMN RIDGE,jSe6tt County, Plinnesota. Also showing the location ,
of the proposed house as staked thi? i;th day of March,1999.
Notes!
Benchrnark elevation 959.40 Top nut of h,ydrant at Hackmore Drive and
Crimson Leaf Court.
954.6 Denotes existing grade elevations
x
09s? Denotes proposed finished grade elevations
+- Denotes proposed direction of finished drainage
Set the garage slab at elevation 956.40
Set the top block at elevation 956.73
Note: Garage slab elevation as shown on developement plan.
It- • - , ' , ?? ? a,?
???I. ?? ...?...... ? .' " '
9AN.MN
RIM 957.76
INV.9Z4.40
.e
EAeAN kr?GrNE_?; a
0 30 60
SCALE IN FEE7
p Denof" 112 incA x 14inch iran
monument set and marked by
License No 10183
• DenaTes iron monumMt faund
0 Denotes P K. Nail sef
1 hereby cerfify Mat thia wrvey was preparod
by me or under my direM superviaion and that
1 om a duly licensed Land Surreyor under the
?bof Me Stote of Minnesof/q
/e??w ?•d?.I'???~?
Oate °) Licenae No.l01B 3
FILE Na 6672 BOOK 177 PAGE 47
?
953.93
F
95..68 x?
L r a
BD ?
\95466?9)C4
\
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA100573
Date Issued: 08/15/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 616 Hackmore Dr
Lot: 2 Block: 3 Addition: Autumn Ridae O1 st
PID: 10-12300-03-020
Use:
Description:
Sub Type: e-Siding Construction Type:
Work Type: Sidin,
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: When installing ventilated soffit material. remove existina material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: Owner: - Applicant -
Kevin G Post
616 Hackniore Dr
St Paul MN 55123
I hereby aeknowledae 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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
I--
IMLIM
.f 1 Permit /
City of Evan I
3830 Pilot Knob Road j Permit Fee: j
.'CE D
Eagan IMN 55122 Date Received:
Phone: (651) 675-5675
Fax: (051) 675-5694 "rill Staff-
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite
RESIDENT / OWNER Name: :)S Phone: -1~'~i21. & A'"
Address / City / Zip:
r'
CONTRACTOR Name:.MILBERT COMPANY INC.dba CULLIGAN WATER
Address: 1801 50THST EAST City: INVER GROVE HGTS
State: MN Zip: 55'077 Phone: 65,1 .45.1-2241
Contact: BILL. MILBERT,
Email:
TYPE OF WORK _ New -142 placement _Repair _Rebuild _ Modify Space - Work In,R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater -C- _ _ ater Softener
Lawn Irrigation RPZ / _ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
New
-Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities.. www.oooherstateonecall.om
I hereby acknowledge that this Information la 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 start without a permit; that the work will be in
accordance with the approved plat' in the case of work which requires a,review and sp Met of pis
Applicant' Printed Name Applicant's,Sig ature
I
.,FOR OFFICE=USE ~ fi ~~.-tR.~ "'~c r sR v. ~ r ~y~ w.~ x' . _
r~ r~i.~k'~.Y"~vt~;~
o-,Required lnspec, o s,,, < U d r r urn ' Fought -"AirTes ash Est final
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA108792
Date Issued:01/11/2013
Permit Category:ePermit
Site Address: 616 Hackmore Dr
Lot:2 Block: 3 Addition: Autumn Ridge 01st
PID:10-12300-03-020
Use:
Description:
Sub Type:e - Furnace & Air Conditioner
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Kevin G Post
616 Hackmore Dr
St Paul MN 55123
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118844
Date Issued:11/08/2013
Permit Category:ePermit
Site Address: 616 Hackmore Dr
Lot:2 Block: 3 Addition: Autumn Ridge
PID:10-12300-03-020
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 .
Mark Mattson
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 -
Kevin G Post
616 Hackmore Dr
St Paul MN 55123
Three Pines Construction
2876 Middle Street
St. Paul MN 55109
(651) 308-1911
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143772
Date Issued:06/26/2017
Permit Category:ePermit
Site Address: 616 Hackmore Dr
Lot:2 Block: 3 Addition: Autumn Ridge
PID:10-12300-03-020
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 -
Kevin G Post
616 Hackmore Dr
St Paul MN 55123
(612) 777-4567
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:EA145570
Date Issued:09/14/2017
Permit Category:ePermit
Site Address: 616 Hackmore Dr
Lot:2 Block: 3 Addition: Autumn Ridge
PID:10-12300-03-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin G Post
616 Hackmore Dr
St Paul MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
d
Use BLUE or BLACK Ink 1-
-,-1"
For Office Use / ��� '
n '
Permit#: /--���/'' 7/� CC,-
City of EaR01 IVT Permit Fee: _/ 7
3830 Pilot Knob Road ;ncT o5 2018 Date Received: to.--5rj0
Eagan MN 55122
Phone: (651)675-5675
Fax:(651)675-5684 `Staff: x
(f —J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/5/18 Site Address: 616 Hackmore Dr Unit#: d
Name: Kevin & Christy Post Phone: 651-688-2805
Resident/-
-Goner -.._._'_ Address!City!zip: 616 Hackmore Dr
- Applicant is: Owner X Contractor '4t)/i/ ill 17 eilI q
__ _ ____ ._ - -.-
_ ____ ._ _ Description of work: - '--; - - • : . - . . : _ •.______
'"m I jalA-1r\( C'®W'1 e..61n-o
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Type_of Work
Construction Cost: 8125 Multi-Family Building:(Yes /No X )
__ = company: US Patio Systems Contact: Wendy Rache
Address: 218 N River Ridge Circle City:
Contractor Burnsville
_ - state:_MN Zip: 55337 phone: 952-314-9885 Email: wrache@uspatiosystems.com
License#: BC661813 Lead Certificate If: F119453-1
If the project is exempt from lead certification, please explain why:
built after 1978
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No if yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Plans and supporting documents that you submit are;:considered to_be public information Portions of_--
the.information may_be=classified as non public if you provide specific reasons that would permit the City to
conclude-that they are:trade secrets.
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 000herstateonecall.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 approv•I of plans.
Exterior work authorized by a building permit Issued in accordance with the Minnesota tate Building Co,• must be completed within 180
days of permit Issuance.
x Wendy Rache x „. ; 1
Applicant's Printed Name Applica t s Sig atu e
Page 1 of 3
62 1 4, glme, rt Dr
DO NOT WRITE BELOW THIS LINE /5.--- -- 6 7
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) ^ Exterior Alteration(Single Family)
IN Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex _ Lower Level _ Pool Accessory Building
WORK TYPES
New _ Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
i Alteration _ Fire Repair Windows Demolish Foundation
Replace ___. Repair _ Egress Window Water Damage
Retaining Wall 'Demolition of entire building--give PCA handout to applicant
DESCRIPTION
Valuation 2/f) Occupancy mgt -l MCES System
Plan Review Code Edition /n/) 2.0/5--- SAC Units
(25% _100% ) Zoning ---___ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ti 3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
__ Footings(Deck) Final I C.O. Required
Footings(Addition) }t, Final/No C.O. Required
Foundation Foundation Before Backfill 3 HVAC_Gas Service Test Gas Line Air Test
Roof: Ice&Water Final Pool:_Footings Air/Gas Tests ___•Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test Final Siding: Stucco Lath ,_ Stone Lath Brick EFIS
.-' Insulation Windows
Sheathing Retaining Wall: Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower PanOther:
Reviewed By: /`6ll i1)•kJ,/1/- , Building Inspector
RESIDENTIAL FEES ..) • o3 5f • IC7.—
Base Fee
Surcharge /' 4;41 U,'r^ �E�
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies J .i:c J.c '
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use
(I1 t Oi na�all Permit /
F 6'0
1IVV, 1�i1 Permit Fee: `0 CD
Road 3830 Pilot Knob °
Eagan MN 55122 Date Received: b
•
Phone: (651)675-5675 OCT 0 5 'L018 Staff: r',
Fax: (651) 675-5694
2097 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 10/5/20,18 Site Address: 616 Hackmore Dr
Tenant: Suite#:
Resident/Owner
N Kevin & Christy Post phone: 651-688-2805
Address t city Zip: 616 Hackmore Dr Eagan, MN 55123
Name: US Patio Systems License#: PC708206
Address: 218 N River Ridge Circle city: Burnsville
Contractor --
State: MN Zip: 55337 Phone: 952-314-9885
> contact: Wendy Rache Email: wrache@uspatiosystems.com
Type of Work -- New ✓ Replacement _Repair _Rebuild Modify Space _Work in R.O.W.
Description of work: repalce surround, valve, trim
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation( RPZ I PVB)
Permit Type ✓ Add Plumbing Fixtures(✓ Main/ Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$60.00
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.00pherstateonecalLorg
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,an. •rk 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• a lans.
Wendy Rache x (I�� • 0.1)
Applicant's Printed Name Applicant Signature
FOR OFFICE USE Reviewed By Date:
Required Inspections: Under Ground Rough in Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff