621 Hackmore Dr0 CASH RECEIPT ?
GITY OF EAGAN . ?.
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
.4
onrE
?cerveo ? ' r ' , f V
snaM ? .? j'
-r
AMOUNT
J _
? DOL1.A115
100
D CASH ? CHECK
son i. ?:. 11 y r,' _ ?• -
I
8Y
(, 13057 mtd?•Y- copy YNhw-P?oslhg Copy ?
Pink--.F-Ae Copy
Thank You
< i . lw . .,
BUIL'bING PERMIT
T.. {... ......J ". e•
Site Address 621 NAI
Lot 1-1 B1ock _4
W Name PARIBN liAAKE?YNG A D8V CORp
3 Address 3799 DRII?jtliOqD LN
° City EI1GAN Phone 452-6644
Name 8AME
Address
?
yVj W Name Addrass
i W City ' Phone
I hereby acknowlege that I have read this application and state that the
in(ortnation is correct and agree to comply with all applicable State of
Minnesota Statutes and City ot Eagan Ordinances.
Signature of Permitee • 4 : . 'i t. i: -'?"``•?_
A Building Permit is issued to: PA1tISH !lAARKETING 6 DEY
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ?
' CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
S.F. Total - SAC, MCWCC 63Q"W
S.F. Footprints _
On Site Sewage _ Water Conn 66a-m
On Si1e Well - Water Meter 95.00
MWCC System _X-
Ciry Water
_Z acct. Deposit 30-00
PRVRequired ? S/WPermit 30.00
Booster Pump - S/yy Surcharge -.50
Treatment PI 276,00
APPROYALS qayd Unit 370•00
Plenner
COUnCiI - Park Ded.
Bldg. Off. ?
_
Copies
Variance _ TOTAL ' ,3"• 00
OFFICE USE ONLY
Occupancy 8r3 IL-1 FEES
Zoning Br?
(Actuaq Const 36M B1dg. Permit 657.00
(Allowable)
M of Stories y? Surcharge 52.50
-
Length ? Plan Review 427,00
oeplh ? - sAC, city Jno.oo
Parmit No. Permit Holde? Date Telephone #
WATER D ?
? .
SEWER
PLUMBING Y Cl 7?-,? ?pa y
?
H.VA.c. /3 b'9 s?-ooo s
ELECTRIC
Inspection Oste Nnp. Canments
Footings I
Foundatian G - •
Framing ?,>.e?91 copz..,fLI. jU vrl6? - h
Roafing
Rough Plbg. -? ?
Rough Htg. ?I3 4
Isul.
7?L Q? ?
T r S a.?:.. ?1• 2°9 ??
Fireplace 16 g
Final Htg. ??6 (? ?- g^9( ?
Orstat Test
Final Pibg. -?' ?- Plbg. Inspector - NoGfy Plumber
Const. Meter
Engr./Plan
Bldg. Final ,{ 6
Oedc Ftg.
Deck Final
Well
Pr. Disp.
V-
?7i'-sa. 1%
DATE:
MAY 30, 1991
r 621 EUCIQiQRE DR (PARISH MARKETING & D8V CORP)
X 0'
- Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until turther 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.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
OF EAGAN
-4675
55123
INSPECTI
WORD
PERMIT TYPE:
Permit Number: "Date Issued:
SITE ADDRESS: ,, tft 13 Wt;,, 1
E!R
?rf ? ilpirl h 1 I?F;S
PERMIT SUBTYPE:
1 ,
A APPLICANT;
{r,a:•) ;14;,1 ...61,64
TYPE OF INORK:
141 IA
Permft No. PermR Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapection Date Insp. Comments
Footings I
Foundation
Framing
Raofing
Rough Plbg_
Rough Htg.
isul.
Freplace
Final Fitg.
Orsat Test
Final Plbg. Plbg. Inspector- Notify Plumber
Const. Meler
EngrJPlan
Bldg. Final
oedc Ftg. S!??-?;3 ?.S s' f- ?o ?e 0 u7? i?•-? 7`
Deck Final ?--
weu
Pr_ Disp.
-
T r
.,rq?-?[
r I1 ?ie?' . . . , ? ? . - ? '767q?
.!
l?
r???? .?"r;`!?,i+ ? . . -?y. ? j? ` , 4.
_• • . ? . ?? .-? ? ?. . . '. ? ? ?p,a'lc.. t '?l.' - ? .
j _
?Citp of ?agar?
&?rrwt.ed of &ii.antg 3wPrtwn
This CerttJ'uate tssued pursuant lo tfie raquiremertts of Swlion 306 of !he Uniform Building
Code cern. fyin8 t1W at the tinre of issuance lTusstiuctune was ix aompliance with the variour
ordirrcnces of rhe G'ty regulating building oonoudion or use- For the following.
uhe a22ir? ??/GAR. sW& wwk rm 19129
?
OOCWI*q,lym PiA?fII??& Mtria "{?. .., R1 37? StTA?? VN
PARISH I'E IANE, F1lGl1N
?otr ? 8/26/91
n.m
llun"wi
?j POST iN A CONSPICUdUS PUCE ?
I)ATF 5""23"'91
METER #
GHIP #
METER SIZE
ISSUE DATE
l ?
ITE ADDRESS 021 &CkT' `''re
DT L BLOCK -+ SEC/SUB A t ttr;?L
ZIP r.:lLJ
?
M. ZIP -`?124
ZIP
PERMIT DATE
PERMIT # 12007
B.P. RECEIPT # C 13651
B.P. RECEIPT DATE 051Z 24 91
OSTER PUMP
PERMIT REQUESTED
?- SEWER - WATER _ TAPS
?. COMM/IND 1= RESIDENTIAL
-1- NEW ` EXISTING
Lawn Sprink4er Meters are to be fnstalled
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
\,
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUEU
54-5220 FOR INSPECTIONS. FOR STORM
N
...__......_..._ _ . . . _..__...---?-?-?-?_ _,. ...,,;?;.....:ie
SEWEA & Wl+TER PERMIT
CITY OF EAGAN
3830 Pilot Knob Fid. ?
Eagan, MN 55122-1897
DATE
???lY.,uMr,i. , . .. ? ' :a?.
.?k.
METER #??T? PEFiMIT DATE ??r ? 3? J t 1
CHIP # b 2 0?4 J PERMIT #
METER SIZE $ B.P. RECEIPT # C 13657
ISSUE DATE RECEIPT DA7ECI5 29 ?31
xx- PRV - BOOSTER PUMP
SITE ADDRESS ; ! ! - _ . ._ ? ? L?r i•?e
' LOT BLOCK SEC/SUB APPLICANT:
ADDRESS:
CITY, STATE . ? 4 ?? =i• ZIP ?-=-
PHONE: - '
PLUMBER: PlLIl;:bli:.:, 1 .?.-.
ADDRESS: ilrivt
CITY, STATE ° ZIP
PHONE: --° - ? `?
PERMIT REQUESTED
` SEWER - UVATER - TAPS
_ COMM/IND - RESIDENTIAL
X NEW - EXISTING
l.awn Sprinkler Metecs are ta be lnstalled
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
r,Y
1 AGREE TO COMPLY WI7H CITY OF
OWNER: EAGAN ORDINANCES .
ADDRESS:
CITY, STATE ZIP
pHONE: SIG ATURE WH N METER ISSUED
PLEA$E ALLOW TWO VIIORKING DAYS F6W'AROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORNI.
SEWER PERMITS, CONTACT ENGINEERING DEPT. .' ,
CITY OF EAGAN No 19129
^ 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # /o ? ?
L l
Tobeusedfor SF DWG/GAR EsLValue $105,000 Dare MAY 28 , tg 91
Site Address 621 HACI@fORE DR
Lot 13 Block 4 Sec/Sub. AUTUMN RIDGE
Parcel No.
w Name P?ISH MARKETING & DEV CORP
o Address 3799 BRIARWOOD LN
Ciry EAGAN Phone 452-6644
F Name SAME
Address
City Phone
1?051 Name
?? Address
`a W City Phone
I hare6y acknowlege that I have read this application and stale that the
information is correct and agree to comply wit ?RR??af222pppppplicable State ol
Mmnesota Statutes and City of Eagan Ordingnce
Signature ot PermRee A (1
?l C? ? =
?'?YA &
A ewlding Permit is issued ro: PARISH MARKETING & DEV
on the ezpress condition that all work shall be done in accortlance wrth all
applica6le State of Minnesota Stawtes and City of Eagan OrOinances.
Building Ofhaal
OFFICE USE ONLY
Occupancy R-3 M=1 FEES
zoninq R=1
(AduaqConst V-N BIdg.Permit 6$7.00
(Allowable) V-N SurCharge 52.50
X of slories
§01
Plan Review
427 . 00
Length
oepm 4' sac, cry 100.00
S.F.TOtal - SAC,MCWCC 650.00
S F. Footpnnts -
On Site Sewage _ Water Conn 660.00
OnSneWell - WaterMater 95•00
MWCCSyslem _x
City Water x Acct. Deposit 30.00
PRVRequired _x S/WPermit 30-00
Booster Pump - S/W Surcharge • 50
TrealmenlPl 27
APPROVALS qoadUnit 370-00
Planner - park Oed.
Counal -
BMg.ON. _ Copies
Variance - TOTAL ? • j`F6• U"
(P8'/C/ REQUEST POR ELECTRICAL INSPECTION
? W See instrvctions lo• completing this (orm on back o( yellow mpy
? 1 ; . "X" Below Work Cavered by This Request
e A
did Rep Typeoi8wlding AppliancesWrtetl EqwpmeniWiretl
K Home Range Temporary Servme
Duplex Water Heater Electnc Hea6ng
Ap[ Building Dryer O[her (Specify)
Com ilndusirial
m Fumace
Farm Air Condrtroner
O:herlsyec'y) Gonlractors Remarks
e^ompute Mspecbon Fee 8elow
# Other Fee # Service EMranceSrze Fee # Crtcmts/Feeders Fee
Swimming Pool 0 to 200 Amps ? 0 ta 100 Amps ?
Transformers Above 200 _ Amps ve 100 _ Amps
Signs inspedor's use omy TO7AL ?
Irngation Booms Q ?
Special Inspechon
AlarmlCommunication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 S.
I, ihe Electncal Inspector, hereby
certdy ihat the above inspection has
been made. Rou9n-m c
F,nai re',' `
K
--Y
OFFICE USE JNLY ? .
This raquest voitl 18 monips Irom
? / IF/ "I /v? X.-E <Z
p 2 11 ? 9 ??ep o0
Reques: he ire No Rouqh-in InSpecUpn
qyqu ?
? ReaOy Now relll'di Notity Inspector
n R
'
Wh
tl
I es C No e
ea
y
" hcensed conhactor ? owner hereby request mspecllon of above electrical work at
Job Fdtlres SVaet 6ox or Roule N )
a, 6A/ ?/ ,-JL-U Qty
Seaon No Township Name or No Fange No Counly '
Occupan?? INT)
? rnl 61
q Phone No
Pawer ppber Adtlress
ler,n vacro? ?GOnpany Namel ? Contra cense ?No/
/ V? J
Maihng Ntltlress i ?onv
aoior or Owner Maki)ng Inatailation
J
?
Aw1-012ed &g re iCOmracto,'Owner Makinq Inslai' Lon, POOne umber
MINNESOTA STATE BOARD OF ELECTAICITV THIS WSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Poom S173 BE ACCEPTED 8Y THE STATE BOARD
1821 University Ave. SL Gaul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(fi11)66A0800 ENCLOSEO
p 2 3:12 0
RepMaa e ,
- - rte No Rough-in Inspedion
qe dv
_ Ves - N.
? Reatly Now ill Nooly Inspec1or
When Reatly?
I2!"licensed conUacior D owner hereby request inspection of above electrical work at:
Jab Adtl/ress IS[reet Boe or e a ?
tL/ / Roul Pty ?
Sectior, No Townsnip Name or No Fanqe No Goun '1?
Ocm (PRINT)
?f ? Q? ?%??U La?l1 Phone No
Powe pplrer ? Atleress
Eiectri onvacto, (COmpany If, me) ConVacton's Li nse No
Ma?ling Adores? IComractor or Owner Makmg Ins?allahon)
?75 7 _,pjJ
? ?
Amnonz 9igneWre IGOntractop0yvper Ma,ung s[allet
?/ /J4 r 1J? Phone umber
90 - ?
MINNESOTA STATE BOARD OF ELECTPICITY ?- THIS INSPECTION REOUEST WILL NOT
Gtlgga-Mitlway BItl9. - poom 5473 6E ACCEPTEO BY TME STATE 80ARD
1821 Ilniversity Ave. St Paul. MN 55104 UNLE55 PROPEP INSPECTION FEE IS
Phone(612o 642-0800 ENCLOSED
(??? /g/ REQUEST FOR ELECTRICAL INSPECTION
? jli? See mstmctione Por completing Ihis lortn on beck ol yellow copy
21li1a "X" Below Work Covered by Th1s Request
EB-00001-08
I
ew A_M Rep Type of Bwlding Appliances Wrted Eqmpment Wired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (Specdy)
Comm /Indusinal Furnace
Farm Air Conditwner
? OtM1er(syecify) Gonireotor's Remarks
Compute lnspecbon Fee Below.
x Other Fee # ServiceEnvanceSize Fe R Circuits/Feeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200_Amps B 700_Amps
Slgns Inspedor'sVseOnly ? TOTAL
Irrigation Booms /?? $ ?
Speaal Inspection
Alarm/Communication THIS INSTALLATION MAV 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Aooyn-in oaie
certfy that the above inspection has
been made. Finai oac q
f ? ° 6
OFFICE USE ONLV •
This request void 18 monlns Imm
Address: 621 HACMIM DgIVE Lot 13 B1k q Sec/Sub AUItM glpm
These items were/were not complete at the time of the final inspection.
26 91 Yes No
Final grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas ?
Sod/seeded grass ?
Trail/curb damage v
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps Erom the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. E?
?v
White - City copy Yellow - Resident copy Pink - Contractor copy
RESIDEN4IAL
? ? ? ?? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4875
New Conetructlon Reauiremanle
• 3 registerea sAe surveys showing sq.1t, of bt, sq. tt. of house; and ?II roofe0 ereas
(20% mexunum lot coverage elbwed)
• 2 coples of plan showing beam 8 windax sizes; poured found desgn, etc.)
• lsetofEnergyCakulatbns
• 3 copies of Tree Preservation Plan N bt pleqed aker 711l93
. Rlm.bislOetallOplbnsselectionsheet(bklgswMh3orlessun0s)
DATE ?-
?.
pemodeUNeoah Heaulremanle
. 2 coples of plan
• lsetotEnergyCalculetbnslorheatedaddltWns
. 1 Sfte survey tor exterior atltliibns 8 tlecks
• Indicate it home served by septic system for add'Abns
VALUATION / oZ 0 C--?>
SITE ADDRESS L02 1 doGtr/IotG d/'i'v L MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK P-- 2.n..?.I? FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT lIffE t W '-?
6I//f STATE N/U ZIP ??5
STREET ADDRESS ?aDr2 (dLS? IN F121
74_Z_-V70 7 CELL PHONE # (`?i -,2 FAX # -2 (9
TELEPHONE # 29
PROPERN
TELEPHONE # -1577i
-------------------- ----------------------- ------ ----- --------------------- ---------------°---
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNFSOTA RULES 7672
(4 submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Conhactor. Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanlcal Conhactor: Phone #
Mechanical system includes: _ Air Condirioning Fee: $70.00
_ Heat Recovery System
Sewer/Wafer Conhactor: Phone M
------------------------------------°---------------------
I hereby acknowledge that I have read ihis appllcatlon, state That ihe information is correct, and agree to comply
wit) all applicable StaTe of Mfnnesota StaTutes and City of Eagan Ordinan ?
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
O 01 Foundation
O 02 SF Dwelling
O 03 01 of _ plex
O 04 02-plex
O 05 03-plex
0 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
O 09 07-plex ? 17 Garege
? 10 08-plex ? 18 Deck
? 11 10.plex ? 19 Lower Level
? 12 12-plex Plbg_Yor_N
? 20 Pool
O 21 Porch (3-sea.)
0 22 PorchlAddn.(4sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
O 36 Muki
? 31 New ? 35 Int Improvement [3 38 Demolish (Interior) O 44 Siding
? 32 Addftion 13 36 Move Bldg. ? 42 Demolish (FOUndation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Wlndows/Doors
? 34 Replacement `Demolitlon (EMire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new b1dp) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permft
License Search
Copies
Other
Total
Building Inspector
PERMIT
CI*'OF EAGAN ?
3830 Pilot Knob Road PERMIT TYPE: L
Eagan, Minnesota 55123 Permit Number: 020619
(612) 6814675 Date Issued: 09 / .L _ / ] 3
SITE ADDRESS:
62: Hnci;MORF nR
LO7; 13 BI.OCK: 4
AU1 UPiN I;: 0GC
P'f . IV .: 10 I.2; GJ P. - 1:.'• 0 0`I
DESCRIPTION:
?-
7uil? "lir1L
F'erini.t Type fiECK
\
IF' -a.ldiny WA7r}.
d lyf,c N "?,J
(
U R f; tl c r. tf p A 621 W-3
`
\? ?
__. r
---
?
REMARKS:
FEE SUMMARY:
k0 :.a ' lvb thCn
Tot.:! FF?n i.?_!..5m
CONTRACTOR:
OWNER: - ApplicanC -
slCiftiUVId Br1NIFL
52` HFlCKDiURE GR
Ci;GAP MN 55123
( i7 L4 )392--6569
T r„reLV 6.:< iowlad:;:• tt t S wo ra2.d ro , ; ,7 , .n _ -,,. i .r1 t'
zn'fEirma1,3oi ig corr-eri, ano eyre, tro ctampky wdLh n1,1. "pial.ti:ab]201 ir.c uf P1::.
.y ul t=, n,,.n Cr d+n,_nk, t=.
L ._
n?? rn?
APPLICAM/PERMITEE SIGNATUFE ??SSUED Y: SIGNATUR
REACTIVATE _ CITY OF EAGAN $??Q
PERMI7 4+? ?$???IVED 1993 BUILDING PERMIT APPLICATION
? 681-4675
tt°R n 5 1993
-----------
SINGLE & MUL
ts of plans, 3 registered site surveys, 1 copy o energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, I copy of energy calcs.
?enalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: 14%1 =k,N.oaP Z)ILIAL,
SiREET SUITE 0
?-
Tenant Name: (commercial onlil)
IAT 13o BIACK O! SUBD. P.I.D. *10 1?,3QD /30 0q
Descri tion of work:
The applicant is: 10 Owner 0 Contractor ? Other (Deseribe)
Name 66Nree? bcxvnk Q\ (,-) "lcL ( N Phone
Property UIST FIRST c.?- 3Y?- - 666 y
Owner ?
je--
Address 6e),1 l?LV-v%,% oJf
STREET STE I
City E19cr6'rj State t'17IJ Zip SS 1-13
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
ArchitecU
Engineer Name Registr,ation #
Address
City State ZiP
Sewer & water licensed plumher . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
WORK TYPE
6(31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
0 09 12-Plex
? 10 Multi. Add'1.
? 33 Alteratlons
? 34 Repair
? 11 Apt./Lodging
0 12 Multi. Misc.
? 13 Garage/Accessory
O 14 Fireplace
?15 Deck
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(A1lowabte)
UBC Occupancy ?
Zoning
# of Stories
Length ?41y
Oepth it ,(r_y
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
isi F1. sq. ft.
2nd Fl. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
Footing
Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
2-11 00 I Yalmtim: $
! • '
O`l6 Ba;i?Off.ini:sh.+e
? 17 Swim Pool
0 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster Pump
Fire 5prinkler
Census Code u ?
SAC Code
6-054?5
_..t---
??.? ? ?°?---
Assessments
SAC %
SAC Units
SUftVEY8JR'S ERTIFICAYL a Ts" ""''RKEriNa n
. (o ?- / ?a-???c./tia? C?•?..
10 epe so,3Qr
Le
y?
, ,1 "ao 4a`!t ae;S•c ?`/
M1A ?'n' ?,?1 ?'? ? t?.r ti' i ?•? 2 6 i •??"? V
(?r n? I ? ?.a ?• ? F- e ?
I
<,
4?' ,o A ?? ?' ?`?/ • •
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6
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1 ..
0o W `
`; r
NOTti Wt,DMO OIMmIpN3 SHdYH Aft I'OR 11DRIZONTAL N07ti NO lMf1G $01L8 INVC3TpATtON FIA!
lT[0
4 V(fIT1CA1. LOCATION pI tT11UCTU116 ONLY. St[ oN nue Lot er rr+t 0unvtrq? T N[
S 0?
AaJ1
01t AL RAM! POR aU1LOMp 0 IOUNl?4TtpN
?fdL9 YG 9u?011T T61t SNid/1C
li
P
NOT TIRE NM'OIMIpLRY 0? 4N9
?----^-- DENOTES PROPOSED SURPACE DRAINA3E
O DENOtES IRON MONUMENT SET SCALE:1 INCH ? 30 FEET •
• DENOTES IRpN MONUMENT FOUND E%I5TIN0 QARAQE FlOOR - cf4,j fEET
X000.0 DENOTES EX15TINQ E1.EVATION EX ISTM IOWEST FIOOR - q„,4 FEEY
(000.0) DENO7E5 PROPOSED ELEVATtON 9X{ST INO TOp OF BLOCK - 4?4q, p FHE?
WE MEREHY CEHTIFY TO PARISH MAIii(ETINO THAT THI$ IS A TRUE AND CORfiECT
REPRE5ENTATION OF A SURV@Y OF TME BOUNDARIES OF:
LOT 131 9LOCK 4? AUTUMN RID3E, ACCORDINO TO YME RECOpDEp
PLAT THEREOF?OAKOTA GDUNTYt MIHNESOTA.
IT UOES NOT PURPORT TO SHOW IMPHqVEMENTS OFi ENCRQACHMENTS, E%CEPT AS 8HOWN. AS
SURVEI'Ed BY ME OR UNOER MY UIREGT SUPERVISION THIS 22 NO DAY OF MAY .1991.
?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
t4EC33AN??
?
FOR CITY USE ONLY _32s-y
PER?fIT #
RECEIPT # /0,3.3S0
DATE: "4l 5/5/
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNAOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT.
WORK DESCRIPTION
NEW CONST _
ADD ON ?
REPAIR
FEES
OWNER NAME: h"i5`/2jSe ??1r?,KK?Tih'c.?
SITE ADDRESS: Ct 9 c K.y? ?r2 c/7 1Z
LOT:Z BLOCK SUBD. (.U?'"'in?''-" J?'
iNSTALLER: ep ns & q/C, Inc.
'ADDRESS: 124$1 RMQdB Island Ave. So.
'civd e. lv'IN 55378-1122
CITY: $94•0O?Y ;
PHONE #:
ADD-ON MINIMUM 15.00 ,
HVAC 0-100 M STU 24.
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
o°
i
SUBTOTAL: ?
STATE SURCHARGE: /5?0
TOTAL:
SIGNATURE OF PERMITT
CAMMERCIALJTkII3USTKIkx::. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMZLY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
Jllt ALUkaJJ:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: 2IP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
r.nCri $1,000 vF rEni•iiT scn.
PROCESSED PIPING a $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
$
( S I GNATITRE )
CITY OF EAGAN
1991 BQILDI?NG PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
?NLTIPLE DWELLINGS
/0
?
COPRfERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY 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 APPLZES WEIEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWD DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. IlAy 2$m
To Be Used For: Single Family Valuation: /0`??00-J Date:
Site address 621 Hackmore Drive
Lot 13 slock 4
Parcel/Sub
Autwmm Ridge
owner Parish Marketing & Development Coi
Address 3799 Briarwood Lane
City/Zip Code Eagan, Minn. 55123
Phone 452-6644
Contractor _
Address
City/Zip Code _
Phone
Arch./Engr. _
Address
City/Zip Code _
Phone #
OFFICE S15E ONLY
occupancy -3 M -
Zoning • ??
Actual Const
Allowable V _/4
# of stories
Length
Depth y3,
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Sldg. Off. s ze-s/As
Variance
FEES
Bldg. Permit ?7, vo
Surcharge 2.$v
Plan Review 14 2r/, Od
SAC, City I O10 ?
SAC, MWCC -6-0,?
Water Conn. 60,01-'
Water Meter ,$ OD
Acct. Deposit 30.00
S/w Permit 30,0v
S/W Surcharge t So
Treatment Pl. 276,00
Road Unit 3r/0,Da
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
?hi LA/
agrees that.all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Va
6'PA R _'
?2yxZ2= SZBu./!S- _ 9 92c
aoi? k 3C . r73s
lo%Zx 32 , 33?
13`18 x iy= Iqs-7 -L-
? ST ?LVO?2
z k24 = 4t
/?/?6 xS3= 76630
?•?,?
/0L/ !30 Dri /C?S Oc??
-
A?
. ?`
?' •
loArc iJ??
EX1'LiItIUlt FNVI;t.01'l: AVIi1t/1C[i "U" l:p1q1'U7'ATI011
S1'1'l ADDIcL.SS QT I'3 ,?Lac,K AurruMfy Ry ?GIr ?
conziv,c•rorc ?it,rl /Y?,fte?,vG
onTe nuoaE
Determina workiny uquarQ footzgu o[ oaeh.
f. Total net va11 area above floor ...........................
g. Tota: rim joist area ......................................
Total exposed foundation arcea s ZIP •
h. Total foundation Nindow acca .............................. ?
1. Total net foundation area above grade
Determine "U" vaLuo of cach Nali seqmont.
X .,U„
b. yi y x,.Uw
c. G?. Y x,,,,.,
d. A x"V" ? s Q
x „u„ ./? • ?y 3
f. 1r./8s.?......_ X ..U„
??•1.??..._.__ ?? "??? ._.., os?.---" _.?•.9..._.
x ?????? . ss • a.3. .._.
. . 6B•3 . „ . , 083 ,?:7
1. Total exposad Nat1 arca ....... oAO?2y, y? aq. ft. x •1? +/??i?•
2. Total cooi,cciling area ....... fYO?. O sq. ft. x •025 .?
Tctal exposed ++a21 arae above floor
e, Total wall wi.ndoN area .................................. 1002• y
b. Total door arca ........................................... y/.S/
c. 2cta1 slidinq glass door'arca ............................. 4/.,21
J. Total firePlace uall area ................................. D tR¢f
e. Total vall Framing area (average lOt) ..................... ?? Dg . k
w
?
?
? s .......... ......... .................. ro,e,i • o -
If itan M] is thc samc as, or lc:::; [kmn item ql, you I1avc ulor. clia intaent
oe suc Goor.(c)z.-03 ?Poa. o`?+n I? y)
„ 9 S41 4 GoaG reJZ
Tocal exposod rouf/cuLllny area =/yd ,O
J. Tqcal skylight arca ........................................ O
k.. 1'otal rooC/cciliny Ermniny atoo (avnrayu 10t) .............
1. Total net insula[cd root/cuilimj a[c:a ..................... ..f?G
Detcrminc "U" valur_ for cach eoof/ccilinq scymenr..
j. tO X'.ull a s p
k. /yo. B x"u" , o,z»
,. i. X -u, • o.;117
° ?7,s
4 ............................ . ......Total tL- y _
If tozal of 04 is the same as or less than %2, you have mct ChQ intent of
SSC 6006 (c ) 1. P(j,ryt I7' r3I V
C O?c?+? + 2?S', L, ??i.?*? J?G.,? ..l.n.(?+?'?1?
AlCer sGO Building Envolape Design
To utilize the Cotal envelope system mathocl, thc valucs estaDlish•_d by tllu
sum of items 01 and 04 shall not ho qreatcr than Lhe sum of itemy pl and 03.
i. ??.T•9 « z.
3. zp?.p « a.
Qi?u? ? 3 r ? y(2-3 3• Y, L a?*.P '? / f '? g C a?• /)'
.,E?wGCG?rc? .iyy??+(" "
94 4-e
j Z
1991 BIIILDING Pi ITAPPLICATION ?
CITY OF EAGAN
SINGLE FAUlILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
IS[TLTIPLE DWELLINGS
COMMERCIAL
2 SETS OF YIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPEGIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1,SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES SiHEN: 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 PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MTST 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 MOST SHOW A LICENSED PLUMBER.
To Be Used For: b^ Valuation: ?- Date
Site Address lp?21 r/ vG c%Mpf"?
Lot J-2, Block Iq
Parcel/Sub AJ%UM/U JZnQE?b
Owner jYlOW,(cET-?S,
???19rtWao
Address
City/Zip Code L?GI`?7J
Phone ? S)- -66 `( q
Contractor S?'f"y71 h-
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
/1) 1 1? ? 1 c7L
-
USE ONLY
FEES
Occupancy Bldg. Permit
Zoning Surcharge
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System _ Park Ded.
City water _ Trail Ded.
PRV Copies
Booster Pump _
SIIBTOTAL
IAPPROVALS Penalty
IPlanner ?
Lot Change
Council TOTAL
Bldg. Off.
Variance
Sewer ? Licensed Co
.
? .
? agrees that all aork shsll be done in accordance with
(Si a re of ontractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
MIX04NG
.....
RBSSt?MM
-------------------
WORK DESCR/IPTION
NEW CONST G/
ADD ON _
REPAIR _
OWNER NAME: ?
SITE ADDRESS : NJ o2/ •&
?
LOT:? BLOCK _J? SUBD. ? Pff?O
N0.
?
?
?
DWELLINGS &
--------------------------
COMPLETE THE FOLLOWING:
FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLOSET 3.00
BATH TUS 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 OUT.
(MINIMUM - 1) 3.00 ?i
ROUGH OPENINGS 1.50 5?•?
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S 17i S?I
ST. SURCHARGE .50
TOTAL: $ J Y UO
COMMHRGTf?I.f?S11jUSTRTALs. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BU2LDINGS AND
MULTI-FAMZLY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FOR CITY IISE ONLY
PERMIT #
RECEZPT #
DATE: 6p /c'? 4! q/
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT.
------------°---------------------°
18 OF CONTRACT FEE.
STATE SURCHARGE m $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
INSTALLER:
ADDRESS: 121 REDWOODDRIVE
APPLE ,
CITY: ZZP:
? CITY OF EAGAN
? 'L? 3830 PILOT KNOS ROAD
% EAGAN, MN 55122
PHONE: (612) 454-8100
oGwpL`Atim*t3:"4'
FOR CITY USE ONLY
PERMIT #
RECEIPT #ZO. Z K-2 9
DATE: ?
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNAOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACA UNZT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME: ?R'?-e-Sirc I'hKT?o • 4- oEJ '
SITE ADDRESS: 6-, °l-k ?qt- i
LOT:/_'2 BLOCK 1' SUBD, f"fJv"tN &46E
INSTALLER:
12481 Rhode Island Ave. So.
ADDRESS: sa,aQa nnni 55378_1i 99
$94•0005
CITY: ZIP: ---
PHONE #
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU ?
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM <
OF 1 PER PERMIT
SUBTOTAL: $_J?-
STATE SURCHARGE: .50
TOTAL: $,:9-70
SIGN4TURE PF PE MI E
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BIIILDINGS,
APAR1'MENT BUZLDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNZT.
CONTRACT PRICE:
OWNER NAME:
gTT° ADDP.ESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $2,000 OF DER.MIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
r
?
958274
AorM Asuc;s
rxassaas aafloc:xa vu,va AMZMU" . .
This Aqreement, mada and entezed into the /1LV day
of 9 Wil L% ST , 1990, by and betveen the CITY OF EAGAN, a
aunicipality of the 6tate oP Minnesota, (hereiaaiter called the
t
City), and the Owner and tha Developer iflentif3ed herein• y
Tha tarm •Developer" as used herein reters to: AUTUMN RIDGE
LIIIITEp pARTNERSHIP, a Minnesata limited parlnership, c/o JAMSS
pgygyppxgNT Cp}IpANY vhose address ia 7808 Creekridqe Cirele, Suite
310, Bloominqton, Minaesota 55435.
Tha term "Owner" as used herein refers !o: AUTUMN RIDGS LIltZTED
pARTNBRSHIP, a Rinnesota limited paztnership, c/o JANES DEVELOPM&1T
C01P712iY whose address is 7808 Creekridge Circle, Suite 310,
Bloosinqton, Minnesota 55435 and RUTH CONRAD vhose address is 5015 -
35th Avenue South, Apartment 215, Ninneapolis, Minaesota 55617. . .'
WAEREAS, the Developer has applied to the City for approval of
tha plat or subdivision knovn as AUTUMN RIDGE, located vithin the
Ciiy; and
MHERENS, the Owner and Developer aqree to notify the proposed
potantial buyers oi all lots xithin AUTUMN RIDCE that Lots 1-7, Slock
1, Lots 1-8, Slxk 2, Lots 1-9, Block ], LOts 1-17, Block 4 and I.cts
1-5. Slxk 5, are in a hiqh vater pressure zone and a pressure
reducinq valve shall be installed in eacti home below tAe elevation of
966 faet. A71 costs sAall be the responsibility of the Owner and
Daveloper and shall be installed to prevent dama9e due to high vater
prasstsre.
`?'r:?
I
40
NOtP. TEEREFORE, the City, Oomer and Developer aqree as follovs:
1. Becordina. This agreement shall be recorded vith the Dakota
County RecoMer so as to provide notice to the ovners of Lots 1-7,
Block 1, Lots 1-8, Block 2, Lots 1-9, Bloak 3, Lots 1-17, Bloek 4,
and Lots 1-5, Block 5. TAe Ovner shall provide and exeeute any and
all documants aecessary io implement the recording of this agreement.
2. Notice. The recordinq of this document sha11 eonstitute notice
Lo all ovners and luture owners of property in the AUT[1MN RIDGE
subdiviaion that Lota 1-7, Block 1, Lots 1-8, Slock 2, Lots 1-9,
Block 7, Lots 1-17, Block 4 and Lots 1-5, Slock 5 are fn a high vater
pressure zone aad that a pressure reducinq valve shall be installed
in each Aome belov the elevation of 966 feet. All costs shall be the
responsibility of the Ovner and Daveioper and shall be instailed to
prevenC dameqe due Lo high watez pressure.
3. Vaiiditv. If any portion, sedion, subsection, sentence,
clause, paraqraph oz phzase of this aqreement is for any reason held
to be invalid, such decision shall aot alfect the validity ot the
remaininq portion of thie Contract.
4. 83ndina Aareement. The parties mutually recognize and aqrae
that all terms and conflitions of this recordable agreement shall run
vith tAe land Aerein described and shall be bindinq upon the heirs,
successors, adminigtrators and assiqns of the ovners and developers
referenced in this Contract.
,
r
IN WITNESS WHEREOF, ve have her@unto set our hands.
CITY OP
OWNIItS:
AUTUlQ7 RiDGE LI1tITED PARTNER.SNIP,
a lSinnesota limited partnership,
? By: JAlES DEVEI.OPMENT COMPANY,
ThftoS A. an a Minnesota Corporation
Its: Mayor Ita: General Partner
test J. VanOVerbeke y: Date
Its: ity Clark Zts:
/
py_ Dnte
Ite:
D
Z2&
R i CONRAD at
DEVEI.OPER:
aUTUlQi RIDGE LIMITED PARTNERSHSP,
a Minnesota limited partnership,
8y: JAMS DEVELAPMEliT C01'S11N7f,
a Minnesota Corporation
Its: General Partner
gy; nate
its:
.p
?
i
,
gy; Date
Its:
ST11TE OY MZNtiESOTA
ss.
CODNTY OF DAROTA )
On thia Zr& day of e-'O" , 1990, before me a Notary
Public vithin and !or said Cout+ , personally appearad THOMAS A. EGAN
and E. J. VanOVERBEKE to me iiersonally knovn, who being each by me
duly 6M0lT, each did say T1iat they are respectively the !layor and
Clazk of the City of Eaqan, the municipality named in the toreqoing
instlvmont, and that the seal aifixed on behalf of said munieipality
by authority of its City Council and said Mayor end Clnrk
acknowledqed said instrument to be the free act and deed of said
municipaiity.
- j • j :
luer.r? ? aoaEnrtmli
Iq'4NM R?:I: - W!RFSOT?
CAKOTACCUNTY N td PUb11C
?rr caamRaan t,v vn e i-n
STaTE OF IQtJtfffiOTA
) ss.
CODNTY OF )
On thi day of ?. 1990, before me a liotary
Public _ vithi?d?? for'? said County, personally
appeared USIfGA to ma
parsonallr kovn, vho beinq each by1me duly s n„ ch d say thst
thay are respectively the S
alMt of JAISES DE?' IEIAPMENT COMPAHY r a
Minnesota corporation, general partner of AUTUlBi IuDGE LIrSZTED
PARTNERSHLP? a Tlinneaota limited partnership, to me personally known,
vho ba me duly svorn, did say that iheY ara
?a am of the
cozporation and limited partnership aamed in tde loreqoinq
inatnaent, and that the seal aPliYefl to said instrument vas siqned
atA ed on f of said corporation and limited partnership and
said.?? L.?Jfl?/V? Wdi acknwledged
sald instrument to be the lree act and deed of said corporation and
limited partnership.
Notary ia
.? w u X.1040
b`rATB OF RNESOTA )
) ss.
COIINTY OF
On this 16?- day of i , 1990, before me a liotary
Public vithin and !or said County, rsonally appeared RUTft CGNRAD to
ae personelly knovn to be the person deseribed in and vho exeeuted
tha Loreqoinq instrument and acknowledqed that she execut@d the same
as hez lres act and deed.
•? •„??? ?hmc+? ? • ?/
i+otary PUbliC
APPROVED AS To FoRM:
Attorne O
tod: 9
APPROVBD 1?S TO CONTENT:
Public 9lorke partment
paGd: B^7-9o
TSIS INSTRDlEt7T WAS DRAFTED BY:
SBVZtSON, fPILCOX i SBELDON, P.A.
600 Midvay National Bank Bldq.
7300 Mest I47th St=eet
Apple Valley, Mi 55124
(612) 432-3136
![GD
SURVEYOR'S CERTIFICATE PARISH MARKETING
etr ro
?? VS4A
O ^
exisr
HoUSE
3T.6
yj16 +? - so _ 159.3T J9'0
g oo'? g 800.501 3 p ?
O ? ??? 'D3e v G ?
O M j oi ?f
(U a°
10 I '?----- 243.1 ? tr I ? I s.a p 20.5 ? N R I ?io.5 mQ'o't
0017 N W\? a ? ?p??/ ,yp ` 1
? M 30 \? o
q 4.0 p .?
o a? ()?
a -' - -- \
tc) WQ I r. I 4` /
O
W sn?.s M oa 1 4 N
N Cl ? o I u 22.3 ?
?I a I ? ij'9?1 --- a4.",I / .
?
ol ?,fJ. `?• ?`•
45.8 U m Mao4'pp°
.
a M 10 L
918.8
9,p
y cy
\ -• ?
z? S 56 8 „ W L?..
6.6 1= O
7g° \ FAGAN EIVGIIVEERIAIG EET
'"°g y
r?
r-?°i . V. ? ? 01 U
NOTE: BULOING DIMENSIONS 'SHOWN ARE FOR HDHQONTAL : NOTE: NO SPFXFIC SOILS IM/FSTGATON HAS BEEN COMPLETED
B VERTICAL I.OCATION OF STRUGTURE ONLY. SEE ON TNIS LOT 9Y THE SURVEYOR. THE SUITABILITY OF
AROiITECfUAL PLANS FOR BUILDING 9 FOUNDATION $OILS TO SUPPDRT THE SPECIFIC l1WSE PROPOSEO IS
DIMENSpNS. NOT THE RESPON51&LITY OF THE SURVEYOR
f--- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SEf SCALE: 1 INCH - 30 FEEf
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - c144,; FEET
X000.0 DENOTES EXISTING ELEVATION ? PROPOSED LOWEST FLOOR - q38,(o FEEf
(000.0) DENOTES PROPOSED ELEVATION , PROPOSED TOP OF BLOCK - q4fo,7 FEET
WE HEREBY CERTIFY TO PARISH MARKETING THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 13, BLOCK 4,AUTUMN RIDGE, ACCORDING TO THE RECORDED
PLAT THEREOF',OAKOTA COUNTY, MINNESOTA.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 22 ND DAY OF MAY, , 1991.
SIGNED• JA L.HILL, INC.
PROPOSED GRADES SMONN WEIE TAI?N
FROM THE GRADiNG PLPN FOR AUTUMN ?
RIDGE, PREPAREO BY PIONEER ENGINEERING , B ? ?OHN C. LARSON, LAN SURVEYOR
MINNESOTA LICENSE NUMBER 19828
PLANNERS / ENGINEERS / SURVEYORS
? 2500 W. C1Y. RD. 42 9 BURNSVILLE, MN. 55337 o 612-890-6044
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NOTE: 9ULOING DINENSIONS BHOWN ApE IOR MOpQONTi4L NOTE: MO VUfIG SOILS INVE9TpAT10N MAS OtZJi COMPLET
a VEATICAL LOCATION 0/ iTiIUCTURE ONLY ![E ON TMIO LOT oY TIIE fURV[Y011. T![ iUTMII.ITY q
•Iq/?7'ECTtlAI RAN! fOR bUILONq A'OMIMTION 3?IL! TO fUM011T TIIE SI?CIFIC MOU? NqW0K0 IS
p?sp?• NOT TNL MNONMMIITY 01 TNE CURVFYOR
?- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1'INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND EXISTING GARAGE FLOOR - FEET
X000.0 DENOTES EXISTINO ELEVATION EX ISTING LOWEST FLOOR - FEET
(000.0) DENOTES PROPOSED ELEVATION EXISTING TOP OF BLOCK- q4,7,0 FEEf
p ,?// f''?."?I p??tE:?
WE HEREBY CERTIFY TO PARISH MARKETING THA ? T I& IS A TRUE•AND?GYORR GT -Y?
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 13, 6LOCK 4,AUTUMN RIDGE, ACCORDfNG 7O THE RECORDED
PLAT THEREOF,DAKOTA COUNTY,MINNESOTA.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 22 ND DAY OF MAY , 1991.
HILL,INC.
PROPOSED ORADES 8FOWN WE(E TAIEN
FlION THE OMWNti PLMI P011 AUTUYH
RIDGE, PIIEPAl1ED B+f PIONEER ENOIN[ERING `
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JOHN C.LARSON,LAN SURVEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 o BURNSVlLLE, MN. 55337 • 612-880-8044
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132584
Date Issued:08/24/2015
Permit Category:ePermit
Site Address: 621 Hackmore Dr
Lot:13 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Lluke C Turvold
621 Hackmore Dr
Eagan MN 55123
(952) 239-6031
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use 4�.
41/I' IFS&7" l
City of Eaaau ::::: 7()
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildinginspections(ocityofeagan.com Staff:
V J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: .1^,i/,6 �I.uft,' Phone: 6c' - 32'
ResidentV
Owner Address/City/Zip: Lal 44,v i1 . 6,-. j ~v
4 Applicant is: Owner ,ontractor
ss:r
y of Work Description of work: 2 ..pp e� eve
Construction Cost:
�76V, � Multi-Family Building:(Yes /No )
Company: VA4 &4 of Contact:Z.t.c4-S C.,a :i
Contractor "F Address: //i 7t, „23 iV.- City: Pykyi
State/4N Zip: c L( ' Phone(7&S �r'�s Email: �G°.'t€fi(d r)r rte GC C r'S Co.."
License#: (t L' Lead Certificate#: ,'j/47 ,y-”s
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to,be public 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
ere.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. 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.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x i,z S G�/�f x
Applicant's Printed Name Applicant's Signal F
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145991
Date Issued:10/04/2017
Permit Category:ePermit
Site Address: 621 Hackmore Dr
Lot:13 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lluke C Turvold
621 Hackmore Dr
Eagan MN 55123
(651) 329-1746
Nmc Exteriors & Remodeling
14276 23rd Ave N
Plymouth MN 55447
(763) 684-1662
Applicant/Permitee: Signature Issued By: Signature
`4/ o
, For Office Use c
Permit#: /!'/ 7' 7 ��
f I 0
Permit Fee: / �,2' ?, I
ir
4E40 It*, Date Received: 5--
4 -1-�"1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 �'a V 2 zQ � L Staff: I
buildinqinspections(c'D,citvofeagan.com B y
2020 RESIDENTIAL BUILDING APPLICATION
5/20/20 621 Hackmore Dr
Date: Site Address: Unit#:
` f "> Luke and Jessica Turvold
� ���
., �' Name: Phone:
�,, , 621 Hackmore Dr
`.' ' Address/City/Zip:
00 14,E 44• , xw to ,,;
4
tali 050 : Applicant is: Owner ✓ Contractor (A-T(/" A I i
`� , Replace deck
X A�� ` Description of work:
.41 yO 10,000
31 K A,tk Construction Cost: Multi-Family Building: (Yes /No V )
����7 � Beyond Remodeling, Inc Joe Blackfelner
: Company: Contact
• ,�� 6736 Argenta Trail Inver Grove Hts
owh Address: City:
�° jt, M NI 55077 / joe@beyondmn.com
�� V ,f N : State: Zip: Phone:C1 Z-Z r4�'(�' Email:
:.444 ' '� � '� �� BC668478 R-I-74543-19-01789
v, o• , License#: 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:
'e y „:, ",:.-f-,::,(,'
f : rs ;c ',°:`'j.''' '!.7:,:,--:- : ::,-, �-Rc�efs`,t< n:'''':: '` '',7,—r{ `:a�=�'�.4 g,:::'n ' s:‘,7,‘'''''.-:;''C''':
.q .ta�.0 x a r:".,.1-1-''.7,' i r n!ci; Y k Sq
��Eft ,;1'' z '' s'''ra& ;,`tl'i'14 '.a4s:x.. ,.�:v �'''4t' '3i t ',;", . ". :i%j.d-. :-; t` /-.,',`'�;f `1:`,',*':1';',:":41''''4'4%,'''''T {is ` :k'''"' ,�'1,0- ? ci30, rig,da
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'� wz�<_. .�:t,.>t.. ✓ ti',_. ._ ..:.'� sr-, i,�.. �anan � fLd»m k : t�na.�`- ..,e. r "-t :fi
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.citvofeasran.comtsubscribe.
Exterior work authorized bya 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.aoaherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be i—. ormance with the ordinances and ••es of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, an• o is not to start without permit; t = the work will be in
accordance with the approvedPplan in the case of work which requires a review and ap• •val • plans. /
x . C`�*e, .k ms t✓K.. Cd u.e( x „�
Applicant's Printed Name • • • icant's Signature
DO NOT WRITE BELOW THIS LINE 0 ( 14/1-Ckrnek'c Dry , /6/ 76 7
`SUB tYPES
- Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
— 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
_ 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 t i -.CVO Occupancy T R (L MCES System
Plan Review Code Edition ,2ooM1Jat_ SAC Units
(25%_ 100%) Zoning (L.-I- City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction .3,---135 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
X Footings(Deck) Final I C.O. Required
Footings(Addition) X Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
X 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 Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES ;�
Base Fee iZe p (ct-�n� J P�c.�.e. to/ )\ L)
Surcharge
Plan Review tDet.L .+ S 1A rp-S
MCES SAC
City SAC NX& '2Zy
Utility Connection Charge / _ 'L
S&W Permit&Surcharge !O'S X -- # * 3 996
41 X � s _"
Treatment Plant 266,
Radio Meter Read
Copies
TOTAL
Page 2 of 3
SURVEYOR'S CE LATE PARISH MARKETING
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ERT
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NOTE: BULDING DIMENSIONS 'SHOWN ARE FOR HORIZONTAL :NOTE: NO SPECFIC SOILS INVESTIGATION HAS BEEN COMPLETED
II VERTICAL LOCATION OF STRUCTURE ONLY. SEE ON THIS LOT BY THE SURVEYOR. TiE SUITABILITY OF
ARCHITECTUAL PLANS FOR BUILDING Bt FOUNDATION . SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS
DIMENSIONS. NOT THE RESPONSIBILITY OF THE SURVEYOR
f--- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH — 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR — ci44,3 FEET
X000.0 DENOTES EXISTING ELEVATION _ I PROPOSED LOWEST FLOOR — 936,6 FEET
(000.0) DENOTES PROPOSED ELEVATION ., , PROPOSED TOP OF BLOCK— 9'444 FEET
WE HEREBY CERTIFY TO PARISH MARKETING THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 13, BLOCK 4 ,AUTUMN RIDGE , ACCORDING TO THE RECORDED
PLAT THEREOF', DAKOTA COUNTY , MINNESOTA.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 22 ND DAY OF MAY, , 1991.
SIGNED- JA E . HILL, INC.
PROPOSED GRADES SHOWN WEIE TAKEN
FROM THE GRADING PLAN FOR AUTUMN C
RIDGE, PREPARED BY PIONEER ENGINEERING , B JOHN C. CARSON, LAN SURVEYOR
MINNESOTA LICENSE NUMBER 19828
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W 8JarnesR. HiIl, inc
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o v ITI z p 2, D z N m m Z PLANNERS / ENGINEERS / SURVEYORS
m . zit t; zcD -c
_ ap O m
• 2500 W. CIV. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044
E
N
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n
RECEVED
JUL 15 2020
621 Hackmore Dr
Deck permit # 161767
Support for privacy wall
5/16 x 6" GRKs and they are placed on top and sunk into the triple 2x12 beam, plus an additional
vertical blocking attached to the beam and joists for the interior 2 screws.
Joseph Blackfelner
Beyond Remodeling, Inc
6736 Argenta Trail
Inver Grove Hts, MN 55077
Lic: BC668478
Tel: 612-298-1357
Email: ioe(abevondmn.com
Web: www.beyondmn.com
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172809
Date Issued:10/18/2021
Permit Category:ePermit
Site Address: 621 Hackmore Dr
Lot:13 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Luke C & Jessica L Turvold
621 Hackmore Dr
Eagan MN 55123
(952) 239-6031
Apple Valley Plumbing Llc
15615 Fairfield Dr
Apple Valley MN 55124
(612) 387-1207
Applicant/Permitee: Signature Issued By: Signature