625 Hackmore DrCASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
FiEcArito
. ...AX{,<<"' i; -")bbZ??,-?, L
nMOUNr a ? ?:? (i-/)[.i c???
a oauARs
? GASH t?S CHECK
H
IVR??
7--C:
-;
Thank You
:
BY
!
C 12852 ?"?,,?'"?,,
??" Copy
ZGaT'`CL;o EwvILSORS-834-5490 CITY OF EAGAN N2 18872
3830 Pilot Knob.Road, P.O. Box 21-199, Eagan, MN 55121 ?
' PHONE: 454-8100 { L ?? ?? >
BUILDING PERMIT ? Receipt # - To be used for aY M/? Est! value ;?,? Date ?"R 10 1941
Site Ailess 623 HACIQIDRE E3A
Lot Block Sec/Sub. aFFICE USE ONLY
Oaupancy .?i
Parcel No. 8?? ?i FEES
sEASONAt. aviLoaRS iNc Zornng ? 613.00
1
cc Name (Actual) Const Bldg. Permit
o
Address
(Allowable)
-
h
S ?
47,00
MGM urc
arge
City
Phone # ot stories ?q.. 398.00
Plan Review
SA? ?ih -? i???
p Ndit'12 Depth SAC, City
?
vi Address S.F.Total - 6???
? City Phone S.F. Footprints - SAC.MCWCC 60,00
Water Conn
? On Site Sewage _ 95.00
W Name a, siie wen - Water Meter
W W ?
?? Addf@S3 MWCC 5yslem ?.?
? ?t peposd
i W Clty PhOft@ Ciry Water
S!W Permit ??
.
PRV Required _ ? .
I hereby acknowlege that I have read this application and state that the eoosier Pump - SMJ Surcharge .
infarmation is correct and agree to comply with all applicable State of
Minnesota Statutes and City o( Eagan Ordinances. Treatment PI
Signature of Permitee APPROYALS
Road Unit 370.UO
A Building Petmft is issued to: SEJISWIAL BUI1.D8&S INC
Ptanner
-
Park Ded. ?
on the express condition that all work shall be done in accordance with all Co+ncil --
applicable State of Minnesota Statutes and City ot Eagan Ordinances. eldg. Off. _ C0p1B' 3--269-?
•
Building OHicial Variance - TOTAL r
- -- - -- r _'
1
-' Permit No. Permit Holder Date Telephoe+e #
WATER
SEWtR
PLUMBING ^l - ,3
?0 ? -r..?
w
N.VA.C.
eLEcraic D s r4 S ? 5'°"
Inspsction Date Insp. Commsnts
FootingS I
P«,naation
Fra„ing s?s -, Qs h??.? ? r
Roofirg
Rough Pibg. - 6 1,/ y
Ftatr9h Ht9.
? U
- "` r1h;
ls,i.
Fueplace
Fnal Htg. 7 - l A!
Final Plbg.
Const. Meler Plbg. Inspector - Notify Plumber
EngrlPlan
Bldg. Final
Deck Ft9• LG.¢-K- (vn'-4c,5:-
Declc Final 2 /b OLy
ti
Well
Pr. Disp.
?- l
27
67
?
-to I
;
REAC 7mt%ArS FO& DECK-?.'?____-. _ _._.
??,R,T.?r'?.?.4 ADVISURS-864-54?0
=''tn'
(gexttf ir?tt of rxupanq?-
Citp of Cagatt
J9rVwaurct n# &tiiditug 3wPrtian
This CemJ'rcate issued pursuant 101he reqranentenls of SerSe?iion 306 of 1he Uniform Building
Code oaWfXnB that at 1he time ojissuance this sttuclure was in compliaaae with the various
ondinaxcer of 1he City regulaj&g building consYruction or use Fvr Me following.
um C6=rwmfi„ SF DWG/GAR W4 Pcra& Nm 18872
o-w-csTya R3 /M 1 Zoo* pW? RI _ Tyr- e-- VN
Owwaf0mld* SEASONAL BLDRS. Add= 4580 S= TRAII., EAC'AN
&uUicg A&ta= 625 f1ACKH]RE DRIVE ., L 14, B4, ALTltMV RIDGE
6/7/91
POST W A CONSPICUOUS PUCE
DATE: APR 12, 1991
625 HACICNORE DR (SEASONAL BUILDERS INC)
x iYbur Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Goachman 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 cannoi 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: Piease 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.
- REDUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEWER & WATER PERMIT
CITY OF tAGAN
3830 Pilot Knob Rd.
? Eagan, MN 55122-1897
DATE AP:: 10, 1991
OFFICE U5E ONLY
PERMIT DATE 04/12/91.
PERMIT # 11915
B.P. RECEIPT # -
B.P. RECEIPT DATE 04i 11 Jnl
x PRV - BOOSTER PUMP
SITE ADDRESS 621`' D?`'
LOT 14 RLOCK ` SEClSUB ' UTUM al?GE
APPLICAN'
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER: PLIfMBING
ADDRESS: 32V F Dilt AVE
CITY, STATE ST PAUT. MN -Zip 55117
PHONE: 489-734t.
PERMIT RE{.UESTEQ
X SEWER % WATER - TAPS
- COMM/IND Y RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
?t`:c Ji? -? ?J• ?""?'
1 AGREE TCI COMPLY WITH CITY OF
EAGAN ORDINANCES
55123
SIGNATURE WHEN METER ISSUED
TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
, CONTACT ENGINEERING DEPT.
VER & WATER PERMtT OFFICE USE ONLY
Y OF EAGAN METER #Vq9J73 Z-?_ PERMIT DATE 04/ 12 % 91
) Pilot Knob Rd. CHIP # C2J,43' 6 7 35 _ PERMIT # 11915
an, MN 55122-1897 ??12,
-'` "
METER SIZE Su B.P. RECEIPT #
?
ISSUE DATE ? B.P. RECEIPT DATE 04 11 91
E 'R 10, 1991 ?
? PRV ._ BOOSTER PUMP
; ADDRESS 625 EIACKZ40RE, DR PERMIT REQUESTED
14 BLOCK A SECiSUB au1' crrN R r nGt:
- X SEWER X WATER - TAPS
, STATE
METER #
CHIP #
METER SIZE
ISSUE DATE
21P
U B
BER: ?(C"" t y FLUt?BING
IESS: 12C) F nuT evF
STATE ST PAU1. MN Zip 55117
IER: SF-ASOKAL BUILflEF,E 113C
3ESS: 4580 SCOTT '0:
, STATE EAGAN wtN Zip 55123
.im. 454-59 ; 1
6SE A4LOW TWO WORKING DAYS FOR PROCE'ISSING.
eR PERMITS, CONTACT ENGINEERING DEPT.
COMM!{ND K RESIDENT{AL
X NEW - EXISTING
Lawn Sprinkfer Meters are to be Installed
Ahead of Domestic Meters an Water Une. '
Creclit WILL NOT be given for Deduct Meters.
1 AGREE TO COMRLY WITH CITY OF
EAG]4N ORDINANCES -
f
7'' 31.:
t',t. `vY G,.'_____ -
SIGNATUFiE WHEN METER ISSUED
CALL 454-5220 FOR INSPECTIONS. FOR STORM
.?_:??- ,---,.?__ _ .._.... . ... .. ... _..? _ .
CITY OF EAGAN
? NO 18872
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8700 ('z??
BWLDING PERMIT Receipt # ?-' Q
To be used for SF DWG/GAR Est. Value $94,000 Date APR 10 , 199j--
Site Address 625 HACKMORE DR
Lat 14 Block 4 Sec/5ub. AUTUMN RIDGE OFFICE USE ONLV
ParC01 N0 Occupancy R-3 M-1 FEES
. 2
i R=1
on
ng
w Name SEASONAL BUILDERS INC (ncmaqconst V-N 61dg.Permit 613.00
o Address 4580 SCOTT TK (Allowable) V=N 47.00
Surohar
e
City EAGAN Phone 454-5971 a of Srones 49' g
Plan Review 398.00
Length
a Name SAME pepth 481
0
SAC, Cily 100.0
,
O
a Address SF.TO1al - MCWCC 650.00
SAC
U
? City Phone S F. FooWrints - ,
00
660
S .
Water Conn
ewage
On Site _
?
W w
Name
On Site Well
-
Water Mater 95. 00
tE
Address MWCC S slem
Y X
30
00
?a _
Acct. oeposit
?aw City Phone arywater x
d
RV R X SMI Permd 30_ on
eqmre
P
I hereby acknowlege ihat I have read this application and state that the Booster PumD -
0
SNJ Surcharge .5
information is correct and agree to comply with all applicable State ot
276
00
Minnesola Statutes and C
y? of EagaO
rdin nces.
}1 .
Treatment PI
1
(
J
Signature ol Permitee ? r'--' APPROVALS Roatl Unit 3 76- [10
A Bwlding Permit is issued to: SEA ONA . B I .D .R TN Planner - park Ded.
on Ihe e%press condition that all work shall be done in acwrdance wRh all Councn -
Copies
tes and City oi Eagan Ordinances.
applicable State of M
i
n
n
esota StaW Bldg. OfL _
1
J
1
-
,269.50
3
?
BwldingOHicial fuN?f?t?,?1? Variance - TOTAL
"?
?w?r a?aaba? ?o
?
p
07328 ?
oa
Repuesl Date
-?
/ Fre No Rough-in Inspectio
qe u' dv
?
G Ready Now ill NoLly Inspector
When ea
_ if No
I'D'licensed contractor ? owner hereby request inspection of above el rical wor ?
!
Job Atl ess i Veet 8ox or Po ie No
K DAY
Secu Town p Nae or N Ranqe No Counry
OccuPani PSO??
o Phon¢ No i _ ?^?/
! ! ?v Y
Power Suppliei Atltlrgss
Eiecmc G.ractor ICOmvany ema) ? Gomractor's censa No?
\
Mai g A ress Co9rt ctoror O r aking In51811d1ion,
?
aotnurrze iS^atm iCOmra r.Owner?Makinq InstallallOi/
• / ?V,
MINNESOtA STA7E BOAqO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GnggsMiEway Bltlg. - Room S-173 BE AGCEPTED BY.THE STPTE BOARD
1801 Umversity Ave. SL Paul. MN 55104 UNLESS PPOPER INSPECTION FEE IS
Phone(612)642-D800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
ji? See msimcnons tor complenng zM1is lorm on back ol yellow copy
?(1 7328 "+i Work Covered by rhis Request
? Sr t_
ea?oaom-oe
?.
v.,?.•
ew dd Rep TypeofBUdding •- AppliancesWired EqwpmentWired
Home Range Temporary Service
?• Duplex Water Heater Elec[ric Heating
Apt Bwldmg ryer Other (Speafy)
? Gomm /Industnal Furnace
Farm Air Conddioner
Otnar Ispeonyl Comramors Remerks
Compute Inspection Fee Below
# Other Fee # ServiceEniranceSize Fee # Qrcmts/Feeders ee
Swimming Pool 0[0 200 Amps ? 0 to 100 Amps ?
Transformers Above 200 _ Amps e 100 _ Amps
Signs Inspec^ors Use Only , TOT L ?v
Irngauon Booms
Special Inspeclion
AlarmlCommumcation THIS INSTALLATION MAY BE DIS NtECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I the Electrical Inspedor. here6y Romqn-rh ?
cerhf that the above ins ection has
Y P
been made
Final
Date
(0
OFFICE USE ONLY
Tnis reGuesl voitl 18 monlns Irom
/
AddYess: 625 HACKMORE DRIVE Lot 1481k 4 Sec/Sub AUTUMN BIDGE
These items were/were not complete at the time of the final inspection.
pate:6/7/91 Yes No ! /, Tnspertor,
Final grade (6" from siding) V/'
Permanent steps - garaga ?
Permanent staps - main antry VI"
Petmanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish /.?
Deck
Please verify vlth the builder tha removal of xoof test caps from the plumbing
system and tha shut-oEf oE water supply to tha outside Lavn faucet before
freeze potential exists. ?
.?M.??.
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAI3, MN 55122
PHONE: (612) 454-8100
?,.( ?..{?.?yry+(pp'( ?1
$M!MM?i? F V YSA?!P.<? :: r••: .. ?M-
FOR CITY USE ONLY
PERMIT # 1? ?15
RECEIPT #_?
DATE:
t?Sl???xY4?: PLEASE COMPLETE IIPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS &
..
TOWNNOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACA UNIT.
------------------------ ---------------------------------------------°--------
WORK DESCRIPTION FEES
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: LPo15- JdQ?J'YlG7.P /OY".
LOT:_z!4_ BLOCK _4V SUBD.
INSTALLER:
ADDRESS
CITY
ZIP: Ve,'?iny0x
PHONE # : 05-J ?J 7
ADD-ON MINIMUM $?S.OD
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
lSG
SUBTOTAL:
STATE SURCHARGE: .50
/?C ( rSIG ??
NATUR0^ PERM? TEE
WM$RtTtiI.jlT9DtTSTRIA'L; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS,
> ... :.:.. . ... . . . .., ...
APARTMENT SUZLDINGS, AND MULTZ-FAMILY BUILDINGS WREN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACR DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE P,DDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHP.RGE a $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $,
TOTAL: $
( S IGNAT[JRE )
CITY OF EAGAN
PERMIT ? lI
REAtY1VA?fE l ? .. . ,
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION.
681-4675 ;JUN 1 9 REcD
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, i set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made ar lot chan e is re uested once ermit is issued.
Date t- Valuation of work
Site Address: ti'ZS #ackr+zo .
STREET SUITE X
Tenant Name:.(commercial only)
i.ox ? si.ocx P.I.D. *
Descri tion of work:
The appl i cant i s: ? Owner ? Contractor Other (Descrfbe) Pa" n
Property Name S'L.cz qh??.?w, Iv? Phone
LAST FIRST
Owner
pddress
STREET STE ii
City State Zip
Company or-??-o ; Ar?( ; Phone g$H- Sy90
COntI'BCtOt' Address C21z C gd?'`S.f, License # Exp.
City 5tate _ no Zip 51
Company Phone
Architect/
Englneer Name Reglstration #
Address
City State Zip
5ewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area as een approved.
I hereby acknowledge that I Mave 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:
BUILDING PERMIT TYPE
O 01 Foundation
? 02 SF Dwg.
O 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
OFFICE USE ONLY
? 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
WORK TYPE
?r31 New
? 32 Addition
O 33 Alterations
O 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
N of Stories
Length ? Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
0 Wallboard
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage /Acce s sory
O 14 Fireplace
? 15 Deck
or i
.
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facil9ty
? 21 Miscellaneous
? 35 Tenant Flnish
? 36 Move
O 37 Demolish
Basement sq. ft. MWCC System
lst F1. sq. ft. City Water
2nd F1. sq. ft. PRV Required
Sq. Ft. total Baoster Pump
Footprint Sq. ft. Fire Sprinkler
On-site well Census Code
On-site sewage SAC Code
Building tL (,-zs9Z Assessments
Variance
15 Footing
'D Final
? Framing
? Draintile
y c/
? Insulation
? Fireplace
Permi t Fee g
Surcharge ?
Plan Review
License
MWCC SAC
City SAC
kater Conn.
Water Meter .
Acct. Deposit
S/W Permit
S/W Surchar9e
Treatment Pl.
Road Unit
Park Ded.
Trails Ded. °
Copies
Other
Total:
5AC %
SAC Units
STATE RESIDENTIAL CONTRAGTOR/REMODELER
LICENSING INFORMAT70N
PERMIT #
1. I have made application for license to the Departmeat of Commerce.
Date of Application
_ Residential Building Contractor
_ Remodeler
Signature Date
2. I am exempt because I am a= specialty remodeler.
Signature Date
(CO1JS7,Ruc-nON RCCEIP'rS
3O. I am exempt because my annual gross receipts are less than $15,000.
92---
ign r Date
4. I am exempt because wntracts on individual projects in aggregate do not
exceed $2,500.
Signature Date
Questions regarding the licensing law should be d'uected to the Department of
Commerce, 133 East Seventh Street, St. Paul, Minnesota 55101, (612) 296-6319
Licensing Information, (612) 296-2594 (Enforcement).
-------------..?...
. . ,
.. `,
o-a
673•00+
47•00+
398•00+
2)211•50+
?l
? 3 y2u9 • 50?=
I?
613•u0=
?
47°00+
398•00F
23 211°5U+
3, 209°50*
no sru7
Wg1Yi??
g1??? Yy?19 E g?
3 R? i OF R?? Y C[+1'
1 `'ti2
YEN?'tiSY Ay4yl?s
sss,
DES RS`
YROr' 1?
YgRM
Be Use
20
Slt-e Pdi
azc'
4
0%.TV
A2
;
- I t212
1991 BUILDING YERMIT A PLZCATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
M[TLTIPLE DWELLINGS
PENALTY APYLIES WKEN: 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 LOTS - 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 LlCENSED PLUMBER.
,/
/ ?, ?
To Be Used For: i??dtnfiar Valuation: ? ?-' Date: y'?-
Site Address ?ju -IypAa/yct ?x,
Lot 2 7 Block q
Parcel/Sub
Owner
.
Address
City/Zip Code
Phone
C-7
Contractor J4 So?,!??+??; /??s Lk c,
Address 15-'5?v
l
City/Zip Code ?Q?a-?.,?s.,
U7 ?
Phone K-S?/ 57;?12/
Arch./Engr.
Address !6 29"i ' y?e•'v
City/Zip Code
Phone # S S --V- ?670
94, oa o
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE
R•'3 M-I
R 'l
V*W
V- N
'i '
4S
COMMERCIAL
FEES
Bldg. Permit 613.0o
Surcharge tlr} , D O
Plan Review d0?
SAC, City oD D27
SAC, M4TCC SD JO
Water Conn..
Water Meter 415? D d
Acct. Deposit 30.00
S/w Permit 0 ,11°
S/W Surcharge „CV
Treatment P1. 6,0o
n
Road Unit 374),6)
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL ,2I .S
On site sewage_
On site well
MWCC System V
City water ?
PRV
Booster Pump _
?
? agrees that all work shall he done in accordance with
(Signature of Contractor)
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
J ? L
G/A 2.e.&E
2Zx22 =. '-1by x iS % ?Z? t?
_.y-• r
Ll y X 26 ?
Z- _
S i? / Z =
L? Z =
11 `i V
ly
. ?s
?
C?--y?--
I 22°? ?C ( 4? 1r7?Zo 6
I-I b,?.SC
?'?zxzz ? 33
zxZ'2- - uL(
1------
I 301, x 53 =
L
r'
v WL 'f ?, U mv
? ? ?
CITY OF EAGAN
3830 PIIAT ItNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
to"G`M"
FOR CITY IISE ONLY
PERMIT # /?..?L? q
RECEIPT # ?-?-r)
DATE : 9/
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMSLY DWELLZNGS fi
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT.
WORK DESCRIPTION
'X N0.
NEW CONST
ADD ON
REPAIR
OWNER NAME: S?aSaxc?X .E?Ti'?i?lL?' ?/`{- •
SITE ADDRESS:
LOT:_/±? BIA?CjK ? SUBD. '
INSTALLER: ! 1 `^LGI ?? ? ?? ?
ADDRESS: 30-D
CITY: ??- P941-[ ZIP: ?SII /
PHONE #
OF PERMITTEE
COMPLETE THE FOLLOWING:
FIXTURES EA.
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CIASET 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
FI.OOR DRAIN 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL
ST. SURCHARGE
TOTAL:
TOTAL
!
o;z
/
?
?
?
3y so
?_
.50
S 3 S
??MMER?'iAL?iNI1UST'AIAl:_ PLEASE COMPLETE THIS YORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
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)
$
I
, .•, 95$27?
aos= awcs
raassaas RacacM vu,va KGRRENM .
This Aqreemeni, made aad entered into the 7_1,? day
o! y7u? I!_. 1990, by and batveen the CITY OF BAGAN, a
aunicipality of the Stata of ISirnesota, (herainaiter called the
s
City), and the onmer and tt+e Developez identitied herein.
Tha term "Developer" as used hereia rsfers to: AUTOlN RIDGE
yI![ITEp pARTNERSHIP, a Minnesota limited parlaership, c/o JAPSSES
pgVgyppMEt7T COMpANY vhose addrgss is 7808 Creekridge circle, suite
310, Bloomington, ISinaesota 55435.
Tha term "Ovner• as used herein refere to: AUTUlBa RIDGE LIMITED
p11RTN8R5HIP, a Minnesota limited partnership, c/o JANES DEVEIAPMENT
COlP11l1Y whose address is 7808 Creekridge Circle, Suite 310,
Hloosinqton, ISinnesota 55435 and RUTH CONRAD whose address is 5015 -
35th Avenue South, Apartment 215, Minneapolis, Minnesota 55417. . pHgREAS, the Developer has applied to the City for approval of
tha plat or subdivision knorm as AUTU14N 1tIDGE, loeated within the
City; and
wqEREAS, the ovner and Developez agree to notiPy the proposed
potential buyers of all lots vithin AUTOlIDI RIDGE that Lots 1-7, Block
1, Lots 1-8, Blxk 2, Lots 1-9, Bloek 3, Lots 1-17, Slock 4 a[ui Lots
1-5, Block 5, are in a hiqh xater pressure zone and a pressure
iaducing valve shall be installed in each home below the alevation ot
466 feat. All coSts Sball be the ieSponsibility Of the Owifer and
Developer and shall be insialled to prevent damaqe due to hiqh vater
prea6ure.
` •r:?
r
NOii, TXERSFORE, the City, Ovnez and Developer aqree as follovs:
1. Recordina. This agreement shall be reeorded rith the Dakota
County Recorder so as to provide notice to the ovners of Lots 1-7,
Hlock 1, LoLS 1-8, Slock 2, Lots 1-9, Block 3, Lots 1-17, Block 4,
and Lots 1-5, H2ock 5. The Owner aha21 provide and execute any and
all documenta nacescary to implement the recording of this aqreament.
2. Notice. The recording of this document shall consiitute notica
to all ovners nnd future owners of property in the AUTt1t4i RIDGE
¦uEdivision 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, 81ock 5 are in a high vater
pressure zone and that a pressure reducinq valve shall be installed
in eaCh hoIDe belov the elevation of 966 feet. All costs shall be the
responsibility of the Ovner and Daveloper and shall be instnlled to
prevent damage due to hiqh vster pressure.
3. Validitv. If any portion, section, subseetion, sentence,
elause, paragYaph or phrase of this aqreement is for any reason held
to ba invalid, such decision shall not affeet the validity of the
remaiaiaq portion of this Contract.
4. B;ndina A em n. The pnrties mutnally zecognize and agree
that all terms and coaditions oE this recordable aqreement shall run
vith tse land herein described and shall be binding upon the beirs,
sueeassors, administrators aad assiqns of the owners and davelopers
referenced in this Contract.
:
IN iiITNffiS WHEREOF, va have hareunto set our hands.
CiTY OP
'Thftas A.
Its: Mayor
.test . J. vani
Ib: ity Clark
OWNERS:
AUTUM7 RIDGE LI![ITED PNtTNERSH2P,
a Minnesota limited partnership,
By: JAMES DEVEI.OPKENT COISPANY,
a ltianesota Corporation
Its: Genernl Partner
WI I Data 4,9p
Y- .
Iis:
/
gy; DaLe
Sts•
D
Y,,&,
RUtH CONRAD at
DEVELOPfiR:
aUTUlQi RIDGE LIMZTED PARTNERSHIP,
a Iiinaesota limited partnership,
By: JAMES DEVEIAPMENT COMPnNY,
a Minnesota Corporation
Iis: General Partner
?
By: Date N?
Its•
?P
?
gy; Date
Its:
STATE OF ![INNESOTA
ss.
CQUNTY OF DAAOTA )
On this Mil- day of ?, 1990, before me a Notery
Fuhlic within and for said Coun , personally appeared THOMAS A. DGAN
aad E. J. Vaa0VER8EItE to me ersonally known, who heinq each by me
duly aworn, each did say that they are respectively Lhe Mayor and
Clark o1 the Ciiy of Saqan, the municipality named in the toregoing
iastrumant, and that tha aeal atfixed on behalf of said munieipaliLy
by authority of its City Council and said Mayor and Clerk
acknovledged said instrument to be the free act and deed oi said
municipality. , 'e,
IuAr,rl L MIR6EAPR?II6 , / ?ec
DAKOTA CCl1NTY N t8I R1b1iC d
11? [emmrs:?an @p ic? 1 1'.^.? _ ? ?
IIIN?I? ?
ST11TE OF lIINNESOTA )
) sa.
CODNTY OF
On this ? day of ?, 1990, befoze me a Notary
Public . within?..??nd?` or said county, perao olme
appaared 0Id'MIQi (hZf.4? ?
paraonallr knovn, who beinq each hy me duly s n„?p ch ?d?' say that
tAey ara respectively the LSIA?A?-
aw/ of JAMES DE EIAPMENT COlPAHY, a
Minefesota corporation, general partner of AUTO[47 RIDGE LIMITED
PARTNERSHIE, a Minnesota limited partnership, to me personally knosm,
rho be me duly svorn, did say that they are
?e and of the
corporation and limited partnership named ia the foregoinq
instsiment, and that the seal aPPiued to said instrument vas signed
and led on f of said corporation and limited partnership and
said aptY acknwledqed
said instrument to be the frea act and deed of said corporat3oa and
limited partnership.
G.
Notary Pu ic
?/w?
? „?,
Fo
:- ?r?t. ._... . .. .
. ? __.. .
.F,A?.r.:.
'r..q a:
STIITE OF ESOTA )
" ) ss.
C09NT1f oF ?n')
On this J& day of X , 1990, before me a Notary
Public within and !or said County, rsonally appearad RUTH CONRAD Lo
¦e personally knovn to be the person deseribed in and vho executed
tha toragoinq instrument and acknowledqed that she exeeuted the same
as har Lree aet and deed.
.? •„?„ :?, ?dmu? ? • ?/
Notary Public
? C.
4 /f?G01
APPAOVBD 71S TO FORM:
attorna o
lod: ?
APPItO{1ED 115 TO CoNTENT:
Je M ??
Pub11c rorks partment
petsd: 8^ 7- 9 a
THIS INSTRDMffi7T WAS DRAFlF.D SY:
SSVEtSON. iIILCOR i SHELDON, P.A.
60o Midvay National Bank Bldq.
7300 Nest 147th Stseet
J1pp1! Valley, MN 55124
(612) 432-3136
!!GD
METRO' ` 1975 PLAZA DR.
SURVEYORS surre 200
INC. EAGAN, MA(, 55122
Certificate of Survey for? (612)452-7850
SEASONAL BUILDERS
LEGAL DESCRIPTION: LOT14,8LOCK 4, AUTUMN RIDGE
ACCORDING TO THE RECORpEO PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
S
I ? ? ? ? AF
? o
/5 9?5
93,? IV'? I
/ \ ', k1o.
° j
a) 1 1 ?
? r
w
l ? ??D
j 93?! ? ? 4 m
I 937 ± rf ?
J y _ ? " I {a
co
t5.0
S
6?NI !
?
'Og
y?' 3 ?
? ,So „S
o e
?.. . ?
a ?SO ?rRR
? Nu6 t 93$ 3
jii75 -?
w S ALEi= 30?"CkMORE ?r??
-?.P RI VF I? R.V. F?? ?r`
-i , .:, , . PRo s4?D St'u"'` EN7l?? "/Jo u?.4truyr ,
LE6END INyERT EL.EVATION AT SERVICE EXTENSIONO
o DENOTES IRON MONUAIENT PROPOSED GARAGE FLOOR ELEVATION¦=?
o DENOTES WOOD HUB SET PROPOSED FIRST FIDOR ELEVATION• a
DENOTES EXISTING SPOT PROPOSED 9ASEMENT FLOOR • °
ELE VAT ION E LE VAT I o!1
DENOTES PROP05EU SPOT
ELEVATION
?,,DENOTES DRAINAGE DIRECTION NOTE VERIFY ALL FLOOR HEIGHTS WITH
fINAL HOUSE PLA11S
. . ?,
I Mnb? certlty ihaf fhls surwY, Dlan o?
roDort wa prepond by ms or un"r my
direct suprvisicn and thaf I am a duly
Reqistered Land Surveyor yndK iM
Lowa of tM Stofe of Minnesota
Brodlsy J.444ns4iri, Mn. 101611I. No. 15233
Date "
METRO 1875 PLAIA OR.
SURVEYORS SUITE 200
INC. EAGAN, AM? 35/22
Certificate of Survey for: (02)452-7e50
SEASONAL BUILDERS
LEGAL DESCRIPTION: LOTI4,BLOCK 4t AUTUMN RIDGE
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
Ir\\? 1>1SggS
,93s 5
?yNr i ?
?o.
° ? qa?'? ''••
1 ?1 W
1 1&D
9 937 ?' ff ,?
0
CD
VVpos9?
o .
0
co ? a
REcr Z / IS ??7 9
`?l ~
?L
?3 85.Op ?
.
,.?.. _ ?AOR
LEGEN
? N
zz,,
?l
S?`'?? f u
? -0) 93g °u5E ? ?.3? . ; -
? '
RINta DEI'T
M
- 0,
? Nug s 93$ 3
r?
?
0 9L
W
?
9? -
o DENOTES IRON MONUUAENT
? DENOTES W000 HUB SET
DENOTES EXISTING SPOT
ELEVA,TION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAIWIGE'DIRECTION
1 hreby ceAffy fhat fhis surreY,Plon w
npat wa pnpond ey ms or under my
direct suporvuim and fhal I am a duly
Repistered Land Somyor yndK tM
Laws of tM Sfafe oi MinnOsota
&oal.y
Date ?
Mn. Rep. No. I5235
ALE= I" = 30'
R. V. R E
.pRc sPi.,rr F.w" - 40 wA.tr°yr
INVERT EL.EVATiON AT SERVICE EXTENSION¦
PROPOSED GARAGE FLOOR ELEVATION • ?
PROPOSED FIRST FLOOR ELEVATION • o
PROPOSEO &4SEMENT FLOOR • °
ELEVATION
NOT,,E?' VERIFY ALL FLOOR MEIGHTS WITM
?
FINAL NOUSE PLANS
õï
ýüû
þýýüûúÿõúÿÿ
ùüüýýõÿðë
è
þ
ùùðçüþ
ë
ÿþ
þý
úùø÷öõèù
ô
÷öõóò
þ
õèù
ñùþþ
ü
ü
õ
ð
ïù
ðþþ ùø
î
þûúý
þõ
û
ý
ì
ë
ë
ó þú
ëë÷
ðçúù
îý
ðèíçõðþêæ
å
÷ù
úù
üèäæ
ìåëì
öõô
óò
õõ
øøè
öúùðõ õ ö
ëë÷
ðçûúùë
áð
çþîó
ýüîó
ë
í
êë
øöòü
þõõþ ã
ðþ
ü
ðõöò õõøú
ãîþúùþöãýüé
þå
õõß
ðúüù
þþùöúüù
r-
For Office Use
%� • ::::e: "t?
�E AGA Nj
MAR 1 I Date Received:3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
3-'// - t
(651)675-5675 i TDD:(651)454-8535 i FAX:(651)675-5694 Staff:
buildinginspections(cr7citvofeagan.com
2020 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3/9/20 Site Address: 625 Hackmore Drive
•Tenant: • Suite#:
Resident/Owner
Name: R.P. Management Phone: 612-465-0422
Address/city/zip; 1714 Hennepin Avenue E Minneapolis, MN 55414
Name: Metro Heating & Cooling License#: PC642529
Contractor
Address: 1220 Cope Avenue E City: Maplewood
State: MN Zip: 55109 Phone: 651-294-7798
Contact: Carley Email: invoices@metroheating.com
Type of Work —New ✓ Replacement _Repair Rebuild Modify Space _Work in R.O.W.
Description of work:
Tankless Water Heater Lawn Irrigation ( RPZ/_PVB)
Standard Water Heater
Add Plumbing Fixtures( Main/_Lower Level)
Description Water Softener
Septic System Description:
New Abandonment Connection to City Water from Well
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 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+ $290 for Meter and $200 for Radio Read =$550
*Sewer&Water Permit also required for connection charges
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.gopherstateonecall.orq
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.
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.
xCarley Ferrie
Applicant's Printed Name Applicant's gnature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177954
Date Issued:07/26/2022
Permit Category:ePermit
Site Address: 625 Hackmore Dr
Lot:14 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dale M Russ
625 Hackmore Dr
Eagan MN 55123
(651) 206-1498
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177963
Date Issued:07/27/2022
Permit Category:ePermit
Site Address: 625 Hackmore Dr
Lot:14 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-140
Use:
Description:
Sub Type:Fixtures
Work Type:New
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Dale M Russ
625 Hackmore Dr
Eagan MN 55123
(651) 206-1498
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature