629 Hackmore DrCASH RECElPT ?
CITY OF EAGAN '-
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
-? ?
OATE 'I L 19 1 "
?cE?v?o Y,J r t ' `
J? I?
i ?
AMOUNT $ /)
& DOLLARS ?
?m
O CASN ? CHECK ?
?
wrt bL_/,
h ? .1 i?-...
FUND OBJECT ' AMOUNT
Thank You
$Y ? ?.C 11904 W,ite-?a"M C-Wy
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Rnk-Fib copy
_ _ _ .,...,_:?...?..__.?....? ..d,,..,. _..?.:1...?.-"- -. . . . _ _. ?, ..._,.
'? • ;? CITY OF EAGAN '? ??'?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 r•
BUI'OING PERMIT Receipt r„hancarifnr 5F [3idC/GAR FQ1 vai„o $126,000 nalp JAN 29 -- is91
Site AlVss
Lot Block
Parcel No.
W Name
o Addr?
citY _
??? w4M -
Sec/Sub. A OFFICE USE ONLY
?upancy K-3 14-1
? wt?rP?z z°""'y
Name sAME
Address
Phone
I hereby acknowlege that I have read this application and state that the
iniormation is correct and agree to comply wiih all appiigpble Sfate of
Minnesota Stalutes and City of Eagan Ordinances. f1
Signature of Permitee
Building Official FEES
A Building Permit is issued to: KAtNBOtiI NOMES
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
724.00
62.00
470.00
100.00
(Acluat) Canst --? Bidg. Permit
(Allowable)
# oi Stories
Length
Depih
S.F. Total
S.F. Footprints
On Sile Sewage
on site weli
MWCC System
City Water
PRV Required
BooSter Pump
APPROVALS
Planner
Council
Bldg. OH.
?
?1y
?
-?
?
Surcharge
Plan Review
SAC, City
SAC,MCWCC
Water Conn
Water Meter
Acct. Deposit
SNV Permit
S+W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
vJv.w
660.00
90.00
30.00
30.00
•50
276.00
370.00
3.462.50
Parmit No. PermR M older Date TeNphone #
WATER
a q • 9/
SENiER
PLUMBING f 00I
H.V.A.C.
ELECTRIC 98
Inspection Date Insp. Commer?ts
Footings 1
FoundaGon
Framing z'Zz - 9 b
Roofing
Rough Plbs. ?-7 Y"fl 4 -/ 4l `'?
Rou9h Fltg.
ls,l. 2- ? Si V w
FreplaCe !/ O
Final Htg. - "0
Fnal Pfbg.
Const. Meter Plbg. Inspeclor - Notify Plumber
Engr./Plan
B{dy. Final
Deck Ftg.
Deck Final
wen
Pr. Disp.
?=' ? 0 3 ll/L
?
DATE:
a'*
x
FEB 4, 1991
? RE: 629 liACKNOBE Dx (RAINBOW HOMES)
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 WQRKS (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 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.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMEMT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Qept.
(gtr#tfira#t uf (O.rxupanry
(Litp of Cagan
Erpartmettt af wwldim 3tcsprrtian
nts Cenifiaale isswed pursuant to the requiremertls of Se,ctian 306 ojtlre Urriform Building
Code cert?fYinB thal at the lime of rssuance this siruciune was in campliance with the wariaus
CFty negufanin8' building oanmruckon ar use ls'or tfre following.
u. a.mrs. SF DWG/GAR sM& rac w 18675
O_w_77?pe 13/i`41 Z-imgDWdd R1 rywr- VN
o,.marauwm RAIN9OW IIM Add= 2367 781i ST. E., IltiVQ?NE FE[(M
&mWmA&k= 629 HAQQHRE DRIVE L-sky L15, B4, AtTItIfi1 RT.1DfE
DMc 6/24/91
YOST IN A CONSPNCUOUS PIACE
SEWEA 8FWA7ER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE -JA11 29
OFFICE USE QNLY
METER#qLWL 31II12 PERMITDATE 02/04f?i
GHIP# ?5 6 Z PEFMIT# 11791
t
METER IQ P• RECEIPT # ISSUE dS g.p. RECEIPT DATE 01 g1
X PRV - BOOSTER PUMP
SITE ADDRESS 629 W?,CK?,iORE flR
LOT I ? BLOCK 4 SEClSUB AUTUMN RIDGE
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
?-- I ,
PLUMBER:.
ADDRESS: 121 DWOOk DR
CITY, STATE ZIP 55124
PHONE:
PERMIT REQUESTED
X SEWER X WATER -TAPS
COMM/IND X RESIDENTIAL
X NEW - EX'1ST?NG
Lawn Sprinkler Meters are to be Installe
Ahead of Domestic Meters on Water Line
Credit WILL NOT be given for Deduct Meters.
I AGREE TO CQMPLY WITH CITY OF
OWNER: RAINBOW BOMES EAGAN ORDINANCES / ,
J?n? (??1Sla?? i
ADDRESS: 2367 78'fti 5T E pI f •
K
CITY, STATE J?Ex GROVE NT3 Ml? ZIP 5`y???% 6
PHONE: 5??-E=?g? _ IGNATURE WHEN METER ISSUED `
PLEASE ALLOW TWO WORKING DAYS FOR PPOCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STOR
' SEWER PERMITS, CONTACT ENGINEERING DEI?ti', -??
-
- , ' _, • ? •..r.e.,+..?+..+?.T',,,..?.... .. .af..w . - .. .p...... ron.:-,r ,. wm.-?..yq aiwe._a."?" `' f"^?
..r. _... . . .._ . . _ . . . , . . , . , i
- SEWEP $VATER PERMIT OFFICE USE ONLY
CITY, gPEAGAN METER # PERMIT OATE 0=/04/51
3836 Pilot Knob Rd. PERMIT # 11791
Eagan, MN 55122-1897 CHIP # , f
METER SIZE B.P. RECEIPT #
15SUE DATE B.P. RECEIPT DATE al !3(?/? 1
DATE JAfi 29, 1991 _
? PRV - BOOSTER PUMP
SITE ADDRESS 529 ?CKMORg pR
LOT 15 BLOCK 4 SEC/SUB AUTUM" RIDGE
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PERMIT REQUESTED
x SEWER X WATER -
- COMM/IND X RESIDEN
NEW - EXISTING
Lawn Sprinlcler Meters are to be Instl
Ahead of Domestic Meters on Water I
ADDRESS: 1 DR Credit WILL NOT be given for Deduct Mett
GITY, STATE
PHONE: ZIP 55124
I AGREE TO GaMPLY WITH CITY OF
OWNER: RAINMM StWs EAGAN ORDINANCES
ADDRESS: 2367 7ETti BT 6
CITY, STATE INYER CWVE HTS MK ZiP 55076
SIGNATURE WHEN METER ISSUED
PHONE: k5 ?
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STO
SEWER PERMITS, CONTACT ENGINEERING DEPT.
. I CITY OF EAGAN Ng 1$675 '
• 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 /
?
BUIL'DING PERMIT PHONE:454-8100 Receipt # /? L/ 11 q, G
Tobeusedfor SF DWG/GAR EscValue $124,000 Date JAN 29 , 1921-_
Site Address 629 HACKMORE DR
Lot 15 Block 4 Sec/Sub. AUTUMN RIDGE
Parcel No.
w IName RAINBOW HOMES
o Address 2367 78TH ST E
City ZNVER GROVE HTSphone 450-6292
a Name SAME
?a Address
UQ
? City Phone
?
ww Name
z-? Address
a City Phone
aW
I hereby acknowleqe that I have read this
mtormation is cortecl and agree to comp
Minnesota Statutes and Ciry AI Eagpn Orqu
S9namre ot
uon and state Ihat the
all applicable State of
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning JL--1
(ACtuaqConst v-N BIdg.Permit 724.00
(Allowable) V-N S h 62.00
X ol StOries
Length
Depth
S.F TOtal
S.F. Foolprints
On Site Sewage
On Sile Well
MWCC System
Ciry Water
PflV Reqwred
Booster Pump
APPROVALS
A Building Permit is issued to: RAINBOW HOMES Pianner
on the ezpress condition thal all work shall be done in accordance wilh all Council
apphcable State of M,i/n?nesota Statutes and?yC?,iry ? ot Eagan Ordinances. gidg, pry,
11(??0/`f?.? III,U Vanance
Building Official
$1'
54'
x
_x
x_
urc arge
Plan Feviaw 470.00
SA0. ary
0
100.0
sac,nncwcc 650.00
Water Conn 660.00
WaterMater 90.00
ncct. Devosit 30.00
S/YJ Permit 30.00
S/W Sumharga
O
.5
Treatmenl PI 976.0
?
Road Unit 170 nn
Park Ded.
Copies
TO7AL 3,462.50
? 49832
REQUEST FOR EIECTRICAL INSPECTION
,
? S. msVUCUOns 1or crompletmg this forcn on mck ol yellow capy
"JC" Below Work Covered by This Request
Q??•?"^+ E8-00001-08
ew Adtl Rep Type of Building AppliancesWired EquipmemWved
Home Range Temporary Service
Duplex Water Heater Elechic Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial ' Furnace
Farm Air Condiuoner
Other (spenry) Comranor§ Ramarks
Compute Inspechon Fee Below:
# Olher Fee # ServiceEnirance5ize Fee # Crtcuits/Feeders Fee
Swimming Pool 0 to 200 Amps "Q U:, " 0 to 100 Amps S?-OC,
Transformers Above 200 _ Amps Above- Amps
SignS Inspecror5 Use Only TAL
Irrigation Booms
Special Inspection ?
Alarm/Communication TNIS INSTALLATION MAY BE ORDE OIS NECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouqh-m Da
certify that the above inspection has
been made. e
OFFICE USE ONLV
This repuest wid 18 monlhs irom
?-
a 49832
1 " ?
??
/_11 134
Fequesl Date
^/ ?' '
- FirO No Rough-in Inspect
ReqmreG?
? Ready Now ff?G?ni rroeN InePWor
,uG. f,j[Yes ? No When qea0yl
Ip(iicensed contractor ? owner hereby request inspection ot above electrical work aY
Job Atleress (Sbeet. Box or Fo te Na )
? ? %?? c loe r 4e Cily
Secvon N. Township Name or No flange No.
Occupe (PRINT) Phone No
Power SuOPLer Atltlress
Elecmcal ConVeclor (COmpany Nem?
/c? L Ca Conlractor's License No
ds?//y7?y
Marling dre5s conVactor r Owner Making InstalleGon)
?t1?? 6do
Autnonze0 ture ?G Iraclo wner kin stall on)
,?-? PhOne Number
MINNESOTA STATE BOAPD Oi ELECTRICITY TMIS INSPECiION REQUEST WILL NOT
GriggYMitlway BIOg. - Roam 5-173 BE ACCEPTEO BY THE STATE BOARD
1821 UNVeroity Ave, 5t Paul, MN 55106 UNLESS PFOPER INSPECTION FEE IS
plqM (812) 602-0800 ENGLOSED
Address: 629 HACQI7BE DRIVE I.ot 15 Blk q Sac/Sub AURM RID(,`E
These items were/were not complete at the time of the final inspection.
Date: 6/24/91 Yes No M114 TnSppltor.
Final grade (6" from siding) j?
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas ?
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish ?
Deck ?
Please verify with the builder the removal of roof test caps from the plwabing
system and the shut-off of vater supply to the outside lavn faucat bafore
fxeeze potential exists. -0a
PEGIC4LDMRR
White - City copy Yellow - Resident copy Pink - Contractor copy
?
RESIDENTIAL
BUILDING PERMIT APPLICATIOId
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstructlon BeaufremeMe
• 3 repistered stte survey& showv?g sq. it. of lot, sq. tt. ot house; and II rooted areas
ki
(20% meutlmum bt coverage albwed)
. 2 copies of plan showmg heam & window sizes; poured found dasign, etc.)
. 1 set ot Energy CalculaNOns
• 3 copies of Trea Presenation Plan tl bt platled atter 7/1193
• Rim Joisl Detail Optbns selecYOn sheet (blCgs wAh 3 or less uniGa)
Ic?t7l?c?-
DATE 5
SITE ADC
NPE OF
4ULTl-FAMILY BLDG _ Y J N
FIREPLACE(S) _ 0 _ i _ 2
APPLICANT ! ?IUV C? R p
5TREET ADDRESS 4I J P A-c re, I?.CITY U-lSTATE ?ZIP 5 I Ol
TELEPHONE # LPSI -92y???2RUL PH E# f PI.? qiQ-QI ? FAX # I DS
PROPERTYOWNER C?47hT) fY-h( !J jLP , TELEPHONE# CJQ51' NSq-
---------------°----------°---------------------------------°----°------°-------°--------
COMPLETE THI5 SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(+1 submission type) . Residential Ventilatian Category 1 Worksheet Submitted • New Energy Code Workabeet Submitted
• Energy Envelope Calcula6ons Submitted
Mumbing Conhacfor.
Plumbing system includes:
Mechdnkal Coniractor. _
Mechanical system includes:
Sewer/Water Contractor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone 1?
Phone #
Fee: $90.00
-------°------°-----------------°----------•---------------°-------°--°-----------°----'--°-----------------------
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to compty
with all appllcable State of Minnesota Statutes and Cifij of Eagan Ordinances.
Signafure of Applicanf ?0 1W t S?J? li•
. ~. . . OFFICE USE ONLY
S- ?-? - ci
1 a- (2?. a-S-'
RemodellReoalr ReauhemeMe
• 2 cOpies of plan
• 1setWEnergyCakulationsforheatedadditbns
• 1atesurveyforexterinratlditions8decks
• IiWicate tl homa served by septic system for addttbns
VALUATION `? .`?? . SOC? •
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
uPaataa aroz
?
__ yE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3,sea.) O 31 Ext. Alt- Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) O 33 Ext. Ak - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_YOr_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' - ? 43 Reroof O 46 WindowslDoors
? 34 Replacemenl "Demolition (EMire Bldg only) - Give PCA handout to applicant
Valuatlon 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final ^ Pool _ Ftgs _ Air/Gas Tests _ Final
? Framing ` Siding Stucco Stone
^ Fircplace _ 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 Permit
License Search
Copies
Other
Total
Building Inspector
CITY OF EAGAN
3830 PIIAT RNOB ROAD
? EAGAN, MN 55122
PHONE: (612) 454-8100
........... ... . . . .. . .
FOR CITY USE ONLY
PERMT #
RECEIPT # 0 O ?S
DATE: °2 3 9
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-------------------
WORK DESCRIPTION
NEW CONST V
ADD ON
REPAIR
OWNER NAME,G ? ?'1 ?? fS-L.L`• ?c ?10, ?, ?-S
SITE ADDRESS: IG ?`'I V?CkF?, K r1'l c?-? 2;
LOT:15 BIACK ? SUBD. s 1l '
INSTALLER: 0?, 1A-"rC?1,e_ d L<
ADDRESS : 1• o, I c? 1 -':3 O Cl '? ? , `J C-1_
CITY: ZIP: LL3? '24
PHONE #: 4 ?GCI - C)
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
DWELLINGS &
$15.00
24.00
6.00
3.00
SUBTOTAL:
STATE SURCHARGE:
$:3 0. CO
.50
TOTAL: $ 3i?\
f ! c'i" ? L'"
? GNATURE OF PERMITTEE
CQYlA1ER:cTAI,frNDUSTRIr?Lf PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
............. ..... .. .......
APARTMENT BUILDINCS, 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:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
$
( S IGNAT[JRE )
CITY OF EAGAN
CITY OF EAGAN
3830 PIIAT KNOS ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FLMING;;.I'??T
FOR CITY USE ONLY
PERMIT # /Sl/7 9
RECEIPT # O S ?v
DATE: `I !
R?S??`?1kS:;y PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
,,:,.F:.< ... .. ... .::.:...
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-'---------------"_- -------------------------------------
WORK DESCRI?ION
/
NEW CONST
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: 42 0C 1 4z
LOT:IS BLOCSC Al/ SUBD.
PHONE #
COMPLETE THE FOLIAWING:
N0. FISTURES EA. TOTAL
! ADD-ON MINIMUM 15.00
SHOWER 3.00 .-3
? WATER CLOSET 3.00
?- BATH TUB 3.00
? LAVATORY 3.00 _17
-7 KITCHEN SINK 3.00 3
7 LAUNDRY TRAY 3.00 ..3
HOT TUB/SPA 3.00
WATER HEATER 3.00 ?
? FLOOR DRA:N 3.00 ?
? GAS PIPING OUT,
(MINIMUM - 1) 3.00 --3
_ ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUHTOTAL ?/v
ST. SURCHARGE .50
SIGNATURS QF PERMITTEE ^7
TOTAL: $ N / a"D
?p24f?RG?{iI;jICIDi15TkTAZ: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
? MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
--------"----------------------
CONTRACT PRICE:
GWNER NriME:
SITE ADDRESS:
LOT: BLOCK ? SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
1$ OF CONTR.t?CT_ FEE.
STATE SURCHARGE @ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
INSTALLER:
nnnRESS: 121 REDWOODDRIVE ?
55124
CITY: ZIP:
724•00+
6'L•U0F
470•00+
2,2U5•50+
3 ,462 • 50>=
1991 BIIICATIDN
'tLD G I? ?
CZTY OF EAGAN
SINGLE FAMILY DWELLINGS MIILTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 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 CAI.CULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
;,?A 2 t 'wo
To Be Used For: 5FD16Ar< Valuation:???" ?
,
Site Address oq JiC?''to'P ?h, OFFI
? J z ?, ooa -
Loc /S' block >7`
Date:
USE ONLY
- occupancy 3 M-f
/ ?/ / j?Zoning R-?
Parcel Sub 2?l? ]`r! "%r ti Actual Const
Allowable V_14
Owner R1NboL^-???i"?QS ? `LO)5N # of stories
Length S ?
AddressG367 Depth 5N
-y^ C` ?? S?p7?l S.F. Total
City/Zip Code-L`o1e` S) Footprint S.F.
Phone 27 sp- 62,C)Z
Contractor /( o? j„)Lu-i„? A-w?e S
Address ?City/Zip Code-L-'J""'
??c-e SD-6292
PhonV -
Arch./Engr. ?? PSIqN ??qSSICS _
Address 5613 /?b? ? f - W,
City/Zip
Phone #
On site sewage_
On site well
MWCC System ?
City water ?
YRV
Sooster Pump _
APPROVALS
Planner
Council
Bldg. Off. !/L!
Variance
FEES
Bldg. Permit
7 y40
Surcharge (?,Op
Plan Review 470,00
SAC, City 100400
sAC, 14wcc , OD
Water Conn. (Q60,0Q
Water Meter 4010'0
Acct. Deposit
o
30,0
S/w Permit D, UO
S/W Surcharge 1577
Treatment Pl. 2 /<,Oc9
Road Unit 7o,Do
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty '
Lot Change
TOTAL _ ?.F0
0-&t?p' ? agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ord nances.
?
r vA?IN
GA?RA UIE
23 x 2p .:. 4?0 ,c 1 s^ `9Qp
&SMT
22X??= C?6v k114= gz?a
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c.«prc-2 uz%?
IZIJQOp
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LANOSURVEYORS. CIVIL
LPNDPLpNNERS - LRNDSCRP
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2422 Enterprite Drive
Mendota Heights, MN 55120
(612) 681-1914
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p h? o V a G"ll' E 0 R_? ? R" P 10
x900.0 Deiloies ExiVin? E/evalion PROPosEO HousE EL£V
• oo.o benoles Propo edElevafron Lowes lovr Eleva ion q3 0, g(a
-------- Denofes Urcr6cr e F l/?`rli?fy Easement Top o?'BlockElt?valion 93?, 8&
--?---- Denoles DrYrin Qe F/o?J'Direelion Gar•agt Skrb Elevation 936.93
o Derlafes Morlu?3enl Bearings shown are as.sunifn' oDeiro es 4 e f-Lb
LOTlS BLOCA! 4 , AUTUMN RIDqE
C00NTY7M1N1VES0TA
1 heroby cerlify [hat Ihis sw vey, pian or roport wes preyared hy or under my direcl supervision and ILaI I nm duly Rigislered Land Surveyor
?-2 _
under the laws ot the Stare of Mimm?u.a. Daped ?his_ZS.Z day of A.D. 19_QL., ?.7
cal ?.4D _-?
/? Io2? oeER'f A. SiKICH 1_5. REG. ND. 4891
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(:ertificate of Survey fur: _KQ 1 NOOW
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` EXT$RIOR;--',?iENVTI;OPE AVERAGE "IJ^ Co?:PU'CP,TIt)N
QWNER : -?- # /L^ L 7 J
It
SI'CE ADDRESS: I? _
.C(lN`CRAC'CQR: Y-Mr11MW MM-?S G'I' E?fL'(t-N DA'CE: PH()NE:
DETERMINE WORKING SQUARF. FOO:I'AC_F.. Or EACH:
1. 'CO'CAI, EXPUSED WALL AREA 23`??'? ? `>Q- F`C. X
2. 'Cq'CAI., RQOF/CEZLING AREA I???ZC) `;0• F'C. X dL? _ Z.
3. T(?'CAI., EXPOSED WALL AREA CALCULA`CI O\?S:
'Potal exposed' .wall
, area above floor;
a) 'Cotal wall wi.ndow area p.F`C. X "U" ?L = r01.;
b) 'Cotal dqor` area •
_ "Q.F'C. X U"
. ._
__
c)
'Cotal
slidiny glass dooir 'area
t'___
:;Q.F'C.
X ? ,
"U°
. `;Q F'C X "U" --^ _ G•;
d) Cotal fj.ieplaCZ.uwall ai ea
e) 'Cotal .wall frami.Ag area
(averaye 10%)?'.,.....-
f ) 'COtal net wa11:.-:area above
floor (insulated)
_r,) ':ctal ri.m.;jo.i.'s}t;?area
'Cotal foundation!'area
(exposed) ''
-
x „U„ ;p = 11?? _
:>Q.E'C. X 'lUll i01?-
;:Q.FT.
,..
F'r.
x ,lU„ 109
h) 'Cotal foundation wi.ndow area `Q•F`C. X"U"
i) 'Cotal net"foundat,i:on"area `;Q.F`C. X"U" i17
above
grade"
_
'CO'CA7., a)
?.h gh i?
irou ° 2?Z, ?
If item #3 is the same,as, oir less than item you have met
the i.ntent of 2 MCAR:t1::16008 A and 0.
,1
222
' 5. .
PAGE 1
Cities Di ital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
'f`iy {]{?1tjT.y.'tl . i ?
.. , v.,?Fl..'R•:;xlf"SHaR?u4?i,,.:. .
4. 'Cp'CAI, EXPOSED ROQF(CEILING CA]',CU],A'C70
:Cotal exposed roof/
cei.li.ny area
j ) `Cotal skylight °area C, sQ. F`C. x -'U" ?--- _ ?%
k) '.Cotal roof/ceiling.,
f?rami.ny auea
(aver.age 10%) '.
1) 'COtal net i.nsulated
x•oof/ceiling area..
sQ. F,r. x -u-
sQ.FT. x "u" 62-z = 27,G?
4. c0'rAl., -1) throuyh 1)
If total of #9 i.s the same as, or less ti:??n #2, you have met
the i.ntent of 2 MCAR 1.16008 A and ().
A]:fCERNA`CE BUI]:,DING ENVELOFL D?;SIGN
'Co utilize the total envelope system met;;o?, the values
establi.shed by.the s4m°-of #3 and #9 shall not bc qreater
than the sum of items'#l and #2.
1. - +2. _
3. +9. _
CER'CIFICA`,CION
I hereby certify,that I have calculateo the "U" factoirs anC
"R" values her.ein:and that the bui.ldiny 'r,cre described meets
oi., exceeds the State',,'O'fy`Mi.nnesota Enei:yy Coriservation Act.
;
Si.gnatute
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Date)
PAGE 2
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COMSTRUCTIDN
WU.I iNAMiNG SECTION:
--{ 1
, _ ,.., .. ??,.; .,: • MALL SECT I ON (1 NSULA?EO)
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11 YALUE
U;• 1/R m
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U - 1/R - "043
?11
IIIM JOIST SECT1011:
-----41 Interlor
............... ..... (2 Ci. TnFiil
FOUNDATION IMSULATION 8EqU1RED: ?? ?•
Min. R-5 on entire wall OR 1/11
Min. R-10 Eown to frost aepth
FOUNDATION SE[YI(tN:
i Interior elr Pllm I (I.6R
. 2 ?t-vro v i
.,. .:;-..:, 3 8 r)o`T_' ? Z-T2
Exter or TaTr i I im n.17
TATAL N - 5.96
U • 1/R • .17
SLAA ON GMDE
-? ? ? , ? .. . • - • • a ; •.-d ` ? c,
?.y • 0 ?
?.4 • j. .?_ • ?,.?
..r. ? ?•? ?r •
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Ur.heated Slabs;
Minlmun R = 6,2
CUPiSTR?1?,?,.? '
! R 1 UC
CEILINr, SECTInN (IN;Vlhlth)
?
I 1,t?arlor aIr fllw ff R
a _5/fS Sff .. ,
3
4 Eurlor •Ir m st(1l) n.Fl
TOTAL R -4?,_
U a 1/R ° -,W-
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fs?.
? ,•:M.. /
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r
.f•
? 2 --Q 4 , 5
VENTED
;
CEI(.IHG FRAItiNG SECTIbN:
2
3
4
5
CEILINC SEf,1'ION (INSUTATEp):
1' Intr.rlor eir f11m ?.R1
7
bFx-t-e r or a r m till) 0.61
L ?
U• 1/N-
CEII,INr, FRAIIINR SECTION:
1 Interior air: filfn n.6i
a
3
b Extcr or a r m st
ncheS so t wood
TOTAL R
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'A
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I (ilitd! •lr.fillA A.I;I
2
l M
5 uts de a r film n. 7
TOTAL R w
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u • tra 0 .o,s
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AJJE{274
ApTWp AID6E
PAE8601tE RxDDCIHO V71LVE LGRMMO . .
Th3s Aqreement, mada aad entered into the i.LL daY
pt r7 ujS/ ST , 1990, by and batveen the CITY OF EAGAN, a
wunioipality of the StaLe of Minaesota, (nereinalter called the
?
City), aad the Ovner and the Developer identitied herein.
Tha tarm •Developer" as used herein rafers to: AUTt1lR7 RSDGB
yt}QTEp pARTNIItSBIP, a Minnesota limiied partnerahip, c/o JAMES
pEiIEl,pphENT COMPANY whose address is 7808 Creekridge Circle, Suiie
730, 8loominqton, Minnesota 55435.
Tha term •Ovner^ as use8 herein refers to: AUT04II7 RIDGE LZNITED
pARTNSRSHIP, a Minnesota limited partnership, c/o JAttES DEVEIAPMENT'
CO1PAW1t vhose addresa is 7808 Creekridge Cirele, Suite 310,
SlooDinqton, Minnesota 55435 and RUTH CONRAD vhoae addressis 5015 -
35th 1?venue South, Apartmeat 215, Minneapolis, Minnesota 55417. . .'
yR[gREAS, the Developar has applied Lo the City for approval of
tAe plat or subdivision knovn as AUTC1lN RIDGE, located vithin the
City; and
WHEREAg, the pvner and Developer aqree to notiYy the Proposed'
potential buyars ot all lots vithin AUT0M RIDGE that Lots 1-7, Block
1, LotB 1-8, S10Ck 2. LotB 1-9. B1oCk 3, LotB 1-17r B10Ck 4 and Lot6
1-5, Block 5, are in a high vater pressura sone aad a pressure
reducinq valve shall be installed in aach homa belorr the elevation o1
966 feet. All costs shall be tRe responsibility of the Owner and
Daveloper and snall be ins[alled to prevent damage due to hiqh xater
prassura.
'??
I
tiOO, R7ER8FORE, the City, Ovner and DBVeloper aqree as lollovs:
1. Becordina. This aqraement shali be recorded with the Dakoia
County Recorder so as to prwide notice to the ovners of I.ots 1-7,
Block 1, Lots 1-8, Block 2, Lots 1-9, Slock 1, Iqts 1-17, BlOCk 4,
and Lota 1-5, Block S. The Wner shall pzovide and execute any and
all documants necessary to implement the recordinq of this aqreement.
2. Noticg. The recording of this document shall constitu[e notica
to all ovners and future ovners of property in the AUTUMi RZOGE
tubdivision that Lota 1-7, Block 1, Lote 1-8, Slock 2, Lots 1-9,
81oek 3, Lots 1-17, H1ock 1 and Lots 1-5, Block 5 are in a hiqh vater
proasure zone and that a pressure reducing valve shall be installed
in each Aome belov the elavatioa of 966 feet. All eosts sha11 be tha
rasponsihility of the Ovner and Developer and shall be installe8 to
prevent demaqe due to high water pressure.
3. Validitv. Ii any portion, section, subsection, sentence,
elause, paragraph or phrase of this agreement is for any reason held
to be invalid, such decision shall not affect the validity of the
resaininq portioa of thie Coatract.
4. B3ndina Aareement. Thg parties muiually recognize and aqrae
tAat ail terms and conditions of this recozdable aqreement shall run
rith the land herein deacribed and shall be binding upon the heira,
aucceasorB, administrators aad assiqns of the ovners and developars
referenced in this Contzaet.
F-1-
IN itiTNESS WHEREOP, ve dave Anreunto set our hands.
CITY OF
ONNIItS:
AUTOlRi RSDGE LZMITED PARTNERSHIP,
a Minnesota limited partnership,
% By: JAKES DEVE7.OPIIENT COtSPANY,
as A. lWian a Minnesota Corporation
?_?; ?par Its: General Partner
t?st . J. VanOvarbeke y: Date
Zta: ity Clark Its:
/
py; Date
Its:
'Lz i CONRAD s???
R
DEVEI.OPER:
ALTPOlp1 RIDGE LZMITED PARTNERSHZP,
a Minnesota limited partnership,
8y: J71tSEES DEVELOPlIENT COMP1fN5(,
a xinnesota Corporation
its: General Partner
? ? ?te b'Sb
By: 04
Its:
.p
_- ....,..?
?
gp; Date
Its•
ST11TE OF MINNESOTA
) ss.
COIINTY OF DAKOTA )
On Lhie Zr& day of oel- 1990, before me a Notary
Public vittiin and !or said Coun , personally appeared TNOMAS A. EGAN
and E. J. VanoVERHEKE to me rsonally knovn, who being each by me
duly svorn, sach did say that they are raspectively the Mayor and
Clark of the City o! Eaqan, the munieipality named in the toregoing
instrusant, snd ihat the aeal aifixed on behalf of said municipality
by authority of its City council and said Itayor and Clezk
acknovledged said instrument to be the tree aet and deed of said
municipality.
i ?
?z r?tnr,n??,atavrtnn? L1SC
Yt``?l MO:FRMYL'::I:-WSkESOT?
--?i DAKOTA CCUNTY
Y/Coamrs:lan40 itD / t^?,7 ' N t8I PNb
ST11TE OF lQNNESOTA
) ss.
COUNTY OF )
On thi day of 1990, balore me a Notary
Public v n1_ in. nd tor " said County, personally
appaared .%N1 to me
pnrsonallr knovn, vho beinq each by me duly s n„ e?pch d say Ltiat
they are respectively the StGi
aba of JAMES DEVEI.OPMENT C0MP1WY, a
Minnesota eorporation, general paztner of AUTOlai R2DGE LIltZTED
pARTNERSH a Minnesota limited partnership, to me personally knoxn,
vho be me duly svorn, did say that they are
?g &Md of the
corporation and limited partnership named in the foregoinq
lnstrument, aed tbat the aeal affixed to said instrument was siqned
and led on f of said corporation and limited partnership and
44?_.?. . ?=
said.-.?. - ? _••?"- alur acknwledged
said instrument to Ee the irae act and deed of said corporation and
limited partnership.
Notary ic
?
F ? ??.
?- ??t,?...._ ?. . ....
„??..... __.
: ?. CSI/ ? .? t\ ? ?7J .: . c.:. i.'• :
r?-•=
ST11TE OF )
" ) ss.
COUNTI! OF uN')
On this I Ll?- day of _,,[,?j?? 1990, before me a Notary
Public rithin and for said County, rsonally appeared RDTH CONRAD to
ma personally knovn to be tAe person described in and who executed
tha foreqoinq instrument and acknwledqed that she executed the same
as her lree act and deed.
Notary Pu lic
APPROVBD 71S To FoRM:
Attorna Ir o
?• 1
1?PPROVED 115 TO CONTEHT:
irtw ?k/Y.?W
Public Works partment
DsLW: 8'7-90
TSIS INSTRU!ffi7T WAS DRAPTED BY:
SSNEt.,ON, WILCOX i 8HB.DON, P.A.
600 Midvay National Bank Bidq.
7700 Neet 167th Street
1?pple Valley, !QJ 55124
(612) 432-3136
lIGD
•
•
For Olfice.usi •,[ .1 ,1
�
`� • r ��� Permit#:
N. •
EAGAN
600, -
Permit Fee:
.�
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:'(651)454-8535 I FAX:(651)675-5694 Staff;
byildinainsoectlonsfitcityofeaaan.com L
��,,,,
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:'(341`DO` Z°16 Site Address: CO2-9 t txIvn O ff',• %AltE l M/ 55 113
Tenant: I *- I ` C k4e.fiSetifiN Suite#•
'- -s-- Name: -!- 1�
��;;:� Phone: '312•- 9'33 -2Z31
`
s Address/City/Zip: CA2 �. M.0'f C V111� E N ) Z.
�. - Name: .k,. A` , - .,.
License#; . •
-c
Address: City- ai x -. _=(
State: Zip: Phone:
-- _ _ Contact: Email:
aT _New Replacement _Repair Rebuild ^Modi Space Work in R.O.W.
Description of work: G Suring p^yY1/l,Q c Aaf„¢-
rL —_ -- __ RESIDENT
f —, IAL
- J N
„� r _ Water Heater
'�~- :,_'� - Water Softener` Lawn Irrigation(,^RPZ/._PVB)
—� Septic System Add Plumbing Fixtures(_Main/_Lower Level)
,! , � -. •:- —.New Water Turnaround
.-,:;---.4177- 4-„,,_-=
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Wate Heater and Softener(includes State Surchargl
$60.00 Lawn Irrigation(includes State Surcharge)
"$60.00Adel Plumbing Fixtures;Septic System Abandonment,Water Turnaround`'•'(includes State Surcharge)' `
"Water Turnaround(add$280.00 If a 3/4"meter is required)
$115.00 Septic'System New(includes County fee and State Surcharge) TOTAL FEES$,
CALL BEFORE YOUDIG. Cat Gopher State OneCall 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.aooherstateonecall.o,q
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.eom/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 . , :ns
t
X o •A'e-161/4S446W X -
F4---"----L-----.
Applicant's Pr' d Name Ap•,rte nt s SI ature
Y_5_ V _
r N. ' ,-,_,I.---- -,4:;7_,___, 7^ `UL. 4.uS'e,.p�,5 ,_ 2^ M.w...... d. " IMC: + FfO l '
1i..-y�F�w^�' =. 'AZw ..1� n^� 2710 .
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s i 1 e.L.W:' - ' 11 E it 1w ,y _ roe
-� -..._Sx�. _,:el k o ��.'-'. tl.., pper�- M ^e'
TO/t0 39Cd DINI1D 3A3 39VAVS Ce ASOZ9ZZZ96 bE:OZ 8TOZ/0C/170
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169324
Date Issued:05/21/2021
Permit Category:ePermit
Site Address: 629 Hackmore Dr
Lot:15 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-150
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Lacy A Hedstrom
629 Hackmore Dr
Eagan MN 55123
(952) 210-2588
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature