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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 Ydkwf-aftung caoY 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 N a u ge.. _ 15? LIZvr? I?ZK7.: I''?. x Y? i f2 n) 13?? ,? ?? ? ?y36o c.«prc-2 uz%? IZIJQOp . r , * * ** 't PION en?g ir * ?C * LANOSURVEYORS. CIVIL LPNDPLpNNERS - LRNDSCRP ng 0 0 4^t a w ? N 3o.6W ?J ) ? p 1 V?Pwq?r ? ? nv N (!?} ? ?44 ? A? ? N v L I ^ ? ! 9j? ? I q ? O ? s a3 y-z'49'E z3o, f Z 2422 Enterprite Drive Mendota Heights, MN 55120 (612) 681-1914 1 N M P ? '`17. o¢ s sooSO' 36. e , . .v ; a.e f EAG??T ENl _? _ . . . . =9/ .. ? ?3G 1')LPi 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 1 ` n '4)o p: E` ? (:ertificate of Survey fur: _KQ 1 NOOW ,, - -, ? NORTN / N V ? Nry^ ? Cities Digital ( 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. ` 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 !i ? ? Date) PAGE 2 r •?. , ?----- .... .. w,r. , _. .. _ . • ' .w '•i.?.Al4?,?f:?.'q ? •' :.L.ww?w?'?? ,.w"! aa. ? . 'f V f] .5tuda COMSTRUCTIDN WU.I iNAMiNG SECTION: --{ 1 , _ ,.., .. ??,.; .,: • MALL SECT I ON (1 NSULA?EO) ? 11 YALUE U;• 1/R m ?. ? 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 • ? 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- ? fs?. ? ,•:M.. / ? 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 ? V - I/A ° I 'A `'.1f... . , ? I (ilitd! •lr.fillA A.I;I 2 l M 5 uts de a r film n. 7 TOTAL R w U • 1/R ? . .? ..r ???v?? I 6? • .Admmbk a« ?? u • tra 0 .o,s ; I 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 . ►1V:�., :•. mo• u= � � N Es S- -.� '. ip 1 - cr -. - as ..,.tr • .,- � >!'�T — �• ", •_._„,--z-4.--_-__.:;=,___,------.--,:-.•, .rt _ '-1' tea� 7 '_ ,.^'y`. �, 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