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632 Hackmore DrGASFi RECEIPT ? r CITY OF EAGAN , . 3830 PIIOT KNOB ROAD EAGAN, MINNESOTA 55122 a?TE JI, ='? 1) +a ; I ALouKr a oouaas ? ? cA.sr+ Q aHEcK sr ?l.. . --? a (; 13629 Thank You ,,..., BUILDING PERMIT :ITY OF EAGAN -?3 ad, P.O. Box 21-199, Eagan, MN 55121 "" PHONE: 454-8100 Receipt # To be used for SF ow'i/w Est. Value$ 131,000 Site Address 632 HACKmoRE DR Lot 3 Block _5 Sec/Sub. AIRUlQJ itIDGE Parcel No. W Name _ 3 Address _ 0 CItY "I a Name SAME Address ? City Phone Name _ Address i hereby acknowlege that I have information is correct and agree MinneSOta Stalutes and City of E? Signature of Permitee _i,, is issued to: Phone this application and state that the >mply with all applicable State of )rdinances. I WINDWW CO tNC iall be done in accordance with all Building Official ? OFFIC E USE ONLY Occupancy R--3 -K--l FE ES Zoning a?l (Actual) Canst Y N Bldg. Permil T?¦? (Allowabie) Surcharge 6s. ? # of Stories Length 54' Pian Review 46¦? 33, 1oc ? Depth SAC, Cily , S.F. Total - SAC, MCWCC 630•00 S.F. Foolprints _ On Site Sewage _ Water Conn 660, 00 On Sile well water Meter 95.00 MWCC System x ? ? Water City ? t. Deposit Acc • PRV Required ? S/W Permit 30, Booster Pump - SNV Surcharge 0 Treatment PI 276•? APPROVALS Road Unit 370•? Planner - Park Ded. Council -- gla9 afi _ Copies Variance - TOTAL 31,511. ? - Permit No. Permk Hoider Date Telephone N WATER SEWtR. PUu*NC 1414 7o 4P3-.3 3v H.V.A.C. ELECTRIC InspecNon Date Insp. Comments Footings I ? Founda6on Framing 6 ? s Aoofing Rough Plbg. Rough Htg. lsul. Fireplaoe Final Htg. Orstat Test Final Plbg. 1 Plbg. Inspector - Nofdy Plumber Const. Meter EngrJPlan Bldg. Final ?- 2? 5._ ? Dedc Ftg. 2 7 Dedc Final ? Well Pr. Disp. "4-? ? FiE: ? DATE: MAY 30, 1991 632 HAClQNORE DR (THE iRNDW00D CO INC) Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. •;•? i??? (grx#tfira#e of (Orrupau.ry Cirp of tagan llrpwcriartt# of WuOing 3wPrtim This Certifuaate issued pursuarrl !o the reqrdremenLs of Section 306 of the Uniform Building Code ceWfiing tJrar at Ihe time af issuernce lfus snclure wrrs in compFicurce with the various ordinuncses of lhe Ciry regufaAing buifding oonsiruction or use For the following: t.a.,a.c. _SF 17G1G7AAR Bae- %mi IMm 19064 OO°°P-c7''IYK R3/ml Zodwg pyuia Ri TypcCoM VN POST IN A COtJSPlCUOUS PLACE CITY OF E:'lGAN METER #??T a7 ?L' PERMIT DATE S% 30 /G I 3830 Pilot Knob Rd. CHip # () 2 2 D _ 3 S! U PERMIT # 12008 Eagan, MN 55122-1897 METER SIZE B.P. RECEIPT # ? 1?' DATE i•.AY 16 t 19?,1 ISSUE DATE ,7•- ?-,?? ? B.P. RECEIPT DATE F• PRV _ BOOSTER PUMP SITE ADDRESS 632 HACi:M0i:E DR PERMIT REQUESTED LOT 3 BLOCK 5 SECiSU6 AUTUMr, RILGh x SEWER WATER _ TAPS APPUCANT:. ADDRESS: _ CITY, STATE PHONE: ZIP PLUMBER: MATTHEW LIArIEI.S INC ADDRESS: 15185 CAROUSEJ. WAY CITY, STATE RUSEMOUfyT MA' ZIP 5506c PHONE: 42 3-3 73 () COMM/IND _t RESIDENTIAL Y NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. .k; C16tlit WILL NC)T be given fqr.t3educt Meters. ?- ? -- I AGREE TO CGIMPLY WITH CITY OF EAGAN ORDINJINCES G G? Gr- ?'c0qwtot, ? SIGNATURE HEN METERISSUED ILL 454-5220 FOR INSPECTIOiaS. FOR STORM ; SE'!lER &?111ATER PERMIT T E N OFFICE USE ONLY CI Y OF 9GA METER # PERMIT DATE 3830 Pildl Knob Rd. Eag2,f?, MN 55122-1897 CHIP # PERMIT # i1C?8 METER SIZE B.P. RECEIPT # ? 2302'. AY 16 ' 1991 ISSUE DATE B.P. RECEIPT DATE ? : DATE X PRV - BOOSTER PUMP SITE ADDRESS 632 HAC'14ORE DR PERMIT REOUESTED LOT 3 BLOCK `' SEC/SUB AUTi;i;,; x SEWER ,• WATER TAf APPLICANT: ADDRESS: CITY, STATE ZIP PHONE: PLUMBER: ?1AT'rHEW L?? I'? I?.:LS : tC AQDRESS: 1518_6i CAi:GL-S?I. WAY CITY, STATE n.18F.F0UN?' r"J ZIP 51•0b8 PHONE: 4; 3--3730 OWNER: TtiFS WINUWGUD CG INC ZIP 55l 2j> - COMMIIND RESIDEN X NEW EXISTING Lawn Sprinkler Meters are to be Inst Ahead of Domestic Meters on Water I Ccedit WILL NOT be given for Decluct Me ? i A ?f !/?. ._" .... _. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES ;>"1--u&Q` SIGNATURE WHEN METER ISSUED ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTfUNS. FOR STORM PERMITS, CONTACT ENGINEERING DEPT. ?: :' a,, .. • , . ?k'?? :_n?. '???'. F?.. ?:?,??i??a., OWNER: THE WINDWOOD CO INC ADDRESS: P 0 BOX 24329 CITY, STATE APYLi VA.LLE`! 4!i4 ZIP 55124 i i PHdNE CITY OF EAGAN N2 19064 . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUI CDING PERMIT Receipt # 0 - 17?? L % To be used for SF DWG/CAR Est. Value $131, 000 Date MAY 16 , ? g4L Site Address 632 HACKMORE DR Lat 3 Block 5 SeGSub. AUTUMN RIDGE OFFICE USE oNLY PafCel No. Occupancy R-3-H-_1 FEES R 1 2oning - w Name THE WINDWOOD CO INC (ACtuat) Consl ?!-N Bmg Permit 748.00 ? Address P 0 BOX 24329 (allowable) V-N . 65 50 e City APPLE VALLEY Phone 891-4605 x oi siones Surcharge . 54' Plan Review 486 . 00 Length o Name S? Deplh 55' snc cn o 100.0 , y '? Address S.F.Tolal - 650 00 snc.MCwcc . F C.ISY PhOf1B S F. Foolprinls - C W t 660. 00 On Ste Sawage er a onn u? ww Name On Sile Well - W l M 0 95 0 i? Address n+wcc system X a er eter . d W Clty PhOnO City Water X Acct. Deposit 30.00 X 30 0 D PRV Required S/W Permit . I hereby acknowlege that I have read Ihis applicaiion nd state at Ihe eooster Pump - 0 SM/ Surcnarge .5 inlormation is correcl and agre o comply wilh all plicabl late ot Minnesota StaWtes and City ot ag n Ordinan ? n Treatmenl PI 276.0 SignaNre of Pefmrtee - r APPROVALS Road Unit 370_ nn A Building Permit is issued to: THE WI D OOD CO INC PlannB1 - Park Ded. on the express condition that all work shall be d ne m accordance with all CouncA applicable State of Minn esota St a tutes and City of Eagan Ortlinances. Bldg. Off. _ ?Pies ? . p ? / BwldingOtficial { I1.a1/? 11.01f? ? m/I I ? ? \ Variance - 70TAL 3.$11.00 i9 a0a5 p 7 7 51 T--- ? 4ff00 ReQ est Dale Fire No Rough-in Inspection Reqwretl? ? Reatly Now 3 YIIRJOtity Inspector ' • ?S E No When Reatly'+ iP*10censed coMrector D owne r hereby request inspection of a6ove electrical work at. Jao aress Streec 6ox or o e Na i Cny 1 5ion No ow pip Name or No Range No Coumy Occu0anl PRINT) P?o ? N D Powe?5u0Pli i Ari EIBGtnc IrdOtoI,mpany,Na Cop((acto lLca a? 0 MaTn Atl ess ICO r ctoro er Maki Installafion) Authonze ignature rConn onOwn r Meking Installauoni _? Phone mber 5d3 MINNESOTA STATf BOAflD OF ELECiRICITV THIS INSPECTION fiE0UE5T WILL NOT Griggs-MiEway BIOg - Room S173 BE ACCEPTED 8Y THE STATE BOARD 1821 Unrversity Ave, St. Paul. MN 55100 _ UNLESS PROPER INSPECTION FEE IS Fhone (61I) 602-OBOU EN0.05E0 / ?QUE ?T FOR ELECTRICAL INSPECTION ea.ooom-oa 7//9/ See mstructions (or mmpleung Ous torm on back ol yellow copy ?'?"?- ?OaOa S 11 775 1 "X" Below Work Covered by This Request ''<,?•?? ew Atltl Rep. TypeoiBwlding AppliancesWired EqmpmeniWved Home Range Temporary Service Duplex W er Heater Electnc Heating Apt Bulldmg ryer Other (Speclty) Comm /Indushial Furnace Farm Air ContlRioner OtM1er(syeoty) Conlractors FemaBs Compufe Inspecnon Fee Below # Other Fee C Sermce EntranceSrze o k CircmiSiFeeders Fee Swimmmg Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps 100 _ Amps Signs Inspecmr§ Use Only. TO L ? irngation Booms ? • Special Inspection AlarmiCommumcahon THIS INSTALLATION MAY BE OROERED ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 HS. 14 t I, the Electncal Inspector, hereby Rough-in re? d a certity that ihe above inspection has been made. pinai ?e .- OFFICE 115E JNLV This request void 18 months Irom Address: 632 HAaMBE DRIVE Lot 3 Blk 5 Sec/Sub ALT1'" R= These items were/were not complete at the time of the final inspection. t : 7/26/91 Yes No ., ,a. Tnsppctor, Final grade (6" from siding) 1Z Permanent steps - garaga Permanent steps - main entry LI/ Permanent driveway t/ Permanent gas ? Sod/seeded grass Trail/curb damage ? Porch Basement finish Deck Please varify vith the builder the ramoval of roof test caps from the plvmting system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. ? arnvmnn? White - City copy Yellow - Resident copy Pink - Contractor copy _ _ ?- ,_2_ RESIDENTIAL ? ??J??J BUILDING PERMIT APPLICATION CITY OF EAGAN ? J 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construction RenutremeMs • 3 registered sile surveys showing sq. fl. ot lot, sq. N. of howe; and all rooled areas (20°k maximum lot coverage allovred) . 2 copies of plan showing beam & window s¢es; poured found design, etc.) • i set of Energy Calculahons . 3 wpies of Trea Preservation Plan if lot platted after 7/1193 . Rim Joist Detail OpM1ons seleUlon sheet (61dgs wAh 3 or less units) DATE CD -btC- Oc RemodellReoair Reauirements • 2 copies of plan • t set of Energy Calculatians for heated additions • 1 sAe survey for exienor additions & decks • Indirale'rfhameservedbysepticsystemforadditions VALUATION a I i 64(O-11 SITEADDRE35 oL 3a )1 rlt^Mpt -blt ; a_ MULTI-FAMILYBLDG _Y _N TYPE OF WORICRnpaS,A?,(,p? ?';?n FIREPLACE(S) _ 0_ 1_ 2 W S% 'Mn1f ? APPLICANT STREET ADDRESS TELEPHONE # I PELLA WINDOWS & ?OORS 15300-25TH AVE. N. STE. #100 1 PLYMOUTH, MN 55447 763-745-1400 ! LICENSCE #120I65884 STATE ? ZIP I FAX # ? PROPERTYOWNER^?]G.itv? TELEPHONE#LOSI•cj'9g.a419 COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNES01'A RLJLES 7670 CAT'EGORY 1 MINNESOTA RULES 7672 (d submission type) . Residential Ventila0on Category t Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Su6mitted Plumbing Contractor: Phone # __ Plumbing syslem includcs: Water Softener _ Lawn Sprinkler ree: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mcchanical syslem includes: Air Conditioning _-_F-cea- $70-00_ -- Heat Recovcry Systcm li 1?- Jn?n.,? I Sewer/Water Contractor. Phone # L J - ?'I I hereby acknowledge that i have read this application, state that the information is corr eBt? ?nd agree to com ? with all applicable State of Minnesota Statutes and City of Eagan O nances. Signature W Applicant ak(A ? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 z - OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding C] 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair p 33 Alteration ?,37 Demolish (Bldg)* ? 43 Reroof ? 46' Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/rmS System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width • REQIJIRED INSPECTION5 „ _ Footings(new bldg) FinaUC.O. _ Foorings(deck) FinallNo C.O. _ Foohngs (addition) _ Plumbvtg _ Foundafion HVAC _ Drain Tile Other Roof _ Ice & W ater , Final _ Pool Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building InspecYor Wd9E: l '8 'unp aWil pania0 aa PeJIa Windaws & Doors - Twin Giries, Inc. 15300 ZSTH AVE. N. STE. #100 PLYMOUTH, MN 55447 763l745-1400 ? June 8, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Dear Jan: Elder Jones Corporation is authorized to pull building peimits for Peila Windows & Doors -'Itwin Ciries, Inc. Please allow their representative to provide that service for us in Eagan. Ttus suthorization shall be valid until such time as the division manager expressly revokes it, in writing to the City. I request that this authorization be accepted expeditiously, so as to not delay the processing of our building permits any furthec Please call me if there are any questions, I can be contacted at 763-745-1432. Your immediate attention to this matter is appreciated. cerely, ? ._.,, SWARILM Bryan May Replacement Sales Manager cc_ Kaza -EldcrJones """ - " Denna Krafty - Replacement Sales Process Coordinator Windows, Doors, & Skylights VJATS 1-800-462-5359 FAX 763/745-1401 7nnft evrTrn r,irur TuJ hIar esI 7ra vv.r ir'cT ru.r Tnionion CITY OF EACAN 3830 YILOT KNOB ROAD F.ACAN, 1^': :5122 PHONf:: (612) 454-8100 S'L'fJl{BING P$RMIT SOk CITY USE ORLY PERMIT # 1'1`120 RECEIPT it /O t?J'r _ DATE: im/ $ B/ RESIDENTIAL: PLEASE COMPLETE UPPER PORTION ONLY FOR ! SINCLE FAMILY DWELLINGS TOWNAOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. --------------------- WORK DESCRIPTION NEW CONST _-/_ ADD ON ? REPAIR OWNER NnME: W01L(001 7/UYY1G5 SITE ADDRESS: ? 3-? ?fl?v/?L LOT:3,.,-7 HLOCK s SUSD. ,?(,,JZ/rYll'J G/CCC3C_, INSTALLCR; ///G.,?'1l?fCfl.ti !J 1t?S _L?'/L. ` COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMl7M 15.00 03 SHOWER 3.00 ? 3 WATER CLOSET 3.00 7a) L BATH TUB 3.00 a6D ,_?F LAVATORY 3.00 9.0 ? KITCHEN SINK 3.00 L LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER NEATER 3.00 3u7 ? FLOOR DRAIN 3.00 GAS PIPING OUT. L (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 _ ` OTHER - -- WATER SOFTENER 5.00 _ ? PRIVATE DISP. 15.00 ` U.G. SPRINKLER 3.00 _ SUBTOTAL ST. SURGHARGE Toxnt.: S Ua w ? .50 $ q-;), --p COeU;ERCIAL/INDUSTRIALi PLEASE GOMPLETE TNIS PORTION FOR ALL GOMMERCIAL/INDUSTRIAL SUILDINGS AND MIILTI-FAMILY BUILDINGS 41HEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTR.ACT FRICE: OWNER NAt7E: SITE ADDRESS: LOT: BLOCK SUED INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN ZIP: FEES 18 OF CON1'Rf+CT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MSNIMUM FEE. CONTRACT PRICE x 18 $_ STATE SURCNARGE $_ TOTAL: $ (SIGNATURE) ADDRESS: JS??S 1//,`9,I 6011I/ CITY: ZIP: CITY OF EAGAN 3830 PILOT KA20B ROAD EAGAN, !IN 55122 PHONE: (612) 454-8100 "'PW FOR CITY IISE ONLY PERMIT # ? RECEIPT 8DATE: PLEASE COMPLETE DPPER PORTION ONLY FOR SINGLE 7 ?• ....:,::.........:. TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR _ OWNER NAME: IA?I/YI?;LG(171J1/,? SITE ADDRESS: }? ? `"?CO3oz G?l`6T- LOT: ? BLOCK .? SUBD. ??t?-'=•_:-._ INSTALLER 4??9 !.L A 1'( ?6 `3y U1 ADDRESS:I. ?. ? CITY: ZIP: PHONE #: `7?t 5-7_5', FEES DWELLINGS & ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT ?j?G SUBTOTAL: $ "` STATE SURCHARGE: .50 TOTAL: SIGNATURE OF PERMITTEE p4)NR4?[tG?A?STSTKIA'L;? PLEASE COMPLETE THIS PORTION FOR ALL C0MMERCIALJINDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE a $.50 FOR EACH $1,000 OF PERMIT FEE. ?ROCESSED PIFZNG = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1& STATE SURCHARGE TOTAL: $ (SIGNATURE) U4 ) PERMIT # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION APR 0 RFrn / 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day af month in which re uest is made or lot chan e is re uested once ermit is issued. Date y/ 2 / 9 2- Valuation of work Site Location: 632 Ha'--k,•.ose Drive STREET STE Y Tenant Name: F? rrY Gtq r-Vyur -? LOT 3 BLOCK ? S118D. AU `U mY1 I> I dge P.I.D. A Descri tion of work: D e? k The applicant is: Cd"Owner El Contractor ? Other (Describe) Name Garfinar gacr4 Pha ne G$8 - Z'-119 e„y Property LAST fIRST 'z-r- yX-7 a,yl Owner pddress 6-3 2 jjackm,5rn Dr;ve- STREET STE A City F_a aV? State M? Z;p 551IZ3 Company Phone Co ntractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. , I hereby acknowledge that I have read this application and state that th e information is correct and agree to comply with all applicable State of Minnesota Statu tes and City of Eagan Ordinances. Signature of Appl icant: •,?{ Y/2??y ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 Two family ? 04 Multi-fam. T.H. ? 05 Apt. Bldg. WORK TYPE J3r31 New ? 32 Addition ? 33 Alterations ? O6 Garage/Accessory ? 07 Flreplace 0 08 Deck ? 09 Basement Finish ? 10 Swfim Pool ? 34 Remodel ? 35 Repair 13 36 Tenant Finish ? 11 Res. Add./Parch ? 12 Comm./Ind. New O 13 Comm./Ind. Add O 14 Comm./Ind. Rem O 15 Public Fac. ? 37 Move ? 38 Demolish ? 99 Undefined GENERAL INFORMATION Occupancy Zoning Const. (Actual) (Allowable) # of Stories Length a Depth I*Y APPROVALS P7artning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. ist F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint 5q. ft. On-site well On-site sewage Building Variance Eg Footing J4 final ? Framing ? Draintile ? ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: G 1 vewet;on: s ? 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous MWCC System City Water PRY Required Booster Pump Fire 5prinkler Census Code SAC Code Assessments SAC % SAC Units --?.....-..,.?. t ;t o • :x 748•U0F 65•50+ 486•U0+ 2, 211•50F 3, Si1•00* 748•OOF 65•5U+ 4F35 • 00 E 2, 211•50+ 3, 517?00* ' f 1GRI(TrAPOICATION 1991 BUI ?CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCUTATIONS MULTIPLE DWELLINGS . :„ COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCNITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PIANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES 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 LOTS - CONTRACTDR/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 MtIST SHOW A LICENSED PLUMBER. To Be Used For: SincTle Family DetaVkb(gation: ?9`;7M Date: 5/10/97 Site Address 632 Haclmtore Drive Lot 3 Block 5 Parcel/Sub Autumn Ridqe Owner The windwood Canpanv. Inc. Addresspp gax 24329 City/Zip Code Apple Valley, MN 55124 Phone 891-4605 Contractor The Windwood Canpany, Inc Address PO Box 24329 City/Zip Code Apple Valley, MN 55124 Phone 891-4605 Arch./Engr. Address City/Zip Code 31 v., ? OFFICE USE ONLY Occupancy [Z-31+1-( Zoning f1-f Actual Const V•N Allowable - -? tt of stories - - Length S? Depth S`I%L? S.F. Total Footprint S.F FEES ld P i r? qB O g. erm t B , p l Surcharge 6?, Plan Review 86,00 SAC, City 100,00 sAC, tswcc 5'D,00 Water Conn. 1010? Water Meter ,00 Acct. Deposit 3 D.Oo 5/w Permit 0 1 00 S/W Surcharge , 5) Treatment P1. r) .0? Road Unit IfI0100 Park Ded. Trail Ded. Copies SUSTOTAL Penalty Lot Change TOTAL . ? I. . On site sewage_ On site well _ MWCC System ? City water ? PRV t/ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. Variance Phone # --? agrees that all work shall be done in accordance with (Signa e of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? VF+Lc.? A.-r1Ci? G?AI2?-E r------ Zy X2?f : S`7-? X!s= g 6??? ?S?,?l'r, .?--- ?s ?ooo 15T ??,:>0441? 2X61 ? 3s8 K 53 ?- rii 1?n-? 31 j2 X ?2 y ,: ?1$'6 l X -76-7 qo6s-j _ I 3? z?s' v1z. U-- 4 .. ; ? , .., 95627? acroim n=ma raaeaoas amocnaa vAs.vs hmeszMZXs . Th;s Aqreament, made and entered into the /L? daY os isso, br ana becvaen the crrx oF racnri, s funicipality of the SLela of Minnesota, (hereinaiter ealled the ? r City), and the Owner and the Oeveloper ideatified herein. Tha term •Developar^ as usad herein refers to: AUTOlQ1 RZOGE LIMITgp pAR7TiERSHIP, a Hinnesata limited partnerahip, e/o JAltES pgpffi,ppxgNT C014PAt7Y vhose address is 7808 Creekridge Circle, Suite 310, Bloominqton, Minnesota 55435. TAa tarm "OVner" as usad herain refers to: AVTUlII7 1tZDGE LZlSZTED p7utTN8RSHIP, a Minnesota limited partnership, c/o JAtSES DEVELOPMENT COMPAti1[ whose address is 7808 Creekridge Circle, Suite 310, 8laoaincjton, ISinnesota 55435 and RUTH CON1tAD whose addsess is 5015 - 35th Avenue South, Apartment 215, Mlnneapolis, Minnesota 55417. . .tiAg,REAg, the Developer Eas applied to the City for approval of the plat or subdivision knwm as AUTU4II1 RIDGE, loeated within the City; and NHERFA3, the pvner and peveloper aqree to notily the Proposed potantial buyers of all lots vithin A9TUlW AIDCE that Lots 1-7, Bloek 1, Lots 1-8, Block 2. Lots 1-9, Slock 3, Lots 1-17. Block 4 and Lots 1-5, Block 5, are in a hiqh vater pressure zone and a pressure reducinq valve shall be installed in each home belov the alevation ot 966 feat. All eosts shall be the responsibility of the Ovner and Developer and shall be installed to prevent damaqe due to hiqh vater psessure. ??'?:A ? ? NOi?, TIMUPORE, the City, Oimer and peveloper aqree as follovs: 1. 8ecozdina. This aqreement shall 6e recorded vith the Dakota County Reeorder ao as to provide notice to the owners of Lots 1-7, Block 1, Lots 1-8, Block 2, Lots 1-9, Slock 7, Lots 1-17, Block 4, and Lots 1-5, Slock S. The Ovner Bhall provide and exeeute any and all doeuments aecassary to implement the racording of this aqreement. 2• NQLic@• The reoording of this document shall constitute notice to all ovners and future ormers of property in ttfe AtJTOlW RZDGE subdivision that Lots 1-7, Block 1, Lote 1-8, Block 2, Lota 1-9, Block 7, Lots 1-17, Block 4 and Lots 1-5, Block S are in a hiqh vater pressure zone and that a pressure reducing valve shall be installed in eacA home belov the elevation of 966 feet. All coets shail ba the respoasibility of the Owner and Developer and shall be instailed to prevent damaqe due Lo high vater pressure. 3. validitv. If any portion, saction, subseetion, sentence, clause, paraqraph ar phrase of this aqreement is for any reason held to be invalid, such decision shall not affect the validity o1 tlie remaininq portion ot this Contrect. d. Bindinv aareement. The parties mutually recoqaize and aqree that all terms and conditions of this recordable agreement shall run rith the land herein dascribed and shall be bindinq upon the Aeirs, suceesaors, administrators and assigns of the ovners and developers refereneed in this Contraet. 1? r IN ttITNESS WHEEOF, ve have hereunto set our hands. CITY OP ApT(Jl4i gIpGE LIISZTED YAR'Pl1ERSHIP, a tiinnesota limited partnership, !Thftas By: JAMES DEVELAPMENT COMPANY, A. an a Iiinnesota Corporation ts: MAYo= Its: General Pa=tner tut . J. VanOVerbeke y: lffmffi Date fi4f Its: ity Clerk Its. gY; Date Its• ? RTftH CONRAD at DEVEIAPER: ADTDt47 RIDGE LIMITED PARTNERSHIP, a Minnesota limited parinership, 8y: J71ME5 DEVFS.OP![ENT COMPIINY, a Minnesota Corporation Its: General Partner ?'?" /?? g?.: Date N ItB: .p .. -,.,. ! / ? gy. Date Its• ST11TE OF lIINNESOTA ss. COUNTY OF D1IKOTA ) Oil this Z2?& day of e-z . 1990, b4lole me a Notary Public within end for eaid Coun , personally appeared THOMAS A. EGAN and E. J. VanOVERBEKE to me %rsonally knovn, uho 6eing eaeh by me duly svorn, each did say that they are respectively the ltayor and Clark of tha city ot 8aqan, the municipality named in the toregoing inctrumant, and that the seal ailixed on behalf of said municipality by authority of its City Council and eaid Mayor and Clerk acknovledqed said inetrumant to be the iree aet and deed of caid municipality. ?„ gt_?? ? anr n:?:?rcE?m¢w?r? N tar PuDlic 1 CCUNTY ` WDAKOTA t?mR:?,? uo r?n e i? ST11TE OF MINNHSCTA ) ) ss. COD27''Y OF Wv? ) ? On Lhis ? day of . 1990, bafore me a Notary Public ri in. __LIIndor sasd Caunty, personally appsa=ed ?.DSZfJiI ?I to me parsonall knovn, vho beirnq each 6y me duly s n„ e? ch ' say that tt?ey are respectively the 3?%L--- dw of JAISES DLVEI.OPMENT C019YAt7Y, a Minnssota aorpozation, qeneral partner of AUTUl4r RIDGE LIMZTED p11R17iSt5ft a Minnesota limited partnership, to me persona2ly knovn, vho be me duly snorn, did say that Lhey are the Si _ ani of the corporation and limited partnership namcd in the fozeqoinq instrumanC, and that the seal afiixed to said instrument vas signed ? d l? on _ f of saidx c?orporation and limited partneYShip and -- = acknovledqafl said instrument to be tAe free act and deed of said corporation and 13sited partnership. L . Notazy Pul? ic 11??I? A?OOOp¦ •? A?4. l7?91 ? _ :.,.; .. . ?- ? ?t._ .._ ._. . . . . . . : ?ro,Z ,I:AJ;}:i r•,,,,.?: STATE OF ) F ss. CODNTY OF 1 On tday of ?Irj , 1990, betore me a NctarY Public withia and for eaid County, ersonaily appeared RtITf[ CONRAD to •a personally known to be the person deseribed in and vho executed the loreqoing iastrument aad acknowledqed that she exeeuted the same as her lrae aet and deed. T 1•10 -,.?,.:,? ?r?nr? E . Notary lic MIt? 4 ?.?oW 71PPROVBD AS TO FORM: 1lttorne ( O Z tod: - APPROVED 11S TO CONTBtiT: iiFw ?Fli4G£f'h.? Public Works partment Dated: 8^ 7- 9 0 THIS INSTRIIlMNT WAS DRAPTID BY: SBVBtSON, WILCGX i SHEI.DON, P.A. 600 Nidvay National Bank Sldq. 7300 West 147th sereet ]?pple valley, !rtt 55124 (612) 432-3136 IIGD RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ? `--? , ? ? Telephoue # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauiremenis RemodeliReoair Reouirements Office Use OnN 3 regmtered sde surveys showirg sq. ft o( lot sq. ft of house; and a11 roofed areas 2 mpies of plan Cert of Survey Rectl (20% maeimum bt coverage allowed) 7 set of Energy CalculaGons for heated add'N'ons Tree Pres Plan Recd 2 copies of plan showing heam & window sizes; poured found design, etc. 1 sKe survey for additlons & decks Tree Pres Not Reqd t set of Eneyy Calwlations Addifian - ind'icafe i/onsde sep6c system _ On-site Septlc SysRm 3 copies of Trea Preservation Plan if lot platted after 711193 Rim Joisl Defail OpUons selection sheet (bldgs with 3 or less units Date y l?? 1?3 Construction Cost SiteAddress C-?L /?<<_/G ir,o?C. 12e. UniUSte # Description of Work f Multi-Family Bldg _ YN Fireplace(s) _ 0_ 1 _ 2 Property Owner 7 Telephone # (f'? Contractor ?v?+ '/ ?? ?f ^ ?'?j'1 ?L' / 1? c . Address %l//j ?</p.x?' e . /.1 State ?'? . City Zip ?// Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculadons Suhmitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Tele one # ( ) -I Teleph1one #? ? I ? . 4 J 1 By_'--=--_I I hereby apply for a Residential Building Permit and acknowledge that the m ormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand 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. ? ?--? c?-- Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg, ? 42 Demolish (Foundadon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr, of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED I NSPECTIONS _ Footings(new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/reptacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review - MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector i W/NOWDDD 9044E5 -"V3540. o/ CONSUI.TI146 6NO NfffiS PLRNNERS anJ tRfVU l?11RVEYURS BK /SB P6 38 1 IV C. STflEET, flUHN5VILLE, MINNE&OTA 6636i P11 43Z'3UUU Certificate ofi Survey Legal Description : Lo7 3, Bl17CK 5", AUTUMiI/ R/pGE, DAKOTA COUNTY, M/A111-1E507,9. Cy3`f"' S? DENOT[S EXISTIfJG CLEVATION (936.5) DENOTES PFtOPOSED ELEVAi-ION ? INDICATES DIR[CTION OF SURFACE DRAINAGE 936.83 = FINISHED GARAGE FLOOR ELEVATION 2?• 3' = BASEMENT FLOOR ELEVATION 938-50 = TOP OF BLCCK ELEVA'i-IUN 6CALE z 1' e 30' DRA/NA6E AkO UT/U7Y EASEMEN'T / &37. 6) ?---, N 83°S ,937. 6 ? S 39 "/iY ? 7??5 a0 =34 5I ? il?X N w? $ 937 b ? 4 o ro J t ?? ?93¢?? ? 5l 64,e,q?c i 2¢ q? 9A?.3/ V1? ? ? r93¢? ~ NU /3B. 77 N ?eSO'36 ?/Y L? -30' FKJ'NT 8U11-01iVG 56- 764 CK z /NE 'j1 ; i?932. 9'? ?O? ?/0 ? 0 N?M ?? e.¢? no N V 01 TY31 g f ? ? ? ??i iryl Im?: ? ? { hataby certlly Iliat this la e trua und correct repiasantalion o( n trncl o( Innd as ehown and deactlbed h.rson. As piopnted by tne on lli{s ?Z! day ol L??I1y - '1991 , (-?j_ , • • ? • • ?NA flOB? CoNfUI. INO 6N0INEElis C7j?YgaEIING PLflNr?Eas a,id LANP dunvevons Pt? N COMPANY, INC. ? ?IUUU LAST 1481h 6TREET, dUFlN6YILLE, MINNE801A 6639i W/NDWO4D HOMES ?3590. o/ ?BK /SB P6 ? PH 432''JOUD Certificate ofi 5urvey Legal Description : coT s, e?ocK s, AUTUM/? R/OGE, DAKOTA COUNTY, M/NNESOTA. (93,f5 ) DENOTCS EXISTING ELEVATION (936.5) DENOTES PROPOSED ELEVA-I'ION ? INDICATES DIR[CTION OF SURFACE DRAINAGE 936-83 = FINISHED GARAGE FLOpR EIEVATION 93O• 33 = BASEMENT FLaOR ELEVATION 938•5-o = TOP OF BLOCK ELEVATION SCALE c 1' - 30' DRA/NA6E ANp UT/UTy E4SENJEN7' F,eoAvr BviLoi,vG SETBACK L/NE / 937'.G? N83°S ` 3¢ 935,0 8 ? ?_ i932.9? 3 ? k4-) f /0 ? ry?m O? \ m 8 W N - -- ? / _ p O b :P34_6, ?-13 ?u • s ? ?--2¢ o' (9*,') ?•?64.Sj \ c736s? ? ? N J' ? \A? ° ?12tLY 0,00 . G? (?,4jo F?? ' 7 `?.?..? ? l heraby certl(y lhnl lhia ia a lrue and correcl representaUon ol n trnul of land us ehown and deactlbed hossao. As psepated by. me on llds'1,Q!! Jay ol A/tAY ,19g(„ . ??1 A 13600 PERMIT City of Eagan Permit Type:Building Permit Number:EA117454 Date Issued:10/18/2013 Permit Category:ePermit Site Address: 632 Hackmore Dr Lot:3 Block: 5 Addition: Autumn Ridge PID:10-12300-05-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Doug Andrys Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joseph W Netland Lover 632 Hackmore Dr Eagan MN 55123 (651) 395-9659 Andrys Home Improvement Inc 2420 Brinkhaus St Chaska MN 55318 (952) 212-4663 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146698 Date Issued:11/08/2017 Permit Category:ePermit Site Address: 632 Hackmore Dr Lot:3 Block: 5 Addition: Autumn Ridge PID:10-12300-05-030 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joseph W Netland Lover 632 Hackmore Dr Eagan MN 55123 (651) 283-5221 Nmc Exteriors & Remodeling 14276 23rd Ave N Plymouth MN 55447 (763) 684-1662 Applicant/Permitee: Signature Issued By: Signature f 11 r For Office Use c 311q-1 vi VIJ �I,� rr rr E AGA t..� :::: ee #: 7 � r U1 01g 0 WO : X-7 Date Received: 3- 7. 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections@cityofeagan.com J 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: pp Name:• J#Yll1 A dr Tee ,$)6,-1-41,6- Cv et- Phone: GP / �J• .Si'ZZ Resident/ (p3 2 /-1.4C- ,12PQ ))/2J be eet 4' f't�,V S c/Z. Q1Nn8r : Address/City/Zip: Applicant is: Owner Contractor Description of work: 1 /L!it) , 11GQ //) a- 112 Type of Work Construction Cost: Multi-Family Building: (Yes /No / .� Company: �� t17a�e 63‘4. -?-1-!-Z-4t/e5}/ Contact: �t`''41--19 Alt/ Contractor Address: `7'/7 .-TC/4064 Pr - 1 yd s" City: !'/J State: L'Zip: Sr/2- Phone:4/Z. f 9% " mail: /IX /1MA7l'1 Q, 1�.Wit? License#: 5 Lead Certificate#: 4--I— 3OS 8 --/Z. " 6)05-1/7 If the project is exempt from lead certification, please explain why: 5/1//4 /,e-/ )6?1/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 7 141/ i x �/ Applicant's Printed Name Applicant' •nature DO NOT WRITE BELOW THIS LINE --,f Ift4da togc �02 a / c-/Z(-/S SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 4\Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous — 01 of_Plex — Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace — Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION / Valuation / 40 Occupancy __ MCES System ,N Plan Review Code Edition 0! ( SAC Units (25%_100%\(\, ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction _ Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Ni., Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: II-l. , Building Inspector RESIDENTIAL FEES Base Fee Surcharge . 1 Plan Review '' Y' , (Ar I, MCES SAC ,� ) V - n' X' (:-/f City SAC te '0' , Utility Connection Charge S&W Permit&Surcharge1 / Treatment Plant U /i'� �4 ?O l./s CO 0 0 Radio Meter Read `� co _, Copies I TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155606 Date Issued:05/23/2019 Permit Category:ePermit Site Address: 632 Hackmore Dr Lot:3 Block: 5 Addition: Autumn Ridge PID:10-12300-05-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Joseph W Netland Lover 632 Hackmore Dr Eagan MN 55123 (612) 750-9968 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature