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633 Hackmore Dr Sep 07 10 12,25p Gates General Contractors (763) 498-7710 p.1 ~Y `~7' ' V S D Use BLUE or BLACK Ink eS ~ i For Office Use I i g 4Jt 1 I Permit#: ij c- i City of Eap 6d- L/" L I Permit Fee: d ~ 3830 Pilot Knob Road I Date Received: Eagan MN 55122 Phone: (651) 675-5675 I staff I C" Fax: (651) 675-5694 201o RESIDENTIAL BUILDING PERMIT APPLICATION D Site address: 6 33 ~m owl r.►-f"~/,r W-7 Date: Tenant- Suite RESIDENT! OWNER Name: Phone: Address / City i Zip: 3 Applicant is: Owner Contractor TYPE OF WORK Description of work Construction Cost © f ` % Multi-Family Building: (Yes_/ No:::::3~ CONTRACTOR Name: c"nss= 6 r 3 Address: sS" ytz' 34v-Xy L"n/ &f&!Lt /City: State: Yr l Zip: Phone: Contact Email: a j - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 mon , has the City of Eagan issued a per it for 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: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-publk if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against under round utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.gooherstateonecall.orn I hereby acknowledge that this information is complete and accurate; that the work will be In os of the City of on for a permit, a work will be in Eagan: erstand this is riot a p9pnit, but only an applicati a a~ th the approved plan in t case of work which requires a review and aproat x j't4 ~ L x Appli nfs Printed Name Applicant's Signature Page 1 of 2 i CASH fiECEtPT CITY OF EAGAN ? ,3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE 19 ? ? . . FnoM AMOUNT $ 1 & DOLLARS 100 d CASH ? CHECK FOR y? •r-. " ' BY C 11993 W,?a?? Yellpw-ftsthq Cop Thank You .. . . .. . . . . , . -r , . y? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 18656 > PHONE: 454-8100 ?BUILD,A'PERMIT Receipt # ' r„ Ke ?.-4 F- SF Ok'G/Cd1R ce, vni„o $147,800 narP M 4 -- 19-: ? Site Address Lot 16 Block Parcel No. W I Name o Addre: Name _ Address Clty - Name _ Address Phone I hereby acknowlege that I have read this application and stale that the information is correct and agree to comply with all applicable State of Minnasota StaWtes apd Ciiy of Eagan OrCmancgs; . r?. Signature of Permitee MCKliIGHT & JISSOC F11CC A Building PeRnit is issued to: on the express condition that all work shall be done in accordance with all applicable Slate of Minnesota Stalutes and City of Eagan Ordinances. SeclSub. & AS30CIA?E8 INC OFFICE U SE ONLY OcCUpancy ??3 M-i - FEES V_1 Zoning " ??' ? (Actual) Const Bldg. Permit (Al10M1able) 73.50 - Sureharge * 0f $lOfl@5 -?? 523.00 Length ? Plan Review ??loo Depih SAC, City F. Total S - 650.00 . SAC, MCWCC S.F. Footprirns - 6? .00 On Site Sewage _ Water Conn ?' ? On Site Well -? Water Meter Mwcc system -? Acct. Deposit 3p.00 City Water - 30•00 PRV Required S/W Parmit Booster Pump - S!W Surcharge .50 276.00 Treatment PI APPROVALS Road Unit 370.00 Planner - park Ded. Council BIdg.011. _ Copies 3.607.00 Variance - TOTAL Per,nit Haae. oaee TeaRnons # WATER r 2? ? p4 O SEWER? PIUMBING ?-?GOO ?QSIXC.( • d?i?? C? O'o H.v.ac. a2 rY/?- ?3 9 ELECTRIC & Q Inapecdon Date Insp. Comrr»nts Footirgs I r FoundaGon -.?-,9? F? ?? K ;?'r Roofing Rough Pft. 3-4 72 ?Is G?/ -, l P-* HV. -?7-,7 d -? isui. Fireplace r6 . f ' 'T Final Htg. Fnal Plbg. - ? Const. Meter PIGg. Inspector - NoGly Plumber Engr.7Plan Bldg. Final y Z?/ ` 9 S Deck Ftg. Deck Fnal Well Pr. Disp. Ic f 7 ? y_ R - 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 pieked 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: DATE: FEB 7. 1991 633 HACIQdORE Dx (MCKNIGHT & ASSOCIATES INC) 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. ca? r ? e . (gtrtif iratt of (Orrupanry titp of (Eagan lorpwftmi of Iuning 3ttaprriinrc Thir Cenifcate issued pursuant 1o the requiremenu ojSection 306 of the Unijorm Building Code certifytng tJrat at tlre time of issrrance this strucuere was in compliance wrth rhe various ardinartces of the City regulating building construciion or rrse. For the following.• LlseClassifimtion SF DWG/GARAGE Bldg.PeriWt No. 18686 O-„n-,,,y;w R3 /M 1 Zoom Disim, R l Tya Coft. VN o,mfforeWiaingmawm & AS90C. INC. Addr=14198 M"MM AVE. N.?, PRIOR LAM BWW. Ad&- 633 HACKHM DEtIVE LmdtyL 16, 14, AiTi" RM i u„« 4/24/91 Bui(ding POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55 1 22-1 897 (612) 681-4675 SITE ADDRESS: F ? flAi:? pluirc t!R iiil i IIW11 f• ( I??t PMIT SUBTYPE: f () 11 'f i IV ci f i ri ; ! F L_ PERMIT TYPE: ' `'Ii t Permit Number: o }t 4 i i ,,l: r0i Date Issued: 16 ? t of. K APPLICANT: ,. ?:4'' i IP??? ? E? r,:?l+I 1 INt; ii_' tn044, TYPE OF WORK: ?f $i ??? ?11, I J' i I1114 ! 1 Nt'1 tlECk 1 Ff:AM1Nr; Permit No. Pe?mit Holder Date Telephone # ELECTRIC ? _-?-3 - PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING O L ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI /T GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL H7a ORSAT TEST BIDG FINAL i BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? METER # - CHIP # - METER SIZE DATE FE$ 4. 1441 ISSUE DATE PERMIT DATE O,Z 07/91 PERMIT # 11795 B.P. RECEIPT # B.P. RECEIPT DATE 1L/oT191 - BOOSTER PUMP PERMIT REGIUESTED -X- SEWER X WATER TAPS - COMMIINQ X RESIDENTIAL X NEW - EXISTING n Lawn Sprinkler Meters are to be Installed ? Ahead of Domestic Meters on Water Line. ; Credit W,ILL NOT be given for Deduct Meters. . ../iiEiS?,^ ?/, • :J.'` /? /??ra =IT.? OWNER: MGKIiICHT & A5$OCgATES INC ADDRESS: 14198 f:ClNikiRCE AVB ti$ CITY, STATE PRiQR l.AKE Mt'1 ZIP 55372 44()-7 104 I AGREE-TO COMPLY WITH CITY OF EAGAN ORDINAMCES PHONE. SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMI7 CI7Y OF EAGAN 3830 Pilpt Knob Rd. Eagan, MN 55122-1897 DA7E gEB 4, 19(? 1 QEFICE USE ONLY METER # Q -) PERMIT DATE 02 /91 CHIP #a-26 V/ L 7L PERMIT # 11795 METER SIZE S B.P. RECEIPT #?? ISSUE DATE - B.P, RECEIPT DATE 02 OS 91 X PRV - BOOSTEFi PUMP SITE AOdRESS 633 ILAC:uKi.,`RE DR LO7 16 BLOCK 4 SEClSUB AUTM4 RIDGE APPLICANT: ADDRESS: ? CITY, STATE ZIPT? PHONE: PLUMBER:? ADDRESS:_ CITY, STATE PHONE: _ ZIP OWNER: 14CKNIGHT & ASSOCIATFS INC RDDRESSF 14198 COMWRCE AVE NE PERMIT REQUESTED AC SEWER X WATER - TAPS - COMM/IND x RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of? Qomestic Meters on Water Line. Credit ?fLL N(DT bp gi en for Deduct Meters. T.?~? 9 ? ,? ? ,4/AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES CITY, STATE I'R70P LAKE MN ZIP 55372 ,? 6?? L• 1? 15 0 -7T ;)r SIGNATURE WHE METER ISSUED PHONE: PLEASE'ALLOW TWO WORKING DAYS FOR RROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR S SEWER PERMITS, CUNTACT ENGINEERING DEPT. ? PLUMBER: ' ADDRESS: , CITY, STATE ZIP PHONE: RF BUILi1NG PERMIT CITY OF EAGAN ? $sSs 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # SF nwG/GAR 147,000 Site Address 633 HACKNIORE DR Lot 16 Block 4 Sec/Sub. AUTUMN RIDGE Parcel No. IName MCKNIGHT & ASSOCIATES INC 3 Address 14198 COMMERCE AVE NE ° City PRIOR LAKE Phone 440-7100 o Name 5AME Address ? City Phone UQ ww ? x? ui aw Name - Address City - Phone I hereby acknowlege thaf I have read Ihis application and state Iha[ tha iniormation is correct and aor?e to comply with an applica6le State of Mmnesota Statutes and Ciyrdi Earn(OQrdutilfbaa65. _ SignaWreoiPermilee ?? ?° - A Budding Permit is issued to: MCKNIGHT & ASSOC INC on ihe express condition thal all work shall be done m accordance with all applicable State ol Minneso[a Slatutes and Ciry ol Eagan Ordinances. Budding Oificial OFFICE l1SE ONLY Occupancy R-3_IL-1 FEES Zoninq R-1 (AClual) Const --V--N Bidg. Permit 804. 00 (Allowable) -N Surcharge 73.5 0 # orstones lenqth $4' Plan Review 5 7 3_ 00 Depth 33 ' SAQ Ciry 1 nn - nn S.F.TOtal - SAC,MCWCC 650.00 5 F Footprmts - 660 00 On Sne Sewage _ Watar Conn . On Site Well Weter Meter 90- nn MWCCSystem X n n 3 wa?a? aiY ? ect Deposit /+ 0_ . PRV Ra9mred X SNJ Perrnit 10_ nn Booster Pump - S/yy Surcharge • 5? Treatment PI n 976.0 APFROVALS Road Uml 3 7n _ nn Planner - Park Ded. Counctl -- Bldg, Ory _ Copies Variance - TOTAL 3 ? ,607.0 REQUEST FOR ELECTRICAL INSPECTION ? See msVUCM1OPs for compleling ihis brm on back of yellow copy M51037 "x" B,(ow Work Covered by This Request y=^°?44 E&00001-08 ?;???? /DOo2 8 ? ew Adtl Rep' TypeolBUildin9 ApphancesWiretl EquipmentWired X Home Range Temporary Servwe Duplex Water Hea[er Electnc Heatinq Apt Bmlding Dryer Other (Specify) Comm.llndustnal ' Furnace Farm Av Conditioner piher(sO-4) ConVactors Remarks Compute Inspection Fee Belaw: # Other Fee # ServiceEntranceSize Fee Cvcuits/Feeders Fee Swimming Pool 0 to 200 Amps V o to 10o Amps Transformers Above 200 _ Amps _ Amps MoO Signs Inspector's use onry TOTAL Inigation eooms $86.50 Special Inspection Alarm/Commumcation THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 TH . r I, the Electrical Inspector, hereby Rou9h-in • ' O oate o.•a -q certify that ihe above inspection has been made. Final ?aie ?/?Q k/ OFFICE USE ONW This request witl 18 months from /voa8s "51037,?? 111%6 o0 FeQUest Oete ' ire No R oJu!gh ?-in Inspection ' R aclor 0 ReatlY Now R7 l 2?27-9?. ? 4 Ves ? No W hen ReadyP IX licensed contractor ? owner hereby request inspection of above electrical work at: JoE Atltlress (SGeet, Box or Route No ) Qty 633 Haclanore Drive Ea an Seciion No Township Name or No fiange No. Counry Occvpant(PRINT) Phone No McKni ht & Associates Power Suppber Atldress Dakota Electric Elecmcal ConVactor (COmpany Name) Conlractor5 License No Lazer Electric, Inc. 041935-8 Mailing Atldress (GOnirector or Owner Making Inslallation) 8383 Sunset Road N.E., Minneapolis, m 55432 Authonzetl Signalure (COnb actorlO w ner Making installation) Phone Number ? A " 784-3729 MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grlggs-Mltlway 01tlg. - Poom S-173 BE ACCEPiED BV THE STATE BOARp 1821 Univently Ave., St Vevl, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(812) 6C2-0800 ENClOSEO, I' I'II REQUEST FOR ELECTRICAL INSPECTION ? TMB v O ? I? N II I? {?) III III Minnesota Sfate Board of ElecVicity I II II III II r ii i?ii 1821 Unrversdy Ave., Rm. S- 28 St. Paul, MN 55104 "7 * 0 2 6 2 2 3 9 7* Phone(812)642-0800 9J?7c? l„ ?nL l? 1+? `? Home Duplex Apl. Bldg. Other: New Addn Commerual Indusfrwl Fartn Remod R. air Air Cond H}g. Equip. Water Hh. Load Mgmi. Other. D er Ran e Elec. Heaf Tem .$ervi<e "X' a ve fhe work covered 6y this reques?_ Enter remarks in is spoce and on fhe 6ack a1 ihe whife copy only. wcrc-c't. c,r- ? See?so ? Colculate Inspecfion Fee - This Inspectian Request wJl not be accepted wdhoul the corred fee: Olher Fee N $ervice EMrunce $ize Fee /Feeders Fee Mo6ile Home Park Stall 0 to 200 Amps i mps kz Streef Ltg./froffic Sig. Above 200 Amps oo-Amps Tronsformer/Generator INSPECTOp'SUSEONLV TOTA ?Q Sign/Oulline Ltg. Ximr. ? O L Alarm/Remota Control $wimming Pool I hemb wm Ma+l ms ea the dme :mi Irtiga}ion Baom Roogh-in $pecial Inspeciion Investigafive Fee ? THIS INSTALLATION MAY BE OROERED IF NOT COMPLETED WITHIN 18 NTHS. 262 - 2 3 9 DT OFFlCE USE ONLY This reqeest void IB monihs lrom vo6dvfion date pnnkd in Ihis bax PLEASE PRINT OR TYPE Reqoat Dale Rough-in mspernon reqmred2 ?Yes ? No Inspection Olher Than Rough-In. 0 Ready Now ? Will Coll -? ? ?Yo? mos? coll flhe mapewr when rmdy) ?ok Revdy. I, C4 lirensed conirador 0 owner hereby requesf inspedion of the above eledriml work at: Job Addm 633 ss meift. Box, or ub No ),??^ I n n^ //,,,..n c.c.c.f?i?w?K• ?s?i<...,-?i?. Gry Lp Co/ SxNan N. Tovmship Neme ar N. Range No. Firc No oonty ? Phane Na. ?-L¢L.aYt Sb Power Sopplim Addren Elerniwl hapor?ComponYName) ContmMrlirenseNo. 3 Maarer4c Na (PlontEled.Only) MoA,nq Addrass (Commcror or Oxne. omyng In:kllah s Aulharirnd Si Co r or Owner e kllohon) Phaneg No a -3sy EB-OOOOIA 6/95 96ARD CO •SEEINSTp TIONSONBACKOFYELLOWCOM /?? REQUE$T FOR ELECTRICAL INSPECTION ?ea ooom-oe ? %' W See iTstmctsons br completing Ihis form on back ot yellow copy $?k 'a. ? /?6)/_5`r,p W 5 l Q ol "X" Below Work Covered by This Request ew Ad-d Rep. ? TypeofBmldmg AppliancesWued EqmpmentWired Home Fange Temporary Service Duplez Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./lndustrial ' Fumace Farm Air CondRioner D1her(specity) ConVaclor5 Remarks Compute Inspection Fee Below 8 Other Fee # Service EntranceSrze Fee # Cvcuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 ta 700 Amps Transfo(mers Above 200 _ Amps e 100 _ Amps SIg05 Inspedoh Use Only TOTAL Irrigation Booms ? 0 ? ?V Special Inspecnon Alarm/Communica6on THIS INSTALLATION MAY BE O ED DISCONNECTED IF NOT Other Fee COMPIETED WITHIN 18 MONTFIS. I, the Electrical Inspector, hereby Rou9n?,in oam certify that the above inspection has 6een made F,,,ai • o _/? OFFICE USE ONLY This repuest voi0 18 monihs Irom -?`/15`/9/ , /OC'J/.5 i a 510014 ' • ??o°° Repuest Date Fire No ? Rough-in Inspectiefin e retl? Reatly Now ? Will NaM1ty Inspector R tl ? Wh Ves ? N. en efl y I p licensed contractoi ? owner hereby request inspection of above electrical work at: ,bb ad (5tree1. Box or qoute ya ere Ciry ? ? a, ? $ectian No Township N me or N. Renqe No- Counry Occupani( T, Phone No. Power Supplie / r ???/ / Mtlress Eiecmcai C cnor (COmpany Na ConVacMOrS License No V Ma g A ontractor or Owner Makmg Installetion) tlres 0 1 rlnl Jn // Authonzetl Sgn Contracror/Owner Makmg Instal alionl Phone Numper ? J MINNESOTA STATE BOAHD OF ELECTPICITY THIS INSPECTION FEpUEST WILL NOT GrIBBS-MlOwey BIEg. - Room S-1]3 BE ACCEPTED BY THE STATE eOAPD 1821 Unlverolty Are., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phona (612) 642-0800 ENCLOSED Address: 633 HAGL)RE DRIVE Lot 16 Blk 4 Sec/Sub A71qM RIDGE These items were/were not complete at the time of the final inspection. .6 4 24 91 Yes No Tngpprtor, Final grade (6" from siding) ? Permanent steps - garage ? Permanenc steps - main antry ? Permanene driveway Permanent gas t? Sod/seeded gtass Trail/curb damage ? Porch Basement finish ? Deck LIZ Please verify wlth the builder the removal of roof test caps from the plumbing system and tha shut-off of water supply to the outside lavn faucet befora freeze potential exists. ? xecmEOwrtx White - City copy Yellow - Resident copy Pink - Contractor copy ? 63 qR' 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?-? Date?/4(7 ! 0T I Site Street Address ( .,or? f)J' Unit # y Property Owner A-e4,Sa-t Telephone # (j??57 ) ?6-37 3a ContractorFr-t' PI,bO Address Sqoi- W 1?7?. I,l- City Telephone#(4?$J) StatefL---- Zip S574Z-Y The Applicant is: _ Owner /Contractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment Water Turnaround (add $121.0/0a 5/8" meter is required) ?her. v?Q-S2.-c,.-r $ 50.00 WaterSoftener WaterHeater _ replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuiid $ 30.00 State Surcharge $ 50 Total ? ?'s? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and appr d. ?- ? ApplicanYs Printed ame A p canYs Signature 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan « 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Reowremenh RemodeVReoair Requirements 3 registered site surveys showing sq fi of lot, sq. fi af house; and all mofed areas 2 copies of plan (2(1°h mauimum lot coverage allowe.a) 1 set oF Energy Calculalions fw heated additwns 2 copies of plan showing beam 6 window sizes; poured found design, etc 1 site suNey for additions & decks 1 sel of Energy Calculafions Pdddion - indkaffi if on-sife sepbb sysfem 3 copies of Tree Preseroation Plan if lot platted after 7/1193 Rim Joist Detaii Options selec6on sheet (bidgs with 3 or less umts ??`jv .di6 GHid5ii4eqRerd- ? ?-Y.,..tJ TreePECSPImiReCtl N_ Free.f'iesf?cyu'aed . -,:_3'::^N D.kt-s}teSeppe?sle?n -._Y,....N Date ?i I ;?? /?0 y ? Site Address ??j r/Q C?/ hV Construction Cost J J J i uf( UniUSte # DescriptionofWork <n7 ' Multi-Family Bldg _ Y? N Fireplace(s) _ 0 ? 1 _ 2 Property Owner &11 ? L ,V)/A ?'iNApt5 ()n Telephone # (?5-r) Contractor P/ 44/,/ i{ c- Address ?y fr 6? I State t????A 3 ' Zip ? City Telephone# (gsi) yYd ? a? ??? ? COMPLETE THIS AREA ONLY IF Energy Code Category - Minilesota Rules 7¢70 Cate¢orv 1 (J submission type) • Residential Ventilation Category 7 Worksheet Submitted . Energy Envelope Caiculatlons Submitted Have you previously constructed a building in E fee applies. ? Licensed Plumber ? Mechanical Contractor AUG Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information 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. A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted with a similar plan? _ Y _ N If so, 25% plan review Applicant's Printed Name ? Applicant's gnature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea. ) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? DS 03-plex ? 11 1 D-plex 19 Lower Level ? 24 Storm Damage v ? DB 04-plex O 12 12-plex Pibg_Y / or_ N ? 25 Miscellaneous Work Types ? 37 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 7- 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg ) - Give PCA handout to applicant Valuation ?,ep Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const IIAU Width REQUIItED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) X FinaUNo C.O. Footings (addition) Plumbing _ Foundalion ? HVAC Drain Tile Other Roof Ice& Water Final _ Pool _ Ftgs _ Air/Gas Tests Final Framing _ Siding Stucco Stone _ Brick Fireplace _X R.I. ?C Air Test --?- Final Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total 11,11 f- ?, ry-? 11 2 Q C.Q-P? ??? ? , PERMIT ? ?CITYOF EAGAN euaL oI NG 3830 Pilot Knob Road , PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 4 3 3 (612) 681-4675 Date Issued: 0$/ 01( 9 6 SITE ADDRESS: 633 HACKMORE pR LOTc 16 BLOCKs 4 AUTUMN RIDGE P.I.N.: 16-12300-169-04 DESCRIPTION: >?i:??'P' r (INCL DECK) Permit Type SF F'ORCH 4,ork Type NEW F 4. L 434 ALT. RESIDEN7IAL %gixK; „£+ea!c tt=t it3e, .nlmle?a 3A"a?? d5H3.'??'f t"j¢T?'? ?w`q? c Rt9?, @iv p? 3J? tilt §? 8^' A i{?i4aa ?t.,,W m t`B.'s Y?i MJ £`?^1 v P9 M tM S?? P 4l<. yd'4 ?il AE'3"w M5 ^'?T. %° r ? ?'?r ?d; •?,?a. ? L ?;a _, ?a ? ? t ? ? m REMARKS: FEE SUMMARY: Base Fee Plan Review Surcharge Total Fee VALUATION $262.25 $131.13 9.@0 $402.38 $18,000 CONTRACTOR: - Applicant - sT. LIG.OWNER: 5ELA ROOFING & REMODELZNG 15238046 0001050 ANDERSON BRUCE 4100 EXCELSIOR BLVD 633 HACKMORE DR ST LOUIS PARK MN- 55416 EAGAN MN 55123 (612) 823--8046 (612)456-5730 T herje6y. acknaw',tadtgs tnfor,m;atzon„is Statutes. arizl ?-??yM`,a? =eag?r? iarz I S .b', 09 S FF, c. ? ?- La? ?,pAl?ca_;ti?n ai?'d e?'at`? that,-khO 4pp1'1°cebl'e=.°?j;a0teC`,'bf Plri , ? i f h +i u.? a . w. ?_ < ....e ...,? . ............?_ _ ...._......_. ? B : IGN?E -? ? SUILDING PERMIT TYPE OFFICE USE ONLY a 01 Foundation o 06 Duptex ? 11 Apt./Lodging ? 0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? d 04 SF Porch o 09 12-plex o 14 Fireplace ? a 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE 0 31 New o 33 Alterations ? 36 Move e32 Addition o 34 Repair o 37 Demofition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS vN Basement sq. ft. Main level sq. ft. sq. ft. 2 ? Pwe???ssq, ft. sq. ft. sq. ft. Footprint sq. ft. Planning Buiiding Permit Fee Surcharge PVan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit SNV Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Other Copies Totai: 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water ; - Fire Sprinklered '3 33 PRV Booster Pump Census Code. 4134 &S SAC Code Census Bidg ? Census Unit o ? Engineering Variance O• Uc? Valuation: $ 115,00 !a-o0tr"?oM J3xn7.5? ?3f..Se5'/`-?37/ 3-S?rr?,nr f?l x? y= tGto 7, a'yo +'''?gu+ AEc? 1 / 2 no k? Etk? 2. / 2va 7,'' ? ? /'/ °k SAC SAC Units ?? ??ITY OF EAGAN 433, 3 830 PILOT PCNOB RD - 55122 996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) 6814675 CtU 1J1 New Censtnuction Reouirements RemodeVReosir ReauiremenLa ? 3 rephtered site surveys ? 2 eopiea of plan ? 2 coples o/ Alans (indude beam 8 wlndav sizes; poured tnd. Oesign; etc.) ? 2 ske surveys (exterior aAdkions 6 decks) ? 1 energy calculatbna ? 1 energy celculations tor heated additions ? 3 copies of hee prcservation pNn B lot platled efter 711/83 raquired: _ Yea No DATE: ? ll L ? 7Co CONSTRUCTION C05T: 33 v . ? ?? ? DESCRtPTIONOFWORK: u«D R /3X /D,?" ?cs7,vr'. !-?!x?41 paric? ?? fr?, STREET ADDRESS: &g3 ?bg' , - LOT _Lb_ BLOCK ? SUBDJP.I.D. #: PROPERTY Name: A1/,??so-J phone #: 1?0 S73a OWNER Street Address• 623'S D2- City: SHT ? State: Zip•_ 55-5 /Z 3 CONTRAC70R, Company: S? c H- Phone #: Street Address: 5?/0,? sx c°? c s??R/,?4?s) License #- /? Sv City: Si -Zg9e-Vs State: r-+--' Zip. ss Yi? ARCHITECT! Company: Phone #- ENGINEER Name: Registration #- Street Address- City: State: Zip: Sewer & water licensed plumber: change are requested once permR is issued. Penalty applies when address change and lot I hereby adcnowledge that 1 have read this appiication and state that the i fw.n?ation is corcect and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. /J 5ignature of Applicant: ?^--?-- OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Pteservafion Pian Received Yes No °°?-.. . , ' - +I' 612 424 3676 TCO DESIGN 612 424 3676 P_02 Fosm for use with Minnesota Rules part 7670.0475, Subp. 2 -2 & 2 Fansily Residential "Cookbook" Method SRE ADDRESS 33 ? ( c+ty 0 C a? BNLU6R .?`?4 ?c Minimum Criteria: Rim Joiu: R-19 insulaiion ' Foundaton Windows: Insulaad Slsu. 14" air spxe, wood or viayl frame Envy doors: m inch solid wood with storm or better STEP 1 Window & Door Area To[al Window & Door Area in Sq. Peet WINAOWS (including foundation windows}: Aimensions Qnty. Area x -O x A-a Z v? 'Z- x L9.Gl" _o x -o Z 72.0 y_ x _ i 8.,2- (a-? xS`_o x r'?--_Ca 2 3o'?i -`? y -C7 l 'rD.O x ?r0 2- Z3„3 X X t? -U x Cn-g Z ?eo 1U xC?-Ib I i?J,3 Totai Area of Window & Doors Total Wall Arca in Sq. Ft. Wal1 Total Perimetet Haight 5?7• ? p Area ?ce S z3o ! -L?,z TotalArca STF•P 2 Calculate area at a percent of wall Boz A(window & door arca) divided by Box B(total wall arca) cirtcs 100 equals the window and door area as a percent af wall area (Box C). Box A S 47 ?-~ x 100 = F gja J Box B .? 8 ?/,?--- C STEP 3 Design Featuces ASSEMBLY OP'i'ION FRAME WAl.L.: STANDARD FRANIING ? ADVANCED FRAM[!`1G CAV1TYtNSULATION R-2 SHEOHING: LESS THAN R-S ? R-S OR MORE WIrIpOWS (except (oundation windows): U-FACCOR U• 03 From the table, dettrmine the maximum percent window & door area for the design opeions seiected and enter the vaiue in box A below: ?90? p Box C must be iess tiwn or equal to Bax D V S3 ? CITY USE ONLY r? L /"((/? L ? RECEIPT#: Cl/? ` 9 9,.\ `--? SUBD. kjqo, RECEIPT DATE: 9- v v PERMIT# 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, bAI 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL AlteratiQpS_tQ existing dwelling - minimum fee Describe ??4F?ex? re31?? f?7'? $ 30.00 ? = --- Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet " minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavato 3.00 x = $ Septic System newlrefurbished • requires MPC IIc. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installationlrepaidrebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Undefground Spfinklef rf dwelling is under construction 3.00 X = $ Underground sprinkler rfexisfing dweiling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under consWction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water tumaround 30.00 x -- _ $ State Surcharge 50 -> -> -> $ o Total , Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----------------------------------• •-------------------------------------------------------•--------------------------------•--------•-• I hereby adcnowledge that I have read this appliw--tion, state that the informatiun is corteG, and agree lo compy with all applicable Ciry of Eagan ordinances. It is the applicant's responsibiliry to notify the property owner that the City of Eagan assumes no iiabiliry for any damages caused by the Ciry during its normal operational and maintenance activities to the facilities construded under this permit wkhin Ciry property/nght-of-wayleasement. SITEADDRESS: 6:iS3 H ACkjrteA? W10 L OWNER NAME: -I'S R.LI0S A N 1DVRSe}1J WSTALLER NAMEAG- ILC.c>! fJZ TELEPHONE TELEPHONE #65I-P??b (AREA CODE) 74,, --1 .. ss/ - oS-525-- (AREA CODE) ? `JTr PERMII7EE SIGNATURE f'7:i'Y OF I-r1GAP: +-;Aci4a7:Efi;: S iF_RMTNAL N0: L-)E.'. DATE: 01/22/99 TIME: WOD:56 ID: Nr1Mr,: SL:LFl f:I)Clf-"[NG E; f:F: iOlif-'LT.NG, 320 900i 633 Hh'JI.M!]IiE: UFC 125.c`.5 21..`S 9001 633 HAr4;hi(J1'f" Dtl{ 3.CW7 ?, • 'i'cit,.al Ftec[.•i,pt, Amour,+.: 128.25 Ck lDt:,ci:34 IJJf:R. TDr. NANCY . 1999 BUILDING PERMIT ARPL{CATION (RESiDENTfAL) 3830 PILOT KNOB RDN 55122 ? 65'1•681-4675 New Consfrucifon ReaulremeMs ? 3 registered site surveys showing sq. ft. of lot, sq. tf. of house and all rooted areas (20% maximum lot coveraae allowed) ? 2 copies of plans (show beam d. wfndow skes; poured fnd, design; etc.) r 1 sH ot energy calculations > 3 capies of tree preservatlon plan M IW plafFed atfer 7/1(93 DATE: ? 1 ) Zz f( 1 CONSTRU DESCRIPTION OF WORK: STREET ADDRESS: LOT: t? PROPERTY OWNER BLOCK: ? SUBD./P.I.D. #: ti--a-?- / Remodel/Reoair Reauirements 2 copies of plan 1 set ot energy calculations for heated addNions 1 sHe survey for extertor addifions 6 decks COST: CDMD!22 Name:"?ip° \ V141" . Phone #: Last Firs1 tt% ' 5-7W Street Address: S--? City &X? State: #4111 Zip: 5?ja3 Company: 3EtA Re6f-iiv(3 & RE?vT^oo'cHPd6, IN6. Phone #: Cai a 1?d3^ ?"'? 4100 EXCELSIOR BLVD. (area code) CONTRACTOR 3T. LQUIS PARK, MN 55416 / Sfreet Address: , 0.060 Lieense # LQ ,&' Exp. ARCHITECT/ ENGINEER City Telephone #: area code ( ) State: Zip: Name: 5treet Address: Regtstration #: City Sewer 8 water Iicensed plumber (reauired for new constructlon onlv): State: Renalty applies when address change and lof change Is requested once permit is Issued. fln Is I hereby acknowledge thaf 1 have read this application, state that the inf77A Stote of Minnesofa Statutes and CNy of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes _ No 6w --jc ? ?= -- - Zip: to comply with all applicable -.- r,-? Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool D 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas lnseR 0 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/E5 System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee ?3S aL:? Surcharge 3?( (? Pian Review License MC/ES 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies _ Total: I -a ??,-,)? S SAC Units Valuation: $ % SAC YF ~ I? BOULEVARD TREE PLANTING OFFICIAL PERMIT PART III APPLICANT INFORMATION: APPi.ICANT NAME:_ LnClrt TELEPHONE: L4 S (n -- 's -? --:? o ADDRESS OF PROPERTY TO BE PLANTED:_?5cA,iv)e, OWNER OF PROPERTY (If different from Applicant): ?cirne, ta,% f3rLjce W. Anclex5a) TREES TO BE PLANTED: Distance Tree Varietv ize cation from curb Example: Mazshall's Ash 1 1/2" dia. 15 feet south of driveway 11' ? 1. ?-eer?p??? L?ndE,v1 ? I-I?la? c1?a.? 5ee attacheci land5ca.pe, Plqn i?-`' 2. 3. 4. DIAGRAM: Please attach a rough diagram of your lot and the right-of-way area showing the location of structures, buiidings, driveway, street edge or curb, and location of tree(s) to be planted. AGREEMENT: I agree to plant the boulevard trees according to the above stated condidons. I have read and understand the City Ordinance pertaining to uee planting and maintenance and understand its conients. A copy of the ordinance is attached to and made a part of this permit herewith. I understand that the City of Eagan assumes no liabiliry or responsibility for injury or damage to persons or property however caused through the issuance of this permit All work done under this permit shall be performed without cost to or obligation by the City of Eagan. l0-.?~9.5 Date ?^ 3-9';5? Date {Please keep information sheet (Part M and return this signed portion to City Hall, 3830 Pilot Knob Road, Eagan, MN 55122.) FOR CITY USE: Property I.D. # 16 lZ3C90 )(e0 0 41 Lot /(o Block </ $llbd1VIS10II jUTU rl ? e1 P&E. 1'f=r /.1 n„ Application Record Reviewed Reviewed Recorded 6 ? I` Date tU - Date Q ? Date 22wp:blvdtree.pia ltev. 9/20/90 residence r ,,? -------- - - , rA'A .1 ! ? . .. t ? Jvy? • , SURVEY PI7EPARED FOR: / McKNIGHT a ASSOC. , ?. 14198 COMMERCE AVE. PRlOR LAKE, MN. 55372 sm. Mm 0 RrM 931- ss INV 920.lO 60 9l2i1t 932.30? ? C) ? 3A!!l YM A R!N 97t00 9 ??'?T.C. Y 932. V Z so Voiley Surveyfng Co., P. Q, St11TE 120-C , 16670 FRANKLIN TRAfL FRANKLIN TRAfL OFFICE CONDOMlNIUM PRIOR LAKE j MINNESOTA 55372 TELEPHONE (612) 447_ 2570 1 /, I 1 . , N87°0149 E --- 145.00--- 928.0 99z•? ? 'o j932.4 93d 2 y-!l.? ' \ s`SBo N e I ? . 30 Rin I`-- N a I i ? \ a7 F " o ? PROPOSfD a ? N I \ HqISE ? I ry . ? 0) h ORI 0''R G4RAQf I \ ?: II . , ??_ a iN ; ' If \ -j N- ID ? SJZ•3 1? 97f.2 932.f ~'? ' _ 33.0 957.3 , EL.9A1.60 . . LfrfLIT _?- '^^-? ? • , _ , Y A ORAfkAOE h £sm7 ? . ., 83042'49"E ^ . , ? • • ? . . I ,V' . . . . .. ,.. . ; ' . ` ' . . DFSCRIPTION. Lot 16 Block 4 AUTUMN RTDGE, Dakota County, Minneaota aleo shoHing the location of tha propoeed house aet ataked this 31st day of danuary 1991 Notesl ; , .'_ , , Henchmark elevation 934.08 top nut of hydrant at lot 17 Hlock 4 931.8 Denotes exiating grada elevationa x . 34.2 Denotea proposed finished grade elevations -r- Denotas proposed direction of finished drainaga Set the garaga alab at elevation 934•60 Set tha top block at elevation 934.93 0 30 60 r : SCALE W FEET O Dendes 112 inch x 147nch Iron , monumenf nef md mwked by Licerne No. 10183 • Denotea iron monument found m DenWea P.K. Na71 eef 1 hereby certify ?haf this arwy wos prspvW by me or under my dirccl "ervisfon and ttwt f am o dWy licenred Land Swsyor uMx !At lvyr o/ Me Sfofe of Mlnne ofa. ??., ?"r..?1.'.a«._??-- -/ Date Licenss No. 10183 FILE Na 6553 OOOK 173 pAGE 56 t BOULEVARD TREE PLANTING OFFICIAL PERMIT PART III APPLTCANT INTORn'fATION• APPLICANT ADDRESS: w . * LAr-,cb 'P. ?ders on 04 1-G, GLO??5 ;- b VT'in 'CI ?, g e ia TELEPHONE:_ L{ Sto - cj-7 3 Q ADDRESS OF PROPERTY TO BE PLANTED: ?2r'Y1e (l$ p,L'7pVe, OWNLR OF PROPERTY (If different from Applicant): GaYy),. TRErS TO EF PLANTED: Tree Vnrittv Si7e Location Distance from curh Example: Marshal]'s Ash 1 1/2° dia 15 faet south of driveway 11' sso?nt: 1. pogwocd cM)" S" +all (o.t . H5' N ofi d?-*weuxxY ? 11112, mwiuc;ty) Q '+,Ilk 2• Mucjhu 41' N of dr? veuic?/ 11'!a ? r,?y) ( 3. Flwaecs Ci3ack-eyed S,iso„rt? 43' N c?? driYet.uqy ?? 4. (6wclder ts a15o shaayN tn d.ca9rnm on '-4hc bo?.levcwd? DIAGRAM: * or, c,, av-\?F? PJease attach a rough diagram of your ]ot and the right-of-way area showing the location of struciures, buildings, driveway, street edge or curb, and Jocation of tree(s) to be planted. ? AGREEMENT: I agree to plant the boulevard trees according to the above stated conditions. I have read and understand the City Ordinance pertaining to tree planting and maintenance and understand its contents. A copy of the ordinance is attached to and made a part of this permit herewith. I understand that the City of Eagan assumes no liability or responsibility for injury or damage to persons or property however caused through the issuance of this permit. All work done under this permit shall be performed without cost to or obligation by the City of Eagan. ture of Properry Date / o -J -f/I / Date (Please keep information sheet (Part M and return this signed portion to City Hall, 3530 Pilot Iinob Road, Eagan, MN 55122.) FOR CITY USE: Property I.D. #10- l 2 3 a 0-/G o- o¢ Lot? Block4_ Subdivision 9 -. d a e. 1.5 f" 40[] Application Record /v - z - I y y ? ?Q ?1,•-?.?? Approved by: ?uv?-cC i.Gi IL/ Engineering Approved by: l 12uZ &LA City Forester Recorded by: /?&,-{- z? / ? 9 / Date 16-1 -qJ Date 0c.`f- 2, /?9/ Date T 22wp:blvdtree.pla ities Di it? a1 Qualitv 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. -? ,JY? r _r. + 3 t??:? c, 1 : , ,633 Hackm'ore Drive _ -- , r -? ? ;. /j ob f;.e,P ?•?\. ? p _ __? / lJl'aoC ti:ft ;:o,;i fi,i •l;:a t5 t ., ?•'? e- i tu-4 cr ? dz' j ? '???, 4j ? ?crcks - , ? ? F .. ? - ? ? CITY OF EAGAN 3830 PIIAT RNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # D ?2.5 DATE: _2 aS 9 RESID?e3?TIAI„'• PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ..:.:..:... .. ........ .. .. TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIZRED FOR EACH UNIT. WORK DESCRjPTION / NEW CONST ? ADD ON REPAIR OWNER NAME: IVILhnICIIIL 4 SITE ADDRESS: FEES LOT:_&_ B L OCK SUBD. N LL / ? n t I ? A STA E R: I l A J I l) .r ` ? ??? ADDRESS: f 'l;- I CITY:? ? ZIP: ?__??,'? PHONE # tJ : 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 SUBTQTAL: $zzb STATE SURCHARGE: .50 OTAL : $ 'v? ? ' ? 4 SIGNATURE OF RM T CQMMRGIAWTNDAST&TAI;:_ PLEASE COMPLETE THIS PORTIDN FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, . .. APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUSD. iNSTALLER: ADDRESS: CITY: ZIP: PHDNE #: ' FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. GGNTkAGT PRICE x 1% $ STATE SURCHARGE TOTAL: ( S IGNAT[JRE ) CITY OF EAGAN CITY OF EAGAN 3630 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 ......... .. . .. . rm' FEES WORK DESCRIPTION NEW CONST X ADD ON _ REPAIR _ OWNER NAME: _14)c SITE ADDRESS:i? 33 LOT:__Z4?_ BLCCK ,' SUBD. ?,.r??,.r?J R,4 aG INSTALLER: ertdc v//% ADDRESS: ?or`IF/`a/.?sP9?? ydG cS-,D CITY: ?9df/GG ZIP: 6j-:? _w PHONE #: b'l"y'?? ? PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---°°--"--------------------------------------------------------- TURE OF PERMITTEE 1% OF CQNT_RACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ PCiI'?1SEA?IALfINDITSI'RIALs? 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: uiJiQSR ileeliE: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: TOTAL: FOR CITY USE ONLY PERMIT # RECEIPT #10,04 DATE : d! V9 COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 3 WATER CIASET 3.00 5.w d BATH TUB 3.00 N LAVATORY 3.00 ??•w / KITCHEN SINK 3.00 -3. LAUNDRY TRAY 3.00 3,-' HOT TUS/SPA 3.00 / WATER HEATER 3.00 •3. °f) J FLOOR DRAIN 3.00 3 iO GAS PIPING OUT. / (MINIMIJM - 1) 3.00 3 'o J ROUGH OPENINGS 1.50 y4b _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL S 'ys D ST. SURCHARGE .50 TOTAL: $ S?-40 $ (SIGNATURE) GITY OF EAGAN ' • ? 1???? ( ?SUILDING PERMIT?APPLICATZON CITY OF EAGAN GLE FAMILY DWELLINGS MULTIPLE DWELLINGS ! 2 SETS OF PLANS ?1; 3 REGISTERED SITE SIIRVEYS 1 SET OF ENERGY CALCULATIONS` `'?'PENALTY APPLIES WHEN: NOTE: 2 SETS OF PIANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG. DEPT.) 1 SET OF ENERGY CALCULATIONS _# OF RENTAL UNITS _# OF FOR SALE UNITS I - Pt COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. ADDRESSES FOR CORNER LOTS - 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. Sing. fam. Resident' To Be Used For: Va ation: A9-99f?- Date: S1.te Address 633 Hackmo P D iv Lot 16 Block 4 PaYCel/Sub Autumn Ridge Owner *4rKnight & Associates. Inc. Address]4198 Commerce Ave. N.E. ' City/Zip Code prior Lake Mn. 55372 Phone 440-7100 Gontractoz T?cKniQht & Associates. Inc. Address 14198 Commerce Ave. N.E Gtty/Zip Code Prior Lake. Mn. 55372 Phone 440-7100 Arch./Engr. McKnieht & Associates. Inc. Address 14193 Commerce Ave. N.F. Oity/Zip Code Prior Lake, Mn. 55372 Fhone # A40-7100 '?2 '/ `"1-1) i/- ) k0, Ow ? OFFZCE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. .' 3 M -I R-I V-N V-IJ y - 33' On site sewage _ On site urell MWCC System ? City water ? PRV ? Boostez Pump - APPROVALS iPlanner _ ICouncil Bldg. Off. 7$_2-I'S/ 'Variance FEES Bldg. Permit g0 y,00 Surcharge 73.50 Plan Review 52300 SAC, City ! 0D 1 00 SAC, MWCC (¢6D.00 Water Conn &60e 00 Water Meter 90100 Acct. Deposit 30.00 S/W Permit -.3-01Yie S/W Surcharge 15D Treatment Pl. Lr7(o,00 Road Unit ??o V Park Ded. Copies SUBTOTAL Penalty TOTAL I, f . no 1R- 0 VA L ? , ? -?.. y 3z = ?j6o 2 ?- A, < zz??? = 2?Iz z k ??i ? k fr!iz : z s ? 3? +? S? = Is?? s ? ?7 c? ?? ? O 7'L / V?,, qom .. . , Fxrcnron LWELO['F, nvr.iAce •'u" COMPU'CATION (To bc_•r.ubmittcd wzth bvildinq pcrmit application) ? r tx ., . : or tuo famiJ.y dwcllin'] O`rner McKnight & Associates, Inc. Othrz Site TJdress 633 Hackmore Drive ,:ontractor M? ? %A-V Datc 7/9R/91 Fhonc 440-7100 r,TM:nr, rT. nr 3?.ot?+aa?2z.o+?4.ot-r.o??o.ntg.ot«.o?u.o I RYI'O:F.Dwni.f. iS,piu_Ox8•O it. abovc`qradc , TOTAL EXPOSED W11LL RRI?A SQ 7pAQUi; wALL CO"'?TP UCTION: "U" valUC x acea • 10`'a "u'• ._ 09 x aq. ft. zlo.cxr_ L8.°ia (tT)(n) _ U.043x ^9• `t. 1891ap= 431 4P, (!') (1) ?Ctall,rnCcr^nr.r RI M -?n f5'T 040 x sq. ft. ??7.00° II. 88 (U) (i?) Ernm tw?sc?i r+ J C PL "U"?6. x Sq. ft. 1256.00-= 70,33 IU1(A) - Ittnched Shnrt^ .4Z X S LC. 9' ??l..c ??° f0.08 (U) fA) ?i _ x sq. C1:. = fU1 (1) .. . U x sq. ft.? _ (U) (,1) ,i ?INh041S: Uv.lJ.Un X a rra ? °Ink_ 6 tyne !.i. " F ?x n?• t.• 1A2.64 ? b4. G4 (Ll) (T) ' ?? • • ? ?? ' oc: , ,._. , =_ac. ? j„ .44 x sq. ft. 6.QQ (A) L ?/EZ?E2 PtaT?? GrC?t?;y;'U" ,4-7 x sq. ft. 8p,?•. ei+ " S? U" x sq. ft. (U) (i.) .'.4 '1R5: "U" valuc x arca tyJx „ " .c1`7 x s q. rt. 2o.oi - 9 44 (v) (r) s {? ., • TU.ECet.? TctL)r-_ ?i" .47 x sq. ft. 1-7.? (V)(..) , f"? ' ? v" • x,n. ft. - (v) c;.> ' i ; _.. ,-------a ,7'c7PAk.5 3?53.4SOq. ft. 315 C?8(ii) Yrr,u (o) (n) vnr,urs 315.??' . • ; QVIDED DY TO"1'AL iPnLL AN:A 3953.a15~ 'O8 TV-. "U ;.. ? ?' ,VE)UCE "U" !P ' • or lesy ror 1 r. 2?mi1-y- vet3" llinqs , , • , j •.'; 4 : r, .22 . , • or lcr.v Cor all oCher buzldings Iy? c?or/cr.tt.rrict , ;i; ( Yrrnr, nncn r_ etnll rofr.rc??cc ? h d ELtST CUC, IOyo ,.U,• o, q. (U) (A) ?z z •s rt. ioo,oo ? .. '."; ?rnm ettac c h FL?-c L_" !?r?_«U,or x sq. it. G.> ? rctx. Incliirlc c ling joi st ?Zyt L.Z pS, u.O? x?q. v` o---^---• __ • 8_oc? 2 8S (U) (R) " i - , vpvt - c?? 9C7y U" :x sq.. ft. 34Z.oC)- 8 a.l fU) (1 1 Ynminq, scuttln, k lites etc . , . CA?1T GL('OR "U"'OZA x sq..ft. ?U?t?? -' y , . . •, ?, ? mrAs I 5?4:cwsq.. ft. g4 9 7 (u) ?rnt, (u) (n) vnr.lll•:S 34.q7 . nvc " " • e tvtnr.o nr ToTnr, roor•/ _i,74.0 0' C'z2• . V ;;? rJLING ARC/1 ' • ?. !KKj • ' : nGC "U" .OS fpr v?n[iloLc<I ronF,, • ' ; ti: • .10 (or ill othrr consL•ruction • " ' ;ITI:: 7f nvrraqr ° P'° i ? " U" vnli)r^ ,i;: rln not, moCt thc EnC•t'qy CodC rcqufcCmCh"c, _ /11:r.+ Fnni? !•n ;?, v•?.?i,. 1•ai?in" o•: rniLl in.•,I in ::ftC GOOG (q) m?iy bc unCd. 71dd.'LtiOn31 ShCC ' N.I m.iy 1•• n?.r?l Ln •:Lw r..ilr:?l,rYinn;. G' ? ' ?!t . .r. ?.?. { . . . t?s Esti(Wte No, DaLer. Cu!sL'omer n metitod to figure "U" values for walls and ceilings *_o confonn with State of f•Lmlnso t" new code "Ener.yy Conservacion in New Duildings, Additions and Aemodeled E:ements oi rtt", Buildings". This code to be effective ,7anuary 30, 1976. ? . . . IPindow ? <s; Areas, I,bor Lite Insulated Glass Area, SPecial Insulated G_ass' Ncas n0'1"E: Unit QuanL-.ity=NUnJ:)er oJ: u.nits in group Sy1=1, rnu11=2, etc. f - , QTY DTSCRIP'CION UNIT TX . SCI FT/UNYT TOTFi[, Sn? F ? ,4. BL?6tv:'S v???-C:a 4 4.00 ' 16.00_, D"?- 7+=1Zt:-3 ? Z , °I 30 ' IS.FiO G t? 2- z 4GO 2.0. 00 20. 00 2 - 1657- • I -7. t O -7 . I O '.' I ? cn, 3- 24ro0 ? 3O.0p 30.0p ? 1 co k- 7-444 '7. 30 "7.30 oN \- 28 7A I q. 3 0 9. 30 CP 2. - 2444 ? Gn2 - 203h s .,. +. , TOTAL WINDOY7 SQUARE F'EET 147.64 "U" Rated @ ,Z44_ - . , ?;; . . Entry Lbors Lbors P7iL-h InsuJ,ated Glass ?'inure Glass Area P7ith•Y7indows ' Entzy Units witli Side Lites List Sictic Lite Only Separately-Doub7.e Door Equals, 2 Y. 5.in- sw Q1`1 . DLSCR?PTION , UhIT 9'S'Y ' SQ FT/UNIT • TOTi?, F; 0 ? 1 V1, G, -C?a?R*n? ?s,2VC I 1-7.80 1?.8? . • Y:' ? I '•? , QTl' -1-- a, V^. a' ? i. S2Ty 3 Rx ' ? • ?Ry ?- ? i ?.?. ? ?..i.?. (,.lu ., .`. '?. 1 1 TOTAL 'DOOR SQU11FtE FEET 37.81 Door "U" Rating ,4'7 • ? Side Lites DCSCItIPTIO'r] Sp FT/UNIT T01'AL SQ Pm iZ K72" y 6.oU ?6.Oo 2 . 14. (?'7 ' 29,34 . 1_ 10.00 IO.OQ TOTAL SQUARC'FGET 4_00 S'ld0 Lltr Rfl t? d 44 i Fatio Doors DESCRIPT"_'ON . UnIT qTY ' SQ FT/UNIT 40. 00 7'.aLrri - Ll7 7OTAL sn = 50. 'A]770J. i'%9'?'.?n L?.'L??'•. Sr?:1Fr}:: :?1:F,."?i ' a ., C[ILIIlf, SECTIOI! (IIISULATED): I Interlor air film f1,h1 2 5/8" Sheetrock 0.56 3 Fiberglass SO.OrI 1i Cxtcrior air film (stlll) n,Fl TOTAL R = 51. 7F; U= 1/R= "U"- 1 • _ .019 lUll - ? =.019 51.7 $ CEILING FR/1MINf SECTIOM: 1 Interior air film 0,61 2 5 8" GYP BRD 0.56 3 Cord depth C1.25/" 2x4 9.38 4 Fiberglass 37.45 S Ext. air film (still) 0.61 = 371 61 3 , ?.. ,r. ? • ?. qr. .., ?. !i I? "U"= 1 = .022 "U" = 1 =93.61 43.61 CEILING SEf,T101! (INSULATED): 1' Interior air film n.bl 2 9" Batt Insul. 3. " Q 3 5 8" GYP BRD 0.56 4 F.xterior air (ilm s[ill f).hl TOTAL R = 2. 0.8 "U" = 1 = .024 ?.o8 CEILINf, fRAMItIQ SECTIOtI: 1• Interior air film 0.A1 z 3 - h Exterior air film still n.,l 5 inches soft wuod TOTAL R inside air film n•61 2 9" Joist Depth@1 25L' >>_2S 3 5/8" GYP BRD n_SF 4 ??' Plvwood 0.62 S Outside air filn "•17 ? TOT/1L R = 13__21 I?---- i. , 'IUll 1 = .075 13.21 I `VENTED , ?." . Ot15TRUf,TIOtl _ R VALUE RAMING SECTION: 1 Z interlor air fiim 1/2 GYP BRD 0.68 0.45 3 51-2 inches soft wood 6.88 4 25/32 I3uilt-Rite 2.06 5 5/8" siding 0,78 6 Exterior air film 0.17 ' U ° I/R ° .09 14ALL SECT I011 (INSULATED) ? --{1 Interior air f11m O.FR I ?2 P BRD 0.45 ?3 a nsu ation 9.00 -{4 ui - i e 2.06 y i ing 0.78 -? F Exterlor air film • 0.17 TOTAL R = 22.74 I "U"= 1 =.043 "U" = 1 =.043 RIM,JOIST SECTI0t1: ?1 Interior air film 0.68 ' --(2 Batt Insu ation 19.00 --{3 1 Softwood 1.25 1.88 --(4 25 32" Built-Rite 2.06 -?5 5,8" Sidinq 0.78 ? -?6 Exterior air film 0.17 TOTAL R = 24,57 ' "U"= " 1 =.040 "U" = 1 =.040 FDUNDATIOtI SECT101l: ' (1 Interior air film 0.66 ; --?2 1" Insulation 16.00 -?3 8" Block 1.00 (4 Exierior air film 0.17 TOTAL P = ?7.65 1 =.05b "U"I - 1 -.056 SLAfi Otl CR/1DE ; ..L?i. 4• .? ? Q` ? 4•_ II ? ? s 9582?4 Aoroxx amas rnaeamea anocuro vu.va AGRZEMENT Th;s Aqreemant, mada and entered into the i,LC day a! !7 [14, U ST , 1990, by and betveen the CITY OF SAGA1i # a aunicipality of tha State of Mirnesota, (hereinafter calle8 the ? City), and the Ownnr and the Daveloper identifiad herein. y TRa term ^Developer• as used herein Tafezs to: AUTOHIt 1tIDGE ISKITID PARTNERSHIP, a Minnesota limited parinership, c/o JAMES DEVSLOPMENT COMPANY uhose a8dress ie 7608 Creekridge Circle, Suite 310, Bloomington, Minnesota 55435. The tertn "ovner^ as used herein refers to: AS7Tpl41 RIDGE LINITED pARTNERSHIP, a Minnesota limited partnership, c/o SAMES GEVELOFMENT COIP111iY vhose address is 7808 CSeekridqe Circle, Suite 310, B1oo11MJton, Minnesota 55435 and RUTH CONRAD Whose a8dress is 5015 - 35th Avenue South, Apertment 215, Minneapolis, Minnesota 55417. . . WHEREAS, the Developar has applied to the City for approval of tha plat or subdivision knorm as AUTtJMt RZDGE, loeated vithin the City; and WHEREAS, the Owner and Developer agree to notify the proposed petentla] buyers of all lols within AUTS1NIId RIDGE tAat Lots 1-7, Slxk 1, Lots 1-8, Hlxk 2, Lots 1-9, Block 3, Lots 1-17, Slock 4 an8 Lots 1-5, Biock 5, are in a hiqh water pressure zone and a pressure raducing valve shall be installed 3n each home belov the elevation of 966 feet. All costs shall be the responsibility of the Owner and Developer and shall be installed to prevent damage due to hiqh vater pTessure. - •=;s f NOW, TREREFORE, the City, Owner and Developer aqree as follovs: 1. Recordina. This aqreement shall be recorded with the Dakota Cowfty Reearder so as to provide notice to the owners of Lots 1-7, Block 1, Lots 1-8, Block 2, Lots 1-9, Block 3, Lots 1-17, Block 4, and Lote 1-5, Block 5. TAe Owner shall provide and exeeuie any and all 8oeuments necessazy to implement the recording of thie aqreemant. 2. Notiee. TAe recordinq of this documeat shall constitute notice to all owners and future ovners of property in the AUTtTlaf RIDCE subdivision that Lots 1-7, Block 1, Lots 1-8, Block 2, Lots 1-9, Block ], Lots 1-17. Block 4 and Lots 1-5, Block S are in a high water prossura zona and that a pressure reducinq valve shall be installed in each home belov the elevation of 966 feet. All costs shall be the responsibility of the Ovner apd Developer and shall be insEalled to prevent damaqe due to hiqh water pressure. 3. Validitv. If any portion, section, subseetion, sentence, clause, paraqraph or phrase of this aqreemeat is for any reason Aeld to be invalid, such decision shall not affect the validity of the remaininq portion of this Coatraet. d. Bindino Aere ,ne„c, The parties mutually recoqaize and agree that all terms tnd conditions of this reooxdAble aqreement shall run w3th the iand herein described anHI shall be bindinq upen the heirs, succecaors, admihistrators and assigns of the ovners anfl developers referenced in this Contract. .4 IN tiiTNE55 WHEREOF, ve have Aareunto set our hands. CIT1! OP OWNERS: AUTt1t47 RIDGE LIlSITID PARTNERSHIP, a Minnesota limited partnership, ? Hy: JATSES DEVESAPKENT COlPANY, Th6mas l?. L a Minnesota Corporation Its: ftayor Its: Generai Partner tut . J. VanOverbeke y: ? Date its: ity clarx Ite: / gy; Date Its: R H CONRAD at v DEVEI.OPER: 1?DTtIlIIt RIDGE LZMITED PARTNERSHIP, a ttinaesota limited partnership, By: JAKES DEVEIAPMENT COMPAN4, a Minnesota Corporation Its: General Partaer ? I ? gy; Date ? Its: .y? , gy; Date Its: ST71TE OF MINNESOTA ) ) B6. COUNTI! OF DAKOTA ) On this Zi'_"& day of --Z 1990, 6efore me a Notaly Public ritAin and for sa3d Coun , persanally appeared TElOMAS A. EGAN and E. J. VanOVERBEKE to me rsonally knovn, who being eeeh by me duly avorn, each did eay that they are respectively the Mayor and Clork of the City of Eagan, the municipality named in the Zoregoing instrumant, snd that the seal a2fixed on behalf of said municipality by suthority of its City council and said Mayor and Clerk acknovle8qed sa3d inatrument to be the lree act and deed of said municipality. ?:? r?xr,r1 L ?atnermi6 ,.???.•"--?Yt_r Y R.^ - W:HESOTA Ip'lU DAKOTA CCl1NTY N W P11b11C / j 11y Commrs:mn 6p fc> 1 1!'a = MMM/ STx2E OF lIZNNESOTA ) ss. CODNTY OF IC6 ) On t1fi day of 1990, Lafore me a Notary Aublio wi in. Td or said county, personally appeared (-- LjS M?JM ?d to me parsonall?y' knovn, vho beinq eaeh by me duly s n,, ch d say that Lhey are reapectively the &*a of JAMES DEVEIAFlEiT C0MPANY, a N3nnesota corporation, qeaeral partner of AUT[JMt RIDGE LIriITED pARTNffitSH a Minnesota limited partnership, to me personally knovn, rho be ,b me duly svorn, did cay that they are the sW& of the eolporation and limited pattnership named ia the foreqoing instrumant, aad that the eeal affixed to said instrument vas siqned aad led on T?h f of eaid corporation and limited partnership and said ?:??? ?..---??-&d%6- alnli aGcnot+ledged said instrument to be the frea act and deed of said corporatioa and liaited partnership. G. Notary pul? ic MWL__ '- 4?k,?....? ._.. . . . . • • _.__,. _. --- ?,3U? -?.?„? •. A ss. Public withinand !or said County, rsonally appeared RUTH CONNAD ic ae personally knovn to be Lhe person deseribed in and Who execute8 tha foreqoinq instrument and seknowledqed that she executed the same as har lrae act and deed. STATE OP NNESOTA ) ) CpUNTY OF ? day of I , 1990, before me a Noiary On this ,j,? •T_. MMO? t 1b00r ?(_fU1'I?l/? c• 1??/ Notary Pu lic »t?. 4?• pp? 11PPROVSD AS TO FC1RM: I?tCOrna r o Lod: LYPROVED ]?5 TO COtiTENT: Public works? epertment Detad• 8-7-90 THIS IIiSTRUlSffi7T 1PA5 DRAPTED BY: S8VffitSON, F1II.COX i SHELDON, P.A. 600 Mifi+ay NaLional Bank Bldq. 7300 Nest 147th Street 1?pp16 Valley, 147 55124 (612) 472-3136 !!GD .., ,s . SURVEY PREPARED FOR McKN1GHT a ASSOC. ;. 14198 COMMERCE AVE. ' PRIOR LAKE, MN. 55372 yN. Fw ORlN 9lI.D9 Ipy 920 10 Valfey Surdeyfng Co., P. A. SUITE 120-C , 16670 FRANKLIN TRAfL FRANKLlN TRAIL OFFICE CONDOMINIUM PRlOR LAKE, MINNESOTA 55372 TELEPHONE (612) 447 _ 2570 .. 1 1 ? I 60 I 49 E ? roo?m N87°01'?? EL.9v.o: --- 145.00--- 928.0 T.[.£L. 933.?- r ` 972.IS 932.30 + _ _33.0-- •il_? ?? W ' 1° ? ? ; _a- • ? ?932A 932.2 9317 \ . s`Seo ? N 30 I \ `/2SG?2F ? nxh I? ry°I I ? ? h I ?'! PFDPpSEO In 1 1 a' ? In HWS£ h '?' T - -? - - - ? 3 ---'- ( / ^ ? O • o) JAN NN W rI ? 1 o I ?'A? \ \?? DRIy? RIN9.Y10 ciN ^ ?'N Gq/rACf ?'q II I?--- q N If ?? k! '? ? W f-' si.e I 932.S I 932.? 93?, p T.CIi ? 973.AY 72. ` - - 33.0 I I t (? ?? n 63 ? ` EL.933.60 - ?? ??• (/? ?l UTlL1TY B pRqfNApF ESry ?? • y so • s83042'4s"F s i ._ J :0 33 /-- DFSCRIPTSON Lot 16 Block A AUTUMN RIDGE, Dakota County, Minneaota also ehowing the location of the proposed house aa staked this 31st day or aanuary 1991 Notest Benchmark elevation 934.08 top nut of hydrant at lot 17 Block 4 931.8 Denotes existing grade elevations z 34.2 Denotes proposed finished grade elevations -f--- Denotes proposed direction of £inished drainage Set the garage slab at elevation 934.60 Set the top block at elevation 934.93 0 30 60 SCALE IN FEET O Denotes I12 incA x 14inch Iron nqnumenf sN and marked by Liceme No. 10183 • Denotes iron monumenffvund 0 Denotes P. K. Nall set I hercby certify that ihis arwy wes prepaed by me or undar my direcl wperrision ond Mat 1 am a duly licenaed Lmrd Surveyor under Me kryu of Me Sfote of Minne ofa. ? f ?/ ?/?.?I /S!-Y?? '' ? r %? Dafe Licenss Na. 10183 FILE Na 6 §53 BOOK 173 PAGE 56 SURVEY PREPARED FOR: McKNIGHT iS ASSOC. 14198 COMMERCE AVE. PRIOR LAKE, MN. 55372 $001 .Mn O pIN 931.l9 INV 920.10 Valley Surveying Co., P. A. SUITE 120-C o 16670 FRA/VKL11V TRAlL FRAMKLIN TRAIL OFFICE COIYDOMINIUM PRfOR LAKE, MfNNESOTA 55372 TELEPMOME (612) 447-2570 I ?> I 60 I N87°OI'49,'E ? 932.? - Ep ??-OZ ---145.00--- -? 9P8.0 TL.EL ? 93t 18 y32.? • -- ?53.0-_.r.L_ __ _- --- --- ' ? / p ? II \ ?e32.4 saa. z_ 931.7 ? . SSBe so •?,F PROP03ED ` R ry I \ h? w ? I?n MpISE p 0 pC I ?1? $I,? ?\ 3AO bQZ Oi MM9]tBO??i J OAf a I e W ;o ? O L 932.7 ? 93t.2 932.4 ? .92 ? i? • / T.Ca J ? Y? 972. $0.3 M1 ? ` EL 938. BO ? . ?tLlTy A OR4/NABf ES y ? - 230.I2__? ? '? so S83042'49"E ?- Mt 9 r .? DFSCRIPTION Lot 16 Block 4 AUTUMN RIDGE, Dakota County, Minnesota also shoxing the location of the proposed house aes staked this 31st day of Sanuacy 1991 Notes! 0 30 ,? SCALE IN FEET O Dendas I12 Mch r 14 inM hon monumeM sef md marked by License No 10183 0 Den4tes iron moaument found m Denotea P. K. Nail set Benchmark elevation 934.08 top nut of hydrant at lot 17 Block 4 931.8 Denotes exiating grade elevationa 34.2 Denotea proposed finished grade elevations -f-- Denotes propoaed direction of finished drainagO Set the gaz'age slab at elevation 934.60 i.Yl; ::.di??Set the top block at elevation 934.93 ' •.a J tea i r? Ro V a R ?-? ? C Uv''! ti' ri) ! pereby certity lhot Mds Wrvey was proporod ty me ar wWer my dfreN ewerviaion mw mar 1 am o duly ficensed Land SurveYor undar Me j)a o??tof? Mota. / pa?e ;L- /-9/ Lieense No.10f83 FILE Na 6?53 BOOK f73 pAGE 56 r For Office Use~j I Permit City of ta fl I Permit Fee: t/ - I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I C I Fax: (651) 675-5694 I Staff: I I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z 01 Site Address: Tenant: Suite RESIDENT / OWNER Name: gv mx__ 1r /A1 Phone: ~OS~'" 7 slD 573d Address / City / Zip: 3 ~J Applicant is: Owner Contractor TYPE OF WORK Description of work: Y . tae e J)IWIT- e1S_1XA y Construction Cost: 5, 3 5O Multi-Family Building: (Yes CONTRACTOR Name: License 1,9 DLO $udget Exteriors -r Address 8017 Nicollet Ave S. Bloomington, MN 55420 City: _ 1-877-310-1742 _ State: Zip: F: 952-887-1659 Phone: X COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category ) Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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: 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 the are trade secrets. 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 approvai of plans. X U';r/ X Applicant's Printed Name J Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA097206 Date Issued: 11/29/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 633 Hackmore Dr Lot: 16 Block: 4 Addition: Autumn Ridae O1 st PID:10-12300-160-04 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Pella Windows & Doors Turnkey Sales Brice W Anderson 1 300 25th Ave N =100 633 Flackniore Dr Plymouth SIN 55447 Eagan SIN 55121 (763) 74-1400 I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or B�A►CK Ink --------� � For Office Use . • � ' �� �� I ���� of ���a� � Permit#: � I � � � , � , � Permit Fee: � 3834 Pilot Knob Road i Eagart MPI 55122 � Date Received: j Phone:(651)675-5675 I � Fax: (651)675-5694 � Staff: � �------------------� 2014 RESIDENTIAL PLUMBING PERMIT APPLICATIQN Date: v Z � Site Address: K_.i'Y) �1�' �� � � � �� / �� C Tenant: Suite#: Residenfilt?wner Name: i�� � � ���� (/�l Phone: C�J l� T ��fj r��� Address 1 City/Zip: 1'T�.t�1'�� �(� �� . �� C$ /r l � ���Z J : Name: License#: COnfl'aGx01' Address: City: State: Zip: Phone: Contact: EmaiL• Ty��O#Wo1'k —New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Descriptian of work: W Cc �I/ G�i�� �'� �Ct� }�� � RESIDENTIAL �Water Heater Water Softener Lawn Irrigation(_RPZ/ PVB) Pe11111t Ty�3r@ Add Plumbing Fixtures�Main/_Lower Level) Septic System N��, Water Tumaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Saftener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge} $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround*(inciudes$5.Q0 State Surcharge) "Water Tumaround{add$2€}0.00 if a 518"meter is required) $115.00 SeptiC System New($10.OtJ per as bui{t)(includes County fee and$5.00 State Surcharge) TOTAL FEES$ CALL BEFORE YOU DiG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 haurs before you intend to dig ta receive locates of underground utilities. www.qopherstateonecall.org 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 nof a permit, but only an application for a permit, and work is not to start wit t a permit; that the work wil! be in accordance with the approved plan in the case of work which requires a review and appr a of plans. X �'�.c� �n1 - c��irsvv� lQ�� Applicant's Printed iVame Applicant's Signature FOR QFFICf USE Reviewed By: pate: Required inspections; `Under Ground ` Rough-In Air Test Gas Test �inai Meter Related(tems: Meter Size Radio Read S#aff: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA125669 Date Issued:07/30/2014 Permit Category:ePermit Site Address: 633 Hackmore Dr Lot:16 Block: 4 Addition: Autumn Ridge PID:10-12300-04-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Diane Moyer Home Energy Center Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Bruce W Anderson 633 Hackmore Dr Eagan MN 55121 (651) 456-5730 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (651) 766-6763 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA137840 Date Issued:07/26/2016 Permit Category:ePermit Site Address: 633 Hackmore Dr Lot:16 Block: 4 Addition: Autumn Ridge PID:10-12300-04-160 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Bruce W Anderson 633 Hackmore Dr Eagan MN 55121 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use . ,./1.. ,---1 . � i:::;ee. C --City of Eagana /1 -1, ' 3830 Pilot Knob Road II' I r Eagan MN 55122 Z c'� .* ILL,7- Date Received: Phone: (651)675-5675 J 4.) Fax: (651)675-5694 Staff: Vv" 2017 RESIDENTIAL BUILDING PERMIT APPLICATION �at � C l l - inn P, f : ,�� Date: ` Site Address: �j � um YQ 1P `�Q Q I Unit#: .. �, �� �, _a. �„ �_..... .. Name: r\Ce wP(`&Z2 A Uv. Phone: 6s (-45b-'5 3c Resident/ OWner I Address/City/Zip: 6 3Floc k No ('e br y rnadl , mit) 5,5/Zs `J Applicant is: jc Owner Contractor ,QQ t - f Type of Work Description of work: t�e(7�IQC cIeCfft r ) rat( (cn , Cct S+Cecr'S on 2- �Cks Construction Cost ` 11 000 Multi Family Building: (Yes /No X ) I Company: H v�e L��r0 tlel^S Contact: (� L�;C gSC J C.'�(�T Address: �j T" „ v`S /V W drilli City: A l P1 -<(e�'a -7-= Contractor 1t 36 -7 G _ �} 3 State: �rU Zip:5536 -Phone:(Qi7i Z3 ail: License# 8(..___ 11)) VD Lead Certificate#: A) A If the project is exempt from lead certification, please explain why: N r v lecO ►lc� litcp. is < evyttuleA b r pc aced. 6 %-v ec . 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? R { Yes No If yes, date and address of master plan: Licensed Plumber: Phone: I I 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 II . ..., conclude that the are trade secrets, _� , CALL BEFORE OU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to di. o receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. A n x Ub �'V� C SIJ A��� x a 1 A 0 Applicants Printed Name Applicant's Signature Page 1 of 3 // DO NOT WRITE BELOW THIS LINE C` SUB TYPES CP�� vlc`Ir``' '�'`-c \Jr" Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family). Single Family Garage Porch(4-Season) Exterior Alteration (Multi) Multi l 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 ?C. 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 Occupancy MCES System Plan Review Code Edition MA 2.6 IC SAC Units (25%_ 100%?0) Zoning , 1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \fj Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) X Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test 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 Windows Sheathing Retaining Wall:_ Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan /y� Other: Reviewed By: f O PP) )74 k /7A- , Building Inspector RESIDENTIAL FEES g Base Fee Z FJ 6 s9' /7` Surcharge Plan Review k /SeD sQ '/'t— MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 „„ PIZ /q3 °. Jr-7 J2.1 SURVEY PREPARED FOR: McKNIGHT a ASSOC. Valley Surveying Co., PA. _()633 d4 C. rd.,-, ( , . 1419E COMMERCE AVE. SUITE 120-C , 16670 FRANKLIN TRAIL ''PRIOR LAKE, MN. 55372 FRANKLIN TRAIL OFFICE CONDOMINIUM PRIOR LAKE , MINNESOTA 55372 TELEPHONE (612) 447- 2570 suv.MH 0 RIM 931.59 INV 920.10 \ \ 1 -, 60 I Tbp Iron N 8 7°0149E 1 EL.933.02 ---145.00„- --_ .� 92e.0 T.C.EL• 932'% 932142 932.E --33.0-- -�1L_ W 1 10 ! I ___.--,- I° _� • \ C 11 1 932.4 1 �® 931.7 \ •,r`%o Ct 4 ”' I e 2 K— P I I �b, F I 8 ' I „ PROPOSED s a Ort c e Y t44..."1..r1 ii \ 1j 1 �� HOUSE I Res c�'1`t- I 1 d a r-,v, v.A.ec(<,. , ••••• •• 0 -i c4c SAN MH W� Oj I �Av \. RIM 93200�.q (�. ORI s— 'N G4RAGE t eog t Powe' \ . :: Li O�32.92T.C.EL 1 93-'?--.I • � 932.4 ~'� . Y 932. - 33.0 ---j952.5 3.0 �' n '�-�" �., / i V 931.3 \ o / �O h ii cleck cr Top Iron -. �f fes i4 EL.933.60 UTILITY a 1`" ---�� / h DRAINAGE ESN'T �..-/ / 0 .- 2'30.l2 60 S83042'49'1E ,� co • _--953.2 I g; ti/ 1 . . • / 1 33 / , / •• 1 DESCRIPTION Lot 16 Block 4 AUTUMN RIDGE, Dakota County, Minnesota also showing the location of the proposed house ass staked this 31st day of January 1991 Notes! 1:::441 . Benchmark elevation 934.08 top nut of hydrant at lot 17 Block 4 931.8 Denotes existing grade elevations Denotes proposed finished grade elevations -o--- Denotes proposed direction of finished drainage Set the garage slab at elevation 934.60 Set the top block at elevation 934.93 0 .30 60 I hereby certify that this survey was prepared by me or under my direct supervision and that 11111111111111111111111111111111 nomismaimsoll l am a duly licensed Land Surveyor under the SCALE IN FEET Iay,Is of Me State of Minn* ota. O Denotes 1/2 inch x 14inch Iron - monument set and marked by %i re•,•...", . ..� � . _=- .. _ License No. 10183 Dote a- /-?/ License No. 10183, • Denotes iron monument found O Denotes P.K. Nail set FILE Na 6553 BOOK 173 PAGE 56 PERMIT City of Eagan Permit Type:Building Permit Number:EA143456 Date Issued:06/16/2017 Permit Category:ePermit Site Address: 633 Hackmore Dr Lot:16 Block: 4 Addition: Autumn Ridge PID:10-12300-04-160 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 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 - Bruce W Anderson 633 Hackmore Dr Eagan MN 55121 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA148646 Date Issued:04/11/2018 Permit Category:ePermit Site Address: 633 Hackmore Dr Lot:16 Block: 4 Addition: Autumn Ridge PID:10-12300-04-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Bruce W Anderson 633 Hackmore Dr Eagan MN 55121 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature For Office Use , AGA E % , 1; •� Permit#: / �1" ••__ ••• Permit Fee: (O ' V 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: buildinginspectionsecitvofeagan.com L 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 10—l7:11 Site Address: L 3.3 F}act Mo re. D r. Tenant: IS V Z Z A -ergo/1 Suite#: k ''rF Name: Phone: /0110- Address/City/Zip: Name: /14144%)4•14/ 14,4 o 7 LLC License#: W Address: )3 'I0 J'r'Uw1i? � At.e_ City: �/'►?ariel o:AzAti r ci State: .M/(l Zip: 6.5-06S Phone: 4 -1 75 —o3 13 z � Contact: et )f r� fo Email: + : L. , • - •i 0,1 s. aP� t � irz+r,h ➢ y _New 4 Replacement Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: t Lcee..; c f+c„r/ w;'x"11 r1 C vi • Tankless Water Heater Lawn Irrigation( RPZ/_PVB) Standard Water Heater Add Plumbing Fixtures( Main/_Lower Level) .l0104!0-“ I Water Softener Description: Septic System New Abandonment Connection to City Water from Well _ —RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read =$540 "Sewer&Water Permit also required for connection charges TOTAL FEES$ 40.00 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.aopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeanan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xBru, t/ Arldrecf- Applicant's glinted NameA : ' nts S i.. - - A Page 1 of 2 F ':::::r).,:y::;!::),,... -:i, -,,,.-,:: ::::,•;,:•.,!;,:,,,,,- 966 n tY . ' r i i ...,. bQ1t Pl �r ns UI air+ R 14i1 ' � l nat yg� y ' t ed It Mr .�` � :,F M no • I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD:(651)454-8535 FAX: (651)675-5694 buildinginspections aC�cityofeagan.com Page 2 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA168118 Date Issued:04/09/2021 Permit Category:ePermit Site Address: 633 Hackmore Dr Lot:16 Block: 4 Addition: Autumn Ridge PID:10-12300-04-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Bruce W & Linda R Anderson 633 Hackmore Dr Saint Paul MN 55123--304 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature