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637 Hackmore Dr DEC-10-2010 12:55P FROM:UOSS PLUMBING 13202433664, TO:16516755694 P.1/1 Use BLUE or BLACK Ink I For offlCQ Uso I Permit 6`' of Eanan Crt ~ l Permit Fee: Fst~a^ I 3830 Pilot Knob Road Eagan MN 66122 I Date Recceeiived_: Phone: (651) 675-5675 Fax: (651) 675-5694 Stair: c I 2010 MECHANICAL PERMIT APPLICATION Date' (?Alp,t Site Address: to3 ( W.sue.- 0r , Jg- Tenant• t`nac ~C„ (ka_. Suite / p RESIDENT I OWNER Name: Phone ~a s C~o6r ~DO.~ Address ! City / Zip: Cs Ve-- Name: License* P/"\ b~S CONTRACTOR Address: City: V\1, State: MO Zip: <t Phone: 32° - 24 1 ' 3 6 4 `4 Contact: 'R- Email: asvt -~'~S5 uMbsn TYPE OF WORK -New ,,,..Replacement .-Additional -Alteration Demolition Description of work: 94 ±11 ^ G- +t't^ r 6 "S r^&w'-- NOTE: Roof mounted and ground mounted mechanical equipment Is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods, RESIDENTIAL COMMERCIAL PERMIT TYPE _L umace New Construction Interior Improvement _ Air Conditioner T_ Install Piping _ Processed Air Exchanger _ Gas Exterior HVAC Unit meat Pump Under / Above ground Tank Install / _ Remove) When Installing/removing tank(s), call for Inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace bumed out appliances, ductwork, etc,) (includes $5.00 Slate Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x 1% $55.00 Minimum (Includes State Surcharge) $ Permit Fee - If the Permit fo is less than $10,010, surcharge is $ 5.00 If the Ego! Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i& a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) $ TOTAL FEE CALL BEF!2BE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Cell 48 hours before you Intend to dig to receive locates of underground utilities. M-0mnoaherstat,,egDecal Lora 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. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: , Date: Required Inspections: ,_,_„-Under Ground Rough In -Air Test -Gas Service Test Tin-floor Heat ____Final _ Exterior HVAC Screening Inspection CASH RECEIPT wl ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 . DATE ACCEIVEo ?A.?'?`? .FO. AMOUNT $ O CASH k CHECK ? ? ? ,? J,? •....? Thank You BY a ? ?? . ? 12144 ?'",? ?, PH*-fNe Copy 8 DOLLARS ,w CITY OF EAGAN 18720 3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Tobeusedfor a? ?/GAR Est.Value $137,000 pa1e TED ls 19 41 ? Site Ad ss 6gT NJICIQ?O?t.E DA ?? OFFICE USE ONLY 9 ? Lot Black Sec/Sub. R-3 Parcel No. occuPancy -?i FEE S UER3 IIiC PIETBCR. E[TIi Zoning ?-p 769r00 : ¢ . Name (?+auai} const Bidg. Permit 9543 1 ? ? ?? ? ? 3 Address ' - (?101N?e) - Surchar e ' o City PhOne -335f # af Stories _.W I 9 SOV?00 h Plan Review SAM Lengi _-me 1?.? p Name Depth - SAC, City t 04 Address S.F. Tocai - SAC MCWCC b?.? U m 1- City Phone S.F. Footprints - , 66090p ? Water Conn ? On Site Sewage _ ?'? W ? Name on sae weii Waler Meter _ ? Address Mwcc syslern 30?00 O i Ciry Water ? Aca. oePosa W City PhOne a S/W Permit 30.00 .? PRV Required _ ?? I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharga ? information is correct and agree to comply with all applicaWe State ot Minnesota Statufes and City, ol Eagan Ordinances.') / -.,- i ? : _ - Signature of Permitee / •?' ' APPROVALS Treatment PI Road Unit Zi6?? = 370*00 pZ??? ???ERS ZN'r A Building Permit is issued to: Pianner - park Ded. on the express condition that all work shall be done in accordance with all CounciI - 1•50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies ? 3,543.50 1 Building Qificial ' - Variance - TOTAL " PermH No. Permit Holder Dals Telephone # Wl.s ER Jr- s 4i SEWEFi PLU6ABING ? S3- 0 H.y.??.?. ? 83 r ? E?crRic ? bapacefoa oate Insp. commsnes Foolings I Faxidation Framirg RoofiV ?O Pib9. -B`•T? G4 Rou9h Ht9• 13- g- % NUI. ,3 - .je Fireplace - IT. FnW ?V. u-?I FwW Plbg. Conrct. Meter Plbg. Inspeclor - Notify Plum6er EngrJPlan Bldg. Final Deck Ftg. DeCk Fnal Well Pr. Disp. 4 ? . s.,. , , - .e? RE?- - J' x 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. DATE: FEB 19, 1991 637 HACIQlORE DR (PIETSCH BUILDERS INC) 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 natice. COMMERCIAL PROJECTS ONLY: Piease pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE QIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. COpN1TACT COMMUNITY DEVELOPMENT DEPARTMENj FOR WAT?R TURN OJV POLICY. 19??$gicensingaFrjthythe ?ity otgEagahlumbers icense ior Secretary, Building Inspections Dept. (ger#i#ira#r uf (Orrupanry titp of (fagan iorpr#mrni af adimng 3mvrrtian / .? Thrs Ceraficare issued pursuant to the requirenienu of Section 306 of the Uniform Building Corle certifying that at the wne of issWance tJris structure was in compliance wrtG tfie warious arWnances of the City regulatiug building cons7ruction or use For the followimg.• un chmilimlim SF DW'/GAR ews. Pennit rro. 18720 0-p-q 7ra R3/M 1 Z-ins Dbuict ri T?pc c?? vN o.m d e,PIET9?? B[IIIzFdtS INC Addnm 9543 BIFtCH I1VE, I1MMIT.7E 637 f1AQOM 17EtIVE Locabty Ll7, B4, AITIIM RIDGE ? - ? ( o.tc 4/5/9I &"W POST IN A CONSPICUOUS PLACE 897 ?k F88 15. 1991 METER # PERMIT DATE 02/19/91 ? CHIP # PERMIT # 11$13 ' METER SIZE B.P. RECEIPT # ISSUE DATE B.P. RECEIPT DATE 0219 91 ? x PRV - BOOSTER PUMP ? PERMIT REGIUESTED ? )G$ ? X SEWER x WATER - TAPS ,i a Y, STATE ZIP ONE: 1MBER: DRESS: 15185 CI1ltOUSYL WAY Y, STATE&v1'u.?f?d ZIP JNE: Y-23,',99951 ?NER: PIH'PSCH BUILDE1lS INC DRESS: 9543 aIRCH LN Y, STATE Wh"Vl LLE rN ZIP ONE: 461•-3381 L 4s ? ....r•--._- .. . . . , '?^•T.^,^+TF. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan,'iNN 55122-1897 DATE FEB 15. 1991 INSPECTIONS. FOR STORM OFFICE USE ONLY METER # 5411/. q'oj / -'? PERMIT DATE 02119/91 CHIP # 6 l9O PERMIT # 11813 METER SIZE B.P. RECEIPT # z IS5UE DATE - B.P. RECEIPT DATE 02/19/91 X PRV - BOOSTER PUMP SITE ADDRESS 637 HACKCIoRF D8 LOT t7 BLOCK 4 SEC/SUB AUTUMN RZDGE APPLICANT: ADDRESS:_ CiTY, STATE ; PHONE: - ZIP PLUMBER: ADDRESS: 151$5 CAROUSEL WAY STATE' CITY ZIP ~ ?6 e????'`/?f/n?` , PHONE: ?/; ? 13' ?399V OWNER: PIETSCII BU7LD`:RS INC ADDRESS: 9543 BZdtc'H LN " CITY, STATE LAKEVILLE' PiIN ZIP 55044 PHONE: 4fil-1? PLEASE ALL OW TWO WORKING DAYS FOR PROCESSlNG. C/ i° SEWER PERMITS, CONTACT ENGINEERING DEPT. ? COMMlIND x RESIDENTIAL x NEW EXISTING Lawn Sprinkler Meters are to be Installed _ Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct AAetecs. I AGRELO`TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PERMIT REQUESTED x SEWER X WATER -TAPS _ COMM/IND ? RESIDENTIAL X NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct.Meters. \ i AGREeO COMPLY WITH CITY OF EAGAN ORDINANCES .. I < SIGNATURE WHEN METER ISSUED 454-5220 FOR INSPECTIONS. FOR STORM ' CITY OF EAGAN Np ?8?2? 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-810 0 BUILDING PERMIT Receipt s li LL `CT Tobeusedfor SF DWG/GAR Est.Value $137,000 Date FEB 15 , 1991 Site Address 637 HACKFfORE DR Lol 17 Block 4 SeGSub. AUTUMN RIDGE oFFICE USE ON?Y PdfCel N0 Occupancy R-3 M-1 FEES . R-1 Zoning w N2me PIETSCH BUILDERS INC (qctuaq Const ?N Bldg. Permit 769.00 3 Address 9543 BIRCH LN (Allowa6le) -V--N S char e 68.50 ° City LAKEVILLE phone 461-3381 x of srories - ur g 00 500 581 Plan Review . Length o Name SANE Oeplh 38 ? SAC, City ? 100.0 , $? Address S.F Total - MCWCC C 650.00 SA , ? City Phone S.F. Footpnnts - 660 00 Water conn . On site sewage - ? W Name On Site We0 - Wyt¢r Meler 90.00 z ddfE55 mwcc stem ? 30 00 ` Aay Oeposit . C phone Y tyWaer Ci SAN Permd 30.00 PRV flequired -y_ I hereby acknowlege [hat I have read this apphca[ion and state that the Booster Pump - SIW Sumharge O .5 information is correc[ and agree to comply wdh all apphcable le of Mmnesota StaWles and City ol Eagan Ordmance Treatment PI 976.00 Signature of Permiteell??°?%?'> APpRDVALS qoad Umt 370_ nn T A Building Permtl is issued Io: PIETSCH BUILDERS INC Planner - park oed on [ha express wndition thal all work shall be done in accordance wdh all Counnl 1 50 apphcable State of Mm nesota StaWtes and Ciry of Eagan Ordinances. eldg. OfL _ Copies . { BuildmgOffiaal LJ??n Vanance - TOTAL 5 SO 31 l0/9/ /ao9G5 a 57858 / _ • - di Requesr Date Prte No flough-inlnspeclion Requved? G Ready Now ,B ?OFiII Notiry Inspector ?s _ No When Rei I,B'ficensed contractor 'D owner hereby request inspection of above electrical work at: Job Atltlr ss(Slreet. Box or Poute No.1 Pry , 3 7 P?rx ? .? - Sec[1on No Township Name or No Range No Counry Ocmpant% . Phone N. ? Power S ier Atltlress ? ElecVmal Vac10, (COmpany N. ) j ConVactor's ice Na Maibn Address (C vactor or Owner Making Installation? 7 5 ? . / . Authonz ignaWre (COnvaclovOwner Making In5ta11 on) Phone NumOer MINNESOTA STATE'KOAFO OF ELECTRICITV THIS INSPECTION REQUEST WILI NOT Grigge-Mltlway Bitlg. - floom S-173 BE FCCEPTED BY THE $TATE BOARD 1821 Univarelty Ava., 51. Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS Phone (613) 602-0800 ENCLOSED 3/?/?1 a 57858 HEQUEST FOR ELECTRICAL INSPECTION P. See esVimtwrb ftlicompleLnq ihis lorm on back ot yellow copy "X° Selow Work Covered by This Requesf Ea.oooo,-oa ?. ';' /oo3?r5 ew Add TRep. _ TypeofBmlding AppliancesWired EqmpmentWired Home Range Temporary Service Duplex Water Heater Elechic Heating Apt Bmlding Dryer Other (Specify) Comm/Industrial ' Fumace Farm Air Gondi6oner Other(speGly) Comraotor§Remarks Compute Inspectron Fee Below # Other Fee # SerwceEnhanceS¢e Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 3 0 to 100 Amps Transformers Above 200 _ Amps Amps SIgnS Inspector's Use Only. Irrigation Booms Special Inspectwn Alarm/Communicatwn THIS IN5TALLATION MAY BE ORDER D OISCONNECTED IF NOT Other Fee 00 COMPLETED WITHIN 18 HS. I, the Electrical Inspector, hereby Rol oete 3/4/ ? certif that ihe above ins ection has Y P been made Final oate /[ri"? '70 " OFFICE USE ONLY Thrs request wid 18 months fro. ? Ab3rass: 637 HAr_KMRE DBIVE Lot 17 Blk 4 Sec/Sub AUI'[Af[I RIDGE These items were/were not complata at the time of the final inspection. D t : 4/5/91 Yes No Tnsppctor. Final grade (6" from siding) ? Permanent steps - garage L?x Permanent steps - main entry V/ Permanent driveway ? Permanent gas L/ Sod/seeded grass Trail/curb damage Porch Basement finish Deck L4 (`vy ;s'f' tC7 Itov5 t Please verify vith the builder the removal of roof test caps from the plumbing system and tha shut-off of watar supply to the outside lawn faucet before freeze potential exists. rarmEOwrtn White - City copy Yellow - Resident copy Pittk - Contractor copy %9YK RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Naw ConsWeUon Reauiremenh • 3 registered sAe surveys showing sq. fl. of lol, sq. ft. af hause; and all raofed areas (20% maximum lot coverage allowed) • 2 wpies ot plan showing beam & window s¢es; poured found desgn, etc.) • isetofErreryyCalculations • 3 topies of Tree Preservatbn Plan if lot platted aRer 711l93 • Rim Jaist Detail Op6ons selection sheet (Wdgs wifh 3 or less units) DATE 11" RemodaVReoair Reauiramenb • 2 Copies of plan • 7 set o( Eneryy Calculatbns Por heated additians • i sile survey for eztenor addAions fl decks • Indicate if home served by septic system for additions VALUATION 506o SITEADDRESS "3_1 HIC ?,Or MULTI-FAMILY BLDG Y N TYPE OF WORK Tf-Ovd{ ? ?e-rrX7? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT??!?'??"'?? ? STREETADDRESS _)';Q0 /Ax-+'K °•r?" CITY &V`''P'2t&`t STATEWZIP TELEPHONE #I 0-Lf1G.-u?Uq CELL PHONE # fAX # SS 35-l PROPERiYOWNER 114C^ry 6U1 x< TELEPHONE# COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY ("s 1-LIpS-q IIel Energy Code Category _ MINNESOTA RULES 7670 CATEGOHY 1 NIIVNI:SQTA_Ri1ZFS-7672 J submissian ( type) . Residential Ven6lahon Category 1 Worksheet Submitted •, _New Enargy'Code Worksheet Submitted r? I r ?- ?. I • Energy Envelope Calculations Submitted - ' Plumbing Contractor: ___ Plumbing system includes: Mechanicqi Contractor. Mechanical system includes: Sewer/Water Contractor: Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply ? with all applicable State of Minnesota Statutes and City of Eagan Oances. Signature of Applicant ? OFFICE USE ONLY _ Water Softener _ Water Heater _ No. oF Baths 1 r//1 I U I JJ _ Phone # _ I Iarvn Sprinkler' - - -_ -Fee:- -$90.00 No. of R.I. Barhs Air Conditioning _ Hcat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex 0 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 PorchlAddn.(4-sea.) ? 33 6ct.Alt-SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 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 ? 32 Addition ? 36 Move Bidg. ? 42 Oemolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolitian (Entire 81dg only) • Give PCA handout to applicant 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 INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FimUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Wa[er _ Final Air/Gas Tests Pool Ftgs _ 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 S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total CITY OF EAGAN 3830 PIIAT RNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 awT?llw"R"X FOR CZTY USE ONLY PERMIT # RECEIPT # ? U DATE: E??T M NTxAX.PLEASE COMPLETE IIPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WREN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST X_ ADD ON _ REPAIR _ OWNER NAME: Pietsch Builders SITE ADDRESS: 637 Hackmore ?r. LOT: /7 BIACK ? SUBD, o INSTALLER: EREDRICKSON HEATING & A.C., INC. ADDRESS: 3650 Kennebec Dr. CITY: EaBan ZIP: 55122 PHONE #: FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M STU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ 27.00 STATE SURCHARGE: .50 TOTAL: $ 27.50 SIGNATURE OF PERMITTEE C033ftWC1ALj?biTSTit?AS.:: PLEASE COMPLETE THIS PORTYON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, ....:.. .. ..... .:.. ... .... APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING IINIT. CONTRACT PRICE OWNER NAME: S?TF ADPRESS' LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EArN S1,000 OF PF?M7T FFE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EhGAN 3830 PZLOT IZNOB ROAD EAGAN, HN 55122 PHONE: (512) 454-8100 ??BING T???:T1' FGR CZTY USE ONLY PERHIT # / W 1; 7 RECEIPT # D DATE: a Rk:SiDEN2IAT,:, pLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHO MES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. - ------------------- WORK DESCRIPTION --- -------------------- ---------- -------------------- COMPLETE THE FOLLOWING ------- : N0. FIXTURES EA. TDTAL NEW CONST ? ADD-ON MINIMUM 15.00 AD? ON _ I SHOWER 3.00 3.00 REPAIR WATER CLOSET 3.00 9.OD a BATH TUB 3.00 6.60 ? Y Ow'NER NAME: r"(? I.LW LSlYU ??(D;'! SINIC KITCHEN 3.00 _307 L LAUNDRY TRAY 3.00 3.W 1? SITE ADDRESS: fT ?-G Q HOT TUB/SPA 3.00 ( WATER HEATER 3.00 303 ,?y L"UT:? BLOCK ? Su bD. ? FivGFc DFAIiv' 3.00 -3GO INSTALLER: ?--?,," a/9iUS 1.../ /'K.. 4 GAS PIPING OUT. (MINIMllM - 1) 3.00 3w - ROUGH OPENINGS .50 1 ADDRESS: lSaSS W/vU SCf vVG1/ _ DTHER L WATER SOFTENER 5.00 ?? CITY: &C.YYb(/ITF ?yv ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PF10NE #: ? SUBTOTAL $ ?I, ? (A(?t/ n? ?f..JIG - ST. SURCHARGE .50 SIGNATURE 0 PERMITTEE 601co TOTAL: $ COMN,ER62ALZYNDUSTRTAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIA L BIIILDINGS AND MULTI-FAMZLY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQIJIRED FOR EACH DWELLING UNIT. - ------ ------' -------------------- CONTRACT PRICE: -----'-- ° ------------- ------"---- ---'_..------- FEES Uw'P:rR NAME: Si1E AllDRESS LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN 1% OF CONTRAC'1' FEE. STATE SURCHARGE _ $.SD FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $_ STATE SURCHARGE $_ TOTAL: $ '(SIGNATiIRE) I , ? i ' , . ". 956274 36vrM ninoa rasssaas xaoocnto vu.vs aasssKEN'r Tttis Aqreement, mede and enGered iatv the ilL day of ? u?N u ST , 1990, by and between the CITY OF 81?GAN, a ¦unicipality of tha State of ltinnesota, (hereinaLter ealled the ? City), and the Oimer and the Developer identftied berein. y Tha tarm ^Developar^ as uaad herefn retera Lo: AUTUlN RIDGE LIMITED P1IRTNERSHIP, a M3nnflsota limited partaership, c/o JAMES DEVffi.OPMENT COTPANY whose a8dress is 7808 Creeklidqe Circle, Suite 310, Bloominqton, Minnesota 55435. The t6rm ^OVner^ a6 nsed heie3n rafers to: AUTOt47 RIDGE LIMZTED p11RTN&RSHZP, a Mirnesota limited partnarship, c/o SAMES DEVELOPMENT OOMPANY vhoae addsess is 7808 Creelcrid96 Circle, Suite 310, BlOOSinqton, Minnesota 55435 and RUTH CONRAD vhose address is 5015 - 75Lh Avenue South, Apartment 215, Minneapolis, Minnesota 55417. . WMMEAg, the Developar 1us applied to the City for apgroval of tha plat or subdivision knovn as AUTU141 RZDGE, located vithin the City; and ppE2gA5, the Ovner and Developer agree Lo notify the proposedpotantial buyars of all lots within AUTOl41 RIDGE tbat Lots 1-7, Block 1, LotB 1-8, Blxk 2, Lots 1-9, Block 3, Lots 1-17. Block 4 and Lots 1-5, Block 5, are in a hiqh water pressure zone and a prsesure Taducinq valve shall be installed in each home belov the elavation of 966 feet. All aosts shall be the responsibility of the Owner and Developer and sAall be installed to prevent damage dua to high water pzessure. ,:. v 7! k r NOIt, TIERSFORE, the City, Owner and Developer aqree as follovs: 1. Recordina. This agreemant chall be recorded vith the Dakota County Reeorder so as to provide notice to the owners of Lots 1-7, B1oGc 1, Lots 1-6, Block 2, Lots 1-9, BlOak 3, Lots 1-17, Block 4, and Lots 1-5, Block S. Tha Owner shall provide arnl axecute any and all 8ocumants necessary to 3mplement the reeorAiag of this agreemant. 2. Notice. The recording of Lhis document shall eonsiitute notice Lo all owners and future ovners of propezty in the AUTUlIN RIDGE aubQivision that yota 1-7, Block i, Lots 1-8, Hloek 2, Lots 1-9, Hlock 3, Lots 1-17, Block a and Lots 1-5, Slock 5 are in a high rnter prsssure zoae and lAat a pressure reducing valve shall be insialled in each home belov the elevation of 966 feat. All costs shall be the responsibility of the Ovner and Developer and shall be installed to prevent damage due to hiqh vater pressure. 3. Validitv. Zf any portion, section, subsection, sentenae, clause, paraqraph or phrase of this aqreement is for any reason held to ba invalid, such decision shall not affeet the validity oP the ramaiainq portion of this Contract. 4. Bindinq Acreemant. The parties mutually zecognize and aqree that all terms aad conditions of this recordable aqreement shall run rith the land herefn described and shall be bindinq upon the heirs, auccessors, administrators aad assiqns oP the ovners and devalopars reterenced in this Contract. ,r IN SiiTNE55 SiFiEREOF, ve have hereunto set our haa8s. CIT1L OF AUTUlQi RIDGE LIISITED PARTNERSHIP, a Minnesota limited partnership, % Hy: JAMES DEVELOPMENT CO?PANY, ss A. an a Itinnesota Corporation •ib: Ttayoz Its: Geaeral Partner ? test . J. vanOvarbeke y: Date 41w Ib: ity Clerk Zts• / gy; Date Its: ? R H CONRAD at DEVEIAPER: AUTUlIId RIDGE LIMITED PARTNERSHIP, a Minaesota limited partnership, 8y: J71NE5 DEVELOPMENT COMPANY, a tsinnesota Corporation Its: General Partner ,?? gy; ? Date ItS• .p By: _ Its: ST11TE OF ][INNESOTA ss. Date COUNTY OF DAROTA ) Oa Lhis ?? day ef ?LZ i 1990, belore me a Notary Public vithin and tor said Coun , personally sppeared THOMAS A. EGAN and E. J. VanOVERBEKE to me ?Sersonally known, vho being each by me duly svorn, each did say tlsat they are respectively the 14ayor and Clark ei the City of Eaqan, the munieipality named in the foreqoing instrusent, and that tha seal aftixed on behalf of eaid municjpality by autAority of its City Council and said Nayor and Clark acknovledgad eaid instsumant to be the lree act and deed of said aunicipality. ? ? . ?o? rAer,n i rro?atnrmns ?, Yh?y? ?o:?mn:u„-rr.svewu 7. t8' PUblic X1 t? DAKOTA CCUNTY ? /I 11? CDIIITR:?011 F?D {('v S 1"? _ / 1 IMNYI{ 1 ? $'PATE OF lQNNESOTA ) ss. COUNTY OF 1 On this 8ay of 1990, before me a Notary Public vi in. nd or said County, personally appaared ?,L-•??? ?d to me parsonally knovn, vho beinq each by me duly s n„ ch d' say that thay are respeetively the A4413-777 of JAMES D?H ELOPMENT COlPAxY, a Minnesota corporation, general partneT of AU1R[4d RIDGE LIMITED pAgTNERSH a ISinnesota limited partnerahip, to me personally known, rho be me duly sworn, did say that they are ?e ' yK of the corporntion and limited partnership named in the foregoinq instrusent, and Lhat the seal affiYed to said instrument vas siqned and gmled on g?f?ti said corporatioa and limited partnership and saidZ --•i_ ? L?-`?4 apdi acknovledged said instzument to be the free act and deed of said corporation and liaited partnership. Hotary P ie ------------- 11??IO??Oy? ? •? AO+ 4 /7? 4r ., .?-- ---_ --- .._. r'AvJ: ST11TE OF ) IqNNESO7"A ) ss. CODNTY OF 4AW On this I Ll'- day o! JJn j cvj, 1990, before me a Notary Public vitAin and for said Coun yt personally appeared RUTH CONM to ae parsonally known to be the person described in and xho execuled tha Loreqoinq instrument and acknovledqed that she exeeuted the same as her lree act and deed. w/hto G . Notary Public ?4?7AW IIPPR0V8D AS TO PORlf7 Attorne? tod• O 9 11PPkOVBD AS TO COtiTEtiT: Public work?rtme?? DstW• B^7-9o 1825 INSTRDMENT WAS DRAFTID BY: SBVAiSON, i1ILCOX i SHII.DON, P.A. 600 Midvay National Hank Bldq. 7300 West 147th street Apple Valley, Mi 55124 (612) 432-3136 1[GD e 769•00+ ??? ? 68 - f 5U0•??+ / P?IT A ZCATION t OF EAGAN z,205•50+ }•50+ SINGLE FAMILY DWl 3 54 y, 5 p* ? DWELLINGS COMMERCIAL 2 SETS OF PLANS 1F PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE REGISTERED SITE SURVEYS - & SIRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 5ET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BIIT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQuEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MOST 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. To Be U s e d F o r L : r, Valuat ion: ?-c?.l7TZlU +-?'-- Date: - Site Address ?AttftpRq, L OFFICE USE ONLY = Ooo ?" I 3'1 e I ? ( ? Lot Block FEES Occupancy Bldg. Permit 6 00 ? G Zoning 1 Surcharge 613, Parcel/Sub //f4> /c j Actual Const V_ N Plan Review $DD.Op Allowable V-N SAC, City )pOAnp Owner # of stories SAC, MWCC O p Length ? Water Conn. &rvo' oo Address Depth g Water Meter ,p0 S.F. Total Acct. Deposit 30,00 City/Zip Code Footprint S.F. S/w Permit ,pq S/W Surcharge 060 Phone On site sewage_ Treatment P1. Z 6,D0 On site well Road Unit D DO Contractor iA$j" ? U'?j3???? 1?e, MWCC System J/ Park Ded. City water ? Trail Ded. Address 9?? /?/.F;'c.? ?,?0??P.?, PRV ? Copies ? Booster Pump City/Zip Code SUBTOTAL APPROVALS Penalty / Phone Planner Lot Change Council _ TOTAL h ?l ?1 Arch./Engr. Bldg. Off. Variance Address CiLy/Zip Code Phone # agrees that all woxk shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. --------------- GARAG E ?oyc,2`- ?yo ?2xz2 = ygy e.-.------- 17Zy x 15= 1og6d ?SMT? ? ?2'-i -,,t s ? = '8 I (", ti x e? ? (9 y) .------_'_ y lsT?to?R I qK/h = ZZ.? ._---"_ qq? X Sl = 5o,?q? 2ND FLaag- Z2xZ3 Zz !/2 x !S ? Z X I -j = 5S ?C II = 5 t `] Z? 0 2L( ?---- 126o x.s?: Gu2Gn -------?- 7za ox 137 ooo" t •... ? ? ; EX'CERIOR EN\%ELOPE AVERAGE "U" COMPU'CA'CIUN OWNER : f 1 II 15 SI'CE ADDRESS: Lc':`i I??1 F, LCi'CK i r) CON`CRACTOR: 1'(of`']C.J'r '?UIWriI& DA'CE: y/Q"r PHONE: DE'CERMINE WORKING SOUARE F00`CAGE OF EACH: l. TO'CA7, EXPOSED WAI,L AREA SQ. F`C. X "`1 = 7Sr2- 2. 'C(7'CAI, ROUF/CEII,ING AREA L?l1?D SQ. F'C. X 3. 'Ct)`CAI, EXPOSED WAl,1, AREA CA].ICU],ATIONS: Total exposed wall /J/;, area above flooi- `'t?' a) Total wall window area D gQ,F'c. x "u" _? b) Total door area SQ.F`C. X "U" r?? = 2,? c) Total slidi-ny glass door area jD.0 SQ.F`C. X "U" ,./? d) Total f i replace wall area 0 SQ. F'C. X "U" e) Total wall framincr area SQ•F'C. X "U" ' ?+ = 2?17 (avei:age 10/) f) Total net wa11 ai:ea above `lcor (insulated) ;) ';vtal rim joist area Total foundation area (exposed) Z??Ka 7? 7 sQ. FT. X„U" '643 =iot, S q?ly,ZL- SQ.F'C. X "U" E,,0 SQ.F'C. h) Total foundation window area ? 4Q.F'C. X"U" r-- _to i) Total net foundation area SQ.F'C. X"U" above yrade 'CO`CAL a) thi:ough i ) = Z?rz?T If item #3 is the same as, oi:' less than item #1, you have met the intent of 2 MCAR 1.16008 A and 0. Z?Z, f z- ?35? z l? PAGE 1 .... • , 4. 'CO'CAI, EXPOSED ROOF/CEI] ING CA] CU] A'CIONS: 'Cotal exposed roof/ SQ.F'C. ceilinq area j ) 'COtal skyli.ght area k) 'Cotal roof/cei.linq framinc; area (average 10%) 1) `POtal net insulated roof/ceiling area 9 'CO`CAI, j ) throuyh 1) _ If total of #q is the same as, or less than #2, you have met the intent of 2 MC:AR 1.16008 A and (). ?21?? z- AL`CERNA'CE BUII,DING ENVE],OPE DESIGN 'Co uti.lize the total envelope system methoo, the values established by the sum of #3 and #4 sha11 not be qreater than the sum of items #1 and #2. 1. 3. f/ SQ.F'U I ,l sQ.F'r X "U" I - D X 11 U.. t 02& _ ?717 - I Y6,% 7 SQ.FT. X "U" FD22 = Z7,? +z, +4. CERTIFICA`CIUN I hei:eby certify that I have calculated the "U" factors and "R" values herein and that the bui.lding here descri.bed meets oi: exceeds the State of Mi.nnesota Eneryy Conservati.on Act. n 7?? . ? Rn? F.irnatu Date PAGE 2 Studa ? tOMSTRULTfON W1LL iRAl11NG SECTfON: A a:• ,iR • ?. ? MALL SECTION (iNSULATED) ? U o 1/R a _04 ItIN JOIST SECTIMI: --?1 Interlor FOUNUATION iNSULATION REfN1IRED: ? ?• Min. R-5 on entire watl OR i/1l "4, e,p•:•,4 Min. R-10 down to frost aepth fDUNDATION SECTION: 1 tnterlor •Ir flitn I II,6R . s • " r 3 ? ' ? ? !'12 ;.A. 4 Exter or a r m .d •/,r,?WI t? TOTAL R ? 5.96 Val U ' 1/R ? .17 SLAR ON GMDE I? ? i?? ?? ? •' ? a?? d??C, • ! ' d ' ,'„ +. .• _ •? ? .• . .• Unheated Slabs: Minimun R = 6.2 r.QHS74?1Z?.r '? A ?' .+-i • # CEIlI11R SECTION (I?agu1ni€N)i ? ( Interlor alr fll?n fl R 2 . S18 ST . , 3 -Tf?- ? Exte?ior ?Ir a stll n 1 TOTAL R • j..7 1 U a 1/R ' W F : CEILING FRAMIMG SECTIdN: 1 2 ) Tnsulatim ? S ?-'? - ? : ? 2 3 4 5 VENTED H tE1LING SECTION (INSULATED): 1' Interior air fTlm D.61 2 1 xter or a r film st TOTAL ? U- 1/R- CEIIINr, FRAMIHG SECTION: 1 Interior, alr,fiim Q.K1 t i 9 - 1 Exter or a r m (still) S nche9 so t wooA TOTAL R I Ua 1/R? .?. . : 3 • M utsdear m n ? TOTAL R - U - 1/R ? ? Ij!•' /? d • 1/R - .0?.6 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_ 13If?I Site Street Address Ig? .?4,Ud'-Z?i j- . Unit # , Property Owner Telephone # ( ) Contractor \? Iza I/U`-`-C Telephone# (.9y? yV? Address City ??aC 2 State'j!L!?___ Zip ? The Appiicant is: _ Owner _ Contrector _Other Alterati s to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment ? Water Turnaround (add $121.00 if a 5I8" meter is required) ? ???? L? ?ther: yjA n 1 a« CoWk c--S 01?1 Water Softener Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 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 approved. 15?-eN9- App icanl Ys Printed Name Applica Ys Signature .._ ---- -,- --- -,_i?? - ? - - ? i' t I (?Ju II ? I L+_ . - I 2004 RESIDENTIAL BUILDING PERMTT APPLICATION City Of Eagan _ - " 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodeUReoair Reauirements 3 registe2d site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan (209% maximum lot coverage allowed) 1 set of Energy Calculations tor heated additions 2 copies of pian showing beam & window sizes; poured found desgn, etc. 1 sde survey for additions & dedcs 7 sef of Eneqy Calculatbns Ao'd'rtion - iiro'icate 'rf on-sde septic system 3 copies of Tree Preservation PWn if lot platted after 7A193 Rim Joist Detail Options selection sheet (bldgs with 3 or less unAs C-LJL? T Date u / SiteAddress (p?51 C)( Canstruction Cos, Zoo --,-UUiUSte # Descriptian of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner Telephone k((p'?j 1)?P Contractor Address 1C.o?jZC State ?r1 ? Ylt'111c.LC5??'? Zip ??-M City ?vsY?LL(- Telephone # (!a) 14Loq 3?-JOO COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 _ . Residential Uentiladon Category 1 Worksheet (J submission lype) Submitted • Energy Envelope Calculatlons Su6mitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies. Licensed Plumber Telephone #( N If so, 25% plan review r Mechanical Contractor TelepF? e#( ) Sewer/Water Contractor ` JAN U 7 ZUP 1"eph'ane #f ) I hereby apply for a Residential Building Permit and acowle gd t?'C't?e'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. S Applic Ys Printed Name Applicant 5ignature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldc ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage gP 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex 13 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types (2 E Md!D e f IM 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation &,Ot e Occupancy r2 "3 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 V? W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings (deck) ? FinallNo C.O. ? Footings (addiGon) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests Final .1 Framing Siding _ Stucco Stone Brick Fireplace _ R.I. _ Air Test _ Final _ _ Windows ? Insulation _ Retaining Wall Approved By: l ? , Bu ilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ( 1,xcf '? c? j?; fC?ev\ IZC'im a?> e I=? Z? Z' Permit Number MECcheck Compliance Report Checked By/Date 2000 Minnesota Energy Code MECcheck Software Version 33 Release lc Data filename: Untitled COIINTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: O ll 14/04 COMPLIANCE: Passes Maximum UA = 20 Your Home = 20 0.0% Better Than Code Gross Glazing Area or Cavity Com. or poor Perimeter R-Value R-Value U-Factor UA Ceiling 3: Flat Ceiling or Scissor Ttuss 32 44.0 0.0 1 Wall L Wood Frame, 16" o.c. 160 19.0 0.0 7 Window 1: Above Grade, Wood Frame, Double Pane with Low-E 10 0320 3 Door l: Glass 26 0.320 8 Floor l: All-Wood JoisUTruss, Over Outside Air 33 38.0 0.0 1 Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0320 0370 Includes Foundation W indows > 5.6 ft2 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit applicatioa The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in MECcheck Version 33 Release lc and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. .< Builder/Designer ?i, Date ' P/erSCH Buicp&RS pilOBC , ? I #.?4os-,o/1 . ?NG1NG8fllNG ? PLaNN?RS o daLANU SgURVEVORS BK- /5S COMPANY, INC. .??..?.IUUO EA81' 1461h BTflHfiT, 1lUHNBVILLE, MINNBeOTA 663bf PH 4L2-bt1U0 , Certificate of Survey Lega Descr t?0I7 7 LOT l7, 6LOGK 4, AUTUMN R/D6E, DAKOT.A CD(JNTY, M/NNESOTA. BCAIE e 7' = 30' C3liEZ..) DHNOTES EXISTING ELEVATiON (933.7 ) DENUTES PROPOSED ELCV/CI'IC)iJ ? INDICATES D{FlCCTION OF SUFlFACE DRAINAG 34,00 = FINISHED GARAQE FLOOR ELEVATION 926.29 = BASEMENT FLOOR ELEVATION 934,3 = TOP OF KLOCK ELEVATION L07- AREA =15,500.6 sa fT. -90' FRONT BU/LD/N6 SET,BACK L/NE ? pa (932,?) N 89° o5.,.j? go V o W LQUM? j 151.78 `° •° ? ? ?5 ? r-- x 34.00 !_d, ? ` o E $g$4- N uc? g` Zr ? (93?7) 7.0o J! j ? I w ? ?V 1 ve (? 929.0) N; ?1p? ? ? zo,5o 933.7? ? (927.i , ? --- ?t,wv+ J?P.bj N 870 Ol r +? '? `'? Gti7A1AI9,4E AND .- ,_.. . , Lpy ry? A?:?'d I Iiereby oertify Ihut Ihls {o a lrue and aorreol repiesenlalton o( a lrnof at Imid as shown end desailbad honon. As pteparad by*me on lhle'12Tµ day o! FESRVARY R6y/?p ea',f D}Q Su,¢NfY 1•/3 9/ RfdW //SE /t fT. 6.IST 70 AW 5eypl4e3 OLtf °F DP+MEw4V ! "`? mbu?, t1eS?. Flo. /6085 ? IflOBC .. . ENGING6flING CornPANY, iNC. ?...IOUq LABT 140111 BTAB$T, (jj2.f:) DENOTCS EXIST{NG ELEVA710N (9;3.7 ) DENUTES PROPOSED ELCVAI-!C?N .-o IND{CATES DIRCCTION OF SURPAL`@ DRAINAGE 9,34,0o A FINISHEO GARAGE FLOpFI EI.EVATIQN 92b.Z9 = BASEMENT FLOOR ELEVATION 4,3 a TOP OF BLOCK ELEVATION LOT AREA =/5,5U7 6 sa. Fr. Legal Descfjpfilon : L07' 17, BLOCK 4, AUTUMN R/D6E, DAKOTA CDUNTY, M/NNESOTA. SCALE z t• - 90' gO' FRONT BUILDIN6 S45T,94CK G/NE ?p1 ? . 1NI kWj' ,1 fl N N ? PiETSCH BuitpeR$ hh, 0`,3¢05, D / • C PinN?r???t?i o a°??nnu sdunvivoas xg),P6 15 GURNBVILLF:, MINnE80TA 6633f PIi 433'3000 Certificate ofi Survey ? N69° a5"R"B,?I. RG?.mCUIR?3J) .!; 151. 78 ?93To: 1 r,I ? -, d tl 3.93% $ .? m ? -?? (9E9,a? ? (? ? ? W l11 m ?•? $ 'y- ? Vs q -z4.a? ? } m ?Jrz9.? 3?.7 J C9 ----- ?. --,--------- :9? 87 000 . fM/4 ?i . • I heteby oerlf(y Ihat Ihle Is a true aud aotteot repleaenlaiion of o traol of Imid as shawn and dasaiibad ha•on, As piepaiad by*me on this 127' daY vl FESRVARY ,iy,91, , REY?SEp d4or. 9,0 5u,e46Y 2./3 • ^We0 HSE /z FT. FIST 70 AMP SeyryrcES oLtr oF Dwv6w4y n, '.D r... [. M ?ry ? ? ?? I ? 't J PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA104461 Date Issued: 05/22/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 637 Hackmore Dr Lot: 17 Block: 4 Addition: Autumn Ridae O1 st PID: 10-12300-04-170 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eaaan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &or WH) $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Champion Plumbing Mark R Bolke 3670 Dodd Rd., =100 637 Flackniore Dr Eagan NIN 55123 Eagan NIN 55122 (651) 365-1340 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 Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Date: Cllyof Eayll 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant:_ 2011 RESIDENTIAL P 11-0 5It.Address: Use BLUE or BLACK Ink Permit #: i o 0 c05 - Permit Fee: / Date Recelved: I Z /' 2�- Z Staff: <' UMBING PERMIT APPLICATION i) A niN Sults it RESIDENT/OWNER • „ CONTRACTOR • Name: A"40/ _ �D f� Phone: ,,-' � � c—'�1� log Adeline / City /21p: (031 '6�tGl�.IlR�v"-,.t S.!/1 J� %'); / U vt' /. 1'? Nance; MILBERT COMPANY INC.dba CULLIGAN WATER Aderese: 1801 501" ST EAST city : INVER GROVE4-IGTS• State•• MN ' Zip: 55.(77' Phone: 651: •:451;-2241 • Contact BILL.MILBE'1I • Emelt TYPE OF WORK _Nev Replacement _Repalr _ Rebuild Modify Space Work Ik.R.O.W. Description of Work . PERMIT TYPE • RESIDENTIAL Water Heater Lawn In1gadpn (RPZ /_ PVB) Septic Systetn • • New • • • _Abandonment ater Softener Add Plumbing Fixtures L Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: 333.00 Minimum Water Hdeter, Water Softener, or Water Heater AU Softener (includes $5.00 State Surcharge) • $35.00 Lawn Irrigation (1nclddes 35.00 State Surcharge) $55.00 Add Plumbing FIxtutes, Septic System Abandonment, Water Turnaround* (Includes $5.00 State Surcharge) *Water Turnaround (add $165.00 Ita 5/8' meter is required) • $105.00 Septic System p yet 1L ($10.00 per as built) (Indudes County fee end $5.00 Stats Surcharge) 393.00 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes $5.00 State Surcharge) � 1 TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call et (651) 454-0002 for protection against underground utility damage. Call 46 hours before you Intend to dig to Waive locates of underground utilities: www nooherstateonecaltor2 • I hereby acknowledge that this intimation le complete and accurate: that the work wtl be In oonformgnce with the ordinances and codes of the City of Eagan; that I understand this Is a permit. but only -an application fora permit, and work Is net to start without a p4rmft that the work will be In accordanc /wl/ 1M approvedpla the case of work which requires a,m w and a • • • I • pians. t, 1(l1 0+� Lel *piens. TI.0"" • Applicant's Printe PERMIT City of Eagan Permit Type:Building Permit Number:EA138894 Date Issued:09/26/2016 Permit Category:ePermit Site Address: 637 Hackmore Dr Lot:17 Block: 4 Addition: Autumn Ridge PID:10-12300-04-170 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 - Mark R Bolke 12985 - 212th Ave Ne New London MN 56273 Estate Claim Services Llc 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144373 Date Issued:07/24/2017 Permit Category:ePermit Site Address: 637 Hackmore Dr Lot:17 Block: 4 Addition: Autumn Ridge PID:10-12300-04-170 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 - Mark R Bolke 12985 - 212th Ave Ne New London MN 56273 (612) 619-4916 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146335 Date Issued:10/19/2017 Permit Category:ePermit Site Address: 637 Hackmore Dr Lot:17 Block: 4 Addition: Autumn Ridge PID:10-12300-04-170 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark R Bolke 12985 - 212th Ave Ne New London MN 56273 (612) 619-4916 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature