641 Hackmore Dr INSPECTION RECORD ? Control No. 0943
CITY OF EAGAN REACTIVAw FmDEQC 04/20/93 PERMIT TYPE: out Lojuo
3830 Pitot Knob Road JFFFREy HAGNLJS 454-OM Permit Number. 001%' 40
Eagan, Minnesota 55123 Date Issued: 041 l! ;e Iw
(612) 681-4675
SITE ADDRESS: t? t 1 i
4•41 HACKN[INE UFt
NAWTH[tFlMF f#l3QOS 1S1
PERMIT SUBTYPE:
. t tEi!',
af. u(:' , , APPL.ICANT:
1.{1tiI1.L M T
(612) 13S--56e6
TYPE OF WORK:
m
INSPECTION
r WnT tNt; DA .
FRAl17Nt, .A
1MSIIt pl'1.ttN f INA!_
f,iRFP1.ACt
1
REMARKSc S L W r:ANTFtACT0R -- M16 41 WATf R ANi) SEWE R INC
_ ', V?-
?. ?:ti:f a.j.
44_ .. ?
{
PKmR No. PwmR MokNr diLS TeNpAone 1
SMI
PLUMBING
HVAC F $ e? ?' ??
ELECTRI
ELECTRIC
Inspectbn DaDe Insp. CommsMs
Fo«ings f
?
Foundation
Framing
ROOflflg
Rouo Pbg•
R«gh Htg- ? Z D
r 9
1
Isul. p
Freplao6
fIMIHtg. /V.ZI'7?
Orset Test I
Finel PI6g. Plbg. Inspecxor - Notify Plumder
Cansi. MeDer
Engr.lPlan
Bldg. Final Zf s?
Dock Ft9. y2-13
?s
DBdc Flnal sq! -t3 Os
well
Pr Disp.
• 1 • ?
C??.??cate of CccuOanc?
0
TTiis Certificate issued parsWanl !o the requineinents of the Unifor?n Building Code
certifying that at the time of issuance this structwie was m compliance with tiu various
orrlinances of tlee City negulating building construction or use. Fos the fo![owing:
use classificafim: S P DiG ,? ?? 1230
occupancy'Iype Tooina Disoia 7ype coaSt.
Ownor of Buildiog EDGE•j• }M•S Addma 27 12HMSESHOE I? , WDCDEUEN
B"g Addma 64 I BACIQMME DEtIVS Locab L 1, B3, HAWIfME 1d17ODS I ST
?
naw: 10/29/92
i Bnu?
P06T IN A CONSPICUOUS PLACE
REDUEST FOR ELECTRICAL WSPECTION
9/? 19? ? SBe imShuCtinnS (m mmnletinn IM1is Inum on back Of vBllOw cODY z';M?bi
J4 0
"X° 8elow Work Covered by This Request ?. `•
990
ew Aod ReG? TypeofBwldmg ApphancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Butlding Dryer Other (Specity)
Comm./Industrial Furnace
Farm Av Conddioner
Oiher(syecity) ConVacrorS Remarks
Compute Inspechon Fee Selow: '
# . Other Fee # ServiceEnlranceSrze Fee # ircudslFeedere Fee
Swimming Pool 0 l0 200 Amps 0 Amps
L
Transformers Above 200 _ Amps 100 _ Am ps
ve
$iy05 InspectarS Use Only TOTAL
Irrigauon Booms
ci- T
Qi ,j y
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NVWHS.
I, the Electrical Inspector, hereby Rough-in oaiy??lvy
Y O f
certiry that the above inspection has
been made. F,,,ai ? oa?e 4
OFFICE USE ONLY
This reQUest vaitl 18 months Irom
I
5 le:7-2oro
? 0
9 o o
r
Raquest Date
`
^
(
'
I Fre No RouqRm Inspaction
ReQmreO'+
? Featly Now ?tlJill Natiiy InspecWr
Wh
R
tl
'
`
?
.' M
S ? ?
en
y
ea
I)?licensed contractor ? owner hereby request inspection of above electrical work at.
Job ?tl siSVaet. Box?POUte N.p )
A.?P?.%r\arz Qry
Sedion No Twvnship Name or No Range N.
nry
Cou Q
,
Occupant(PR?INnT) 1
__
PN /s n
0? ? Phone N.
l G 1' rr
W 1 f..?
Pawer Supplieb ?
G` tltlrBSS
AII. ^ 1 C7'?• r%
Eleancal Conimtlor (Company Name) .??
L ^
? C 4?.Q??? Conha^cmr*? Lmense No
C
(lO -I/y I 1O
Matlmg AOtlress ICOntrador o( Owner Making Installauon) ?
Aulnonze0 gnatur nlraclor.'O Makiny Inst io, PM1One Number
MINNESOTA STATE BOARO OF ELECTRICITY iHl$ INSPECTION REOUEST WILL'NOT
Grlggs-MlOway Bltlg - Room 5470 BE PCCEPTED BV TME STATE BOARD
1021 Oniversity Ave., 51 Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Plwne (612) 642-0800 ENCLOSED
T 8?
jx/63563 ?
ReQUest ?ale Fre No Fough-m Inspection
Requve0?
C Reatly NowX Wtll Notdy Inspeclor
(
-YeS /kN No WhenReatly>
rX licensed contractor _J owner hereby request inspection of above electrical work at:
Job AtlGress (Sttaet Box or Roure No , Gity
1 //a,?-? re- Dr- c
SECOOn No TownSM1ip Ndme or NO Ranqe NO COUMy
D
Occupam (PRINT) Phone N.
3`E /j'lr,, AJ vs 4s - 60zz
Power Suppiiae Atltlress
Elenncal Comractor ICOmpany Namel Contrac[or's Lcense No
ivealze,l <i?? G Icir..+ r ?c. O 310g -
Maamg naoress (GOnvactor or owner making mstauaeoni
SS & 6za S 5 I ZZ
mmhonreo Signawre iCOmraccor10 wne Making Instaliauonn
0A L-;iE, -?mA.?. Pnone Number
t4 s Z_- .
MINNESOTA STATE BOAPD OF ILECTRICITV . iH15 INSPECTION REOUEST WILL NOT
Gtlggs-MiAway Bldg - Room S173 . BE HGGEPTED BY THE STATE BOAFO
1811 Onrversiry Ave. 51. Paul MN 55100 UNLESS PROPEP INSPECTION FEE IS
Phone (812) 692-0800 ENCLOSED
?-/?(? REQU?T FOR ELECTRICAL INSPECTION es-oaam.oe
- ii ui
/? ee instmc"ons br complspng this form on back oi yellow copy. -i C
.7'
0 -. ??_ A,/J/704"X" Below Work Covered by This Request '????.•^0'
ew Add Rep Typeof8wltlmg ApphancesWiretl EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt 8wlding Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Condrtwner
Other IwecRy) GontrectarS Ramerks
Co mpute Inspechon Fee Below
? Other Fee M ServiceEntranceSize I Fee # Cvcwts/Feeders Fee
Swimming Pool 0 ta 200 Amp to 100 Amps
Transtormers Above 200 _ Amps Amps
Signs Inspecror's Use Only ?? TOTAL
Irngation Booms Cj 0
Speaal Inspection
Alarm/Communicahon THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Elecirical Inspector, hereby R°ugh-in Date
cerhfy that Ihe above inspection has
been made. Finai
7
OFFICE IISE ONLY
ThiS request v0i0 t8 momhs Irom
a
6ddress: 641 HAaWRE DR Lot I Blk 3 Sec/Sub HAWTHpIM WOpDg IST
These items were/were not complete at the tlme of the fin 1 inspection.
Date: Ip 29 q2 Yes No
Final grade (6" from siding)
Permanent steps - garage VII"
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch
Basement finiah
Deck
Please verify vith the buildar the removal of roof test capa fxom the plumbing
system and tha shut-off of water supply Co the outside lawn faucat before
freeze potential exists. ?
R[CRIFOMflR
White - City copy Yellow - Resident copy Pink - Contractor copy
/ `/HOUSE HEATING TEST RECORD 'C?`3/ ???
ADbRE55 ` ( APT._FLDOR CITY e"-eSUBURB
OCCUPAHT ON'NER
MEAT LOSS DATE MTG INST.
SOLD BY '?,15/1212?6? F'5?A_,/ INSTALLED BY
El.c+ricoi werk ey Goa Line Bp i??mAr-
TYPE OF HEAT GA _ FA ,8,_HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
GAS DESICN
MAKE MAKE OF BURNER _
M9e.i Tv???c r6??9- ?a.i
S«ial ????1 Max. BTU Ratiwq_
INPUT /-'20111=25f) MAKE OF FURNACE
Abdol
CONVERSIOH
CONTROLS (
TNERMOSTAT/`'Li?L M.ot Pluq. V•nf 57z• ?
Velw NONE-
KIND OF IINER SIZ
Limit ?? -?'? • !=
Dreh Haod Rpulmor
Limif $eHinq Fihw• Sits;19Qa 2h ' I NumMr ?
Fan Settinq QHmmr Lecatien Inside `x Dutsida
Pilof Typ? Qimney Consrrvclien
Piler Mek. Spillage _
Pilot Mo" Sme4. Bomb Wirina
Pilot TiminO Dreft Tesf Taq
L.W. Cut Off Daw Pressu'• LiqhNnq Ime.
Pr•ssuro_3-,> P.re•nf CO
2 6 "e, Do» To snd
Inout CFH 7??n Pwcenr 0
2 Cempany Tes•ir-
Sroek T•mp. Pwe•nt C0 ?? Name, el Tot'--
Certificate of Compentency_ #
PERMIT#
REGEIPT DATE:
8008 itES1DENTIAL i'LU1K$IN? PEfiMIT APi'LICATION
crrY oF EAs,ax
3830 Paor xxos gu
EAsAv, Mx 55i a2
651-6$1,4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
. hackflnw_nreventer for irriaation svstenl.
I MAGNUS, PATRICIA
SITE ADDRESS: 641 HACKMORE DRIVE i
- EAGAN, MN 55123 OWNERNAME:: (651) 6ee-2110
TELEPHONE#:
(AREA CODE)
INSTALLERNAME: NOY?Iowl ?t1+LVAIoIV?.l? J TELEPHONE#: (OI2"92'?-14d53
STREETADDRESS: 2-°t05 6'aarf?ttd AyV.yllaG. SOK-}til ('AREACODE)
CITY: {M?1S. STATE: M? Zlp; 55L409
?
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
inciudes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATfQN TO EXISTING DWELLING UN1T,INCLUDWG
J Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - ewsting dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new instal lation/repair/reb uild $ 30.00
_ lawn irrigation system
RepIacemenUadditional: water softener X water heater S ? 2002
?
? 2 a $ 15.00
?
StateSurcharge .50
Total g t S .50
I herebyacknowledge that I have read ihis application, state thatthe information is correct, and agree to complywith all applirable Cilyof Eagan ordinances. It
is the applicanPS responsi6111ty to notity the pmperty owner that the City of Eagan assumes no liability for any damages caused 6y the City during its normal
operational and maintenance activities to lhe facilities constructed under this permd within Ci ropertylright-of•way/easement.
51 A RE OF PERMITTEE 1102
PERMIT C°"t °"°. 0943
? CITY 'OF'EAGAN 3830 Pilot Knob Road PERMIT-TYPE: eurLoiNc
Eagan, Minnesota 55123 Permit Number: 001230
(612) 681-4675 Date Issued: 0 8/ 12 / 9 2
SITE ADDRESS:
641 HACKMpRE DR
LOT: 1 BLOCK: 3
HAWTHORNE WOOOS 1ST
DESCRIPTION:
Building Permit Type 5F DWG
' Building` Work 7ype NEW
UBC Occupanay R-3 M-1
' Construction Type V-N
Zoning .-. R-1
\
Building Langth 64
Building Width 42.
\i
?. `?2% tr`'•
REMARKS: ??? 0 -2> 7O
S& W CONTRACTOR - M& W WATER AND 3EWER INC
FEE SUMMARY:
VALUATION
$167,000
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$874.00
$568.10
$63.50
$700.00
1@0
;2,225.60
MZSCELLANEOUS $1,610.50
Total Fee $3,836.10
CONTRACTOR: - Applicant - 5T. LI pN/NER:
EDGELL M T 17355685 000266 EDGELL HOMES
2712 HORSESHOE LN 2712 HORSESHOE LN
WOODBURY MN 56125 WOODBURY MN 55125
(612) 735-5685 (612)735-5685
i hereby acknowledge that Z have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
?- ? -
?
APPLICA lPERMITEE SIGNATl1RE I SUED Y: IGNA RE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: i BLOCK: 3 APPLICANT:
641 HACKMORE DR ED6ElL M T
HAWTHORNE WOODS 1ST (612) 735-5685
PERMIT SUBTYPE: TYPE OF WORK:
SP Dw6
Control No. 09 3
r
BUILDING
001230
08/12/92
NEW
INSPECTION
FOOTING .. .
FRAMZNfi „
INSULATION FINAL
FIREPLACE
REMARK3: S& W CONTRACTOR - M& W WATER AND SEWER INC
F
?
?'. . ? ?j.? , , .
. , ? r.• ,
h • ? i?
. ?
?.,,.
I . • i
PERMIT # CITY OF EAGAN
REACTIYAT€ _1992 BUILDING PERMIT APPLICATION
0 681-4675 D::?'!J6 RECO ?
"`Lfrt- _??"-`° / f
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, I copy of energy calcs.
Penalty app;ies when typing of permit is requested, but not picked up by last working day
of month in which re uest ts made or lot chan e is re uested once ermit is issued.
Date Yaluation of work\2iD°?
Site Address:
STREET SU1TE f
Tenant Name: (commercial only)
LOT ? BLOCIC-3 SUBD. c?P.W'c?-? Wea-S P.I.D. #
Descri tion of work: - C-c,
The applicant is: O Owner R Contractor ? Other (Describe)
Name ' Phone'?'??
Property LAs, FIRST
Owner s
\\
Addre
s
v .
STREET STE N
CitY \\_?5tate\??• Zip
Company Phone _\?J
COf1tr8Cto1' Address License #a.l,?.'1 Exp. cN??
CitY,.n) il,?-*? ? State \sJ- ZipSS\2+6
Company Phone
Architect/ ?-
Engineer Name Registratian #
Address
, ?o$ CitY State '?? • Zip S5\'?'a--
?
Sewer & water licensed plumber`?\'W ??e.,.•??..,. ?c_ Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to mply with all applicable State of M;nnesota Statutes and City of
Eagan Ordinances.
?
?
Signature of Applicant:
`?
OFFICE USE ONLY
, ., .
BUILDING PERMIT TYPE _
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging 6 ?6seWAt PRfnish
fi( 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-P7ex ? 13 Garage/Accessory 0 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
?31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move.
GENERAL INFORMATlON
Const. (Actual) V- N
_
_
- Basement sq. ft. MWCC System
(Allowable)
\/
-
1-T lst F1. sq. ft. City Water ?
UBC Occupancy R 3 M_I 2nd F1. sq. ft. PRY Required
Zoning tk -1 Sq. Ft. total - Booster Pump
N of Stor9es Fontprint Sq. ft. Fire Sprinkl er
Length ?
_
_ On-site well Census Code oi
Depth
4
2? On-site sewage SAC Code o?
APPRAVALS
Glanning Building Assessments
Engineering Variance
REQIJIRED INSPECTIONS
? Site
0 Waliboard
Permit Fee
Surcharge
Pian Review
licertse .
MWCC SAC
City SAC
Mater Conn.
Water Meter
Acct. Ueposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoP1es
Other
Total:
5AC % ioo
SAC Units
? Footing
? Final
vatuecfan:
? Framing
? Draintile
S 1 b9, OOV -.
?xq.4C=c'
,?2 K2u c 'l ? 6
2 K12= (2u
?) y`I X IG = 11 qo4
11 Insulation
? Fireplace
ZN LovR
Z. = I o09 °
2 x7 = ??
a????? 20
r? wLt = ?5
s3 =???sy
! 316 ? _,?..,.
t3sm r, '
32x3a ? qLo
14xre= 2sz
1 X?Ss 1?18p
IsT FL,? 146 'P?Ml = t 2 12. 15 0
?"z x 7 __.
!25° xs? ' ?6? 5`?
2
MINNESOTI--,STM?1'sIL(;Y COM CUCULATION3
BA3ED ON CIIAPTER 5 OF TIIL
' FfODEL• ENEgGY COb_F. - 1983 EDITION
•• ° Adoption Effective
?
pltone
Sit@ Add1e58_ LT ? S??ecOc? 0A 11???loo{c IS?Aj?,
1I i
contractor_ pr
Buildinq Claseification: Type A1 (3ingle Family 6 buplex)
4- e7ZZ73
Type A2 (Residential, 3 stories or less)_(OVer 9 stor.ies) (Other)
NoT6: ComntPfo Fag9y? and irp?, ' •
GF.NERAL• TNFO f aTrON
1. 8uildinq Perimeter ? ? t.
2. Wall heiglit (qround to eave) 3. 1. X 2. (above) gross wall area sq.ft.- .
4. Building dimenaions (L) X(W) eq.ft.roof I floor atee
5. Sq. foot area of rim joigt - Flop ?r jvist eize (2 X/a )
/U X ?(perimeterj
6. Doors - Area t 14 q 7 lZ
Thickness in U. factor
Type oF construction Perimeter ' ft.
. Manufacturer
7. Tota1 dvor's perimeter ft.
e. Windows t Manuf acturer ??'},'? ?P,4 gtate epproved
U factor " TYpE sIZE 11REA (Sq.Ft.) NUMBEK OF TOTAL
' EACiI UNIT9 SQ F$$T
9. Total sq.ft. Glasa_ J?? • '
io. Fireplace areas width X Iteiqht d X ? eq.fti.
il. Exposed foundationa t(eight X Yerimeter .67(" R_??"' =101CF7 . eq.ft.
COMPLETIatt OF TlII3 FORM 23 REQUIRED FOR ALL NEN ICON9TRUCTIONe NAJOR
REHODELINa ANb BUILOIN08 BHINO HOVED iPIfERH ENERaY, O,THER T11AN SHS HINIHAL
CODE ALLOWANCE, 19 USED. .
-1-
?
•
Grnss well arpe_ ?257
, eq.EE. -J 2
C z-
19indaw area A
-?
L
gq. f . U WiItdoWS
/
'?/?
rilm j
l
E
z` UAA e ?
o
n
etee A
T7 gq.ft. U tim.
Jalst. /t"54/ UxA n ?id0
:
Uoor area A Z eq. f t. U door atea=-' e L4
V%n - i
vtiier doore erea A_4z__ey,ft. U oElier dootg= -'
47 UxA
-
Expoged fndn A_ /()P,? sq,ft.' U foUndation=44 ?
UXl? ?
Ftaming area
? q.ft. U freminq area=.O?/.5
UxA - 0,
NeE wall area A• ?t6(/ eq,ft. U Wall=
???f'?J U
A
_ =
x
•
(1Jb) TUTTL . . . . . . . . . ?..
Ux11 d . Z?
croee wall area x b.ll (A-1 eingle tamily 6 duplex) d e
(13. ebove) llvWabl ode
x 0.23 (A-z otlier residential)
x .23 (oEher buildinge)
x .ze (over 3 sEorles)
B'!'UII musE be latger than or nnMe
??__?x U Code
/ /Z e 3s2a o
_.
F. ee 13b ebove
ceillnq Eraminq area JAE) eqvaln lol of aellinq area
Gtoss ceiling area - JL) x 1it) ' m
<o Z
sq.tt.
, Jo1et area ('rE) e 103 neillnq area , Ret ceiling area (Ac) (IgA - lgg) „ ?eq.ft.
U eeilinq x A. ti-' •?Z? x__/Z?/ e Z&
U framing x AE
, rvrnL u xA .............................
Cellinq erea (1571) x 0.026 (A-1 single Eamily 6 duplex)
=.allowable UxA/Code
x o.o» (A-g other resldentiel)
? x 0.06 (othet)
A1 157+) ' ?x U code ?OZ(? ?j- 1?U11 muet be• lntger then vr nnme
„ ' °f• an 15U above
Ei Use U and A values obtained from pagen 1t ] and 4.
CIEIFbT3Dt{t I heteby certlfy that 2 liave calculnted tlie "U" [ecEote dnd
velues herein and ttiaE tlie bul.ldlnq liete desoribed meeEg or exceede tha
te oE Illnnesota Energy Consetvntion AcE.
'
8lqnature ' .
-Z-
- - - - -- --- t-- -- --- - - --------- ---- -
,
WALL '
SECTION
STUD
SECTION
R1M
,lOIST
Inside atr film .68
Lntetiot wall
Aj?
Insulatlon 19 . D
Sheathing 2?0(O
Siding
Outatde atr film .11
R TOTAL Z?•??J
V VnLV[
(Nall) U . R :
, 0A3
--W ?,
Inside.air film ? .68
Lntetiot wall .45
V stud ((pl') R= 4ej00P(p,15 (Ftaming) U . R .
Sheathing
Stding
?
Outslde air filn ' .17
R TOTAL l a? "rJ?j
ln[erioralr film
Lnsulatton
lh inch soEt wood
Sheathing
Exterior rrall covi
1
Exterior air film
R TOTAL
InterLor air flln
Insula:ton
R= .68
iq.o
R=1.88 (Rim
JOi SC)
Z .o(o
tring Lo7
R= .il
Z??4co
R= .68
_5, O .
?
UsA=
• c?' ?
?
?
Foundatton ?? Zg (Fdn.) U = ? =
Extetloz air film R= .17
F TOTAL --!p
-Exposed 81uck
\.?? '???`,raGe 3.
?
jylA ?' V)rJ
?r2osi W? ?%?
S- XF7Z
g. ?3 x ?04-70?sa 1i48
vGati?s?u>
?oo? ? ? o5a -? 3 g+l 2-?ZS Z-f-l ??
1WOws
ZW Zo * 11
G? ?o pr? llll
I111
?ZT? oN ?Hu? I
nN 1 /
?ZXIgpN ?
?°(Lwt??? 1
3Z ? I ?llllJ
?j Za v ?1 X ? 1
Z I"?
/?1 a
Z
,4
4f
?
7
x
n
k
k
X
k
k
X
k
?
4 qz-z73
?zs ? ??o ss w,?u.,
A4?,-A? -FaT&L?
17 34
13z ?z _
?z 3z
9? y ?J" b
lZ L Z?
I? L?
«
?IS
R VALUE
FRAMING
R VALUE
CEILIHO
0.61 AirFilm 0.6?
*0• r Insulation 44-C '
4.38 joist
0.56 Ceiling 0.56
-0.61 AirFilm 0.61
42' ( w Tota1R
.OZ-b U a 1/jt .022.
iindow infiltration 0.5 cfm/lineal foot of crack
tesidential door infiltration 0.5 cfm/equare fovt or door and minimum code
requirement
ion-residential door infiltration 11.0 efm/lineal foot of crack
lb 12" concrete block no ihsulation ' . .47 R 2.1
1b 12" concrete block insulated cores = .26 R 3.8
7b 12" liqhtweight block s .32 R 3.1
lb 12" liqhtweiqht block ineulated cores = .12 R 6.3
single glass = 1.13; with storm window .54
double glass = .55
triple glass = .41
111 exterior walls and-ceilinla must have a vapor barrier (0.10 perm max.).
lapor barrier must be on the ineide (heated side) of wall.
lapor barriers of the polyethelene thin film have no R value.
al CITY OF EAGAN
? 0 PLUMBING PERMIT
SUBD? ???-ul _ ?-!-?!?-±? Pff (612) 681-4675
RE8ID8NTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH llNIT.
CITY USE ONLY
RECEIPT # O o`Z G /J
DATE 043417
AL50, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST X
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: 0/,/-// /TTk-/tI?'l02e
INSTALLER:
ADDRESS: <CJoSyO,`V l?l/
CITY: .?/r/,'ltnl ZIP: 53-72-3
PHONE jj: iKBg ?I'O`<
OF
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTIDN:
OWNER NAME:
SITE ADDRESS: ?
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PtIONE
FOR:
ZIP:
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHAR6E $
TOTAL:
STATE SURCHARGE .50
TOTAL:
$
(SIGNATURE)
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
l SHOWER 3.00
WATEIt CLOSET
3.00 ?
? BATH TUB 3,00
IAVATORY 3.00
KITCHEN SINK 3.00
? LAUNDRY TRAY 3.00 ?
HOT TUB/SPA 3.00 ?
? WATER HEATER 3.00
L FLOOR DRAIN 3.00 ?
GAS PIPING OUT.
(MINIMUM - 1) 3.00
? ROUGH OPENINGS 1.50 ?
_ OTHER
WATER SOFfENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
CITY OF EAGAN
- CITY OF EAGAN
L_Z_ MECHANICAL PIItMiT RECEIPT /O 5? /
SUBD.=]?? (612) 6814675 DA1'E 2
RESIDENI7AL
PLEASE COMPLE'!'E UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPLEl'E FOR
TOR'NHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OR'NER: tpQ ADD-ON A/C ADD-ON FURNACE?
SITE ADDRFSS: ?
LkL ADD ON/REMODEL (E7IISTING
CONS1'RUCI70N ONM $ 15.00
INSTALLER: HVAC: 0-100 M BT[T 24.00
PHONE #: S'7 - g 7? ADDITTONAL SO M BTU 6.00
nDnxFSS: Z 2 a ?, cns ou7q.Ers - amquKUns i@ $3 Ea. .3 .(5-o
CITY: & . ZIP;5,s-07$ SURCAARGE: $ •50
SIGNATURE: a TOTAL: $ 2 2. So
MCLM9_ IZ-o? ACp ?yCY-I NO PERMIT REQUIRED FOR DUCTWORK ONLY!
COMMERCIAL
PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCWJINDUSTRIAL BUILDINGS. AISO COMPLEfE FOR
APARTMENT BUILDINGS OR OTfIER MULTI-FAMILY BUII.DIIVGS R'HEN SEPARATE PIItMTfS ARE NOT REQUIRED FOR
EACH DWELLING UNTI'.
WORK DESCRIP'fION: CONTRACI' PRICE:
1% OF CONTRACP FEE. FEES
STATE SURCAARGE IS $.SO FOR EACH
$1,000 OF PERMIT FEE.
$
PROCFSSED PIPING • $25•00
MINIMUM FEE - $25.00
$
OWNER: TOTAL: $
STfE ADDRESS:
1'ENANT:
SUI1'E #:
INSTALLER:
ADDRFSS:
CTI'Y: ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE: 1 1
. .. . ? .. ........ ... ?......... ..?•?....... ....... . ,.... ?'.:x.. ? . . ... ..
CITY OF EACAN
3830 PIIAT KNOB ROAD
EACAN, MN 55122 '
PHONE: (612) 454-8100
lIE.GHb,NI CA? ?'P F;I?Ix,
. .. vnrrai`•-t?t<?sYK!i?crn.'.. , . u•.. . ••ep?.?
FOR CITY USE ONLY
PERMIT #'
RECEIPT # O
DATE:
mS,Ip9N'T4/q PLEASE COMPLETE 't1PPER PORTION ONLY ' FOR SINCLE FAMILY:DWELLINCS &.
TOBNHOMES/CONDOS t7HEN PERMITS ARE REQUIRED FOR EACH.UNIT.-: I
--------°-----------" ------ L-----q° ______-_-"----..-.._-----"------"
WORK DESCRIPTION ?j?jy?,?( FEES
NEW CONST /?/9?ADD-ON MINIMUM 15.00
ADD ON HVAC ' 0-100 M BTU " .00
REPAIR _ ADDITIONAL'50 M BTU 6.00
OWNER NAME
GAS OUTLETS - MINIMUM 3.00
..OF 1 PER PERMIT .
SUBTOTAL: $
SITE ADDRESS: $P 6 71 STATE'SURCHARGE: .50
LOT:?
BLOCK ? SUBD. TOTAL:
INSTALLER: /'vG1?z.o!?-C f7T? b ?Y?G'
ADDRESS: /O.S? :?rr?2-a/.f??? /lo
CITY: ir..1t!l.6t? ZIP:
PHONE #:
..
COMNPRCYAT:?PNA9SfliIAV- PLEASE COHPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILD ,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT. „
--------------------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS: _
LOT: BLOCK _ SUBD. _
INSTALLER:
ADDRESS:
CITY:
PHONE #:
POR:
CITY OF EAGAN
ZIP:
FEES.,- - 16 OF CONTRACT FEE.,
STATE SURCHAftGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
":'PROCESSED''PIPING°?.$25:OO:t;:..:,-;' :`.
$25.00 MINIMUM'FEB,
CONTRACT'PRICE..x l$'; $
STATE SURCHARGE:'," $
TOTAL: ... .. , , $
?.(SIGNATURE).
?. • , .
, ', r:;
REACTIVATE jr
0 0 CITY OF EAGAN
PERMIT4
1993 BUILDING PERMIT APPLICATION `APR 1 9 RECo
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date / /I / ? Yaluation of work
4CxfYlOx
r- /
e
-
-
Site Address: t7
STREEi SI11TE N
Tenant Name: (commercial only)
IAT / BIACK ? `
SUBD
?a?
f
'
? P.I.D. k
iulJ
?
$
?' / il?i.
71
fl G
Descri tion of work: ?'i'r
The applican-t is: 2 Owner ? Contractor 0 Other coecorfbe>
Name . _AA('Sii1(/S . /9' Phone ,4? 69O 2-/W
Property ' LA5, FIRST ys?{cr?z?
Owner 6zl/ f?pC
? ?i?
r
?
mar
,
-
Address
STREET STE /
Z i
??l 2-3
p .
City State
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Archttect/
Engineer Name Reaistration N
" Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply w' 11 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
O OS SF Misc.
WORK TYPE
Ef 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l.
? 33 Alterations
O 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC dccupancy _X_71:5
Zoning
#? of Stories
Length :5?21
Depth 4r?
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
-G? Final
/
? 11 Apt./Lodging
? 12 Multi. Nisc.
? 13 Garage/Accessory
? 14 Fireplace
gf 15 Deck
l
? 35 Tenant Finish
? 36 Move
?:.
.?
F 5 : ,
'? IB° "sement Finis
[3 17 Swim Pool
O 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 31 Demolish
MWCC System ?
City Mater
PRY Required
Booster Pump
Fire Sprinkler
Census Code ?
sno b?
?
rr uwN -
o
Assessments
? Framing ? Insulation
? Draintile ? fireplace
Permit Fee
Surcharge
Plan Review
License
MWLC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
? C» I wtuation: g
?
SAC %
SAC Units
?•' • _ 1?
R+
i - -- ?
-A`
1 ?` \
?
1 .
1 I '
CO
. ? • O
? •
O•-7 . ? ? d.
? ? r ? ? `G:S? /. e c •? I C.r ?
os -- - I ?
? ` •"? ~ ? ' ?1 FiIT ?S? I
,0)5 ??z.'a' \ `• .?, 93z s - ' ?. 32°° . , ? -
.ti 932.20
\rs , "7 G ? PC' N ? ? ' ?
N G ?
, ?? r, „?,?5 . -Y•
? 40
,?"!? -? - t?:.h.?:F,. •,`? J '932._5?
c?a^ i? ?\ t\ ?•\.•`?' ' 0 1c-ct3?-.J
?> , ?' ? ?_12• .q-
r9_-f
,-? = O GQ
1Qc?j ?-
R ?
/ '?,' -?' O'?•lk /
' . • " ,- 4' `? -' ?h2?2? _,
J ? •
a N I L1 b?
* PIOf INEp
* ._. LM,D SuqvcrORi • pvlLEN Gri vEER$
?Np NUMN<_RS • 5?ri05CAa
* enginerieig=--"- V'=-- ---- E ARd+iiEC?-
.* * * *
2422 Ent¢rprise Drivg MendOto Heights, AAN 55120
612) 881-1914•Fax 881-9488
625 Highwoy 10 Northeog(
9loine, MN 55434
612) 783-1990•Fox 783-1883
Certificate of Survey for_ ?? e ? Homes, nC.
-?---?--
Hc,use Aildress; Hackrnore prive?_Eaaan. MN
N 00'04'05" F
147.93
eN, unuTr enc¢uNi -?
? O
I -
( LI ?
i I
I in
f ! I
I
r ,
? I
o' ?O ' ?SZI
l3: (,P ? ' ,q Vl /? _
, ? co
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O ? e C?.SeVEti' l.
s r-
,c•,;.,.
0
3y
? ?, ? • ' 'r\ 35^' Y
,
_ ---, -.
w,
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?..>
. _?= . O 1 °` .Lp
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(f)
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rn
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?
?, _ - -
g1
,2? g8
0
5 ?? -
IN ' 419
R° --
Y • ?`°"?? ANv,IIVEERIA1Ca DEPT
. 900.0 Denotes Existing Eievntlon • 9-Q Denotes Proposed Eleva(.ion PROF'OSED HOUSE ELEVATION
-- Denokes Drninage 3e lltility Easement LoWest Fioar Elevotion:927.55
--Denotes Droinaqe rlow pirection 'fop of Block Elevatfon:935.66
---o-- Uenolc-3 Monument Garage Slab Elevation:935.33
---$- Denvtes vffset Hub ETeorings shown are assumed
LOT_1 , BLOCK_3__._ HAWTHORNE WOOpS'
UAHOTA .^.UUNTY, MINNF507A 1 ST ADDITIOf?
I hareby cprGl? 1hat ihis sdney, oian or .o"?t way pi pr3f1d hy r,g or undar my direqt sUpervlalon end that 1 am rJuly Regisleied Land Swvgyor
under the lawf Df the Sidte of fdinnaso1a. Daiei tMs _(_'' 1` ?y
`- ?!? . ?IaY nl?1_19-f 7! .
SCau1 inChlJO{`'el
RGBEFiT g,S??CIS?}'CYpEG fu0,
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA107536
Date Issued:10/16/2012
Permit Category:ePermit
Site Address: 641 Hackmore Dr
Lot:1 Block: 3 Addition: Hawthorne Woods 1st
PID:10-32150-03-010
Use:
Description:
Sub Type:e - Furnace & Air Conditioner
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
Valuation: 6,750.00
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 -
Jeffrey Magnus
641 Hackmore Dr
Eagan MN 55123
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131931
Date Issued:07/14/2015
Permit Category:ePermit
Site Address: 641 Hackmore Dr
Lot:1 Block: 3 Addition: Hawthorne Woods 1st
PID:10-32150-03-010
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 -
Jeffrey Magnus
641 Hackmore Dr
Eagan MN 55123
(952) 285-3628
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:EA132500
Date Issued:08/18/2015
Permit Category:ePermit
Site Address: 641 Hackmore Dr
Lot:1 Block: 3 Addition: Hawthorne Woods 1st
PID:10-32150-03-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required 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 -
Jeffrey Magnus
641 Hackmore Dr
Eagan MN 55123
(952) 285-3628
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
r
C!tyofEaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: / 3 7 C d `F -
Permit Fee:
C.C))
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: t � — : —1 L Site Address: 6 H ( ` ► & L V'`Lo V l V
Tenant: Suite #:
Reside
Name: Ct tEl ``f \ Phone: (n S� ( - (10
''AA n
Address / City / Zip: (4 '-�t `i 6--v,--t 6,\ eoN C a ,cc -0-
t ,
skf
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
New Replacement Repair Rebuild Modify Space Work in R.O.W.
— — _
Description of work:
ty
:If11it Type
g
RESIDENTIAL
XWater Heater
Water Softener
Lawn Irrigation (— RPZ / PVB)
Add Plumbing Fixtures ( Main / Lower Level)
—
Septic System
Water Tumaround
New
—
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
rW
TOTAL FEES$ ( C`C,
(includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
CALL BEFORE YOU DIG. CaII 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.gopherstateonecall.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 not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name v
x ev\' •
Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153169
Date Issued:11/28/2018
Permit Category:ePermit
Site Address: 641 Hackmore Dr
Lot:1 Block: 3 Addition: Hawthorne Woods 1st
PID:10-32150-03-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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 -
Matthew K Siebke
641 Hackmore Dr
Eagan MN 55123
(651) 226-6261
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature