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645 Hackmore DrControl INSPECTION RECOI?D T No. 0 9 51 CITY OF EAGAN PERMIT TYPE: 15111 Lp i Nn ? 3830 Pilot Knob Road Permit Number: 091 tS•' Eagan, Minnesota 55123 Date {ssued: 0e117192 ? (612) 681-4675 SITE ADDRESS: Lot : 2 6 4f, NACKMORE DR HAWTH(?RNF W4405 PERMIT SUfBTYPE: TYPE OF WORK: ? INSPECTION UO? :f ti i; „ . 1=RAMI Nii ., ?? ?.. F Tf+f'c'{. pCf IIEMARk93 PRV S i W C4MTRAC.TpR - 11 u APPLICANT: E uh t i. L Ir 'r rA, iA.'' i612? 73%--s6eh ,f ? , Prrmh No. wrmK Howa oate TiNp?wr» • S/VY PLUMBING HVAC ELECTRIC ELEGTRIC Irapactlon Date knsp. Comments Footirtgs I ?? ! Foundation Freming ei/k Fioofing Wer.L R°ug'' P't'°. Raugh Hlp. Isul. a`ephac° Flnal Hlg. 2_ r Orsat Test Fnl Pmy. 9 9 Pbg. inspeoW - Notifv Const. Meler EnWJPtan ; Bldg. Final ! ?? Deck Flg. Dedc Finai Well Pr. Oisp. ? ao r ? "! ?i ? (g.er#i#iratt of (Orrupanry Citp of tagan MAr}imi i rtyartcat nf AtOing .3wprtiatt This Cerdfwaie issuad pursuaNi ta tlie requiremerrts of Section 306 of lJre Urliform Bui&tireg Code artifyrng that at the tinre of issuance this structure wm in compl'wnce w*li the various adi»ances of dre City regulating bullding consnuction or rrse For the joUowing.• uftca=ioaioe SF IWG . e4. ramk rro. 1292 OCCUP--Y yYP R-3 /M I qmimg pisvw PD/Ri 7* rmw VN O.d 9Wdiq BIML IDES Ady. I293 SYCYIMC'RE IR, knMgl-RY_ att o3/oqL43 POST M A CONSPICUOUS PIACE REQUEST FOR ELECTRICAL INSPECTION es-0oom -oe A ? $ee msVUCLOns lor compledng [hrs lorm on pack of yellow copy V - K "X" Below Work Covered by This Request e .Mtl Rbp TypeoBuilding AppliancesWired EqwpmeniWVed Home Range Temporary Service Duplex Water Heater Electric Heating Apt Bwlding Dryer Otheu(Specily) Comm /Industrial Fumace Farm Air CondNOner Olherlsyeatyl ConVa<tor's Femarks Compute Inspecfion Fee Selow. # Other Fee # SernceEntrence5rze Fee # Circmts?Faeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspector4 Use Oniy TOTAL Irriqation 8ooms ?b : Q• SQ Speaal Inspeciion AlarmiCommunicaiion THIS INSTALLATION MAY BE 0 D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT S, / I, the Electrical Inspector, hereby certifY ihat Ihe above insPection has been made. Ro?yn,o Finai /' ( / , oam Date ?O ol7 OFFlCE USE ONLY Tnis repuest witl 18 monlhs Irom 76 /012 70?V Fequest Oate c -NO Rouglb-in Inspec0on Pequiretl7 ?( PWor ? Re?Y N? / " l Yes G No W hen Ready I)(licensed contractor ? owner hereby request inspection of above electncal work at: Job Atltlress (Street Bax o Route i ?.A e s )/?? Qry ,c...C.K ?l9" "? V"1 • 1 •- Secvon Na Tawns?ip Neme or No Ranga No, County Occupant IPRINTI bi - ? / ?-vyW Phone No PowerSUppber -bh&.a Atltlress r-i Eiecmcal Convactor ICOmpany Name? Contrector5 Lirense No ?vQ? •C. ? ?0 I']I a Mailinq Aaeress ICOnVactor o.Owner Makmg Installatiory / 3 -rr • fri S s033 AufiorrzeE Si?re o racronpwn e ng Installa0 ,? ) PMn Number ?j b -564 MINNESOTA STpTE BOAND OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grigga-MlOway 8hlq. - qoom S173 BE ACCEPTEO BY TME STATE BOARD 1821 Univerelty Ave., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS PMne (e14) 662-0800 ENCLOSED Address 645 HAMttE n?tivE Zip 5512 3 Lot " 2 Blk 3 Sub xAwniotaM t,OoDs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 03/09/c)3 Yes No Inspectot: Final grade (6" from siding) Permanent steps (gazage) ? Permanent steps (main entry) Petmanent driveway v Permanent gas ? Sod/Seeded grass ? TraiUwrb damage Porch Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shu[-off of water supply to the outside lawn faucet before freeze potential exisls. Contact engineering division a[ 681-4645 before working in right-of-way or installing underground sprinkler system. White - Ciry Copy Yeilow - Resident Copy Pink - Contracror Copy 0 HOUSE HEATING TEST RECORD ADbRE55 APT. _ OCCUPANT ON'NER FLOOR CITY SUBURB ?• HEAT LOSS DATE HTC. INST. SOLD BY ? /3;/%J?';??? INSTALLED BY Elechival 1Yxk By Gas Lim By -3 m?- TYPE OF HEAT GA _ FA -0 HM _STEAM _SPACE MTR. -UNIT HTR. _OTMER GAS DESIGN MAKE LL-flo4gr AUKE OF BURHER _ Moe.i Moa.i s«ia, db.. eTU Ranoa- INPU7 «? Qd? MAKE OF FURNACE CONTROLS THERMOSTAT ?'ILO Hwe Pivq Valro Ltmit EGG-. G'- Limif SoMinq Fan SoMtnq Pilot Trp. Pilee Mek* PiIM Medol Pilor Timinq L.W. cur ofr Presawe--S. Pereent CO ? tnpue CFH P«c•nl O? Stack T•mp. h U Pwe?nr GO -?? Mod•1 Vmt Si:• KIND OF LINER SIZ?HONE Dreh Moed Rpuloror FNt«. 4,iTmr Lecenen Insido ? Outaido Chimmy Censrrucrien Spillage Smeb Bomb Wirinq Draft Tnt Teq Dex Pnssuro Liqhe{nq Imt. DenT.sted ComVany Tes':_-y No" el Tost« Certificate of Compentency_ # CONVERSION r S? la3 RESIDENTIAL BUILDINC PERMIT APPLICATION GTY OF EAGAN 3830 PILQT KNQB RD, EAGAN MN 55122 651-681-4675 New Canstruction Reauirements • 3 registered site surveys showng sq N of lot, sq, ft of house, and all roofed areas (20% maximum lot coverage allowed) . 2 copies of plan showing beam & wmdow s¢es; poured found desgn, etc.) • 1 set of Energy Calculahons • 3 copies of Tree Preserva6on Plan rf lot platled after 711193 . Rim Joist Detad Ophons seledian shee[ (hldgs with 3 or less unAS) DATE SITE ADDRES TYPE OF WO APPUCANT SiREET ADDRESS (/y(Q(p (,/o </? (Kr11D TELEPHONE # 21CELL PHO?E # iULTI-FAMILY BLD,G ,)Y FIREPLACE(S) ?-8! 1 _ 2 f-STATE / /rq/ ZIPnl,? Y,,gr FAX # PROPERTYOWNER ? ?i"` 0 IYN TELEPHONE# 661-69-1'0 oo<3 -----------------------------------------------------------------------------------------°-^-- COMPLETE THIS SECTION FOR KNEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ MI-NNFSO"f:112I1I.1?S 7670 CA'PLGORY I MINNI'SO'1':\ RLiLES 7672 (J submission type) • Residentiai Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Confiractor: Plumbing syslcm includes: Mechanical Contractor: Mechamird sysLcm includcs: Sewer/Water Contractor: _ Air Caiditiouing Hcat Rccovcry Systcm Phone # Phone # ---- °------------------° -------------- °--° ° --°-------° ° ---------. _. _...-- ° ---- °-----° --------- °----------°--- 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 Ordin?nces?,{/p ? ? Signature of Applica?? I?? J? ?+?ti --°°-°------'---°--------------------------------------°•-------°°------------------°--------------°--------------------°---------°°---------------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Pf10nC # vVatcr Softener Lawii Spnnklcr ',Fcei'jl $?Q??? 'vVatcr Heatcr No. of R.L Baths _ Na of saths l1 ?? QCT 0 ti 2002 1 u ? ? ??2,2, RemodallReoair Reouirements . 2 copies of pian • 1 set ot Energy CaIwW6ons far heated aaditans • 1 site survey for exterior additions & decks . Indicate if home served by septic system for addi6ons VALUATION .? 200y e30 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 ExL Alt - SF ? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Pfbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement O 38 Oemolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Oemolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Blqgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaWi o C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ica & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ _ _ Sidine Stucco Stone _ _ Ftreptace _ RI. _ Air Test _ Final , Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Pian Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total PERMIT CIf1( OF FAGAN 3830 Pilot Knab?oad Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: - Date Issued: BUILDING 001282 08/17J92 SITE ADDRESS: 645 HACKMORE qR LOT: 2 BIOCK: 3 HAWTHORNE WQODS DESCRIPTION: rBuilding PermYt 7ype 5F DWG lBuiiding`.Work Type NEW UBG Qccupartay R-3 M-1 ? Construct3on'`fype V-N Zaning PD R-1 Buildinq lpngth - 59. 8uilding Width 36 , ?. '.1??1i':.?.a?.:.?.. ?.. rrv'? REMARKS: ? OQ0439 PRV S& W CONTRACTOR - M W FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $825.00 $536.25 $76.50 $700.00 100 $2,137.75 $153,000 MISCELLANEOUS 1 610.50 Totel Fee $3,748.25 CONTRACTOR: - Applicant - 5T. I.x OWNER: EpGELL M T 17355685 000266 EDGELL HOMES 2712 HORSESHOE LN 2183 SYCAMORE TR WOQDBURY MN 55125 WOODBURY MN 55125 (612) 735-5685 (612)735-5685 I hereby acknowledge that I have read this application and state that the information is carrect and agree tc comply with all applicable State nf Mn. ?utes and City of Eagan Qrdinanaes. ? - ? `? r,?,? I 7111? APPLICA MITEESIGNATLIRE 1 UED B 51 NATU E Control No. 0951 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: APPLICANT: Lor: 2 BLOCK: 3 645 HACKMORE OR EDGELL M T HAW7HORNE WOQpS (612) 735-5685 PERMIT SUBTYPE: TYPE OF WORK: 5F OWG Control No. ? 9 5- 1 BUIIDING 001282 0$/17/92 NEW INSPECTION FOOTING D. . FRAMIN6 .. IN3ULATION FIrypL FIREPLACE REMARKS: PRV ? ? 5& W CONTRACTOR - M W .. -? n•. , ? ? . ,.. ... . ? 4 i , , ?, . .. f ? 1 4 PERPjIT # REACTII's.TE 1 itt I CITY OF EAGAN ??1 `14??. 11'r 1992 BUILDING PERMIT APPUCATION ?•.? `,_?.? 681-4675 A U G 12 RECu SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of mont in which re st is made or lot chan e is re uested once ermit is issued. Date Valuation of work V? ,y ? lC? Site Address: SiREET SUIiE N Tenant Name: (commercial only) IAT ` BIACR? SUBDN?t?,?--V ? P.I.D. # Oescri tion of work: q- The applicant is: ? Owner ?Contractor ? Other (Oescribe) Name \- \& r Phone Property _- ' LAST _I FIRST OW11@f pddress_&?? ?C??""w\ STREET STE M City \?pa State ? Zip Company P h o n e 1>S Contractor Address License C?&Exp.4SL11 City State\41?,'A Zip S?\?s Company ? Phone Architect/ Engtneer Name Registration # . Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledg that I have read this application and state that the information is correct and agree to ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature af Applicant: OFFICE USE ONLY , . , • BUILDING PERMIT TYPE 0% O 01 Foundation ? 06 Duplex O 11 Apt./Lodging O 16-BasetiienL*'Pirn}sh tR 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE ER 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) v-N Basement sq. ft. MWCC System Yt.S (Allowable) v- lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRY Required YC-S ZoM ng # of Stories f ML-R-- I - ' Sq. Ft. total Footprint Sq. ft. Booster Pump Fire Sprinkler Length Depth ' On-site well Census Code / On-site sewage SAC Code ot APPROVALS Planning Building Engineering Variance REGIUIRED INSPECTIONS O Site ? Mallboard ? Footing ? Final Assessments ? Framing ? Insulation ? Draintile ? Fireplace Permit Fee v.iuac;a,,: g 153,Q4?" Surcharge Plan Review License GARAGE aoc? xza MWCC SAC C i ty SAC ^ F X 20. _ 1419 /05? X 3? a 55 6 SC? Nater Conn. , 618 %16 = 9,$08 $s?' Water Meter Acct. Deposit 30x31.:' iozo 152r7 F, ? S/W Permit Z K llr ?,?2,) ? ? S/W Surcharge Treatment P1. JB x/cj? z5z Road Unit Park Ded . Trails Ded. s s=Mr= 1250 Other Total : 2 -A6/z = 13 2x g'/z = 19 SAC % 100 I ('?a?7y"`?A SAC Units _L ? J 2? ? 2X 5.3 - 6847?0 L oZ BL ? CITY OF EAGAN PLUMBING PERMIT SUBil.( (612) 681-4675 R88IDBNTZAL YLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ CITY USE ONLY RECEIPT DATE - d ALSO. FOR TOWNHOMES AND CONDOS OWNER NAME: e SITE ADDRESS: G?YS /7?7G? ?rJ?' e INSTALLER: ADDRESS: ?w ?c?Ay" CITY: ?.?-41f71 ZIP: ,53723 PHONE #: COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 L SHOWER 3.00 3 ? WATER CIASET 3.00 ? BATH TUB 3.00 ? IAVATORY 3.00 KITCHEN SINK 3.00 -3_ ? LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 ? FIAOR DRAIN 3.00 1 GAS PIPING OUT. a (MINIMUM - 1) 3.00 ? ? ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 OF PERMITTEE 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 DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER:_ ADDRESS:_ CITY: PHONE FOR: CITY OF EAGAN ZIP: $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE $ TOTAL: TOTAL: S S-1 ?? n $ (SIGNATURE) CITY OF EAGAN L-ig- B? MECHAHICAL PERMIT SUBD. (612) 6814675 RESIDENI7AI. RECEIPT # O ?, G/ 40 DATE c1 9'Z PLBASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMII Y DR'ELLINGS. AISO, COMPLEI'E FOR TOR'NHOMES/CONDOS R'HEN SEPARATE PERMIIS ARE REQUIRID FOR EACH DWELLING UNIT. OR'NER: Ejovj? ADD-ON A/C 11 ADD-ON FURNACE ? SITE ADDRFSS: / lo ys /Lyl.dLqY ADD ON/REMODEL (E7IISTING CONSTRUCI'ION ONM $ 15.00 INSTALLER: 4 LAIn HVAC: 0-100 M BTU 24•00 PHONE #: S- ADDITIONAL 50 M BTU 6.00 ADD]ltESS: ?? a.. GAS OU'CI.E3'S - M.INLliUM 1'La? $3 En. 3. e O CT11'• ZIP: S'$_07 S SURCHARGE $ .50 SIGNATURE: TOTAL: $ ,3??j.S(7 NO PERMIT REQUIRED FOR DUCTWORK ONLY! COMMERCIAL PLEASE COMPL,?.'TE TFIIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTfIER MULTI-FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. WORK DFSCRIPI'ION: CONTRACf PRICE: 196 OF CONTRACf FEE. FF.ES STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCFSSED PIPING - $25•00 MINIMiTM FEE - $25.00 $ OWNER: TOTAL: $ Sl7'E ADDRFSS: TENANT: " . SUTl'E #: - INSTALLER: ADDRESS: CITP: ZIP: . PHONE #: CITY SIGNATITRE SIGNATURE: r.-- ,S? L,OT 2- BLOCK ? SUBD. ? RECEIPT # //7VJd $/??Z?13- CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMIT 1993 Date: ?f?i-Y /93 _ Commercial pmject A Residential project ? F}!ZCtiQg rrocidgnre Area/address to be sprinklered: Installer: ? Street address: City, state & zi Telephone #: _ Owner name: Street address: City, state & zip: z3 Phone #: G ?/ ? O?ez3 Irrigation °o-•.a^•^_ :o,,:.r .b,... Phone #: I hereby acknowledge that I have read this application and state that the inf(irmation is wnect and agree to comply with all applicable City of Eagan ordinances. Signature f Pertnittee New service required 1) O 5:ie_ c Fee due: $ I$ Calculated by: /o-7-?f3 O? ? J 4 ?ea?? ? ? w? ??? CITY OF EAGAN ' UNDERGROUND SPRINKLER SYSTEM PROCIDURE 1993 1. Plans must be submitted to the City's engineering department for apprrnal before installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit may be required. 2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department, wil] calculate permit fees as iollows: a. Commercialproiect: $ 25.50 plumbing permit. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. Please consult with engineering department regarding feasbility of City installation (Cit? will only install taps up to 1"). : ,. Nc+`T?....? .,3' "';. r ? ,"%•? b. Residential proiect: $! 1 %SOJIF•plumbing?e7?fiit. $ SO.Sd'water permit fee if new service is installed. $695.00 per connection - WAC. $324.00 ner connection - water treatment plant. c. E)dsting residence: $15.50 plumbing permit -(not required if backflow preventor previously installed) however plan must still be presented for approval and an application must be 511ed out. 4. Once meter size is determined, building inspections clerk typist wil] contact utility billing clerk for cost and notify installer of all costs associated with project. If new ,; seivice liaes are nui reqwre-.d, ?np..check muy bc vvriiten fur uieter and pcr;i,it costs. No meter will be sold before allIr-and water iaspections are rnmplete on a new service--(engineering department 11 advise utility billing clerk when meter can be sold). Receipt will be coded to 20.3716 (meter portion only) with pink copy forwarded to utility billing clerk. The installer is to contact building inspections division at 681-4675 for inspection of the inside water ]ine and backflow preventor. T'he public works department may be reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. 0?oa, B ? i RECORD OF COMPLAINT Date (I J V7 - 4' 3 Complaint taken by ?a ?? 2-L,?. Type of building -S T r? Name Address Legal description Phone number ? -(P,?i --U,? --)-3 . , •- , - Complaint Action taken Comments Signatute ????? , _ .. BUILDING COMPLAINT GUIDELINES • When a complaint is received, get the address, name, phone number, and a genera] idea of what the problem is. • Always have rivo City employees present to (1) verify the conversations, (2) offer additional opinions, and (3) lend credibility. • Get "both sides" of the story if there is a conflict. • Ask other inspectors and CSty emp]oyees if they are familiar with the address or the problem. • Contact other agencies or departments (ie. Dakota County Human Services, 431-2424; police depanment; fire department), if necessary. • Provide hand-out materials if they are available. • Maintain a record of inspections and conversations on a City complaint form. .. . r • ? DAY/DATE_ ?4 -7 ADDRESS la FTG. FOUNDATION TIME C0M4IENTS : FRAMING ROOFING INSULATIQN FIREPLACE R.I. HTG. AIR TEST ? ' R.I. PLBG. FINAL HTG. - FINAL PLBG. FINAL ,.„/0 DECK FTG. ? DECK FINAL .. FOA: ?- MINNESOTA STATF????X COJ? CALCULATION3 ? owner_ Sitie Ac Cvntrac BA3ED ON CIIAPTER 5 OF TllB ' FIobFL• ENEgG ObF, _ 1983 EDITION Adoption Effeative 2 t: L- Gua 9uildinq Classificationt Type A1 (Single Family d Duplex) ? Type A2 (Residential, 3 etories or less)_(OVer 9 atorl es) (Otihet) NoTE: omnlofe nA.,oQ ? and A IrpH, cFNBRAi. tNFO HAmiqN 1. Building Perimeterz?-K?ft. 2. Wall heiglit (ground to eave) r? ft. ]. 1. X 2. (above) groes wall area gq,Et,. . 4. Buildinq dimensions (L) X(W) =??Z eq.ft.roof 6 floor aree 5. Sq. foot area of rim joist - F1op _r joist eize (2 X/a ) ? X ?_(PerimeEerj ?_nq,tt. ? 12 6. Doors - Area i I??+' ql Thickness in U. factor Type of Conetruotion Perimeter - ft. . Manufacturer 7: 'Total door's peritneter ft. 8. Windowe: Manufacturer' U factor 0-{ state approved ' TYp$ BIZE AREA (Sq.Ft.) NUMBElt OF TVTAL IiUOYL?-7 ? EACII UNITB 8R F$$T 9. Totel sq.ft. Glasa J/ 5? 10. Fireplace area: Width X ileight = X = eq.ft. il. Exposed foundation: lfeight X Perimater .? X?? e/a?J sq.fti. • COFiPLET20N OF T}lI9 FORM 28 ItEQVIRED E'OR ALL NEH bON9TRVCTxONt HAJOR REHODELINtl AND BUILOIN09 BEINO HOVED HfIEAH ENERGYt O,THER TliAN TNS NINIHAL I CODE ALLOWANCE, I3 U9ED. . -1- 4- qzZ73 te • . . 1---- nwiL aLetl• ?/ ?2 • Gtoss wail erea ?jZs 7 ' eq.Et. Wlndow aYea A? r ??3,I sq•tt. U milidows d_ r%7/ UxA n .iQ Rlm jvist area A /I? ?`T`"T? gy,ft, u rim.,joist=_ ,64/ UxA - Id0 boor area A Z sy,ft. U door erea.. t L4_ Uxl1 •• Uther doors area A_4z__gq,EE. U oEher dootg= -' Uxl? d_Lf_Z± Exposed fndn 11__ ZUE gy, ft, U fow1d81:ion=_2_L4_ UXh e_i1./Z Preming area A 2 B?D7r q.ft. l) Eraming area=.? Uxh e Q, NeE well area A?• gq.[t. U Well= '7J UxA ? 9j. ? (139) TOTAL . . . . . . . . . UxA . Croes well area x o.l! (A-1 ningle Eamily 6 duplax) ? allouab ode above) x 0.23 (A-2 otiier Yesidentlel) x .23 (other buildlnqe) • x .ze (vver 3 otoriee) 7 b'i'Ult muet be I.a[ er Elfan oC eame ? 7051 x U cade_ ee170 above Ceiling traminq area (AE) equale lot nE oellinq area Grosg cellinq area d(L) x({i) * 4 (p7i eq?t?? , doist area ('AE) e lot ceilinq area ?_ /5?eg.ft. , Net ceiling area jAc) llgA - 1581 eq.tt. U C@lljtlg X A, d'• -/!/22, R?a ? 9F U EramLig x 1?t x . ToTAL U x A .......................... .. ? b/ ^ Celllnq area (1511) x 0.026 (A-1 eingle tam ly 6 duplex) a.alloweble Uxll/Code x 0.033 (A-2 other reeidentiai) x 0.06 (other) ) , ?x U code ???(O 8TUll must be• lnrqer than or aame A(15A ? °F. en 150 aboae Et Uee U and A values obEained from peqes 1t 3 and 4. UEICATSP_Ht I heteby certifp thqk I heve celculaEed khe "U" [aeEvte and velves Iterein and tltaf the building here desoribed meetg or exceedn the ?e of Hinnesvta Enetgy Cvneervetion Act. ' 9lgnetute ' . -2- V VnLUG , . WALL ' SECTION STUD SECTION Inside air Eilm .68 ' ? In[etioc wall •? (Wall) U . R : Insulation Iq,p ,0 'oheathing ? Slding .?D1 Outalde a1r film .17 R TOSAL Z3 • ??J Instde.ait Eilm ? .68 Interior wall stud ((y") R= *j0$.(yj15 (Framing) U . R . Sheething ? z,0(O C -7 Slding , A Outside•atr film ? ' .17 R TOTAL lnterlor°•atr film R= ,68 . ? A1M Lnsulatton ?°j.O - ? * ?'f JOIST lnch soEt wood R=1,88 (Rim U=?( ° Joist) ' Sheathing Exteriot wall eovering .L4-7 . ? E:cterior air film {r ,17 . ? R TOTAL Interior alr fllm R= .68 , ` Insula:lon \ ? Founda[ion 1 1 20' (Fdn.? U \ L_ Exterior air £ilm R= .17 ? F TOYAL \ xposed 8luck \.?` rade 3. ?- jY1A0Z,V)t,) Gr?ss w? ?? s- X o°4- 7° ?? ? ?? - 1 ?s? -r ? g-?? Z -?zs Z +?? Z ll%ffiws I?JO X ,?'riA-? ZwZ?? 1I 2 ? ?7 z ?lr?J ?/D p? llll ? ?( l3 y I?x? lll? ? ?C ? Z ?z? oy ?,??? I I X ?? L i z??? pN t ? Z. k lz = ?iZX1gpN f ? k ? z 3Z ? l?llll ! ? k ?5'? ?j Z?i. v?IX? J dn4? F?x? i I I jl 2 14 ? Z ? ?I 5o Z? 4 5Z-z73 (aluss wku, 13("', Z 1-.b7z? ??- 5Z _ 3z -30 Z ? ? /d5- ? ?!S R VALUE FRAMING R VALUE CEILING 0.61 AirFilm 0.6? ? Nei' C7 Insulation 44• a _ 4.38 Joist ------- - Ceiling 0. 6 0.61 AirFilm 0.61 ?Z , I (O TotaiR 45;• lb ,OZ'> U Q 1/R .OZ-2. 'indow infiltration 0.5 cfm/lineal foot of crack esidential door infiltration 0.5 ofm/equare foot or door and minimum code reguirement 'on-residential door infiltration 11.0 efm/lineal foot of craak i 12" concrete block no insulation ' . .47 R 2.1 b 12" concrete block insulated cotes a ,26 R 3.8 ?b 12" lightweiqht block = ,32 R 9.1 ?b 12" liqhtweight block ineulated cores = .12 R 8.3 single qlass = 1.13; with storm window .54 double glass = .55 triple qlass = .41 k11 exterior walls and:ceilincjs muet have a vapor barrier (o.lo perm max.). rapor barrier must be on the inside (heated side) of wall. rapor barriers of the polyethelene thin film have no R value. ?--- t .7 . CITY OF EAGAN PERMIT TO WORR YITHIN CITY PSOPERTY/BIGHT Page 1 of 5 1. Location ?e l`?5 ?dIG,?Maff ??Q/ YC ? 1 ??•/f':.?" r/?f ? w 1• ?•_/? 2. Nature of Work .OfS1rr..1-7AL Cl•s•v£,t?e-u.,yv .Sv.ri?y.Ct?! < 3. Indicate below items to be affected and include a aketch or plan of work t6 be done. Curb 6 Gutter Street Surface Trail/Sidewalk Trees: Pond/Wetlands Public Traffic Control Devices/Signa Private Drainage Utilities ._. r.-_ Structures/Buildings Other /Valyf/ 4. Method of Installation or Construction 5. Work to start on or after:j// a,/J!?Fand shall be oompleted by: unless an extension granted to: by: pATE STAFF/DATE 6. Will detouring of traffic be necessary? /1/D . If necessary to detour traffic, describe suggested route: DETOURS: The Dlrector of Public Worka shall be notified in writing at least 72 hours in advance of any detour being established, changed or discontinued. NAME OF APPLICANT A14,Y.L' Go/N PHONE PLEASE PRINT , ADDRES NAME OF PARTY OR ORGANIZATION PERFORMING CONTACT PERSON: ?,?cv? ofPT/G? ZIP HR.) PHONE #: cy3 y DAY YAONE -5.37 :3 zA, STREET CITY STATE ZIP The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the City of Eagan. Signed: FOR CITY USE ONLY FINANCIAL SECURITY: Title: DATE: AUTHORIZATION OF PERMIT AMOUNT: Fee: $ Receipt No. TYPE: ? (Cash,bond,IAC,etc.) Permit No. In consideration of agreement to comply in all respecta with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said City of Eagan; permission is hereby granted for the work to ba done as described in the above application, said work to be done in accordance with special provisions as hereby stated: APPROVE F PUBLIC WORKS ? / ATE ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND 0 "SPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER. Permit No. Page 2 of 5 i PERTINENT BEGUTATIONS Safety 1. Traffic shall be allowed to pass and to be protected at all times. If it is not possible to allom traffic to pass, a suitable detour must be provided and plans suhmitted to the Director of Public Worka 72 hours ia advance. 2. Barricades shall be erected in a manner which will provide suitable visibility in all directions. All barricades shall be in good condition, and all signs ahall be of such size and legibility to provide adequate warning to oncoming traffic. At least two 7" flashing amber lights shall be mounted on each end barricade with one on an advance warning sign. 3. Excavations must be shored or sheeted vhen necessary to prevent under-mining of roadway, trailways, utilitiea, or for safety reasons. 4. Guys or stays shall not be attached to trees on right-of-way or private property without written permisslon. 5. Flagmen shall be furnished by the party or organization performing the work whenever the vork being done creates a hazard either to the traffic using said road or the personnel engaged in the construction, or when directed to do so by the City. OPERATIONS 1. Permit on Job--Permits or copies shall be kept on.ehe site of the work while it is in progress in the custody of the individual in charge, and shall be exhibited upon request made by any City official. 2. Provisions and Specifications--These general pxovisions, specifications and Std. Plate P-1 shall be considered as forming an integral part of each and every permit iasued for operations within Eagan. The work authorized by this permit shall be done at such time and in such manner as shall be consistent with the safety of the public and shall conform to all requirements and standards of the City. If at any time it ahall be found by the City that the wrk is not being or has not been properly performed, the permittee, upon being notified by the City, ahall immediately take the necessary steps, at his own expense, to place the work in condition to conform to said requirements or standards. 3. Execution--The permtttee shall use diligence in the execution of the vork authorized under this permit in order not to endanger or unnecessarily obstruct travel along any road or trailway. Operations ahall be so conducted at all times as to permit safe and reasonable free travel over the roads and trailways within the limi.ts of the work herein prescribed. All safety measures for the free movement of traffic shall be provided by the permittee at his own cost. 4. Conformity to I.aws--The installation shall be made in conformity vith all applicable laws, regulations and codes covering said installations. All installations shall be made in conformity with regulations of governmental agencies for the protection of the public. a. The applicant shall furnish a bond or financial guarantee in the amount to be determined by the City which 1s required to ensure adequate & timely completion of repair. This bond or financial guarantee shall remain in effect for 2 years subsequent to completion of atreet repair to protect the City from defects in material, vorlmanship or non-compliance with City Standards or specifications. \ rcLWU wv. rage J oi a b. The applicant ehall furnish evidence of public liability insurance of not less than $100,000/300,000 and property damage of not less than $25,000 ieaued by an insurance company authozized to do businesa in the State of Minnasota on which the City is nemed as an additional insured party. c. Except for the negligent acts of the City, its agents and its employaes, the permittee shall assume all liability for, and save the City, its agenha and its employees, harmless and defend same at ita sole cost and expense from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining, protecting and use of said facility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way or easements. It is the responsibility of the applicant to call for necessary locations of existing utilities. (Gopher One 454-0002) 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road or trailway upon completion of work shall be at least equal to or better than apecifications of originally provided road or trailvay in accordance with City Standard Spacifications. 8. Cutting Trees--The permiasion herein granted does not confer upon the permittee the right to cut, remove oz destroy trees or shzubbery within the legal limite of the right-of-way, easements that are not specifically identified on the plan attached to this permit or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--Pole anchors, anchors, braces or other construction vill be permitted within right-of-way or easementa and will be approved on a case by case basis. 11. Driving Limitations. a. Driving or parking on City trails oz sidewalks shall only be permitted for thoae operatians requizing direct access to the boulevard area. b. Vehicles operating or parked within the right-of-way area shall utilize their warning flashers at all times. ' c. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles per hour. Vehicles shall operate at alower speeds vhen veather conditions, trail conditions, poor visibility, obstructed sightlines or other conditions require special precautions to ensure the safety of trail users and the general public. d. Driving shall not be permitted within those boulevard areas where damage to turf trailways or other infrastructure may occur. e. Vehicles shall not be parked on trails or aidewalks in auch a manner as to unnecessarily impede the safe and efficient use of trailways by the general public. Permit No. Page 4 of 5 { 12. Vehicles or equipment traversing roads or trailvay aurfaces shall not utilize atudded or chained tires, caterpillar traction, or any other form of traction which will result in damage to the surface. ? 13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean et the end of each work day and swept clean after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to control or destroy trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGULATIONS as stated above and relevant City Ordinances. DATE: SIGNED: Revised 5/93 LTS#1-PERMIT.FM 2.1?- 43.W ??? ---,-_ y. ?as•¢ _ _ _ _ o ? rL S p?a ? ? rrS6K 4(' ? 3 ? ; % o..-?opsc .o ? /. .. ?oa ?. ?'' _ •- ? " ' _ ??•?I o i ? f.w. ?.. ? , j?! ?.-,- 1 ?, - ....... :__ • ? ?- - `?•. i ,f ? ? Y ???L??' ?'.. ?? v ? `iNTrp}h;` y 9 I? 1 1`,\ - . •: ??j,a?0, i; y ': • . . .. .. ,, -?1,•. , ? . . ? : "' - - ."' 4.: . • :Q _ /j._....,'ti . + ,..? --- N ,• ?, , ?'.L?_.-?'? ,r ?•???e h+. Y.S tl? y , • R+, i , . 6n1 S? a• ? ? ?N , ? ? ? , . i R'p, ? r. 1. ` ' ?f°? ° • . . . , ' ? 1? . . : !y 9 nr E?u? 10 , . _ Y? . ? y1hV i ? r „' , • ? ? ?4=^' . ?' • ``' " fl a° ??? ''' cC'?`O\?` 01 .?aoao Oenotes Exi.ting cl;;?ai?or? , PROPO$,ED HQUSE ELEVA710N .?oo- Denotss Proposed Elevutio.-? Lowest Floor Elavation:926.65 Denotes Orvinage & Utility Eusement Top of Block Elevatlon:934.76 Denotvs Dr?inoge F'iu?v Direction Gorage Slob Elevation:9a.43 _.o-- Denotcs Mo7ument _? Denvies Offset Hub e-orings shown are assumed LOT 2, BLOCK 3 HAW1I"HORNp WOODS DAKOTh .^.OLI;?7Y, IL)N?lE$OTA I S T m ? p6011te(44 10ntl Surwyor 1 Mr?Y eaRily,ihal lhia lurveY. Plnn oi .P?rt ?a Drcp:red bY m? o, P.D. iD?. WWfr tb? lam ol lF? Sutr ol tdi?ne;om. D'+??d ??i; ?Yi- daY ol? ?f TZ9JI_*20V ?.. f2-,)•Z -TO zoos RESIDENTIAL BUILDING rEU?MT ArrLicaTzoN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstNdion Reouiremenfs 3 registered sfle surveys showing sq. t4 of iot sq. ft of house; and ali roofed areas (ZO°/ maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan'rf lot platted aRer 711193 Rim doist De}ail Opfions seleclion sheet (buildings wilh 3 orless un'rfs) Minnegasco mechaninl venfilation form RemodeVRepa'rc Reouirements 2 copies of plan showing footings, beams, joisfs 1 set of Energy Calculations for heafed addi6ons 7 sife survey for addAions & decks AddAion - indicate ilon-srfe sepOc sysfem # °7D ?m 9ffce'-UseOnlv Gert,o3S!In+e,qAe69, ';:`; ? _ t` _.d_ N ?ree.P-reSPlanl2ecd_??': _Y?-_;iJ Onsite Seytio S??`sferti =: I fa4.. Date?/ 06 ConstructionCost Site Address 4-</S Z?Zl(7fi Unit/Ste # f Description of Work r7LSd4, 567-77' Multi-Family Bldg _ Y _VI'N Fireplace(s) _ 0?1 _ 2 Property Owner Tele hone #(? j1) 6/ - rt l-ZZ Contractor Address City State Zip Telephone'# ' COMPLETE TH1S AREA OPILY IF CONSTRUCTING A PIEW BUILDING - Minnesota Rnles 7670 Cateeorv 1 _ Mmnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (1 submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Edgan issued a permit for a similar plan based on a master pldn? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor 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. M A RJZ- (?ro;N Applicant's Printed Name ApplSignature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? Ot Foundation ? 07 05-plex ? 02 SF Dwelling ? OB 06-plex ? 03 01 of_plex ? 09 07-plex ? 04 02-plex ? TO DB-plex ? OS 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Tvpes ? 31 New ? 32 Addition "V 33 Alteration ? 34 Replacement ? 13 16-plex ? 76 Fireplace O 17 Garage ? 16 Deck T 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screeNgazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding O 36 Move Building ? 42 Demofish Foundation ? 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors `Demolitlon (Entire Bldg) - Give PCA handout to applicant DCSCripflOlt: WaterDamage_Yes Valuation ?L o o U Plan Review 100% or 25°/a Census Code SAC Units / # of Units D # of Bidgs _L Type of Const 3"- '?? _ Footings (new bldg) _ Footings(deck) _ Footings(addition) Foundarion Drain Tile Roof Ice & Water Final ? Framing - _A Fireplace _ R.I. _ Air Test _ Final ? Insulation Occupancy A - 3 MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Ait - SF ? 36 Multi Misc. a _ Sheetrock FinallC.O. FiaallNo C.O. Y HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stoae Lath ,Brick _ Windows _ Retaining Wall p ?- D <v Approved By: Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W PeRnit & Surcharge Treatrnent Plant License Search Copies Other Total 75aO?? zaas RESIDENTIAL PLUMBING PERmiT aaPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Piease complete for modifications to existing residential dwellings. 1_0.16D ? Date q I /$ 1 0(0 Site Street Address 65?5? ?u(tr?.. J,L4,2 ?? J Unit # ? Property Owner Nat? Telephone #(6,s/ ) 681- 0823 rl' Contractor YY1 rt@ 1.1 ? ?/ n n Telephone #(65/) 4a5• s','(30 Address City State?_ Zip The Applicant is: _ Owner ?Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-6uilt $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. If you are insialling onlv a wafer softener and/or water heafer, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment Water Turnaround (add $130.00 if a 5!8" meter is required) ?Other: ? ?AL6 - Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair rebuild $ 30.00 State Surcharge ' 1 . FP ? Q 7 (? ?i $ 50 Total g So 3a I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that tfie 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. Efayne lv? • l.u.k.o?%c.z_ ?L...? ,?..,?,.? Appli anYs Printed Name Appli nPs 5 at re 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwelhngs & townhomes/wndos when permits are required for each uni[ ,,?, sD Date 7 / z t? l a??7 Site Address Unit # PropertyOwner /?'1R2,? l?pjti Telephone#(lS / ) loS{-OSa3 Contractor oe gQc,,Q rzld4C Street Address /3/O T2E'?7"o?- 7"2 City State Zip 3 Telep6one # ( lot % Bond #: 0 51 (D ? 93 Expires: ? Z 0(7 P The Applicant is _ Owner I/ Contractor _ Other Fire repair (replace 6urned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace _Additional ?! Replacement _ New air exchanger ? air conditioner heat pump other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is wmplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. "60A' Bo ca r ?c?` ApplicanYs Printed Name Applicant's Signature r - \ .. . '\ ? ? ? * pI0NEER uNn_auavtyOns . --- * o1'Iglf°1E.'e1'iQ99 !nHO vuNweRS'• LAn * 4 * * 2422 EnterprIS¢ Drive MendOta li¢iqbl5, MN 55120 612) 881-1914•Fax 681-9468 625 H(ghway 10 Nortkeost Bioine, MN 55434 612) 783-78B0•Fax 783-1883 Certificate of 5urvey for: FdgCll HomesL_ Inc. Housc; Address: Fiackmore DrEve,_Eayan, MIJ S 70'28`46" 43.21 w 933 s' _"?*..----- -- ? ? ? ?^. r' ? r i q13f / i . ? \\ \ ? 11 R. '` ? BY ? IERIGS F.u_. D I7EP'I' ? ?D e 4 Q51 ? + ,. \ /+3 o Q x ??'p • Qg 19" Ly, s' \\ t 'S6e??pCP.y`? t p Vp? . °A, 't. ?.`• 4' r Y ?, O?'; $ \ Cf`? . • / ,• .,. ' ? ? a , eoo.o Genotes Existing rlevation Denotes Proposed Elevutian --- Deno,es Drriinage & Utility Eosement Denotes Draindge Flow Directlon --0- Denotcs Mo.nument ti at?" --s- Uenotes Offset Hub eearings shown are ?i. l ? ? q32'I i / i i i 2,6 rD? o % ?G ? . PROPOSED HOUSE ELEVA710N Lowest Floor Elevation:926.65 Top of Block Elevation:934.76 Gorage Slab Elevatlon:934.43 assumed LOT 2_, BLOCK 3 HAWTHORNE WOODS DAKOTA CUUkTY, N{NNE$pTA 1 S T A D D I TI 0 N 1 he,'.by cr,nily rh, t thi: aurvey, plnn or report vias p.¢parM bv m or u an a am u Y Reguteretl 1,-0ntl Surveyor undBr th8 laxs nf the State of P.Annesota. Dated !his - .1-? day of TZEJ?x'=a 6 ..i2.-O1'L "t0 SlluW g+Ut-Yi caLC-'v f • ,? 4- q ? I P "1 I ? nr,h _ ? ? /? eet ?-? ..,..... ,,. ÿ ÿþ þýý üûüû úýýùø ÷öõ þ þýö ýüûúùø ó üúùø ÷ ö÷õøô øü ó ü óòòîüøù ñÿ ýðü ï ôø íô ô ðü ô û ô ìë ÿøÿ þë ë ôÿ ý øìóë ë øë ì ó ûôê ðü ûù ÿëôù ô ì ïèçèææìæìòæ ôú ýü ÿ éüèçèìåìå éüþì óò öñð øø ü ó üä ã æáåùââòô ÿäö àáßâæòòâòá ûùÿ í øø ë ô ÿ ôøù øøûý ëä ýü óùë ÿî ì øø÷ ôýÿü üùýÿü PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA106887 Date Issued:09/14/2012 Permit Category:ePermit Site Address: 645 Hackmore Dr Lot:2 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-020 Use: Description: Sub Type:e - Furnace Work Type:New Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Beth Janohosky 207 150th Street W. 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 - Mark Goin 645 Hackmore Dr Eagan MN 55123 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature s 2 g0 cn Z W V% Q ® v' CC I- CD 0 5 E idui La' a‘. a CC "0 • --1 rr U) L Q Q G I-- U) • ti p !� O w '� U)0 o co =. 3 �3 L� ©3 3 0 D W 0 F- r.„, O 11-1 Z W 0 CC 0 U- OLI-Z}- Q %a CI 0 �0 d ZCL'�J k 0W¢W •"- 0 (W oroLLL W r cc BUILDING INSPECTIONS DEPT. 11101 Clly of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: l ' - Date Received: Staff: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1S0-Sii 6- Site Address: b J6 ACg McPe- biz Unit #: Name. MAN_ t 2._AR)di\K �60Ii3�� Address/City/Zip: 1046.—FA0.Ael& b - Applicant is: Owner Contractor Resident/ Owner Contractor Phone: J Description of work: RepLAee. Q i lCR-- 12E51C lAl ° fv1 '3+CC.-t 1(4.01)9 Construction Cost: Q Multi -Family Building: (Yes / NoX ) Company: MA CQAA124, I�UtLck S, I44, Contact: LtTret I Address: 11401,_ 42A%)€. k City: Neu) "i"x M lV Zip: 55M2 7 Phone:1 " 633 thmaii:"iyte51611t.5 30,13 Es �toeitb ee. State: A�� Wt. License #: ) of t h Lead Certificate #: .JAt` 1!o`3 1,=.6 —1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651)454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www .gopherstateonecall.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 t be completed within 180 days of permit issuance. x \f PA x Applicant's Punted Name Applica is Sign - ure Page 1 of 3 Sep.08.2016 15:50 Hessian Plumbing Services 6516818306 Ctty of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (851) 675-5675 Fax: (651) 675.5694 6 w nom— v h' f '42j- fb f PAGE. 1/ 1 Use BLUE or BLACK Ink For Office Use Permit*: 1:-YtC(p: Permit Fee: Date Received: Staff: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: " PI 4 Site Address: (., 4q S H r e K r.., rt. 4r; 41 Tenant R@SldentlOWnor _.. veauago sr. Name: % r 11 (....0v ; ''1 Phone: G:$ -J./ 2 "'7 8-1 6' ? / Address / City / Zip: La 9 3* )54% c N v, Q f`t 0 /) W. Contractor ',• Type: f,Work'.: „• Prfllt�t'Tp@.. u . , .", •,,.,.....,....,.; •, ,,,6ii,..,.._,.uw RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing Fixtures, *Water Turnaround $115.00 Septic System Name: M e S'P i o r‘ I))th j S A r� ? Cc." License #: P c (04/ 9 3 5 d' Address: P 0. -2 / 1 e"•— City: c. q 3 oh Stale: i''1/1 i1'i' Zip: S S f 12 Phone: (' S / — (o cr)8 L S 2, Contact: ��'yy,, c,. e /.,,,.Sir • c t �� Email: rti %• We U �9 e !' 1 i .. .. 1 _ New _ Replacement Repair Rebuild odify Space Work in R.O.W. _ _ Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ 1 PVB) ..._. Water Softener Add Plumbing Fixtures (r Main/Lower level Septic System) _ New —Abandonment Water Tumaround Water Softener, or Water Heater and Softener (includes State Surcharge) Tumaround* (includes State Surcharge) TOTAL. FEES $ 6,0 • aJ (includes State Surcharge) Septic System Abandonment, Water (add $280:00 if a 3/4" meter is required) New (includes County fee:and State Surcharge) CALL BEFOR§ YOU DIG. Call Gopher State One Call at (651)4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.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 wilt be in accordance with the approved plan in the case of work which requires a review and approval of plans. :2Applicant's Printed Name x I' A 2-4 -j:71— Applicants Signature OFFICE Ret wired •Inspoctlona • . ` . Under Grouni 'Reviewed By: _ '' Date: •', Rough -In Air Test • Gas Teat',.; ... " 'Final eter Related Items.: ;Meter Size .. • RBdio',Read _; Manometer CityofEaaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 SSP %'1916 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 4-6l CPI 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: C5"--CiYlGe..4-2-• )2P- Unit #: Resident/ ©Winer Name: M,C. ;--.&).011Phone: 676-/ Kiii bgiz-3 �° Address / City / Zip: c 7' HA 4S,, - - 1,, -i V Li Applicant is: l_VOwner Contractor Type refC Description of work: 1. JI ,%1i'Y3 -17 L../...._.. Construction Cost: Multi -Family Building: (Yes / No ) ontracto Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: If...A In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE flans end suPe rn hoc gents thatbus y �f a� �® i informatio►a l ort'Ons of the information ma, Abe classified as non public iftrdu pro tide specific reasons that would .n u nnlde h '..xat #hey are tradeecre#s. 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.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 Binding Code must be completed within 180 days ofpermitissuance. x / �L7e 6, Applicant's Printed Name x Applicant's Si§nature Page 1 of 3 DO NOT WRITE BELOW THIS LINE t 35v0(0 SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of _ Plex Lower Level WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code #of Units # of Buildings Type of Construction Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water Final Framing 30 Minutes 1 Hour Fireplace: Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Siding Reroof Windows Egress Window *Demolition of entire building Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings _Air/Gas Tests Final Drain Tile Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall: Footings Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174088 Date Issued:12/23/2021 Permit Category:ePermit Site Address: 645 Hackmore Dr Lot:2 Block: 3 Addition: Hawthorne Woods 1st PID:10-32150-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Tankless Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ashley Jean Parker 645 Hackmore Dr Eagan MN 55123 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature