720 Hackmore DrCITY OF EAGAN 10$ Q9
, 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
` PHONE: 4548100 ?
BUILDING PERMIT Reuipr # -
To MaskeA faa SF .% r1ti1':TZ Esf. Velue ??' ?l ?()(? ?! r,,, p _%lil?US`' 21 1 Q i: ?
Site Address ' 2 0 =U?C:I'."- °:1 c? E DR
Lot r Block Sec/Sub. izi.??-
Parcel No.
W
?
?
Ou
u
F
Name ' ",CSS CONST
- ---- ,. . TH
C ity
Name _
Address
Phone
Erect )kJ Occupency
Remodel ? 2oning
Repair ? Type of Const. ?
Addition ? No. Stwies
Move ? Lengtn 3
Demdish ? Oepth ;
Int Impc ? Sq. Ft.
Install ?
Appeavah hes
U ?'
` '
Asussmen t Permit •°
-
Water b Sew. Surcharqe 25- V O
Police Plan Review 141.50
r_ - L n
Name Fire SAC Q
Address Enp. Water Conn. ' t n
City Phone Plonner Water Meter
I hereby ocknowledfls thot I how read this oi
the informotion is eorrect ond ogree to cor
Stote of Minnesoto Statutes and City of Ec
Sipnotum of Pertnittee
A Buildinq Permit Is Issued fo:
oll work shall be donw in aCOOrdonoe with ol
Buildirg Offidal
Council Road UnR z '? U.0 U
and stcte that Bldg. Off. `; 3 Tr. PI. ???o r)
all applicable
wntes APC Parks
.
Var. Date Copies
Total
on the exproaf candttlon tho+
le Stote of Minnesota Statutes ond City of Eegon Ordinonces.
Pormk No. Pormk Hddor Dob TeIsphons ?k
rlun,nNw CC) 1 L; `?- 3-?? 5° 2 - c, vs -
H.VA.C.
eleav?c
SoTtwor
Irqpeetion Date Insp. Other
Footinga I ?;? Z I
Footings 11
Foundatfon
Freming
Roofing
Rouqh Pibp.
Rouyh Hty.
Insul.
Flreplaer
Final Htg.
Final weg. (J.
Floal 72 -g??
Csrt/Occ.
W?cribe Location:
L
DI*P.
Reaipt ? MECHANICAL PERMIT Permit No.
CITY OF EAGAN
_ FN "
Fill in numbered rpecss S/C
Type or Pr/nr /egiWy Tot i
/ i
1. Date 2. Installetion Cost
/
3. JobAddress Lot?Bik. Tract ??"
? .
4. Owner
5. Conusctor Phone
8. Address ? " -_ l ?' ; •?
7. City State 2ip
8. Building Type: Residential O Commercial ? Institutional O
9. Work Description: New ? Add 0 Alter 11 Repair ?
1 10. Destxibe Fuel Type
I 11.
No. EqujpmCpi 8TU - M. Ea.
Forpd Air No. Enuiament CFM
Air Handling:
Mfg. .
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mf9•
Air Cond. Other
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ' - for
Rouqh Final
Inspections: Date Insp. Oate Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Prini legib/y
Permit No. _ n
Fee
S/C
Tot
I
1. Date 2. Installation Cost I
3. Job Address ? LotBlk. Tract
4. Owner
5. Contractor - Phone
6. Address
7. City State • ; Zip " -
8. Building Type: Residential 13 Commercial O Institutional O
9. Work Description: New O Add ? Alter ? Repair El
I 10. Describe
1 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen 5ink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ` - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
r:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MPi 55121 DATE:
Zonir+0: No. of Un1ts: -
f OYNtbr; C:CsCk-rl. ?
Address:
Site Add
Plumber.
I .,m te eemPy wilh K. ckq ef Gse.
Orawewon.
BY -
Dcte
of Insp.:
c«??«? a?o.:
AcoourM Deposit:
Per?nit Fee:
l, ..
?-`?. ??`? •,
Surchorpe: ' ?.,A
Miac. CFwroes:
Total:
Dote Pabd:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, A,iN 55121 DATE:
Zoniny: - No. of Units:
Owner, .
j Add?eas:
i Site llddren: ? - 9cc •I"E:9 D;
? Plumber: - ' Q Ci+:? "'' 4?9?3
? Meter No.:
Sirme -
Readsr No.:
1s!m 1he oomoly wili N» ctry of Emmn
Onomonaa.
8v -
Dote of I nsp.:
Conneetion Chmfle:
Nccourn Deposit; _
Pertnit Fee:
SurcFwrge:
Mlac. CFwryges:
Totol: . •
Dote Poid:
ITY OF EAGAN WATER SERVICE PERMIT '
0 Pilot Knob Road
. O. Bor.. 21198 °PERMlT NQ.:
agan, 11lIN 55121 , DATE:
Zanlnp: _ No. of Unitsi
I:
I
Awdd
I Site Adt!?lss:
- ?
Plumber:
Mstar N,
Stu: 10?
i 1 qm Iv aess* wiA !Iw City of Ggan
' Oaiw?
By
Dote of Inap.:
e-5
Connection ChOrge: _. ., " .
Acoount Depostt: _ ; .
?, .
Permit Fee:
Surcharye:
Mlac. Charges: Total: . . ,
Date Paid:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
??cjC, I 3830 PILOT KNOB RD - 55122
O l 5° 651-681-4675 C) /
New Construction Reaulrements RemodeVRewir ReauiremeMS f
• 3 registered site surveys slwwing sq. R. of lot, sq. ft. of house; and all roofed ereas • 2 copies oi plan
(20% mazimum lot coverage allowed) • 1 set of Energy CalculaUons for healed additions
• 2 copies of plan showing beam & window saes; poured (ound tlesign, etc.) . 1 site survey for exterior additions & decks
. 1 set of Energy Calcula6orts . Indicale'rf home served by septic system for addiCwns
• 3 copies of Tree Preservation Plan'rf lot platted after 711/93
• Rim Joist Delall Options selectbn sheel (bldgs with 3 ar less uniGa)
DATE b1 VALUATION --
JOBSITEADDRESS 700 W,.c,Krv,o-(P, Ur kam,,,,r,
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF WORK_ tQc,?-o'Cf '.', rp,moi'' FIREPLACE(S) _ 0_ 1_ 2
APPUCANT R.nS-YcA Lor-Y rv. r?; 0 Yl PHONE# 651- 11?%a -0c)
ADDRESS
PAGER #
CODE 55 i 1:)
PHONE# Co 5 I 'atl :? FAX# G51 -"Iqo ^1c1aS
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
PlumUing System Includes:
Mechanical Conhactor.
Mechanical System Includes:
Sewer/Water Contractor:
_ Water Softener _
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
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 Ordinances.
-;
Slgnature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Receive Not Required _
Updated 1101
Phone #:
Lawn Sprinkler Fee:
No. of R.I. Baths
Phone #
_ Phone #
$90.00
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
? 05 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Demolitlon (Entire Bidg 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 Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final Other
Fr?B _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Smcco Stone
Insulation _ Windows (new/replacement)
Approved By
Buiiding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
?. Z?-
FinaUC.O.
_
_ FinaUNo C.O.
_ Plumbing
HVAC
CITY OF EAGAN Remarks
Addition HAEG 1ST ADDN. Lot 4 Rlk_
Owner Street 720 Hackmore Drive
01
Improvement Date Aniourit Annuai Years Payment Receipt Date
STREETSURF, 981 602.00 30.10 20 1/5/. -/O 07 /O'ffd'S
STREET RES70R. 1981 25 5• dfl 12 • 75 20 / -?- .
GRADING
.s`f` e /O 70 7 / - e-b'S
SAN SEW TRUNK -?f'- 1981 20 , a5 0 O
SEWER LATERAL 1 4 5,5 a-50 C- 1O O
WATERMAIN
WATER LATERAL -7 530-O D ,39 , G -/O 70 /04-
WATER AREA /,d S -/ a - -c?5
STORMSEWTRK 1986 123.20 5 1 7
6, 15,9 C-/07O U'?4S
STORM SEW LAT 1
CURB & GUTTER '
SIDEWALK ,
STREET LIGHT
Road
WATER CONN.
BUILDING PER. 10849 '
sac 525.00
PARK
1
CITY OF EAGAN N2
3830 P?Y'ot Knoti Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT keceipt #
Te M wed fa SF DWG/GAR Est. Volue $50,000 pate AUGUST 21
SiteAddress 720 HACKMORE DR
Lot 4_ Block 1 Sec/Sub. HAEG 1ST ADD
Parcel No.
Name BARSNESS CONST
2 Address 7614 165TH
b City LAKEVILLE phone 431-1240
to Name SAME
?? Address
" City Phone
?!!!s Name
City
Phone
1 hereby acknowledge thut I hove read this oppliconon ond state ihat
fhe 7nbrmation Is correct and ogree ro tomplyyyth all applicnble
Stote o4 Mmnesota StotuteLyqd"City qLJEagod4fdinances.
Sipnotum of Pertniftee
J BARSf
A Building Permil is iuued to:
all work sholl be done in accordo e all
Buildinp Ofliciot
10849
85
Erect R7 occuvancv R3
Remodel ? 2oning RI
Repair ? Type of Conat, V
Addition ? No. Stories
Move ? Length 3$
Demolish ? Depth 43
Int Impr. ? Sq. Ft.
Install ?
Approvelf iaes
Assessment Permit $ 283: 00
WaterBSew. Surcharge 25.00
Police PlanReview 141.50
Fira SAC 525.00
Enq. WaterConn. 500.00
Plonner WaterMeter 63.00
Council Road Unit 280.00
BIdg.Off. $ I9/8S Tr.PI. 132.00
APC Parks
Var. Date Copies
rotal $1,949.50
[ON
an the expreu condition Ihoi
wfa Sfatutes ond City of Eoqan Ordinonces.
This request voud 553?7 /? Rll" l??
18 monchs from
° 0 O L??l ? 4 ?,, 2.
Ren?est ate
- ?? Fire No. Rouuh-in InsO r.bon
P qarteA?
?Heatly Nuw??J?h'ill Noufv Inspoc-
???S e? ?NO Ib When Reatlv
?
icensad Eleclncal ConVac[or I hereby requast inspectron of above
? Owner elechical work instailad at
Street Add!r,ess. Boz or flaute No. ?
I r Gty
Zl7 (J , ?//•' ^^?Ce'?/
i .'i^/' ?iL??="?-?..
actwn o. 10wnshl0 Name or No. ange No. Counjry?
L/!-r Z, k
OccupantlPRINTI Phane No.
Power $upPber ??-- Atldres?s!
?
-
i
-
Electnqal ConVacmr ICOmpa?nV Ndmel .,
"
'
' o?ntractor's Lic/ense No.
'??%
/ ?.f
!
.?
Maihng A Jress ICOnVactor or Owner Makmg Installavo)rY,
//
?
, /
F ?
? 4'? .,F?? ? /
/?????
/ ?'
AuMonzed?ignamre ?Contractor Ow er aki B Installdtionl -- Phon N
umber
?c
,/??!" i L/.' // ?'Pi? /G' ? i•- '
MINNESOTA STqTE BO/,YND OF ELECTRICITY ? THIS INSPECTION REQUEST WILL NOT
GriB9s-Mitlway Bldg. f Hoom N•791 BE ACCEPTED BY THE STATE BOARD
1821 Umversity Ave., St. Peul, MN 56104 UNLESS PROPEfl INSPECTION FEE IS
Phona (612) 28]-2ti1 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION ^/EB-,?/a00001-0-0
See instruetiona tor complehng this-farm on beck of yellow co v.
?
FAR "w/w?
7R '"X'" Below Work-Covered by Thls Request v ?
keV tl Nep. • TYUa o1 Bmltlmg AoPbences Wired EquiDment Wh,ed
Home Range Temporary Service
Duplex Water Heater Lightin, Fixtures
Apt. Building
, Dryer Electnc HeaLn
Commercial Bldg. Fumace Silo Unloader
Industnal Bldg. Air Conditioner Bulk Milk Tank
Farm ONer oeci y Dther l5nocifyi
ther, ueufy fher Other
ComPUte lnsoection Fee Below
N foe ServieeEntranceSae fl Fee feedars/5ubfeeAers d Fee Circwts
-' 0 to 200 qm s 0 to 30 Am s to 30 Am
Above 200 qmn 31 to 100 qmps / s 31 to 100 A s
Swimming Pool Above 700 Am s Above 100_AmVs
Transtormers trngatio oms ? .Pdrtial'Other Fee
Signs SUecial Inspection 5
TOTAL fEE?
flemarks
j
/
Foueh-m #
; Ispcoq hareby
rUfy that the bove
F.ndl
r rt
e
has baen
de.
mis reQuest voitl 18 moniRS irom
l , ///1 ? . _1
V
7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL COlITRACTORS NUST BE LICENSED WITH THE GITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: ?}?JG Valuation: -99uu?r- Date: ,?j y$5
Site Address: /?0 '?AGr?MOR£ ?? OFFICE USE ONLY
Lot: -7 Block ? Sect/Sub ? E ?; ?Jce,,`eet }? Occupancy
Remodel
Parcel It Repair
/? Enlarge
Owner ?/7u/A,(J ??,Dl1j/Gff /"/?? Move
Demolish
Address Grade
Zoning 2-(
Type of Const ?7--
IF of Stories
Length ?g
Depth 43
Sq Ft
City/Zip Code
Phone
Contractor
Address 7?
City/Zip Code
Phone
APPROVALS
Assessments Permit 283 -
Water/Sewer Surcharge 2 5,°=
Police Plan Review
Fire SAC 525.=
Engr Water Conn
Planner Water Meter l93_°?
Council Road Unit 2FO, °°
Bldg Offe'-11-? Parks
APC Treatment Pl
Variance TOTAL g
Arch.lEngr.
Address
City/2ip Code
Phone 0
'LZx 3b = °`3Co ?-- 54- `
Zo ?,2 ' 2? : , 44 D n 11
-
,?SS l 44-
q?'j jO
41?71 (54-
TR i- LAND, CO.
SURVEYIIV G SITE PLA!•d
SERVICES
EAGAN, MINNESOTA 55122
- ---?- - -
T5tHACKM0RF_ DRIvE
? N
S84°46'a5" W S
\
a Ix?. 03
No yp I
- -? l0
__?CALE: I"=30"
? I
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, -, q I
.:
{ ?
. I _
7 \02
W
0
HOUSE I V.
Vl
H
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T
M I
o 38' z ?
?
N r
I
I +
i
? Q
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4
f
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i ;
v J
5 ?-?-- ---- --1 io
h !!S•37 ? Q
?p3 t S 89°46'OS" W
CEG}CL MMPT lQN ?
LOT y, _$LOCK--1 -
I1AEG FJRSTJIQD1Tl9.N
N0Ig:._yER1FY__ALL_fLQQA_.HEIGHTS WITH
FIMAL HOUSE .PLAN.S_..
i riereby certify ttiat tnis survey, pdan
or report was prepared by me or urider
my direct supervisaon and tiiat 1 an a
duly Registered Land Surueyor underl tiie
Laws ot` the State o'r i'ISnneFoi:a.
kEY :
104x00 DENOTES_EXl5T1NG SVOT ELEWTIDN
(1QO.pO) _.DENQT,ES _PRDP95ED SPQT -.ELEYATIQN
_Ic-' -.DENOF£5 DRAINAf+?.._Nt?F.GSlRN.,.---.
J92•00 ._Q9,QP04E0 GANBGE_.FLA0.8_.El.EVATI0N
--.-.PROPOS?
(ZpppgEp D .FJl45T_.,Pl.QDR. E1.B![AZJ9N
_Q gASeMENr FLooR ELFVATION
6radie F Srrerison P4n. Reg. No. 15235
Uate: aizlef
COMMERCIAL BUILDING ENVELOPE REQUIREMENTS
Gomponent Performance Approach
BUILDING ADDRESS
'"1 ER
FpRM B
3/34
TE % ?D -,S 1-'"
CONTRACTOR
MINIMUM BUDGET
l. .Total exposed wall area
2. Total roof/ceiling/averhang area
3. Total unheated flaor area
(5- f Z sq.ft. X
sq.ft. X
sq.ft. X
A. PROPOSED WALL SEGNENT
a. Total wall window area
b. Total door area
c. Total sliding glass door area
d. Total fireplace wall area
-70 sq.ft. X "U"
4,? sq.ft. X "U"
7-? sq.ft. z "u'l
sq.ft. X "U"
.34 = v?3, 1T&
??`? = y/ 7h
-o-- ? .c--?
e. Total wall framing area (avg.15%) sq.ft. X "U" _2 6,Ig
f. Total net wall area above floor /a Dv sq.ft. X "U"
g. Total rim joist area Y6 sq.ft. X "U"
n. Totat foun dation window area sq.ft. X "U"
i. Total net foundation area above grade 30 sq.ft. 7( "U" *y7 = a- %s
TOTAL /vrS?
{If Item A is same as or less than Item #1, you have met the intent of Code
B. PROPOSED ROOF/CEILING/OVERHANG SEGMENT
j. Tatal skylight area -?--_sq.ft. X"U"
k. Total roof/ceiling framing area ?sq.ft. X"U"
(avg. 10%)
t. Total net insu]ated roof/ceiling area sq.ft. X"U"
m. Total overhang area 74 sq.ft. X"U"
TOTAL
(If Item 8 is same as or less than Item N2, you have met the intent of Code
C. PROPOSED UNHEATED FLOOR SEGMENT
n. Total unheated floor area sq.ft. X"U" _
TOTAL
;If Item C is same as or less than Item #3, you have met the intent of Code
(continued on reverse side)
nL iLnnniL uulWllIu CIYYCIVPC UC31UIV
To utilize the total envelope system method, the values established by the sum of
Items A, B, and C, shall not be greated than the sum of Items #1, 2, and 3.
Item #1 + Item #2 + Item #3 =
Item A + Item g + Item C =
Based on Building Classification:
Buildings other than Residential Buildings L 3 Stories
Buildings other than Residential Buildings ?;P3 Stories
CITY OF ROCHESTER, MN: Degree Days - 8277 Latitude - 44° North
TABLE N0. 5-21
ELEMENT MODE YALUE
Heating Uo = 0.233
3 stories or less Cooling OTTVw = 34.61
Cooling SF**= 131.50
Walls
Heating
Uo =
0.280
Over 3 stories Cooling OTTVw = 34.61
Cooling SF 131.50
Roof/Ceilin
2 Heating or cooling Uo = 0.06
g Cooling OTTUR = 8.5
Floors over unheated spades Heating or cooling Uo = 0.08
Heated3 slab on grade Heating or cooling R value =8.78
Unheated4 slab on grade Heating or cooling R value =6.48
FFar = soiar tactor
1 Values shall be determined by using the graphs (Figures Nos. 3,4,5,6, and 7) contained
in Chapter 7(based on Standard R5-9) using heating degrees days as specified in
Section 302.
ZThe overall thermal transfer value OTTVR for roofs(?ceilings of buildings that are
mechanically cooled shall not exceed 8.5 Btu/h ft..
3There are no insulation requirements for heated slabs in locations having less than
500 heating degree days.
4There are no insulation requirements for unheated slabs in locations having less
than 2500 heating degree days.
*502.2.1.6 Foundation Walls. If floors are not insulated as required in Section 502,
the basement or crawl space walls must be insulated. Either the thermal resistance (R)
of the entire waTl must De not less than R-5, or the thermal resistance (R) of the wall
must be not less than R-10 down to the design frost line.
NOTE: Vapor barrier is a material to retard air 2nd water vapor passage with a
maximum perm rating of 0.1 grain per haur per ft per inch Hg pressure differential.
? --
,, ?
C
2/84
d
CITY Or EAGAN
?
,t?lu
APPLICATIGN FOR PFR'r1IT
SE1,1ER AND/OR WATER COiVVECTZON
(PLEASE AFIHi)
1) PP.OF= ACDRrSS: L)_ d"l Ca C G? (Y11? a P ??
(Ij0tBlock/SL.:aivisicn or Ta:c rarcel L.D. N=mer)
' IF -'_=:G SIT-i:=m; , D.aTE Oz' QiZTG.i:Tr.i, uiI7?^.1^.:G _-':iT ISS??tC::
P??.??:? ..^:.i. ?.Ci.`C? ?
0'(R-1 S= F;!=y ?=-' _- -_-
•
CI R-2 CU:= ("_'.•:J L^'.ITS)
? R-3 2C:,ti?:^*?S: + L":i^S) ! W. =^S)
? r-? [hc:..=:!`^•"^/CV_?,:.tn;r?,j ? Uiii:S)
? CCi•2-ffRC _.7./.^ti-.^y^uI.?C:
? ??cusr? i
?
Z) APPT7i:`7T (PLEADE 7RI;if)
IS?'•?' -c) Y?
3
A
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AD??.?'?.CJ:
_ C.y.._.?_rr S71i=?
PEKD`E : J
3) Fu:.a^R
NA"`'= ?PLEd?E rRlYi) FOR CITY USE 04LY
, i.ss: PLUN.9E ICEYSE:
A
ti
CITY, ST?.^_'F.', ZSP: o
(?.y-`z c
ve
Expired
PfiMM:
PLUNBER LILEYSE N??, Not f Record
' a ,ni;tal
41
I?1'e,t•tE: S ??-?F
aDnRFEs:
CT'='Y, ST?TE, ZIP: J??E ?'Yt ° c2 trl
PF:C? E :
5) ZNBiC1.ir. :;liZCH PEP.'•1IT IS BEING REQUESTI77:
? CC::?IEC;SON 'IO CITY SEYiER
? CC:"N=IC,I 'IO CITY UATEt
? U;HFR (PLF1'1SE DF.SC2IBE)
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DOES UTS;,ITY C0..2IEC:ION REQUZP.E EKC:.VaTION Z.7 PUB;7;C RZGHT OF WAY?
L Y°5 ZF YES, TH::: n"PERMIT FOR b7Q='K WIT:?-- N
PUBLIC ROADSv.-lY" MUST BE ISSGE= BY TEE
NO EDIGZ;VEERING DIVISION. LZST I,5 rl CONDI-
TZON. •
SCH.7ECT TO TFiE FOLLOWI:IG CONDITIC?:S:
APPROVED BY:
TI :':,E :
DAT_° :
. /
VETERANS AD STRATIDN, U.S.O.A. FARMEqS HOME ADMINIe kTION, AND
.
U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
. HOUSING - FEDERAL HOUSING COMMISSIONER
' For accurete cegister of carbon copies, form may be separated along a6ove
fold. Staple completed sheets together in original order.
? Proposed Construction DESCRIPTION OF MATERIALS No. -
(To be inserted by HUD, VA or Fmf1A)
p Under Construdion
, ? .
Properfy address Cify State
Mortgagor or Sponsor
Confractor or Builder
(Namr) (Addms)
" INSTRUCTIONS
1. For etltlitianal Informatlon on how thl¢lorm Is to ba submittetl, numbar requlred,- }flen tho minimum accaptabla will W eecumetl. Work exceetlinp
of eoples, eic., sea tha InsSruetions epplicabla to Me HUO Applicatfon for minimum requlrements cannot be considered uniess eclflcelly tleacribed.
?
Mortpege Insurenea, VA Reauest tor Decerminetion of Reasonable Value, or 4. Include no elternetea, "or equel" phresas, or
onttadietary Itams.
FmHA Property Informatlon antl Approlsal Report,-as the caze may be, (COnslderatlon of a requeat for acceptance of s4bsHmte meterlels br equlp-
2. Dexribe ell materials and equipment m be used, wha<her or not ahown ment Is nat thareby precluded.)
on the drawings, by merkinB en X in each appropriata chack-box antl entering 5. Inclutle signetures required et the entl of this form.
tha information ealled for eaeh spaee. If space is inadaQUate, entar "See mise:" 6. TYe eonstructlon shall be completed in eomplianee wlTh the reletetl
antl describe under item 27 or on en attechaG sheet. THE USE OF PAINT drewings and speciflcetions, as amentletl tluring proeessing. The speclflcetions
CONTAINING MORE THAN THE PERCENTAGE OF LEAD BV WEIGHT inclutle this Oescriptlan of Materlals entl the epplicable Minimum Proparty
PEqMITTEO BV LAW IS PRqH181TED. Stendards,
3. Work not epecificelly tlettribed or shown wlll not ba caneiEeratl unleas
1. EXCAVATION:
BWring wil, type clay
2. FOUNDATIONS:
Redi-Mix '
2500
'
Footings: concrcte miz
; strcngtfi \
Reinforcing
psi
Foundation wall: matenal concre 0 O \Reinforcing
Interior foundauon wall: material Pany foundation wall
Columne: matcrial and sius Picn: material and rcinfurcing ?
Girdera: maicrial and sizn S 0 e 0$i11 '' S U - Wa "Sills: 'malmal `
Basement entrance arcaway \Yindow arcaways ,
?Vacerproofing aspha w po 37 Fooling draim rain i e:
Termite protecuon
Bascmendeaa spaee: ground cover ; in,ul a[ion : foundation venu _
Special foundatiom
,. ? ., .
.
, _
,
.
? .
AAdifional information:
3. CHIMNEYS:
Matrrial Prefabricaled (mn/,r ond mg)
Flue lining: mat<rial Heater flue eize Fireplace flu< siu
Vems (maleriol and tiiej: gaa or al heater ; waler heater
Addiuonal in(ortnalion:
4. FIREPLACES:
Type: ? solid fuel; 0 gaf-burning; Q tirculator (makt and iiu) Ash dump and dunout
Firrplace: (acing lining ; hearth ; mantel
Addiliorml informaiion:
S. EXTERIOR WALLS:
16"o,c;. .
?-= 2x6
doors&win.
,
Wood Game: wwd, adc, and s cies
x
lt-rig
b ? Corner 6racing. Building pzper or fe4
ui
Shealhin
; thickness
width
maSOnlt
? OrZ ;? sp iaQ epaced "p. c.; 0 diagona ?
-
n???-
?_
l?
, rype
, ; grade
Siding ; ezposu
faslening
; size
e
$hingln ; gradt ; jype ; size ; exposure Grtening
?
Stucco . . , - . ; thickneas _?•,; Iach
weighl . 16.
Mawery veneer Sills Lintdi ? Bau flashing '
Masonry: ? aolid ? faced ? etuccoed; toul wall thicknrn '; tacing thi<knas facing material
Backup malerial ; thicknem °; bonding
Door sills Oak Window sills Plne Lintela Baae flaahing
Imerior surCaces: damppraofing, coals of ;(urring
Additional information:
Extcriur painting: material exterior 8t,2X ; number of coala
Gable wall mns[ructian: ? sam< as mam walb; E] othcr conslruction
6. FLOOR FRAMING: "'
16 lO
2X1O COT13t ].
fgh
l
d
d
i
i
.C,
ix3 8
' anehors2
brid
in
,,
cts: wow
, gra
e, an
Jo
spxc
es ;
g
g
4-'
1
Concrcte sla6: t basrment Pwr, ? firsl floor; 11 ground suppor[<d; ? sdGaupporting; miz 3000
; thicknas
rcin(orcing, inaulation ; membranC
RII under alab:matrrial' Sand thickness ? Additional in(ormation: -
7. SUBPLOORING: (Describe underfl94rin? for special Roors under item 21.)
AtalcriaL grad< and apcoes &P> oxboard , i,i,4X8 _tYpe BXt.
Laid: ff Frst floor; ? second Hoor;"? attic ' sy. fi.; b dagonal; ? right angla. Addiiional informatiom
8. flNISH FIOORING: (Wood only. Describe ofher finish flooring under ifem 21.)
LOC.TIOX ROONS GR,DL StECIFS TNICItVE55 WtDTH BLDG. P.QEP FIYI511
Fmt floor
Second Floor
Auic floor s(i. fi.
Additimal informatinn:
HUD-9200516-79) ? QESCRVION Of MATERIAl.S
VA I m111711 11110
Foim I:mHA 424-2
DESCRIPTION OF MATERIALS
9. PARi1TION FRAMING:
Studs: wood, grade, and specin COt1S'C. 2XX?1 ].(>?? O C,
aize and apacing . Other
Addnional informa[ion:
10. CEILING FRAMING:
Joisb: waod, grad<, and apecies COY1S'1', f lt' f'.T'USS
Dther Bridging
Additional infartnation:
11. ROOF FR/?MING:
Raftcn: wood, 8rade, and sPMm s C011St, fir t,TU3SBS 2?F" O , C ,
Roo( vussa (see detail): grade and specics
Additional information:
12. ROOFIN ? -
??: ? 'r 1cdx dePa group 1_nxboard
Sheathing: ?'gia , and specin2 ;E] wlid; 0 apacedo.c.
Roofing ?i"eTg1333 - ; grade -; size .?y? e sea
Underlay e S
; weight or dhickness ; size ; fastening ap es
' Built-up roofing I i number of plies ; iur(aung material .?
Flaahing: material c or wagh` ..
S 2T' er S Elj?? OO?s?? 8Qg ?? Sravel siopa; 0 snow guarda
Addi[ianal information: 0
13. GUiTERS AND DOWNSPOUTS:
CWters: mataial ' -' .• ? ) . ' ;,gage or wcight ; size ; sha
Pe
Downspouts: material ; gage or weight ; size ; ahape ; number
Dwvnspouu connrcted to: 0 Storm sewer, Q sanitary sewer; ? dry-well. 0 Splash blxks: mattrial and size
Additional infuririatiom f
14. U?TH AND PLASTER
L.aih ? walla, 0 ceilingr material ; weight or thickneu Plaster. coan _; finish
Dry-wall d walis, If ce;rng,: ma,«;,igypsum board ; ,h;ckmiW & p-,Jointtrcatmem t3DeC? With'? 1'?'^'s?a?'1S smooth ce?ling tex ;
__ . mud c6ats
15. DECORATING: (Paint, wallpcper, eh.)
ROON9 ?? J _ WALL FIHISH MATLRIIL ANO AYV4GTION CLILING FINISH MAT[RIw1, A-D APYLIC.TION I
Kitchen 2 coats ,was ableGlatex textured ,
Bath it n
Olhrr to u
npartional Worma[ion
16. INTERIOR DOORS AND TRIM:
Doorr type_ f7llCh }1011 OW OPP ; material Oflk : thicknesvl 3f8
Door trim: typc_T1T`1nCP.tOri ; material0 3}C ?
??: IYP? ; matcrial oak
si? ?
Finu6: doors C'?;ai p gl p`
vay?n ;
3 n
„h ; trim Bam.e
Other Irim (umi, rypr onJ lomhon)
-
Additional information:
». wwoows:
Windowr typt r.aCpmont ; makeSeM GO
; mamrialWOOd ; sash Ihi<knesl 1f$
Clasa: qraJe A ; Q saah weighls; [I balances, type ; head Oashing IDe .''1I
Trim: Iype CZflCl WOOd ; material Paint ; numbcr coaca
Weatheratripping: typcYr1Ct1021 ; material V1YlYl Siorm sash
number
SCrftN: E] fUll( Q hdlf; ff'PG ,
number ; screen cloth materal a1llID. '
Basemenl windows: t?pe ; m
1 i
i
' aterial ; xrans, number ; Storm sash, number
d
saciai winaows
S
a a io door w screen
Additional in(urmation:
18. ENTRANCES AND EXTERIOR DEfA1L:
Main enirance door: material" '$'t>e@l'
;
; width 3611 thickness ?_???4 Frame: material F1171@ ihickneg? r /,'
J
J
"
Other cntrance doon: material '-3tee1 ?
3/4
.
; width 32„ ? thiskheasi Frame: material 131Y10 ; (hicknessr/''
Hesd flazhing metal Wealherstripping: type ID3g, V1IIy1 ; saddles
Screen doon: thicknesi num6er ; urxn dolh material Storm Joors: thickness _"; numlxr
Com6inalion siorm and scrcrn dmn: lhickness _ "; numher__; screen cbth materul
Shuttert: ? hingtA; ? fixed. Railings
, Atuc louven
Ecterior millwork: gradc anJ speaes Paint ; numbcr coals
Additianal information:
19. CABINETS AND INTERIOP. DEfAIL:
Kilchen tabineb, wall unib: material Oak ; lineal @et ot shelves18 1_; shelf wid(h1 1
a..c unit:: material O'd}C _
; tounter top eaging formi ca
Batk and end eplath Formica Finish or cabineu factory
Medicine ubin<ts: makr ; nu,„n« coats
, model
Other rahinets and bwit-infumiwrtVanifi.y W/G marbl a op - plate glase mi 1^rnr
Additional informalion:
20. STAIRS:
Sr??x TR!\W AISE0.] SiiIN4! IIAVU0.i1L BLLI:STEk3
Mahnal Thickneu Maurial '1'hickneu Maierial Siu 1.1a?rrul Sitt Alao-rial Size
Batement arti al 1 ine 4 fir 2x12 fir
Main board " oak o k
n?ac
uiaappcanng: make aml modrl numbcr
Additional information: _
2
\
41. SPECIAI FLOORS AND WAINSCOT: n«,..;tio „. r;?ePa in Carliliail Prndurle n;.aPr,,.,,i
I?('wT10M MATtR1AL? C/JLOR? BOIID[l? SIilJ? GAGL? EIC. TNtPSNOLD
MnnxuL WALL BKO
MnTCRuL UNDE0.PLOOt
MAI'ERPL
g Kitchen sheet oods FHA a roved oak
8 satn
w
all ot er Car etedFHA a roved "
LocArton
MnrzauL, Cowa, Bowu, GP. Srsa, GAee, ETC.
}fewxr Huc
xr
OVBR TU!
Hucxr tn Sxow?a3
(FPOM FLDO0.)
? Bath
3
Bathroom acusaories: Q Reeaaed; malerial ; number ; QAttachcd; material ; number _
Additional information: zs. KuMeiNC:
FI%NRL NUYut IOC,,TON MM6 MM b FI%lUR[ IOENlIiIGTON NO. SIZL C?LOt
Sink
Lavewr
y
Waeer elwet
Bathtub
Shower ovet lub'?
Stall ahower&
i.sundry tray?
? .: . _ .? , .. . _ .
A? Curtain r}o?d A ? Door ? Shower pan: material -
Water tupply: L] pu6lic; Q community syrtem; Q individusl (priva[c) system.*
Sewase dispowl: [kpuWic; 0 community sptem; ?'individusl (priva[e) system.*
*SAm ond dambe indiuidual ryikm in rampkte dtlai[ in nparals Mau+ingr and rPetificolioru a[mrding !o nquinmtrtlr.
Houw dnin (imide): ? qrt iron; ? tile; 0 other nli_n House sewer (ouuide): Q cast iron; Q tilr, Q ahtt
Waiet piping: ? galvanizcd steel; f[] copptr wbing; ? other Sill cocha, num6er2-
Domolic waler hrater. type g a g : make and modei ; hwting capaciry
gph. 100' riu. Swrage unk: material ; wpuiry J4 e galloro..
, Cu ofervice:rj utiliry companY; ? liq. pet. gas; ? other Gas piping: Q cooking; O house hwting.
? Footing dnins wrmected to: 0 atorm aewer; [] sanimry xwer; 0 dry well. Sump pump; make and modcl
; capacity ; discharges in[o
23. FIEATING:
? Hot water. ? Steam. ? Vapor. ? One-pipe system, ? Two-pipe aystem.
? Radiaton. C) Convectnn. ? 8aseboard radiation. Malee and model
Radianl panel: ? flaor; ? wall; ? ceiling. Panel coil; material
? Circulator. ? Return pump. Make and model ;mPacitY BPr^-
Boiler: makc and model Output Btuh.; net rating Bmh.
Additional in(ormation:
Warm sir- 0 Graviry. (M Forced. Type of system
Duct material: supply qhP.P.t mP.tAlrcturnqhP(?t mPtal [nsula[ronnoYyp , thickncse 0 Ouuide air in[alce.
Fumace: make and model Input75y_p.ppu-BCUh; output Bmh..
Addironal in(ormaiion:
0 Space heattt; Q floor fumace; Q wall hwter. Input Btuh.; output Btuh.; num6er uniu
Make, model Additional information:
Connols: make and types
AAdIl1ONI inWrtnatian: l ^+ronic ignition
Fuel: ? Cod; Q oil; 0 Bas; 0 L'4• pet• gar, ? elxtric; 0 oiher : swrage capacity ,
Additioml informatim:
Fitin6 equipment fumished wpantely: 0 Gas 6urner, wnvmion type. ? Stokcr. hopper feed Q; 6in feed ?
Oil bumcr. 0 prneurt atomizing; ? vaporizing
Make and modd Control
Additional information:
Eleclric heating aystem: type Input waus; Q volts; output Stuh.
Additiona: infmmation:
Vrntilating equipmena attie fan, make and model c"PecitY °f'^•
.' ' ki[chm ezhaun fan, make and model
Othcr heating, veniilating. or caoling equipment
24. ELECTRIC WIRING:
Service: ? overhwJ; EJ underground. Panel: Q fuu box; E circuit-breaker, make AMPZ?Q_No.eircuitt_
Wiring: ? conduit Q armorecl n61r, [7g nonmetallit cable; ? knob and m6e; 0 othtt
Special owlels: g] range;)] water heater; D oiher
M Door6ell. ? Chimo. Puak-bution IocationsfrOtlt dOOY' Addnional information:
220 volt range & drver outlets-
25. LIGHTING FIXTURES:
Total number o( fixtura 12 Toul allowance (or fizeures, lypical inataltation, 54?0. o?
Nontypital installation
Addiuonal information:
3 DESCRIPTION OF MATERIALS
DESCRIPTION OF MATERIALS
26. INSULATION: •
LOLATbN THIC(Nt1{ MnTUUy 7Yre. Ann A(arHOO .11 INETA?TOM VA1011 BA}R[C{
Roof
Ge;i;,,g ' -
wau
" blown cellulose' R-44
fiber lass Rl 4millpniy
Floor
27. MISCEILANE0U5: (Describa ony main dwelling materials, equipmanl, or conshucfion ifemi nof shown elsewhere; or use to provide
addifional informofion wherV¢el??,?8Wded was inadeqvats. Alwyi refarenca by ifam number to correspond to numbering
uted on ?his form.)
HARDWARE: (moke, moterial, and finish./
SPECIAL EQUIPMENT: (Sfafe maferiol w moks, model and quantify. Include only squipmsnf and appliances which are accepf-
able by local law, cusiom and applicobls fHA i?andards. Do not include items which, 6y esfab?ished custom, ore iuppliad by
xcupant and removad whsn he vacater promissr w chaHles prohibifed by low from 6ecoming reoHy.)
PORCHES:
TERRACES: -
GARAGES: _
attache garage wi h x7 o,h, oor
WALKS AND DR11lFti1MAYS:. f
Driveway: width Ib ; baw matcriaFrushed T'OC?hick (° gS glt q" ..
?as surfacing material P ; [hic4ncW
Fmnt wal4; widhh ; matcrial ; thic121, i_". Ser?ice walk: widhh ; mAtcrial ; thickneu__
Stepc matcrial concrete ; ": riien 72 . Cheek walli 7
OTMER ONSIfE IMPROVEMENTS:
(Spenjy af( rxtnior artrite improuemrntr rto1 dr.rniM1eAe!ltwhnt, indudins ilems turh ni unurual a.nAirts, draina;e shu<(uaf, rr(oinirt6 u;u(!t, Je?rtn, mileng.r,
and cettadry Nruduiet.) . . ..
UINDSCAPING. KpNTINO, AND FIhISH GRADINO:
Topaoil " chick: ? Gont ysrd: ? side yards; Q roar Yard a ket 6chind main buifding.
Lawns (.rrcQr,f, roddrd, or ipnggeA): Q Gont yard ; 0 side yards : Q rcar yard_
Planting: 0 sa fprcifitd and shown on drawings; [] ef fdlowa:
. Shade trcn, dttiduous, ° caliper.
Low flowrring trees, dtciduou? ' to_
High.growing shrubs, deciduom. ' to
Evergrcen trees. ' to '. B& B:
Evergrcen shruM. ' w B& B.
Vinu, 7-ypr
Malium-growing shrubs, deciduous, to_, '
Low•growing ahrubs, deciduous,
IDENTItICAT10N; '('hjS uhibet shall be ideutified by tht signatum of the builder, or qmeor, and/or the propwed mortgagor if the latter u
known at t6e time of applieation. '
' Signamrc
HUD-92005
VA Form 26-1852
Form FmHA 424-2
16-791
. . . . .. .: '? ? ,
_i
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142063
Date Issued:04/13/2017
Permit Category:ePermit
Site Address: 720 Hackmore Dr
Lot:4 Block: 1 Addition: Haeg First
PID:10-31750-01-040
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 -
Ericka R Chino
720 Hackmore Dr
Eagan MN 55123
New Windows For America
2123 Old Hwy 8 NW
St. Paul MN 55112
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146983
Date Issued:11/29/2017
Permit Category:ePermit
Site Address: 720 Hackmore Dr
Lot:4 Block: 1 Addition: Haeg First
PID:10-31750-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ericka R Chino
720 Hackmore Dr
Eagan MN 55123
New Windows For America
2123 Old Hwy 8 NW
St. Paul MN 55112
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148122
Date Issued:03/07/2018
Permit Category:ePermit
Site Address: 720 Hackmore Dr
Lot:4 Block: 1 Addition: Haeg First
PID:10-31750-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ericka R Chino
720 Hackmore Dr
Eagan MN 55123
(651) 500-3758
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature