733 Hackmore DrCities Diaital Quality Control
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• CASH RECEIPT .
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RCCEIVED
PROFI
19
AMOUNT $ ?
OOLLARf
too
? CASH ? CHEGK
rOR
White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
Thank You
BY
CITY OF EAGAN
3795 Pilot Knob Rood Eogon, MN 55122 N? 4 Z 5 2
' PHONE: 4548100
BUILDING PERMIT ReceiPt #k
To be uiad for • Date ?• , 19
Site Address Erect p Occupancy - ?'
Lot ` Block Sec/Sub. -? Alter ? Zoning
Parcel # Repoir ? Fire Zone
Enlorge ? Type of Const. v
s Name Move p # Stories
3 Address Demolish ? Front 214 ft.
° City Phone Grade ? Depth ft,
? Nome
? ? Approvals Fees
o? Address Assessment Permit
---
Vg Water & Sew. Surcharge
Ci Phone
Police Plan check
?
FW Name
Fire
SAC
?? Address Eng. Water Conn.
<W Ci Phone - Plonner Water Meter
Councii
I hereby acknowledge that I hove read this opplicotion ond state that Bldg. Off.
the information is correct and ogree to comply with a11 applicable
State of Minnesota Statutes ond City of Eagan Ordinances. APC Total _
Signature of Permittee -
c::c•;-,;:'• 'n?r??E?n
A Building Permit is issued to: on the express condition that
oll work shall be done in occordonce with all applicable State of Minnesota Statutes ond City of Easan Ordinances.
Officiol
Buildin
g
i?nnM # Dete luwd P?41w
Plumbing
Mechonicol
INSPECTIONS ? DATE INSP• RoupF?-fn Finol
Footings Date Inap. Date Irnp.
Foundation Plumbing
Frome/ins. Mechanicol
Final ? ? ..
Remarka:
Receipt MECHANICAL PERMIT Permit No.
e? CITY OF EAGAN
? Fee
Fill in numbered spaces S/C
Type os Prinf legrbly „
Tot.
1. Date 2. Installation Cost
3. Job Address I' -_i Lot Blk'.J ? Tract
T.
4. Qwner /V,c;t•r
5. Contractor L?/,[•7F/ Phone
6. Address
7. City State Zip :
8. Building Type: Residentiai ? Commercial ? Institutional ?
9. Work Description: New ?
10. Describe
11.
Add ? Alter ID Repair ?
Ty pe
No. Fauioment 9TU - M.,Ea.
Forced Air ??"` '' 'v``•` No. Equipment CFM
i
H
Mfg. A
andling:
r
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. h
O
Air Cond. er
t
Mfg.
? Gas, Pipir?g.0utlets
12. I hereby certify thst 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 Fin I
Inspections: Date Insp. Date Insp. ?
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
r:
C1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
QN RECQRD
PERMIT TYPE:
Permit Number:
Date Issued:
t{il f t It f PJi
w_1 / '?0
,-.......?...... t O-r :
fiAr:KMOtRH c,N
I PERMIT SUBTYPE:
?
11 ,.? t Ni,
APPL{CANT:
-.H 1 00
TYPE QF WORK:
1 1 N A 1.
I 'rltth `,: ttF FIOVi idA1 I. 1 W. t AI t P141l tl 1101i{? t: l,?! NfI0IJ
?r
PermR No. Permft Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Qate insp. Comments
Footings I
Foundation
Framing 3 ?
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireptace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engc/Plan
Bldg. Final
l
Deck Ftg.
Oeck Final
Well
Pr. Disp.
CITY GF EAGAN
3796 Pilot Knob Road
Eagan, MN 55122
7nninn•
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
AddrC55:
Slte Address:
Plumber:
Meter No.:
Size:
Reader No.:
I agree to eomplq with the Citp of Eagon
Oedinancas.
By
Date of Insp.:
CITY OF EAGAN
3745 Pilor Knob Road
Eogan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
1 cgree to complr wilfi Ihc City of Eagon
Cedinances.
By
Date of Insp.:
I nsp.:
:!(1 Ci 1
Connedion Charge:
Account Deposit: _
Permit Fee:
Surcha rge:
Misc. Chorges: -
Total:
Date Paid:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Chorges: -
Totol:
Dote Paid:
CITY OF EAGAN Remarks
Addition Saddlehorn Lot 4 Rik Z Parcel ?.65800
Owner Street 733 Haclmore ? DT E state Eagan, NIN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. jmP S(? 1981 1944.00 97.20 20 1555.20 A013120 11-2-83
STREET RESTOR. 50 20 968.00 A013120 I1-2-83
GRADING
SAN SEW TRUNK 280.00 14.00 20 224.00 A013120 11-2-83
*SEWEFLATERAL 2Q 2687.63 A013120 11-2-83
WATERMAIN
*WATER LATERAL 1981
WATER AREA 2 224.00 A01312 --8
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
?
WATER CONN. 250.00 18756 5/1/80
BUILDING PER.
SAC HO
PARK
? `
i
7
EAGAN TOWNSHIP
BUILDING PERMIT N° 1902
Ownen -?f---1--....----`--/"?'--_-." ........ .--------------- .------------- Eagan Township
Address (Presen!) ------------------------------ Town Hall
Builder ?? _...................................... ... Dale /°l?/....?G?'
' ................ _ "......"'.........
Addseas ----- <3' . . ........................ ........-----'
DESCRIPTION
Slories To Be Used For Fron! Depfh Heighf Esl. Cos2 ermi! Fee Remarks - -
l
61 ° 0 ' LOCATION
Sireef, Roed or ofher Description of Loea2ion
?,3 3 .t9? "
Thia permit does not aufhosize the use of sfxeeis, roads, alleps or sidewalks aor does it give the owner os his agenf
the right fo eseate any situafion which is a nuisance or whieh presenis a hazerd !o the healfh, safefy, convenience and
general welfare 2o anpone in the communifp.
THIS PERMIT MUST BE X,913T ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
" ..._....'-... ..._
This ia !o eerrifp, lhat.....1.`..'`.'tr..`.'1.:..`..:?.'.-- ........... has permission !o exee! a...?^'? .............. ..°R. _ upon
the above described premise subjecf !o the provisiona of the Building Ordinance for Eagaa Tow hip dopled April 11.
1955.
.......
oe?
.............. -------------- 7"--.-""`-`-° -9?-..?__.••- ............... ...._... Per ..... ............ °-..'••••"__".'_` ? --- .............................
Chauman of Tnwn Bo rd Suilding Inspeolor
e . ?
Eagan Township
Dakofa County, Minnesoia
Appl'ecateon foa Bnilding Perns9!
Tppe of building os work conSemolafed. Cirele aorrecf deseriplions.
Residenfial Comm?rcial Indusi:ial Oihex----------- ----- _..._-----_'--..._--__'----.--.-.-"'----'
uild? Enlarge Allea Repair Install Move Wreck O2her.._.......--_.
Co,t-_.-..-----..
DeSails os
Loaa2ion
PERMIT NO. J.40940007-
Date ......
Slumber SYree Beiween what cross sireels Size Esi. Valuatian
Loi 331ock Addiiion Reasrsngement os Trac!
?j A -l/q dw=4 1,4? ???il[?Firt_J
Owner --.......I.l,?4 "
'??.--'-- Address?J??--7---1.4
? "- ' -
Con2rac3or S_:z.?....__.....------.....-----._-'_--..'---... Address ........?---- ... ...---------- --.._-""--...--"----'......-'-.._-'...
The undersigned kereby makes applicafion for a permi! 30
? do work as herein specified, agreeing io do all woxk in sYricf
$---- c2e .°""""'"'""""""" accordance wiih 4he building oxdinance adopfed Apzil 11, 1955
Tolal lee collecied. by She Ea an Township Board of Supervisoss.
Permif fees are noY
xeiundable. J ??? l?-. ,.Y i»-cb • ! l^
% Ll?l lfi
t )
cirr oF eacnN
3795 Pilot Kno6 Road Eogan, MN 55122 N2 4252
' PHONE: 454-8100 ?
BUILDING PERMIT APPLICATION Receipt # 5567 __
$3s200
.
To be used for Garaee Addn. Dare APr, .1, 1977
Site Address 733 HaF? Erect ?j Occuponcy ? I
Lot 4 Block 2 Sec/Sub. SBddLehOttl_ Alter ? Zoning R
Parcel # ReDair ? Fire Zone _
Enlarge ? Type of Const. V
z Name Gerald Miinzen Move ? .{F' Stories
3 Address 733 Hackmore Demolish ? Front 244 ft.
o C.t Eagan phone 454-5587 Grade ? Depth ft.
?
Name S810.e asabove
Approvals
Fces
ou Address Assessment Permit 2?
~ Ci Phone Water & Sew. Surcharge
Police Plan check
Fw Name Fire SAC
?? Address - Eng. Water Conn.--
¢w Cit Phone Planner Water Meter
Council
I hereby acknowledge that I have read this application and state that gldg
Off
the information is correct and agree to comply with all opplicable .
.
r
inonces.
d City of Eago
n O
d
State of Minnesota Statutes an APC Total
G
?
?
,
?
?/6? ?%'" //!i
Signature of Permitte.r /
?- Ger<
Mu zen
A Building Permit is issued on t he express condition that
oll work shall be done in accorgVle wit II pp' ble State of Minnesoto $tatutes and City of Eogan Ordinances.
8uilding Official
/,tI5187 REQUEST FOR ELECTRICAL INSPECTION yEB`-/00?001-0?5[
/ Sae inshuct.ans tor completinp tMS iorm on beek ot vellow copy.
???w5 9 X" Below Work Covered by Tfiis Request ?
NawlFtltll Neo. Tvoe nl Buildino Avol.ances Wired Equipmenl Wiretl I
Water
ron
p Fee ServiceEntrenceSize a Fae Feede.s/5uefeedars N Fee Circu,ts
1 15 .00 0 to200qm s 0 to30Am s 0 tn30Am s
Above 200 qmps? to 700 Amps 31 to 700 Am s
Swinrning Pool 100Am s
Jove
nsrormers gauon Booms . SQ Partia6'Other Fee
Signs Special Inspectmn $ i5.50 TOT FEE
Remarks 1744l _ /?.Oq
1 ?o?e?-m i I 1. t ha 14erJSW.-I
I
j Inspeetor, hereby
cartily the[ the above
I Final ? ?nsoection haa been
? I 1 mede.
Thi?rnpuest void (p/J/8 ?
18 thc /.nm
t,+ `•°`•°°° "°°••"°' °°^•'^`•°• I hereby requast inspac[ion ot abova
? Owner eiectrical work instelled at.
Sveet Address, Box or Raute No. Ctty
733 Hackmore Drive Ea an
ecuon o. Township Name or No. Range o. County
Dakota
Occupant IPpINTI Phone N..
Dean S ears 454-5988
Power Supplier Address
Dakota F'acmin ton
Electncal Contractor tCompany Namel Contraclor's Lmense No.
Hili e El
Mailing Address ICOntractor or Owner Making Instailanonl
Auth r? S?B?awre actor Owner Makmg Installationl
? hone Number
`Pim Phil.li 452-1-565
MINNESOTA STATE BOARD OF ELEC ICITV THIS INSPECTION NEQUEST WIIL NOT
Grippa-Mltlwey elde• - poom N-191 BE ACCEVTED BV TME STATE BOARO
1821 Univars.tv Ave.. St. Peel, MN 66104 UNLESS PqOPEfl INSPECTION FEE IS
ah..... tg1m eav.mann ENCLOSED.
o z- HOUSE TEST RECORD
ADDRESS 2? 3 C - APT._F OR_
OCCUPANT ?''? OWNER
HEAT LOSS DATE NTG. INST. ?
SOLD BY
EI•otrical
INSTALLED BY
Work By Gas Lino By
S?Ce? ti?-, ? y g-z
.CLTYl2'LSUBUR13
TYPE OF HEAT GA _ FA HW _STEAM _SPACE HTR. _UNIT IiTR.
GAS DESIGN
MAKE ? r /Z-) MAKE OF BURNER _
Mad.l '? ?l' { d FAodd
S«ial ? ? Maz. BTU Roting _
INPUT MAKE OF FURNACE
?/f? CONTROLS
7MERMOSTA???'CIL? Haat Pluq
Velve
Model
Ven1 Si:a _
KIND OF LINER
SIZE NONE
Limif ? Droh Hood Rpularor
p
Limit So?finp..a ?y
2'-?? ( Fileers Sise NumMr
Fon SeHinq Chimrry Laeatlon Inside Outsida
Pilof Typo?y p
r( ? C]+imnay Canstrvdian
Pilot Maka Spillage
Pilm Medel Smoka Bemb Wiring
Pilot Timing 0.af} v Tssf Taq
L.W. Cut Off _ Dow Preaaur
v Li hfi-q Ins•
? L
Prasawe Pvcmt C0 Daro Tsated
2
Pvtsnt 02 Cmpny Tas
W
Sbek Tomp Pacont CO me f Tss
Certifi ompentency_
?
E PCU*i'tl'N
RESIDENTIAL
1 BUILDING PERMIT APPLICATION
CITY OF EACAN
J < < 3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction Reuuiremenb
• 3 regislered site surveys showmg sq. fl. of !oL sq % of house: and all roofed areas
(20% maximum bt coverage allowed)
. 2 copies of plan showug heam 3 vnn0ow 52es; pouretl found design, etcJ
• t set of Energy Calculations
. 3 topies of Tree ?reservanon ?lan d lot plaC,ed aRer 711193
. Rim Joist De[ail Options selection sheet (61dgs wrth 7 or less units)
DAiE
J13.? S
RemodeVReoair Reuuiramenb
. 2 copies of plan
• 7 set of Eneryy Calculations for heated atldnwns
• 1 site 5urvey br extenor addihons & deck5
• Intlicate d home served by seplic sys[em `or additions
? ?j D?vl, , R n
VALUATION
SITE ADDRESS 73.3 H/9GKMpW_E_ piq , MULTI-FAMILY BLDG _ Y 2rN
TYPE Of WORK FIREPLACE(S) X 0 _ 1_ 2
APPLICANT ? ?F?10 GO. ING .
STREET ADDRESS Z*f HAa?MDAJ,::? QK S?Z-?G 1PaCITY" '?f ""STATE+?J%I/ ZIP S? 1Z3
TELEPHONE # G? ?&Flo YV_7J CELL PHONE #,?jS/ ?%7 cZ/79 FAX #
PROPERTYOWNER DPR) 5P69-)9.5 TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ M[VNk:SO'C.\ RULk:S 7670 C:1'I'h:GOItY I _ M[YYESO"1'.1 RUI.I:S 7672
(J submission type) • Residential Ventila6on Category 1 Worksheet Submdted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Pfumbing systeai includcs:
Mechanical Contractor:
NIcch.mic:il scstcm includcs:
Sewer/Water Contractor:
-- :1ir Condiuoning
-- Hcat Rccovcry S}•slcm
Phone #
Phone #
I hereby acknowledge that I have read this application, state that the information
with all applicable State of Minnesota Statutes ond City of Eagan gpkTnc'p,?
SignaTure of
Fee: $90.00
rec: s7o.oo
OFFICE USE OKLY
_ Water Soltcncr
, Water Heatcr
No. of 13adis
_ PlWI1C 4
Luvn Sprinklcr
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Recerved - Not Required _
Updated 4/02
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 76-plex 0 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn 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 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bldg 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) FinaUC.O.
_ Footings (deck) FinaWi o C.O.
_ Footings (addition) _ p]umbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool
Ftgs
Air/Gas Tests Finai
_ Framing _ _
_
Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaming Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
license Search
Copies
Other
Total
Building Inspector
--?Gftl( OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMITTYPE: euiLoiNG
Permit Number: 021760
Date Issued: @ 8/ 2 3/ 9 3
SITE ADDRESS:
P.I.N.: 10-65800-040-02
.
PERMIT
733 HACKMORE DR
IOT: 4 BLOCK: 2
SADDLE HORN
DESCRIPTION:
B,rlildint,?,Permit Type
Puilding Wark Type
/UBC pcoupancy`,
f \-L
J .
( ~
.` i
-.?-
, ,
SF (MISC.)
AL7ERATION
R-3
iE?'Q)Ljl? L;
REMARKS:
REMOVE WALL, INSTALL PATIO DOOR & EfaRESS WINDOW
FEE SUMMARY:
? VALUATIOM $3,000
Base Fee $54.00
Surcharge $1.50
Total Fee $55.50
CONTRACTOR: - Applicant - sT. LIC. OWNER:
ALIEN CONST 16888100 0001062 SPEARS DEAN
4649 1/2 PENKWE WAY 733 HACKMORE OR
EAGAN MN 55122 EAGAN MN 55123
(612) 688-8100 (612)454-5988
I hereby acknowledg at I have read this application and state that the
infiormation is cor ec and agree to comply with all appl3cable State of Mn.
Statutes and City Eagan Ordinances.
L
G N PERM E SIGNATUFE ISSUED Y:51 NATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo r:
733 HACKMORE DR
SADOLE HORN
PERMIT SUBTYPE:
SF (MISC.)
a eLocK: 2 APPLICANT:
ALLEN CONST
(612) 688-8100
TYPE OF WORK:
F
L
•,?.-J•1 ?Mrr ihi.c-
I, 1.' i9' - i (??-??i `;Nd-!J`.1N- ,•1 ,
:'Vf?Ui b HUfilri
BUILDING
021750
08J23/93
ALTERATION
?:ttIl UI'i'?'
?
?
k-% ' j
REMARKS: REMOVE WALL, INSTALL PATIO DOOR & EGRESS WINDOW
REACTIVATE _
PECj1:T k
21 9150
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION $-66• rfl
681-4675
.v,J .-cl, ? ,, " 3V. 1I
SIN6LE & 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 capy 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 ./_Z- Yalu tion of work
Site Address: /'3 3 ?
SiREET SUITE 1
Tenant Name: (cormnercial only)
LOT I, BLOCK ? SOBD. VrV y'
?II? UTAV P.I.D. M
t
Descri tion of work: IJ" I r^?
The applicant is: ? Owner Contractor ? Other (Deaeribe)
S X Phone ?1;V-
Name JVAA/ ? ?J
Property .
LAST FIRST '
Owner Address 73 3 A"iar?? \,628r
STREET . StE M
City tA/./at.l State 1;1N Zip r'T'IZ 3.
Company Phane lr_ ??0
Contractor Address 5?-??°//Z D/sJ9??l? Gi7? License #/D6Z Exp._??f??-
/
City State /??il> 2ip -'CWZ
Company Phone
ArchitecU
Englneer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I here6y acknowledge that I have read this•app1 a ion and state that the information is
l applic?abl .S ate of Minnesota Statutes and City of
h al
correct and agree to com
Eagan Ordinances.
7
,,3
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE f
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 Sf Dwg. ? Ol 4-Plex 0 12 Multi. Misc. ? 17 Swim Pooly
? 03 SF Addition ? 08 8-P1ex O 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Porch p 09 12-Plex ? 14 Fireplace 0 19 Comn./Ind. Misc.
05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New '?33 Alterations ? 35 Tenant Finish ? 31 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1, sq. ft. City Mater
UBC Occupancy R-? 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster PumP
#? of Stories foatprint 5q. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planninq Building Assessments
Engineering Yariance
REOUIRED INSPECTIONS 'RC-move.
, ? Site ? Footing P Framing ? Insulation
? Wallboard ;aFinal ? Draintile ? Fireplace
Permit Fee ,.Sy,u o vetuot;a,: g'-3 C,J
Surcharge
Plan Review License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
?;; cr:c;;;c':X??to;c;•;;?=?k7c?S?.?rtr::?'k?X<v??,kk!,?;;s;nev?.?..1'j':>?;;?
C?1V f7F I_i=•UtiN
!_Ar.?1-fCER; 35 il'_:RM7.NA1_ i+0; 7313
P9"L':; flF!'L'c't/'=)`: '1'i:`4E: 090w%
71AM1_? ANI?F:.R;FN ;: m.T.CI#r1El_SIIN Ri-I:nc?;
:20 9001 i 73 !'(:IYMOPi;`_ Lifi 1.2505
3030 90p01 773 I-IACF'Pfi:lS{F_ Mi C1,50
2155 9001 773 I-Ifi;Ci<tiCli:;_ I?rd :4.00
K
M
rnt:•:I. Fie,:.'.ej,pi; A!t;ounl'.: W8,75
C6:.L 086%?`S
l!^Eli 10. 3GlN
w?.?i:Y:n:i:?:;nY,S:'f•?YF? kR?;?:?:.; ?':%kit%k)'{:Y:Y).:>':?'(.)4 ?, {%'FA:?::;:?{)i:h",?c
1999 BUILDINC
3 Z:-Z--s ---? (o
?:Ll'.'[?2?L?I'niL•T133r1 -R7iiL?i.u3
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Remodel/Reoah Reaulremen s
D 3 regbfined ske surveys showing sq. fl. W lof, sq. ll. o( house
and Q rooted areas (20% maximum lot coveraae allowed)
D 2 coples of plans (show beam 6 window shes; poured fnd. destgn; Mc.)
D 1 set of energy calculallans
D 3 copief of hee preservaNon plan p lot plaHed alfer 7/1/93
DATE: r - 3 • 9 / „
2 copies of plan
1 set of energy caiculaHons for heaTed addiHOns
1 tHe survey for exlerior addHbns a decks
CONSTRUCTION COST: v ' 0 Q
DESCRIPTION OF WORK: ?)(?kFoc:CJ 6c) r-c:.i-?-
STREET ADDRESS: 5-??'!-e lk
LOT: 'e BLOCK: ? SUBD./P.I.D. B: S= L-e )JOW
Z
Name: N Phone #:
PROPERTY lan Ftrst
OWNER SireetAddress•7?3 7"/f*ClK,/r0?C yA.
Cfiy eg-6 'U State: "V/4?1 Zip: J?sfZ ?
Company:?? Phone #:
(area code)
CONTRACTOR
SheetAddress: - License# ?y Exp."RtH?I•Co
CNy t' R) State: Zip: "7-4-
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Sireet Address: Regishation #:
Cify
Sewer R water Iicensed plumber freauired for new conshuctlon onlvl:
State:
PenaMy applles when address change and lot ehonge Is requested once permR b issued.
I hereby acknowledge thaf I have read fhis appliealton, state 1ha1 the
Sfcte of Minnesotu Stafutes and Cify of Eogan Ordinances.
Slgnature of
OFFICE USE ONLY
Certificates of Survey Received Z Yes _ No
Zip:
corteet, andAMrpe to
c?
'S
all applicabl
Tree Preservation Plan Received _ Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dweiling ? 07 5-plex ? 12 12-plex ? 17 Garage 0 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck )kk 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Levei ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
31 New ? 35
b` 32 Addition L`7 36
? 33 Akeration ? 37
? 34 Repair 0` 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Tenant Impr ? 39 Gas Line Only ? 43 5iding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building L
Census Code ?
SAC Code ?
No. of Units
No. of Bidgs ?
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
other
Copies
Total:
SAC Units
?
Valuation: $ ? ?, d ?
°k SAC
F Datec
L . IN
BUILDI'[':G PERFSIT PSPL•IC.aTIQI
p? i
L6i ? SLOCK O( A7DTaIOY7
PaRCEL & SECTI01`3 11[1I1DER IF UITPT,ATTED
]fUllLtBSS OF PAi2CEL
7,O:dL7G
«'STLAP,iED COS^
mEr.ErxoIITE no. yj i'- ?f ; F,;;
T£LEPIIOTdE I10.
PJ7UREFi5 ?z.?/?+'lC -_
kdotes Include site plan, building plans, and energy calculations arith tlii.s
application
5i9necl ..-
GFFTCE USE
VALUIL.T_pe; 3 ?, ° 0
- `
SP_C
SiMti,T_2 CO;JNEC^IOi]
UA':MR !SETER
BUILDING PER4IIT FES
.?"iJRCIib1RGE ELF.
Pnru; c.:rcx FL::
PARIZ DEUIC71TIOi?1 P'EE
OTf.TMr.R
TOTAL*
/ 1 010
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7 0
A£PROVFLS:
ASSESSME:7T CLERK BUILDI24G DEPT
POLICE llEPT.
CdATER E 5ES!EI2 DEPT. FI?LE DCPT. PARK DFPT.
aDvREss s?,n? - - --
r"
Ts7u7s7s7E7LT
?sa?L saRa?s =UssE0 ?oMP,?? ???
Porm't hy •
Legal Description
Lot
Blk
Add'n
Value
Type Const.
SLA6:
p6y SUSSEL
? By Owner Approx.
?In 2-STARTINGS POINTS ONLY . ,
S.P.L.
WORKORDER HOME PHONE:4/5'q-SS t 7
NAME TA BUS. PHONE:a / G- Sf
JOB ADDRESS "? 33 ?!??? PI
BLDG CODE AREA
SALESMAN.
CONTRACl
S S.P.L.
R.P.L
AI I ey - - - - ? - ? - ?
' House
F. Street
Other ?
?SquareWithLrouSt? ? Rods
10 Mesh
? Sod Rem. - By
? 5-Bag Mix
? 6-Bag Mix
? Tamping
? No Tamping 0 A.B.U. i
? QGrade Point
? Conduit , ? Blocks ? By Owner ? By Sussel
?Maintain 8' Total Wall .
Height including Blocks
?Maintain S' Wall Height on Top of Blocks ?
?Other
? O.H. Dr Offset
0 S.D. Location
E] Windows
? Att Gar Roof Tie-in
Drawn on attached pictures ,
Existing garage: No ? , .
? Detached DArtached Ves [I .
Size of existing -z -
Existing garage will be: '
? Left as is •" ? 0 Converted to L.S. - ey owner ? Removed By: Owner? ?
Sussel ?
Junk Must Be Remaved 8y Owner
? Specify removals 6y Sussel '
or owner - trees, bushes, etc.
13 Show approx. dist. garage to house and all prop lines ,
Stakes visible - ? Yes !J No
Survey avadable - L? Ves ? No
? Special instructions from
owner:
r
r?
.
RACT DATE SIZE lY 12 Y
OFFICE USE ONLV
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PURCHASER'SINITIALS: - --- -- - -- --''- "
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lOB #
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1 !
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_. __ L_ oiREIrioN '
sussE?
S?SSEL 6ARAfiES ?'z?E<<oMPa?. i??
1" x 8" Ridgeboard
ROOF: GABLE REVERSE GABLE ., HIP
EAVE OVERHANG:
RAKE OVERHANG: I . • ?
240# SEAL DOWN SHINGLES WITH PLYWOOD
ROOF SHEATHING AND 15# FELT
k (j•,
-- Raft?'?s Plywood Sheathing
- - ? 240# Seal Down Shingles
? 2" x 6" 3/8" Plywood Trim
Cross Ties Gussets
Fascia
7" x 6" W-Bracing 2" x 4" Double
when applicable Top Plate 1" x 4" Sub
Fascia
per Minn. State Code
Soffit
NOTE: 3/4" Cove
1) Trusses set 48" O.C. (Gusset - 3/8" Plywood).
2) Intermediate rafters are 2" x 6" 's braced with 2" x 6" collar ties.
31 On 18' and narrower garages, eliminate the W-bracing and collar z" x 4" Studs
ties.
4) Roof approved by Minn. State Building Dept. as meeting Minn.
State Code Requirements of 30# snow load. Refer to State Siding
Building Code Letter Number 35.
5) Hip roofs consist of 2" x 6" rafters, 2" x 6" cross ties 48" O.C.,
2" x 8" hip rafters and no plywood gussets are used.
RAFTERS: 2" x 6"
STUDS: 2" x 4"
WALL SHEATHING:
SIDING:
OVERHEAD DOOR HEADER
Double 2" x 12" with without steel
plate.
Slab on grade construction approved per Minnesota State Code. Refer
to State Building Code Letter Number 11.
SLAB: 4" WITH MESH 6" x 6" #10 Gauge
45°
? 4" I ?
16" O.C. 24" O.C.
16" O.C. 24" O.C.
Yz"x 7" Anchor Bolt
per U.B.C.
2" x 4" Treated Bottom Plate
Grade Line
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733 fl1i:c1r-A11a-f-e
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144624
Date Issued:08/02/2017
Permit Category:ePermit
Site Address: 733 Hackmore Dr
Lot:4 Block: 2 Addition: Saddle Horn
PID:10-65800-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Adam D Mellema
733 Hackmore Dr
Eagan MN 55123
Air Mechanical
16411 Aberdeen St NE
Ham Lake MN 55304
(763) 434-7747
Applicant/Permitee: Signature Issued By: Signature