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740 Hackmore DrCITY OF EAGAN Remarks Addition HAEG 1ST ADDN. Lot 2 Rlk 1 Parcel 10 3175(l (]20 01 Owner street 740 ltackmore Drive Stace Eagan, MN 55123 )6 Improvement Date Amouni l Years Payment Receipt Date STREETSURF, ? • GO SS ST REET RESTOR. 1C? 1 25 ?j . 0 ?7 P 20 GRADING Street 19 1 0. __2 a 6. SAN SEW TRUNK t 75 1C? 1 13 5• 6.75 20 '111-510 ? ? SEWER LATERAL 1981 470. 23 . 50 20 ?, ? WATERMAIN I WATER LATERAL 3 1981 26-50 :3 7, p ? ? WATER AREA 1,9 ] ,'75 20 ? y STORM SEW TRK /OS•(p 1986 1.5 • 97 123.20 S Yq r 7e CO ?I S G I? L. r STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT 53682 7 16 85 WATER CONN. 500.00 SUILDING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-81 QO BUILDING PERMIT Receipt # To be used for . ? Est. Value - ? ? Date ,19 Site Address ` :• . ,: . " Lot elock ' Sec/Sub. E'pEG F1&S1 Parcel No. a Name ' ,;t•.rI ..L!?. 3 Address ° Ciry Phone S : ¢ Nan ,o ? ? Add r City City I hereby acknowledge that I have read this application and state that the intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (Actual) (Allowable) * of Stories Length Depth S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bidg. Off. APC Variance FEES $20.50 -.50_ _ Permit _ SurCherge _ Plan fievlew _ SAC, City _ SAC, MWCC _ Water Conn. _ Water Meter _ Roed Unit _ Treatment Pt Parks TOTAL A Building Permit is issued to: ``? '?"R' ''Al' on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea Building Official Use BLUE or BLACK Ink r---------------- � For Office Use I � f��7� �� Clty of �a�aIl � Pe��`#: � �o �- ��— � Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 , I Staff: � I I -----------------� 2015 RESIDENTIAL BUILDING PERMIT APRLICATIQN Date: �� Site Address: 77� �7��Ia� D� Unit#: �- :�_ � Name: //�< Phone: ��/�— ��—� Address/City/Zip:_ _�7 T 1� I�B�G.�I/Lt�f�..�' /72 �_��f�11 �� Applicant is Owner �C Contractor Description of work: ��-'�t��'- ��E Y�� Construction Cost: Multi-Family Building: (Yes /No� Company: �� Contact: � _ JLro��y'p�'' �• � Address:�b O( �o�� Rl/� GUo . City: !�'1� �S State:�/f Zip: ��v Phone:��Z-',��r'f�`��mail: ' �icense#:�. ;�� 3�p��L��ead Ce�tificate#:�!!�7=7 z 3 7 3—) If the project is exempt from lead certification, please explain why: (see Page 3 for additional information} !/ '�� Co�'"`'cC.° . GOMPLETE 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: ,. . 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 undergrou�d utilities. www.aopherstateonecall.om 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 �ot a permit, but only a� 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 autho�ized by a building pennit issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit issua�ce. � X � ✓e �� ✓�' X �►��'-'—. � ApplicanYs Printed Name Applicant's Signature Page 1 of 3 I I Permit No. I Permlt Holder I Date I Telaphona * I I I Plumbing I I H.V.A.C. Electric Softener Inspectfon Data Insp. Commants Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bidg. Final cert. occ. Temp. LP Deck Ftg. -?? Deck Frmg. ? I Pr. Disp. BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 4548100 Site Addms - Lot ? Block se'/Sub. Parcel No. a Name I , {:-_ , ., 2 T;la ; Address '• 1.1 ' \ b City Phone z; Neme uu Address City Phone Nsme City Phone io58$ a«ia # Erect ? Occupancy Remodel Zoning ? Repair ? Type of Contt. Addition ? Mo. Stories Move ? Length . Demolish ? pepth 16 Int Impr. ? Sq, Ft. Install ? APMevah fees Assessment _ Water 3 Sew. Poliu Firo Eny Plonner Councf I Pennft ?..? Surcherge ? Plan Review SAC - water Conn Water Meter Road Unit -- .:: I hercby ocknowladpt thot 1 how nod this epplication ond stete thot gldg. pff, • L Tr. PL • tM informotion is w?rect and o9ree to comply with oll applicabl* t.`4. .. Stote of Minnesota Statutes ond City of Eoflon Ordinonces. APC PaAce Var. Date Coples Siynotun of PermittN ' - Total A 9uildinq Ptrm7t is isswd to: on tM -xpret! c? r on't?+o? oll work shall be dorw in occordantt with all applicable State of Minnesoto Statutes ond Cify ol Eoqon Ordinonps. • Pormlt No. Pwmk Holder Das Telephone * ??mbing ?j-'? f e, H.VA.G. ?e ENetrla - ?fa .5u Soft.,,.. Irnpection Dsta Insp. OthK Footings I Footings II Foundation w- Framing 2 RooHny Rough Piby. Rough Htg. ? Insul. Fireplace Final Htg. Final Plbp. Flnal Grt/Oce. - - Watsr a?ibs Loeatfon: WNI Sswer Pr. Dlsp. Cities Di ital uality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. Receipt MECHANICAL PERP CITY OF EAGAN I fill in numbered spaces I Type or Print legibly 1. Date 2. Installation Cost 3. Job Address Lot Blk. Permit No. iFee S/C Tot. ? 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential -0 Commercial O Institutional ? 9. Work Description: New CJ Add ? Alter ? Repair ? 1 10. Descri be I 11. Fuel Type No. Eouinment 8TU - M. Ea. Forced Air No. Equiament CFM Air Handlin : Mfg, g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to oomply with alt 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 464-8100 Receipt PLUMBING PERMIT Permit No. _ CITY OF EAGAN Fee Fil1 in numberedspaces 5/C Type or Prrnt legrbly - Tot. C' 1. Date 4 2. Installation Cost 3. Job Address H ,r1 i+? ,E'F ? ^`.--- Z4?['Kr l i ? Lot ??- Blk. Tract , t?• ?? t 4. Owner f-?_?,tt?'?C•L?C-/! 5. Contractor tilr,lVZr_L__&G,Li Phone 6. Address 7. City State 2ip S?I?L 8. Building Type: Residential X Commercial ? Institutional ? 9. Work Description: New g Add D Alter ? Repair ? 10. Descri be 11. No. ".2• Fixtures Water Closet No, Fixtures Cesspool/Drainfield Bath tubs $eptic Tank lavatory Softner -2- Shower Well Kitchen Sink Urinal/Bidet Other 2 Si., c z?-.: Laundry Tray . ? 1 ~ 4- Floor Drains Drinking Ftn. Slop Sink ? Gas Piping Outlets 12. I hereby certify that the above information is true and correcf, and I agree to comply wi;h all or rnances and codes governing this type of work. ? Signed: ? ?' ?' ; s±-y•_x-_-._ - for , Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved _ CITY OF EAGAN 454-8100 ? ? .? ' CiTY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 ,. Zanlnp: - E Owrnr: C Addross: Site Address: Pluriber: SEVUER SERVECE PERMR PERMIT NO.: DATE: No. of Units: I .an. ft «.WIF wMr th. c.Ny .i s.*.. OrmM?aM. By Dah of Insp.: 429_aant Acaxwrt Qepalt: - Pumdt Fae: SurcJwrpr. Misc. Chorpm Totol: Date Pald: CITY OF EAGAN WAIR SERVICE PERMR 3830 Pilot Knob Road P. O. Box 21199 - PERMIT NO.: 4, Eagan, MN 55121 " DNTE: Zoniny: ` s No. of Unlts: 1 ' ?' ; ;. - ,. Owrnr •:.- '; - . . Nddren: Si» Md? 740i 131 "r Pturnbar: Metor No.: Connaction Q+w9e: Size: Aocount Depoait: Rsadsr No.: Permit Fee: 1soM to aewPy wMh 1M Ciy of Eqpa Surcharps: ordiMne... Mlw. Charo.s: ' -' ? • b('l:'? ; ; ?, Totoi: =:,t-'r By Dore Paid: Date of Irup.: inep.: CITY OF EAGAN WAT'ER SERVtCE PERMR $830 Pilot Knob Rosd P. U. Box 21199 PERMIT NO.: agen, MN 55121 DATE: Inp: No. of Units: 1 r: Addrat: '' ^ .'x C(r umb?r. ' i - . No.: 3GJ 3sy % 'R;C xe: +' r o.: in oIYl S 9 l&??",y ' Nne te amolp aMh tIM Cih ef 4p¦ woN. of Insp.: /o z3?g5 c.ofu,ecom aorys: - posit: Surchorpe: M(sc. CMrgss: - Total: Date Pbid: ?? CASH RECEIPT • • CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 wccMveo AMOUNT I $ ?% DOLLARS ?oe ? CASH tl ? CHECK ale?? PUND CODE FIAOVNT /,l YY 6 ? A! C? /G Thank You ? , B N_ 54589 WM1ite-Payers CoPV Vellow-Posting CoDY Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 4549100 BUILDING PERMIT Receipt # N_ 10588 Te M mmd fer GF ilWf,/C'_pR Est. Value F,S_fl (1(1 Dare JULY 16 , I 9_2'?_ Sitt Addrea 740 HAQQMDRE DRIVE Erect 12 Ocwpancy R-3 HAFS FTRST Lot z Block 1 SeclSub Remodel ? 2oning R-7 . Repair ? Type af Const. V Percal No . Add'Rion ? No.Stories PAUL OXBORQUC?I Move ? Lanqen 66 W Neme Demoliah ? Oepth 26 Z ? Address 1?10 TIFFp'NY CT Int Impr. ? Sq. Ft. City F'AGAN Phone 452-2228 Install ? ? Apprevab Fem Name ? ? Address ? City Phone Neme Address tw o City Phone Assessment _ Water 8 Sew. Police - Firo Eny. Plonner _ Parmit -1178_00 Surcharge '12 - Sn Plan Review 164 _ (1!1 SAC 595 nn WaterCOnn. 500 DQ WeterMeter !fi3 00 Council Road Unit 2$0 rQ(? I hercby ackrrowledga thot I have read fhis opplication and atate thot gldg. Off. 7/1 6(85 Tr. PI.32-00 fha inlormalion is torrect nd agree to Comply with all applicoble APC Perks Stafe ot Minnewta $tatufe an ity f Eaqon Ordinonces Var. Data CoDies Sipnature of iermiMee Totel A BWlding Permit Is 1uued !?+. PAtTf. (1 unfff'_Id on ths axpreokondinon thai dl work sholl be dona in xcordnrKAnwith,pll opplifpbla Stote of Minrofoto Statutea ord City o7 Ecpon Ordinonces. Buildinp Offieial i CITY OF EAGAN ? ?ilot Knob Road, P.O. Box 21-799, Eagan, PHO N E: 454-8100 BUILDING PERMIT To be used for DECK Est. Value $975 MN 55121 N_ 14080 Receipt # -7 6,77 12 Date AUGUST 24 19 87 SiteAddress 740 HACKMORE DR Lot 2 Block 1 Sec/Sub._ Parcel No. .o z? u< ? Name THURE OREFALK Address SAME City Phone 681-9139 Name SAME Address City Phone Name City OFFICE USE ONLY On Slte Sewage _ Occupancy MWCCSystem _ Zoaing On Site Well _ Type of Const Ciry Water _ (Actuaq (Allowable) # of Storles Length Depih S.F. Total Footprint S.F. APPROVALS FEES $20.$0 Assassments Permit Water/Sewer _ Surcharge • 50 Police _ Plan Review Fire - SAC,City Engr. _ SAC, MWCC Plenner _ Water Conn Council WalerMeter I hereby ecknowledge thet I hava read this applicetion and state I Bltlg. Off. _ Road Unit thattheinformationiscorrectandegreetocomplywithallapplicable APC - TrealmentPl State of Minnesote Statutes an y oi Eag rdina es. Varlance _ Parks Copies Signature of Permittee 70TAL 1 0 A Building Permit is issued to: THURE 0 FALK on the express condition that all work shall be done in accordance with all applicable Stp(e of Minnesgfa SZatutes and City of Eagan Ordinances HAEG FIRST Building Official This re0uest voitl ? ^ nths (rom 6 Y y /p O' rv ( 6 10015A928 . La ,3/ l-/,, r .L,,- <?-n I Request D?? ? Q Fire No. ReQUh-i 7 Insp ecbon ?fleaAy Now ,II NoLty Inspec- Wh t ? os No or en Ready Licensad Electncal ConVactor I hereby reo.est insoection o( ebove ? Owner electrical work installed at: Street AAtlress, Box or flou[ No. -71 0 CitV , 112 Q G? ecuon o. Townshiv Name or No. • anee No. Cou? 1 ? ?L ; ?-_ Occ ant IPFINTI ) 1 Phone No. rou 1.1 6 Power?S7lier? ? 1 O Addrgss ?G ' r Elactnr..ay,C,p ntractor (Compan 7N mel • " Conhactnr's License No. 3 /i C ? /? d 7 ? Mailinp Address (Controctor or Owner MakinO Install n) (O ! Q ?RN Authonze fgnature (COntroctor na Makm9 Installation) Phone Number ??-355 MINNESOTA STATF,'/BOARD OF ELECTNIQYfY THIS INSPECTION REQl1E5T WILL NOT Griges•Mitlway Bldg. - floom N-791 V BE ACCEPTED eY THE STqTE BOAflD 1821 Univarsity Ave., St. Peul, MN 55104 UNLESS PHOPER INSPECTION FEE IS Phone 16121297-2111 ENCLOSED. lj?9A REQUEST FOR ELECTRICAL INSPECTION '`?`? ,D-?ooi-o a? " $ 4 R 2 6 ? SeB mstruc?iQps Iw <anpleLng ihis brm on peck oi yellow copy (' ? X" 8elow Work Covered by Thrs Request e Atld Rep TypeofBuilding ApphancasWrted EquipmentWVad Home Range Temporary Service Duplex Water Heater Elec[ric Heating Apt Building Dryer Otheo-(Specify) CommAndustnai Furnace Off p2ak m2t2Y Farm Air Conditioner Ottier (syecify) Gomracror5 Remerks? Compute Inspection Fee Below: # Other Fee # SerwceEntrance5rze Fee # Circwts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps SignS Inspactor5 Use Only TOTAL Irrigahon Booms /J' G Special Inspection Alarm/COmmunication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Oate cerirfy ihat the a6ove inspection has been made. Final / ni?..?,, • (??? OFFICE IISE ONLY This reques[ vmtl 18 manIDS imm K 74 26 ?- a ,d/ Request Date Flre FaugRin Inspeclion Reqmretl'+ LXReatly Now El Wil(Notiy Inspedor ]. 1- 17- 9 2 D Ves LXNO When ReakI I:?dicensed contractor ? owner hereby request mspection of above electrical work at: Jo0 Atltlress (SVeel. Box or Route No ) Clry 740 Hackmore Dr. Eagan Seceon No, Townsm0 Name or No Ranqe No Counry Dakota Oaupant IPRMTj Phone No Thure Orefalk Power $up0lier Atltlress Dakota Electric Farmington Eiecttmal Gomrador ICOmpany Name) Convactor5 Lmense No- Roehning Electric CAO 1557 Matling AOtlress ICOnVaCOr or Owner MaNmg installation) 14811 Endicott Way Apple Valley, Mn. 55124 Au[honz Sgnature lCOnnac?orrOwnecM king Instal Lon) PM1One Number C??.,,?.?. .?.,• _423-4328 MINNESOTR STATE BOAHU OF ELECTHICITY / THIS INSPECTION REQUEST WILL NOT GtlypoMiCwsy BIOg. - Room &173 ? BE ACCEPTED BY THE STATE BOARD 1831 Unlvers'ty Ave., SL Peul. MN 55104 d UNLESS PROPER INSPECTION FEE IS Phone (612) 11C2-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION es-ooooi.oa See instrvctions tor completing this form on back oi Yellow copy. 1? v/ ??Q Q, p ""7(" E.,^lew Work Covered by This Request l v /? 5 INew!Q.'ddl Rep.1 Type of Build,ng I Appliantes Wired I Eq.ipment Wired I Fi ice ?ommerciai emy. rurnace ailo Unloatler InAustrial 81dg. Air Condmoner Bulk Milk Tank F- O[hpr Peci Y Olher ISnerityl W % Fee ServlceEntrenceSixa p Fae Fexders/Subfaedera # Fee. Circurts 0 to 200 Am s D to 30 qm s 2 0 to 30 Am s Above 200 - qmps? 31 to 700 Amps ? 31 to 100 q Swimmin Pool Above 100_Am s Above 100_Amps Transformer5 Irngation Booms Pdrtial-'Other Fee Jigns Speciallnspection $ Rerrv?rks I/ TOTALFEE r r Final Tnspactor, hereby I certify that the b aova iwspaciion has Ceen mede. Thlarequestvoitl / RESIDENTIAL SG ? ?Z BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 657-681-4675 New Conatructlon Reaulremente • 3 registereU stle surveys showing sq. N. of bt, sq. ft. of house; and ILII roofetl areas (20% maodmum lot coverage albwad) • 2 copies af plan ahowing beam & window alzes; pauratl found Gesign, etc.) • 1 setWEnergyCalculatbns • 3 copies of Tree Preservatbn Plan it lot platled after 711/83 • Rim Jolst Detail Optbns selectiwi sheet (bklgs wAh 9 or less untls) DATE S! 3 1 pemodeVHenelr Reaulrementa • 2 copies of plan • 15etofEnergyCakulailonsforheatedaddttions . tsttesurveyforeAeraretleitions&decks • Indkate B home served by septk system for atltlttfons VALUATION SITE ADDRESS __H0 I-??,lun?on.z ?Y MULTI-FAMILY BLDG _Y _N TYPE OP WORK 1,c--w ?L1 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT I ? ?u,.? . ?u _ STREET ADDRESS l? 3 2-S_ C=v,w?••,-? i3 ( v,,Q CIN S STATE mA-' LP -v TELEPHONE # It-=++--?--o? ? CELL PHONE # __1Q-3- FAX # PROPERTYOWNER TELEPHONE # -------------------- ---------------------- -----°----------------° °------------------------- COMPLETE THIS SECTION FOR %NEW,, RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7690 CATEGORY 1 MINNESOTA RULES 7672 (4 submisaion lype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Enargy Envelope Calculations Submitted Plumbtng Coniractor: Plumbing system includes: Mechanlcal ConhaCfor: Mechanical system includes: Sewer/Water Conhactor: I hereby acknowledge ThaT I have read this application, state that ihe wfth all applicable State of Minnesotp StatuTes and CiTy of Eagan Oyd Signalure of OFFICE USE _ Water Softener _ Water Heater _ No. of Baths Phone # L,awn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $90.00 MAY 3 1 2002 and agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4I02 OFFICE USE ONLY ? 01 Fpundation O 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 37 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) O 33 Ext. Alt - SF 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) 0 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel O 24 StormDamage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 32 Addition O 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)* O 43 Reroof 0 48 WindowslDoors O 34 Replacement •Demolitlon (Entire Bldg only) - Give PCA handout to applicarrt Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr, of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS - _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests , Final _ Framing _ Siding Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaniing Wall Approved By Base Fee Surcharge Plan Review MC/E5 SAC City SAC Water Suppiy & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanicai Permit License Search Copies Other Total Building Inspector ?? ? ? 1985 BUILDING PERl1IT APPLICATION - CITY OF EAGAN ` NOTE: V ALL CONTRACTORS MUST BE LICENSED YITH THE CITY OF EAGAN ?? INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS _ ? To Be Used For: ?J,IFDW(A.?GP?, Valuation: ????'? Date: Site Address: ? ya HACk Ma?E OR??'r OFFICE USE ONLY 1J ?j r S ? Lot: ?. Block ? Sect/Sub r i li?C Erect Remodel Parcel IF Repair Enlarge Owner Pf{ l(L OX86/P?U G H Move Demolish Address ?f /0 T/?fA}?y QT: Grade ? cityiziP coae c /}?RN SS/?3 ------------- Phone ys? - aaa 8 APPROYALS contractor P?UL UX,1?o?Poq6H Address ??Q??„ City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone II Occupancy ?-?j Zoning ?-I Type of Const ? i! of Stories Length (p( Depth ? Sq Ft Assessments Permit ?jZ 8,`=? Water/Sewer Surcharge 3 2.s-" Police Plan Review ?(0 4.°-° Fire SAC 525.°° Engr Water Conn StXJ.`=° Planner ldater Meter co3. °' Council d?Onit 280. " Bldg Off Parks APC Treatment Pl ? 32 " Variance ? U a`{' ? TOTAL , j U 2!0 ?,?(- Z= I c?} 2 x 5¢' S8`1 c? g ?2 n24 ? S Z`? ?c ( l ° 5008 ,. (C) 4 "1 7 co 1. ; ..,: EXTERIOR ErNfi'LC?i AVERAGE "U ` C011?r3TATIQ:I oWtaEa U-a"<-K U, SITE ADDRESS rI Ll O CONTRACTOR DAT3 PHOPIE Determine ororking square footage of each. 1. Total exposed wall area .... /4.2 & sq. ft. x,11 = ?eG 2. Tot31 roof/ceiling area ... 1,?.a_sq. ft. x.026 = 123.`? Total exposed wall area above floor = ?iz a. Total wall vrinzc:•r area ................. S•3f b. Total door area ....................... 2-/ c. Total sliding glass area .............. 42- d. Total -- _°ir=place vra21 arsa .............. e. Total wall Framing area (average 10%)...? f. Total net orall area above floor ........ /° ±2 g. Total rim ,joist are2 ...................RS? Total exposed foundation area = S7 - h. Tctal foun3stion r;indoa area ...... . jr" Z? 1. Total aet foundation area above g:ade . S7 7??- Determine "U' value of each wall segment. a. S?3s' x "U'? 3111 b.? X '?U?` i3 = ?,7 - c.X ::U:: ? _ _234 D. ? $ °U' e. ? X '•U" yv f. (49 X 'U' 27.c10 X "U" , o¢o = Z, 2F il. ?iZS- X 'lUt iS{o 7.f- X ':U<< ./ 4' ° '7 24` 3 ............................................Tota1 a /V "J? ? If iten #3 is the same as, or less than item N1, you have met the intent of SBC 6006(c)2. • '. ? . .• . , ,.. Total exposed roof/ceiling area J. Total skylight area ........... ... k. Total .^oof/ceiling framing 2rea (average 10%) /p ?j 1. iotal net insulated reo;/ceilir.g area ........ g?3 Determine "U; valie for esch roof/c211ing seg!^ent i., X ,.U, k. 10 ?j x. u" 1. X ,.U,, ?z lt? 4 .........................................motal If total o: {.'4 is the sa.me as, or less than F2, you have met the intent of SBC 6006(c)1. Alternate Buiiding Envelope DesiFa To utilize ihe total envelope syster,. nethod, the values esiablished by the sun of items {f3 and #4 shali not be greater than the sup. of itens rl 2n3 i;2. 1. 2. + 2. / ¢/, 2 3._/aP,Sz-- + 13¢,03 a CZTY OF FAGAN T1INIrN:I "U" VALUE AND R-FACTOR AT ROOF, WALL, RIr1 !u`D CO\CRETE BLOCf; f ? ? RooF ? C?lL(NC, (R} VAt iQ lr?Te?tof? Pas? FI?M , ?? 2O 5?3? GYP E?. ' ,s? Q INSULA?toN 9-0 C?41 OO EX?E?;O(? AlR ???(`? tS-f iLL? ?+r ?tU« = If iZ =. .o ? TOTAL ( R)= _ ? ,o2d- ? (1?? VALL QQ l[? Ic(?lo?? AlR F[LM GYP." BD.' : . ?, ¢s Q ?? ?? INSULATION S %ZJT ? y q? Z'/3Lil g?l:`7; ?1Tc . ?, o (n ?o ?j(1 ? ONITc_ StD(T(x _ • (?"l ?i EX ;?? lot= krz Fl?P1 ' , r? `'C1'?? ? OL 11iTC-1-10R A. FiL11 t3 5 1/2!' 1NSULATicam - ? 2 FIR 1?11f1 ,101sT 1075 uJ,z N- rtl;s01"?TE O eXTLtctDR AM F?LM TOYRL- (g) a303 ,04-3 CR) ?1AlU - ?? ./ I n Ve = ???R = ._: ?? • 'roTP.L (R) =,24i ?oJNDATioI?? ttQ vAIJu?_- ?3 tN tEt7l?t? Atrc FIU1 ? ' ? ? 0 ' c 1) ?s e?;j?P.lo2 Alrz FtLM nUll ToTa? (r<?= G?? Floors ore; unhea[ed spaces must have rt:ininuz R-factor of A-20 (tuck-under garages). £loors over outdoor air (overhangs) nust tiave a ninimum P.-factor af R-33. . ? -. - ? . GIIIDELIIIE 10 (R) F4C10R5 fROtl tSIIRGf nLUUAL OF TYPICRLLY USED P(;ODUCTS (R) (P) Interior hir Film (Nalis) O.GB Gypsum or plaster board 3/8" 0.32 Extcrior Air Fllm (tJalls) 0.17 Cypsum or Vlaster Loard I/2" 0.45 Intcrior hir Gilm (Ucnced Ceili nq) O.GI Cypsum or pl„ster hoard 5/9" 0.56 Entcrh.r nir FIlm (vcntcA Ceili nq) 0.67 Ply?nod 3/8" 0.47 Intcrlor Air iiln (Ilrn VenteA) O.GI Plywood 1/2" p,52 Ex[erior Air Film !Ilon Vented) 0.17 Piywood 3/4" 0.93 Shea[Minq, rcg. denslty 1/2" 1.32 Atuminum Sidina 0.61 Sheatninn, req, deasity 25132" 1.06 ?lom??um .iith Backer 1.82 Nail-base shea[hinq 1/2" 1,14 Aluminum .iich Backcr L FoileA 2.96 117 x 8 lzo Sidino (Wood) 0.81 Buil[-up Roafs 0.37 7/16 x 12 rmretoara Sidinq 0.67 Asbestorcement shinnlcs 0.21 Asbesros SiAinns 1/4 LapPed 0.21 Asphalt roll roo(ing 0.15 Stucco (Oro.m and Finlsh Coat) --. Aspahlt SAingles 0.44 3;4" llood Subfloor or Sheathing 0.94 Insulation: 2-2 3/4" Fiberqlass 7.00 V2" Plywood '6eathinq 0.62 Insulstion: 3 1/2° Fiberglass IF.00 I/2" Particic tlu..rd 0.66 Insulation: 6" Fiherglass 19.00 u00D5: BL0WI IIf. 140OL5 - Fir, pine L similar soft 1loods 1 I/2" 1.89 Approx. 3" 9.00 2 1/2" 3.12 APProx. 4 1/2" 13.00 3 I/2" 4.35 Approx. 6 1/4" 19.00 5 1/2" 6.87 Approx. 7 1/4" 24 Oo ' npprox. 14" 30.00 Apprax. IB" 40.00 . , All other insulation materials nusc be Ff11ed verified (R Factor) (A) Vermiculi[c 8" [oncrete Block (5 L G ReG.) I.II 1.93 12" LoncreCe 81oek (5 G G Reg.) 1.29 3.15 8^ Light ltci9ht 2.18 5.03 12" Light 1fel9ht 2.48 5.82 nc?;••+n+.,e.?.?..:.?nm;_:.?,_.? NOTE: (IJ) z Area Square Feet Al1 VInADNS ` - (./SCOrns I" ta 4° Spacc) .SL Removal Double Glazing (RDC) .55 Thermo or welded 3/16" air snace .69 I/4" air :pace .65 1/2" air space .58 . (O[her Wlndows specifically tezted can ase 6e[ter ra[in9s) 1 3/4 Soiid core door .46 • w/ztorm, wood .31 w/ztorm, metal .26 Pease 5[celDOOr Insl/Y./GL 7.45R .17 Slldinq Glass Door, lJaod .65 Metal .715 I r~ I qDgo 7987 BOILDING PERMiT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLDDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCOLATIOHS NOTE: ADDRESSES FOR CORNEH LOTS - COATRACTOR/HOMEOSiNEH MQST DESIGHATS WHICH ADDRESS IS DESIRED. NO CHANGfiS WILL BS ALLOWED ONCE BOILDING PERMIT IS ISSUED. M[TLTIPLE DWELLINGS - R&SIDENTIAL RENT6L VAITS FOR SALE i119YITS INCLUDE 2 SETS OF PLANS, CEftTIFICARE OF Si1RVEY - CHECB iTiTH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COLMMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECZFICATIONS AND 7 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE SOND Date: 2?1,9491 To Be Used For: 1%7-119 -VEC-< Valuation: 4?75- Site Address 71fb .0.e ' Lot CP\ slock ? (317s0? Parcel/Sub ?.?-- ? ? _Et Owner T uR,6 0"eZA/9ZK Address Z?D /42e1`22-01fE .Z?e. City/Zip Code .j5i9?Xa+/ SS123 Phone Contractor Address 7Vo f?c'elYof4e ae • City/Zip Code 'g5vc:?'v°? Phone 4n 9/ ` 51.3 / Arch./Engr. Address On Site Sewage_ MWCC System ` On Site Well _ City SJater _ APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off ?7? 8 APC Variance City/Zip Code D•Sa , So ?2 J. 00.. Oceupancy Zoning Type of Const ?i (Actual) (Allowable) I ll of Stories Length Depth S.F. Total Footprint S.F. FFTLS Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL Phone 4f 1 z/aa CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PSINT) 1) PROPER'PI ADDRESS: 740 A/,^K/i'JO,eE D.e- t Frai. DESCRIPrzcN: L Z L3 t l44!54 1 gr AraoA-) (LOt/Block/Subdivision or Tax Parcel I.D. Nunber) ii E{I5=': :G SZRCCPUPE, DA'IE 0F ORZGii1AL : uILDIl`;G P=%.?Im ?SS"J?.NC°.: ,:'c:. _-• - _= , I F??Sr^_ ? z^;Ti::l;/F.R0°GS=-) u5 ;: PI R-1 SINGLE rPtiffLY I ? R-2 DLTPLE.Y (?W0 Wi ITS) ? R-3 ZC'I.9[VHOUSE (THIL„? f LJNiTS) ( U:IITS) ? R-? ApAR?Yfi.E2`:T/CJiNIDC'i}1LVITM ( CNITS i Q COMMEFtCIAL/RETAIL,/OFFICE p Ii'I7L'STRiAL ? INSTITOTIONAL/GOVERNhENT 2) APPLIG V.,I, (PLEASE PRINi) NAhtE: 7P-.qlli.. ?dl?sU rDDREss: lllo crrY, sTATE, zra: i?46-4&J - PxoiNE: 452?- 22z8' 3) P=,MER PLEASE PRINT) FOR CITY USE OHLY NAI?4E : . PLUHBERS L SE: ADDRESS: 26oO KEyNFgECDRIVE. EAGAN, MINN. 55122 ctive CITY, STATE, ZIP_ 452•1565 Expir PHOi?1E: MASILh PLUMBER LICENSE N 001445M2 [? af Record ?? 3tr ln 4) O.CCTPAIV,r/CfJ^I&2 (PLEASE PRINi) t?: &vi., 80/20G4!Sfl rDoREss: ?? ?Ac.,?Md2? 2 CITY, STATE, ZIP: pfiONE: Qsz,- 222R? 5) INDICATG S+iHICH PEP.h1ST IS BEING REQUESTID: n CONNECPION 'Ib CITY 5&YEft Fgl CONNEX.TION TO CZTY WATER E] OTf'.ER (PLEASE DESCF2IBE) 6) ?;DIC= C:E: Fl P=E I?OLD APPRWID PER+IIT FOR PICi:-UP BY ONE OF ABC7VE 14 PLEMSE ^1AIL APPROVED PER`lIT TO 1, 2,0 4 ABOVE (CirCle One)J 7) szQA=E: Qa DATE: ? '3 ! R w:a:a+w.is i? a re ?c?,:r? ? f? e!s ?;aa?aa s oi ? ?;sar:t ia a ?e w+tf.a:+.i.r?tyai? f? a? af ?[?! ?-?•. aa F O R C i T Y PERMIT "- ISSUED I FEES: $ //:.ScJ $ $ L; nG $ S $ $ ? $ 5-u $ $ $ S $ $ /?• °L $ s 7/. ?c S E O N L Y SE:•iE° _°ER>tIT (I`TCL'JDc SUP.CHr'?RGE) WATER PERP4IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (ZNCiGDE CORPORATZON STCP) SE'r7ER TP.P ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK ?dATE° ASSBSSMEDIT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL A:`'IOUNT PAID/RECEZPT # -S?416 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi1T OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY"1MUST BE ISSUED BY THE ? 2Q^ ENGINEERI*:G DSVTCTON. T+IST AS A CONDI- TION. SUBJECT TO TFiE FOLLO?RING CONDITIONS: APPROVED BY: TITLE: Dr1TE: me aw glum ia m i+ WHIM wc =ia vtfw OIL= we= ia w.a ?t? ia w? w? CITY USE ONLY .?.?p? L ? BL ? RECEIPT #: 1L.LL SUBD. DATE: '7 7 g 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN - 3830 PILOT KNOB'RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 . z - Water Heater 3.00 x = Floor Drain 3.00 x Gss Piping Outlet ' minimum - 1 -- - 3.09 -z Rough Openings 1.50 x Water Softener 5.00 z = Private Disposal ' Dakota Cty. Iicense 20.00 = U.G. Sprinkler' home under const. 3.00 = Alterations ' to existing 20.00 = a o, o 0 Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL a? • ? yvwlw hea? ? vtioF' SITE ADDRESS: '14 0 4?'AcKrvtb (L.E b tL W E OWNER NAME: N?-?''er CAA V'ran S INSTALLER NAME:__ . .. ..:_ STREETADDRESS: Po 6ox ??-------------- ----- -?' CITY: bSs(--0 STATE: M^J ZIp: 5S3 bq PHONE #: ( `6? ?D ) (o? a 1 -- - ?v-? CITY USE ONLY L _ BL _ RECEIPT #: SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Please complete for: ? all commercialrndustrial buildings. ? multi-family buildings when separate permits are n!2 required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum tee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of peanjs fee due on all permits. COiJTRACT PRICE x 1% STATE SURCHARGE TOTAL _ SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: _ CITY: PHONE #: SIGNATURE: APPLICANT STE. # STATE: ZIP: CITY OF EAGAN Certificate for: Gene Haeg : ?. . DELMAR H. SCHWANZ i.vn:tIPVFVORC Ivi Vr c rrr . u nn. L- I Tnv >lx rv O• 4Lnnp5011 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 SURVEVOR'S CERTIFICATE sB9°.? os °?r/ • Y o0 6 a ? - ?1 "q /O D ? ? 0 ? 0 ? PHONE 612 423-1769 ? I ,,, 30 e, . ., , 1 i ? v ? ? W. ON c a 9 -Ao 00 I hereby certify that this is a true and correct representation of Lot 1, B]ock 1, HAEG F]RST ADDITION, according to the recorded plat tnereof, Dakota County, Minnesota. Dated: May 17, 1965 i / . ri•??/? . , ? . __? MINNESOTA FiEGISTRATION NO 8625 4, PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA100334 Date Issued: 07/27/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 740 Hackmore Dr Lot: 2 Block: I Addition: Haea First PID: 10-31750-01-020 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Replace Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Kevin Sandau 9925 Lyndale Ave S Bloominaton. MN 55420 952-403-9100 Fee Summary: BL - Base Fee $500 $40.00 0801.4085 Valuation: 500.00 Surcharge - Based on Valuation $500 $0.50 9001.2195 Total: $40.50 Contractor: - Applicant - Owner: Sandau Construction James 1\1 Comm 9925 Lj-ndale Avenue South 740 Haclanore Dr Bloomington NIN 55420 Eagan NIN 55123 (92)403-9100 I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink ~R I For Office Use - I V. Permit I City of Eatdft Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 RECEIVED ; Bate Received: ; Phone: (651) 675-5675 i staff: Fax: (651) 675-5694 FEB 16 2012 L________________ 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date `l Site Address: `[V lnr 1 Tenant: 'Jim CMAMA Suite RESIDENT / OWNER ' Name: Phone: Ji (11 1 ~J 1~ Address / City / Zip: l~ 15A r\ IV Name: ,q Va, I PIA e('01&)0.,jfP License b,q~N I CONTRACTOR Address: City: _C}l~- State: Zip: Phone: La (0 / 3 Contact: Email: New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. TYPE OF WORK _ Description of work I f R`7 (ran ~~P'%r(~1 RESIDENTIAL Water Heater PERMIT TYPE Lawn Irrigation L_ RPZ / PVB) Water Softener Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) - b $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ U! 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. 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 j accordance with the approved plan in the case of work which requires a review and approve f pla x x Applicants Printed m App an s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA132388 Date Issued:08/11/2015 Permit Category:ePermit Site Address: 740 Hackmore Dr Lot:2 Block: 1 Addition: Haeg First PID:10-31750-01-020 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 - James M Conroy 740 Hackmore Dr Eagan MN 55123 (612) 202-0618 Sandau Construction 9925 Lyndale Avenue South Bloomington MN 55420 (952) 403-9100 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171442 Date Issued:08/16/2021 Permit Category:ePermit Site Address: 740 Hackmore Dr Lot:2 Block: 1 Addition: Haeg First PID:10-31750-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Miriam E Conroy 740 Hackmore Dr Eagan MN 55123 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature