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746 Hackmore DrCASH RECEIPT ? CITY OF EAGAN ? 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 PATE •` 1 19 , R<C[IVtD • , FROM _ ?ti i ' AMOUNT $ ; I & DOLLARS ?oo ? CASH q CHECK BY , White-PaVers CoPY Yellow-Posting Copy Pink-File Copy Thank You ? CASH RECEIPT • . , CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? • ?DATE 19_ RECEIVEO FROM- i ? AMOUNT ?. I 5 & DOLLARS ?oe ? CASH ? CHECK . ?? roR i . ? FUND COO6 AMOUNT ? Thank You BY , . / White-Payert Copy Yellow-Posting Copy Pink-File Copy BLDG. PERMIT N0. ?14' 01-9210 Bldg. Permit q ? 0I-3422 Plan Check 0 i 01-3445 Surch./Adm. 01-3446 SAC/Adm. J 01-2155 Surcharge 17-3860 Road Unit Gc 20-2275 5AC 20-3865 Water Conn. ••?v''..- ?'? 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3$66 Sewer Conn. r(??% 11-3855 Park Ded. TOTAL ? J2 . .. r ., - CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 -11 Parcel No. a W 2 3 0 c U< Q ? Phone I hereby acknowledge that I have read this application and state that the information is cor?ect and agree to Comply with all applicable State of Minnesota Statutes and City of Eagan Ordlnances. On Site Sewage MWCC System On Site Well City Water I f ? „7r APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council 81dg. Off. APC Variance -- --- - --- ? •j OCCUpH11Cy 7,..,...,. T- i YPe or tons[ # Of $tOfl@S Length oeu.n S.F. Total Footprint S.F. FEES Permit _ Plan Review _ SAC, City _ SAC, MWCC _ Water Conn. _ Water Meter _ Road Unit _ Treatment P1 _ Parks C i ? fU J 5 l? ;j ,U. .?} s? J op es Signature of Permittee TOTAL A Building Permit is issued to: on the express conditlon that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances Building Official _ Pow-R Ns. pwmit Holder Date Tslephom x Plumbin9 O . , Kvjkc. Eiectric a' ov Softener Inspoctloa a" (w?Y- CommoMs Footings I I ?' GJ6 FOO&W p *4c=,pr' /.e --A4r Foundetion /00 S' "Ne"WrJ ?T Frawiinq Rod'uq 8 ? Rough Pft - Roug? H4 '?'.? -:2-0 6A - Is? or ?%i?v?5 uT .?- Fireplace Final Htg ?- Fkeal Plba j Bfda Final j cerL occ. Temp. LP Deck Ftg. Deck Frmg. WeU Pr. disp. 3830 PILOT KNOB Site Lot. Sec/Sub I ? Name V A ! - Address • c City V Phone ? Name c Address O City f- f?E_ ri ?ta Phone TYPE OF WORK Forced Air •x_ M BTU Boiler M BTU ' Unit Heater M BTU ' Air Cond. M BTU Vent CFM Gas Piping Outlets # Other ? PERMIT RECEIPT # GAN EAGAN, MN 55122 DATE: -8100 LDG. TYPE WORK DESCRIPTION es. X New ult Add-on omm. k Repair FEES ? HVAC 0-100 M BTU - $24.00 TIONAL 50 M BTU - 6.00 HVAC INCLUDES A/C ON NEW iTRUCTION) OUTLETS (MIMIMUM - 1 PER PERMIT) - 1.50 EA. M/IND FEE - 1% OF CONTRACT FEE ; 3LDGS. - COMM. RATE APPLIES i VHOUSE 8 CONDOS - RES. RATE APPUES AUM RESIDENTIAL FEE - ALL ADD-ON 8 ? REMODELS - 12.00 AUM COMMERCIAL FEE - 20.00 E SURCHARGE PER PERMIT - .50 $.50 S/C IF PERMIT PRICE GOES ?ND $1.000) C: FEE ? S/C: ? SI NATURE OF ?. TOTAL• FOR: CIN OF EAGAN • : . . . PERMIT # PLUM8ING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: t?ugttzt 27, 1987 CONTRACT PRICE: 17 (p PHONE: 454-8100 Site Address HaCkmore Drive BLDG. TYPE WORK DESCRIPTION Lot Block I Sec/Sub Res. ?:xxxKx New X7{X•'iLKX Ha let Addition Mult. Add-on ? Name GenZ-R t2 P&H Comm. Repair ?g Address 14745 Sotith Robart 7rai1 Other c Ciry Rosemotutt, MN Phone 423-1144 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: 55068 hllQ. FIXTURES OTAL ' Name ??? -Qxh=,ugh AP&[_Water Cioset - $3.00 ? 8$th Tubs -$3.00 c Address 1110 f fan Couz t ? ,? . 3 Lavatory - S3.00 o City EIRq"• MN Phone 452-2228 Shower -$3.00 ._.? 55123 -T-Kitchen Sink - $3.00 -Q? FEES Urinal/Sidet - $3.00 COMM/INQ FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 ?--?? I TOWNHOUSE 8 CONDO - RES. RATE APPLIES -/-Water Heater -$1 50 l- 50 I MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool -$3.00 ?MINIMUM - COMM/IND FEE - $20.00 ZGas Piping Outlets - $1.50 /- -? SIGNATURE OF PE L F OR: CITY OF EA RMIT - .50 (MINIMUM - 1 PER PERMIn CE GOES SoRener - $5.00 Well - $10.00 Private Oisp. - $10.00 1-3--Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• ? i ;. (Etr#i#irtt#it of 09rrupttnry titp of (Eagan E1'pa1'ftltPltY IIf lhdlbittYJ JriapPtftDlt 77tis Certificate issued pursuQnt to tlre requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordrnances of tJre Cfty regulatiag building construction or use. For the following.; ewe. rerrWt rto. O-PW-Y TyPe . t Zoniog Distria R c Type Cant `. Owner of Bu" pddren ) ! 1 i1 = - ? ' ?' _ , t• ?, •• BuildiagAddrcas l.oalityLl, b1, yii`-ix: t.`.:,? Due: - - Bnilding 06da1 POST IN A CONSPICUOUS PtACE m OF EAGAN SEWER SERVICE PERMIT Pilot Knob*ad ,d 10156 BoX 2?1199 , PERMIT NO.: sin, MN 55121, DATE: _? _ _ F 7 ? ns7: E1 No. of Units: - comply wNh tha Clty o1 Eagan of Insp.: Reader No: P.O. Box : o 199 Eagan, MM 55121 IOd.Odpd Connection Charge: 52 5 ?Opd Aecount Deposit: 1 1;.j140A Permit Fee: 1.0 n0; d Surcharge: .5t?r Misc. Charges: Total: Date Paid: Date: 5ite Addr6ss??.10 .121,1, liziclcm re 1,1r:Lt*e ?. r:,! 3_zep, aIUL11. Plumber GPT1.z -- F.yaII Conn. Chg: 525.00p4 Acct. Dep: 15• 00pd Permit Fee: 10• ??oprj Surcharge: • 5 '?nd Tr. Plant ? `?'?•00-p"d Meter. ' 6 7. !?ilpd Zoning: ? No. of Units: Z I agree to comply with the Clty of Eagan Ordinances. WATER SERVICE PERMIT CITY OF EAGAN Permit No: 9 0 6 Date: -•? % 3830 Pilot Knob Road M.ster No: 3g-4- -3 9/- '?, -4 Size: 'f /QoGy P.O. B°x'21199 ReaderNo:4 944? 2- patec Eagan, MN 55121 (lwnar ei. 1 I ??:Lt1/[?.utl:. C?'I?c?Yf?9'iY-i Site Addi Plumber. t R nn. Chg: 7 -?_ ?lpl. 525. ui` i r? r'=A ct. Dep: 15. 06n?„ a;nrt?hR ?,{ ?htt?klIt18S 1 - rmit Fee: ???TEIC ? GAS Eic. urcharge: ' • 5?? °, j I ag o o ith the City ot Eagan l ? ?" R ? ? ?? . Plant .i, t tjna?nt II F&d c , eter. - ? '7 isc.: gy WATER SERVICE PERMIT CITY OF EAGAN Remarks HAEG 1ST ADDN. Owner Street 1 Blk 1 P?, 10 31750 010 01 c cmore rive ?agan , State ? Improvement Date Amounl Annuai Years Payment Receipt Date STREET SURF. 1 . 00 . a• ol? a l •6 STREET RESTOR. 1981 . GRADING street o •QC' (7011 7 q SAN SEW TRUNK . . li-O eD /I 7 02?/ ?o SEWER LATERAL , 0 eQ a ( WATERMAIN WATER LATERAL 5 . 0 0 O? I WATER AREA -? , D C?D STORM SEW TRK 1986 615-97 123.20 7 eo l/ / STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILOING PER. SAC PARK ?,?,?? ?:. . :..? ? f?? : ? y ?.?? ? ?..? ? o?.??,?. ???,? ? P?? o.o -3 r . `i?s CITY OF EAGAN N2 13 9 4 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 •' x PHON E: 454-8100 ? 5-r 53 BUILDING PERMIT Receipt # Tobeusedfor SF DWG/GAR Est.Value $70,000 Date JULY 21, 1y 87 Site Address 745 RACKMORE DRIVE OFFICE USE ONLY ?EG 1ST ADD Lot 1 Block 1 Sec/Sub onSiteSewage Occupancy R3 . MWCC System _X- Zoning Rl Parcel No. On Site Well _ Type ot Const v Gity Water X (AChaQ a Name PAUL OXSOROliGH (Allowable) ? w = Address 1110 TIFFANY CT # of Stories Lengtn ? ° City EAG?_ Phone 452-2228 Depth 40_ S.F. Total , p Name SAME Footprint S.F. ?Q Address APPROVALS FEES ? City Phone Asaessments _ Permit 398.50 35 00 WateUSewer Surcharge . w W Name Police _ Plan Review 1 99 • 25 t z _ Addfess Fire SAC, City 100. no 525 00 ? ?= Engr. _ SAC,MWCC . Q W City PhOnC Planner - WaterConn. 595,?10 F Council _ WaterMeter 7- f10 I hereby acknowledge that I have read this aOPlication and state Bidg. Off. _ Road Unit "in S_ n0 thattheintormationiscortectandagreetocomplywithallapplica6le APC _ TreatmentPl lun np State of Minnesota Statute end Ciry ot Eage Ordinancea. Variance _ Parks CopieS SignetUfO 0f PBrmittee TOTAL $? • 334 • 7$ A Building Permit is issued to: PAUL OXBOROUG on the express condltion thet all work shall be done in accordance with all ap ' I tate of M innesota atutd's d City of Eagan O rdinancea Building Oflicial `-"m 8`/j2l/8'7 REQUEST FOR ELECTRICAL INSPECTION ra-v...._ ? I , See inshuctions tor complebng ihre form on baek o1 yellow coOV. '76 9 a J? D 299 3 9 "X" Below Work Covered by 7his Aequest HdA ReO. TVpe.n' 6wltliny ApOlinncee WueO Equipmam Wired F13fie Ranye Teniporary Service Duplex Water Heater Liyhhny Fixtures Apt. Bwlding Dryei Electric Heatin Commercial Bldy. Fumace Silo Unlu.fder InAustnal BIAy. Air Conditioner Bulk Milk Tank Farm olne, orwry Othor Isne,fvl t er SuculY Mer Othi:r Cmmpute lnspectlon Fee Below N Fee ServicaEntmnce5ae H Fee Feetlars/Sabfenders k Fnn Crrcwts / /.2 ? 0 to 200 Am s 0 to 30 qm s 0 to 30 Am s Above 200 qinpy 31 to 100 Amps 61 - 31 to 1 UO Amps Swimming Pool Above 100_Amps Above 100_Amps Transtnrmers Irngatwn &>oms , $p Partial-'Other Fee Signs SpeciallnsUecLOn ? S / Ci TOTA f ? emxrks s?7j L F E'.Z ? ? i I floaBh-in r D:rte I. the ElecTCe?/ 9 y ??saa b ?,o.. b a,abY 1 fy th h b e ?i Final spection has eeen metla. Thie reaueat valtl 18 montlis fmm equegt hs Irom d0/ yor .? 29939 70 9,-:? -3- Requesc Date Fne o. ! Noogh-in InsVecbon Reqwred? ?ReaAY Nuw?W,ll Nntrtv InsOec- 6p ? / V Ycs ?NO [or When fleaAY ? Licensed Electncal ConVactor I hereby repuast insoection ot abova Gwner elactricel work installad at: Street AdGress, Boe or Foute No. Gitv ° .gcxmo,e e /?.ei v? - ?•?G? eclmn o. Township Name or No. Range No. Covnry b*,eo np- Occopent(PRINT) Phone No. ? fYU. ? ?,;+?1'.6'a?(LUIs G Power Supober Atldress / 1 Q GLEL tC ,??/ ?/T/a-/°?t?N?T10T'? Elecvical Contraclor IComOany Namel tracmr's Licensc No. C, ; ?? d' '3 MailinB AdJress (Contracmr or Owner Makinp Ire[ailaGon) D'- 6 J07?- ? Author¢ed Sign wre IConvacror/Owner Makin?fl Instal ;tinnl ?f?.1?.-__ Phone Number MINNES A STATE BOAflD OF ELE TFICITV GriBes-Midway Bldg. - Room N•191 1827 Universitv Ava.. SL Peul, MN 55104 Phone (612) 662-0800 TMIS INSPECTION PEQUEST WILL NOT BE ACCEPTED eY THE STATE BOAND UNLESS PROPEA INSPECTION FEE IS ENCLOSED. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EAGAN ?+n d` 3830 PILOT KNOB RD, EAGAN MN 55122 ?' !? 0 651•681-4675 New Construetfon ReauiremeMs . 3 registered site surveys showing sq. ft of IM, sq ft, of house; arid all roofed areas (20%maximum lot coverage allowed) . 2 cropies of plan showirg beam & window sizes; poured found design, etc ) . 1 sel of Energy CalctAatlons • 3 copies of Tree Preservation Plan if lot platted after 117(93 • Rim Joist Detail Oplions selectlon shaef (Aldgs with 3 or less uniLs) DATE 6- lb - O'Z' RemodeVRaoair ReauiremeMa . 2 coples ol plan • 1 set of Energy Calculatlons forheated addilions . 1 sde survey for exterior additions 8 decks • Indicate if home served by seDhc eYSlem lor addibons VALUATION S SITE ADDRESS -7Y`O ?Az4v,-e_ ot MULTI-FAMILY BLDG _ Y N TYPE OF WORK 7' d' R-m-e-00'r FIREPLACE(5) _ 0_ 1_ 2 APPLICANT -ltt?5'/z•i.. STREET ADDRESS Al TELEPHONE #7G3 `5v( 'o3QY CELL PHONE # FAX # PROPERTYOWNER ?°?n B?r??C/ TELEPHONE# ?5I_6W-78Bd --------------------------------------------------------------°---------------°-------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA R[iLP;S 7670 CATEGORY i _ MINNP:SO"1'A R1J[1:5 7672 (J submission type) • Residential Vendlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Confractor: __ Plumbing system includcs: Mechanical Contractor: _ Mcchanicad systcm includcs: Sewer/Water Contractor. _ Air Conditioning _ Hcat Recovcry Systcm w1L, STATLWte!!!?-ZIP-55'R?0' ? Fce: $90.00 Phone # Pee: $70•00 Phone # ------------------------------------°---------------- ---°--°-------------°-------------- ------°--------------- I hereby acknowledge that I have read this application, state that the information is co t and aqree to com ly with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appllcanf 400 )i!!? orricr; usi, orri.Y _ Water Softener _ Water Heater _ No. of Baths _ Phone # I,awn Sprinkler No. oF R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? Ot Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 79 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 Addifion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (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) Final/No C.O. _ Footings (addition) _ Pfumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal _ Pool Ftgs AidGas Tests Final _ Framing _ _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storege S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Tota I 1987 BIIILDING PERMIT 9PPLICAiION - CITY OF EAGAN SINGLE FAMILY DWELLINGS . IACL(JDE 2 SETS OF PLANS, 3 CERTIFICATSS OF SQRVEY, 1 SET OF ENERGY C9LCQI.ATIONS NOTE: 9DDRESSES FOE COHNBR LOTS - CO&TRACTOR/flOMEONNER !lQST DESIGHARS HHICH ADDRESS IS DESIRED. NO CHANGES NILL BE ALLOiiED ONCE BDILDING PEAMIT IS ISS[ISD. !lOLTIPLE DWELLINGS - RFSIDENYIAL RBNTAL DAITS FOR S6LE QHITS INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SIJRYEY - CHSCK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COPRERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS, a $2,000 LANDSCAPE BOND To Be Used For: Valuat ion: -7Q()C0 . Date: Site Address/, fAA(LM11`1Q- OFFICE USS ONLY Lot ? Block I On Site Sewage_ Occupancy (Z 3 MWCC System ? t W ll S Zoning e of Const T Q t Parcel/Sub e e On i yp l) ? p City Water ?G (Actua ? Owner Q,{,?,, (_ (Allowable) # of Stories q? Address )110 ??,1- U' Length ? City/Zip Code C? ????aJ Depth S.F. Total ? Footprint S.F . ?/?;? Phone ya - oZ?-olL$ APPR_ 0? F6E5 Contractor r(A.LtZ Assessments Permit 398-_ , Water/Sewer Surcharge 3.5. /yit? Address ))10 l ' Police Plan Review _f917 .?S Fire SAC, City , I c?. ?•?? City/Zip Code CLI?y(J.? Engr SAC, MWCC SZS• Planner Water Conn 52 Phone ?f?a - aaa? Council Water Meter Bldg Off Road Unit 3oS• Arch./Engr. APC Treatment P 1 18?. Variance Parks Address Copies TOTAL City/Zip Code Phone Ik ?-/ ? I \./• ? L? O / ` ?..?L/ Z?X 22- ? ? ?Z g ,? ' 2 = ?? ? 8C7 `71Z?y G 33? " ¢4a Y Cities Digital itv 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. . : ?. DELMAR H. SCHVJANZ 14'S0 GOUI N MOHE FT 114 /.u ROSFMOUNl MINNESOTA StiOFH PHONE 672 433 1749 SURVEYOR 5 CERTIFICA E ?? AC?it?D.P.E .? .S'B9 °.?? 05 vr/ ? Ir 9? oo B S ? ? ? O e ? ? ?. I I ? ? i i? ? ? a ? Q 14J ? , a? ? 90. oa _j ,g 0¢6 ? ...--:t .-F..1, ....? - . _. . ? ._ . . _ ? .. _ i / .. _.. ' . . ? . . . l _ ? ,. . :L ? i , 1'?' 30 c AL . . .?c>> .; .. . .. ___?. .. . . ? ? ._ ,... - . _ . _ ..'.:!':. , 6uNNESOTA AEGiSTRATtON NO Bo:' 45• { i CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *X)TF: PA7@iF'NS OF FEE AT 7'IME OF r,PPr.icrazCN noFS Norr oorsizTM APPROVAL OF PIItNIIT. INSPDLTION OF SQ+II1t ADID/Ct MM rNsrnr.r.AmrONS WIIL NOT BE SCHgD- UI.ID i7NTTII. PE[2MIT AAS BEW APPROVID. P ease Print) ^^^_^^^^ ^^^^ ^ 1) PROPERTY ADDRESS: 94@ Hackmore S Drive -- LEGAL DESCRIPTION: Lot #, Block l, Haeg lst Addition " . Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRL'CIL'RE, DATE OF ORIGINAL BC'ILDING PII2MIT ISS[:ANCE: . .. PRESE[JI' 7ANING/pROPOSID L?SE: Nbn Year q Ca4AMCIAL/RETAIL/OFFICE ? R-1 SINGLE FAhffLY r7 IAIDL'STRiAL Q R-2 DOPLEX (7tao L?nits) n INSTITUTIONAL/1GOVIIW4ENT ? R-3 IOWNHOUSE (Three + Units) ( Onits) p R-4 APARTMENP/CONDOMINI[m ( Units ) 2) NAM: Paul Oxborough ADDRESS: 1110 Tiffany Court• • CITY, STATE, ZIP: ? Eagan, MN 55123 PHONE: 452-2228 3) • ??. FOr City lse . NF1P9E: GENZ-RYAN PLUMBII? & HEATIN CO Plumbers License: ADDRFSS: 14745 South Ro3)ert Traiul Active i .r? CITP. STATE, ZIP: Rosemoixnt, I? 55068 PHONE: 423-1144 MASTER LICENgg# 1849M FScpired Not recpxded St?i al 4) ?• • i?• 61AP'IE: ADDRESS: ' CITY, STATE, ZIP: FnOivc,: - .5) ? r • ?• : ? • o? - ?? • ? CONNECTION TO CITY SEWII2 ?CpNp.EGTION TO CITY WATER Q p'PFIEFt '. . 7) 6) [= PLEASE HOLD APPROVFD PERMIT EC)R PICK-OP BY ONE OF ABOVE ---'- -- PLEASE MAIL APPROVID PERMIT ZD 1, 7 lop-IN ABOVE • - i^_-i--` - - FOR -CITY USE ONLY " PERMIT # ISSDED Pd w/Bldg. Permit FEES: $ $ /a S 2? SEWER PERMIT (INCLODE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ ? 7 Z) $ WATER METER/COPPERHORN/OLTSIDE READER _ _ $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ll C1 ACCOUNT DEPOSIT - SEWER $ $ ACCOLNT DEPOSIT - WATER $ 5 Z S cr? $ wAc $ Z S ' U'd $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT _ • $ $ LATERAL BENEFIT/-TRCNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ G ' o-n $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER••. $ I ?Cl, 7 ' ?Z $ U ? - TOTAL 7 5`3 v S? RECEIPT RECEIPT DOE S LTILIT Y CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? n YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC ? NO ROADWAY" MLST BE DIVISION. LIST ISSIIED BY THE ENGINEERING AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY; A-t_,L, TITLE: DATE: 7/Q l-, r1 U .01k city oF 3830 PILOT KNOB ROAD, P.O. BOX 27799 ViC ELLASON EAGAN, MINNESOTA 55121 M? PHONE: (612) 454-8100 TMpM0.S EGqN DAVID K GUS7AFSON PAMEU+MCCRFA 7HEODORE WACHIER March ? a? ? 98$ Ca„cu r.lembe?s TF{OMAS HEDGES Gry PGmn'slmiw EUGENE VAN OVERBEKE CM/ Clerk MR & MRS PAUL OXHOHOUGH 1110 TIFFANY COURT EAGAN, FPI 55123 RE: ADDRESS CAANGE - L 1o B tp IiAEG 1ST ADD. Dear Mr. & Mrs. Oxborough: Per our phone conversation of March 16, 1988, please be advised that we are ehanging the address of the home you are building from 750 Haelmore Drive to 746 Hacimore Drive. This change is necessary as an existing home was previously addresssed 750 Haclmore Drive. We regret any inconvenience this may cause and appreciate your cooperation. If you have any questions, please feel free to contaet me. Sincerely? CL/ ""' ` Steve Hanson ConsZruction Analyst SH/js ? ? i THE LONE OAK TREE.. .THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIiY PERMIT City of Eagan Permit Type:Building Permit Number:EA151040 Date Issued:08/06/2018 Permit Category:ePermit Site Address: 746 Hackmore Dr Lot:1 Block: 1 Addition: Haeg First PID:10-31750-01-010 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 - John R Bailey 746 Hackmore Dr Eagan MN 55123 (952) 894-3600 K Designers 2440 Gold River Rd Ste 100 Gold River CA 95670 (952) 894-3600 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152221 Date Issued:10/04/2018 Permit Category:ePermit Site Address: 746 Hackmore Dr Lot:1 Block: 1 Addition: Haeg First PID:10-31750-01-010 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 - John R Bailey 746 Hackmore Dr Eagan MN 55123 (612) 209-7234 Shelter Construction Llc 7040 Lakeland Ave N Brooklyn Park MN 55428 (612) 849-8082 Applicant/Permitee: Signature Issued By: Signature 9 For Office Use I ''‘‘4 •'''''''. EAGAN Permit#: / ...44. Permit Fee: C C Date Received: J - -7/ /0 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 C EI'E (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-569 Staff: _ buildinginspectionsecitvofeauan.com DEC 1 1 2018 L. 2018 RESIDENTIAL BU 1YD1NQ PERM_ APPLICATION Date: 12/10/2018 site Address: 746 Hackmore Drive unit#: John Bailey (612)618-8302 i Name: Phone: Resi entt, ;one ,,,, Address 1 City/Zip: 746 Hackmore Drive Applicant is: Owner Contractor —( /4 &. / 1 I I 7 I) � pp yn t � Description of work: Type oflReplacing 32"x20 hopper w/28"x48"single casement wI galv.steel well kork : $ `',4 ,.a. Construction Cost: $1'900'00 Multi-Family Building:(Yes /No ) Egress Window Guy Dan Ruegemer ,., 4 Company: Contact: , 3410 Kilmer Ln N Plymouth Contractor Address: City: ,��;' State: MN Zip: 55441 Phone: (763)544-2775 Email: DanRLegresswindowguy.com BC665399 NAT-123125-2 j,-,,,,--., ,$4License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 1987 build. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Pla a nfi supporting documents that you, ubmit a considered to be publ1,670;60,10.17:Fru*"s o„f the`�i o ` ,t may be classified asrnon�pubil'c',if you provides ecific reasons t would pe tit„the`<Gly tc concludetl at' y:aretrade seeare s. :: a* . You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.comisubscribe. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq I hereby acknowledge that this information Is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without�t; that the work will be in accordance with the approved plan in the case of work which requires a review and appro�vv • ;� x Daniel Ruegemer r/I�_• V _ Applicant's Printed Name Applicant's Signature r DO NOT WRITE BELOW THIS LINE 111fi CILmD{2 E bit . /s 3v -D-- SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) — Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New — Interior Improvement _ Siding — Demolish Building* Addition — Move Building _ Reroof _ Demolish Interior Alteration — Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage — Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation q.i0 0 0 Occupancy ,.,, MCES System Plan Review Code Edition ! A11,y015 SAC Units (25%_ 1004 ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \J(p-) Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) / Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing )( 30 Minutes 1 Hour Drain Tile Fireplace: l__Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation y,; Windows f(,fl fj 5 Sheathing Retaining Wall:_Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control — Shower Pan Other: Reviewed By: ( \ 1, , Building Inspector RESIDENTIAL FEES Base Fee r 16159 Surcharge Plan Review (' MCES SAC .- Llil kr*/ 0 0 0 City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA153337 Date Issued:12/11/2018 Permit Category:ePermit Site Address: 746 Hackmore Dr Lot:1 Block: 1 Addition: Haeg First PID:10-31750-01-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John R Bailey 746 Hackmore Dr Eagan MN 55123 (612) 209-7234 Shelter Construction Llc 7040 Lakeland Ave N Brooklyn Park MN 55428 (612) 849-8082 Applicant/Permitee: Signature Issued By: Signature