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753 Hackmore DrCITY OF EAGAN Remarks Addition Saddlehorn Lot 6 Blk 2 parcel IOMWMOO 060 02 Owner ' Street I>V \ JL State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, jp1p .;4 19$1 1944.00 97.20 20 STREET RESTOR. ]p 1981 1210.00 60.50 20 GRAOING SANSEWTRUNK Skg' lsgl 280.00 14.00 ZO *SEWER LATERAL 1981 3359.51 167.98 20 WATERMAIN *WATERLATERAL 1981 WATER AREA ,56 1981 280.00 14.00 Zfl STaRM SEW TRK STORM SEW LAT CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. 01 ? BUILDING PER. 8_75 - SAC PARK ities Di2ital ? 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. • CASH RECEIPT i CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEI V ED 19 AMOUNT $ I ? ?.??,(L? ? ? Q 6 DOLLARS ? ,oe F]CASH ? CHECK White-Payers Copy Yellow-Postinp Copy Pink-File Copy Thank You BY ? r CITY QF EAGAN F , 3796 Pilot Knob Roaa Eu9an, MN 55122 Ni 6264 PHONE: 464-8100 BUILDING PERMIT ReceiPt # To 6e oted foe Est. Value Dote , 19 Site Address Erect ? Occupancy Lot? Block c $ec/Sub. " Alter p Zoning Parcel # Repair ? Fire Zone _ E l T f C t n orge ? ype o ons . Nome Move ? # Stories W ? Address bil Demolish ? Front ft. C1 phone Grade p Depth ft. ? Name Approvob Fees _ Address Name _ Address Assessment - Water & Sew. Pol ice Flre Eng. Plonner Council Permit Surcharge Plun check SAC Water Conn. Woter Meter Rood UniY I hereby acknowledge thaY I hove reud this application ond state that gldg. O{f. the information is conect and cgree to compiy with oll applicable - Stcte of Minnesota Statutes and City of Eagan Ordinances. A? Totnl Signoture of Permittee - A Building PeRnit is issued to: on the express condition that all work sholl be done in accordonce with all applicoble 5tote of Minnesota Statutes ond City of Eagan Ordinances Building Official POMk # Ddr hrmd PormktM Plumbing Mechanicol INSPECTIONS DATE INSP. Rouyh-In Find Footings Dnte Insp. Date Irqp. Foundation Plumbing Frame/ins. - Mechanical Finoi Remarks: / 2090s, MN 55122 DATE: C?'rY OF EA6AN , v?HirR JCRYI?.C re?cmii 3 Pllot Kwob Road PERMIT NO.: Zoning: _ No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: , 1 agree to wmplp with the Ciry pf Eagan Surcharge: Oedinanees, Misc. Charges: Total: BY Dote Paid: Dote of Insp.: Insp.: , CITY OF EAGAN r""" "`°••" • `••••• 3' Pilot Knob Road PERMIT NO.: ?:cgan, MN 55122 DATE: Zonin of Units: No ? g: . Owner = . Address: Site Address: PI umber: I agree fo eomply with the City of Eagan Connection Chorge: OrBinonces. Account Deposit: Permit Fee: Surcharge: By Misc. Chorges: Date of Insp.: Total: Insp.: Dote Paid: ? CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6264 - PHONE: 450.8100 BUILDING PERMIT APPLICATION Receivt .# Te be wod for BRICI{ CHIIVINEI' Est. Value 600. Date 10-3 , ?q80 ess 753 Hanknpl?.g ,L}r• Site Ad dr Erect ?j Occupancy / n Lot w Btock 2- Sec/Sub. Saddlehorn ' Alfer ? Zoning Parcel # 'lA) lDSgCyC? u (DL) 0 %-Z _ Repair ? FireZone Enlarge ? Type of Const. rc Nome Raber't J C23'lSOn Move ? # Stories Z Address 52]Il2 &S $boV2 3 Demolish ? Front ft. ° Ci Phone Grade ? Depth fr. p Nome Roger COOk2 Approwls Fees o - ?Q Address Assessment Permit 5.00 _ Water & $ew. Surcharge •50 ~ Ci -Phone F Police Plan check Name ,u Fire SAC r Address Eng. Water Conn. aW CI Phone Planner WaterMeter Council Raod Unit I hereby ocknowledpe thot I have read this application and state thot Off Bidg the Information is correct ond agree to compiy with oll opplicable . . APC Total 5_ 50 Stote of Minnesoto Statut? o?d,City of Eagan Ordinances. Y KAry-t? Signofure of Permittee A Building Permit is issued to: ROg2Y' CoOk2 on t he express condition that all work shall be done in uccordppee with oll appfA[oble Stote of Minnesota Statutes and Ciry of Eagon Ordinances ??J ??? / Building Offitial (Aa'?z CITY OF EAGAN BUILpING PERMtT APPLICATION To Be used For !3 ie; L lc C 1, Y valuatian .e6 site Pddress: 76-3 i?Attc +4,?i,e? Lot eal Block a- sec./Sub. ,Sqdd I< h 4,cN Parcel #: Owner: AI TC R R lSo.v Address: 7S 3}{? cK? ? c?c z l?R? v e City/Zip Code: )F,4; N.v nv 552 a 3 Pnone #: !.?lS y- S 39 S Contractor: R c d? vI2 Co c ti 2 Address: .S 1 - PA- ? L City/Zip Code: Phone #: Arch./Eng.; Address: City/Zip Code: Phone #: include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. _ Date / 0 / 3/? r? OFFICE USE ONLY Erect p??upancy Alter Zoning Repair Fire Zone Enlarge _ 7ype of Const. Nbve # Stories Demolish Front ft. Grade Depth ft. APPROUALS Assess[t?ents pernit .S ~ Water/Sewer Surcharge $10 Police Plan Check Fire SAC En4• Water Conn. Planner Water Meter Council Road Unit Bldg_ Off. APC TOTAL f ? CITY of EAGAN BUILDING PERMIT owoe: ........... ...?C..?:? .._. &:P :°.......................... ............. ..................................... Address (presenl) .... .-?-?--' .......?'-r`j Buildar .......... e?? ...............°--.........------- Address ............................................................. DEBCRIPTION . :. N2 3750 3795 Piloi Kxob Road Eagan, Minnesofa 55122 454-B100 ?J Dele ..... ?y Q.......r..f.... ?.? ..................... Slories To Be Uaed For Fronf De !h Hsi h! g Est. Cos! Pasmi! Fae Ramaska C' ? OT n-a I ?> I C;? i This pesmit does not suYhorise the use of slreels. roads, alleys or sidewalks noz doea i2 giva the owaer oi hL sgant ffie right lo oreale any siluaiion wliich is a nuisanca os which presenls a hazard !o the heal2h, safelp, convenieacs aad qeneral welfara !o anpone in the commveifp. THIS PERMIT MUST 8£?tEPT ON THE PREMISE WHIL£ THE WORR IS IN PROGAES$. This ia !o cerlifY, ''-........................has pasmisaion !o ereci a.......................................... _upoa the above desaribed premise subjecf io the provisions of all appliaable Ordiaances for the Cifp of Eagan. ........................... fy-=---- ?-?J--1------.?-?-.`=.:- ............................ rer .......................................... ........................ Mayor ( Sulldinq Iaspaelor 149 ities Digi 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. EAGAN TOWNSHIP BUILDING PERMIT ............ oWna= ."_ _------='' .... ............. _------'-`-'--'--"---.........----' Address (Pxesenf) ...._?.L? :.1_,..___.._.. -?'..::..?.._...:..._1_..._._..__....' Huilder _.. Address DESCRIPTION N° 1941 Eagan Township Town Hall Daie '_??-e?--: .................... To Ba Used For FronS Depfh Height Est. CosS ermif Fee Remarks + 7 c-c. °/? -_'/ I ?// •" ' ?d /, o :• /( / ?' _ ? ci LOCATION Sirael, Road or oihet Descripfion of Loca3ion I Lo! Bloek Addilion os Trac! This pexmii dcea noi auihosiae the use of sireeis, roads, alleys or sidewalks nor does it give the owner ar his agenf the righlYO creale aay sifuaiion which is a nuisance or whieh presenls a hazard So the healih, sefely, coavenience and general melfara 2o anpone in the communiiy. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGR SS. This ?s !o cer2ify, ihaY.....,/.._:.._.._ .............:.::........_........_... ?.....? • _..haspermissian !o erecY : r?rf:.......f.'?:.`.':'.. ---------------- .._upoa the a6ove descrited premise subject 20 the provisiuns ot the Building Ordinance for Eagah Township 6dopied April 11, 1955. - .. ...... ` :_.:. . . ..._..__....-------..... -° ......................j .-f- ..r`====-_?-------........_.... Per _ ??'c'=°=1---- ! Chainfi? n oE Tnwn Board luilding Inspecior i. i-, &o?? 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. $SD. so Date Aff,./ _2 6 / - Site Street Address s?? LM ? ? /v Unit # Property Owner TeVephone # ( ) Contrector Z>y/ r? Address s cD cGity Telephone# (?+r„?) State4l/v Zip The Applicant is: _ Owner Contractor _Other Alterations to existing dwefling $ 50.00 _ Add plumbing fixtures (excludes water softener andlor water heater--complete next section if installing these appliances). _Septic System Abandonment Water Turnaround (add -$125.00 if a 5/8" meter is required) ?Other: on!' I7R/df' Ozw nn 0 1? ? I?l APR 2 s 2005 Water Softener Water Heater Llll $ 15.00 _ new _ replacement Sy Lawn Irrigatiun _RPZ _PVB _new _,repair `rebuild $ 30.04 State Surcharge $ 50 7otal $_- I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in th event a plan is required to be reviewed and approved. ?? '???? ?- ApplicanYs Pnnted Name ApplicanYs Signature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ? r 651-687-4675 k? NewConstruction Reauiremenls • 3 regmtered sHe surveys showing sq. ft. of lot, sq. ft M house; and all roofed areaa (20% maximum lot coverege allowed) • 2 apies of plan showing beam & windax sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservalion Plan if lat platted ailer 717193 • Rim Joist DefaU Op6ons selection sheet (Mdgs wilh 3 or less units) DATE I I I I () ?,--- SITE ADC TYPE OF APPLICANT STREETADDRESS 1"fl0`DV C?LE?'? D!2 TELEPHONE # CEII PHONE # LTI-FAMILY BLDG _Y )(N 'IREPLACE(S) _ 0 _ 1 _ 2 STATE M? ZIP 19 21 FAX #9'? u Z? PROPERTYOWNER TELEPHONE# (o51-(OS$`bsl° I ------------------------------------------°-----------°----------------°-------...---------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNI:SO'1'A RULES 7670 CATCGORY I (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Hcat Recovery Syslem Phone # P'ee: $70.00 Phone # ------------------------°---------------------°-------°------------°--°-------------------------°------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appilcant C,- OFFICE USE ONLY _ Water Softener _ _ Water Heater No. of Baths RemodeBReoair Reauirements . 2 copies of plan • 1 set of Energy Calculahore for heated addbons . 1 site survey for exterior addilions & decks . Indicate if home served by sepfic system for additions VALUATION ?I E , ?h? _ Phone # I,awn Sprinkler No. of R.I. Badis MIN • Ne 10 y d e u d JUN 13 2002 ec: . Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 EM.AIt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 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 Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteratian ? 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 N6r. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile pther Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By 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 Building Inspector 䙏䥆䕃唠䕓传䱎൙匊扵吠灹獥਍‿瑏䘠畯摮瑡潩⁮ि㜰传ⵓ汰硥㼉ㄠ″㘱瀭敬ॸ‿〲倠潯൬⼊☬〠′䙓䐠敷汬湩⁧ि㠰〠ⴶ汰硥㼉ㄠ‶楆敲汰捡॥‿ㄲ倠牯档⠠ⴳ敳⹡ഩ㼊〠″㄰漠彦瀠敬⁸ि㤰〠ⴷ汰硥㼉ㄠ‷慇慲敧㼉㈠′潐捲⽨摁湤⠮ⴴ敳⹡ഩ㼊〠‴㈰瀭敬⁸ि〱〠ⴸ汰硥㼉ㄠ‸敄正㼉㈠″潐捲⁨猨牣敥⽮慧敺漶ഩ㼊〠‵㌰瀭敬⁸िㄱㄠⴰ汰硥㼉ㄠ‹潌敷⁲敌敶६‿㐲匠潴浲䐠浡条൥㼊〠‶㐰瀭敬⁸ि㈱ㄠⴲ汰硥倉扩彧⁙牯张三㼠㈠‵楍捳汥慬敮畯൳圊牯⁫祔数ॳ 䥊昧倧瑬穬⼠䰿䈮〧兌㔱⠻ഉ㼊㌠‱敎ॷ‿㔳䤉瑮䤠灭潲敶敭瑮㼠㌉‸敄潭楬桳䤠瑮牥潩⁲‿㐴਍‿㈳䄠摤楤湯㼉㌠श潍敶䈠極摬湩⁧㍛㐉′敄潭楬桳䘠畯摮瑡潩⁮‿㔴਍扉⁋㌳䄠瑬牥瑡潩८‿㜳䐉浥汯獩⁨畂汩楤杮‧ि㌴删牥潯⁦‿㠴਍‿㐳删灥慬敃敭瑮उ唢浥汯瑩潩⁮䔨瑮物⁥求杤 ‭楇敶倠䅃栠湡潤瑵琠⁯灡汰捩湡൴ऊउ਍慖畬瑡潩⁮瀢ऩ伉捣灵湡祣䴉䕃⁓祓瑳浥张਍敃獮獵䌠摯⁥⵲吭ⴉ娉湯湩१楃祴圠瑡牥张਍䅓⁃湕瑩ॳ匉潴楲獥䈉潯瑳牥倠浵⁰ൟ⌊漠⁦湕瑩ॳ匉⹱䘠⹴倉噒张਍‣景䈠摬獧उ敌杮桴䘉物⁥灓楲歮敬敲⁤ൟ吊灹⁥景䌠湯瑳嘠ऴ圉摩桴ഉ弊䘠潯楴杮⁳渨睥戠摬⥧਍ 潆瑯湩獧⠠敤正ഩ弊䘠潯楴杮⁳愨摤瑩潩⥮਍潆湵慤楴湯਍牄楡⁮楔敬਍潒景䤠散☠圠瑡牥䘠湩污਍‿牆浡湩൧䘊物灥慬散张删䤮‮ 楁⁲敔瑳张䘠湩污਍‿湉畳慬楴湯਍䕒啑剉䑅䤠华䕐呃佉华਍楆慮⽬⹃⹏਍‿楆慮⽬潎䌠伮മ弊倠畬扭湩൧䠊䅖ൃ伊桴牥਍ 潐汯张䘠杴⁳ 楁⽲慇⁳敔畳䘠湩污਍ 楓楤杮张匠畴捣⁯ 瑓湯⁥ 牂捩൫弊圠湩潤獷਍ 敒慴湩湩⁧慗汬਍灁牰癯摥䈠㩹⠠椮Ⱐ䈠極摬湩⁧湩灳捥潴൲䈊獡⁥敆൥匊牵档牡敧਍汐湡删癥敩൷䴊⽃卅匠䍁਍楃祴匠䍁਍瑕汩瑩⁹潃湮捥楴湯䌠慨杲൥匊圦倠牥業⁴…畓捲慨杲൥吊敲瑡敭瑮倠慬瑮਍楌散獮⁥敓牡档਍潃楰獥਍瑏敨൲吊瑯污਍਍ि〳䄉捣獥潳祲䈠摬൧㼊㌉ऱ䵅‮汁⁴‭畍瑬൩㼊㌉ळ硅⹴䄠瑬ⴠ匠െ㼊㌉श畍瑬⁩楍捳മ匊摩湩൧䘊物⁥敒慰物਍楗摮睯⽳潄牯൳㈊㼿 ??b? 2005 RESIDENTIAL BUILDING PERMIT APPLICATiON City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruclion Reauiremenls RemodeURenair Reauirements Ofice Use OnN 3 registered sile surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey Recd _ Y_ N (20%mazimum lot coverage anaxed) 1 set af Energy CalculaCrons for heated additions Tree Pres Plan Recd Y N 2 copies of plan showing beam & window s¢es; poured found design, elc. 1 slle survey (ar additions 8 decks Tree Pres Required ' _ Y_ N 7setofEnergyCalculations Ad0'd'an-indicafeMon-sResepfksystem On-stleSepticSystem _Y _N 3 copies of Tree Preservation Plan B lot plafled afler 711/93 Rim Joist DefaO Options selection sheet (buildings w@h 3 or less uniGs) ? Date q /) R 1 o5 Site Address -7 S-? )"yr? Construction Cost.b0 0 Or . UniUSte # Description of Work 41c..+k.I'oa? r e,Y+"ooux-? Multi-Family Bidg _ Y)? N Fireplace(s) )?, 0_ 1 _ 2 Property Owner Xe !4L 4, (K05 Vd I vf Telephone #( O c Contractor o- i ?cR. ?? ' Address extiprw!'.3 State !'l+s Q' - SwL SOO City CL I- zip SS12-I Telephone#(l) 85-3399 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of approval of plans. '), "L, 6,. L` L ?,????y»ID qpR ? 9 2005 Applicant's Printed Name Appj6ant's Signature L. o 7L ? r S I-IVV/Z-- 14*yr %oV; Ily Q .71 ! ?t a '^ Y (f ? S? ? 4 c /C / da v ? ? ? ? }? c- = /I q/ 11/27 '96 12*11 512 581 4612 -. - .ii;1 :ii° ?F --.;.-.if ?) 4(-.!iIT::Ib.f11:E ID:AX]TA ilmw`/ pPIYSfCAL D FAX:S12-891-7031 PRGE cipal Notice of Well Permlt Appliration County Eavirmintaual M9nagememt Depprlment Water sad Land Managemmt Seotion 14955 C3wtwxie Avenua Weet nppte valtey, tirrr 53124 'fel (622) 891-7011 Fax (6t2) 891-7031 DATE: Novemher 22, TO: Tom Co1baU1 FROM: Water snd Lsnd 1E: Woll Petmit #: Municfpaltty! f ? 1 R-9'SX The Water end Lsnd ! Depertment has recerved !he rovlew of tho appliaation or Specialist Usted aborc pr our HOURS (wnclud'mg weakends the pcrntit Pleaso nou thst p and complFance wifh all avulia Wel l Contraaor. Date appticadon ropeivod: Anticipeted Driliing Dato: Mtecipated Groming Dsta: ProPeely Owaer: Well Owner: Stroet addross: 733 Hackmorc Dr MN Number. (y'em ) 'a'ELL JNI+'ORMATION, Diamater: 4 . Caftpg deplh: 3 Tcal depu,: at Stottc Water ] evel: 121 1 Aquifu: Frai onia 8anduorie COMMENTS: i i I Schwnnz FaxH: (612)681-4612 Weif Typo: Seal;ng Environmental Specialisl: Rutten igement Section Of Ihe Dwkotn County Envirnnmenml Mrnagr,mmt nirieg pcienit appUcatlon fbr ffic well Aastribed. If you tequite finlher ou have any questianc or wnccros aboul it, eontacl the Enyitomn'entel :e at (612) 891-7021. tf thorc is no rospoime from your afTice witkirt 24 holidsy4 we uiifl assume tnat you have no objec[ions to the issnence of it issuance is alwsys oond'Rionod on qie pormit applicatti's oboavince of siata county. and muniaipal Isws and codes. McCarthy WeII Company Norember 13, 1995 Navember27,1995 Nwembe?27. 1995 1 Beekmen . 8eokman WELL I,OCAlION: I I PLS CoOTdinatas: 1l4, 114, i14, 174,. See 2S, Town 27, ]Lnge 23 ? Time: 9:00 AM Time: 9:00 AM 612 891 7031 13-20-95 12:02PM Fuuf: p0i J?z?).?_ ?I ? P0o1 1G38 MASTER CARD LOCATION Z- (p , L3';? - :?,-??1cUQhc:r h OWNER RIO STRUCTURE AND LAND USED AS 12 adQI., 2,, 4 Permit No. Issued Issued To Coniractor Owner BUILDING -.r _ go_G! L ? PLUM8ING CESSPOOL - SEPTIC TANK WELL ELECTRICAL H EATI NG GAS INSTALLING SANITARY SEWER OTHER OTHER I Items Approved (Ini}ial) Date Remarks Distance From Well fOOTING -p - I f - ?IY SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL ? HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUM8ING WELL SANITARY SEWER Violations Noted on Batk COMMENTS: COMPLIANCE INSPECTION REPORTS 70 BE USED ONIY IN 6VENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRIJCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ACCEPTABLE SUBSTITUTION5 OR DEVIATIONS. ? NON-COMPLIANCE. BWLDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL 8E DELAYED BY CONDITIONS BEYOND CONTROL. ? REIhSPECTION REQUIRED REINSPECTION DATE OF REINSPECTION CERTI FICATION - I certify that I have carefulty inspected the above in which I have no interest present or prospective, and that 1 have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relanng to the propetty inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING DATE '0§? ? a CITY USE ONLY LOT //7 BL f"' PERMITk: OJ IJ SUBD. I?Zdp le ft{" h RECEIPT #: RECEIPT DATE: 8000 M£Cfii4NICAl. PEtMIT (ft£SIDENTIAL) CITY OE £i46AN 3$30 Pll.OT KNOB itD SASAN MA 55122 651-691-4675 Date: Complete this section onfy if you are instailing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU 30.00 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge .50 Total $ Complete this section onlv if you are remodeline, addinp to, or MplacinP an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. New Y Replacement Other ? Fumace Air exchanger Reminder.• Call for final inspection. _ Air conditioning Other Fee $ 30.00 State Surchazge 50 Tota] $ 30.50 SITE ADDRESS: 7 $,3 AlMr-?j'i'lCJre c-r- OWNER NAME: D PHONE #: ?O S? _?gp ^ OS?? DE) INSTALLER NAME: ??ONGE ?f PHONE #: ( pSt ?J STREETADDRESS: S0,S /? ,/?wNQ'i1'GAH' W1/e-- (AREA CODE) CITY: ? to ?-6t? STATE: Y?// ZIP:S?IbZ ? SI NATURE O RMITTEE L _ BL SUBD. APPROVED BY: CITY USE ONLY INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 M£CiiANiCAL f£fiMIT (COMM£ftCIAL) CiTY OF EA6i4N 3$30 PILOT KNOB fiD E,e?s,art, buv 5512E 651-6$1-4675 Please complete for: all commerciaVindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK 1'YPE: _ New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by frre marshal and plumbiiig inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x 1°/a =$ (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: TENANT NAME (IMPROVEMENTS ONLl): WAS THER.E A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: OWNER NAME: PHONE #: (ARFA CODE) ADDRESS: CITY: PHONE#: - (APEA cooe) STATE: ZIP: SIGNATURE OF PERMITTEE (??'SS b aoos ? RESIDENT'IAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 $?-qa° New ConsWchon Reouirements RemodellReoair ReauiremenGs Office Use Onlv 3 registered site surveys showing sq. N. of l04 sq. ft. of house; and all roofed areas 2 copies o( plan Cert of Suney Recd _ Y_ N (20% marimum lot coverage allowed) 1 set of Energy Calculafwns (or heated additions Tree Pres Plan Recd _ Y_ N 2 copies of plan sirowing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqwred _Y _ N 1 set of Energy Calculations Additlon - indicafeHon-sifesepticsystem On-sifeSepticSystem _Y _N 3 copies of Tree PreseNation Plan fl lot platted affer 7/1193 Rim Joisl Detail Options selecGon sheet (bldgs with 3 or less unifs Date lz, / Z,? / 04 ConstructionCost Site Address :7 ZV UniUSte # Description of Work f/J 51 "9[) . 6 4,5 ?6C(,S?l/TCLS Multi-Family Bldg _ YY N Fireplace(s) _ 0 k 1 _ 2 Property Owner RL 5 ?ix- ? Telephone # (41/ ? Contractor L Address _35 7? v,) , f'??`1 ?3 City d ?(? State j--) Zip ? Telephone #( 9i Z) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Categorv 1 _ • ResidenGal Ventilation Category 1 WorkSheet (4 submission type) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Pernut and acknowledge that the informat on is complete and ds-46 ate; that the work will be in conformance with the ordinances and codes of the City o? an and the State o MN Statutes; I understand this is not a permit, but only an application for a permit, and wor is no `s out a permit; that the work will be in accordance with the approved plan in the case o r which requires a review and approval of plans. , W ?J 9 `-c, 1?0 ` ApplicanYs Printed Name Appli Ys Sign OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? '11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25.- Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowsfDoors ? 34 Replacement "Oemolition (Entire Bldg) - Give PCA handout to applican[ Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final _ Franilng _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insularion _ Retauvng Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector Use BLUE or BLACK Ink ---------------1 For Office Use I Permit 6 v City of Ear L► MAR 111011 Permit Fee: 1 3830 Pilot Knob Road 1 Eagan MN 55122 1 Date Received: J Z lZ Phone: (651) 675-5675 1 Staff: Fax: (651) 675-5694 1 - 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: s6 2 Site Address: -12) t K~C F- ICS(~~r Tenant: Suite Name: C Laves QOS)d b 1 A Phone: J 11 - n5-(10 RESIDENT/ OWNER Address/ City/ Zip: le6 i Name: Y X S fl11m`U\V'l 3 License ~C(~" ~YYI a- ~ain~al~o~, city: CONTRACTOR =Address: State: Zip: Phone: c~ 3 i Contact: Email: Co New ZReplacement _Repair _Rebuild - Modify Space -Work in R.O.W. TYPE OF WORK - 9 S Description of work: ~i RESIDENTIAL Water Heater 1 Water Softener € Lawn Irrigation RPZ 1- PVB) PERMIT TYPE z Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround i Abandonment s 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) $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 $ ID4 ,~C~ 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.aopherstateonecall.orct I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xco~t ,C1 \O (~CA r't9(vt tjr x Applicant's Printed Name App icant'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:Mechanical Permit Number:EA132256 Date Issued:08/03/2015 Permit Category:ePermit Site Address: 753 Hackmore Dr Lot:6 Block: 2 Addition: Saddle Horn PID:10-65800-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Keith S Rosvold 753 Hackmore Dr Eagan MN 55123 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature