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763 Hackmore Dr? CASH RECEIPT ? CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE REC61vED FROM 19 AMOUNT $ I ? / ? ?2_/ & DOLLARS ?oo ? CASH ? CHECK White-Payers Copy Yellow-Posting Copy Pink-File Copy BY cir. OF EAGAN 3795 Pilof Knob Road Eagan, MN 55122 Zaninn- Owner; Address: Site Address: Plumber: Meter No.: c,?e Reoder No.: I agree to comply with the City of Eagoe Ordinonoes. R.. Date of Insp.: cir? oF IEAaAN 3 +% w" Knob Roaa Eagon, MN 55122 Zoning: Owner: Address: Site Address: Plumber: 1 agree ta eomply with the Ciry of Eogan O?dinances. By Date of Insp.: InSp.: WATER SERVICE PERMIT PERMIT NO.: DATE: No, of Units: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Totol: Date Paid: Insp.: SEVNER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: Permit Fee: Surcharge: Mix. Charges: Total: Date Poid: - CITY OF EAGAN Remarks Addition Sa dlehorn Lot 7 plk 2 Owner Street _763 H3CkmOY'2 4.aiiQ- Qf MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SWRF. . 1944.00 97.20 20 STREET RESTOR, S70 1981 1210.00 60.50 20 GRADING SAN SEW TRUNK 1981 280.00 14.00 20 1 ASEWER LATERAL S-6 981 3359.51 167.98 20 ' WATERMAIN QUATER LATERAL 1981 WATER AREA 1981 280.00 14.00 ZO I STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250.00 18644 4 22 g0 SUILDING PER. SAC 525 00 38644 4 192 180 PARK . , . EAGAN TOWNSHIP BUILDING PERMIT Owna: ._. ....-'-' ...... -:s.,........................... Address (Preseni`?..°--°-'.`-?---.....°---........ Builder .....--..-.- ------------ ..... Address ...... .-- ................ ------..... N° 2046 Eagan Township Town Fiall Dale __6/i61L-J?-.............. ..... Siories To Ba Used For Fson! Depih Heighf Esf. Cosi Permit Fee Remarks g./LO aa.Y /7i a o: This permif doec aot authorize the use of slzeefs, roads, alleys or sidewalks nor does it give the owner or his agen!' the righito cxeate any siluafion whieh is a nuisance or whiah presenfs a hasard io the healih, safefp, eonveaience and geueral welfare !o anyone in the communifp. THIS PERMIT MUST BE ?K/EPT ON THE PREMISE WHILE THE WORK IS IN PAOGRESS. TMs is !o aerfify. !hal._,/.v..1... r*:4--).---_-....__..hes permissioa !o ereei a.- -_---.... ........ ........ $... ...... . upon the above described premise subjee2 !o the provisions of the Building Ordinence for Ea nTowns ap a pAp..ril 11, 1955. .............. --_ "---- ` x"' .._??._..?..: L??..."-............. Per .....-°-----. .... _4.<...._.-R' -.?Y?'4- 9 "'_: i! Chairifian of Tnwn Board Suildin Ins ecloz C . Li RESIDENTIAL ? BUILDING PERMIT APPLICATION CITY OF EAGAN ?Y 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConsWctfon ReaWrements • 3 iegislered sde suneys shawing sq, tt. of lot, sq. ft. of house; and all ruofad areas (20% maximum lol coverage allowed) • 2 copies o( plan showirg 6eam & wiMow s¢es; poured found design, etc.) • 1 set of Energy Calculations • 3 copies af Tree Preservatbn Plan'rf lot platted aRer 711/93 . Rim Julst Detail Options selection sheel (bldgs with 3 or lass unAS) DATE ?01 I I I ?? r,, oow d-S SITEADDRESS ?? ?? ? D(L-• MULTI-FAMILYBLDG _ Y gN TYPE OF WORK Rf,S1G_.2 u? L1I1 h.e. L 4- Ce. - YLcrD V-r FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT STREETADDRESS HU50 & TELEPHONE # ?Z'M 1-3yaO CELL PHONE # FAX # 5?7dR PROPERTY OWNER brK-4 10 +" blkZt.ENF 6"_C^?(2, TELEPHONE #CoSi' ?`I COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RLJLES 7670 CATEGORY 1 MINN: (J submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New . Energy Envelope Calculations SubmiUed Plumbing Contractor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Contractor: _ Air Condilioning _ Hcal Recovery System Phone # Phone # Pee: $70.00 --------------------------------------°---------°--------°------------ 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 Applicant IA ---------------------------- --°---- ------------------ -- -°------------ ---°----------°---------°- ? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 _ Waier Softener Water Heater _ No. of Baths RemodeVReoair Reauirements • 2 copies of plan • 1 set of Energy Calculafions for healed additions • 1 sile survey forexlerioradditions & decks • Indiwte if home served by septic system kr additions VALUATION ? 114 , -2-? Phonc # Lawn Spruilcler No. of R.I. Baths JUN 1 3 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handaut to applicant Valuation Occupancy MCIES 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 Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plurubing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing , Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (newheplacement) _ Iusularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector -;o- o°z o y.d ? ? ? ? ? .? ? ? ? ", 7.;? 7 /? !? U G? ot, .S /1 q? d 1 G? ?v? Yt ?? 9/ ¢' i l ro. " C?? ?7? ? o 0 /./vv ?Ss v ` .? e 30• N Iq 4 C /v' 14 /"-/ n y e- P --zr. , ' aEW city oF engan 3830 PILOT KN08 ROAD, P O. BOX 21199 BEA BLOMQUIST EAGAN. MINNESOTA 55121 MOvOf PHONE (672) 454-8100 THOMAS EGAN JAMES A. SMITH JERRV THpMAS 7HEODORE WACHTER Courici MemOers THOMAS HEDGES City HtlminSfrafor EUGENE VAN OVERBEKE cm clenk Novanber 21, 1985 DdY'lene Seliga 763 HaclQnore Drive Eagan, NAt 55123 Dear Ms. Seliga: Follaaing are corrections to be made within thirty days tA the property at 763 Haclarore Drive: Mirn7esota P1Lmibing Code 4715.2000 - Vacuun breakers must be installed on outside silcoclcs. Minnesota Pltmibing Code 4715.2160 - Water closet flush tailc must install approved ballcock that is anti-siphoraed at less than 1 inch above overflaw outlet. If there are any questions, call me at 454-8100. Sincerely, wiiiiaTn Adams Pluttbinq Inspector /nlb THE LONE OAK TREE ..iHE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNI7Y lvC? ADDRESS LOT: ? BL:? -? ADDITION: O(? '- TIME: (31 _ FTG _ R.I. PLBG. _ FOUND La a_ FZNAL HTG. FRAME FINAL PLBG . ROOF FINAL/C.O. INSUL POOL _ R.I. HTG 1 DECK _ FURNACE CHG DAY CARE _ FIREPLACE GARAGE ____ OTHER: FOR: a(,J - '':?<?<?=`=-' _;•ni` . :.... . . .. ... . ... . CITY OF EAGAN Addition Sa d] Owner? I.ot 7 alk 2 screeo 763 Hacimiore 7.aa?'bC?-J E ??:? :,,r<• -'' ':: 10 65800 070 02 ? Improvement Date Amount Annual Vears Payment Feceipt Date . STREETSURF..? 44 STREETRESTOR. ;7n 1281 1210.00 60.50 20 GRADING SAN SEW TRUNK ,5/? 19$I 280.00 14.00 ZO - *SEWER LATERAL 19 3359.51 167.98 20 WATERMAIN *NATER LATERAL 981 WATER AREA 280.00 14.00 ZO ? ;y STORM SEW TRK ? STORM SEW LAT ? - CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN, ZSO OO I8644 4 ZZ HO =BUILDING PER. ?i SAC .F? 3 PARK t. e 0 PERMIT City of Eagan Permit Type:Building Permit Number:EA119054 Date Issued:11/14/2013 Permit Category:ePermit Site Address: 763 Hackmore Dr Lot:7 Block: 2 Addition: Saddle Horn PID:10-65800-02-070 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Scott Reese 763 Hackmore Dr Eagan MN 55123 My Exteriors Inc 6957 Hwy 10 NW, Suite 206 Anoka MN 55303 (763) 241-4900 Applicant/Permitee: Signature Issued By: Signature C!ty of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: rl ( q3 Permit Fee: Date Received: Staff: .� / 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /0S/�4V 3 Site Address: 76 3 4/kit/wile. DA Resident/ Owner Name: •sca /,/ RfaiklYt Address / City / Zip: loo 3 /'//9GftA4O12/Z ,/2 Applicant is: Owner Contractor Phone: Unit #: Description of work: r417/.S fiiieri#7/441 C f/ *2 //1'.1�m2 V' yit.n,S✓z gx1:,0y' Construction Cost: Gay Multi -Family Building: (Yes / No Y ) Company: f AROCC.M2- / C 1J j vs' Bd/GiVey5 Contact: Da,S7/iy 4,00 9M 4 Address: /2 ,40;y3 �41'Z City: /144444 triaC/J State: /VN Zip: 55 ii°t Phone: (o:6 / - 37- 16-3s/ License #: C 12. CSO 5 -Jay? Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Gv/t 0 Aedl f-'ir'1PL15 6 3 ;7 /`�d/iv//t,,i) /at Z JL 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: • Phone: Sewer & Water Contractor: NOTE: Plans and supporting documents ;that you submit are consideree the information may be classified as non-public if you provide speoific reasons conclude that theyare trade secrets. holm parlath)hi at, would=permit CALL BEFORE YOU DIG. CaII 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.gopherstateonecall.org 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. Exterior work authorized by a building permit issued in accordance with the Minneso days of permit issuance. x Applicant's Printed Name g Code must be completed wit 80 pplicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of Plex Lower Level WORK TYPES New It Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall Interior Improvement DESCRIPTION Valuation 6000 Plan Review (25%._ 100% Census Code #of Units / # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Siding Reroof Windows'- Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building'— give PCA handout to applicant Occupancy .7 -RC - 4' MCES System `'– Code Edition oLco? SAC Units Zorking fly/ . City Water Stories / , Booster Pump Square Feet 336 PRV Length r a, FireSprinklers Width / REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Draip Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In _Air Test Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies / 3.4 _6 g-3# TOTAL Meter Size: Final 1 C.Q. Required .. Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: e a Pool: Footings Air/Gas Tests Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: _ Footings _ Backfill — Final Radon Control Final Brick Erosion Control , Building Inspector Page 2 of 3 NEW SINGLE FAMILY DWELLING - BUILDING PERMIT REQUIREMENTS jI 16,13 Site Address: Applicant: Phone Number: Check ✓ Appropriate Box ❑ One (1) signed and completed building permit application including a current contractor license number. ❑ Two (2) copies of detailed plans, drawn to scale including but not limited to; foundation plan and wall design including foundation wall insulation, radon control system, floor plan(s), cross section(s), elevation plan(s), beam size(s), joist size(s) and spacing, label window and door openings with the manufacturing U -value, and label all exterior wall and ceilings with the R -value Three (3) copies of a scaled Certificate of Survey prepared by a Minnesota registered land surveyor complying with City approved Survey requirements (maximum size 11 x 17). ❑ One (1) copy of energy code design criteria labeled on the plan, verifying that the building envelope meets the provisions of Table N1102.1 and/or Table N1102.1.2. Exceptions would include one of the following calculations that must be submitted for approval: o R -value computation method per N1102.1.1. o Total UA alternative per N1102.1.3. o Engineered systems alternative per N1102.1.5. ❑ One (1) copy of calculated heat Toss / gain and calculated cooling load verifying HVAC sizing in compliance with the Minnesota Energy Code. ❑ One (1) copy of IFGC Appendix E, Worksheet E-1 calculating combustion air size, AND One (1) copy of IMC Table 501.3.1 calculating makeup air quantity. OR One (1) Centerpoint Energy Form completed by a HVAC contractor, including size of mechanical room.* I-1 One (1) copy of New Construction Energy Code Compliance Certificate (N1101.8). ❑ Two (2) copies of the individual lot tree preservation plan, if required by the development contract, shall be in accordance with the Eagan City Code. 11 * Please contact (651) 675-5675 if you are experiencing problems with the Centerpoint Energy software. REMODEL / REPAIR REQUIREMENTS Check ✓ Appropriate Box ❑ Two (2) copies of plan showing footings, beams and joists, label window and door openings with the manufacturing U -value, and label all exterior wall and ceilings with the R -values ❑ One (1) copy of energy code design criteria labeled on the plan verifying that the building envelope meets the provisions of Table N1102.1 and/or Table N1102.1.2. Exceptions would include one of the following calculations that must be submitted for approval: o R -value computation method per N1102.1.1. o Total UA alternative per N1102.1.3. o Engineered systems alternative per N1102.1.5. ❑ One (1) site survey for additions and decks n Addition — indicate if on-site septic system LEAD CERTIFICATION EXEMPTION Check ✓ Appropriate Box n The applicant is not a Minnesota licensed residential contractor, residential remodeler or roofer. ❑ The building was constructed after 1978. ❑ ,T e structure is not residential housing or a child occupied facility. The renovation will not disrupt 6 square feet or more of painted surface per room for interior activities, or 20 square feet or more of painted surface for exterior activities, and does not involve windows. Page 3 of 3 • BY: 11 .L 147. 107, Z7 EJB GAN REVIEWED DATE• V /00/3 BU1LD!`NG INSPECTIONS DIVISION 1) LPN. I Property lines to be verified 1 by contractor/owner. • orrJ till H ays2 ouC iwnl 3y` • 1 11 1 7 6 3 HA ci(in 0 a tz_ fJ /2 ` . ' , Use BLUE or BLACK Ink , ` r------------------� '. � For Office Use � I � � Permit#: ��J��' � Clty of �� -, �� ; � Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: ; 7 �> �.'� �:��,: ; , /. � �� 7 � Name: � -L° Phone: � �'� � � � �3 ,��.,��,��.. ,� ��y �n �n e Address/City/Zip: � � Applicant is: Owner Contractor 0 : Description of work: G(G<<'�i G{ L GYC��/T'��''t Construction Cost: Multi-Family Building: (Yes /No � ) Company: Contact: Address: City: � State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: ; , y_ �. . O . rt a s rf�n cu e s a o ub - s e . . . a - n; ato e s i o - b ' o o e � � . a o 0 ,� . . ' a �� . , ,.� e �s 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.qopherstateonecall.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 a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approva�of plans. 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. x �� !/ /�c�5-e.. �,�.--....._----- x Applicant's Printed Name App i ' r+�W�"`"-"""`�`"" " '""� Page 1 of 3 ^ . , y � �� rz C�n�e:r� 1 J�' � �-- DO NOT WRITE BELOW THIS LINE t �� Z�-' 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 �,/--�-�~ Occupancy �G -� MCES System -- Plan Review Code Edition ,tab� SAC Units —` (25°/a_ 100%� Zoning �JZ–� City Water � Census Code L�/3� Stories / Booster Pump "' # of Units I Square Feet 33G PRV � --�— # of Buildings 1 Length ��( Fire Sprinklers -- Type of Construction �_ Width /t.� REQUIRED INSPECTIONS Footings (New Building) Meter Size: ___ Footings (Deck) Final/C.O. Required _� Footings (Addition) � Final I No C.O. Required __� Foundation HVAC_Gas Service Test Gas Line Air Test ___ Drain Tile Other: _� Roof: �Ice &Water �Final Pool:_Footings _Air/Gas Tests _Final _� Framing Siding: _Stucco Lath _Stone Lath _Brick ___ Fireplace: _Rough In _Air Test _Final Windows __ Insulation Retaining Wall: _ Footings_ Backfill_ Final __ Sheathing Radon Control __ Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES �3G ,�G� �O ��' �3 ��7 �'f Base Fee � Surcharge ! Plan Review McES sac �aQ � ,�� e (� � ua ��r j� ;r.,,'� c�ty sAc �_ Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 .�,�� ' � � �s�z� �, � _ '� . _� �. ,� o.��a = � � � 3 � ^ '" '� �r r — —� �- i — 3�i = ] �''� � + ' � I ��.- � , �y =;� - � ��=� �� ; 1 � ° ,r� �,�`M v��,,.,� �...' =�� , 3 s`�"` �"`A' '�, i° C�9 ` �� +t.� ��G K � a L.. 4�'�� w �� i�-"r:�� Property lines to be verified � �_� by contractor/owner. � , —�!��3 � �s"::�� g ��,,� a ��_,�., � - �-�- ��k.-. � . ��,TIt7N� DlVIiION �� I . ��.� i , � � ' . '� w ' � � ,, �'� ---�j��- ,H�.� �--�J�1.,.,.�_1�' � ' r 1f x'�r`�J 1 W�x�.H� I I . �.�� r,�r,� ��,,��,� 9hcuS2 I ,y�'"S� ` 4��Oi�i�N " � . � � 3y` � I � i � , 7 � 3 h% ��;��Z�L n�2 i , � � � � "y � ' . _ ' � ��• _ i! 1 �'. _ . �•:�•.��;� �... �_ � -:,!- _ � � _'•,.+. � ' .�• _ - i. ' # Use BLUE or BLACK Ink � �________________� � i For Office Use / � ' � �lJs�e' j Permit#: ��` I Clty of �a�a� �� , __ f �� , �� Permit Fee: � 3830 Pilot Knob Road ��i��r � � Eagan MN 55122 �''� � � Date Received: � Phone: (651) 675-5675 � •^� I I Fax: (651)675-5694 �, r i Staff: i 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��✓�f� �3 Site Address: �� ``t'�`'�'°�'"� ��- Unit#: � �,_......,.�.��..._� Name: �L c��"T �-�-t5'� ..�' Phone: � Residentl " � Owner Address/City!Zip: �� e-�1✓��'r"t ;�`�r�'�`Z � Applicant is: Owner Contractor � Description of work: ��-,�� o�'" r� �r y� ��f i � �-�'/ � Type of Work � Construction Co� �� Multi-Family Building: (Yes /No� �„�.....�.,.�.,,�.�_.,�.�...�.,,�. ,...�.....� � � �"�°�1.�-$�ikt�� . �'f�,y�,0,e,✓�_ �,.�,��vf�� ,�,.��. �u-/'a+�-p�.,tv`� � j Company: ontact: �. � � � Contractor Address: `�°'l�Z �d`� �✓� city: � "� w� � � � t .'�✓�,,,/V . � s,�S�l'�1 . �'r�/ - �f 3 � �i S(3 � � Sta e. Zip. Phone. � / :' ,� �, f � License#: 1��,�`�°7 Lead Certificate#: � w___ , m.a��....a...��,.., � If the project is exempt from lead certi�ication, please explain why: (see Page 3 for additional information) � � �� .e_n...�� ...�...�. [ COMPLE�"E THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING # � 4 In the last 12 months, has th -� -- - - ased on a master plan? � _Yes _No If y�s, date 7�> �� '�� Licensed Plumb�r" � �� `�� _Phone: � Mechanical Contractor:_ _Phone: F � 5co�r �� :(Nawc�►�) �Sewer&Water Contractor:_ _Phone: .��...�. .�o.,�, --- � , NOTE: P/ans and suppo �(o(Z� �� b�ZS •ed to be public information. Portions ot � the information may be ic reasons`that would permit the City#o � ets. CALL BEFORE YOU DIG. � against underground utility damage. Call48 hours before you intend to dig to receive I I hereby acknowledge that this infc �nformance wiih the ordinances and codes of the City of Eagan; that I understand this is n is not to start without a permit; that the work wilf be in accordance with the approved plan �lans. Exteriorwork authorized by a bu _, __..__ ______.._ ._..._..___.__. i ding de must be completed within 180 days of permit issuance. x �'^-sTi`.1 �j/li��,t'ow�li�.e �'c ApplicanYs Printed Name plicanYs Signature Page 1 of 3 ,. � � � �C��r�-e;f� �f' �-� ' ' DO NOT WRITE BEI.OW THIS LINE j �� Z� SUB TYPES __ Fowndation Fireplace Porch (3-Season) Exterior Alteration(Single Family) _ Single Family � Garage _ Porch (4-Season) _ Exterior Alteration (Multi) __ Muiti _ Deck Porch (Screen/Gazebo/Pergola) Miscellaneous __ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* ,j�' 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 _.f-�f-�~ Occupancy _„�� MCES System --- Plan Review Code Edition ;;t,at'i� SAC Units —' � (25%_ 100% ) Zoning °��JZ–� City Water Census Code �— "" y3� Stories ! / Booster Pump � --, #of Units 1 Square Feetr 33( PRV # of Buildings 1 Length t` ��f Fire Sprinklers -- Type of Construction _�_ Width f!Y , f r REQUIRED INSPECTIONS � Footings (New Building) Meter Size: __ Footings (Deck) � Final/ C.O. Required _� Footings (Addition) 1, � Final/ No C.O. Required � Foundation � HVAC _Gas Service Test Gas Line Air Test __ Drain Tile � Other: _� Roof: �Ice &Water �Final / Pool: _Footings _Air/Gas Tests _Final _� Framing / Siding:_Stucco Lath _Stone Lath _Brick ___ Fireplace: _Rough In _Air Test �Final Windows ___ Insulation � Retaining Wall: _Footings_ Backfill_Final _ Sheathing t Radon Control Sheetrock Erosion Control -- ; Reviewed By: , Building Inspector RESIDENTIAL FEES p �� /,3 ,�77 �f �3� �� o --1� Base Fee Surcharge ;r� Plan Review , MCES SAC t' ` �e� W..r�k �� `�� (�� -�. �� City SAC 1' �� Utility Connection Char�e, S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 . ' ' NEW SINGLE FAMILY DWELLING — BUILDING PERMIT REQUIREMENTS ', ' �� 3zz Site Address: Applicant: Phone Number: Check ✓ Appropriate Box ❑ One (1) signed and completed building permit application including a current contractor license number. ❑ Two (2) copies of detailed plans, drawn to scale including but not limited to; foundation plan and wall design including foundation wall insulation, radon control system, floor plan(s), cross section(s), elevation plan(s), beam size(s),joist size(s) and spacing, label window and door openings with the manufacturing U-value, and label all exterior wall and ceilings with the R-value ❑ Three (3) copies of a scaled Certificate of Survey prepared by a Minnesota registered land surveyor complying with City approved Survey requirements (maximum size 11 x 17). ' ❑ One (1) copy of energy code design criteria labeled on the plan, verifying that the building envelope meets the provisions of Table N1102.1 and/or Table N1102.1.2. Exceptions would include one of the following calculations that must be submitted for approvaL I o R-value computation method per N1102.1.1. o Total UA alternative per N1102.1.3. o Engineered systems alternative per N1102.1.5. i ❑ One (1) copy of calculated heat loss/gain and calculated coo,kng load verifying HVAC sizing in compliance with , the Minnesota Energy Code. f' r ❑ One (1) copy of IFGC Appendix E, Worksheet E-1 calcul,,�ting combustion air size, AND �I One (1) copy of IMC Table 501.3.1 calculating makeu air quantity. ', OR One (1) Centerpoint Energy Form completed by a AC contractor, including size of inechanical room.'` ❑ One (1) copy of New Construction Energy Code ompliance Certificate (N1101.8). ❑ Two (2) copies of the individual lot tree prese ation plan, if required by the development contract, shail be in accordance with the Eagan City Code. / ! * Please contact(651) 675-5675 if you ar�xperiencing problems with the Centerpoint Energy software. A ;. ,� REIV�,�SDEL / REPAIR REQUIREMENTS P Check ✓ Appropriate Box �` r' ❑ Two (2) copies of plan showyrig footings, beams and joists, label window and door openings with the manufacturing U-value, an��label all exterior wall and ceilings with the R-values ❑ One (1) copy of energy��de design criteria labeled on the plan verifying that the building envelope meets the provisions of Table N1. 02.1 and/or Table N1102.1.2. Exceptions would in f de one of the following calculations that must be submitted for approval: o R-value co iputation method per N1102.1.1. o Total UA Iternative per N1102.1.3. o Engine�d systems alternative per N1102.1.5. ❑ One (1) site s rvey for additions and decks ❑ Addition—i icate if on-site septic system LEAD CERTIFICATION EXEMPTION Check ✓ Ap ropriate Box ❑ The applicant is not a Minnesota licensed residential contractor, residential remodeler or roofer. ❑ The building was constructed after 1978. child ❑ The renovation will not disrupt 6 square feet or more of painted surface per room for interior activities, or 20 square feet or more of painted surface for exterior activities, and does not involve windows. Page 3 of 3 1 a-� -��z � Craig Novaczyk From: Craig Novaczyk Sent: Wednesday, November 05, 2014 10:19 AM To: Jeffrey Wheeler;Tom Miklya; Scott Peterson; Mike Lence;Terry Zelenka; Peter Akmenkalns Cc: Dale Schoeppner Subject: Garage addition @ 763 Hackmore Drive FYi, The homeowner(Scott Reese) and I have repeatedly tried to connect concerning his garage addition. It seems that the contractor that did the work,was not licensed at the time the projects plans were submitted for review.A building permit was never issued for that reason. Unfortunately it was discovered (by Tom Miklya)that the project was started and completed by the unlicensed contractor.According to the home owner,this is being investigated by the DOLI's Chris Williams. As far as I can determine,the footing and foundation for the addition was passed. However,the inspections for garage framing and final have not been completed to date. During a phone conversation on 10/21/14, Scott's(home owner)question to me was,what can he do to finalize the inspection process for the garage addition. I suggested that there may be a couple of options.One option would be to hire another contractor to pull a separate permit, complete the project and get the necessary inspection for a finaL I also suggested another option,where he could (as the owner—occupier) pull a separate permit and complete the project and get the necessary inspections for a final. We also discussed that if he decides to use either of these options, he would have to verify(in letter form)that he has discontinued his contract with the original contractor. The permit application and reviewed plans are on my desk. I'm writing this brief back round of our discussions, in the event that he decides to contact someone in our department while I am on vacation. Thanks, Craig Craig Novaczyk � Senior Building Inspector � City of Eagan City Hall�3830 Pilot Knob Road�Eagan,MN 55122�(651)675-5683�(651)675-5694(Fax)�cnovaczvkCu�citvofeaqan.com �� THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient. If you received this in error,please contact the sender and delete the e-mail and its attachments from all computers. 1 • 5/31/2017 12:48 PM FROM: Fax Standard Water TO: 651-675-5694 PAGE: 002 OF 003 Use BLUE or BLACK Ink For Office Use �1 ? CityofEaall Permit#: Permit Fee: • 3830 Pilot Knob Road Eagan MN 55122 Date Received: -31 Phone:(651)675-5675 Fax:(651)675-5694 Staff:_ a 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 05/31/2017 Site Address: 763 Hackmore Dr Unita: • Name: Scott Reese Phone: 612-618-0678 Resident/ 763 Hackmore Dr, Eagan, MN 55123 Owner Address/City/Zip: g Applicant is: _Owner X Contractor Type of Work Description of work: Draintile System 'I \ Construction Cost: 6710'00 Multi-Family Building:(Yes /No X Company: Standard Water Control Contact: Mike Hogenson Contractor Address: 5337 Lakeland Ave N City: Crystal State: MN Zip: 55429 Phone: 763-537-4849 Email: mike@standardwater.com License#: BC001522 Lead Certificate a: NAT 21436-2 If the project is exempt from lead certification, please explain why: 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:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.000herstateonecall.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 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 authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Betty L Baker x. / Applicant's Printed Name App ant's Si nature Page 1 of 3 DO NOT WRITE BELOW THIS LINE *111W° 47) 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 .e_ 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 A Z.OGp• Occupancy L"-'.7 C- I MCES System Plan Review Code Edition . Mil Zo 1 j SAC Units (25%_ 100% '14 ) Zoning P - ( City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V1 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) _ , O Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests Final Framing )o Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick — Insulation Windows — Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control — Fire Walls Fire Suppression: Rough In_Final — Braced Walls Erosion Control Other: Reviewed By: '770 in . k-/y� , Building Inspector tESIDENTIAL FEES Base Fee /Y):n;nv7 .-) ,,•t Ise Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies /-t9� • Z 5- TOTAL TOTAL Page 2 of 3