707 Hay Lake Ct
a C a - -
For Office Use
Permit
of City ail
Jul 2 4 2009 t!_
Permit Fee: t
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
- - - - - - - - - - - - - - - - -
(~r, 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: CL~ Site Address:
Tenant: Suite
RESIDENT / OWNER Name: ~t ( Phone: q~ a ~~S ` ~1o9)
Address / City / Zip: Ql 2
CONTRACTOR Name: License \ P
Address: Champion
6611141654340
City: 3614 d R4. #1OO St/ate: Zip:
clevow, W4 55 1 23r- 13"
Phone: Contact Person: K6
TYPE OF WORK New Y-Replacement - Repair _Rebuild - Modify Space ,Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
T Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
lu RPZ PVB) L- Main - Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
`Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 whiichregquires a revieeww and approval of plans.
x ~J41`x e
Applicant's #ted Name Applicant's Sig ure
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough-ln Air Test -Gas Test Final
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INSPECTION RECQRD I Control No.
CITY OF EAGAN PERMIT TYPE: otirl (' 104%
3830 Pilot Knob Road Permit Number: 001483
Eagan, Minnesota 55123 /J? • Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
707 FfAY I..AKE CT BUIt E, R NAIJSIWd CORp
PRTRTCK (612) 437-66035 ;
PER T TYPE: TYPE OF WORK:
M . V .r+- ?? 7 Al TERAi'ION
plIiARK :: RAISE 6ARAf3E f)UOR. 1IfA(l[:it. & IFLUOit 11 1NI:i1F'9
Pertnlt No. Permft HQlder Cete Telephone 0
SNV
PLUMBING
HYAC
ELECTRIC
ELEC7R{C
Inspec8on Dab Insp. Commerrts
Fqotings l
Foundatian
Framing
Roofing
Rough Plbg.
Fough Fit9.
tsul.
Fireptace
Final Hig.
Orset Tes1
Final Pibg. Plbg. Inspector- NoMy Plumber
Const Meter
Engr.lPlan
81dg. Final q / _
yza
Deck Ftg. ? !
Qeck Final
Well
Pr. Disp.
?
INSPECTIfJN RECORD Contro! No. 0260
, CITY OF EAGAN PERMIT TYPE: ou 1 I t+ ? Mq
3830 Pilot Knob Road Permit Number: *#w''144
Eagan, M innesota 55123 Date Issued:
(612) 881-4675 -
SITE ADDRESS: t u T ; I a t Or K: i APPLICANT:
70r NhY lAKE CT B11'FL17R H009I0$ CORF' . ,.,
PATR1Ck 432-68f16 `
PEFIMIT,?UBTYPE:
TYPE OF WORK: NEw
INSPECTION .. .
?R?INIMiu ..
TM?UI RI [C+N FINRL
U 1Rf: P1 Af"F
I RfMAR'.9r RFCLJP3' •
?
i'R4R 5& M - WELTER-194AY1.44K
Permit No. Permit Ho#der tfste Tetephoae Y
S/UH
PLUMBING
HVAC
ELECTR[qr'
?
ELECTRIC
InsprcNon DMs Inap. Commarns I
Footings !
Foundation
?p
Framing
Roofing i
Raugh Plbg.
Rough tftg.
L
Isul,
Flreplace
n
Ap
Fnal Htg.
Orsat Test
Finel P16g. Pibg. InspectCr- NpMy Plumber
Const. Meter
EngrlPlan
Bldg. Final 7
Deck Ftfl.
Deck Final
Well
Pr. Disp.
ZO?W.&? Csse
?/,?tr?t-4drr??? ? i,P
(gtr#ifiratt uf (Orru,p?ury
Citp of (Eagart
mr}xrta? of iwdbng jwrrttarc
This Cernffaate issued pursuaxt ro tlre nquirenrarts oJSwb'on 306 of the uniform Building
Code certifyln8 dw at rhe tiw of i.uuance this stnrrturr mas in rnmplianct wtth the mrioas
orrlinmcYS ol tlre CO regulating buildixg aonstnrction or um- For !he followi?g.-
u.e Chamcaoe SF IJ4JG/GAR eae. Ammkrb. 2%
O-VUV-7 TM RI r? c? VN
??a? BUTZER HOUSIlC ? ? Add? P.O. HQX 245q7, APPIE VALiZY
707
WKE
CRIRT? q L , B 1, PAT1tIUC
Bowims ? - L-di
POST IN A CONSPIWOUS PLACE
0?/i d-/i 7azz?4
HOUSE HEATtNG 7EST RECORD
ADDRESS 707 ? KC- ? APT._FLOOR CITY-A%Z1}.SUBURB
OCCUPANT
HEAT LOSS
DATE HTG. INST
OWNER
SOID BY INSTALLED BY
Elechtcal W«k 9y Gas lins By
TYPE OF HEAT GA FA W_STEAM-SPACE HTR. _UNIT HTR. -OTMER
GAS DESIGN CONVERSION
MAKE ? MAKE OF BURNER -y y °? ??? ??? KEATIW OM
Madal ? / ' C Model ?t?Y's9e3 l?4i? Si^k
Serial ? :W +?? 5?5 Mox. BTU Rating
INPUT 10 ? ligD MAKE OF FURNACE
Model web-bmf
?r CONTROLS
THERMOSTAT ?J Haot Plug
Valve ?
Limif ? L 5 A
Limif $sMing 1-7 d
Vsnf $fze -
KIND OP LINER
Dreh Hood
Filters
il
SIZE NONE
Raqule+or
Fan $etfing - Ghimney Lotafion sias vurs400
/?
Pilot Type 147 St
o Chimnsy Consfrudion
Piloe Make Ili-k
Pilot Modsl Smoke Bomb Wirin9
Pilot Timing 1.1 dN Draft Tost Tay
L W Cut Oif r, Dow Prasauro Liyhtiny Inat.
. . ?? v.
Pressura Porcant COZ OaN Tested ?`
Input CFH? Parcent O 7? Compnny TasY g
$tatk TemP. -f• ? 6 Parcent CO' 6 Q? Na" oi Teshr
Fwm 235
?
J 6 ?4 01 70
Requesl Date
?, Fv¢ No
_ RqLli Inspeclion
r3epwretl9 `..?
? Reatly Now?o v.AI Noiity Inspector
-? ` ' es ? No When Ready?
I• icensed contractor ] owner hereby request inspection of above electrical work at:
Job Address ISireeL Box or Route )
No ? Qly?
?
SecLOn No Tavns' p Name or No- Pange No. Counry L^g :?
Z1
D?Dan PqINT? ? Phone N.
!L_,j
Power Suppl ? Atltlress -
ElMncai GonVaclor ICOmpany Na I ? Co r toYS Licensa NO
Mailing AOdress ( onhactoi or Owner Making Installslion)
l? S 5-7 l
Amhorizetl Siqn ture IConvaclonOwner akmg InslallaFOn) ,r Phone Number
'
? - 3l0
MINNESOTA STATE BOAHp OF ELECTPICITY ? THIS INSPEGTION FEOUEST WILL NOT
Gri99s-Mbwey Bltlg. - Naom S173 BE ACCEPTEO BV THE STATE BOARD
1811 Universlty Ave., St Paul. MN 55106 UNl.ESS PROPEF INSPECTION FEE IS
Phane (612) 642-08W ENCLOSED
&/,A?
J 65?01
REQUEST FOR ELECTRICAL INSPECTION
me See mstmdions Im complehnq this torm on back ol yellow copy
"X° Below Work Covered by This Request
EB-00001-08
b ?
?.?..
ew Add Rep TypeofBwlding AppbancesWired EqmpmeniWVed
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Bulldmg Dryer Other (Speciiy)
Comm./Industrial Fumace
Farm Air Contlltioner
Other(speciry) Conlreotor6 Remarks
Compufe Inspection Fee Below:
# - Other Fee # ServiceEntranceSrze Fee # Qrcmts/Feetlers Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transformers Above 200 _ Amps Above WO_ Amps
Siqns mspectors U. onry I TOTAL
trngation eooms 70'? - ??.?--
Special Inspection
Alarm/CommunicaUOn THIS INSTALLATION MAY BE ORDERED DISCONNECTED IP NOT
Other Fee COMPLETED WITHIN 18 M HS.
I, the Electrical Inspector, hereby Rou9n-in oa?e ??s y
< d-
certity that the above inspection ha5
been made F,nai oare
,-?O-Y,7^
OFFICE USE ?NLY
TNS request witl 18 monihs fmm
4554d58
4'14 S /97
? REQUEST FOR ELECTRICAL INSPECTION
Minnesoha S[ate Board of Electriciry
Ph1 University Ave., Rm. 5-128, St. Paul, MN 55104
,r one (612) 642-0800
Home Du lex Apt. Bidg. 1 Other: " New Addn
Commerciol Indushial 1
Form Remod Re air
Air Cond. Hlg. Equi . Water Hk. Lood Mgmt Other.
D er Range Elec. Heat Tem . Service
"X" above fhe work covered by this requesi. Enter remarks in rhis space and on the back of Ihe white copy only.
Cokulote Inspection Fee - This Inspecfion Requesf will not be occeptad withouf the correct fee:
Other Fec # Service Entrance Size Fee # Circuits/Feedera Fee
Mobile Fiome Park $lall 0 to 200 Amps 0 to 100 Amps -
$keef Lfg./Tmffic Sig. Above 200_Am s Am s
Tmnsformer/Generofor INSPECTOR'S USE ONLY C30 TAL ?
Sign/Oudine Ltg. Xfmr. i ?
Alarm/Remote Conhol ?t ,S6
Swimming Pool
I teeelay cem that I uss n:d the e col rnItsfa?tilms dexri6ed herein on fhe doms saied
Irrigofion Boom Ro„yM„ pone
5 ial Inspeclion
Investigative Fee
THIS INSTALLATION MAV 0E ORDEH ISCONNECT IF NOT COM ETED WITHIN 18 MONTNS_
OFFICE USE ONLY This request void 18 monllis Fom volidafion dole prinled in Ihis bw
/ ! 75sso
IIIIII II III I I I IIII III I I III (III/?/?M /?? CA?
!
*? 4 5 9 6 5 B L* PLEASE PRINT OR TYPE
Requen Do""?e?, RwgMn inspecFan reqmredz ? yes No
' Inspecfion Olher Thon RwgMn Ready N. 0 Will Call
... ??. (1
ou muu mll the inspecror when ready) Dore Reody 91- :7- f
1, Xricensed coNmcror ? owner hereby request inspection af the above electrical work at
Jo6 Address (Snreq eox, or Roum N. I
r
V
41 C Ciy
A-A rt
1 /r+o 1 Zip Code
,
1Z3
o 7 e a
o ,2 1 5
6
Seceon No Township N me or No Ranpe No Fire No. Co'u7n?yy? ?.?C.
JIR??/?
Occupont
?'r/ STi m.a Phone No,
Pawer SuppGer
/V .6 7 ,0 Address
Elecirmal Conlmct« (Company Name) Conhacror ticense No. Mnsler LK No (Plonr Elxr Onhj
,/ffln a nr 0. 6r17G
nna?i??9 nda,es, (eoma<w. «o.,?e. Pedo,miny invamnon)
30 /)34 ?i?ie rna
mhorized Signanrre (Convactor or Owner Perlorming InsMlhfionl Phone No.
-7z6
B/96 STATE 6OAPU ¢OPY-SEE IN5fHUCT10NS ON BACK OF YELLOW COW
Address: 707 HAY"LAn COURT L.ot 1 Blk 1 Sec/SubpA1RIa
These items were/were not complete at the time of the final inspection.
a . 7 2 92 Yes No
Finalgrade (6" from siding) ?
Permanent steps - garage v
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas
Sod/seeded grass
Trail/curb damage ?
Porch
Sasement finish ?
Deck ?
Please verify with the builder the ramoval of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ?
MMlEDNRP
White - City copy Yellow - Resident copy Pink - Contractor copy
RESIDENTIAL
,- - BUILDING PERMIT APPLICATION
? CITY OF EAGAN
3830 PILOT KNOB RD, EA(iAN MN 55122 ?
L ; 651•681-4675
New ConaUUCibn Requlrememe
• 3 regis[ereC sde surveys showing sq. ft. of Wt, sq. tt. of house; antl gR roofed ereas
(20% maximum lot coverage albwed)
• 2 coples of plan showing beam & windax alzes; pourad found design, etc.)
• lsetoFEnergyCakulatlons
• 3 copies of Tree Preservalbn Plan ii bt platted aRer 711/83
. Ren Joisl Detail Optrons seleclbn sheet (bldgs wM 9 or less wAS)
DATE b &3(O 1b9?
SITE ADC
TYPE OF
APPLICANT
STREET ADDRESS ?`9d ?rl Ui'1 C!x.d'
TELEPHONE # 96?3 -cltF3-o7072 CELL PHONE #
(D
AULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ i _ 2
crC l r-°_?
Le, STATE M]I _ZIP SS?Fb
FA,c # 950? -90'3 - ao 7(4P
PROPERTY OWNER :PCJC S?iQ rOQ d TELEPHONE # 47 ?6 - " " '`"
---------------- °--------------°-------° °-----------°-----°--------°----------------°--
COMPLETE THIS SECT(ON FOR %NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 M
Ne
submiasion type) • Residential Ventilation Category 1 Worksheet Submittad • ? d-
- Energy Envelope Calculations Submitlad p JUN 2 i 2??2
Plumbing Coniractor:
Pluxnbing system includes:
Mechanlcal Conhactor: _
Mechanical system includes:
SeweVWater Contractor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Rewvery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state fhat the information is correct and agree to comply
with all applicable State of Minnesota StaTUtes and CiTy of Eagan Ordinances/
Signalure of Applicani
OFFICE USE ONLY
BemodeVRepelr Reauiremervte
. 2 copies of plen
. 1 set of Energy Calculations for heated add'Abns
. 1 sAe survey far exderbr add'amns & decks
• Indicate B home SeNed by septic system for additbns
VALUATION
1-lL0 # OaCX?-D?/d'-
-
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY ,11011111` ?
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplaca ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Aft - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex PIbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alleration ? 37 Demolish (Bldg)' ?3 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
Nhr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas 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 -7
Building Inspectar
PERMIT C°" ° "° 1111
?
GITY OF EAGAN
3830 PERMIT TYPE: B u z?. o s N r
Pilot Knob Road Permit Number: 0 814 8 3
Eagan, Minnesota 55123
(612) 681-4675 Date Issued: 0 9/ 2 5/ 9 2
51TE ADDRESS:
707 HAY I,AKE CT
LOTa 1 BLOCKa 1
PATRTCK
DESCRIPTION:
-Building Perm9.t lYPe SF (MI5C.)
r?8u31ding',Work Type flL'TERATTON
' UBC qecupancy M--1
,
?.
?tt.??yf
f.. ?_ d? _ ... P .,
REMARKS: 4?-C 0a I 7 VG1
RAISE GflRAGE pOQR, HEflCIER, & FLOQR 11 INCHES
FEE SUMMARY:
VALUATION $3,000
Base Fea $54.00
5urcharge _ -A 1. 50
Total Fee $55.50
CONTRACTOR: - RPplicant - s'r. Lz °pWNER:
BUTLER HOl1SING CORP 14325585 000171 STI6MAN PETER
P 0 BOX 24597 707 HflY LAKE CT
APPLE VALI.EY MN 55124 EAGAN MN
(612) 432-5885 (612)686-7796
?
I hereby ackn.dwiedge thaC I have read this appXication and st•ate 'Cha't thre
infiormation is correct.and agree to camply with all applicakale State af Mn.
StatuCes and C3.ty of Eagan Or-dinances.
,tf??
? APPLICANT/PEfl TEE SIG RE -?UED LIY: S NATU E
PERMIT #.; CITY OF EAGAN
eEacTI4aTE _ 1992 BUILDING PERMIT APPLICATION ?.Ep 18 RECD
' ?? 681-4675 -?
,¢i7yt 6?l ?2?
SINGLE 8 MULTI-FAMILV 2 sets of plans, 3 registered'site surveys, 1 copy af energy
calcs.
COMMERCIAL 2 sets af architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty appl9es when typing of permit is requested, but not picked up by last working day
of month in whi
h
c
re uest is made r lat chan e is re uested once ermit is issued.
Date /7 / -22, yal uation of work
Site Address:70 7 /IX yG.41--4-7 60V,eT? ?fJ?jyi(/ i1/,•y,
SiREET SUfTE /
Tenant Name: (commercial only) _ ?/
LOT I BIACK ? SUBD. /i
/?
Descri tion of work: ('zwDB.& C/} e- - f}!? 1.P_AZ).F4L 44C4Q,FZ?Yy?,
The appl i cant i s: ? Owner )XContractor O Other (Deseribe)
Name 41'1? fj?f ???,1L. Q,a- '?? Phone l?o ' 772
Property i?fT F1RST
Owner A
707 yLf ' ?
Cx
ddress
..
?
STRE T STE M
City a ' State Zip
Company " hone UL?
Contractor Address License 4 OCOI-715 Exp. .3 3?!
City e State A)tk)f Zip ? 2T
Company Phone
ArchitecU
Engineer Name f N`?CY2t? Registration A?43Z?_
Address
City Stat M / n 0 .
Sewer 3 water lfcensed plumber IVIA . Processing time for
sewer 3 water permits is two days once area has been approved. '
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable St te of Min esota 5tatutes and City of
Eagan Ordinances. _
Signature of Applicant4-
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 5F Dwg.
? 03 Sf Addition
? 04 SF Porch
'05 SF Misc.
WORK TYPE
? 31 New
? 32 Addition
? 06 Ouplex
? 01 4-Plex
? OS 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
p 33 Alterations
? 34 Repair
GENERAL INFORMATION
?IL.`t' ?
b ?
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi. Misc. ? 17 Swim Pool
O 13 Garage/Accessory ? 18 Comm./Ind.
O 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demalish
O 36 Mo.ve.
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy Nt-i 2nd F1. sq. ft. PRV Required
Zoning 5q. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire 5prinkler
Length On-site well Census Code y 3?
Depth On-site sewage , SAC Code
APPROVALS .
Planning Building Assessments
Engineering Yariance •
REQUIRED INS PECTION S RAtsE C4ArQA&Q HtADEEk
.
? Site Footing ? Framing ? Insulation
O Wallboard . . ;3 Final ? Draintile ? Fireplace
Permit Fee j,°° • veiua:id,: g2d) ao
Surcharge
Plan Review
License MWCC SAC
City SAC
Nater Conn.•
Water Meter • .
Acct. Deposit
S/W Permit
S/M Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
PERMIT rt
CITY OF E'AGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
SITE ADDRESS:
707 HAY LAKE CT
LOT: 1 6LOCK: 1
PATRICK
? Control No. 0 260
BUILDIN6
0@@294
04/20J92
DESCRIPTION:
Building.,Permit 7ype SF DWG
a8uildin•g Work Type NEW
UBC Ocoupaftcy'-. R-3 M-1
Cortstruction Typ,e VN
Znning R-1
Buiiding Length
` 50
Building Width 46
;
REMARKS:
RECEIPT p C 6119`'I611
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Lic. Search Fee
Subtotal
i?j { f ? i
a,_r?,?? .t
PRV S & W = WELTER-BLAYLOCK
VALUATION $96,000
$621.50 MI3C FEES
$403.96 Totel Fee
$46.00
$700.00
100
1
$5.0@
;1,778.48
$1,610.50
;3,388.98
CONTRACTOR: - Applicant - ST. LIC. OWNER:
BUTLER HOUSZNG CORP 14325885 0961715 BUTLER HOUSINCa
P 0 BOX 24597 P 0 BOX 24597
APPLE VALLEY MN 56124 APPLE VALLEY MN 55124
(612) 432-5885 (612)432-5885
I hereby acknowledge thet I hava read Chis applicaCia» and aCate that Che
informatian ic corract and agree ta complp with all applicable State of Mn.
Statutes and Gity of Eagan Ordinanaes.,
L CA&" ?? ?? ?,
APPLICA /PE IT WE ISSUED 6: SIGNATURE
_,,: , ?? •3 3 ?j' ? • ??
I . • ? ? 1992 BUILDING PERMIT APPLICATION?
? CITY OF EAGAN ? ,?PR 3 5?CO
AEQUIREMENT :
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SEf ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMrdERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE M LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For: SI Yl le I Valuation: 4?-aGEr? Date:
Site Address 7O7 /-/A LAKFI CnrJRJ
Lot ? BloCk I v ••v? ?v? v..?• FE
G1G
?6?
?f2 Occupancy Bldg Permit
/
l
Parcel/Sub Zoning Surcharge
Actuai Const Plan Review
Owner ? Allowable License Fee
Address . D- Bdx ? # of stories
Length SAC, City
SAC, MWCC
City/Zip Depth
S.F. Total Water Conn.
Water Meter
Footprint S.F. Acc[. Deposit
Phone --5cgc? S/W Permit
On-site sewage S/W Surcharge
Corrtractor On-site well Treatmerrt PI.
MWCC System Road Unit
Address . Q. x City water Park Ded.
M
Ci
Zi
?
/
I PRV Trail Ded.
ty/
p 0
/?/i
- Booster Pump Copies
?L?
Phone !/3 -?Sg? ucense 7rvQO/7($-
APPROVALS SUBTOTAL
Penalty
o ?ike Pianner Lot Change
?/
Arch./Engr. FDL.vNO ?°?C//Yf'?J?//l1 Council
Bldg. Off. TOTAL
Address 2-O /? T q?m r Variance
City/Zip Code M?
Phone #
Sewer/WaterLicensedContr. ? ? ?G?J Processingtime
for
i
- ays once areT een approve .
z
M
;M
x agrees that all work shali be done in accordance with
i ature o erm
all applicable StM of Minnesota Statutes and City of Eagan Ordinances. A
? A
urrwe uat unLr
? -
BUILDING PERMIT TYPE - , w
,
0 01 Foundation ? 05 Apt. Bldg ? 09 Basement Fin ish ? 13 Pubiic Fac.
Xr 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool O 14 Agricultural
? 03 Twa family ? 07 Firepl,ace ? 11 Res. Add./Porch ? 15 Miscellaneous
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comn./Ind.
WORK TYPE _
0 31 New ? 34 Repair ? 37 Demalish
? 32 Addition 035 Tenant Finish 0 99 Undefined
? 33 Alterations ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. l3D 6 MWCC System ?
(Allowable) lst F1. sq. ft. ? (9 6 City Water ?
UBC Occupancy / 2nd F1. sq. ft. PRY Required ?
Zoning Sq. ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length .SO On-site well Census Code =67277
Depth yl. On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Yariance
REGIUIRED INSPECTIONS
P Site
)23 Wal l board
P Footing
0 Final
vaLu.s;a,:
?TInsulation
0 Fireplace
Permit fee loZ/,SD
Surcharge y?s
Pl an Revi ew ?/p 3. SA
License
MWCC SAC ?o
City SAC o0
Water Conn.
Water Meter
Acct. Deposit 30
S/W P.ermit 3n
S/W Surcharge ,So
Treatment P1. 340
Road Unit 380
Park Ded.
Trails Ded.
Copies .
Other
Tatal:
SAC %
SAC Units
?lk z(,
26 k- 41 , ?
/ Za- Y
f"Framing
? Draintile
? /92
y?
l? 4 r
._---?-
za
?
f_y ?v
, ?.
: ?? 400
?
- ?a?c
PERMIT # anr oF Eac,aN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural Qlans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing af permit is requested, 6ut not picked up by last working day
of month in which re uest is made or" lot chan e is re uested once ermit is issued.
Date / / Yaluation of work
Site Address:
. STREET STE /
Tenant Name:
LOT BLOCK SUBD. P.I.D. /
Descri tion of work:
The applicant is: ? Owner O Contractor ? Other coes«;x>
Name Phone
Property LAST F1RSi
Owner
qddress
STREET STE Y
City State Zip
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engtneer Name Registration #
Address
City 5tate 21p
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days onc e area has been approved.
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.
Signature of Applicant:
'' j,_ . l..- ?
r
R
=agc; :!. oF 6
pWNER: BUTLE.k Nl7USIN(3 C'C7RFl]RA'TSf7N
707 WAY I...Ak;E COUC",'T
DFiTE.e 4/1::;/92
T)E:TEFM[NE. WGhb'..IIVG sQ11FdRE FfJt]TAizE CIF EACW:
1. 'C'CJT'HL ExF%f1SED Wpl_L. AkEA: 1592 SU. 1='T. X .11 = !7?'.;. i2
___.______._
:. 7f]TAI. F1t]l7F"/CESLTNG ARE:A: 1300 80. F'T. x.Ct2b = 33.80
__________
--------
A. -------
TOT'AL. --------------------------------
WAl_L WTNUGW AF'tEA: -----------------------
146.40
S. 'I'pTflL. DUOR AREA: 40. pt7
C. 'I'0'CAL al_IDING GI._ASS L7C1G1F2 ACiEA: 40.OCt
D. 'I'C1TWI_ F"TREPLAC;E WALL AREA; 0.0p
E. l'0'(AL WAI..L F'f;AMING AREA (AVG. 10"/.): 159.20
F. "fC]l`AL kTM JOIaT AREA 163.00
C. TC7"I'AL NE"C' WF1LL. AREA APCIVE F k_Clqh s 1,043.40
' TC1TAt_ EXWl75ED WALL. G1RFA: 1,592&0
H. TfJ7"AL. F'f]I.JIVDA'1"YC1N WTNXJC)W ARF.:A. 0.00
1. 1'UTqL. NET F'f:]LJNDFI'TTfJN AREA AB(JVE C3kADE: 156.00
J. 7[17AL. qVERHAIVl3 AF¢E:A: 27.00
UETE:FfMINE: "U" VF,I_l1E CJF Ef1f;Fl WFlL.L SE..GME'NT:
a. 146.40 X "U"
-
0.367
b. 40. C1l'7 K "LI" 0.066
C. 40.00 X "U" 0.367
-
d. 0.40 X U" 0.074 -
t?. 159.20 x ??U" l'J. 090 -
?. 163.00 X "u"
--
0.041
g. 1,043.40 x ?Gi° 0.043
-
h, 0.00 X "U. 0.367
?
x. 156.00 X "U" p.lAl) --
.i. :7.00 x ?lJ? 0.014 -
3 ....................... T'O1"AL ??U" _
5=.7:i
2.64
14.68
0. CtC.)
14.38
6.63
45.09
0. qn
:r.'1.88
0.65
159. l,8
IF tl"FM #3 IS 1"IiE SAMF AS, OR LE55 "I'HAN I"fEM 01, YUU HAVE IhE'f
THF INTENT C)F SBC 6006 (02.
??-?__ W_::_._?__...?._...?_-???_ _-___-_ ?=?t-?::?W? ?-?w::::?m?-=:?:?_•===?-? W»? ?w? :,?
I'at7e 2 OF c.
l"CJTpL EXF'OSE:D ROC.1F/CEILING f-1REA W
1:. "Cota.l sIcylight area.
1„ Tc+tal roofJceili,ng framtiric7 arel tavg 10"/.>;
M. Tota.l net insulated ronf/ceiling araa:
DETERMINE "U" VAL.UE FOR EACh1 RClCIF"/CEIL.ING SE:L;MEN7s
1:. q.q0 x lull 0.367 -
l. 130,00 x HuU 0.025 _
M. 1,170.00 X "U" 0.021
-
4•................. l . . . . . TCl°CAl_ "U" r =
1 , 3qC.>, pC)
0. C>C)
130. U C)
1,170.00
0.00
3.24
24.96
28. 20
ST TC7TAI_ OF 04 T5 'fHE SAME AS, C1R LE5S TMAN bS: , YCJU HAVE iMET TMF
]N7EN7 OF SFr 6006(c:) 1.
6a1..'fE:'RNATE S"?LJ:[L.L7INta ENVE'1,.t7PE UE:S]:GNe
TC) LI7'SL.T7.E ThIE: T'L7TAL. E:IVVELCIFE siiYS"{"EM I`1ETHCIC)g 1"HE VAL.LJES ESTFIBLISHEI)
EY THE aUM OF I1'EM,.-? #k3 FaND #4 SHALI_ NOT EiL' GFiEA7"EF't TFiAI+I 1'HF_ SUM OF
I"fEMS #i. f1ND #2.
1. 175.1:'
3. 159.69
'i^2. 33. BI I
'+4. 28.20
:?C>8. 92
-- 187.68
I NI::RL.HY CFRTIF'Y 7MAT I HAVE CALC.uLArEn rwE "U" FAC7C1F28 AND "Ft"
VAL,UES HE:FiE:IN ANID THAT 'T'WE: IEUSI_1)INIi WEf?E L]EaCF2IF.1Ell MEE"fS OR EXCEEI7S
'CNE STW'ff: OF MTNIVESQ7A ENEFSGY C171V6F_F2VATTqN AC'1'.
EtU7LE:Ft HOUBING
.. ?_. ---__..._____
5T ' Fa"fLJ?,E: I7?lu , 5 F. NUTI_Eft, F'RES.
uprE:
f-'acae ._. isl= v
-W I ?IDIJW F-1ND DQ(]Ft :iC:hiEAllLE ?
-
l,?lJAI'd"?'ITY TYPf S.I'!.E `--FAC?"I"L'1R ? WfIVpC]W
qP'EN T Nfy
q BASE:MEN'7 27 X 14 2.60 0, 0cl
1 PFi7TO pR la X b 40.00 40.00
rd CASEMENT 20 x 36 6.80 27.20
2 CASEMENT 20 X 44 8.00 K.00
r„, L'AtiiEMCNT 20 X 60 10.80 ri. r,i0
l) CASEMENT 24 x 3E] 8.00 0.00
4 CASEMENT 26 X /F4 10.00 $I).00
0 f::ASEMCIV'T 24 X 48 ii].;.U 0.00
u C:'SEMENT ::4 X Sfa 11.60 23.20
0 DEI_E HiJNGS 36 7(24/36 18.30 0.00
0 P)ktL.E: HLJNCiS 24 X24/36 12.80 0.00
!') DEeLE. HIJNC75 .'_vi X 24 1:3.50 t>.Qi)
4 CASEMENT 20 x °.;6 10.00 40.OCi
f) 0.00 0.00
0 SiraE L-rs. I x 1.3 e.60 0.0r>
17
TOTAL
CLF?55 -
?1FEA: ?T
? ^186,4p
L)f717R Sf;HEDUL_E
(?IJANTT7Y TYf'E --
SI7.E
FAC7"ClR ?
?_ ?DOpI? .
OPEN I hJC;
2 F'E:h1f:Hl"FiE:E -
'a' -C)" X 6 _
i?CI. t:fCt
_.._ ^
40. 00
U I'1EACH7REE 2' -E3" X 6 17.80 0.00
0.00 p. t:u:i
(). i7c.) e.r. oG
p.l:>p O.Of>
U. QQ 0.00
TorAL vnOR ARE:A: 40.0r)
1"07AI._ WAL.L. WINDqW AREA: 146.40 U--VAI_UE
7CJ"CAL. F'ATIC1 UOOFi AREA: 40.00 U-VFIL.UE
'fCJ"fAl... EiHSCMf-':IVT WnW WREA: 0.00 U-VAL.I.IE
186.40
0.367
0.367
0.367
T07AL DC1OFt AREA: 40. 00 U-VALLIE p, 066
P..ge rF Or-
TMRU E:X-I'ERIf]R FRAMC WALL:
]:N7EF2:CpR ATFt - _ _. _.. _. _. _ _. .,. _ - _. _. _. _. _ ... 0.6e8
swErrr-tucK __.____.____._ ...__.____ 0.¢5
THEFiMO-•NkEAF•. - - - -- _ _ ._ ... _. _. _ _. _ _ _. _. _
.r,7lJA _ .. _ ... _ _. _ ._ _ _ _ .- - - - - - •- - _ - 6.93
SHEATHINCi - - _ _ _. _ _. _ _ _ _ _ _ _ _ _ _ _ _ 2.06
SII7ING _ ._ _ _. _ _. _ _. _ _ _ _ ._ _ ._ _ _ ._ _ _ t.l. 7$
EX"I'ERTDR AlR _ _ _ _ _ _ _ _. _ _ _ __ _ _ _. _ _. 0.17
Tl77AL "F'i" VALUE _ _ _ _ .. _ ._ ._ _ _ _ _ _ _ _ _ 11.07
i1F2 = "U" VALUE - - _ _ _ _ _ _ _ _ _. _ _ _ _. _ 0,090
l'HfiU TNSLlLAl"7UIV WT7W 7TX7TIVG uS.Fi.
INTE:Fi7:OR A]:F't _ _ _ _ _ _ _ _ _. _ _, _. _ _ _. _. 0.68
6HFE7 RCJCk; - - - - - - ._ ... _ _ ._ ._ _ _ _ _ _ 0.45
TWEF'tMCI-HFEAF•. -. - _. _ _ _. _ _. _ _. _ __ _ _. _ _ C>
INSULA"C:[QN _ _ ._. _ ... _ _ _ _ _ ._ _ ._ _ v _ _ ly
aHEAI'MIhlC _ .._ _ _.. _. _ .. _. _ _ _ _. _ _. ._ _. _ _ 2,06
$ l D I NCi - ._ _. _ _ _ _ .. .- •- _ _ _ ._ _ _ ._ ... _ 0.78
EX7E:FtIC]Ft A'1'F't _ _ _.. _ _ _ _ _ _ _ _ _. _ _ _. _ 0.17
T"QTAL.. "k" VALUE _ ._ ._ ._ _ ._ _ _ _ e. _ _ _ _ _. 23.14
1 /R == "U" VFiI..UE - -. -- _. _ _. _ ._ ._ _ _ _ _ .., _, 0.043
1`HRU f:E:IL.SIVG MEMNER
T,N7'E:FICIF2 AIR _ _ _ ,.. - -. -• _ _ _. - _. ._ _ _. ... 0.6E3
SMEET hI:1Cl<: _ _ _ _ _ _ _ _ _ _ _ __ .. ._ ... ... _ 0.58
C:E:ILY.IVG MEMBE:R _. _ ._ _ _ _. ._ _ _ _ _ _ _. _ ._ 4.35
INSULAI"ION _ _ .- - - - - _ _ _ _ _ -- - - - - :=:3.92
S T T L. L. A 7 Fi _ _.. _. _ _. _ _ _ _. _ _ _ _ _ _ _ .. _ 0.61
YCYTAI_ "R" VALUE _ _ _ _ _ _ _ _ -• _ -• _ _ -- - 40.14
1 /R = "U" VALUE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0.025
T'Fil<l.l G"E'ILING 1NSUL.A"fIC7h1
IN7ERTOFf F1IFi ._. _. _ _ _. _ _ .. _ _ _ _ _ _ _. _. 0.68
SI-IEET F;(JCf:: _ _ ... _ _ _. _ _ _ .. _ ._ ._ _ _ _ _. 0.58
l:NSLJL.A7'ION _ __ _ _ _. _ _ _ _ - - - - - - - -- 45
5 T T L.. L. AI k -- _. _. _ _ _ _ _ _ ... ._. _ ._ ._ _ _. _ _ 0.61
"f'I7"fHL "R" VALUE .- _. _ ._ .,. .. ._. ... ,_ _. _ _ _. _, _ 46.87
1/f; _ "IJ" VALUE O.029
pt>,n.= 5 t:]f= Fa
THFtU L,ONC;REI E SLOCk;
IN7EkTpR AIR - -- -- - .. _ _ .. _ _. _ _ _ _. _ ... 0.68
C;L1NG. Pl_K . _ _ _ ._ _. _ _ ._ ._ _ _ _ _ _ _ _ _ 1.28
IN51..ILF1'I'TI]N °• __ ._ _ ._ _ ._ _ _ _ _. _. _ _ _ _ _ 5
Saa?ET RK. saPr.>_____.____ ...___.__ o
EX7EFtStIR AIFt_ _ ._ _ _ ._ _ _. ._ _ ._ _ _ _ _ _. _ 0.17
"fC1T'Al_ "k" VWLUE _. _ _ _ _ _ .. ... _ _ _. ._ _ ._ _. 7.13
:I./Fi = "l.l" VFaL.UE _ _. _ _. _. _ _ _ _ _. _ _ _ _ _. 0.140
THRLI REM ,IpIST
TNTE:RTF1Ff AIR _. ._ _ _. _ _ ._ _ _. _ __ _ _ _ _ _ 0.68
TNSLJI_A72L7N - - - _ W _ _ ._ _ .- - - - _ _ _ _ 15'
R I M JCJ I ST _. _ _ _ _ __ _ _ _ _ _ _. .. _ _ _ _. _• 1.89
SHE:A'TH ING .._ _. _ ... _ _ _ _ ._ _ ._ ... ._ ._ _ _ _ _ 2.06
STI)ING_ _ _ _ ._ ._ _ _ _ _ _ _ _. _ _ _ _ _ _ _ 0.78
L`XTEk:f.Uk AIR_ _. _ _ ._ _ - •- -• - - - -• _. _ _ _ 0.17
TQT'At_ "R" VRL.UE -. _. _ _. _ _. _ _ _ _ _. _. _ _ _ 24.58
1/R - "U" VALUE - - - - - - -- _ _ _ _. _ _ _ _ 0.041
7HFtl1 CANT, @ Mf.:MHE:R (ENC;L.OSEb)
INTEFf7fJF AIR _ _ _ ... _. ... ... _. _. _ _ _ _ _. _ _ _ 0.69
FINISH FLQGI{ING ._ ._ ._ _ _ _ _ _ _ _ _ .._ _ ._ _ 1.23
1JN17ERL.AYMENT__ - - _ _. _ _ _ _ _ _ _, _. _ _ _ _ 0.9=+
PI_YWCClD ••• _ _ _ ._ _ _ _ _ _ _, _ _. _ _ _
7 _ _ _ ??
A? Oy d J`?
I? ... - ..... - - .... .... ... ... ... - - - - ..... - - - - s 11.86
sHEk°r i,r:iri<,:_ ._ _ _ .._ ._ _ ._ ._ _. ._ _ _. _ _ _ ... _ 0.58
srILL AIR --__.__.___r__--•__ _._._ 0.61
r n r AL "R" v ALuE 15.91
IiR m "U° vALUE o. o63
THRu rANr. r=_ INSIJL.ATICIN cENcLosEn>
IN7E:RSC1k F17R-- - _ _ _ _ _. - _ _ _ _ _. _ _e _ .. 0.68
FSNSSM Fl_GICIRIMCa - - ,_ - ,.. ,. _ _ .. _ .- •- ._ .._ _ 1.23
Uh{DEFtLF1YMF'N7-- _ _ ._ ._ ._ _ _ _ _ _. _ _ _ _ _. _ 0.93
F'L.YWC)ClD _ _ .._ ._ _ _. _ _. _. - _ ._ ._ _ ._ _ _ _ _ 0
INStJI_ATIl7N_ ._ _ _. _ _ _ _ _ _ _. _ _ _ _. _ _ _. 19
aHF_"Fi7 I^:OGK- _ _ _ _ ._ _. _ _ _ ._ _ _ _ _ _ _ _ 0.58
5'I':Cl..l.. AIR - - - - - - - - - - - - - - _. _ - •- 0.61
T•CIT AL ?? R" VAI_kJE _ 23.03
Y/Fi = "L1" VFaLUE - - ° - - - - -. - - - - -- - •_ 0.043
E-'dC7i=r 6 O¢:r _
7FJFil.1 C;AN7. M MFMBER (EXF'tlSEl7)
XhITEkTOFi 6alf"e-. ._ .._ ._ _ _. ._ ... _ _ _ _ _ _ ._ ._ _
FIN[SH F'L..f.lC1FING _ - _• _ - _ _ -- - _ _ _ _ -- --
IJNDE.Rl,.AYME.N7_ ._ •- - _ _ _ ._ _ _ _ _ _ _ _ _ _.
F'LYWOI]T) - - - - - _ _ _ _ - - - -• - - - - -- --
dC7IaT _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ._ _ _ _
SMCATHSNG _. _ _ ... _ _ _ _ _ _ _ _ _ _ _ _. .. _
SCJf-FIT- - - -- _ _ _ _. _ _ _ _ _ _ _ _ _ ._ _ _
EX7ERTC]R AIFt_ _ _ _ _ _ _ ... _ _ _ _ _ _ _ _. _
"fOTAL "F't" VALUF' - - - - - - - - - - - - - - -
1/R = "IJ" VALUE _ _ _ _ _ _ _ _ _ _ _ _ _. _ _
TNkU f:AN7. @ TNSl1L.F1TTqN (EX'fERIC1Ft)
YNTE:RTqR AIR° -_ _ _. _ _ ... _. _ _. _ __ _ _ _ _ _
FINIf3H FLOQRING _ _ _. .. _ _ _. _ _ ._ ._ _ _. _ _
IJNDEFiLAYMENT_ _ _ _ _ _ ._ _. _ _ __ _ _ _ _ _ _.
FLYW(](7D _ ._ _ _ _ _ _ __ _ _ _ _ - -. - - _ _ _
INSIJL..ATTON_ ... _. _ _ _. _ _. ._ _ _ _ _ _ __ _ _ _
SHEA7HIn1(3 _ _ _ - - - - -_ __ _ _ _ _ _. _ _. _ _.
y0F'FIT_ _ _ _. _ - -- - _ ._ _ _ _ _ _ ._ _ _ _ _
EXTEFIOR A:[Fd_ _. _ _ __ .. _. _ .„ ._ _ _ _ _ _ _ -
7flY'hlL "h" VF1LUE _ ._. _ _ ... _ ._. ... _ _ _ _ _ _. ._
1/F --: "4J" VAI_UE: _ -• __ ... .._ _ _ _ _ _ - _ _ _ -
0. 68
1a1Y3
0. 9:;
0
11.88
0
0.47
0.17
15.36
0.065
0.68
1.23
0.93
t)
38
0
0.47
0.17
&1..48
0.024
F'Tl.E NAI"Ik: ENF_RGY.EhlC
CITY OF EAGAN
3830 PZLOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-6100
FOR CITY USE ONLY
PERMIT
RECEIPT
DATE:
WSD " TPLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PER?fITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME: f3u T L EP ?-JDqS( NCo C Ol`? P
SITE ADDRESS: 70 7 f-FAY L Fl!<t Co u r Z`
i.oT: I aLOCx / SuBD. paTR t c fc- gdcfh
INSTALLER: VYE L TErL -)l- 13LqYL oG K //YC
ADDRESS: 0011 WeS7- /0 6 t-6- 97`
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
/ SHOWER 3.00 '. "=-
:L WATER CIASET 3.00
( BATH TUB 3.00
-a: LAVATORY 3.00 (o ?
f KITCHEN SINK 3.00 3
? LAUNDRY TRAY 3.00 ' -°s-
HOT TiTB/SPA 3.00
/ WATER HEATER 3.00 3 °°
? FIAOR DRAIN 3.00 3 e?
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 IA ?
3 ROUGH OPENINGS 1.50
_ OTHER
WATER SOFfENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
y6 . Su
SUBTOTAL $
ST. SURCHARGE .50
TOTAL: $ 7 7• Oa
CbMMELtCIAf.?INbU3T&IAS:'? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-?-°-----------------------------------?___._-___----__»______---------______'-
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY: (3 L o o ? i n o h ZIP: 5-Sq2-0
PHONE #: A 21- 3I 7 ?
?
' CITY OF EAGAN
,' L_L B / ?--- p MECHANICAL PERMIT
SUBD. (612) 6814675
RESIDENTIAL
RECEIPT
DATE (? 3
PLEASE COMPLEfE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLEfE FOR
TOWNHOMES/CONDOS WHIIQ SEPARATE PERMITS ARE REQUIRED FOR EACH DR'ELLING iJIVIT.
S' _4
OWNER: J, ? " ? FEES
STI'E ADDRESS: d? >? /
L? /? ADD ON/REMODEL (EXISTING
CONSTRUCTION ONLN) $ 15.00
?. _...... gVAC: 0-100 M BTU 24.00 '/
INSTALLER ADDTI'IONAL 50 M BTU 6.00
ADDRESS: GA3 OiTfLEI'S - MINIMUM 1@ $3 EA. 02 av
CI1R: ZIP: SURCHARGE $ .50
SIGNATURE: TOTAL:
COMMERC7AL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. AL50 COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MiJLTI-FAMILY BUILDINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR
EACH DWEI,LING UNTT. •
WORK DFSCRIPTION: CONTRACT PRICE:
1% OF CONTRACT FEE. FEES
STATE SURCAARGE IS $.50 FOR EACH
$1,006 dF PERMIT FEE.
$
PROCFSSED PIPING - $25.00
MINIMUM FEE - S25.00
E
OR'NER: TOTAL: $
STfE ADDRFSS:
TENANT:
SUITE #:
INSTALLER
ADDRESS:
CITY: ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE:
CITY OF EAGAN
L_L B / MECHANICAL PERMIT
SUBD. ,? (612) 681-4675
RESIDENTIAL
RECEIPT # 61?10
DATE 0
PLFASE COMPLEfE iTPPER PORTION ONLY FOR SINGLE FAMIIY DWELLINGS. ALSO, COMPLETE FOR
TOR'NHOMES/CONDOS R'HIIV SEPARATE PERMTPS ARE REQUIRED FOR FACH DWELLING UNIT.
OWNER: f FEES
STl'E ADDRFSS:
9 DDREMODEL (ERISTIIdG .
CON51'RUCfION ONM C tione? 15.00
INSTALLER: o(I e f r T HVAC: 0-100 M BTU 24.00
PHONTE #: Z7-13/- o 9 2 ADDI1'IONAL 50 M BTU 6.00
ADDRESS: LtJ / St-11 S? . GAS OUTLEf9 - MINP4UM 1 Q S3 EA.
CITY: 44021-e cc G ZIP: SURCHARGE $ .50
SIGNATURE: L TOTAL: $ 2sro
COMMERCIAI,
PLEASE COMPLEl'E TFIIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUII.DINGS. ALSO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DR'ELLING UNTT.
WORK DESCRIPTION: CONTRACI' PRICE:
196 OF CONTRACl' FEE. FEES
STATE SURCHARGE IS $.50 FOR EACH
S14OOU OF PERMTf FEE.
$
PROCFSSED PIPING - $25•00
MIlVIM[JM FF.E - S25.00
i
ORNER TOTAL• $
SI1'E ADDRESS:
1'ENANT:
SUITE #:
INSTALLER: •
ADDRESS: .
CI11': ZIP:
PHONE #: CTPY SIGNATUR&
SIGNATURE:
CITY 0F ER,AN
L"A;H:[Efie 75 TEFfMIR4al_ PlO: 029
DA'TE: 01/06/00 1'IMF: 12; 0'7:52
IIi :
NAMEe , ALLIF..U f=IfiFSTDEy ]:NC.
3210 9001 707 HAYLAI:G CkT 60.00
2155 9001 707 HAYL.AF:E CRT O.:iD
t'f
Tai;al F<eceip+, Amoi:ni;; 60.50
CR1.22J.R0
USER IT..i: JAN
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4575
,W oo,so
Date: J Ct-1/Lo ?2o?
Description of Work: g Construct eew Sfi+revpace? IGas Masonry _ Alterations to existing
_ Install ras inserr onlv _ Install gas line onlv
Other
Job address:
Lot: I Block: vI Subdivision/P.I.D. !!: I'GtYi C k-
Applicant (circle one only): Owner Contractor Permit Fee: $60.50
(D51 -p
Name: S?t (? f7?1 q b1 PPt? Phone it:
PROPERTY Last First
oWNER StreetAddress: W? Ila « )IakP er.
City am State: -)Wjv? Zip:
I n
6Phone #:
Company:E iy` P. C( (? ? CJ 1r1?1(? i^ / l?l EN EISIJ
(area code)
FIREPLACE LP??
INSTALLER Street Address: t 5- ? Ij. .
ciry rA V` Y1 IS' Lj /' (f N, sarce: P) P), ziP: v`. 3 2
?
GAS LINE
INSTALLER StreM
City
Phone #:
(area code)
State:
Zip:
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State of Minnesota Statute d City of s.
? r ?
Si ature
? ?_4
3--am 0-
`??
OFFICE USE ONLY
HUILDING PERMIT TYPE
p 16 Fireplace
R'ORK TYPE
? 31 New ? 33 Alterations
? 32 Addition 13 34 Repair
GENERAL INFORMATION
Census Code 434
SAC Code Dl
REMARKS
Chimney/flue must be inspected before concealing.
M 39 Gas Line ? 41 Wood Stove
? 40 Gas Insert
,
C:LTY C)F I_fiGAN
CASHT.L=h: 5 TERM:[NCd. P10: 719
L'ATE: 05/06t99 'Y':[t1En 14Y42:1.8
'Li :
NAMEw f-ETER IC tiTIGMAP!
300 900± 707 HAY I._(-tKE C;'i 6W00
2155 3001 707 Hf-tY LRI.E. C7 0„50
e
f
Tnt,a:l. Rr:tr.ei.rt Ar:murtit ; 60„50
CR 10s3235
IJSE:R ID: NANCY
?c?:KYFrUK?%?+m*YF*K??I:7??%K?%$?I(7lC?k??t?S7.?'7R:KX7k>nYf• ?K?Y•N?YFW?C7k
. •''+ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-68'1-4675
/?!
New Construdion Reauiremenh Remodel/Reo ir ftlr s?? ?
? 3 registered sNe surveys showing sq. ff. ot lot, sq. R. of house 2 copies of plan
and all roofed areas (207. maxtmum lot coveraae allowed) 7 sef oT energy calculations for healed addiTions
"r 2 copies of plans (show beam 8 window alzes; poured ind. design; etc.) 7 sNe suney tor eiderior addMions 6 decks
? 1 set of energy calcuIWions
> 3 copies ot tree preaervatlon plan H lot platted aHer 7/1193
DATE: 711-2 I /4 q CONSTRUCTION COST: 's-k
DESCRIPTION OF WORK: ll? I4R? A Gx-<iC
STREET ADDRESS: _ ! a 1 414LLJ ta6-e-- C t-
LOT: ad?? BLOCK: .?_ SUBD./P.I.D. #: ?GI?? GI? ,
Name: I i V 2q( V PE-1 4- ? Phone #: Fi uqU -686-27 -r io
PROPERTY tast Flrst /6?a) A? Zr?
OWNER ?/ ? /??
StreetAddress:?(?? -? I l_.f"Sl? CF,
CiN Fjn?(S' , J`+ State: /i4 N Zip: -tTS/Z 3
?- i
Company:??. Phone #: ?
(area code)
CONTRACTOR
ARCHITECT/
ENGINEER
Street
City
Telephone #: area code (
Street
City
Sewer 8 water licensed plumber (required for new construction onlv):
License # Exp.
State: Zip:
Name:
Registration #:
State:
Penalty applfes when address change and lof change fs requesFed once permit Is issued.
Zip:
't hereby acknowledge Thqt I have read fhfs application, state that fhe Informafion Is,fonect, and agree to comply wNh all applicable
j:tate of Mlnnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf:
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservation Plan Received _
Yes _ No
Yes _ No
- Not Required
- ? ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
?: .
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dweiling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ?.18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartmen ts ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demol ition permit
GENERAL INFORMAT ION
Const (Actual) Basement sq. ft. Census Code 41
(Allowable) Main level sq. ft. SAC Code ?
UBC Occupancy sq. ft. No. of Units O/
Zoning sq, ft. No. of Bidgs 8
# of Stories sq. ft. MC/ES 5ystem
Length sq. ft. City INater
Width Footprint sq. ft. Booster Pump
PRV
Fire 5prinklered
APPROVALS
?
Planning Building
Engi neering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other '
Copies
t
Total:
SAC Units
% SAC
?sO
May 12,1997
Depaztment of Administration
1 ? ? F-?!'
Jill Stigman
707 Hay Lake Court
Eagan, MN 55123
RE: Chair Lift
Residence: Stigman, Jill Residence
707 Hay Lake Court
Eagan, 55123
- Elevator ID# 97-03920PT97-28R
Dear Sir/Madam:
Minnesota Statutes Chapter 16B provides that the Department of Administration, Building
Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and
manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from
the Elevator Safety Section recently inspected your residence and determined it meets
requirements of the Minnesota Elevator Safety Code
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for
Elevators and Escalators does not necessarily assure compliance with the
Americans With Disabilities Act of 1990.
Sincerely,
BUILDING CODES AND STANDARDS
/LarryW;ssier
State Elevator Inspector
Irk/rkr (CE-2)
c. Reid, Douglas Michael, BO, City of Eagan
Premier Lift Products LLC
ElFOrmCE2R
fSwiding Codes ar.d Standards Divitiion, 408 Metro Square E3uilding. 121 ?th Place East, SC Paul, MN » 101-2181
\'oice. 612 39G 4639. f'ae: 6 L'?97.1973. TTl': 1 800 637.3529 and ask fbr 296.4639
RESIDENTIAL BUII.DING
Permit Application
tvi _53 0 City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New ConsWcGon Reouirements
3 registered site surveys showing sq. ft of lof, sq. ft. of house; and all roofed areas
(20% meximum lot caverage allowed)
2 copies of plan showing 6eam 8 window sizes; poured found design, etc.
1 set of Eneigy Calcula6ons
3 copies otTree PreservaGon Plan if lot platted after 711193
Rim Joist Defail Options selection sheet (bldgs wilh 3 or less units
RemodelRteoair Reauirementa
2 copies oF plan
1 set of Energy Calculations (or heated additions
i sile survey for addiGans & decks
AddiUon - iridkate if onstte septic system
ws& 7?;-
G,,t" R 1 r 7/(2?
g Offce Use Onl
_ ert of Suney Recd
Tree Pres Plan Reoi
Tree Pres Not Reqd
_ Onsite Septic System
4-o !; ?w e q•7-bL .,IX
Date 9 / 0 a / 0.3 Construction Cost0 DO
Site Address 7 Q z &A Y L. A KF_ Ca ufLT Unit/Ste #
Description of Work 1NS7ALL)1JG [yEW 1A1-6Atr[J4(T .Su//aIi4i1VG POOL
Multt-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner pF_ 7FR d.TjL L ST f GMAA1 Telephoue #( G$') ) 6 8?0 ";7 7.94
0 9S -86 74
Contractor 91-1. poa45lDE eSER!/'/ S
7?G 1db8. &LSI.Da
Address /a/ r
E CouNrr RoAn G ciry ,lirr4E CANADA
State ,MIV Zip Telephone#(LS/ ) q83 -(G O6
COMPLETE THIS AREA ON4Y IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventllatlon Category 1 Worksheet • New Energy Code Worksheet
(?I submission typej Submitted Submitted
• Energy Envelope Calculations Submitfed-
Licensed Plumber ? ? ?, ? Telephone # ( )
$EF' 0 2 'lL' .i
Mechanical Contractor ? A Telephone #( }
SewedWaterContractor lo„ 1 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 work which requires a review and
approval ofplans.
?ovrs ?Nt7E2?S?A?
ApplicanYs Printed Name
C?
ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex A 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazeho)
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code ?
SAC Units
Nbr. of Units
Nbr, of Bldgs
Type of Const
_ Footings(new bldg)
_ Footings(deck)
_ Footings (addirion)
_ Foundation
_ Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIRED INSPECTIONS
_ FinaUC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_X Pool ;< Ftgs X Air/Gas Tests A-Final
_ Siding Stucco Smne
Windows (new/replacement)
X, Retaining Wall
T? -r-- ,
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
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
e00L__
? 30 Accessory Bldg
? 31 EM. Alt - Multi
O 33 EM. Alt - SF
? 36 Multi Misc.
Building Inspector
C ?p? 65
l
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
?
?
?
?
V
o z a
? ? Applicant - name, address, phone & fax numbers, signature
la ? ? Property owner name
Jd ? ? Legal description and address of property
Cg ? ? North anow, scale (1" = 30' or 40') and date
a ? ? Location and name of all streets adjacent to property
.Q ? ? Site Plan drawn to scale showing location of house, pool and other existing or proposed
structures
0 ? ? Directional drainage azrows (existing ard proposed)
ELEVATIONS
Existina
E, ? ? House corners
JR A ? Pmperty corners ( v i S wn-( o K)
? 14 ? On property lines at point of ineasured dimension to pool (see below) Cui sua.f D(C)
?Q ? If applicable, ground elevation at each end of retaining wafls and at wa11's greatest height
Prooosed
1W ?? Finished pool deck comers
12 ? O Top of retaining walls (if any) and at each different elevation (if it changes)
9 ? ? Pool bottom (or max. depth)
Existina
14 ? ? All propeRy/lot lines
Prooosed
GENERAL INFORMATION
;d ? ? Poot
:81 ? 0 Pool plus integrated deck/patio
El ? ? Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
9-17--03
Name
Date
G:/I'ECH/IR 2002lPOOl Pttmit Chccklist
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breinage Dlteclions e...,._ r Rear - Oatage Slde -5
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Ptoposed Elaveibns e U ._
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MINNE30?A LICENSE NUMBER 14370 ?
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144257
Date Issued:07/18/2017
Permit Category:ePermit
Site Address: 707 Hay Lake Ct
Lot:1 Block: 1 Addition: Patrick
PID:10-56790-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
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 -
Pete K Stigman
707 Hay Lake Ct
Eagan MN 55123
(651) 686-7796
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature