710 Hay Lake Ct? T INSPECTION RECORD Control No. ?145
` f:111 t t)YN6
i C17?( OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: t?11 fi t? i
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
l SITE ADDRESS: i_ot :; i;i +it'f .! APPLICANT:
! !o NAY I.Akf C3 }•ARI+ANF'CE) StLVEN
i PATR1 Ck ( fi 1.'. ) 600 ,.?;'76
PERf4AlT WBTYPE: TYPE OF WORK: N
INSPECTION
t itit I r M', .• .
FRANIHti ..
t N',Iic r, r IEU F":Nat ¢
flirf 4'1 A? +
Rf'IiARK`?e i'RW' S fs N s;tlNt'ItALi'UR - MGDERMiII"t PINO
PermR No. Pernilt Hplder Dete Telsphons #
S/W
PLUMBING 4' `'
HvAe
ELECTRlC
ELECTRIC
Inspection Dme [nsp. Commerrts
Foatingst 42 .5 ?
Foundation
FrBtnin
9
Rfloflng ?
Rwsh Ptbg_
Ro„gh Ht9- ?y ?y 9y.
Isul.
?
Fimp,ace ?3
??l Mg. ?`I12
omat Tes,
Final PIDp. I'Ibg. Inspector- NotiTy Plumber
Corisi. Meter
EngrJPlan
Bldg. Final ?p • ? ?P ` f- ? h? (?i h t ? ? h ?`G.'? ?- I
DeCk Ftg. q - ?C/`Gw .S`Ci
?-
Deck Final
Well
Pr. Disp.
• • .. d ?,
a • -+- t'
Wemlicate of ccnoano
witiq of ftgan
2"artoaut .? Saim" an#0eco"
This Certifrcate usued pursuant to the requirements o,f the Uni}'orm Bui[ding Code
certifying tlwt at tfu time of issuance this sirrectune was in co+npteance with the vnrious
ordinances of the City regulating building construction or use. For the following:
Uae SF D-WG- 91dg. Pemtit No. 1%]
OC-P-7 T5'Pe 7oning District ? '[ype Conu.
o? ? 8?;? PARSANIO, S1EVH?1 ? LAI? PAHIC I?t, EAC?N
B . .. ? HAY ?RE OOLVa L , , PAMCK
t-Wity
Daw 06/14/q3
, eoluing oIrma,
POST IN A CONSPICUOUS PLACE
REQUEST FOR ELECTRICAL INSPECTION
I See mstmctions lar wmple?ng this form on back oi yellow copy
t7l'055MEh2 7 , ".V" Below Work Covered by This Request
?TM•• € EB-000108
4.;'
aw Adtl Re . TypeofBudtling AppliancesWUetl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 6wldmg Dryer Load Management
Comm /Industnal Fumace Olher (Specity)
Farm Air Conditioner
OUer (spenty) Caniractor's Rem3rks
Compute Inspectron Fee Below:
# Other Fee # ServiceEntrance Sae Fee # CrtCmis/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to IDO Amps
?ransformers Above 200 _ Amps Above 100 _ Amps
Si90S Inspectors Use Only TOTAL ?
Irngation 8ooms ?
? 20
Speaal InSpecfion
Alarm/Communicatfon THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
L the Electrical Inspector, hereby R°°9n-in Date
certrfy that the above inspecnon has
been made. F,nai oat
OFFICE USE ONLY Tnis request voitl 18 montns imm
?ao?9?f CWY61 d'-l
? 56627 d, )S9o00
ReOUest Oate
? Poe Na, Raugh-ln Inpseclan ReQmretl
(YOU must call inspactar when reatly) Inspeclion Other TM1en Rouqbdn
0 ReaOy Now ? Will NotHy Inspector
? Yes ? N. Dete Reatly
10 licensed contractor FDowner hareby request inspechon of above electrical work at:
Job Atlaress (Street Box or Route Nc I
?
-
; Qry
c t W
0 L
7 k.-
Sectmn N. TownsM1ip Nam r No Range No Caunry
Occupant(PRINT)
5 rof C.., ?---,? Phone No
Power SupPlier Adaress
Elecmcal Conlracta COnOany Name ?.w'R
?
M?i -' ? 11?V ? Conlractor's
-.01" ?fi S3c.drY}?
Mailing AOOres5(ConVactor or pwner MaRi InstallaVOn?
v ?6?
pLQ}ifDA Vq-, ,`? ? F?? _ 0. WA61 eE W42e
f Ntl q
Autbcnxed S,nawre i on actor)Owner Makinq Insla1lahory Phone Numbe.?r3??y p4 .
W1'WW
MINNESOTA STATE BOAHD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Gtlgge-Mldway Bltlq - Room 5173 P BE ACCEPTED eY THE STATE BOARD
1821 Unlvereity Ave.. 51. Vaul. MN 55106 ? UNLESS PFOPER INSPECTION FEE IS
Phone(6tt) 642-0800 ENCLOSED
/D P? 9a-
3 649
REQUEST FOR ELECTRICAL INSPECTION
W See insvuctions br completn¢Sili on bacN ol yellow copy
"X" Be/ow Work Covered by 7hrs Request
EB.00001-0
INJI.. Adtl Rep f 7ypealBmltling App6ancesWired EquipmentWired
Home Range Temporery Service
Duplex Water Heater Electnc Heating
Apt. Building Oryer Offier-(Specify)
Comm./Indushial Furnace
Farm Av Conditioner
Other (speulyl CoMraclor's Remarks
Compute Inspection Fee Below:
# Other Fee # ServiceEnlrance5ize Fee # Circurts/Feeders Fee
Swimmmg Pool 0 to 200 Amps -?% 1 /01
100-Amps 3 O
0to
Transtormers Above 200 _ Amps Above iBB 3? Amps
Signs lnspxtor5 use onty'- 70TA?
? ?
Irngatwn Booms ? c
? J ,
Special Inspedion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO HS.
I, the Electrical Inspector, hereby Rough-m
l
certiiy that the a6ove mspection has
been made Final " Date
OFFICE USE ONLY
?
This request voi0 18 montM1S imm ,
?o
sZ&9
8
4
?
o
9
Request ?a?e Fire No Faugh-m Inspetlion
Reqwretl? '
? Ready Now 17Will Nouy Inapector
?
a^ ' es ? No When Reatly>
/
10 licensed contractor D owner hereby request inspection ot above electrical work at:
Job Atltlress (Street Box or Route Na ]
/
c
210 Ciry
E-
-
u
{ 9 6711
7
Seclion No Township Name or No Range No CouMy?
?Cj?? ay4
Oc<upant(PRINT)
A 11,-"
74?o Phorre No.
- 1600
6
ev
Power SupPber Atltlress
Elenncai Conlrador ICompany Name)
? ConVactor§ Lmenu No
-
115
3
Mailing Fdaress /1?onVaclor or Owner Making Installati 1
f/ S / ? ?61C.'
Authonxetl Signeture ICO bu ner Making Inst on)
• Phone Number
Y3S 3i 6
MINNESOTA STRiE BOAHD OF ELECTRICITY TMIS INSPECTION REOUEST WILL NOT
Griggo-MlOway ?tlg. - Roam S-113 BE ACCEPTED BV THE STATE BOARD
1821 UnlversMy Ave., SL Faul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(61Y)801d800 ENCLOSED.
Address 710 ?LAM COU-Pr 3 Zip 5512 3
Lot •, %` Blk 1 Sub rnrxiGc
THESE TI'EMS WERE ! WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 06/14/93 Yes No Inspec[or: S
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry) ?
Permaneutdriveway ?
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
IIasement finish
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shuFOff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contraaor Copy
PERMIT C°"t ° "° ?.14 5
-?CITK OF EAGAN
3830 Pilot Knob Road PERMITTYPE: 8 urG.DTNr,
Eagan, Minnesota 55123 Permit Number 001561
(612) 681-4675 Date Issued: 10 J m 5/ 9 2
SITE ADDRESS:
710 VdAV LG1KE i:T"
LC1T? ? 6LOCK: 1
PA l'RiCK
DESCRIPTION:
rfl udIttg Permit Type 5F L1WG
Building`;Oork Type NEW
` UBG f7ccup.aric,Y R-3 MI-1
Ganstructi4n `type V-IV
2aning ??.. R-1
Buildzng Length ' 60
, Builtiing"Width 52
'-
?-.
?
REMARKS: L o 2t ? 'j )
PRV S& W GOiVTRAC7OR - MCDERM(JT'T PLBG
FEE SUMMARY:
E;ase Fee
Plan Review
Surcharge
5AC
SAC %
SAC Units
Subtotal
VALUFlTION
$72m.0@
$468.00
$61.50
$700.0m
100
1
$1,94y.50
$123,000
MTSCELLANEOUS $1,610.50
Total Fee $3,560.00
CONTRACTOR: OWNER: - fl p p r i c a n t-
PARRANTO STEVEN
4555 LAKE PARK DR
EAGAN MN 55122
(612)688-2378
I hereby acknow].edge that I have read, tMis appl5cat3on and stat'e th8t the
informatian is correct antf agree trs c',ompS,y wit•h all applicat5le S•Cate of Mn.
Stettrtes and City af Eagan prdinances'.
? -
APPLIC ERMITEESIGN 'U -15?ED B?' IGNATUR? ??-
PERMIT #
REACTIY4TE _
MLI
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
RECo
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
F
Date 6 O Valuation of work /&.-otx)
Site Address: '710 1Aff
SiREET SIl1iE N
Tenant Name: (commercial only)
LOT _°? BIACR _? svan.P?.-?r4k
Descri tion of work: fVE -l ' - '
The applicant is: WOwner E?Contractor O Other (Descrfbe)
PrOpetty Name LASi FIRST Phor,e
Owner
Address
STREET SiE N
City State Zip
Company 7 Phone 6?'Z3711'
Contractor Address &P,K ,Q4. _ license # Exp.
City ?'(s14rL/ 5tate M r? Zip .a'.$'/L2
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber 1dY l?-?1?(?vt?a'fi" ?LurNi3?? . Protessing time for
sewer & water permits is two days once area as been approve . .
I hereby acknowledge that I have read this a plication and state that the information is
correct and agree to comply wi
tb all appl e State of Minnesota Statutes and City of
/
Eagan Ordinances. .
Signature of Applicant: _
OFFICE USE ONLY
BUILDING PERMIT TYPE • ? ?' ,`?, ?
? 01 Foundation O 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish
A 02 SF Dwg. ? 07 4-Plex ? ]2 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition 0 08 8-Plex O 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Varch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
J?'`31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V-N Basement sq. ft. MWCC System 1'?mS
(Allowable) V- N lst Fl. sq. ft. City Water ly-r-S
UBC Occupancy R3 M-l 2nd F1. sq. ft. PRY Required iS
Zoning R-I Sq. Ft. total Booster Pump
?1 of Stories
- Footprint Sq. ft. fire Sprinkler
Length To _7 On-site well Census Code /p/
Uepth 5 2, On-site sewage SAC Code 0/
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED IN SPECTION S
? Site ? Footing ? Framing ? Insulatian
? Wallboard ? Final ? Dralntite ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposlt
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
$ ?11?,OOO
Valustian:
UArtqGE;
C35'MT ;
._---
Zsx2? =`728xr?,= lt?6yg
Cop ies
Other
Total:
SAC % 00
SAC Units 1
ISx36= Gye
Iq Kej = I2,(^
?1, W10- 15; I I,
??°k32= 5?2
/71AIN LILF +EL? 0 K.7r.3% Zg1690
53n
IL
2K6.? ?'Z
1342`? 53 = IZ?,`???t
rilnn?5?'t'n 5?'A'1'E ENF?(zx, COB$ CA??ULATIONS
B119ED ON CIIAPTER 5 OF TIIH
' . FtODEL. Ey?'$GY COb? =],983 EDITION
Adoption Effective
Owner Phone
Slte Address LoT / 13LOCk I Pe-rvpi?? A,.,..-.-.,..,
Contractor Fhone
Building classiflcations Type A1 (9ingle Family 6 Duplex) `
Type A2 (Residential, 3 stories or lesg) (OVer 9stvYiea) (OEhet)
No'TEt comolqfp paaes 3 and 4 E pt-,
"sxF11?F?TL• TNFO MATtON ?
1. Building Perimetelwroa?ti,
2. Wall heiqht (qround to eave) ft,
/??? '',I
J. 1. X 2. (a6ove) qross wall area ?P"rJll/?•%l? gq.ft.
4. Building dimensions (L) ? X(w) m sq,ft.roof 6 Eloor erea
5. Sq. foot area of rim joist - F t jt?ize (2 X v
X (Perimeter m eq.fl.
6. Doore - Area ? 12
Thickness in U. Eecto 1 6
Type of Consttuction Perimeterft.
Ffanufacturer
7. Total door's perimeter ft.
8. Windowe: Flan f?oturer1N? L ? I 9tate approved U factor l ?(!/ " .
TYpE gIZE AREA (3q.Fti.) , NUMBER OF TOTAL
?N???SA45eTEACII UNIT9 Sq FEBT
9. Total sq. f t. Glase ?`-'C ??? •
lo. Flreplace areas Width X Ilelqht ?. X ? eq.ft.
.:?:... I
il. Exposed foundations Ileiqht X PetLMeterl.?,?X??4 ? gq.ft.
CoNpLETION OF TlIIS FORN IS RERUIRED fOR ALL NEH CONBTIiUCTION, HAJOR
REMODELINa AND HUILDItIG9 BEINa MOVBD WIIERffi BNERtiY? OTHER TIIAN TIIB NIN2HAL
CoDE ALLOWANCE, I8 USEb, .
-1-
A
LO
1S ?
- -
-
?
? - - - -. _ -
t - - -- -- -? - ?-?
_? ---- - - - _
?.?t??-- ----- -- --
? .--
? - -- - ? - ?- ; -
?"- ---- -- - ' --
--
--- ---- ??-?? - - ---- -_-
----_ --- - ?_? ??? - - - --
--- --- -??? - - -
- - ----_-??? --- -
? x ?--- -- ?+ u - -
x??------- -??--
-- -- - --?? ? ??- - -
?
-- - 49
--- ------ -- ---- - ?
12. Framing area = 10% of gross wall area.
13. Gross wall area (1-CL?`?C(/ sq.ft.
Window area AJ?A sq.ft. U windows =UxA =? 2,?
Rim joist area sq.ft. Q rim joist=t? ? UxA =
Door area A 1? ?Y sq.ft. U door area= il UxA =
Other doors area A_ sq.ft. U ott?er doors=-LL_ UxA
Exposed fndn A ?? *4 sq.ft. U foundation= fo-((/ llxA =?2 1 Q?(/
Framing area A-VQF2t(&-sq.ft. U framinq area=f2n5 UxA =Z-?¢
Net wall area Al L??q,ft. U wa11= 1? ? UxA =1
(138 ) TOTAL . . . . . . . . . A = 1
14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code
(13. above)
x 0.23 (A-2 other residential)
x .23 (other buildinqs)
x .28 (OVer 3 stories)
I1? r 1? ?iJ ? 1 ? /) 2BTUH must be larger than or same
A ?a? U Code_=_ ?21? °F. as 13$ above
15. Ceiling framing area (Af) equals 10$ of ceilinq area
15A. Gross ceilinq area =(L) ? x(W) _? WSJ%?; sq.ft.
15B. Joist area (Af) = 10$ ceiling area = o :;> sq.ft.
15C. Net ceiling area (Ac) (15A - 15B) = L.1.7 sq.ft.
U ceiling x Ae _ x??? 1
U framing x A f = [/ F x?=,
15D. TOTAL U x A ......................... . 1
16. Ceiling area (15A) x 0.026 (A-1 single family & duplex)
= allowable lixA/Code
x 0.033 (A-2 other residential)
x 0.06 (vther)
?15A??x U Code oTUH must be larger than or same
A
`'Ct{lY?'/ F. as 15D above
NOTE: Use U and A values obtained from pages 1, 3 and 4.
CERTIFICATIQN: I hereby certify that I have calculated the °U" fectors and
"R" values herein and that the building here described meets or exceeds the
State of Minnesota Energy Cvnservation Act.
Date signature
-2-
uhLL SECi1011
stuu
SCCiloll
trio uAu,
SECTIDII.
RIH
JOlSi
.
._J
?
?1tnLUE U YnLUE
•
In?ida ?It [llm .68 '
lntetiar wall ? .`?? (N?ll) U . ? +
(ntulstlon ?`?.o •
she.th?nd y,ofn 0-04-3
9ldlnd ?(yy '
Uutslde •lt'1LIm
R iotAL _ o?j
Inelde.alt lllm ? ,6B ? •
Intatlar kal(
41, /tUd a• A444 (0.15 (tt1Rtt1g) U
si,t.ti,in` ,y,otv ' .096
! ld I nd ? (0'1 =-_
Outsido•alt lllm
R tOtAL ?O. rj 3
Inelda ?It [llM R¦ ,68 • ',
Intetlor v?ti • ?
If1oUlatibfl
Z R
elitathln` , ? .
?
Latetlor wall eorettn,
Eaterlnr slt [lIM' Il •.11 ?
R 1oTAL .
lntcrlnr AIr (llm R¦ .60
lnsulatlon
Ili Ineh so[t wnod 11•I,89 (a?M ' p . ? ¦
JOlft) 0 '
r ?_ 8he?thlnd
. Z,ob
,?,? taterlor u?ll eo?etlnd ??p] • Cxtetlvr ?lt lllM ro
R totAL ?'. 4(0
_ • lncerlor ¦lt [llm R' .68 ,
lng uls elon
_ founJittion
tatltlot AI't Ll1m (l• .11
<\\ A TviI1L I 3+ I?`j
EKpoted Slnek ,
? M .
r•
(Fdn.) U ¦ A ¦
, al?O
'?
n vnLug n vnLug
fltAllllld ' CB11,114c1
?1.61 A1rFlim__ li?fil
??' d Ineulatlon_ • a
-4 •Ill ?JoleN
r . Ce1111tq_ 0 k6
--q.61 111tFlim o 61
, .
r1Jou L?Elltratlon n,g o(?e/ilnaal toa6 0[ oteok
sldenElal door An[litreElon o.l1 ntra/uqunra RooC vr dooC and wlnlmun oode
reyulremenE
In-tealdentlnl dnar LtEllttaklon 11.o n[m/1L?ee1 tooE oE nkenk ? 12° conateEe blvck tiv innulaElott ''•.47 tt 9.1' , 12 aoncreEo block lnoulntad noXan •• .26 n 908 ?
r 1211 11gIiEwelqllt block „.32 n 3.1
, 11" 11"gl?EaelqliE bloak lneulekad notad
eingle gla"a .. 1,131 Nltll tlEotni kjtldpH .g?
doubla glnee d .59 . .
ttlple qlesn . ,41 '
ll"axEerlor ao11e nnd:onlllncJ n mueE ilave q vepnr berrleF (v.lo peta mnx.l,
ipor barrler mufjr be oir-.Ehe lanldg fheete nlcie) ot pAll.'
gpvr berrlere oE tlie polyeEhelene Eltln El?n hnve I?n n velua. ',.
1 '
' ? .
, .
? •
. ? ; •? , '
' . .
L sL ? CITY OF EAGAN
??7?? PLUMBING PERMIT
SUBD.?,? (612) 681-4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY
RECEIPT
DATE
ALSO, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME : ?Zti v .; T •r < rt ?. ,,, ? o
SITE ADDRESS: wo ax INSTALLER: d? t?rit ?`a 1 f? -rA-( C
ADDRESS:ra3§rO ?tdrt VDI°c 1(, D
CITY:D?nacs d../?c rc nf 2IP: <6?vj ?
COMPLETE THE FOLIAWING:
N0. FIRTURES EA. TOTAL
REPAIR/ADD ON 15.00
l SHOWER 3.00 ?
WATER CIASET 3.00 g
_Z BATH TITB 3.00 3
IAVATORY 3.00 S',
? KITCHEN SINK 3.00 3
LAUNDRY TRAY 3.00 ?
HOT TUB/SPA 3.00
7 WATER HEATER 3.00 v?
? FLOOR DRAIN 3.00
GAS PIPING OUT.
C (MINIMUM - 1) 3.00 ?
-3 ROUGH OPENINGS 1.50 .
_ OTHER
WATER SOFfENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
- ??
STATE SURCHARGE .SO
u ?
SIG ATURE OF PERMITTEE TOTAL: 3 ? O
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MUI.TI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIM[TM FEE.
CONTRACT PRICE x lX
STATE SLTRCHARGE
TOTAL:
(SIGNATURE)
$
$
PHONE #: KSd '"'FO gy
CITY OF EAGAN
? 3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # C O
DATE: /a/
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
:... .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CDIdST ?
ADD ON _
REPAIR
OWNER NAME : S / 2?c"`_ Ya-e-ll a ...
SITE ADDRESS: LD 14?? til?e C_ 1
LOT: ? BLOCK / SUBD .( ??a?
INSTALLER: f'I c h-cn FT" P t id
ADDRESS:J239744 131e rJ
CI11':'R"2..?5 d,LtK Kn.r ZIP: Yb ?7 (
PHONE #: Sl"ErJ - 4-, 9Y
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00P'
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00w"'?
OF 1 PER PERMIT
SUBTOTAL: $,.V, #e
STATE SURCHARGE: .50
TOTAL: $?
_ _' i?
??IGNATURE OF PERMITTEE
CpA4MWIIiS'fINDUSTRTAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUSLDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: 2IP:
PHONE #:
FDR:
FEES
1% OF CDNTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIM[TM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
2004 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.
Date ?.5 ! at) 1 og
Site Street Address -71 Unit #
1,,,., '_
Property Owner V ?(?..V Telephone # qg1(7
Contractor Telephone# (Loia)
Address u3 AV-c S City kkK?C-N"V'50`v\ State MQ Zipb5'b'0
The Appiicant is: _ Owner '?! Contractor _Other
Alterations to existing dweiling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121 00 if a 5/8" meter is required)
Other: $ 50.00
:ater Softener Water Heater
F
_ replacement _ additional $ 15.00
V/Lawn Irrigation System RPZ_ new? repair _re6uild $ 30.00
5tate Sureharge $ 50
Total ?
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
the event a plan is required to be reviewed and approved.
UEUtUtS WF t6E T 0 d ? ?
ApplicanYs Printed Name ApplicanYs S+gnature ? MAY 2 5 2004 I U?
-1 cys4l
?-
6-70 0o
2005 RESIDENTIAL BUII.DING PERNII'C APPLICATION
City OFEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements
3 registered si[e surveys shaxing sq, ft. of lol, sq. ft. of house; and all roofed areas
(20%maximum lol caverage allowed)
2 copies oF plan showing heam 8 window sizes; poured found design, etc.
7 set W Energy Calculatbn,s
3 copies of Trez P2servffiion Pian ii lot pbUed after 711193
Rim Joist Detail Options selection sheet (buildings wiN 3 or less units)
RemodeVReoair Reauirements Office Use Onlv
2 copies of plan Cert of Survey Real _ Y_ N
1 sel of Energy Calculalions tor heated addidons Tree Pres Plan Recd _ Y_ N
1 site survey for additions & decks Tree Pres Requf2d _ Y_ N
Atldition - irMkate i(ahstte septk sysfem On-stte SepUc Sysfem _ Y_ N
Date/Sw?/ CoostructionCost .51 CJC.o-
Site Address T( b IA(3 ...14 O ? C^? • UniU5te #
Description of Work lJ(.JAl n doO'r (.0i In -Qa. sbnG C?QPJYIi Ne-:;k '
Multi-Family Bldg _ Y_ N Fireplace(s) _ D_ 1 _ 2
PropertyOwner Telephone 1t (,psl ) y6to - r 34
PELLA WINDOWS & DOORS
Contractor 15300-25TH AVE. N. STE. #100
Address pLYMOUTH, MN 55447 _ City
State 763-745-1400 'elephone # ( )
LICENSE # 20165884 ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(Jsubmissiontype) Submitled 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 5tate 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 e case of work which-requirts-a review and
app al of plans. p f 7 17 ;?
I
r r ? 6 ?ru?
S ey)
App icant's Printed Name Applic t's Signature I L)
L - `..
I
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Paal ? 30 Accessory 81dg
? 02 SF Dwelling ? DB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garaga ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 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 Oemolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entlre Bldg) - Give PCA handout to applicant
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) _ FinaVC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining 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
?S.
rncmo-
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pelIa Wiudnws 8c Doors - Twia Cefies, Inc.
3une 8, 2401
City of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
Dear 7an:
Wd9E:l g •unr awil paniaaaa
1530025'I'HAVE. N. STE_ #100
PLYMOIT'fH, MN 55447
763CT45-1400
PJATS 1-800-462-5354
FA7f763/745-1401
Elder 7ones Corporation is authorized to pull huilding permits for Pella VJindows 8c
Doars -`Itwin Ciries, Inc. Flease allow their regresentative to provide that seraice for us
in Eagan. 'F6is authorization shall be valid unril suah time as the division manager
expressly revokes it, in writing to the City.
I request that this authorizaiion be accepted expeditiously, so as to not delay the
processing of our building permits any further. Flease call me if there aze any quesrions,
I can be confaeted at 763-743-1432.
'4'ou; immediate attention to this matter is appreciated.
' cerely, ?
`"?= .?Al?fTE W. SAPI
Bryan . May N?w?eo
Replacement Saies Manager
cc: ICara - Etdcr Jones
Denna Ktafty - Replacement Sales Process Coordinator
Windows, Doars,
& 5kylights
7nnM QATTTn AiTBT T11S blbT CFI 9Tp Y{Id tTICT FXS T1114t1/Qp
3URVEY FOR: Steve Parranto
DESCRIBED AS: t.ot 7, [31ock 1, Pn'CUICk
County, ikfinnesota and i•escrving casements
9l7.W
ADDI'I'IdTt?ty of f;agan, Ilakota
of recorcl. ..
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ow ?ra 123 ?I2Z
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SL.____---- - - - ------js
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9s?,q N89' 88' 37' E 111.77
Lor so
Pfl4POSE0 ELEVATIONS
Fp0 7"A GE = 14,
Top of Foundalbna . q2q,U
Gavage Ftovr , qZg,to
Baeamenl Fbor , 915,q
Approx, Sewer Service Etav. . N/q
Propoaed Elavalbns . Q
Existing Elavelbne
Drelnego Dlrecdoas ..,,?...
Denolee oflaet Siake - O
HEDLunrD
P/anning Engfneering Surveying
NOt 11.0 B1ppiN1p1„p?. C I}l M6eomrqbM1 Mliwwll !M]C
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SCALE, I inch • 30 Feef
" Q DEPT
BENCHMARK. gmN on %
Rlm EIw= 910. lto
MlN. SE7BACK REOUIREMENTS
Front • 3o Nouse Side • ro
Rear-i5 Garage3ida-S
IHEREBYCEATIFY THATTNI918ATPVEANOCOARECTqEFRESENTATION
OF iHfi 60UNOlVit1E8 OF THE ABOVE UE6CHIBEU PROPEIITY AS SUR•
VEYE09Y ME OH UNUER MY DIHECT SUPERVISIONANUOOES NOi %JPPORT
TO BHOW IMPAOVEMEN73 Op ENCRORCHMENT9, £%CEPT AS BHOWN.
o.ie to?.?
r', . p . ,.
FU6Y D. UNOOREH, LMlO SURYEYOR
MINNESOTA LICENSE NUMBER 11375
JOB NO,:
92 R j1(.
BOOK: caoo Fae; m;sc92•2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110471
Date Issued:05/13/2013
Permit Category:ePermit
Site Address: 710 Hay Lake Ct
Lot:7 Block: 1 Addition: Patrick
PID:10-56790-01-070
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
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 -
Partick J Oleary
710 Hay Lake Ct
Eagan MN 55123
(612) 280-9794
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125758
Date Issued:08/01/2014
Permit Category:ePermit
Site Address: 710 Hay Lake Ct
Lot:7 Block: 1 Addition: Patrick
PID:10-56790-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
Danielle Merritt
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 -
Partick J Oleary
710 Hay Lake Ct
Eagan MN 55123
Merritt Restoration
2031 Basswood Ct
Rockford MN 55373
(612) 282-9979
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154215
Date Issued:03/04/2019
Permit Category:ePermit
Site Address: 710 Hay Lake Ct
Lot:7 Block: 1 Addition: Patrick
PID:10-56790-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Brian Keogh
710 Hay Lake Ct
Eagan MN 55123
(612) 481-3729
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173083
Date Issued:10/27/2021
Permit Category:ePermit
Site Address: 710 Hay Lake Ct
Lot:7 Block: 1 Addition: Patrick
PID:10-56790-01-070
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Brian & Jennifer Keogh
710 Hay Lake Ct
Eagan MN 55123
Sieben Plumbing
18605 Fischer Ave
Hastings MN 55033
(651) 343-6298
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175216
Date Issued:03/21/2022
Permit Category:ePermit
Site Address: 710 Hay Lake Ct
Lot:7 Block: 1 Addition: Patrick
PID:10-56790-01-070
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Brian & Jennifer Keogh
710 Hay Lake Ct
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature