714 Hay Lake CtCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
i,` ?r i. A k r? a
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
-•w•-rlnr4 Iu1
s? 3it[ir?ct 1
; , , • ? .,. . „
TYPE OF WORK:
r I I ti E
INSPECTION D. . ..
. . , , t Ni? ,
Permit No. Permit Holder Date Telephone
ELECTRIC 189,9071 po
PLUMBING // 95
HVAC
Inspection Dab Inap. Comments
FOOTINGS
FOUND
FRAMING
/ ,b
w1J
RQOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FlREPLACE
il
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL ' 449
DECK FfG
DECK FfhfAL
. . INSPECTIUN
CITY OF EAGAN ?
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
? .#: . . t :?Kt C I
€ ri?s1+ f
? PERMIT SUBTYPE:
16,
?
rti fti fl! h
1'jCURD
PERMIT TYPE:
Permit Number: c` ?• F ? ? .
Date Issued:
I' Hif Cf 1?F''t?':?? Mf:3M l '40U1+ F. 1 Ni..
.?80 i.f,1;! 1 .
TYPE OF 1NORK,
N ?_ w ?
_ . . 2 ?.?
f R11Mir4i,
? I•.',?4 ; I I jf?4 f Cf'1?4f
? ; , (1 F1(*Pc4i; .'11w4f r."i1N1KA1:IOf7
I
. ?
Permk No. Permk Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
FOOtings I WL j 3
?ff-?i? ,• r LC? 1-2`n U-./•? c?c?scr,cs
?t.riv 3 ?- /`? ?
Foundation
.Z
G TI(Jl ?? GR'n?G ?'
Framing
Roofing
Rough Plbg. f?93 ?
Rough Htg. ? Q Tr?, n' - ?? 8 3?f
Isul.
,a
Fireplace
Final Htg. ?i
L
Orsat Tast
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
Bldg. Final y l0 ?Q ? Ccj - S `
Deck Ftg.
c?
Deck Final
weu ?-
Pr. Disp.
-1?9 I
C3'? U*ficate of cccuvanc?
Witv of Cfagan
111i rt!Icxt af Vni[bing 3100atioN
This Certificate issued pursuant to the requirements of the Unifarm Building Code
certifying lhat at 1he tirre of usuance this structure was in cornpliance with rhe vareous
orrlinances of the City regulating bui[ding coristruction or use_ For the following:
SF DWG/GAR 21516
Use Classification:_R3 v1 n_1_ Bldg. PYmit Na Vn
oauPa-y ? ? ?? TT6M . ^OON IMILDERS °w-°f B""Dg v ^?? ? . P*TRIC RAPl DS ,
Building idress L.ocality
/ Date:
' Official
POST IN A CONSPICUOUS PLACE
9 REQUEST FOR ELECTRICAL INSPECTION ee -ooooios
?` ? ? See insUUOtions for completmg this form on hack ol yellow copy, e
/??/?? ? "X" Below Work Covered by This Request
Ne Add Rep. Type of Building Applianc?es Wired Equipmeni Wired
Home Range Temporary Service
Duplex Water Heater Electric Hea4ng
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Speci )
Farm Air Condihoner
Other (specify) Contnclors Remflrks
Compute lnspection Fee Below:
k Other Fee # Service Entrance Size Fee # Cvcuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Above 100 -Amps
SI nS Inspector's Use onry - TAL f'?
Irrigahon Booms ?? . 09 O
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORD CONNECTED IF NOT
Other Fee
?
COMPLETED WITHIN 16 111
I, the Eledncal Inspector, hereby
certify that [he above inspection has
been made. Rohi
F,nai
( t
oa?e ?
? Ail?
OFFICE lISE ONLV '--
Thrs request void 18 manihs irom
? ? ?64ezl
?P*74
?
?
i
I
Request Da[e Fre N Pough-In Inspedion Requiretl Inspection Other Th@n Rough-In
(VO mu call mspeclor when reatly) ? Ready Now gWill Nddy Inspeclor
Ves ? N. Date Reatly
1? licensed contractor 'gowner hereby request inspecnon of above electrical work ai
Job Addass (5[reet, eox ar Foule No I Cny
e La f6r_ coll.r t- L cA.)
Secoon N. Townsh ame or No Range No Coupq
L -
ta
(r?u
Occ pa t(PRINT)
? r
cl
Fi
D Phone N.
-?.
.
?o
s
Po r Supplrer
?I?? C- Address
Elec[ncal ConVactor (Company Name) Contrador's License No
Mailinq Atltlress (COntmctor or Owner Mabng InstallaLOn)
Au[honzetl Sign re (Con?harcrod0/yv?er?)A9aWn Installahonq) ?p
"`? ? /L/ ? ???ZV Phone N?yumber J
VN 6-l:/1r 7
MINNESOTA STATE BOAPD Oi ELECTRICITV TMIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway BIEg - Roam 5-128 BE ACCEPTED BY THE STATE BOARD
1821 Universily Ave, St Paul, MN 55104 ?NLESS PRDPEfl INSPECTION FEE IS
Phone(612)6G2-0800 ENCLOSEO
??
6 ! l
?S?l
i
Req est Dete
9, _ ? Frta No
' Rl Inspeclion
ReQwretl7
? fleetly Now $?,Will Noh/y Inspeclor
n P
Wh
tl
'+
Bs ? Na e
ee
y
IVlicensed contractor p owner hereby request inspection of above elecirical work at:
JoD Atltlress (SVeet Box or Rome No.)
1 ) Qry
7/4 l. ? WY 1
$eclion No Township N me or No Faiye No. Counly
DW Vl,
Ocwpant (PFINT) Phone No.
-eiv- er
Power Supplrer . Atltlress
/-P300 . Q
Ei¢cfical Comractor ICpmOany Nama) _ ConUactor's License No
I ooa3-1
Mailmg Atltlress ICOnttactor Owner Making InstalleUOnl i
L
? c J??? ?/
/?
IN, r/V 1 ?'?-c V??? 1
K
Authonxetl 9 atur¢ (COniractonOwner Maam
?2? Installation) Phone Numbet
u-34 - 3 z9 ?
MINNESOTA $TATE BORFD OF ELECT qTY THIS INSPECTION REOUEST WILL NOT
Grig9s.Mltlwey Bltlg. - Room S-173 eE ACCEPTED BY THE STATE BOARO
1821 Universlty Ave. SL Peul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(81]) 802•OB00 ENCLOSEO.
?`?(t/y'?, REQUEST FOFi ELECTRICAL INSPECTION
n q ,?cOp ? See instmcnons br completmg ims brm on Deck of yellaw copy.
L..'+ .?iJ 1 "X" Below Work Covered by This Request
EB-00001-08
?a.
ew eofBUilding AppliancesWired EquipmentWVed
t-W >C Range Temporary Service
Water Heater Electnc Heating
l dmq Dryer Othec(Speciry)
iindustrial Furnace
Alr Conditioner
atyl l Conlrector5 Remarks
Compute Inspechon Fee Below,
M Other Fee # ServiceEniranceSize Fee # Cirwits/Feeders Fee
Swimming Pool 0 to 200 Amps / Q 0 to t00 Amps 7 i
Translormers Above 200 _ Amps Above 100 _ Amps
Stgns insaecrorg use onry OTAL
Irnqation 8ooms ?'?7d
C/ b?7 Ub
Special Inspection .J
Alarm/Communication 7HIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S. 7.J?
I, the Electrical Inspedor, hereby Rough?in Di
r
certify that the above inspection has
been made. F,nai
OFFICE USE ONLY
This repuest voitl t8 monins Irom
Addiess 714 HAY r.Atce cT Zip 5512_
L,ot a Blk 1 Sub
PATRICK
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 9,? 9_:? Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas j?
Sod/Seeded grass VI"
TraiUcurb damage ?
Porch ?
Basement finish V"
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
- - - - - - ---,
i i
I Permit #: ?
I 7?
? PermR Fee: ?• V I
? I
I ?
I Date Received: ?
I ?
? Stafl: .ant a A 9f10U ?
2008 RESIDENTIAL PLUMBING PERMIT APPLICATIQN
Date: i - 6 ' f'A Site Address:
Tenant:
Su ite #:
RESIDENT / OWNER Name: ? Z- Phone: 1-1 ICi7
Address / City / Zip: Cl. 'n
CONTRACTOR Name: License #: lfJ??? C)P? Champpen
Address: 851-365-9340
City: E@9arl MN 55123-1339 Sta?te:?- Zip:
Phone: Contact Person: l?J V OL `C..?
TYPE OF WORK _ New "! Replacement Repair _ Rebuild Modif Space Work in R.O.W.
Descri tion of work: Q?
PERMIT TYPE RE
ID
ENTlAL
S
'
?
/
?
W
t
H
t
W
S
ft
_.
-
a
er
ea
er _
ater
ener
o
Lawn Irrigation Add Plumbing Fixtures
C-_ RPZ /_ PVB) (_ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abaridonment
RESlDENTIAL 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 $136.00 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) `5L)
TOTAL FEES $
i nereoy acknowiedge tnat this information is complete and accurate; that the work will he in conformance wRh the ordinances and cotles ot the Gity of
Eagan; that I understand this is not a permit, but only an application tor a permit, and work is not to start without a permit ihat ihe work will be in
accordance wiih the approved plan in ihe case of work which requires a review antl approval oi plans.
X o? X Zli al ?
Applicant's Printed Name Applicant's
3o ??y
PERMIT c2zoA
CITYOFEAGAN
3830 Pilot Knob Road PERMITTYPE: suxLoIrvG
Eagan, Minnesota 55122-1897 Permit Number: 026841
(612) 681-4675 Date Issued: 12 / 11 / 9 5
SITE ADDRESS:
714 HAY LAKE CT
LOT: 8 BLOGK: 1
PA$TRICK
P.I.N.: 10--56790-080-01
DESCRIPTION:
Su. . .?.?. auyry
?cf3.ldin_)j??Permix Type BASEMENT FINISH
pau,ilding??W!2r,k Type ALTERATION
r,Cens,us'£ode 0434 ALT. RESIpENTIAL
?t0
WE e
, xs? ? i Nfr Y`,?° ? isir; ^$'n
qa.;?" .§
?? .
?+ewz??ti
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WQRK
FEE SUMMARY:
Base Fee $35.00
5urcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - Applicant -
FISCHER SCtlT7
714 HflY LAKE CT
EAGAN MN 55123
(612)688-6979
S hereb?+ ack-no?+?:edg8 I heve read;?th3s ,appi3?ca'taLGn stai?tv Gha`C, ??he
i-rrf'n tiur?'r as' ca?t'raet ar?`cE •ag,re?e C9n`ampt?r?I?. t?Y?e?+?2lie?
St tut sanai,Gity af Eag,en Qrd1nannes::; ' .
. .
A
APPLICANT/PERMITEE SIGNATURE ISSUED B: SI ATU
CiTY OF EAGAN
IC141 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RE5IDENTIAL)
681-4675
New Conahuetion ReoufremenL RemodeVReoeir Reoufromants
? 9 regisMied site surveys ? 2 copies oi plan
? 2 copies oi plens (6ndude beam & window sizes; pourod fid. design; etcJ ? 2 site suneyn (ezterior addMions 8 dedcs)
? 7 errorgy ealwlafions ? 1 enargy celwtations for haeted add'Rions
? 3 eopies M trse proservadon plen if lot platted efter 7/1/93
raquired: _ Yes _ No
DATE: Z Vzz? CONSTRUCTION COST:
? /
DESCRIPTION OF WORK: ? A/?S`2 , eP1it Nr'? P-
STREET ADDRESS: la-wr 4 lU
?
LOT T BLOCK SUBD.IP.I.D.
PROPERTY Name:? CLP? Phone#: /,
OWNER '
Street Address• ly (lur¢
City: , ? State: MA) Zip:
CONTRACTOR Company: Phone #: _
Street Address: License #ARCHRECTI
ENGINEER
City:
Company: _
Name:
Street Address:
Ciry:
Sewer & water licensed plumber.
change are requested once permit is issued.
State:
Zip:?
Phone #-
Registration #*
Zip:
Penatty applies when address change and lot
I hereby acknowledge that i have 2ad this application and state diat the infortnation is correct and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Pian Received
State:
Signature of Applicant:
_ Yes _ No
_ Yes _ No
? ????
OFFICE USE ONLY
BUILDING PERMIT TYPE
?? .
, „? w • ?, ??
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging
4?6
r
Basement Finish
0 02 SF Dwelling o 07 4plex o 12 4
,
Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 &plex o 13 Garage/Acxessory o 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
? 31 New ..-?33 ARerations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
I+PPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
Sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
O
?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
TreatmeM PI.
Road Unk
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ 50a
% SAC
SAC Uniffi
. PERMIT
J6 CITY OIF EAGAN
3830 Pilot Knob Road PERMITTYPE: suxLpiNG
Eagan, Minnesota 55123 Permit Number: 021516
(612) 681-4675 Date Issued: 0 7/ 2 0/ 9 3
SITE ADDRESS:
P.I.N.: 10-56790-060-01
714 HAY LAKE CT
LOT: B BLQCK: 1
PA7RICK
DESCRIPTION:
8 A3"?.lit1 rlt??Permit Type SF pWG
Ouildini Glo?rk Type NEW
,''UOC LYccsi+p€trrcy^?, R-3 M-1
f?CaresCruatia.n Ty" VN
Zanirt9 _ R-1
j Build3.ttq LengtFT ?a
? 6utl711YFq Wiidttt
'ti?lt
_r'
F
'
, , ' ..r
L
- `._.-?
`?. .. ; "
tl
47
49
, cg?Cgrvi?1 ?
?.,
REMARKS:
S&W CONTRACTOR - HOKANSON PL6G
FEE SUMMARY:
VAIUATION
6ase Fee
Plan Review
Surcharge
SAC
SRC %
5AC Units
Lic. Search Fee
5ubtotal
$585.50
$390.58
$44.00
$750.00
100
1
$5.00
$1,765.08
pRV
$88,000
MISC FEES
Tatal Fee
$1.744.50
$3,509.58
CONTRACTOR: - APP]icant - sT. LIC. pyyNER:
BUILOERS MGMT SERVICES INC 17806081 0008194 BUILDERS MGM7 SERVICES INC
10026 UNIVER3ITY AVE NW 10926 UNIVERSITY RUE NW
COOM RAPI05 MN 55948 COQN RAPIDS MN 5544$
(612) 780-6081 (612)
I hereky acknawiedqe that. I iiave etad thi6
infowmatidn 1s carrect arnd agree t* aomgly
9tatute% and City of 15agan UrdiYNariees-.,
L
LICANTJPERMITEE SIGNATURE
A'
appt3cati6p and state $hat the
witfi all appS3cabke State of mn.
AOft0 ADlPtj TO
ISSUED B SI NATU E
REJ?CT_IVATE _
PERMIT=# ,
cmr oF EAcaN
1993 BUILDING PERMIT
681-4675
APPUCATION -13? oq,?? '
SINGLE & 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: 1) when permit is typed, but not picked up by last working day of month.
in which request is made., 2} address is r_hanged or 3) lot change 1s requested once permit
is issued.
Date 7 Yaluation of work 7?Z oDC7.
Site Address: 7/1/
STREET SUITE t
Tenant Name: (commercial only)
IAT ? BIACK P.I.D. * '
Oescri tian of work:
The applicant is: ? Owner 0-6ontractor ? Other coe6orsee>
Name -Fis'?P2. ??o -? Phone
Property usT FIRST
Owner
Address
STREET STE /
City State Zip
Company fF?1/0 ?U Ut GeS Phone 7Y6 a V_
Contractor Address C License # Exp.
City 0?(QS State ? ZipSS
,
Pji9ylJ!!19 Phone 7'S_2- z L96
Company
Architect/
Engtneer Name Registration M
Address f ly7?e ywd_41? ?? _oet
city la?J,r ?A(,IaC state 4ffiV zip SSY?3
r
Sewer & water licensed plumber A_) lolh /l_) Processing time for
sewer & water permits is two days once area has been app ved.
I hereby acknowledge that I have read this aPplicatian and state that the infarmation is
correct and agree to comply witfi all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
5ignature of Applicant:
OFFICE USE ONLY ,
BUIL DING PERMIT TYPE ' T '
0 Oi Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish
O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0 17 Swim Pool
0 03 Sf Addition O 08 8-Plex ? 13 Garage/Accessary ? 18 Comn./Ind.
? 04 SF Porch O 09 12-Plex ? 14 Fireplace 13 19 Comn./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish 0 37 Demoiish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual)
(A1Towable}
UBC bccupancy
Zoning
M of Stories
Length
Depth
APPROVALS
Planning
Engineering
FtEQUIRED INSPECTIONS
C1 Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Buildin9
Variance
C] Footing
? Final
MWCC System
City Water
PRY Required
Booster PumP
Fire Sprinkler
Census Cnde
SAC Code
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
v.tmc;m: $
SAC %
SAC Units
,REAC?IVA7E _
P.ERMIT? #
;? ts(V(
L',L"_C_ 'VE ITY OF EAGAN
' ? 3 BUILDING PERMIT APPLICA? N
1993 681-4675 ?
So .Se
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plarts> 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
611
Date k2- Yaluation of work
Site Address: ?ly tt/FV
ST EET SUITE M
Tenant Name: (commercial only)
IAT BIACK ? Su$D. ? l?--IcIC I?tulS; P.I.D. «
Descri tion of work: It:>S
The applicant is: ? Owner ud Gontractor 0 Other (Describe)
Name Phone
Property LAST F[R5T
Owner
qddress
STREET STE M
City State Zip
Company kli'26Se662 Ca&?/J?(fS ?C. Phone 7?y?Z(Z)
Contractor Address Z/ ?5Ai?`'?4 License # ??//&/ Exp.
City -FL1d'f State di'U 2ip ?S .?.?.
Company 49 = 1 d1.Lyd.& Phone
Architect/
Engineer Name Registration #
Address llq/? 42?/e?GU Si/G-(?? ?
City A10//? S State Zip
Sewer 8 water licensed plumber :AkAmnICfi . Processing time for
sewer 8 water permits is two days ce area?has been approved.
I hereby acknowledge that I have read this ap lication and state that the information is
correct and agree to comply with all applicab e State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
v
OFFICE USE ONLY , , - -
BUILDING PERMIT TYPE
? O1 Foundation ? Ob Duplex ? 11 Apt./Lodging ? 16 Basement finish
Eff 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comn./Ind.
? 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. ?? 15 Deck ? 20 Public Facility
0 21 Miscellaneous
WORK TYPE
CK 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
0 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. NWCC System \Y ES
(Allowable) _V-_--?T ist F1. sq. ft. City Water Y c'S
UBC Occupancy Q -3 M? 2nd F1. sq. ft. PRY Required y...r
Zoning Sq. Ft. total Booster Pum P
f of Stories Footprint Sq. ft. Fire Sprink ler
Length y?• On-site well Census Code loi
Oepth ? On-site sewage 5AC Code 0/
APPROVALS r
?
Planning Building Assessments
Engineering Variance
REGIUIRED INS PECTIONS
? Site ? Footing ? Framing 0 Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
iiCen5e ?
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Lopies -Sv
Other
Tacal:
v.tLac;on:
GAa&,ve
13SMT;
I S r FL?„r?..
??an'?l 1
I'Zx&=
gg, oo L)
Z5 X7-51=62--5 x/6.-
IfN X fo5 &
L1X!°= Ll 0
lo9bx /S=
/O/ DD?'
16 i Lfy o
J2
/S
1 1Z3'? sy` ?d? Gt/z.
g7?03?-
sat x I oIE>
SAC Units =
- ,?
H ? m
? < r
? f
H'0 0
0--?0 0
ge? 0 D
? C3' 0
.B" ? ?
fY ? 0
po? D 0
0 C3?0
m Er O
?
LOT 80RVEY CHECRLIBT FOR RESIDEf2T171L
PROPERTY LEGAL•
Date of 8urvey:
pOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and bar scale
• House type (rambler, walkout, split w/o, split
lookout, etc.)
• Directional drainage arrows with slope/gradient $.
• Proposed/existing sewer and water services
• Street name
• Driveway
Existinq
? C--? ? • Sewer service
C'1? ? 0 • Lot corners
C? ? ? • Top of curb at the driveway
Q? 0 11 • Elevations of any existing adjacent homes
procosed
C? 0 0 • Garage floor
eo? 0 ? • First floor
[]"'? 0 • Lowest exposed elevation (walkout/window)
[i' 0 D • Property corne rs
p?-? ? • Front and rear of home at the foundation
PONDING AREAB (if aDVlicable)
0 @' 0 • Easement line
O ir D • NWL
O Cf 0 • HWL
? ? 0 • Pond # designation
? cr-? - Emergency Overflow Elevation
entry,
Cr 0 ? • Lot lines
0, 0 0 • Right-of-way and street width (to back of curb)
H? ? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
strnctures requiring permanent footings)
tal- ? 0 • Show all easements of record and any City utilities within
those easements
8' ? ? • Setbacks of proposed structure and setback of adjacent
existing h
0Pe-n- • Retaini 1 requir ments, if any
Reviewed: 7 ????l 9?f
October 1992
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° TOTAL &f Mh t! =
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t1't 6Wtows •f a.e.ce wcaon soos 4e) eo
4. TOTAL EXPOBEO ROOF/CEILINfi CALCULATIOIISt
total •aposwd s I
root/niline arms w rt
J1 Total SkrliOh! •rea r -
. . sa rt , "u» , -
k? Tota1 roof/cr?l?ny lrrriny
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1) Totdl rMt insulated `
pout/c*ainy area 'C7 yS ,
?sq tt a 7a
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O4/ intent`oI BrI?NC.iS?Ct1011+L00Fi51C1* lI•`? than M29 You have Nt
7s ALTERIIqTE YUILD;NO ENYELppE pEgl,,
•ffitaprtlll:• tAe tot.l snvofope aYCtas mOthod, th* l?sA?tl bY the ?ur1oi 1tBMb N3 ?nd 44 sh?ll not
value?
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C E k i i F I C p T I? N
"c0''tIfy Lhat ! bave calcul*tgd'!h•
r?in nd tnac Lh• bulldt.y here d*a c f&clors and
lx c?Wa the BCot•? of 11lnnOsota Ener,rp„
pibod moots
iY Conoerv&tnon Act. Or
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,
L8'_ BL ? CITY USE ONLY RECEIPT #:
SUB .?DATE:/*// 9I -
1995 PLUM6lNG PERMlT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES ' EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet • minimum -1 3.00 x =
Rough Qpenings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota cty. iicense 20.00 =
U.G. Sprinkler' home under const. 3.00 =
Alterations ' to existing 20.00 = 'Z6. o 0
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL zb•S?)
SITE
OWNER NAME LLOff (-?s
fi c
N S< (7
u INSTALLER NAME: ??b f? 4'«
?
STREET ADDRESS: IL/ I-Ce w?? owd ? v.
CITY: .??tv?J STATE: Y"l°kJ
?
PHONE #: (6R) (O r??' -Lo cl 22 .?
Cf
SlZ
ziP: -5SI Z 3
OFFICE USE ONLY
L _ BL _ RECEIPT
SUBD.
DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please oomplete for: o all commercial/indusUial buildirtgs.
? mulG-family buildings when separate permits are = required for each dwelling
unit.
DATE:
WORKTYPE: _ NEW CON57RUCTION
CONTRACT PRICE:
ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PIEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATfON VYILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of Rermit fee due on all permits.
CONTRACT PRICE x 1°k
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
ciTV:
PHONE #:
SIGNATURE:
OFFICE USE ONLY
STE. #
STATE: ZIP:
APPLICANT
IMETER SIZE: DATE: INSPECTOR:
LOT _E BLOCK ? SUBD. Gz"
RECEIPT N 31 dj u? & DATE Sr :5()I57
1994 CITYOF EAGAN RECENED
IItRIGATIONPERMIT (FOR BACKFLOWPREVEN ER?ER 0 3 4995
COMMERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LI B-PbFJMBER-
Date: Commercial GPM
Residential (boulevards) GPM
Existing residential
Area/address to be inigated: ?/?o 16-e
Installer. h.-- ?sjll`2? (
Sueet address;
Date
City, state & zip code: ?? ?v ??L./ S? l-? Phone /1:
Owner Name:
SVeet address:
OwnerA Plumber ?
fi
?
City, state & zip code:
Inigation contractor, if different than instalier:
jelephone A':
1 hereby
comply ,
?
that I have read this application, state that the information is correct, and agree to
ble.Q'ry of Eagan ordinances.
Title
If construction activity occurs in puhlic easement or City right-of-way, signature of property owner is required.
The property owner agrees to hold harmless the City of Eagan for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-way/easement.
Property Owner
Approved by:
PRV ?
New service ?
Yes ONo
Yes (ieJ`Alo
Phone M: al -?D Z?1 2
Date:
Meter Size & Cost
? -
Fees due: ?? Calculated by.
z-2-7-5' ??? ?KS 97s /f pZ gj
z8 6i, gaA?h
SEP0i1993
Au9 . 26, 1993
To Bob Corr'edota
Mid Minnesota Concrete & Excavating Co.
and
Building inspector "
City of Eagan, Minn., ?r!
Ref: 714 Hay Lake Court
Eagan, Minnesota
Gentlemen,
dn this date I made an observation of 4 ver tc a ion cracks in
the abnve referenced house that is under construction.
The south wall in the 11 course basement has-a crack opening of ap-
proximately 1/8 inch near the center nf the wall. Grading had not been
finalized at the back of the house and it appears that the recent heavy
Tains produced an excessive hydrostatic prassure again5t the new fill
and foundation. One 1/8 to 1/4 inch crack appears in the south garage
wall down to the bottom of the 7 course basm't wall behind the garage
and 2 additinnal small cracks are evident in the northwest corner of the
basement which abuts the southeast corner of the garage. A significant
amount of water from probably the same rainstorm was able to get, in the
ba5ement through the east window opening. Tt appears that the water Mad
a chance to completely saturate the soil under the footing in the north-
west corner of the basement abutting on the garage and caused a slight
settlement of the footing in the corner and which made the latter 3
cracks t-elated to each nther. There was not ennugh settlement in this
corner to detect any sag in the horizontal level of the top of the
foundation walls along the south and east side of the garage.
The grading at the rear and side of the house has now been improved ta
a11ow for better drainage away from the foundation so T would not expect
any further damage in the foundation cracking.
An effective method to strengthen the weakened wa11s due to the cracking
is to fill the r.ore of the blocks which show the crack and also the 2
adjacent cores next to the crack with a concrete slurry and insert a# 4
rebar continuous from the top to the kaottom of the foundation in each
filled core. Zn addition, ynu should chisel out the top portinn of the
webs in the top black that has the crack and insert an 18 inch bar
horizontally through the crac:k area.
You will need to repaint each crack to improve the appearance after the
core filling procedure is complete.
If you have further questions feel free tp contact me
Yours Truly
Calvin Hedlund, P.E.
Reg, No. 5942
,
? ?
? ?
I Permit ?
I /?
? Pertnd Fee. 4V (
I Date Receiv'XAY 15 2009 ;
?
?
I ?
? Staff:
______________?
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ?? Ij'/ IV- I Site Address:
Tenant:
Suite
RESIDENTIOWNER Name: 00 }i -wz- Phone:
Address / City / Zip 1?4
CONTRACTOR Name: License#:
Address: JYf!v j'1 IL1 Ff'.u?
City: State: MN Zip: JJ ?
Phone: IJ? JI ?1 ?'f.?tf/J Contact Person: JT VY wi I Iu-f lSJyl
TYPE OF WORK New _ Replacement _ Repair -kRebuild Modify Space Work in R.O.W.
Descri tion of work:
PERMIT TYPE RESIDENTIAL
WaterHeater WaterSoftener
Oon Add Plumbing Fixtures
_ PVB) C-- Main Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RE TIAL FEES:
50.5 inimum Water Heater, Water &oftener, or Water Heater and Softener (includes $.50 State Surcharge)
0.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Sepiic 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 $
C
I hereby acknowledge that this infortnation is complele and accurate; that the work will be in conformance with the ordinances and codes of the Ciry ot
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not io stan without a permit; that the work will be in
accordance wRh the approvVd dlan in ihe case of aoqrk which requires a review and approvai ot plans
x v? v x w • 1 ? Jv? ,
Appli a Ys a e ApplicanYs Sign ure
Established in 1962
LOT SURVEYS COMPANY INC. INVOICE N0. 34731
y
? F. B. NO. 613-36
LAND BURVEYOR4 SCALE 1" - 30,
o Oenotes Iron Monument
REGISTERED UNDER LAWB OF STATE OF M[NNE$OTA n Denotes Wood Hub Set
9601- 73rd Avenue North 880-3093 For Excavotion Only
Minneapolis. Minnesota 65428
om,¢yIIrs (Ivdftate
KIRBERGER HCMES
Property located in Section
25, Township 27, Range 23,
Dakota Coimty, Minnesota
9??6R
z000.0 Denotea Exintinq Elevution
O Denotes Propoaed Elevation
-amf? Denotes Surface Drainaqe
Proposed 7op of Block
??O•?' Proposed Goroqe Floor
Proposed Loweat Floor
Type of Buildinq -
,? levd
'j?GaTage dropped-2 courses?
?uh y
a
Ao ?
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9r•49
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qTC59 ? ? Q'M / 9zz.,?"' / p?1n ?[/
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DRAI?vACaE EP.SEMENT
L . /
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928. t n
TC
9
Lot 8, Block 1, PATRICK ADDITICN
Proposed buiiding intormation must be checked with approved buiiding
plan before excavation and construction.
TM cnly asownwt1 shawn ars hom plata of record or Infortnatbn provided bY
ellent.
Wb hsraby artly MN thls le a hw erW corroct rspreasntation or s wrvey of the
boundrlsg ot tM abow dwAbed land and tAS locetlon of tll buiWirpe and vir
IbN encrorhnwft. M any. (rom a on edd land.
Surwyed bp us thb t st dey ot July 19 93
Signed
+r
CQU?
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54
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V ry
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65
eA4 d
7io
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 714 Hay Lake Ct
Lot: 8 Block: 1 Addition: Patrick
PID:10- 56790- 080 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
PERMIT
City of Eaan
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
Total:
Applicant/Permitee: Signature
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA074759
08/16/2006
ePermit
Pictures are not acceptable in lieu of inspections. erin schauer 7 14 hay lake court eagan, mn 55123 651- 452 -1888
geschauer@comcast.net
Owner:
Erin N Schauer
714 Hay Lake Ct
Eagan MN 55123
$69.00 0801.4085
$1.00 9001.2195
$70.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
- Applicant -
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 714 Hay Lake Ct
Lot: 8 Block: 1 Addition: Patrick
PID:10- 56790- 080 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
Quesetions regarding electrical permit
952- 445 -2840
Ashley Orman
410 W Lake St
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
Owner:
Erin N Schauer
714 Hay Lake Ct
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA083596
06/17/2008
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
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Use BLUE or BLACK Ink
For Office Use
Permit#: l T `1 ..C=7:7City of Eaaall Permit Fee: < u S
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -7(2) / Site Address: 7 �tay Lc42.e. Ccc\-- (!c ctin Unit#:
Name: C 641 u...y eV- Phone: (9-5 ) — Cto(' 57/
Resident/ c,
Owner Address/City/Zip: 7 L t -Ho/ ( C 5-5/a 3
Applicant is: Owner `Contractor
Description of work: ZC - S\'rt
Type of Work
Construction Cost://, OCVO Multi-Family Building: (Yes /No 7)
Company: 29 Re.S ce.. Contact: Jt;5\
Cots
Contractor Address:— �fl cwc A)1).) City: ��(^^ /
State: f\-4 10 Zip: 3t 3 Phone: 74,3 alb / )Vol Email: j 51A(.�aZ`fe' 9t,`C. ,Cd l'l/1
License#: 42b3( 13 7 I Lead Certificate#: /OAT ;90 1-7
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: r t.
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents;that you submit are'considered to ea*Publie information Portions''of
the information maybe class
cps-Sifted as non public if you provide specific reasons that would permit the Citji.to
conclude that the 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.qopherstateonecall.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 Minnesota State Building Code must be completed within 180
days of permit issuance.
x )6SL1 Li ( /'u-ain
Applicant's Printed Name A iiddnt's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148674
Date Issued:04/13/2018
Permit Category:ePermit
Site Address: 714 Hay Lake Ct
Lot:8 Block: 1 Addition: Patrick
PID:10-56790-01-080
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Cynthia Guyer
714 Hay Lake Ct
Eagan MN 55123
24 Restore
6615 141st Ave NW
Anoka MN 55303
(763) 753-8080
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152118
Date Issued:10/01/2018
Permit Category:ePermit
Site Address: 714 Hay Lake Ct
Lot:8 Block: 1 Addition: Patrick
PID:10-56790-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Cynthia Guyer
714 Hay Lake Ct
Eagan MN 55123
(651) 406-9511
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature