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672 Hay Lake Rd NCASH RECEIPT ? . CITY OF EAGAN 3¢i39 P; pT KfV06 ROAD ? EAG'AN, MINNESOTA 55122 DATE 19 rtECeIvgo AMOUNT $ I >r1 BY 'T White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You f . ' . BLDG. PERMIT N0. . ,. . 01-3210 ~ &ldg: `Permi 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3$68 Water Trmt. 20-3716 Water Metez 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. :a . • . " ? _ ?r TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt ? To be used for Est. Value Date Site Adc ?. . 672 ti0 HAY I.AKE 3 a Name ; Address ° City .? O? U H City thatl have Signature of Permittee - A Building Permlt is issued to: all work shall be done in accordance i OFFtCE USE ONLY ?.? On Site Sewage _ Occupency MWCC System _ Zoning On Site Well Type of COnst --- v_ City Water _ (Actuap (Allowable) - # O} SSOf198 - Length _ Depth S.F. Total Footprint S.F. _ APPROVALS FEES - Assessments _ Permit Water/Sewer _ Surcharge Police _ Plan Review , Fire _ SAC, Ciry - Engr, _ SAC, MWCC - Planner _ WaterConn. I Council _ Water Meter i state Bldg. Off. _ Road Unit ceble APC _ Trealment P1 Variance _ Parks i Copies ? ? _ TOTAL on the express condition that e of Minnesota Statutes and City of Eagan Ordinances. ? Permit No. Permit Holder Date Telephone u Rlumbing i . % H.V.A.C. ,Y&7CF ElectriC Softener Inspection Date Insp. lComments Footings I .,? Footings II Foundation Framin9 ?:.,q ['_ct?cc.T,.ti .veecl s=/'f? ?• ?• Roofing Rough Plbg. ? Rough Htg. S? Isul. Fireplace Final Htg. Final Plbg. . Bldg. Final Cert. OcC. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. ?. :, . . ' MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 va ' Site Address _ - f ? p,; i i, - : a ,',1 ?_j Lot k Block Sec/Sub. - Name [ .g Address ? 4? ?. , , 4 ? c Ciry , Name _ c Address O City TYPE OF WORK Forced Air ? . : M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent. CFM Gas Piping Outlets # Other FEE: sie: TOTAL: RECEIPT # DATE `1- BLDG. TYPE WORK DESCRIPTION R@S. '? N8W k Muit Add-on Comm. Repair Other FEES RES HVAC 0 100 M BTU . - ADDITIONAL 50 M BTU -$24.00 - 6.00 (RES. HVAC INCLUDES A1C ON NEW CONSTRUCTION) GAS OUTLETS MINIM M PERM ( - 1 PER In U - COMM/INO FEE - 1% OF'CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES - 1.50 EA. - TOWNHOUSE & CONDOS - RES. RATE APPLJES MINIMUM RESIDENTIAL FEE ALL ADD ON - - & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT (ADD $ 50 S/C IF PERMIT PRICE GOES - .50 . BEYOND $1,000) , • ? SIGNATURE OF PERMITTEE ? FOR: CITY OF EAGAN • . . " PERMiT # I Site Address ? Name _ ?v Address c Cily _ Name _ Address Phone FEES COMM/IND FEE - 1%OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES , TOWNHOUSE 8 CONDQ - RES. FiATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES CITY OF EAGAN PLUM8ING PERMIT RECEIPT # - CITIf OF EAGAN ? 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: ? Block ? BLDG. TYPE WORK DESCRIPTION Res. Y New x Mult. Add-on Comm. fiepair Other RES. PLBG. ONLY - COMPLETE THE FOLI.OWING: NO. FIXTURES TOTAL I_Water Closet - $3.00 i c, ` ;)_Bath Tubs - $3.00 _ ? - 4_Lavatory - $3.00 _I Shower - $3.00 ?L-Ki?chen Sink - $3.00 Urinal/Bidet - $3.00 i_Laundry Tray - $3.00 I Floor Drains - $1.50 I-Water Heater - $1.50 Whirlpool - $3.00 _LGas Piping Outlets - $1.50 ? (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 .Private Disp. - $10.00 ? Rough Openings - $1.54 -4 FEE: y S a ? STATE S/C: GRAND TOTAL: `'r' PLUMBING PERMIT PERMIT # RECEIPT # CITY OF EAGAN , - j 3830 PiLOT KNOB ROAD, EAGAN, MN 55122 DATE: ' CONTRACT PRICE: PHONE: 454-8100 Site Address ?", LOi. BIOCk SeC/SUb _ T m Name 19 Address f ' ? c Ciry Phone ' ` ? Name J 3 Address p Ciry Phone LkA- FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) 51GNAffURE OF PERMITTEE BLDG. TYRE? WORK DESCRIPTION Res. ? New Mult. Add-on Comm. Repair Other FiES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 S Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1 50 Whirlpool - S3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) _'2-Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: ? . ., ?.? STATE S/C: I FOR: CITY OF EAGAN GRAND TOTAL: - •. • . A r i (tertt#iratit vf (Orrupttury Citp of eagan Mppl'11riPtI# Af liltdbttt J jWPl'tim This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code cerdifying that at the time nf issuattce this siructure was in compliance with the vurFous ordinances of the City regulating building construclion or use. Far the}'oTlowrng.• use Classificstion ?'' M/GAR eld'g. Ftcmit No. Omuyaucy 7ype R3 7nning Dicuict Rt 'fype ?onet V owm a suaa;ng (RAM QAKS 1)L"d: naarea 4521 SO Ei-,'?Y T1?LT_' D,?:?^•?1 e? naa? `2 1`?3 FY IAi?: ?im, L7 , f'.?a .!T, .'L,r? Building Offcial • POST IN A CONSPICUOUS PLACE R?d SEWER SERVICE PERMIT PERMIT NO.: 1 DATE ? No. of Unfts: ranc? (lo.'cs Address: Site Addr Plumber to comply wilh !he City of Eagan ? By I Date of Inap.: Inap.: Conneation Charge: ' `' 5 • 00Fd Account Deposit: 15. 00pd Permit Fee: 10. 0 i)pd Surcharge: ' ''7p3 Misc.Charges: Penalty Total: Date Paid: ? CITY OF EAGAN Permk Na 8624 Datx 4-' R? 3830 Pilot lGrob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Conn. Chg: 5'5 . 0'0 ?c Zoning !u Acct. Dep: 15. 00nd No. of Units: 1 Permit Fee: 1)• 00va Surcharge: • 50n(?' I agree to complr wNh the Citp of Eagan Tr. Plant ? '' • OOpet OrdMancss. Meter. F * ' Misc.: •' ` ?'e na ty B Y WATER SERVICE PERMIT CITY OF EAGAN Permlt wo: Dete; 4-? 3830 Pllot Knob Road Meter Na Size: `a `f P.O. Bax 21199 Reader No: Date: Eagin, MN 55121 WATER SERVICE PERMIT the City of Eagan CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $$9,000 Date APRIL 8 N_ 13431 1')-at3 1g 87 SiteAbdress 672 NO HAY LAKE R? Lot 7 Block 3 Sec/Sub. OVERHILL FARM Parcel No. , Name GRAND OAKS ?EVEL CO w z Address 4521 S HAY LAKE RD 0 City EAGAN phone 452-8934 ,o Name SAME zQ Address 0 a City Phone W w Name i ? Address a w City PhOne OFFICE USE ONIY R3 On Site Sewage Occupancy MWCC System X Zoning Rl On Srte Well Type of Const Crty Water X (pctuaq ? (Allowable) V # of stories Lengih 58 DePth 32 S.F. Total Footprint S.F. APPROVALS FEES $ 465.00 Assessments WaterySewer Permit _ Surcharge 0 Police Plan Review 9'19 SQ Fire _ SAC,City inn_no Engr _ SAC, MWCC 525.00 Planner _ WaterConn. 525, 00 Couacil _ Water Meter 67 .00 I hereby acknowledge that I heve read this applicetion and state Bltlg Off. _ Road Unit 305.00 thettheinformatlonisconectandagreetocomDlywithallapplicable APC - TreatmentPl 180.00 State of Mlnnesota Statut and Cit f agan Ordinances. Variance _ Parks Copies Signature of Permitte LAtt ,+r? ,r?.?e, TOTaL &2 • 444• 00 A Building Permit is issued ta: G D OA S DEVEL CO on the express condition that all work shall be done in accor ance with all appli bl tate of Minne ta Statutes and Ciry of Eagan Ordinances Buildin9 Official This repuest voiC ?-/?,/?7 18 rtwn[hs from 0 316 4 5'alg i rire rvo. noupn- in inspecuon ((y Re<?urtetl? fleaGy Nuw Q WiII Nouty Insoer p 7 [?Ves ?No ? ? [ur When ReaLv Licensed Electncal Contrector I hereby requast inspecLion ot abov? ?Owner electncel work mstallad et. ? ? Y' Sveet AtlAress, Box o.r ryoute No. Uty w ecuon o. Township Name or No flanpe No. Cnunly OccuVan[ IPNINTI Phone No. Power Sup0 l ier A?Idress , ( Q/? '?/ GC?Cs Elecencal Conttactor ICOmpany Namel Convactor's Lir.ense No. MaiM1ng 6.dJress IConVactor or Owner Makvig Instaliationl 7L7? 4i. ? /3 5????. i?-r/1.5537F1 Aut?or?zetl Signnture IConhacmr?0 er Makine InsWllation? Pho e Number MINNESOTA STATE BOAHO OF ELECTNICITY THIS INSPECTION NEQUEST WILI NOT Griees-Mitlwey Bldg. - floom N-191 BE ACCEPTED BY THE STqTE BOAND UNLESS PROPEH INSPECTION FEE IS 1821 Universitv Ave.. St. Paul, MN 55100 PhOne(612)642-0800 ENCI.OSED. 151lGj $ 7 REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os 5Z"?.?`i/fj 7 / See instructwns for complehng this form on baek of Vellow cooY. ? 7°3?C7 (? ?J `3`41 6 4 X' Below Work Covered by lhrs Request 73// 3/ Add ei "-iypa of 8wltlin9 AOpliancea Wved EquipmeN WireA Home Range Temporary Service Duplex Water Hea[er Ligh[iny Fxtures Apt. Building Dryer Electne Heann Commercial Bldy. Fumace Silo Unloader Industnal Bldg. Air CondiLOner Bulk Milk Tank Fefm ONe' peci yl ,?her ISpm:'lyl [ P,! S110C1Ly Ol (:f O111L`! Compute Inspeciion Fee Belaw 3 9, 1v p Fea ServiceEntreneeSize A Fee Fentlers/SUbieaders N Fae Cucwts 16.t7) 0 to 200 qm s D to 30 qm s 3 ' 0 tn 30 Am s A6ove 2 0 qmps 31 to 100 Amps / - 31 to 100 Am Swimming Pool Above 700_Am s Above 100_Am s Transiormer5 hrigation BoomS S7D Partial. Oiher Fe SignS Special InspecLOn S J S TOT FEE r?-- Nemarks i J ? 1 certifv that tne bean ThisreQUeetvoltll8 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 657-681-4675 New Conatruction Reaulrementa • 3 regislereC site surveys showing sq. tt. M bt, sq. N. of house; antl ?II rooted areas (200% maximum bt coverage allowetl) • 2 copies of pFan showhg beam & window saes; poured tound desgn, etc.) • lsetofEnergyCelculaHOns • 3 copies ol Tree Preservetlon Plan N lol platted afler 7/1199 • RM Joisl DefaB Options seledbn sheet (bltlAs w0h 3 or less unAS) DATE (5-" 30-- UZ. SITE ADDRESS ? a A. L Akt V TYPE OF WORK APPLICANT aag qemotleVpeoair Bequlremanro . 2 oopies of plan • isetofEnergyCatculatbnslorheetedad0Abn5 . tsttesurveyforebefwratldttbns&decls • IrWicate ii hana served by SeDtic sWem for addBbns VALUATION ?n0 0 Gy MULTI-fAMILY BLDG _ Y _ N 4- Sl,l'. .? ?. FIREPLACE(S) _ 0_ 1_ 2 STREET ADDRESS / IS`7 Gc.J 1 0-7 A: e " anra k.G1,_= STATE At- ZIP 3-5"1a P TELEPHONE #(Q? ?-?73?-?2!/ CELL PHONE # 63'r "Mg-8'9a 3 FAX #-4,652 PROPERTY OWNER R e 6f? ?c- C#g TELEPHONE #???` 6??? 649 ---------- °------------------------------------°------------------------------------°------- COMPLETE THIS SECTION FOR uNEWff RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ n (J submission type) • Residential Ventilation Category 1 Worksheet Submittad • • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Conhacfor: _ Mechanical system includes: Sewer/Water Conhactor. Air Conditioning Heat Recovery System Phone # MAY 3 1 " 1 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota StaTutes and City of Eagan OrdinancJ? s. n Signature of Applicanf ? ^ ?-? F?'?-? OFFICE USE ONLY _ Water Softener _ _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Phone # Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4I02 OFFICE USE ONLY ? 01 Foundation O 07 OSplex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Mu%i O 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 PorcNAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex O 18 Deck ? 23 Porch (screened) O 36 Multi ? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plax Plbg_Yor_ N 0 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors O 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicaM Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings (new bldg) Final/C.O. _ Foorings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile pther Roof _ Ice & Water _ Final _ Pool Ftgs Au/Gas Tests Final _ FraminB _ _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ Final _ Windowa (new/replacement) _ Insulation _ Retaining Wall Approved By , Bullding Inspector Base Fee Surcharge Pian Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Searoh Copies Other Total ?.. l ? VCITY OF EAGAN dPPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION N(Yl'G': PAYMFTTI' OF FkE AT 7IM OF APPT.TcpazoN noES Nom CONSTIT= APPROVAI. OF PF.E2MIT. INSPE7C.'rION OF SESM AAID/O2 MM TTLCTAT7.ATTOIIS WII.L IVdP BE SCH@- UIED U[dPIL PERMLT HAS BEE27 APPROVID. P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF E7QSTING STRL'G1L?RE. DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: • ~ i (hbn Year PRESEBTP 7ANING/PROPQSID L'SE: ? Mn?JERCIAI./RfiTAIL/OFFICE C???SINGLE FAMILY Q INDDC'SIRIAL Q R-2 DCPLEX (7wo Units) ? INSTI7i'TIONAL/GOVIIPMONT ? R-3 'IUWNEiOUSE (Three + Units) ( Lnits) . [? R-4 APARTMEN'P/COAIDOMINILTI ( Units ) 2) NAM: ADDRESS: CITY. STATE, ZIP: . PHONE: q s?). - - 3) • c c ?• ADDR i CITY, STATE, PH 4) 00 • • U7,.i'rm NAh1E: _ ADDRESS: CITY, STATE, ZIP: PIiONE: • a Active 1--? Ekpired Not recorded Sta Intial .5) MI vA ? r• • ?• : ? • o? - ?? - _Q-CO?CPION RO CITY SE,'WII2 -m*m r"i.i -c. ?TON TO CITY WATER OTf?R_ 6) '? • ??• [] PLFASE HOLD APPROVfD PEf2MIT F'OR PICK-IJP BY ONE OF ABC77VE J[:j_PLEASE MAIL APPROVID PMMIT TO 1. 2. Q_ 4, ABWE ? n L 10 (Circle one) 7) r ?. 9• - _Lh_a__Ja1 C.Z-Ikphl???, V77m <! - D - FOR CITY USE ONLY-- . r? PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ 0 $ SEWER PERMIT (INCLODE SURCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE) . $ / `rrD $ WATER METER/COPPERHORN/0[!TSIDE READER $ $ WATER TAP (ZNCLPDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ a 7 5' rJ D $ WAC $ 2 ( $ . SAC $ $ TRLNK WATER ASSESSME[VT $ $ TRONK SEWER ASSESSMENT $ $ " LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER "$ /•4 /) ?J D $ WATER TREATMENT PLANT SURCHARGE $ ? S- ?C? • G C) OTHER : %-e?-r?t-IC S ? q 6 $ TOTAL 72- z y 3 RECEIPT RECEIPT DOES OTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F---j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : ? 9/ ?, ?`- ?JG' r^o / 1987 BQILDING PERMIT APPLICATION - CITY OF EAGAAi SINGLE FAMILY DWELLINGS IPCLDDE 2 SEfS OF PLANS, 3 CERTIFICAiSS OF SQRVEY, 1 SET OF ENERGY HOTE: ADDRESSES FOR COENEE LOYS - CONTR9CTOR/HOMEOiiNE& MDST DESIGAAiS AHICH ADDEESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCS BOILDING PBRMIT IS ISSQ6D. H[TLYIPLE DTiELLINGS - INCLUDE 2 SETS OF PLANS, CER' 1 SET OF BNERGY CALCULATIONS COF4MERCIAL RM9L DAIiS FOR SALE DHIiS OF SORVEY - CHECK IIITH BLDG. DEPT.* INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: S O Valuation: 89, ofx-D Site Address co-7 a N. Wdat Lot a Block ? a Site Sewage_ . MWCC System ? Parcel/Sub ? On Site Well R? City Water % Owner Address City/Zip Code Phone Contractor Address APPROV9LS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC City/Zip Code GG-r?--- Phone Arch./Engr. Address City/Zip Code Phone 8 Variance Date: Occupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES R3 RI 58 3Z Permlt 4loS - Surcharge +77F Plan Review 23 Z. i?e SAC, City ICO SAC, MWCC 525 Water Conn 525 Water Meter . (07 Road IInit "iDS Treatment P1 I0>0. Parks Copies TOT9L r a a ;; B ;; c ;; p ;; t.. : 7. ? <:EXTERIOR EhIVLLOF'F_' AVERAC;L" 'U' CC1MF'UTA TIVN 41 GRaiVD GAK'3 L1EVEl_OF'MEN"f CI]MF'AN Y 5 : b! I"IGDEL i AREA U VALUE IJ X AFtEF 71 , 81 9IM!•1XIIHUFI raL_.Lf.7WED BY CC1AE 1U1 11:TOTAI_ WAL4.. AREA 2294 .17 389.98 12: 1. _ I"I'OT'AL. ROO1= AREA 952 .05 47.6 14: i:il TQTFIL F•dLL_OW ED 437.58 ib f taCWTEVED 171 18; WALL AREA 1'i' I 20:WI ND1741S 222 .5 11.1 '.' 1 1D0ORS 40 .077 3.08 22ISLIDE GLASa =9 .48 18.72 231FIREFI_ACE ':is .^.- 7.5 24 t WALL FRF11•IE AREA 229.4 .041 9.4054 ::5{FfII'1 j(:iIS:,T 124 .0436 5„4064 20FCUND F;EtOVE GRADE 84 .0769 6.4596 27I NE'1' WAI._I_ AREA 1523., u =78 57.66768 :gl 291 'I'OTAI_ WA LL 214,,2391 sUI 311 h00F AREA 32 I _ 3t SKYLT TE +:) 0 34 ; ROt71= F'RAh1E 95.2 .032 3.0464 35 I I.IET ft00F 956.8 .0227 19.44936 _:6: 171 l"CJ7AL RO Ol= 22,. <49576, =s: 39 : TuTF-IL ACHTEV.F..D 241.734E 4tti I 47 ;I°IARCiII'd ]:hl EXCESS OF COliE 155.E3452 421 43 :% I`1ARC77:IV I N EXCLSS 44. "l',`i60. bqL4(o PLUMBING (RESIDENTIAL) ,g??h? Permit Application ?P v City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete fot: Single Fatnily Dwellings Towntiomes and Condos when pernnts aze requued for each unit Date / 2 3 Site Address ?_-2l , Uni[ # E MN SS/ '3 PropertyOwner Ape& /eA Pk-prE Telephone#(dS/) (o SF'r-G L?a4 Contractor m w N Address City State Zip Telephone # ( ) The Applicant is ? Owner _ Contractor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County tee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 ? Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ repiacement _ additional State Surcharge i ? .50 T l ,I I ?i S 30 ora ? . I hereby apply for a Residential Plumbing Permit and aclmowledge that thelinformation is complete and accurate; that me worx wu1 be in conformance with the ordinances and codes of the City of Eagan and ?iih-the=P.luuSl?i'tng•Godes; that I understand ttus is not a permit, but only an applicarion for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requues a review and approval of plans. KocaE2.? Ei AkETTE ApplicanYs Printed Name ApplicanYs Signature 753q?? 2007 RE5IDENTfAL MECHANICAL rEiuvuT nrrLicnTivN c,ry or Eagan 3830 Pilot Knob Road, Eagan MN 55122 "Celephone # 651-675-5675 - Please complete for: single family dwellings 8r. rAwnhamevwndns when pectnits am seyuirect 1'pr tach wnit 0/ 1)/g) Date 0 6/1 ?? J 2007 Site Address 672 NORTH HAY LAKE Unit # Property Owner BOB RACETTE Telephone #( (j (? ) 386-9670 Con[ractor GcNZ-RYAN (STEFHANIE) StreetAddress 2200 W HWY 13 City BURNSVILLE State MN Zip 55337 1'ciephone# ( ) 952-767-1845 Bond #: 929298827 Expires: 8/14/07 The Applicant is _ Owner X Contractor _ Other Fire reQair (replace 6urned out apptfances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 X furnace _Additional X Replacement _ New air exchanger X air condidoner heat pump other StaEe Surcharge InS $ .50 11 I? IIN 1 5 2007 Total S 50.50 I hereby apply for a Residendal Mechanical Permit and acknowledge thet the information is complete and accurate, that the work will be in confoimance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is nu[ a permit, but only an application for a permit, and work is not to start without a permit; that the work wil] be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? , ?co?av)i? ApplicanY Printed Name ApplicanYs S nature SU R V E Y 0 R' S C E R T I F lCA T E GRAND OAKS UEVELOPMEN F CU. I # 450 I / \ -i- ?• L_ L/ I v 30 N. ? o ? a 149.69 N 89°36'45"E J •• '" "• Q ( (1 Lr ?- 32.00 30.00 11.40 I IS01o??' ? O i n 7" T n ? a r W r g ? 5 DRAINAGE 9 UT7LTY U 32.0 10 EASEMENT PER PLAT ^ e ?' 1 = { p o wW 6 30 W Lf) I 14«`ri\a = o O W Y ? ? ° .o _ a ? Z LOT ,. 0 ? Q o ? M:r?? ° •_a r4Q tn pv a ?: .. , ? 'F N\? N Q.:.. O 7 ? ? v;? • : ? 24.0 I' N n ? O1 {Oi ? 10 3: YI ? s M M o I o t 30 ?l ? _ • 32.01 ' .. .. 30.01 ? ,.,Vih 152,00 N 88° 53'09" W .. ' ? OVERHILL ROAD M ? -+- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCII = 30 FEET * UENOTES IRON MONUMENT FOUND PROPOSED GARA6E FLOOR = 940.3 FEET (000.0) DEN07ES PROPOSEU ELEVATION PROPOSED TOPEOF BLO?K = 99407 FEET I FfEREDY CERTIFY, TO GRAND OAKS DEVELOPMENT C0. TFIAT THIS IS A 7RUE AND CORRECT REPRESENTATION OF A SURVEY OF TfIE DOUNUARIES OF: Lot 7, Block 3, OVERNILL FAP,M SECOClD ADDITIOhJ, accordine to the recorded plat thereof, Dakota County, P1innesota. APdD OF TIIE LOCATION OF A PROPOSED 4UILDING. IT DOES NOT PURPORT TO 51i0W 1MPROVEMEPITS. OR EI4CROACIIMFNTS, If ANY, THEREON. AS SURVEYED 8Y ME, OR UNDER P9Y DIRECT SUPER4ISION, TIIIS IST DAY OF APRIL , 1987. NOTE: 6RADES SHOWN WERE TAKEN FROM THE GRADING PLAN FOR OVERHILL FARP1 SECOND ADD,ITION, PREPARED BY MINNESOTA VALLEY SURVEYORS IHC.,?LAST DATED MARCH 28, 1986. ' PAOJEC7 N0. BOOK / PAGE 87 202 F1LE NQ. FOLDER SIGNED: JA R. HILL, INC. 4Y. l/ . H ROLD C. PETERSON, LAPlD SURVEYOR PiINNESOTA LICENSE N0: 12294 JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South BlooMington, Mn. 56431 812-884-3029 Use BLUE or BLACK Ink r I I For Office Use f Permit#:1 I I City of Ea Ea~ I Permit Fee: j~ 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I j Fax: (651) 675-5694 i staff: - -I INFLOW INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: r Zke_ 2,1 Tenant: Suite RESIDENT /OWNER Name: Phone: Address / City / Zip: G^~ Name: ~J C 14 f'l[c;v2 b: License ! t(r~~~~ L~ O Address City: ZE - v. CONTRACTOR State: i Z ~ Phone: f AL p ~ S SZ 7 52 L/) h4.be bn'l Contact: leel-11_1~e_ Email ak 11 e)~ a- I I _1 PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: D escription of work: i SC _e.k DESCRIPTION FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org 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; t at the work will be in accordance with the approved plan in the case of work yvhic q a review d approval of plans. X GL l' l p ✓ x Apple ant's Printed aV Ap I ants Sig ature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA123602 Date Issued:06/11/2014 Permit Category:ePermit Site Address: 672 Hay Lake Rd N Lot:7 Block: 3 Addition: Overhill Farm 2nd PID:10-56151-03-070 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. Troy Good 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Robert Racette 672 Hay Lake Rd N Eagan MN 55123 (612) 245-4491 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169943 Date Issued:06/15/2021 Permit Category:ePermit Site Address: 672 Hay Lake Rd N Lot:7 Block: 3 Addition: Overhill Farm 2nd PID:10-56151-03-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Robert & Patricia Racette 672 Hay Lake Rd N Saint Paul MN 55123--301 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature