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676 Hay Lake Rd N? CASH RECEIPT • . • CITY 4F EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? - - _- ? DATE -'1 19 weee?l?dc FROM AMOUNT $ I ? CASH ? CHECK ROR :=T Y ,- J;1 s! j; j .f ? B White-PaVers CaPY Yellow-Pottiny Copy Pink-File Copy Thank You • CASH RECEIPT ? , .. CITY OF EAG?;.N ` . ? 3930 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 REGRIVED _ ? . FROM AMOUNT s & DOLLARS 1 oo ? CASH ? C,}-1ECK • , -' , %` . t;... ; ? ??'? , ?? . ?? ;? ,.? % AMOUNT Thank You ' ? BY White-Payers Copy Yellow-Posting Copy Pink-File Capy , . BLDG. PERMIT N0. : . 01-321Q- Bldg. Permit 01---422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit ZO-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Cann. 11-3855 Park Ded. „.,--?'? . ! I I ! TOTAL ? - ?. % ? CITY OF EAGAN Permit No: Date: 3830 Pilot Knob Road Meter No: 3F5-.7d,6" 97 Size: LYS"Y-m-4) P.O. Box 21199 Reader No:Q_,3-rrT-j� 7�7— Eagan, MN 55121 � Date: �' �G C vner: Site Address: Plumber: Conn. Chg: Zoning: Acct. Dep: No. of Units: Permit Fee: a f. Surcharge: I avej3 faompiy with the City of Eagan Tr. Plant Oren e `. Meter: Misc.: By C � .-- WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P.O. Be'21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No.of Units: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Vin•"' 52 - .` Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc.Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN Permit No: Date: 3830 Pilot Knob Road Meter No: Size: P.O. Bo 21199 Reader No: Date: Eagan, MN 55121 Owner: Site Address: Plumber: Conn. Chg:._ Zoning: Acct. Dep: No. of Units: Permit Fee: Surcharge: I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter: Misc.: By WATER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? BUILQIN6 PERMIT Receipt # To be used for Est. Value Date ,19 i ? Site Address OFFICE USE ONLY Lot Block Sec/5ub. On Site Sewage _ Occupancy MWCC System _ Zoning ParCel No. On Site Well _ Type of Const City Water (Actual) ¢ Name _ (Allowable) W # of Stories ; Address Lengtn ? City Phone Depth F Total S p Name . . Footprint S.F. ?? c Address APPROVALS FEES ? City PhOne Assessments _ Permit -- F a Water/Sewer _ Surcharge F W Name Police _ Plan Review z Fi Cit SAC _- 0 = Address re Engr. . y - _ SAC, MWCC IW City Phone Planner _ WaterCona Council _ Water Meter t hereby acknowledge that I heve read this application and state Bldg. Off. _ Road Unit thattheinformationiSCOrrectandagreetocomplywithallapplicable APC _ TreatmentPt State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Signature of Permittee Copies TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinancea Building ? ? , i Permit No. Permit Hotder Dste TalopAone ?e Plumbing n,:; ;j S r" 'i?f •' c u- ?: ? ? ;h 7 _ i H.v.ac.. Electric +???? G=l Softener Inspection Date Comments Footings I A4a,0?7 Footi ngs II Foundation Framing "e- ?f. Roofing Rough Plbg. Rough Htg. a? Isul. p Fireplace Final Htg. P Final Plbg. Bidg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. ? ? Site Address l 7L, Lot._.9_ B?ock ? Name m Addre c City ? Name _ Address ? TYPE OF WORK , Forced Air ' Boiler Unit Heater Air Cond. Vent Gas Piping OuHets # Other MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: BLDG. TYPE WORK DESCRIPTION Sec/Sub K e5. _ New -?L n. ? gizA M uft Add-on Comm. Repair 'r,, ? , „ , Other FEES RES HVAC 0 100 M BTU . - -$24.00 ? ADDITIONAL 50 M BTU - 6.00 aAL3 A One ?,. DES A/C ON NEW .. ? CONSTRUCTION) GAS OUTLETS MINIMUM PER ' ( - 1 PERMI T) - 1.50 EA. COMM/IND FEE - 1?i6 OF CONTRACT FEE .,d ?? C? M BTU APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 COND05 - RES. RATE APPLIES M BTU MINIMUM RE510ENTIAL FEE - ALL ADD-ON & M BTU REMODELS - 12.00 '? M BTU MINIMUM COMMERCIAL FEE 20.00 ? STATE SURCHARGE PEA PERMIT _ .50 CFM (ADD $.50 S1C IF PERMIT PRICE GOES FEE: S/C: TOTAL• BEYOND $1,000) ? FOR: CITY OF EAGAN PLUMBING PERMIT - CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55122 Site Address J, :1 LW6 7, 1.- I Lot S Block ? SeciSub m Name m Address c City Phone ? Name 3 Address ` p City_ Phone 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 FOR: CITY OF EAGAN PERMIT li RECEIPT ti DATE . TYPE WORK DES RIPTION New Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ---S-Water Cioset - $3.00 -LBath Tubs - $3.00 Lavatory - $3.00 ? ---a-Shower - $3.00 ? - -j-_Kitchen Sink - $3.00 's - Urinal/Bidet - $3.00 -LLaundry Tray - $3.00 ? Floor Drains - $1.50 ? ':?tWater Heater - $1.50 ? Whiripool - $3.00 ___4_Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMin Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: ? S u GRAND TOTAL• ? `? • ? ? PERMIT# RECEIPT 4k CONTRACT PRICE: Site Address ' - Lot Bloc ? Name r'1 . m Address c City i _`- Name ? • 3 Addresj O Cih+ ? :j-* FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 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 $1,00;0:00); - -, FOR: CITY OF EAGAN Mnn EAGAN, MN 55122 DATE: 3830 PILaT KNOB BLDG. TYPE WORK DESCRIPTION Res. New M ult. Add-on Comm. Repair Other LL12I RES. PLBG. ONLY - COMPLETE THE FOLLOWING NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 t L $3 00 ava ory - . Shower - S3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ' Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1 50 Whiripool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) ` Softener - $5.00 Well - 510.00 - Private Disp. - $10.00 Rough Openings - $1.50 FEE: ` STATE S/C: GRAND TOTAL: . , '? . (Itr#ifiratt nf (Orru?aury titp of (eagan Erpartinmi n# ludd'mg jweriina This Certificate r.rsued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construccion or use. For the following: uw a.ffifimtion ' T DWG/G+,R BWg. Pamn ?vo. 135 ! .' . o-uv.-y Tya R3 Zoning Dis? R! rya CoW v o??ore?mn? ?AAII) QAi? ?::' :, '):i ?4521 SO ?-??1 ','R %W,aAL`AN aak6,8 naar,. 676 *1C`M HA:: L.AiT, K:';u Lwy W. Ii3. MMIIId. FA1dS 2ND Daw. JOI-Y 29, 1987 sWaing official POST IN A CONSPICUOUS PLACE CITY OF EAGAN N2 13 514 3830 Pflot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHONE: 454-8100 8? 1 BUILDING•PERMIT Receipt # : 74 To be used for SF DWG/GAR Est. Value $80, 000 Date APRIL 24 ,1987 Site Address 676 NO HAY LAKE RD OFFICE USE ONLY Lot g Block 3 Sec/Sub. OVERHILL FARM 2N pn Site Sewage _ Occupancy R3 MWCCSystem _ Zoning R1 Percel NO. On Site Well _ Type of Const CiryWater (Aduaq \1 : Name GRAND OAKS DEVEL CO _ (Allowable) v_ w = 4521 S HAY LAKE RD # of Stories Address lengtn 56 o EAGAN 452-8934 City Phone oepth __.54_ S F Total . . , p Name SAME Footprlnt S.F. ?a Address APPROVALS FEES ¢ City Phone Aasessments Permit :p 433.50 0 00 WateVSewer Surcharge W w Nem@ Police _ Plan Review 91 F- 75 ? i Address Fire SAC, City t nn _ o0 '0 = Engr. _ SnC,MwCC 575_0 p a W City PhOne Plenner _ WaterConn. 595_(lp council _ water Meter (, 7_ nn I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Umt 105.0 0 thattheinformationiacorrectandagreetocomplywithallapplicable APC - ireatmentPl 180.00 State of Minnesota Statutes and Cit of Eagan Ordinances. variance _ Parka ?/-- Copies 5 SignetUre OfP@ff111tte/?7 70TAL A Building Permit is issued to: GRAN OAK EL CO on the express condition that all work shall be done in accordance with all applic le State of f. ?+nnesota Statutes and City of Eagan Ordinances Building Official ?- ???c?'.-? ?his reQUest vond /,/?/?? 9/ 18 months 1mm W D -1-217 Q ,sT o 0 RP?SF?T?e c S?/ Firti No. Fouph-m InSVer,uon Requ?retl> ?y. ?HeatlV Nuw,p? W?II Notity InsPec- Wh ? t p? Yes ?No or en qeady Licensed Electncal Contrector I hereby request mspecnon ol ebova Own er electncal work mstalled at: Slreet Address, Boa or floule No. 1 I k 6 ;) ( CiiY O ? a, e Y ?- . l -? ? ecuon o. TownshiD Name No. Rpnge No. County Occu dn1 (PRINT) Phone No. Z-/Sz- S r 3 ?/ Pow Supp/her A Address Electncal Contractor (Company Name) / I Convapor's License No. s - 3 c a Y t ? ? Mailine dJress IConVactor or Owner Makina In iailaUOn) 7?75 GJ- ?lu, /3 Amhorized Sfgnature IConVactor?Own abny Installatmnl P ne N mber &elo-(?' 3?y MINNESOTA STATE BOARD OF ELECTflICITV THIS INSPECTION XEQUEST WILL NOT g. - Noom N-191 BE ACGEP?ED eV THE STATE BOANO ?.rigBe-Midwey Bld 1821 Universitv Ava.. St. Paul, MN 55100 UNLESS PNOPEN INSPECTION FEE IS Phon816721662-0800 ENCLOSED. J REQUEST FOR ELECTRICAL INSPECTION es-0000r1.-06 &VIN , See instructiona lor completi.g this form on back ot vellow copy. "X"' Below Work Covered tiy 7his Request D2179 ?Adtl Reo. Tvoe ol Bwle?np Aooliancee Wvee-- Equiument WveA umace p FBB $BlVICCEfIlf811CB$12B H FBB FBPACfS/SUbIBPfICf6 b F9C CIfCU1t3 ? 'Z6(7 0 to 200 qm s 0 ro 30 Am s 0 tn 30 Am s Above 200 qm?u? 37 to 100 qmps - 31 to 100 Am s ' Swimming Pool A6ove 100_Am s Abave 100_Amps Transrormers Irngation Booms $7j Partial/Other Fee Signs Speci.l Inspection `, Nemarks S S TOT A?E ? /Y -?rX ? the E1?aM? Inspectoqe ?ereby cerlily tht ?he nbove rIFinal nspeetioai has bean made. mierepoes+roia sU y3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 Naw Conetructlon Reautrememe • 3 regislered sae surveys showing sq, h. of lot, sq. fl. of house; and ?II roofed areas (20°/a maximum lot coverage albwed) • 2 copies of plan slwwNg Eeam 8 window sizes; poured lound design, etc.) • lsetotEnergyCalcuWions • 3 coples of Tree Preservation Plsn tl bt ple8ed atter 711193 . RimJOISIDetailOptionsselectbnsheet(DldgswM3orlessunits) DATE 5 I ? ? ?o ? ; RemaAeVReoalrReauhemeMs • 2 copies of plan • 1 set of Energy Calculations lor heated addftions • 1 stte survey for ederbr addltians & decks • Indicete il home servetl by seplic syslem for addttions VALUATION ? ?f OOO SITE ADDRESS (07 Co kl DY4v H a? MULTI-FAMILY BLDG _ Y _ N NPE OF WORK FIREPIACE(S) _ 0_ t _ 2 APPLICANT nV,r uui? -14Tyl?/t I C G (,IWpm(A-!"1 nw STREETADDRESS ? qJ'?ol ?fYl(,IQ yA? S`Ih CITY OUm? 1'v STATE?21P J?5?2 TELEPHONE # %)j3CELI PHONE # 6/a',j?P?p " MO FAX # (?ScL98d ' FV/? PROPERTYOWNER PhI I I ITELEPHONE# k5I - COMPLETE THIS SECTION FOR °NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (J submission type) . Residential Ventilation Category 1 Workshaet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Wafer Contractor. _ Water Softener _ _ Water Heater _ No. of Baths Air Condirirnung Heat Recovery System Lawn Sprinkler No. of R.I. Baths Phone # Phone N Fee: $90.00 Fee: $70.00 -------------------- ----------°----°--°-°------------------------------------------------------------------ I hereby acknowledge that I have read thls application, state that ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordl s. Signalure ofApplicant ? ......... ..._...... --.... -._...... _............ ---...... OFFICE USE ONLY Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Phone # .?' SINGLE FAMILY DWELLINGS INCLDDE 2 SETS OF PLANS, 3 OF S06VEY, 1 SET OF ENERGY CALCOLATI0N5 NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOTiiN6R MIIST DESIGAATS iTHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOTiED ONCE BUILDING PERMIT IS ISSDED. MOLTIPLE DWELLINGS - RFSIDENTIAL RENTAL ONITS FOR SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SDRVEY - CFiECg HITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCI6L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuai Site Address ?0= Lot J-9 Block ? /YY1 Parcel/Su Owner Address City/Zip Code Phone Contractor Address ZA ?GY City/Zip Code -efaer Phone ? ? ;q, ? Q 9 3 ? Arch./Engr. Address City/Zip Code Phone # )S): 0? f?.'?O IYate: -J-/ - 224 2 OFFICE DSE ONLY On Site Sewage Oecupancy MWCC System _ ? Zoning ?-I On Site Well Type of Const City Water ? (Actual) ? (Allowable) # of Stories Length 54 Depth S4 S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit 33 SO Water/Sewer Sureharge Police Plan Review '' Fire SAC, City ? Engr SAC, MWCC S 2$, Planner Water Conn Council Water Meter (o"]. Hldg Off Road Unit ?S. APC Treatment Pl t SCJ. Variance Parks Copies TOTAL 3 H ?•. ? , , f.` / •r ? i:... . •o ?`EX1"ERIOR ENVELOPE AVERAGEr'U' COMPUTATYON ' 6RAND OAK3 DEVELOPMENT COMPANY°'' MODEL QAREA U U X AREA . ? . . kECUIFED ' TOTFlL WALL AREA IBQO X.il 190 TOTAL ROOF AREA 1196 X.0:6 31.096 ACHIEVED ' AREA ' U U X AREA A. WINDOW AREA 186.66 •5 `??'•?' E4. DCif_!R AREA Z9. 8 .077 =• 0 64h C. SLIllE GLASS AREA 13.44 .4E7 6.?51: U. FIREPLAL'E (ar2LA • 0 u o C. WF.LL FFAME AREA 190 .041 -.'•F? F. NFT WALL AREA 1164.1 . 041? 5 7• 0 409 L. RIM JOIST AREA 119.52 .0436 5.311072 H. FOUND WIhDDW AREA U U C) I. FOUND AEOVE GRADH 96.48 .135 13.024E1 3. TOTAL WALL AREA 1800 SC35.5026 J. SKYLI7E O 0 cl K. ROUF FRAME 119.6 .432 3•0272 L. NET ROOF AREA 1076.4 .025 26.91 4. 70TA1. Ft00F AREA 1146 =0• 7372 SUM 1.+2. SUM 3.+4. :29.096 216.2-334E1 ? APPLICATION FOR PERMIT CITY OF EAGAN SEWER AND/OR WATER CONNECTtQN xxYxxxwtY???tY?xxzxixxx?tttY!**i*? *iOTF: PAYMe'nTP OF kEE AT TIME OF ? APrrscA2zoN noES Nor corsrrTUTE APPxovAr. OF PrPMIT. ? imsPrx-izorr OF SEM Arro/Ot MM TTLSTAT7.ATTONS WIId. bA'YC BE SCHED- vLED vrrru. PERMIT HAs sEEv APPRO7E'D. P ease Print) FRFrtF ^^?^ FF ^ R?RF`F ^ ?1) PROPERTY ADDRESS: LEGAL DESCRIPTION: ••- IF E7QSTING STRCMRE, DpTE OF ORIGINAL BL?ILDING PERMIT ISSL'ANCE: . i Nbn ear PRESENf 7ANING/PROPOSID C?SE: q corklERcIAL/PMair./oFFicE ? zrmesTxIAr. ? INSTITL'TIONAL/GpVEtMEN'p 2) ? '-R-1 SINGLE FAMILY ? R-2 DL'PLEX (1t.q Onits) ? R-3 'IOWDII30USE (Three + Units ) ( Units ) ? R-4 APARTMENT/COAIDOH7IDIILTI ( Units) ADDRESS: ,of CITY, STATE, ZIP: EACq N PHONE: C • 3) , u?: ?• NAME:_ ' Vft LL Ey For City Use . Plurbers License: ADDRESS: A Active CITY. STATE, 2IP: u ExPired ! u Not recoi'ded Riom: a/ MASTER LICENSE# sta?tiai 4) •k . i?- NAME:_ ???. / _ P,DDRESS: ? . CITY, STATE, ZIP: PFiONE: - 5) u ?• i a?• • a• : ? • a? - ?? --- e0NN1±TION 7D CITY SEWER EQ__CONRIDCTIDN-TC-CITY WATER OTHER 6) ?? [:] PLF.ASE HOLD APPROVID pERMIT FOR PICK-UP BY ONE OF ABOVE 2?-?-MAIL APPROVID PETtMTT TO 1. 2,(5? 4. ABOVE /1 / . (Circle one) FOR CITY USE ONLY PERMIT # ISSL'ED ?? 6- f / Pd w/Bldg. Permit FEES; $ ?C'S? $ SEWER PERMIT (INCLODE SORCHARGE) / ?iu5v $ ? $ WATER PERMIT (INCLUDE SORCHARGE) $ 4, 7U'v $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $? - 0-Z) $ ACCOUNT DEPGSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ .!?T z S C? $ WAC $ $ SAC $ $ TRL'NK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BEN°FIT/TRL'NK WATER $ $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: $ $ TOTAL ? ? f(o ? RECEIPT RE CEIPT DOES UTILITY CONNEC TION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSLED BY THE ENGINEERING . AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY; kl(.???? TITLE: DATE: SU R V E Y 0 R' S C E R T I F I C A T E GRAND OAKS DEVELOPMENT C0. (429) L_lJ I I l/ I L_\/ I ?) ljri 30 I ? 100.00 S 87°48' 19" E ? 2-?j ?i ' . '' ; • 54.05 30.03 ? ? 9°`'SO " I a , IN 1 NI IO O ?--- ^" W X ? 29.67--- p 24.33 ? - ?? M M W w' w ? uwi ? a,?'?I?1N?INAY N Y U) Q Q ? c0 o W\a." z o ? y J Q e W o Z QQ x? O o? a\N 0 ' ? I y °• } o --------I ?i Q r () ^ s ? I I o = $I io n ? i ? ? j- J 84.00 30.00 ?? O ? J 149.69 N 89° 36'45" E . I - J Iv ? N I ? • I ?_ lJ i I ' 30 I -+-- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 fNCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR a q3g,3 FEET .X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = q;c.6 FEE7 (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = FEET I fIEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. TNAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 8, Block 3, OVERHILL FARM SECOND ADDITION, according to the ' recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION Of A PROPOSED BUILOING. IT DOES NOT PURPORT TO 5fI0W IMPROVEMENTS. OR ENCROACIIMENTS, IF ANY, TIiEREON. A5 SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, TI1IS ¢Tp DAY OF ?odENP, 198(o. NOTE: GRADES SHOWN WERE TAKEN FROM SIGNED: JA R. HIIL, INC. THE GRADING PLAN FOR OVERHILL FARM SECOND ADDITION, PREPAREDY BY MINNESOTA /J? `??%? VALLEY SURVEYORS INC., LAST DATED ?}` MARCH 28, 1986. HAROLD C. PETERSON, LAND SURVEYOR • PIINNESOTA LICENSE N0. 12294 pROJECT NO. BOOK / PAQE JqMES R. HILL, INC. 86242 planners / Engtneers / Surveyors FILE NO. 8200 Humboldt Avenue South ' FOLDER Blootnington,Mn. 65431 612-ee4-3029 ý ÿ ÿþþ ýüûü úú ùþþûýûëêé õñæøìòøäç îõ ÿþö þýüûþ öøüû úøüûþ øûáÝÜø ööõñû ô þóøò úì æååäøÿøäæà äøãééýøìýæâû þ øäàääæéöåøåûåøé öøýäàøøøóøý åäìäé òèõðèéé õù þøìø èõðèéïéçï õÿé ôó öñ÷ ûû áä ûáäþøæ ìûðþìø îîêìæéëîíîá÷ë Üêëçí êëçõ ãíîõâççî ìøý ì ìæøìûûììåøäøø øäû ìûûýþ åêþöå ñøé ûûù øäþ ø þ ø PERMIT City of Eagan Permit Type:Building Permit Number:EA114440 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 676 Hay Lake Rd N Lot:8 Block: 3 Addition: Overhill Farm 2nd PID:10-56151-03-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Roger Dowell 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 - Philip K Sherwood 676 Hay Lake Rd N Eagan MN 55123 Integrity Restoration Inc 6360 Sunfish Lake Ct Ramsey MN 55303 (763) 506-0200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA126323 Date Issued:08/20/2014 Permit Category:ePermit Site Address: 676 Hay Lake Rd N Lot:8 Block: 3 Addition: Overhill Farm 2nd PID:10-56151-03-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Heather Winn 21210 Eaton Avenue Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Timothy M Hendrickson 676 Hay Lake Rd N Eagan MN 55123 (612) 214-8286 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA137229 Date Issued:06/23/2016 Permit Category:ePermit Site Address: 676 Hay Lake Rd N Lot:8 Block: 3 Addition: Overhill Farm 2nd PID:10-56151-03-080 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Timothy M Hendrickson 676 Hay Lake Rd N Eagan MN 55123 Great Northern Builders 9419 Buckley Ct Inver Grove Heights MN 55077 (651) 436-5672 Applicant/Permitee: Signature Issued By: Signature • Use BLUE or BLACK In For Office Use -(14-7 t1 1 11 , . . Perrrat#: / -/ 6 I Pemtit Fee: / / 72 - 4 3830 Pilot Knob Road Eagan MN 55122 Date Received: I Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4/27/2017 Site Address: 676 N Hay Lake Road Eagan, MN 55123 Unit#: Phone: Name: Tim and Marti Hendrickson 612-214-8286 ReSidenti Address/City/Zip: 676 North Hay Lake Road Eagan 55123 Owner Applicant is: XOwner Contractor Description of work: Constructing a new deck Type of Work Construction Cost. 6500 Multi-Family Building: (Yes I No ) Company: Contact: Address: City: Contractor State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING hi the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against.underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. v.A.A.v.annhertateone,,:all pro 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 pemlit; 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 Marti Hendrickson x Applicant's Printed Name Applicant's Signature Page 1 of 3 67b 4111 y �IN, DO NOT WRITE BELOW THIS LINE /4/2 c� UB'TYPES t '_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch (4-Season) Exterior Alteration(Multi) Multi !t' Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Piex _ Lower Level _ Pool _ Accessory Building WORK TYPES — New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration — Fire Repair _ Windows _ Demolish Foundation >41 Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation $ 32 Fes, ew Occupancy :gal- 1 MCES System Plan Review Code Edition wkn Zc t.S` SAC Units (25%_ 100%)O ) Zoning ' -� t City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \I 13 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: < Footings(Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool:_Footings Air/Gas Tests _Final Framing Drain Tile Fireplace: Rough In Air Test Final Siding:_Stucco Lath Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final — Braced Walls Erosion Control Other: Reviewed By: -TV 01 40;1‹../y/9- , Building Inspector RESIDENTIAL FEES ' i Base Fee ` 2 X / Z ec,c Surcharge 41. X `j ` s%,/ ;Z„ Plan Review MCES SAC j5 t-� ` ` / "�` City SAC ?�;��C i W 4-1,` ✓j1:A;bi l-e>in./ `C S^o0. Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 /t/... .,, 6 - 7 6 ) . SURVEYOR 'S C R T I F I C A T E GRAND OAKS DEVELOPMENT CO. "(429) Lr\ -i- I ( \ I /\-1- C) _li I I J I L_\J _ I r it iii s /1 I 30 De`s 100.00 S 87°48'19"E `,o 54.05 _ 30.03 �` tv 13 o N 55 P )z I 1 Q e/ �lA.£KAZA I NI IO 0 ii_ r —rCC 1 re---C1 ,29.67 f \4.33 \ om �, ry 0 i>zw 5 CD � \ W ifoi 1 3 q N ?It+tvvAY N Y g �\ ° c� O 22.0 �:a0ra..:.4.:,. o I Qk 0\a ‘`.--al....O M T \�T o 0F ' t ç \ 28.0 _ 711.6 Q I-N- of io I _ . I IN „".. ` N I I(7 1 -fir a__ _ .. IA f; 30.00 �� O ..i 149.69 N 89°36'45" E IN cs J I I I /1 -1- _, �_ �J I I • 30 I -^-4-- .DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 093,1," FEET .X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = ”.3 ,6 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = "3% 1 FEET •. I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 8, Block 3, OVERHILL FARM SECOND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS.. OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 47 { DAY OF 140i1V46c , 19Bco. NOTE: GRADES SHOWN WERE TAKEN FROM SIGNED: JA E R. HILL, INC. THE GRADING PLAN FOR OVERHILL FARM � 1 i SECOND ADDITION, PREPAREDY BY MINNESOTA VALLEY SURVEYORS INC. , LAST DATED fifei / ' . MARCH 28, 1986. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 4 aROJECT NO. BOOK / PAGE • JAMES R. HILL, INC. 86 242 • Planners / Engineers / Surveyors • FILE NO. . 8200 Humboldt Avenue South ' FOLDER 8loofnIngton, Mn. 65431 812-884-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA159409 Date Issued:12/16/2019 Permit Category:ePermit Site Address: 676 Hay Lake Rd N Lot:8 Block: 3 Addition: Overhill Farm 2nd PID:10-56151-03-080 Use: Description: Sub Type:Fireplace Work Type:Gas Insert 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 - Timothy M Hendrickson 676 Hay Lake Rd N Eagan MN 55123 (612) 214-8286 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature