681 Hay Lake Rd NBLDG. PERMI'T NU. %???,•
, - .
i
_
*
01-3210 -Bldg
. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
I7-3860 Road Unit
20-2275 SAC - r.
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 Conn.
11-3855 Park Ded.
? ?•?:I
TOTAL
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No.of Units:
Owner:
Address: �!
Site Addess: J"r
Plumber:
Meter No.: 3 7(4 6.SS SO Connection Charge:
Size:1g Rocl< Account6epositk
Reader No..(3767 U 3 3 ,Ra Rpktrilf ''le� -,
I agree to comply with the City of Eagan Sure[ffi• jwe: rAS
Ordinances. . . - Misc.Charg tM
= •" :iota!: ````
By ( / Date Paid:
Date of Insp.: Insp.:
a- / 7-72
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 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:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc.Charges:
Date of Insp.: — Total:
Insp.: Date Paid:
CITY OF EAG...3 WATER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Lox 21199 PERMIT NO.:
Eagan, MN 5;=121 DATE:
Zoning: No.of Units:
Owner:
Address: f,
Site Addess:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: — Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc.Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
4 -.. . _.r ?
' 3830 Pilot Knob I
BUILDING PERR111T
To be used for ;.'iClGAR- Est
CITY OF EAGAN ?,? ? i31 Q ?
ad, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ,
Receipt #
$88, 000 oace gEBRL'ARY 9' .19 37
SiteAddress 631 c70 IIAY LAKE RD Erect ff Occupancy R3
UVE
LotI iZ Biock 4 secisub RfiILL F ARM 1 Remodel ? Zonina R1
.
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
W
Name GnAi3?i ?.11::?, DEVLL
`
?
CU
Move
Demolish
?
? 48
Length '
Depth ; 6
3
° 1 .LAKF
? ? ? ??f ?f:1
Address `'
. E21J Int. impr. ? Sq. Ft
9 5 2-3 9.i 4
"
City j -r' ''` Phone Install ?
a SA??; ??
= o Name
0¢ Address
o?_--
Phone
I hereby acknowledge that I have re;
information is correct and agree to
Minnesota Statutes and City of Eag
Signature of Permlttee %f?C t.j / ?? 4 1 ,
A Building Permit is issued to: `?'RAND OAKS
all work shall be done in accordance with all applicable
Building Official
Assessment
Water & Sew.
Police
Fire
Planner
of
Date
Permit $ 461.50
Surcharge 44.00
Plan Review 230.75
SAC 625. UO
Water Conn. 5Z5. 0 0
Water Meter 67 . 00
Road Unit 305. 00
Tr. PI. 180.00
Parks
Copies
r iai
, .
2 5
on the express condftion that
Statutes and City of Eagan Ordinances.
- PwmN No. PermN Moldw Date TNephone li
PI0101bkny
H.V.A,C. 00-? !ZL1 0 7
El.ctr+c
SoHMer
InspscNon Data Insp. Commenb
FooUnys I
FooNnysll
Foundatfon
Framiny / 8 7 ?Q
RooHny
*
Htg. 5/ i?. /?+' •
FInN Plbp. f
? :• ? .
Bldy. Flnal c?; r?,. a "' 1J. . ?Qir..,bttC -?L.c• ? k
C.Nd. OCC.
y' d, X'
[;l ?• 60
! ?p
, dy6 .Xf1a!(l N
Dsek Fty.
Dock Frmg.
Wsll
Pr. Dbp.
?•'-? "`alF:'f' ?? : _ .. . ,. . E ' . - .'"r ?
}? p? 7 L•?,l PERMIT #
• • . MECHANICAL PERMIT RECEIPT # 7??0 ??-
CITY OF EAGAN•
. 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
ONTRACT PRICE: ."?1 r. r ti r? PHONE: 454-8100
Site Address , - i_
Lot ! (-' Block
BLDG.
m Name _
? Address
? City
Name . U ?, ?k. ..k ? .?:,_
?
Address
? p City Phone ?
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond.
1 M 8TU
Vent. CFM
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL•
Other I
RES
HVAC 0-106
$24
00 ?
.
-
.
ADDITIONAL 50 M BTU - 6.00
? (RES. HVAC INCLUDES A/C ON NEW ,
CONSTRUCTION) 1
--GA
OUTLETS (MINIyIUM
1 PER PERNiIiT)?'?
-
5U F??A
-
?
.
.
CQMM/IND FEE - 1?i6,6F CONTfiA'CT FEE?
APT. BLDGS. - COMM. RATE APPUES I
TOWNHQUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $:50 S1C IF PERMIT PRICE GOES
? BEYOND $1,000)
I
?
s . r } G_.
SIGNATJ,?RE OF PE MITTEE
I (? I( I 4
FOR: CITY OF EAGAN
WORK DESCFiIPTION
New .?-
Add-on •
Repair ?
. FEES
INI BTU
j ?
PERMIT #
' " • ' PLUMBING PERMIT RECEIPT # _7 ?
CITY OF EAGAN -
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE 454-8100
Site Address (4, " I " j BLDG. TYPE WORK DESCRIPTION `
Lot IL? Block `i Sec/Sub
') ?: ,. Res. ? New ?-
y Name < +' ? ? • Mult Add-on
0 Addreas ?- - Gomm. Repair
c City i ?- ? Phone -x- ' Other
NO. FlXTURES TOTAL
Name ? • ?
Water Closet - $3
00 ? ?
m ,
Address • . : : ? ,' _
.
I Bath Tubs - $3.00
3
p City - -' ? Phone ± Lavatory - $3.00
, Shower - $3.00
__?-Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/1ND FEE - 196 OF CONTRACT FEE ??undry Tray - $3.00
MINIMUM - RESIDENTIAL FEE _ $1Q,pp L
Floor Orains - $1
50 ' -
MINIMUM - COMM/IND FEE -20•00 -
--
.
1 Water Heater -$1.50 `
STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00
(ADD $50 S/C IF PERMIT PRICE GOES I Gas Piping OuUets -$1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
L, .
Private Disp. - $10.00
?Rough Openings - $1.50
SIGNATURE OF ERMITTEE FEE
STATE S1C:
FOR: CITY OF EAGAN GRAND TOTAL• -
?
.
(Itrtt#irate of Mrrupanry
titp of (Eagan
MP}1f81'tIiPttf itf Ilttjdiltg J1tS}tPi'tit[
T7tis Certifcate issued pursuant to the requirements of Section 306 of the Uniform Building
Code cernfying ihat at the time of issuance lhis structure was in complianee with the variaus
ordinances of rhe Crty regulating burlding construction or Wse. For ihe followrng.
Uee a..Sifica6on Bldg. Rrmit No. 13 f9CJ
00--PancY TyPe Zaning DistricY Type ('? ?.
Owner of Building Addres
Bw7ding Address IN LocaUry I ?: s ?':? e i. ?'• i"?:u i l .; . I !'
De[a ' i`'[yL !O, 17t7 i
Bm7ding O(Cicial
POS7 IN A CONSPICUOUS PLACE
This reQUBSI voiJ ?'?5j/??
? ?9h2r-12 $ L. /!J ?
?/,YC-, -7
yU??c ??eea uec?nca? wmmcxor I hareby reGUest insoecUOn af ebova
? Owner electneal work mstelled et:
St Atldress, eo or Hau
ree
?(l / e No. Citv
ecuon o. Township Name or No. Hange No. County
Occ ant IPPINT)
i >
Pow¢?. $uppl?er Adtlress
Elec cal Convacmr JCo oany Neme) Contract r s i ?seJyo.
MaJingAadress IConlractor or Owner Ma_klnsteilat`
-
' /
Y
AuMoraed ewre (C ntrac Or Owne kin lnslallationl Pho umber h ?
MINNESOTA STATE BOARD OF ELECTflICITY TLA5 INSPECTION REQUEST'WILL NOT
6rlne-Mitlwey Blde• - Aoom N•191 gE ACCEPTEO 9Y THE STATE BOAND
1821 Univeraitv Ave.. St. P.W. MN 65104 UNLE53 PROPER INSPECTION FEE IS
Phone 16121 842-0900 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-oQoooi-os
? See inslrvctione for rompletine ihia /orm on beck ot vallow copy. ??`?6 -7
"X" Below Work Covered by lhis Request
Newir Add Rap. TYOe of BwlJing Appliancea Wired Equ,ument Wired
Home Range Temporary Service
Duplex Water Heater LighLny Fixtures
Apt. Buildmg Dryer Elec[ric Heaun
Commercial Bldg. Fumace Silo Unloadar
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Farm Oiner aeci v Ttner ISneulyl
t r Suou y t er Other
Comnute lnsnection Fee Below
M + Fee ServieeEMrenceSize tt Fee Feetlars/3ub(eeders K Fxa Grcuiie
` 0 to 200 qm 5 0 to 30 Am s '? -- 0 to 30 Am
A6ove 200 qmps 31 to 100 qmps 31 to 100 Alp,
Swinvnin Pool Above 100-Am s Above 100_Am s
Transiormers Irri aLOn Booms (::) ParbaL`Other Egg_
TOTAL
?? InBPBCtOq ?8rB0y
•
certdy thet the above
Finai
/? . /???+te
f p I insoection hes been
mBtle.
t1ft faqueet voi0
CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121N- 13190
PHONE: 454-8100 V
BUILDING PERMIT Receipt# J
SF BWG/GAR
$88r000 87
FEBRUARY
Tobeusedfor
Estvalue oate 19
Site Address 681 NO HAY LAKE RD Erect 91 Occupancy R3
Lot10 Block 4 Sec/Sub.OVERHILL FARM 2 Remodel ? Zoning Rl
Parcel No Repair ? Type of Const. V
. Addition ? No. Stories
w Name GRAND OAKS DEVEL CO Move ? Length
46
Demolisn ? Depth
o 521 SO HAY LAKE RD
Address 4 I ? S
FL
ciry EAGAN phone 452-8934 mpr.
Int.
nstall ? q.
i o I Name SAME
$ a Address
" Ciry Phone
? w Name
? ? Address
z
i W City Phone
I herehy acknowledgethat I have read this application and statethatthe
information is correct and agree to comply with all applicable SWte of
Minnesota Statutes and CiN of Eaaan prdmances.
Signature of
Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Cauncil
Bldg. Off.
Permit $ 461.50
Surcharge 44.00
Plan Review 230. 75
sac 6zs.oa
Water Conn. 525 . 00
Water Meter 67.00
RoadUnit 305.00
Tr.PI. 180_00
Parks
Copies
2,43 .25
A Building Permit is issuetl to: - "t?z on the express condition that
all work shall be done in accordance with all applicable tate of Minne a S 6tutes and City of Eagan Ordinances.
Buildin9 Official ,z
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New ConsWCtian Reuuirementa
. 7 registerea site surveys shaxing sq. %, of !ot, sq. M. of house; and all roofed areas
(20°k maimum lot coverage allowed)
. ? copies of plan showing beam 8 windew saes, poured found desqn, efc )
• 1 set of Eneryy Calculauons
• 3 copies af Tree Preservalion Plan if lot platted after 71ti93
. Rm Joist Oetail Oplions selection sheet (bldgs with 3 or less units)
DATE ?-Iq )oa
SITEADDRESS ?j, Ha'"1
TYPE OF WORK
APPLICANT
STREET ADDRESS
TELEPHONE #
FIREPLACE(S)
PROPERTY OWNER Svu? TELEPHONE #?(/S
........................................ ------------------------------------ ----------- --------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NtI\NF:SU"C.\ RCI.ES 7670 C.\"I'EG(>RY t f L?i ?(py ?
Y
(J submission type) • Residential Ventilation Category 1 WorksheetSubmitted Ne d b?ks e
• Ener9y Envelope Calculations Submitted JUI 0 9 2002
Plumbing Contractor: ____
Plumbing sys[e[n includes:
Mechanical Contractor:
Mcch;mical s%stcitt includcs:
Sewer/Water Conhactor:
Water Softener
Water Hcater
\o. of Baths
_ Phone #
I*m Sprinkler
No. of R.I. Baths
Phone #
-- Air Condiuoning
-- Hcat Rccovcn• Sqstcm
Phone #
Fcc: 5i0.00
----°-•°•---------------------------------°----.._......--------------------°----°---------°°-----------°--...__._ ;
i hereby acknowledge that I have read this application, state that the informatio is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi Fe
SlgnatureofApplicanf,
OFFICE USE ONLY
RemodellReoair Raauiremanta
. 2 copies o( plan
• 1 set of Eneryy Calcuiations tor heated additions r-
. 1 sne survey lor zxtenor addihons & decks
• IrMicate if home served by septic rystem for atlditwns
VALUATION "? ? , ???C? • b?
MULTI-FAMILY BLDG -i[Y
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updated 4l02
?
Y G
k?7987 BIIILDING PERMIR APPLICAYION - CITY OF EAGAN
/
IBCLQDE 2 SETS
;6NGS n
' l
v
OF PLANS, 3 CEATIFICATES OF S09VEYO 1 SET OF ENERGY C9LCOLATIOAS
NOTE: ADDRESSES FOR COEAER LOTS - CONTRACTOR/HOMEOiiNER MQST DESIGAARE WHICH ADDRESS
IS DFSIRED. NO CH9NGES TdILL BE ALLOWED ONCS BIIILDING PERMIT IS ISSD6D.
MOLTIPLE DWELLINGS - RFSIDENTIAL RENT9L DAITS FOR SALE i1AIRS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SiIR9EY - CHEC% WITfl BLDG. DEPT.,
1 SET OF ENERGY CALCULAT20NS
CONMRCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: c9>1 Ck-90 Date: <=?? C,i ("I o}c?
Site Address
Lot C) Block 01 On Site Sewage_
MWCC System ?
Pareel/Sub L."/'? 'J? On Site Well
`y? (? ??- City Water ?
Owner ?Lt+i?„3- ?Lo
Address
City/Zip Code
Phone
Contractor ? QPj"ZS
Address ry5 ?-{ S, ?dtc,? LS, 1Z
City/Zip Code
ehone 8-01 3
Areh./Engr.
Address
City/Zip Code
APPROV9I.S
Assessments
Water/Sewer
Police
Fire _
Engr
Planner
Council
Bldg Off _
APC
Variance
Oecupancy
Zoning
Type of Const
(Actual)
(Allowable)
li of Stories
Length
Depth
S.F. Total
Footprint S.F.
FSES
3
?• I
_46
4co
Permit 4io i, SD
Surcharge
Plan Review 7- 30. ?5
SAC, City DO
sac, Mwcc 57-5•
Water Conn SZS,
Water Meter
Road Unit O.$•
Treatment Pl l SU .
Parks
Copies
TOTAL 4, 3,9;
as
Phone #
G_xrErtir.Or tNvEi_oPi_.: AvEr;Ar._;E_ i..i' coriPi.rrti-rinni
Ghrai.ir oAt::s DEVi-t_nP rii_Ni- i:oru->ANrr
h'IUULL 7a-1-A4 '7'1 ? raf+-'A LJ VFdI_.UE: U ;( AF:'L-"ra
I°IAX]:INI_iM ai_LOWr-::n EiY COD[:
fO'fr-ll_ WALL faFiEia 2376 .11 261.36
70 iAL F.Of.JF FaF<EA 9 1•3 .026 24.544
TG f F1L_ f LLCl4Jf='D 285.904
(aCHIE:VEr ,
41ALL raREA
W'tNuf74J5 175 .5 87,5
Di7QR5 40 ., 077 3, t;»
SLIllI:: uL.ASL; _:y .<IEi 19_72
f'1Ft'f_PLA1.E =ilY 2r l.:l
I,,lALI_ F=PiFJ°IF' Af4E?A 237.6 .041 9.7416
Rl.i°1 JOIST 220 ,04=:6 9.592
FOUhIC) AL3OVt: f..;RrlC71-: 70 ,.0769 5.30..
NF_T WALL AFiI.::A 1564.4 . 0378 59.13432
1.U ('Eil_ WAL L_ 200.6509
Ri,Ol=' r=1PirS:ra
;;k:YL.7:T6r (.,
FlOOF f-RFtl`1E qq.<I .032 3.0200
IVET f?001'= 849.6 .0227 19„28592
TO'fr=iL_ fi(10f-' 22.30672
TUI.F§i.. i3l::l-IIEVL.7) 222,4576
I`1ARGTN .[N EkCEi:S O F CC.]DL•_ 62.94636
i: f'I(-`dif=Th.l 1.IV f_nCE:=5 22.!;'L661
44 ,(3 2
CITY OF EAGAiV
• .
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
-[D-P-i SINGLE FAMILY
? R-2 DL'PLEX (Tun Units)
? R-3 7t7WNhiOUSE (Three + Units) ( Onits)
R-4 APARZT=/COAID0MINZCT7 ( Units)
--- -------------
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF E}QSTING STRCCIL'RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: ' --
I (Mon Year)
PRESIINr ZONING/PROPpSID C!SE:
[] CQtiVE2CIAL/REI'AIL/OFFICE
1-7 ZPIDCSTRIAL
f-I INSTI2LTIONAL/GOVEftAA7ENT
2)
NAME:
ADDRFSS:
CITY, STATE, 2IP:
PFiONE:
3) • u ?: ?- NAME. For City Lse .
Plumbers License:
ADDRESS: Q ??d
? CITY, STATE, ZIP: Not recorded
R
PHorE: _,f g 2 2 i Z I rAsTEa LxcaNsE# v'7 _ hn
st??al
4)
s-6 w • ? i ia?•
NAME:
ADDRFSS:
CITY, STATE, ZZP:
PHONE:
-51 e 7 r7-s a: ?• :o • a? • ??
-L1-6BPI['TION Zt7 CITY SEWf]2_,..E?-4?PION ZU CITY WATIIt a OTiIER '.
6) '' •-• r ? PLEASE HOLD APPROVFD PERMIT FC)R PICK-OP BY ONE OF ABOVE
SE MAIL APPROVID PERMIT TO 1. 2.(D 4. ABOVE
• (Circle one) 7) C /• U' ' (/ . ? _:?L -
***#***#*##*****#************#*****#
?*. ^TO'PE: PAYMFTTC' OF FEE AT TIME OF *
? arPLscATzoN noFS rAm wrszzTUTE *
,*t APPROVAL OF PF.RNQT. *
• ?
* INSPr7G'PION OF SEWID2 APID/O2 WAMM *
,*f INMXLMONS WIIS, NOT BE S(HED- *
*
* iII ,ID UNlIL PEEtMIT HAS BEEN *
?
s APPROVID. ?
. FOR CITY USE ONLY •- ?`
:
PERMIT # ISSL'ED
A/?/ ._,.
Pd w/Bldg. Permit FEES:
56
$ /d $ SEWER PERMIT (INCLUDE SL'RCHARGE)
50
$ /O $ WATER PERMIT (INCLUDE SL'RCHARGE) ..
$ ??7• O(? $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
+S ??•CiO $ ACCOLNT DEPOSIT - SEWER
$ $ ACCO[.'NT DEPOSIT - WATER
s $
wAc
$ $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BEN°FIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SDRCAARGE
$ $ OTHER:
? ?y? ? 7)
$ $
_ TOTAL
705J S?
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK LVITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION. LIST ISSUED BY THE ENGINEERING
AS A CO[VDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE :
- ? v
(f 8d34
2005 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consirvchon Reqmrements
d
ll
f
d RemodeVReoair Reauiremenis
ies of plan
2 cc Office Ck"e'OnN
Cetl dSurvey Recd° _
"_,Y_YJ
areas
mo
e
a
3 registered sde surveys showing sq fl of lot, sq fl o( house, an p
1 set of Energy Calculahons for heated addihons Tree Pre4Pl2n Roctl _.Y `_ N
(20% muamum btcove2ge allowed)
2 copies of plan showing beam & window sizes; poured found design, etc 7 sde survey for adcFi6ons & decks
i
f Tree Pres Reqoired
pit-§ite3epUcSystem ??Y;N
1' _N
iset of Energy Calculations em
csys
Addition - indicafeifoo-sitesept _
3 copies of Tree Reservahon Plan i( lot platled afler 7/1193
Rim Joist Delail Options seleclion sheet (bwldings with 3 or less units)
Date 3 / 2 ? 05
Site Address (o{i ? 4? Construction Cost 3,166,60
?--a V,e (Z d N- Unit/Ste #
Description of Work T 11 Ga s TZ-• ?
Multi-Family Bldg _ Y x N Fireplace(s) _ 0 2
PropeRy Owner S`?Cv r l,J ? i t)°""'N S Telephone #( G s I) I R:Z - o 5'5'2
Contractor 1 ?or S ?F w? S
Address 12Z ? 3"L City
State 4.51? tJ Zip SSO-?; ->, Telephane#((,sI ) 437-633R
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Venhlation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted Submitted
. Energy Envelope Calculations Submitted
5 ?o, sr?
Have you previously constructed a building in Eagan with a similar plan? _ 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 State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Sco++ Th"s"Q ; ? - 'ZZ7--?_
Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type: Building
3830 PILOT KNOB RD Pemut Number: EA052832
EAGAN,MN 55122
(651) 675-5675 C143 ?; ??`??1'
,? Date Issued: 07/11/2002
Site Address: 681 Hay Lake Rd N
Lot: 10 Block: 4 Addition: Overhill Farni 2nd
PID: 10-56151-100-04
Use:
Description:
Sub Type: Exterior-Single Family Dwelling Oceupancy:
Work Type: Reroof, SidinQ, Windows/doors Construction Type: 34.s»c;??u?
Description: Zoning:
CLP? -
ulr_?
Census Code: 434 Square Fcet:
i bc ?_ 4- L2034 ... ?
Remarks' Improvements to the home require smoke detectors in all bedrooms. (sn)
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Two roofing inspecfions are requimd: ice & water and a final inspection
Fee Summary: Valuation: $51,000.00
Surcharge - Based on ValuaNon 25.50 90011195 BL - Base Fee 650.75 9001 4085
Total Fees: $67615
Contractor: - Appl,cant - Owner:
Crest Exteriors St. Lic.: 20319511 SCOTT S DODGE
22382 Chippendale 681 HAY LAKE RD N
Fartnington, MN 55024
(651) 460-6181
EAGAN, MN 551233021
I hereby acknowledge that I have read this applicadon and state that the informarion is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
ApplicanUPermitee: Signamre
Issued By: Signature
DATE 07/19/2005 City of Eagan PAGE 1
PennlRes.[pt pERMIT INSPECTION RESULTS
Permit Number:
Sub Type:
Description:
Date
09/25/2002
09/24/2002
09/24/2002
09/24/2002
09/03/2002
EA052832 BL Address: 681 Hay Lake Rd N
Exterior-Single Family Dwelling wark 1ype: Reroof, Siding, Windows/doors
Inspection Type Inspected By Resul[ Comments
Windows!Doors Final Tom Miklya Correction Notice see comm
Roof Ice Protec[ion Tom Miklya Pass
Roof Final Tom Miklya Pass
Siding Final Tom Miklya Pass
Roof Final X-Larry Wasmund No Show
Date 07/19/2005
Page
Permit Inspections Entry Comments
Identification: EA052832 - 681 Hay Lake Rd N
Comments:
T'M 9/24/02 - Smoke detectors not [o code
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CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21199 PERMIT NO
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Addess:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By ��/ Date Paid:
.7 �
Date of Insp.: 7 Insp.:
•
•
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21199 PERMIT NO.: `
Eagan, MN 55121
Zoning: DATE:
No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the City of Eagan Connection Charge:
Ordinances. ' Account Deposit:
Permit Fee:
Surcharge:
By e--"" :
Misc. Charges:
Date of Insp.: Total:
Insp..
Date Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126683
Date Issued:09/05/2014
Permit Category:ePermit
Site Address: 681 Hay Lake Rd N
Lot:10 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-100
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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 $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Steven J Williams
681 Hay Lake Rd N
Eagan MN 55123
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:EA149903
Date Issued:06/13/2018
Permit Category:ePermit
Site Address: 681 Hay Lake Rd N
Lot:10 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-100
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
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 -
Steven J Williams
681 Hay Lake Rd N
Eagan MN 55123
(612) 325-3212
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature