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684 Hay Lake Rd N• CASH RECEIPT • CITY OF EAGAN ? 3830 PfLOT KNOB ROAD EAGAN, MINNESOTA 55122 ?i DATE 19 RGCCIVED AMOUNT $ I r ? a ooLLwRs ?oo ? CASH ? CHECK .1... POR BY White-Payers Copy Yellow-Posting Capy Pink-File Copy Thank You BLDG. PERMIT N0. 01-321'0- ?&1?dg: Permit' , 01-3422 Plan Check 01-3445 $urch./Adm. 01-344§ SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 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 Conn. 11-3855 Park Ded. c .? ? ' F? TOTAL -?? . 3830 Pilot Knob Road, P.O. Box 21- JG PERMIT PHO N E: 454-81 I for Est. Value Lot Block SeclSub. Parcel No. a Name ; Address ° Ciry Phone a .o Name ? ? Address P Ciry Phone yVj W Name ?; = Z Address U ? I herehy ackr that the inforn State of Minn Signature of A Building Pern all work shall b< that I have read this application and xrect and agree to comply with all applic iutes and City of Eagan Ordinances. e ed to: accordance with all applicable Stat, 199, Eagan, MN 55121 00 13507 1 Date ,19 OFFICE USE ONLY Dn Site Sewage OccupenCy _ MWCC System _ Sit W ll O 2oning n T t f n e e _ ype o Co s City Water _ (Actuao (Allowable) * of Stories Length I Depth S.F. Total Footprint S.F. I APPROVALS FEES Assessments _ Permit Water/Sewer _ Surcharge Police _ Plan Review Fire SAC, Ciry Engr. _ SAC, MWCC Planner _ Council _ WaterConn. Water Meter Bldg. Off. _ Road Unit APC _ Treatment Pt Variance _ Parks Copies TOTAL on the express condition that ? Permit No. Permit Holder Dats Tslephone 7t Plumbing ? H.V.A.C. ?S J?2-g Electric Softener Inspection Dete inap. Commente Fcotings I Footings II r Foundation Framing /1 4F? /?. Roofing Rough Plbg. ' i,.. '• ? f? Rough Htg. % ISUI. Fireplace Final Htg. 7 Final Plbg. - 7-???? ' Bldg. Final ) ?b ?/c?s !? .? ?rc?.:.• l •?ajs Cert. Occ. E4'. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. For afNce Use Oniy: . ? y?Sv W. W MECH NICAL?PERMIT ERMIT # C1 TY OF EAGAN RECEIPT # I CONTRACT PRICE , 3830 PILOT KNO B ROAD, EAGAN, MN 55122 DATE: : PH ONE: 454-8100 ? Site Address ' ' ?? ? ? BLDG. TYPE WORK DESCRIPTION ` Lot Block '-Sec/Sub ? " New Res. ? Name Mutt Add-on ? ? Address xo jn?urwnaTS? aVc Sp Comm. Repair ? c City MINNEAPOLIS?Q?r,?542Q '` C?b Other J J FEES r ? Name RES. HVAC 0-100 M BTU -$24.00 ? Address ,4DDITIONAL 50 M BTU - 6.00 ?p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMin - 150 EA. TYPE OP WORK COMM/IND FEE -1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU -It TOWNHOUSE & CONDOS - RE$. RATE APPLIES ? Unit Heatet M gTU MtNIMUM RESIDENTIAI FEE - ALL ADD-ON & Air Cond. M BTU REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # (ADD a.50 S/C PER EACH $1000.00 OF PERMIT FEE) ? Other ? 'i ? J . " PERIAIT FEE: ;: _ ; - -• ?-r.? - ,?, - ,? ,; -- ? , SI OF RM . ? SIC- ??? j? F ? !`0 TOTAL: ' `? ? FOR: CITY OF EAGAN ? 50GO Site Address Lot m Name t4LCr ? Address c Clty i Sec/Sub Name k-A I? c Address p City Phone J TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent. CFM Gas Piping OuUets # Other 3830 PILOT KNOB PHaI FEE: S/C: TOTAL• ;AL PERMIT RECEIPT # 75Q f -°? F EAGAN iAD, EAGAN, MN 55122 DATE: 454-8100 BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other C FEES RES HVAC 0-100 M BTU -$24 00 . . ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW , CONSTRUCTION) GAS OUTLETS (MINIMUM 1 PEl3 PERMIT) - 1 50 EA - . . COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 ' MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 , SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN • . PERMIT ti ?'& PLUMBING PERMIT RECEIPT # ?CITY OF EAGAN / 3830 PILOT KNOB ROAD, EAGAN, MN $5122 DATE: lU/ e 7 iNTRACT PRICE: ? PHONE: 454-8100 Lot t.'; Block _3 Sec/Sub m Name g Address c qe. ?c i._ ? ? City C??•-i. - Phone Name _ Address FEES . , COMM/IND FEE - 1°r6 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 'i MINIMUM - COMM/IND FEE - $20.00 ! STATE SURCHARGE PER PERMIT - .50 i{ADO $.50 S/C IF PERMIT PRICE GOES BLDi' TYPE WORK OESCRIPTION Res. New ` Mult. Add-on Comm. Repair ; Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 1 L _j__Bath Tubs - $3.00 - I Lavatory - $100 ? + Shower - $3.00 i•" Ki?chen Sink - $3.00 l /Bid $3 U i t 00 ? • - - r na e . ? Laundry Tray - $3.00 - ? Floor Drains - $1.50 _l-Water Heater - $1.50 -LGas Piping Outiets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: FOR: CITY OF EAGAN i STATE S/C: • ''GRAND TOTAL: CITY OF EAGAN 454-8100 ' DEPT. OF BUILDING INSPECTIONS - ? ? Correction Notice Located at `- I have this day inspected fhis structure and these premises and have found the following violations of city codes governing same: ?Ul? +7 s?._'ii 7?f , ,,? S ?, i:? /,? ? ??'1 ' /-' " .?r?/Z'" ?/ y^?T _ o s'I .?J // t o /' 4 . / P .SrIO fl ff ' !/ L.° e/ Lf/ u'I -!1 I When corrections have been made, please call 454-8100 for inspection. .; Date ?' .- Inspector City of Eagan DO NOT REMOVE THIS TAG 1r. s? ?,. ? K ? (lerttfir?te nf (Or.rupanrg Citp of Olagan llrparimmi of lluilMatg Jnaper#irnt This Certifcate issued pursuant to the requirements nf Section 306 of the Urlifornt Buildrng Code certifying thal at the time of issuance thir sttucture was in compliance with the various ordinances of the Ciry regulating building construcdon or use. For the following.• Use Clessifcation Mlw Bldg. Flimit No. ??69I Occup-r TYa R3 zoning oi5ma R I Type const. v owneroc Ma?ng Gi„4oID OAF: ? Add,. 452 IS0 HAY 1.21 IM), LAC?t,N BuildingAddrost A):"4., I.oplity LIOy ;,'". Da4e: J11"Y 30, Bnilding Olriaal POST IN A CONSPICUOUS PLACE CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Kn.ob Road P.O. Box 31 'E19 PERMITNO,: - EagAjAN 5512 DATE; - Zoning: No. of Unlta: ? Owner. Grand Oaks Addiess: Site Addr Plumber. 4 I agree to comply w1th&tdit6jj#VWjf 109&"Charge: 59 S(1aPd `??? ?$Slt l 5 _ Ilflnl : ? Ordinances. L? FH dNE • E T? V ? , , R ?a?m Gt1 i?T ???" -GV ?6?11?c rge: _ ynna f G Misc. Charges: ' _?- Date oi Insp.: TotaL• ? Insp.: ? Date Paid: ? 3-27 t D CITY OF EAGAN Permit No: a e: 3830 Pllot Knob Road Meter No: 3 9A d 3 Size: ?" ?O P.O. Box;#199 Reader No: 6 •P 9S y a? Date: Eagan, MN 55121 Owner 6;?, 5ite Address: ?1 110 7?' (- :1-o lTav ?'a1r?i? _ 'verliill 7zrr1 T7 Copn. Chg: ' . t;??- ? •- CMUM;- Acct Dep:??$??Gr??? po.pf f?? ' Permit Fee. Surcharge: I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. r- Misc.: BY -` WATER SERVICE PER ? CITY OF EAGAN SEWER SERVICE PERMIT 3830 PilOt K110b R08d ? P.O. Bax 21.1'99 pERMIT NO.: ? Eagan, MN 551,211 ? Zoning:- ? Owner crand DATE: 7 No. of Units: ` 0"k'' Address: Site Addr Piumber. II L ayree lo comRy wfth Ihe pty of Ea9an Connection Charge: 5? ?•??R? Ordlnancea. Account Deposit: 15. OCpu Permlt Fee: 1- ?, • L' Surcharge: • ? ? ? gy Mlac. Charges: Date of Insp.: Total: , Inap.: Date Peid: ' . ..?...... ?.. -. _ _... ,_. .?- _ - ?.?,?yr?,•?:? -- =- -_ _ ...,..:.: ?-??;,,??a ? .; GITY OF EAGAN Permft Na_ 7 794 Date: 4-3 -8 7 { 3830 Pilot Knob Road Meter No; Size: P.O. Box 21199 Reader No; Date; Eagan, MN 55121 Owner. ' GaY-g ' Site Address:- '•? ''iay T at--e T'1:oad LI(l 33 overhill '_ ai-m 7.T. a Conn. Chg: 525. OOpd Zaning; Acct. Dep: 15 _ At?pd No. of Units: '• Permit Fee: - l0. JOne- Surcharge: Tr. Plant . 5+"n!! I agree to comply wlth the Gity of EaQan .OC!-•"' Ordinances. Meter. 67 TQ;' „, nnisc : - Br WATER SERVICE PERMIT CITY OF EAGAN N° 13 6 9 7 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? ?/ I ?/ PHONE: 454•8100 Receipt # d BUILDING PERMIT J To be used for SF DWG/GAR Est. Value $74,000 Date JUNE 1 19 87 Site Address 684 NO HAY LAKE RD Lot 10 Block 3 Sec/Sub. OVERHILL FARM 2ND Parcel No. . a Name GRAND OAKS = Address 4521 SO HAY LAKE kD o City EAGAN phone 452-8934 ,o Name SAME ?a Address i- City Phone ww W Name ` x,?-? Address a= w City Phone I hereby acknowledge ihat I have read this that the in(ormation is correct and agree to wi State of Minnesota Statutes and Cit1' aff Ead Signature of Permittee ??ri AC ?J /A? A Building Permit is issued to: GRAND ( all work shall be done in accordance with all Building Official tion and state h?jl applicpble Fadces DEVEL CO atle State of OFFICE USE ONLY R3 On Site Sewage Occupancy RL A MWCCSystem Zoning - On Site Well Type of Const v City Water X (ACtual) (Allowable) # of Stories length 52 oean _ ..?6 S.F. Totel Footprint S.F. APPROVALS FEES $ 412.50 Assessments Water/Sewer Permit Surcharge ?7 -.0 0 - Police _ Plan Review 25 Fue SAG City 100.00 Engr. _ SAC, MWCC 25.00 Planner _ WeterCona 575-00 Council _ WaterMeter 67.00 Bldg Off. _ RoaC Unit 305.00 APC _ Treatment P7 1 R(1 _(1Q Variance _ Parks Copies ? ? TOTAL ?5 P on the express condition that Statutes and City of Eagan Ordinances. (,,/???7 REQUEST FOR ELEC;RICAL INSPECTION es/-o/opo/oi-os 1 See mstmcbons lor completing ihis form on back ol vellow cooV. D1_ 2 -7,9 O "X" Be/ow Work Covered by Ihis Request Adcl Nep. iyoe ot Bwlerne Aoobancna wlred Equlument Wven Home Range Temporary Service Duplex Water Heater Lighnny Fixtuies Apt. Bwldmg Dryer Electric Heatin Commercial Bldy. Fumace Sdo Unlo:+der Industrial Bldg. Air CondiLOner Bulk Milk Tank Farm Ochei oeu y OmerlSperifyl ? nr Sucufy ther Olher ompule lnspection fee Below # Fae SarviceEnireneaSize t1 Fee Feaders/5ubfeeders N Foe Grcwts ? 2.CsU 0 to 200 Am s 0 to 30 Amps _i(oW 0 tn 30 Am s A6ove 200 qmpy 31 to 100 qmps 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Am a Transiormers Irngation Booms Partial-"Other Fee SignS SNecial InsUection C/ TOTA Remxrks L F ? • Nough-in r 1, the Ele Tcal ? Inspeclor, hereby certity that the abova imal e msoecuon nas eeen L _ r lb. ranae. mis reauml void 18 monthe Irom This requesl voeA 18 nnnths Irom D12 2_3 0?//l Fequest Date Fre No. Rouph?in Insper.LOn fleqwred? ?Ready Nuw (?Will Nntify Insoec- ?/? Yes ?No r? ?a? When HeadY P licensed Elec[nwl Convactor I herebV mquest insPaction of above ? Owngr elactnwl work mstallad ar Street Atldress, Box or Route No. ? C? - City ?. ?? AKe ? ecLon o. TownsMp Name or No./ Range o. County Occuu??tIPRINT) ;? C? Phone No. ?ls Z ?? ? y Puwer Suppli¢r Atltlress A . ? • ? c_ Electrical Cnntracmr (Company Name) Contrar.tor's License No. _,?t?en -f-ri'? ? L ? ! S-3 Ma? Im ddress (Con[racior or Owner Makinp Insta?lauon) A ? / ) /?O7 Auth '¢¢d ntractor/Owner Mak ig Installation) n e /q/?2j MIryNE$OTA STATE BOAHD OF ELECTNICITY THI$ INSPECTION REQUEST WILL NOT Griqps-Mndway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOAFD 1821 Universitv Ave.. St Paul, MN 65104 UNLESS PNOPER INSPECTION FEE IS ? Phone (612) 642-0800 ENCLOSED. ?a/? REQI'EST FOR ELECTRICAL INSPECTION ? SeS'fshucoons lor comple[ing Ihis lorm on back ot yellow copy R 71 0' 31 'X" Below Work Covered by This Request tt?111'q ? EB-OMM -07 ?,9p ??PeI ? M , ' ew Adtl Rep Typeof8uilding AppliancesWired EqmpmenlWiretl Home Range Temporary Serwce Duplez Water Heater Elec[ric Hea6ng Apt. 8uilding Dryer Other (Spea(y) Comm./Intlusinal Furnace Farm Air Condihoner Other (spentyl CoMracMOr's Remark ` l l Compute lnspechon Fee Below A' Other Fee # ServiceEntrance5rze Fee # CircmislFeeders Fee Swimming Pool 0 t0 200 Amps ? 0 to 100 Amps Transformers Above 200 _ Amps A62v Amps Si905 Inspecbr5 Use Only ? 0 TOTAL Imgalion Booms 6(? 1 r S •'S? Special Inspedion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electncal Inspector, hereby Rough-in oate certify that the above inspection has been made F,nai OFFICE USE ONLY TM1is reduest voitl 18 monNS lmm 7/ia/so @ 71831 a s ReQOest Date Fire No /?, ? Fough-in Inspeaion " Reqmred> 7 ?FeaEy Now ? Will Notity Inspedor n Re tl ? W? I ? ? G Yes N. y e a IYicensed contractor L) owner hereby request inspection of a6ove elect al work at: Job Aearess (Street Box or Route N. I cP8 4 NQ Lc?. ? ??. Cit Sedion No Township Name or N. Range No. Co n?p y , . ? (.l? Oc am (PflINTJ Phone No Pow upPLer Atltlress Electncal Contracror (COmpany Name) Convactor's License No Harrison Electric, Inc. 421867 MaJing Aetlress (GOnhactor or Owner Making Installalion) 2525 Nevada Ave.No. #301 Golden Valley 55427 Aulhor¢etl Sgnature I ontracl g Ins1al?0on? Phone Number 544-3300 MINNESOTA STATE BOAqD OF ELECTRIQTY THIS INSPECTION REOUEST WILL NOT Grigge-MiEway BIEg. - Poom S-113 8E ACCEPTED BV THE STATE BOARD 1621 UnlversiTy Ave, SL Faul, MN 55104 UNLESS GROPEP INSPECTION FEE IS Phane(6i 60241(100 ENCL05EC) ?5 \ ? CITY OF EAGAN APPLICATION FaR PERMIT SEWER AND/OR WATER CONNECTION *RM3: PAYMENr OF FEE AT TIlM OF APPr..zcrTIorr noFS rOr aoNSrITUTE APPROVAL OF PERMIT. ` ****,tst*,r**w**k***,t*********,e?k?ra*: P ease Pr1nt ? 1) PROPERTY ADDRESS: •- LEGAL DESCRIPTION: ? //1 Lot B ock Subdivision or Tax Parcel ID ) IF EXISTING SIRCCPL72E. DATE OF ORIGINAL BLILDING PIItMIT ISSPANCE: 1 ' . FRFSIIW 7ANING/PROPOSID LSE: (Mon Year ? CONP'EE2CIAL/RETAIL/OFFZCE Q INIDCSTRZAL ? INSTII[]TIONAL/GpVERNMENT .?` R-1 SINGLE FAMILY ? R-2 DL'PLEX (7.Wo L?nits) ? R-3 7DWNiOIISE (Three + Units) ( C?nits) ? R-4 APARTh43dT/COAIDOMINI[,T1 ( Units) 2) NA[E: ADDRESS: CITY, STATE, ZIP: PHONE: 3) u r ?• NAME: ADDRFSS: CITY, STATE, ZIP:_ PxorE:_ ??7gl MAszEx LIcE[vss# rlimuoers r3-cense: Active FScpired Not recorded staff mitiat 4) KCIWu73WA? .. NAME: ADDRFSS: CITY. STATE, ZIP: PfIONE: -5) n v i a• •?• : a • s? :. ?? ' ?.'PSON 1t7 CITY SEVM QrC&IIdF7CfION 1U CITY WATER Q OTAER '-. 6) A .`•?. ? PLF.ASE HOID APPROVFD PII2NIIT FY)R PICK-UP BY ONE OF ABOVE '---- `._ MAIL APPROVID PEEtbIIT TO 1,2, ./.? 41 ABOVE . . (Circ'2e-one) INSPFXTION OF SE.TWER AND/O2 WA7'F]2 TI1SR'Ai.7ATTQN$ 4nj. j`CYj' $E $Q-]m- ULFD [7NPII, PIItNIIT HAS BEIN APPROVID. 7) r?• ?" ??/??i 1 cL.[.?t? ? .? ?-J"-- . FOR CITY USE ONLY . PERMIT # ISSUED . ?7 J Pd w/Bldg. Permit FEES: . $_ $ SEWER PERMIT (INCLUDE SL'RCHARGE) ' $ IG? "SZ $ WATER PERMIT (INCLC'DE SC'RCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOONT DEPOSIT - SEWER $ $ ' ACCOL NT DEPOSIT - WATER S S z S• $ wAc $ ? Z $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ z $ -? WATER TREATMENT PLANT SL'RCHARGE $ $ OTHER: $ $ TOTAL RECEIPT RECEIP-T-79 DOES UTILITY CO NNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC Q NO ROADWAY" MDST BE DIVISIO ISSUED BY THE E[VGINEERING N. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING Cb[VDZTIONS: APPROVED BY; ? ze7-1-? ? TITLE: DATE: 7 T RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ol ??-A4 651-881-4875 New Canstructlon Heaulremanta • 3 rBgisterBtl site surveyS ShowNg Sq. fl. of 10t, Sq. iL of houSO; and all ro0f9d areas (209'e maximum bt coverege ellowed) . 2 copies of plan snowhg beam & window sizes; poured found design, etc.) . 1 set of Energy Calculations . 3 copies ol Tree Preservatbn Plen 81ot pgtted atter 711193 • Rim Joist Detail OpCwns selecHOn sheet (bMgs wNh 3 or Iess unils) DATE tl? 3 ?- '3i6 3 pemotleUHenelr Reaulremente . 2 oopies of plan • lsetofEnergyCalculatbnsforheatedadGitbns • 1 sitesurveyior e#erbradtlitmns&decks • IMipte tl hane serveU by septic system for add'd'qns VALUATION P'I' f, 7i SITE ADDRESS (o 1N /i f za? MULTI-FAMILY BLDG _ Y x N TYPE OF WORK ? FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT STREET ADDRESS /Y(o b WG s h ttujttt n TELEPHONE # (?524J'1-f L3 z CELL PHONE #i s S eSTATE MII-)ZIP L FAX # PROPERNOWNER TELEPHONE# los?-Ys ?/- 31'?? °----- ° ---------------------°---------------------°---------------°----------------------- COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MPINESOTA RUL,FS 9670 CATEGORY 1 _ MINA`ESOTA RliLFS 7672 (4 submission type) • Residential VentilaUon Category 1 Worksheet Submitted • New Energy Code WoAcsheet Submitted . Energy Envelope Calculatlons Submitted Plumbing Conhactor: ____ Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Conhactor: _ Air Conditioning _ Heat Recovery System ------------------------------------°°------------------------------- I hereby acknowledge that I have read thls applicaTion, state that wim all applicable State of Minnesota Statutes and City of Eagan) Signalure OFFICE USE ONLY Water Softener _ Water Heater _ _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 Phone#? MAY 3 1 2002 ? Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ uPaeced 4102 OFFICE USE ONLY ? Ot Foundatlon ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? 08 p6-plex ? 16 Fireplace O 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) 0 36 Mutti ? 05 03-plex ? 11 70.plex 0 19 Lower Level O 24 Stortn Damage ? 06 04-plex ? 12 72-piex Plbg_Yor_ N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair 0 33 Alteration O 37 Demolish (Bldg)` 0 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement *Demolition (Entlre Bldg only) - Give PCA handout !o 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) Final/No C.O. _ Foorings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Testa Final _ Framing _ _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retauilng Wall Approved By Base Fee " Surcharge Plan Review MC/ES SAC City SAC', . Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Building Inspector Copies Other Total 1 SINGLE FAMILY DWELLINGS /-367 - CITY OF EAGAN IPCLQDE 2 SETS OF PLANS, 3 CERTIFICATSS OF SQRVEY, 7 SST OF ENERGY CALCOLATIONS AOTE: ADDRESSES EOR CORHER LOTS - CONTRACTOR/HOMEOfiNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGfiS WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSQED. M[TLTIPLE DWELLINGS - RFSIDENTIAL RE9TAL VAITS FOR SALE IIHITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMII9ERCIlL. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND D t :5J- L :r- Y-'17 To Be Used For: Valuat ion: a e: , Site Address ?[? ?Z•? OFFICE DSE ONLY Lot D Block- On Site Sewage Oceupancy ? CC System _ ? Zoning f2. l Pareel/Sub On Site Well Type of Const ?j / City Water ? (Actual) ? - Owner 40,..r? +l (Allowable) ? # of Stories Address Length 5 Z Depth City/Zip Code S.F. Total Footprint S.F. Phone 9PPROVALS FE&S ,LJ/?t4,Nt? V l??/SS Contractor Assessments Permit 1Z ? p Water/Sewer Surcharge ?""I ' Address Police Plan Review 2c?r, .? ? Fire SAC, City IG?. City/Zip Code Lac? G.r.? - Engr SAC, MWCC 5 2j - r Planner Water Conn 525- - / Phone Council Water Meter 0 ' Bldg Off Road Unit Arch./Engr. APC Treatment P1 1&0 Varianee Parks Address Copies TOTAL --2357, City/Zip Code Phone 11 ,74-- ?. . , ' .• ''r':. , . .. ,... '.,,ti:, •, ? .. . • • . EXTEkIOR ENVELDPE AVERAGE 'U' COMPl1TATT.CIfd GRAfJD DAKS UEVELDF'MENT COMPANY .' ' MODEL Q., AREA U U X AREA - ti • • FEQUIFED . 1?73 TOTFlL WALL AREA 1806 X.11 7G7AL ROOF `AkEA 1196 X.U:b 31.096 7. . ACHIEVCD AREA U U X AREA A. WINDOW AFE!-1 186.66 . ,5 93 ", B. DGOR AREA 39.0 .077 3.0646 C. SI.IDE GLASS AREA 13.44 .40 6.Z151: 0. F I FEPLACE A'rtL"A ' p 0 C. WF:LL FFAMG AREA 180 .041 F. NET WALL AREA 1164.1 •049 57•0111.19 G. RIM JDIST AREA 119.52 .0436 5.21I072 H. 1=CUND WINDOW AREA 0 0 1. FOUND ADOVE GkADE 45.48 .135 13.0240 ;; 701'AL WALL AREA 1800 ' 105.5026 . J. SKYLITE 0 0 K. R00F FRAMt 119.6 .032 3•9:7? L. NET ROOF AREA 1076.4 .025 26.91 4. 707AL ROOF AREA 1196 30.7372 SUM 1.t2. 229.096 SUM 3.+4. 216.2340 4b? City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?----- ------- ? Fs€€'3Ffc..a-1lse ? Permit#? j i Permit Fee ? Date Received: ? I ? I Staff: I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '5 lO Site Address: Tenant: Suite #: RESIDENT/OWNER Name: 1(-PV?\ ?P-P?1 CA-?o^??'`?'^ V? `\ LC.r Phone Address / City ! Zip: bsy t?)N ?" Applicant is: _ Owner x Contractor TYPE OF WORK Descriptian ofwork: P e- rp9 42 Construction Cost. Multi-Family Building: (Yes _/ No CONTRACTOR Name: License#: ZOS80Zc?? Address: VO City: w???-- ? t State Zip, SSWg 6o?t -7ss_- , Phone. 0?77 ContactPerson: ? ?Q_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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: NOTE: Pfans and supporting documents that yau submit are consideretl fo ba public information. Portions of ; the information may be classified as non-public if you provide specific reasons that would permit the City to conGude that fhe . are frade secrefs. , ? I hereby acknowledge that this informahon is complete and accurate; that the work will 6e in confoRnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permd, and work is not to staR wdhout a permil, that the work will be m accordance with the approved plan in the case of work which requires a review and approval of plans ? X /?,•, ?wae_l 1.v--? X ApplicanYs Printed Name A plicanYs Signature Page 1 of 3 SURVEYOR'S CERTIFICATE GRAND OAKS DEVELOPMENT C0. NOTE: GRADES SHOWN WERE TAKEN FROM THE GRADIN6 PLAN FOR OVERHILL FARP1 SECOND ADDITION, PREPARED. BY MINNESOTA UALLEY SURVEYORS ItdC., LAST DATED MARCH 28, 1984. ' -=- DENOTES PROP05ED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9?'/,°u FEET .XOQ0.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 9>z,o FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 93S.7, FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, kilock 3, OVERHILL FARP1 SECOPJD ADDITION, according to the recorded plat thereof, Dakota County, P1innesota. AND OF THE LOCATION OF A PROPOSED [iUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS. OR ENCROACHMENTS, If ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 2ITNDAY OF M3,y , 198n. SIGNED: JAME?.-. . HILL, INC. ???- U aY: HAROLD C. PETERSON, LAND SURVEYOR SHEET 1 OF 2 SHEETS PtINNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 87325 21 ?5 /14 Planners / Engineers / Survey,ors FILE NO. 8200 Humboldt Av*nue South FOLDER ebomington, Mn. 55431 612-8e4-3029 UR V E Y O R' S C E R T I F 1 C A T E GRAND OAKS DEVELOPMENT C0. N 0 N' HQY LAKE R Ap p l----? M d=1°50'02" R=796.69 ? 0 • _ (93?? - 50 , Sy?L-OB)OQ1' M E 60.51 / ? ° ; ? (432,fl) I m M 5I ,. ,..,:.. ? i I i4• ' 5 N lij. . I M W Oa i '?t ?? m o _ -? ,• M / ? _ 1 ry O ' O 473115) I? 26.0 L_`? 1 O N NI= GAR, a'Z p v jI N N / h p ?l I I I ?93Y.5? 52.0 ? ; (0 C53y,5) "-?? N M I M M I Lor io ~I ? t<- I tipy?F\6? ? 5 1 \?JkJ14 J / (936• s) ` s ?OQ6R ? o;,G'01p%%F. % 1 L y9oh`Z (jyI , °) 35.00 N 88°53'09"W r4o5 ?_?J 1 ?? L_•? I ?? I I SHEET 2 OF 2 SHEETS PROJECT NO. BOOK / PAGE JqMES R. HILL, INC. 87325 • Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue 5outh FO L D E R Biootnington, Mn. 65431 612-884-3029