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685 Hay Lake Rd N PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096688 Date Issued: 10/27/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 685 Hay Lake Rd N Lot: 9 Block: 4 Addition: Overhill Farm 2nd PID:10-56151-090-04 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: If there is no ice protection inspection prior to final. the contractor must meet the inspector Nva ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Erickson Building Steven A Stemig 2667 Cottage Grove Place 685 Hai Lake Rd N Woodbury N1N 55125 EaganN1N 55123 (61)248-9339 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink r For OffICE Use I City Permit 14LTRJ of Eano~d11 I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: lC1 1L4 I~ Phone: (651) 675-5675 I I I Staff: 3q'7 q'7 i Fax: (651) 675-5694 L ----------I 2010 RESIDENTIAL PLUMBING PERMIT f~PPLICATION Date: [9 I Cl~ ~ Site Addre s: lF C ~t a Tenant: Oct L-,- Suite RESIDENT / OWNER Name: ) Oct VL. f Phone: Address'/ City / Zip: Esc /~~a3 CONTRACTOR Name: i License f 3 Address: State -kn~ Zip: Phone: Contact: ~ f Email TYPE OF WORK _ New ) Replacement _Repair -Rebuild - Modify Space - Work in R.O.W. Description of work: PERMIT TYPE REENT/AL ter Heater Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to art without a permit; that the work will be in accordance w' he approved plan in the -case of work which re -review and approval of plans. x JC'D' x App icant's Print d Name Applic n ' at e FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In Air Test Gas Test -Final ? CASH RECEIPT 0 CITY OF EAGAN ? '3795 PILOT KNOB ROAO EAGAN, MINNESOTA 55122 f: DATE RECEIVQD FROM • AMOUNT $ I` ? CASH d DOLLARS 1 ao ^_ " .o•+?•- ?? r.?? J 4!? ZfcJr"! . . FUNO CODE AMOUN7 t j , Thank You . BY ..? 66037 White-Payers Copy Yellow-Posting Copy Pink-File Copy ` ?. . CITY OF EAGAN r) 1?L5?1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '`• -4'. PHONE: 454-8100 ? BUILDIr1d PERMIT Receipt # To be used tor SF DWG/GA.R Est Site Address 685 NO HAY LARE Lot 9 Block 4 Sec/Sub. OVE Parcel No. W Name GRAND U?1KS DEVE ; Address 1881 ST]NRISE CT ° cih, : A(;A:>f Phone 452-893 Z o Name SMIr o¢ Address ~ City Phone a F W Name un Address i W City Phone I hereby acknowledge that I have read this applic information is correct and agree to comply with Minnesota Statutes and City of Eag Ordinanc . L C??f Signature oi PermitteP /ij6 t, ? A Building Permit is issued to: GRAND all work shall be done in accordance with all applii Building Official ,000 iy 80 Erect 12( Occupancy R3 A&odel ? Zoning Dn Repair ? Type of Const Addition ? No. Stories Move ? Length 54 Demolish ? Depth Int. Impr_ ? Sq. Ft Install ? Assessment Water & Sew. Police Fire Eng. Planner Council ation and state that the Bld .Off?6 all applicable State of g es. APC Var. Date - CO Permit $ 373.00 Surcharge 40.00 Plan Review 186.50 sAC 575.00 Water Conn. 500.00 Water Meter 63 . 50i Road Unit 2 90• 0 0 Tr. PI. 156.U01 Copies 00 TOtal 42,164. on the express condition that and City of Eagan O?dinances. WnnN No. Pormll HoWer Dalo Takwhon N Pknldping H.vJ.c. /C/C'74,? Ekm*k -?0'7j V ge. : soner« Inspwtloe Dab Inap. CommaMs Footloys 1 Footlnsp II FoundaUon Framfnq -r^0'r frt , . Roolleq R«ugh Plbg. Rouyh Hty- Insul e d io- -ac Firsplaee Find Hty. Flnal Plby. Bidp. Flnal ! Grt. Oec. Dack Fty. Deck Fmq. 1AhN Pr. ONp. y :i • CONTRACT PRICE 4 Site Address ,- 5 Lot Block ? Name ? Addre c City ? ? Name c Addre o? Cih+ - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other PERMIT # 'MECHANICAL PERMIT RECEIPT # ? 7 ' ?- CITIf OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: i PHONE: 454-8100 BLDG.TYPE Res. ? Mult Comm. Other WORK DESCRIPTION New ? Add-on Repair FEES `UN n r" _ ' RES. HVAC 0-100 M BTU -$24.00 ' Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 . ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. M BTU ? COMM/1ND FEE - 1% OF CONTRACT FEE M BTU MINIMUM - RESIDENTIAL FEE - 10.00 M BTU MINIMUM - COMM/IND FEE - 20.00 M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES CFM BEYOND $1 000.00) , FEE .S/rr: _ TOTAL• ? -1?1 L --- r. SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN ,. . • , . Site Address Lot9 Block ? Name ? Addre c Cily c- - Name TZe2 (D Address 0 Ciry - -?.. PERMIT # - / '-C / / PLUM8ING PERMIT RECEIPT # qTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 454-8100 FEES D FEE - 1% OF CONTRACT FEE - RESIDENTIAL FEE - COMM/IND FEE RCHARGE PER PERMIT S/C IF PERMIT PRICE GOES _?- )F PERMITTEE FOR: CITY OF EAGAN BLDG. T1fPE WORIC DESCRIPTION ? t Res. New M ult Add-on Camm. Repair Other N? FIXTt1RE3 TOTAL J Water Closet - $3.00 $ `l - T-Bath Tubs - $3.00 '3 - -1-. _"_`__' e.n nn _Z?_ 4. ? _-7,,.,...,., -Laundry Tray - $3.00 - - Z - - $10.00 Fioor Drains - $1.50 7 ? ' 20•00 ? Water Heater - $1.50 - •50 ? Whirlpool - $3.00 -7- Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 _ FEE: y ? STATE S/C: - S U GRAND TOTAL. `? ( CITY OF EAGAN WATER SERVICE PHtMR ? 3830 POot Knob Road ' p. O. Box 21199 PERMR NO.: Eegan, MN 55121 DI1TE: Zoniny: . ? No. of Units: - Ownsr. . Mdross: Sih /lddress: IT Plumber. - q?i? . le-of No.: -3 76 19S If wv-j- A r?: ' r No.: ?0 1 ,lil to o?y wilb Nw IN R ` {"Qv I Date Rold: Irup.: lnap.• CITY OF EAGAN 3830 Pilot Knob Road ,gk P. O. Box 21'i99 PERMIT NO.: .- Eagsn, MN 55121 DATE. Zoninp; ' No. of Units: Owrnr. Address: - Slte /lddrem: 6?'' 5 Hezh P av "a rr+ C L Plurn6er. i?llev Fl :?b,in I ym to eMwplp wMr fV CIh oi aNn OrJiNwpr. By Date of Insp.: TY OF EAGAN 30 Pilot Knflb Rwd 0. Box 21199 gan, MN 55121 C.oorNCtlon ChOnpe: Aooount DepoWt: PrmOf Fee: Surdw?pr. Misc. Chorom Totol: Dofe, Fold: WATER SERVICE PERMIT PERMIT NO.: D11TE: ' Ma. of Units: ? Mdrets• 5 'Fortr „,•• ? aYP Rag,' 1,9 R4 ('v?:rhi,J.l F3rm II .?__. . _ ?`. lE±v Pl??rirlttr Readsr No.: 1 ym b s+oeepl, wMb !Iw Ciey oi Eww "eeneM. By Date of Irnp.: C,onnedion Charfle: ''? • 0`??"' llooou?t Depoait: Permit Fee: Surcharyr ' Misc. Chorpes: •' ,:' - TotOI: 'y. ? ?- y,r, Date Pcid: RESIDENTIAL BUILDINC PERMIT APPLICATION •-? CITY OF EAGAN 3830 PILOT KN06 RD • 55122 651-681-4675 New Cansfruction Reauirements • 3 registered site surveys showing sq. R. of lot, sq. k, of house, an?ll roofed areas (20°h maximum lot coverage albwed) • 2 copies o( plan showmg beam 8 wintlow s¢es; poured found desigq etc.) . 1 set of Energy Calcula6ons • 3 copies of Tree Preservation Plan rf lot platted aker 711/93 . Rim Joist DeWil Ophons selectlon sheet (bldgs wiN 3 or less units) DATE Lj' 31n I JOB SITE ADDRESS (D K5 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN TYPE OF WORK 1, C)• APPLICANT 3-4r r) itC ADDRESS 93U? \S"' PAGER # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNF.SOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envetope Catculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includcs: Mechanicai Contractor: _ Mechanical5yslem Includes: Sewer/Water Contractor: Air Conditioning Heat Rccovery Sys[em ree: $90.00 Phone # I'ee: $70.00 Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the informotion is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant n `'7 ?, " Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1l01 I I aF.as RemodellReoair Reauiraments . 2 copies of plan . 1 sel of Energy Calculatlons for heated additions • 1 site sumey for extanor additions 8 decks . Indicate dhome served by septic system for addtlions VALUAION Sy?C?•?_f FIREPLACE(S) _ 0_ 1_ 2 PHONE#Co:5qS34/ Np PCx.? - ZIPCODE CELL PHONE # WaCcr SoEtener Water HeaCer ^ No. of Baths Phone #: I,awn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 Ot of _ plex ? 09 07-piex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? 05 03-plex ? 11 10-piex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Impravement ? 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 ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant 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 Footuigs (new bidg) Footings (deck) Footings (additiou) Foundation Drain Tile Roof Ice & Warer Final Other Franung _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Smcco Stone Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaUC.O. _ FinaUNo C.O. _ Plumbing HVAC CITY OF EAGAN N 0 12541 , 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - BUILDING PERMIT PHONE:454-8100 Receipt n - ow To he used Ior SF DWG/GAR Est. Value $80,000 Date SEPTEMBER 2 ig 86 SiteAddress 685 NO HAY LAKE RD Erect Lx Occupancy R3 Lot 9 Block 4 Sec/Sub. OVERHILL FARM 2A7jhiodel ? Zoning ED Parcel No. Repair ? Type of Const.VN - Addition ? No. Stories W Name GRAND OAKS DEVEL CO Move ? Lengm5? 1881 SUNRISE CT Demolish ? Depth52 o Address Int. Impr. ? Sq. Ft City EAGAN phone 452-8934 Install ? a SAME Aoorovals Fees o Name i 0 u Q Atldress ? Ciry Phone w w Name ?i o Address u 5 w City Phone I hereby acknowledge that I have read this application and state thatfhe information is correct and agree to comply with all applicable State of Minnesota Statutes and Citv of EasaaNOrdinances. Signature of A euilding Permit is issued to: v GRAND all work shall be done in accordance with all am Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 9/2 / 8 6 APC Var. Date Permit $ 373.0( Surcharge 40.0( Plan Review 186.51 SAC 575.01 Water Conn. 500 . 01 Water Meter 63 . 51 RoadUnit 290.01 Tr.PI. 156.01 Parks Copies Total $2 ,184.01 Co on the exprass condition that ota tutes and City of Eagan Ordinances. Building 942??, ; SQUESTuFOR E LECTR?ICAL? tNSPECToONck o+ veilow coav. r q n7 Q, "X" Below Work Covered by This Request EB.UOOOt.U4 ? L?, qL 7 Ada Re0 Type of BmIEmQ Appliunces Wrtetl EOmpmenl Wved Home Range Temporary Service Duplex Water Heater LighLny Fixtures Apt. Bwlding Dryer Electnc NeaUn Commercial Bldg. Furnace Silo Unlonder Industnal Bldg. Air Condiboner Butk Milk Tank Farm omi., oecrv mo. Soec:tvl 1 r.r SuCu y t cr Other Compute Inspection fee Be/ow p Fea SarviceEnVanroSize M Fee Feetlers/Subteeders ? Fee Cucarts ab 0 to 200 Am>s 0 to 30 qm s to 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 A s Swimmmg Pool Above 100-Amps Above 100_F1m)5 Transiormer5 IrrigaLOn Hooms -01 Pamal'Other Fee Signs Special Inspection 5 J T OTAL F Nertwrks I ? /. /G - flouph-in I,theEle ric Inspector, hereby ?'Iy tAot tAa aMvn Finel ?') /? ? C ^ ?l? nspection hes been I /I.2 C / / ?d`17fi1a0e. m16 re0ueat roiA 18 montlre trom Thig ru,es[ void qC, 7 18 rtqnnsdsoai . 43074 L, 9 511 . 00e.?1:? FGV-v\., Sy1R-oo Req st Date Fire No. pouph-in InsDection \ C flequ reA? ?Raatly Null NotrtY.lnsoec- .es ?NO ?or When ReadY ?icensed Eleancal Con[raclor Lhereby request inspeetion ot above ?Own¢r electricel work instelled at: Street Address. Box or floute 5 No. -P-d C ecbon o. 7owrehip Name or No. ange o. Counry D cu ant (PpINT) r? ?_ ?<s Pho e No. sa - ?? r Suppher Address I fncal Convactor ICO pa amel • ?-? ' cmr's lncense No. q ? ? .?r? c s-3 M ilinp AdJress IContr cm r or Owner?ng Instailation ? , AuN r Signature (COnt c or w e kmg InstallaLOn) ?? 1 Ph mber ,_? MINNESOTA STATE BOARD OF ELECTNIGITV THIS INSPECTIDN REQUEST WILL NpT C+,,e9s-Mitlwey Bldg. - floom N-191 BE ACCEPTED 8V THE STATE BOARD 1821 Universily Ave., SL Paul, MN 55704 UNLESS PPOPEN INSPECTION FEE IS pn.?a 1612) 297-2111 ENCLOSED. rn? ? ql . 1986 BIIILDING PERNQT APPLICATIOA - CITY OF fi9GAA 110TB: ALL CABTRAClORS MOST BS LICEPSSD HITH THE CITY OF EAG9N 3IIYGLE FAI+aLY DAEI.LINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS HOLTIPLE Di1ELLINGS - RffiIDENTIAL 9ENTAL Q9ITS FOH S6LS ONITS INCLUDE 2 SETS OF PLANS, CSETIPICAT6 OF SIIRVSY - CHECg fIITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COrMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL t SET OF SYECIFICATIONS AND 7 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND & STRUCTURAL PLANS, SET OF To Be Used For: 5?• Valua Site Address Lot 1 Bloek Parcel/Sub Owner L6W/1?a l.Cfn,? Address City/Zip Code ? tion: Phone Contractor -bz?(X Address I d X l City/Zip Code Phone Arch./Engr. Address C1ty/Zip Code Phone U ,-*z / 4 NOTE; ADDRBSSBS FOR CORNER LOTS - CONTRACTOR/HOllEOBNER lIOST DS3IGNATS iiHICH ADDRESS IS DBSIRfiD. NO CHANGFS iiILL BE 6LLOiiED ONCE BQILDING PERMIT IS ISSDED. Date: 1-Z'"0 L Erect Oecupancy Remodel Zoning ?p- - Repair Type of Const ? Addition # of Stories Move Length Demolish Depth S 2" _ Int.Impr. _ Sq Ft Install APPROYALS FSES Assessments Permit 373 Water/Sewer Surcharge Police Plan Review f6?? Fire SAC 575 Engr Water Conn 00 Planner Couneil Water Meter Road [Init t ,Sb Zqb--- Bldg Off Treatment P1 ?r4 APC Parks Variance Copies YOTAL ?? r x i t_r: t 4?r. eA A, r.L_urL HvLrcRbe. u i_uMr=U a R s i u a ?-3RANL" OAH:S DkVE1..C7F=hi Ei+I7 L't]MPFa1d Y htO[.)E.t., IHRI=2T'INIC?U F1FiEA l.l VFaI._lJE U X flREA I'fAX'.[N1U1"1 Nl_LDWEI) BY CODE 1-DTAL 4+7F3LL. AE:E'H 1696 .. 11 1£?. °i TLT'AI_. fiC10f' F1FtF_.A 1300 .026 boD ?' [7'I'AL Ai._t_OW E=1i 220.::6 ACHIf:UE.D Wa1L_L.. AREA WSIJI'7C1WS 203 .5 101.5 CJClllRS 40 .077 ::„08 SI..I DI- Gi_AB6 36 .48 L'7. 28 f 2F;L_:F'L_,=1(:E= 30 .25 7e'Li NdAl..l._ F=(;AhtE ARFA 7 69. 6 .041 6.9536 rrri Jaisr 144 &436 6.2784 F-O1_if.li7 AE+(]VE:= GFiAC?F 95 .0769 7.3055 h14='{ WE;I_.L AItF(-a 978,4 .0378 36.92332 1`C7'I'HL WALI_ 117ti 43F11 cl RO[}F FtRC:A :i4:'.'Y L. I`f E: 8 .5 4 F'tGOF 1-RAIHk:: 130 ,032 4, tfi, IJE7 I'tOf?F'' 1170 .0208 24.336 "ff_i"I`AL f;DtlF ?496 T O'TAi_ ACIIIE VE.P 219.077ti MAFti;f.N tN t'_XC['S5 (7F L'.r)nE . .98290 : MFaitG]N :fhJ E':XCF55 ?.446079:1 ? ? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 'A X'Rl1R]['tY RYlYr'X'k 1S'R ][lliazilfl'RZf;'RYt1?"A *ATP,: PAYMFTll' OF FEE AT TIME pF APPLICATION mES NOr CONSnWM APPROVAL OF PII2hIIT. INSPFILTION OF SEWkt ANID/OR NIIn'ER TNISTAT.T.ATTONS WnL fXYl BE SQ'3ID- ULFJ) UKI'IL PEE2MIIT HAS BEE'N APPROVED. Wx__wF_x_________________________. P AARP PTl Il} ? 1) PROPERTY ADDRESS: ZEGAL DESCRIPTION: IF EXISTING STRCCZL'RE, DATE OF ORIGINAL SL'ZLDING pII2MIT ISSL'ANCE: ". ' I (Nbn Year PRFSENT 7ANING/PROPOSID LSE: q ca+MExcrAu,/RETAIL/oFFICE F7 IrIDCSTRIAL M INSTI2L'TIONAL/GOVERIZE17P ? R-1 SINGLE FAMILY q R-2 DOPLEX (1Wo Dnits) ? R-3 TDWN-IOLSE (Three + Units) Q R-4 APARTmET]T/CONDOMINIf,T1 ( Onits) (. Units) 2) ADDRESS: CITY, STATE. ZIP: PHONE: 3) u i: ?• D7AD1E: , ADDRESS: ? CITY, STATE, ZIP: PHONE: MASTER LICENSE# o?IQ7 ? {p Pltmbers License: Active F7cpixed Not recorded St?itial 4) ADDRFSS: CITY, STATE, ZIP: PHONE: 5) t o v ,? r: •?• : a •?ot :,. a? ??CON[?CfION 1V CZTY SEWIIt CONNDL`rION 2U CITY WATER a OTE?2 '. ,??_?? 6) ?? d? r . r ? ? PLF.ASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLFASE MAIL APPROVID PERMIT DO 1, 2, 3?, 4, AHJVE /I \_ - - fCircle nnal ?. - -• FOR CI1°Y USE OIVLY PERMZT # ISSL'ED Pd w/Bldg. Permit A $ $ FEES: s /6-Sa s S . - a .? SEWER PERMIT (INCLODE SC'RCHARGE) WATER PERMIT (INCLODE SL'RCHARGE) .. WATER METER/COPPERHORN/OCTSIDE READER WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ I S? G? O $ ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ ? SCJ O- C7 Cl $ WAC $ S 7 5-,o 6 $ SAC $ $ TRL'NK WATER ASSESSMENT $ $ TRL'NR SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRGNK WATER $ ?S 6 $ WATER TREATMENT PLANT SL'RCHARGE $ ? $ OTHER: $ S?) $ TOTAL 1?G/?/ lGn3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK SVZTHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION.' LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: TITLE: DATE : > -__- HEAT tOS3 CAICMATIow GJo e TEAAr. Dlff, ?- `, . "1ss?v L? r w w". ? r wNr? w1Y Nw hV?Ot? M/ A M __- ? 4 - ? e 3 S : ??; l? O ? c. MIT ? gov km ? Sb Wwo i3 x8 M av uw b 9 3 8'1 ro t. wwM ' < e }? 13 ? i34 3?? oS0 FI.? ,SPmtnj110pn? / ?M w:a.w w ooen-a.ou..d A,. . • u ?w r. q. wr 8 M M'• wM? /5 r? N. rMM • M?M 3 1 8!?- FI.I ?vcF? MMfLwIM115.S WMf9 IWt R 1Nrrlnwsam0aen MAe ? • «.?.? ,w w.. L [e ?/ a ?M1 ??Inae? IrA 20o p y.w 33-sX 6B ¦.ro.+? aa. i...M .m a ss " ou. 1 ob7 T??ANM Tfi? SAn ? b2 ? ?. ? ami ? . rrw ' i?• ??. ' h wMlll Y -i • s ? c, c, WmdBMils N AIM ML ? ? i 3 o Sav Olr 4? '? v Iq."M g 5 XF b MI. wIN Cdft .sx i , iw l ? 3 adA m ? . ?..? . N?INUMiM 01?? ? E?. wN ?3 f? P w..?..?w wv...r Odlf I a x I T?IY Mr. 1 'iy6:-0 . ' ., ? , i .. --- =-? MI?AT LOSi CALC?IL??TIN •=- v= ?.- ? r w TEM'. Dlff. ^-? ' M M,MM? M. M Lln?l ? w " 5 ? ?(vsa v...x tw.? 18 ? ' . nMl i 04 1 x g 1?1 Mu. fo(? 3 ;I.I ;+c,h,v,nRoen?ll.W 1M1/M? C0 Ib Mli?idsw Md Ouer?-0aA ? Ar? ? ? IiIM NiM? w ? ?. ww (a x ?. wM • M? ?D ?r ? MM Mu. i?.l r??,-e_v ?e.?l? / wun ? .«MOaen-cr.a wrtM r • r.?.. w. M ,? a..r i (v v v or ?1r IdnM?n ra 3 od ?, wM 1D ? wp. wM I. ...? - / p1? i1N Mu. 1 ? 35SZ - TM.a....rM - h 5s•,, ? l = wr?.. w.?. w...?-- wnr. w. ra. ' r w? ww....y ow. ?. -a. w w . ? 1?IIMn11M lihs • EaIL rwN f 3 x /O m IM w wN Mlt. w1N ? 12_ 3 rw t6r4, r TMM ML. I-Ioi-10.3w ? ? -N- wmdaw M1/ OMr?-dM w1 A •.. M . .M1Mrwiw? OMr q. aM ? < f[ ? IM?y.+MM /7 let. wN i flw ?- ? &- 8 (0- - ? - ? - Z! S ?S3 g7o-?'?esh ai, io+t4 ?? /8 /o-rrf/ Ae-44- IoSS I 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 6? 651-675-5675 Please complete for modifications to existing residential dwellings. Date J I_4; I e-y / /? Site Street Address L-,/? /?Q /"5 ? Unit # Property Owner '?? I/P, C??lf 2'!7 144, Telephone #4?S?/j- ?/ 5V . Zo?l Contractor / Telephone # Address • City I?L?f2?l?/LL2._ State"A.) Zip? The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Tumaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 _ _X Water Softener _ Water Heater A replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowled t at t?e?`ir?fc??ti is complete and accurate; that the work will be in conformance with the or nces and code the City of Eagan and the plumbing codes; that I understand this is not a p t only an ap lication for a permit, work is not to start without a permit and work will be in accordance? roved plan in the event a plan is required to be reviewed and approved. Ap icanYs PrintedT A Apl O?ignat R V E Y 0 R' S C E R T I F I C A T E GRAND OAKS UEVELOPMEPdT CU. T- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCII = 30 FEET Q DENOTES ES IRON MONUMENT SET IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 93 L.3 FEET • UENOT LOWEST ? ' FEET (OOD.O) DENOTES PROPOSED ELEVA7IDN PRDPOSED CK BLO =? 3G.? I fIEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. TFIAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TfIE QOUNDARIES OF: Lot 9, Block 4, OUERHILL FARP1 SECOND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota, (THE LEGAL DESCRIPTION USED ON TNIS SURVEY WILL BECOME VALID UPON FILING THE PLAT OVERHILL FARM SECOND ADDITION) AfdD OF TIIE LOCATION OF A PROPOSED 4UILDING. IT QOES NOT PURPORT TO SHOW IMPROVEMENTS OR EIVCROACfIMFN7S, IF ANY, TIiEREON. AS SURVEYED BY ME, OR UNDER P4Y DIRECT SUPERVISION, TIiIS 1410 UAY OF JOLy , 1986. NOTE: GRADES SHOWN WERE TAKEN FROP1 THE GRADING PLAN FOR OVERHILL FARM SECOND ADDITION, PREPARED BY 14INNESOTA VALLEY SURVEYORS, INC., LAST DATED h1ARCH 28, 1986. SHEET 1 OF 2 SHEETS PROJECT N0. BOOK / PAGE 86819 FILE N0. FOLDER SIGNED: JAMES R. HILL, INC. DY C 1: HAROLU C. PETERSON, LAND SURVEYOR PIINNESOTA LICENSE ND. 12294 JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South Bloolnington, Mn. 65431 812-884-3029 .sun ? /,. 0!i1' S C C Rr I ? ?ujk 'Y6 r GRAND OAKS-DE4ELOPPIEPl7 C0. C91 1 N 89°5837E 104.00 -T ? 5 r ? -?- 8 URLTY ?.ar I I . L 0 o 7 ? 0 (?) (V I 9 N ?y3?3? 2053 (7333? _ 20.33 •os F -- - ? o i . aNO 3S?ON ? i - _ W o ? A 03SOdOMd ? j I / i 3 N ' g ib ?y N ? ? N ? W o 'av N ? (Q " 18.16-?----- -- O'9Z 18_80 f • ? 5 M ' '- h c) / ? ry? ? O (q3Si° 13.24 75.02 R=85! N89'°58I37°E o I M H AY i i ROAD SHEET 2 OF 2 SHEETS anoJECr rio. BOO{C / PA?E 86819 FILli 140. ' FOLUEft O (? _J r? \J I - J K? ? C q i 3?Z_S? 0 M LA KE -JAMCS Ft. I•IILL, INC, manners / Engineers / Surveyors 62U0 Ilumboldt Avenus 8outh E3loahtln9ton, Mn. 86431 812-894-3029 For Office Use My of Ealan 1 Permit rr I Permit Fee: C~ 3830 Pilot Knob Road Eagan MN 55122 r elate Receiveb j Phone: (651) 675-5675 i Staff: I Fax: (651) 675-5694 L 2009 : MECHANICAL PERMIT APPLICATION Date: Site Address- `""O CS~~JG ~fi`x' Tenant: Suite RESIDENT/OWNER Name: Phone: Address/ City/ Zip. ~LWL6~w ~ 1 5 / Z CONTRACTOR Name: License: Address: !`~j C~IZ.r r ✓ Ajt City: c I I Ui A'~"~ State: Z~,?/V_ Zip:' Phone:~`>r- `43g ` 3 ' Contact Person: ~G,7 lJ~ TYPE OF WORK New Replacement Additional Alteration Demolition Deacriptbr4 of t eic: - f lz- _ 6> !S (f71;/vr~'; NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL --Furnace New Construction _ Interior Improvement Conditioner _ Install Piping _ Processed _ Air Exchanger Gas _ Exterior HVAC Unit Heat Pump . Under / Above ground Tank Install Remove) Fire insta{!i removi tank(s), call for Inspection e Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (irx;ludes $50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 1 understand this is not a permit, but only an application for a permit, and wok is not to start without a permit; that the worlwnll b with the approved plan in the case of work which requires a review and approval of v 7 x I x Applicant's Printed Name 1 APtdlicartt's 9nature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground ` Rough In Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink - Use- 1 I For 0-- ffice ` ! Permit 1 2 30~u i I l v~ City of E i- i l Permit Fee: 3830 Pilot Knob Road ! f Eagan MN 55122 Date Received: _ Phone: (651) 675-5675 l i Fax: (651) 675-5694 i Staff _ i i 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: __$a~---- Site Address; - - /tJ.---6!+.~ ----unit Name:.i G'✓L 2<« . q caS`~! Phone: (P A-1 9W Resident/ T Owner Address / City / Zip: Lr e'tc J,,,,r,! T Applicant is: Cwnei~ va ctor Type of Work Description of work 1 L~ $4:11 Construction Cost: 14 r. N43 Multi-Family Building: (Yes / No t Company; Contact: t--/ -e Address: City: Contractor State 4 , ft'"„ sip ~ I 't Phone. 0& -7 License _ Lead Certificate If the project is exempt from leant certification. please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes _No if yes, date and address of master plan Licensed Plumber: _ u Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: (VOTE; 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, Cali Gopher State One Call at (631) 454-0002 for protection against underground utility damage Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the work wilt be in conformance with the ordinances and codes of the City of Eagan_ that i understand this is not a permit. but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized bya building permit issued in accordance with the Minnesota State Building Code must be completed within 160 days of permit issuance X X Applicantrs Printed Name ~ Y`-" - Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA124318 Date Issued:06/26/2014 Permit Category:ePermit Site Address: 685 Hay Lake Rd N Lot:9 Block: 4 Addition: Overhill Farm 2nd PID:10-56151-04-090 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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. Jason Larson 25 S Sutton Lake Blvd Jordan, MN 55352 Fee Summary:PL - RPZ/PVB/Lawn Irrigation $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 - Steven A Stemig 685 Hay Lake Rd N Eagan MN 55123 Jay's Plumbing 25 South Sutton Lake Blvd. Jordan MN 55352 (612) 868-4102 Applicant/Permitee: Signature Issued By: Signature . � Use BLUE or BLACK Ink ) r----------------i �,.� I For Office Use �� Permit#:��C✓�� Cit� of �a�a� � 1-��. �-�� j r-�s � Permit Fee: 3830 Pilot Knob Road � --� � Eagan MN 55122 � Date Received: �' ��`l� � Phone: (651)675-5675 ' F =_ _ � I Fax: (651)675-5694 � Staff: I �;� ; � �E ,`,�a:. I I "r� '.'., -----------------� <�: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: a��i�'n uT/ • �7� V✓1� � Phone:Cv SJ -7� '�'/�'S�/ S Address/City/Zip: ��c�S ��a,� �rt�� f�ct r C�.4c�/�� /1 �.�`/ �3 Applicant is: X Owner Contractor Description of work:�E.'(.L7 1�@.Ck Ci�i�+p^uc T ►"v:7 Construction Cost: Multi-Family Building:(Yes /No � ) Company: Contact: Address City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i 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: CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building ode st be completed within 180 days of permit issuance. -----�--_..,_ x -�`TC�� /� y✓t,' X ApplicanYs Printed Name App i Sig ure Page 1 of 3 �� - L�� . �, ' DO NOT WR�TE BELOW THIS LINE �S Ci'{� r��-� � SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) � Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi � Deck _ Porch (Screen/Gazebo/Pergola) _ Misceilaneous 01 of_Plex Lower Levei Pool Accessory Building WORK TYPES 1�2"� Z7�CI^C 0� 5t� p� �►'�. � New Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIP�ION Valuation �j (0 0 a_ Occupancy �� MCES System Plan Review —� Code Edition 20(SWtS�C� SAC Units (25%_100%�) Zoning �_ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction �j� 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: , Building Inspector RESIDENTIAL FEES Base Fee ��Z, � }� Z d � =-- 2�`�� C�`� =- 3�p p � � Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 _,f. , - � � ° ' ' . GRAND 'OAKS-UE'P�C��P1�Pl7�CO. � � Ij � VL='Y �'J1�� ' � CCf� �" 1�=��,�, � � , _� � �c�.� � . � � �`� �-��-�, ��°��c ��-1- �� _ � . . � 1 . Z�,°� 'i � "E l44.00 --- C9!?�U�� (,9 �N�,89'°5$ 3? � • �-. 5 � '' ^�� ' llrll.fTY�EHT , . . � —y pRMYAGE 8 . � PER PL�IT �� • sy: Date: � Eagan Building 1 ons Divfsion o L. � T � � � � `>`��.- �,Jrl) nl �c �,,� Q ('� 9 � �� ,. 20.��_ �y 3 3 3� �3 3 3� � 2o.s3 _ . ! o•o� . i, � �0 3SnOH '0 i � C / a� � ! L- W Q3SOd�}!d � � 3��'�r7�` � �� i� � � � 3 � f�8�2 b � I� � t �� N v j ��3(.�� "� �� vt� � � r 1 . � o � ' N \J � � N, � � � 7lt�J c„ d /w o . V� �18.f6�--_!_._.. O'9Z 18_50 � . � _ .J � � J . � 5 O � . rn 5� ., ' "3 � O o � _ � ��y� l3.24�7E.02 f�=856.fi9.L�°0l�J4" ��3,z.f"~ N891058� o � ,°� M NAY � � LAKE � � � � i f� 4 A D � SHEET 2 OF 2 SHEETS a�oJEcr �ro. aoo�c � ��4� ' J�NI�� . l-[1L[., INC. . . 86�19 . ��lanners / Eci�lr�eers � �urveyora i�+l�1� �Tw�1�Y � � � F!!.� ti0. . 8200 �tumbnldt Avenue 8outls � �� ' FQLUEI� . �tootntn�to��, Mn. usa31 �1�-ea�-an�g PERMIT City of Eagan Permit Type:Building Permit Number:EA133235 Date Issued:09/29/2015 Permit Category:ePermit Site Address: 685 Hay Lake Rd N Lot:9 Block: 4 Addition: Overhill Farm 2nd PID:10-56151-04-090 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - 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 - Steven A Stemig 685 Hay Lake Rd N Eagan MN 55123 Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA148652 Date Issued:04/12/2018 Permit Category:ePermit Site Address: 685 Hay Lake Rd N Lot:9 Block: 4 Addition: Overhill Farm 2nd PID:10-56151-04-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven A Stemig 685 Hay Lake Rd N Eagan MN 55123 Capital Construction LLC 406 Gateway Blvd Burnsville MN 55337 (855) 766-3221 Applicant/Permitee: Signature Issued By: Signature Jun. 12. 2018 11 :21AM No. 0230 P. 2 For Office Use /AY) Permit#: ��t;✓y�� b14/1 E AGA N Permit Fee REC.' Date Received: l0 /et •- 3630 PILOT KNOB ROAD(EAGAN,MN 55122-1810 �/ I (851)875-5875 TDD:(651)454-8535 I FAX:(651)675-5694 JUN '( ?2 018 L Staff: bulidln inspectionst citvofeaaan,com • 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: idB 4%-.1 Y—e e411 Unit#: ,r':•;' .,;;,•• • Name: efeven S-R em i c,� Phone: td51. 1 b9 . W.15 ;;Resident! >:; -J City/ZI • Address/CI to 85 J N c,�y Lc A-t.. act P- • `` Applicant is: •Owner s-• Contractor r Description of work: 'r, t�,tt 1 c2..mp pt" o bl9r•t�4 r.)C ;r►•i r w ity.• d re,..,r, +i\e:. 14 •4^i• � TYRP af,VllortK At .4'/- c.r• CAccnSp�tx: ue,,cou.se; itna> Construction Cost: * q 13.8 Multi-Family Building:(Yes /No X ) Company: .A-rnF:ri u_.r'i WC,CtevuAJOV'C Contact J C01ift'etrt• ! Address: '61.1-GN Q.CA 1 i nb it L.N S- City: P c.-te T51L.r+c:.l ;;; ::'. ,,` .. State: MNZIp: b 3 Phone: 555b 1.753C.Y4 Email: wernat.1Ct;Orneeic:c n-wr.C,+e+r wYie-b :w" License#: .15C,361,3qc5 Lead Certificate#: h•-04T 10-10t0 S If the project is exempt from lead certification,please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING in the last 12 months,has the City of Eagan Issued a permit for a similar plan based on a master plan? Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: •'•NpTE:'Plans:end,supportinq documents that you,submit are maddened to be public•Mfonnal/on:••Portions of the infoimaton mey'bi e/ee6/Repl'de non publle If you provide apeelfle reasons'that worild permit fhe C/ty'to ienelude fhit they aro trade swats. • • • • You may subscribe to receive en electronic notification from the City of proposed ordinances by signing up for an small update on the City's website at wanv.citvofeaaan.com/subscribe, 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(551)464.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.aopheratateonecell.orq I hereby acknowledge that this Information Is complete and accurate;that the work will be In conformance with the ordinances and codes of the City of Eagan;that I understand this Is not a permit, but only an application for a permit,and work Is not to start without a permit;that the work will be In accordance with the approved plan In the case of work which requires a review and approval of plans. XA Wean, t �.Z�•p�cws� Applleant'a•PApplicant's Name 8 n tura Jun. 12. 2018 11 : 22AM No. 0230 P. 3 DO NOT WRITE BELOW THIS LINE CC g� i x(�/444 Lf / " NI % 9 SUB TYPES, Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family ` Garage — Porch(4-Season) _ Exterior Alteration(Multi) ^ Multi _ Deck _ Porch(ScreenlGazebolPergola) _ Miscellaneous _ 01 of—Flex r Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior improvement _ Siding _ Demolish Building= Addition _ Move Building — Reroof _ Demolish Interior 4 Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ` �j �-2 Occupancy `t/ MCES System Plan Review Code Edition vytesflo 1 C SAC Units (25%_100%tel,) Zoning City Water Census Code / Stories Booster Pump #of Units Square Feet PRV , #of Buildings Length Fire Suppression Required Type of Construction Yb Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O.Required Footings(Addition) - Final I No C.O.Required f Foundation Foundation Before Backlit! HVAC_Gas Service Test Gas Line Alr Test Roof:_Ice&Water _Final Pool:_Footings _Alr/Gas Tests _Final Framing 30 Minutes_1 Hour Drain Tile �� Fireplace:_Rough In Alr Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings Backfill Final Sheetrock Radon Control Fire Wails Fire Suppression:_Rough In__Final Braced Walls Erosion Control Shower Pan Other: — /I'� Reviewed By: v ,Building Inspector RESIDENTIAL FEES 1 Base Fee Surcharge Plan Review )^) y r MCES SAC 0,r‘ City SAC .1 011/1.19'1 1 Utility Connection Charge S&W Permit&Surcharge V Treatment Plant t I Copies 7 X,g I7 TOTAL Page 2 of 3