688 Hay Lake Rd N.. . ? , -.-r?*? . . . - . . w .s .?.: .. . . . . . ?,. CITY OF EAGAN ?•? ? ????3
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
" PHONE: 454-8100 '
BUILDING PERMIT Receipt#
To be used for SP DV''G/GAR Est vaiue $87?00U Date AUGUS`L' 20 19h 5
SiteAddress 58$ NO t'lAY LAK:: Ra Erect 14 Occupancy R3
Lot 11 Block 3 Sec/Sub. OVE:RHIIsL FARiX Remodel ? Zoning Pn
Parcel No. ZN D Repair ? Type of Const Ta
Addition ? No. Stories
C;RAtdD UAKS DEVF,L CO Move ? Length 58
Z Name Demolish ? Depth dA
3 Address 1881 SUNRISE CT Int impr. ? Sq. Ft
, o .?., n^-..
Name SAIME
Address
?Q
? W Name
z
? Z5 Address
< w City Phone
correct and agree to
itutes and City of Ea
with
?
- 5ignature of Permittee` 1J
'
A Buiiding Permit is issued to: GRAND
all work shaN be done +n accordance wiih a!l a
Builqing Official
Permit $ 394 . 00 ,
Surcharge 3 . 501
Plan Review aQ ?
SAC •
Water Conn. ??• 00,
Water Meter?
-
Raad llnit --T90• 00 .
Tr. PI. 135-6• 0 U
Date. I Copies ,2:t9;00 1
on the express condition that
an Ordinances.
PermH No. Psrmit Holtler Date TNephone #
PlwaWnq
I (v 1 L - 7
H.V.A.C. 92 F- E0, %7 I
EI&ctrlc C'-13 0•7 ?` tl9 c.? c_,
sonene?
InspecNon Date Insp. Commenb
Foodngsl
FooUngall
FoundaUon
Framing /
RooOng
Rouyh Plby.
Rouyh Htq.
ln.ul. r'?,?'•
Fireplaca
Final Htg.
Flnal Plbg-
Bldg. Final
Cert. Occ-
Deck Ftq. '
Deck Frmy.
Well
Pr. Dlap.
? - ----- - -' • MECHANICAL PERMff RECEIPT #
CITY OF EAGAN _
, 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: `
Site Address N, r-w ? t« P; r
Lot i i Block
m Name
?o Addre
c City _
? Name
c Addre
O CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
?
Res. New ,
Muit Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AtR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 19'o OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00) SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
, R PERMIT # ?
` ' • PLUMBING PERMIT RECEIPT #
CITY OF EAGAN r?•
. 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 154-8100
Slte Address ti C, N y L" l< ' -_ gLDG. TYPE WORK DESCRIPTION
Lot ? Block ? Sec/Sub
N . ? ? - Res. ? New X
m Name MuR Add-on
B Address Comm. Repair
c City: Phone ? Other
TOTAL
XTURE
Name J t?O. Fl
S
00 $
Water Closet - $3
`? -
c Address .
TBath Tubs - $3.00
p City = Phone y Lavatory - $3.00 ' '.
? Sh
$3
00 ?
ower -
.
s
?
Kitchen Sink - $3.00
FEES
F
N -r-Urinal/Bidet -$3.00 _
COMM/IND
EE - 1% OF CO
TRACT FEE
$1
I
S Laundry Tray -$3.00
0,00
IDENTIAL FEE _
M
NIMi1M - RE Floor Drains -$1.50 ?
1
MINIMUM - COMM/IND FEE _ 20,00 ?
Water Heater -$1.50
STATE SURCHARGE PER PERMIT _ .50
50 S/C IF PERMIT PRICE GOES
(ADD $ ?Whirlpool -$3.00 ?
.
BEYOND $1,000.00) Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10
00
j ?
?., --- + % --- - .
Private Disp. - $10.00
Rough Openings - $1.50
SIGMATURE OF PERMITTEE FEE: y 5
STATE S/C: '
GRAND TOTAL• `'i
'
FOR CITY OF EAGAN
CITY OF EAGAN
3830 Pilot K.tob Road
P. U. Bow 21199
Eagan, MN 55121
Zoninp:
Ownsr: G'z8r•6 r''•ai:s
Addrosx
SiM 1lddress: 6825 ::ort}i Bav
Vlurnbar. t'alIev P2uabin
't -2t .-F6 65819
SEWER SERVECE PERMIT
PERMIT NO.: c;•, DATE:
. No. of Units:
1 MM to eowplp wMb 11w Gh? oi yloe
OrdiMsaM.
By
Dote of Inns.:
?. 0. 0 1-'r4'
Connectton aoepe: r1'" .,6
ACaww+t DepOdf:
Permk Fm:
SurefwrOs; '' ya
Misc. Chwrpea:
Totol:
Doft Pold:
CITY OF EAGAN
3830 Pilot K,iob Rosd
P. O. Boy 21199
Eagan; MN 55121
Zor?inp:
Owner.
WATER SERVICE PERM14
PERMIT NO.:
DATE:
No. of Units:
i
Address:
$Ite Mdrcss:
Plun+ber.
Mater No.: Cor+necHon Chorw: = T'u
Size: Acwurit Deposit: --
- - -_ ?
Reader No,; Permit Fee:
1 pns h aas/hr wi1U 1w Cifp of Eoome Surcfiorye: - ?.
Misc. Chorpss: TY'
By
Date of Insp.:
, .. . -. . ._.-.;
Totol: t ? fl,°'{ _
Dote PoM:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 7931
P. O. Box 21199 , . PERMIT NO.: -
Eagan. MN 65121' DATE: 9-18-86
Zonirg: . No. of Units: 1
Owner;
Addrsss: Sift /ddre= 6°o ivo Ln nay Lake R a T l 1 gI (kierhi 11 Falm 7T_
Plwmber. Valley. PlJIMb?*+g
Me+r No: 3 ?ct!on Chm"; 500 _ Oo Pd
Size: /8'' o" K Acoo,xnt peposit: 15.OOnd
Remaa.r No,: a Pe.,nit Fee: io . OOFd
1 qm ee oemph? viub tM CN? of Vww Surd?aroe:
? M?? Charom 156.00nd 'I'?
Totol: 63.50?d ?ata?r
gy Mv--,? DoM iqid:
Dnta of InsD.: I^sp.'
RESIDENTIAL
BUILDING PERMIT APPLICATION
? ? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
657-681-4675
New Conatruction ReauiremeMS RemodeUReoair ReauirameMS \
• 3 registered site surveys sYwwing sq. R. of IoC sq. ft. of house; and all rooted areas . 2 copies of plan
(20%mazimum lol coverage allowed) • 1 set of Enatgy Calculations for heated additiois
• 2 copies of plan showing beam & windax sizes; poured found design, elc.) • 1 site survey for extenor addifions & decks
• 1 set of Energy Calculatbns . IiWaate i( hane sened by septic system kr additions
. 3 copies of Tree Preservation Plan If lot platled aRer 711l93
. Rim Joisl Detad Options selection sheet (bidgs with 3 or less units)
DATE + 2/?? o !
JOB SITE ADDRESS N44
If MULTI-FAMILY BUILDING, HOW MANY 'UINITS? _
PROPERTY OWNER
TYPE OF WORK
APPLICANT
ADDRESS
PAGER # CELL PHONE #
VALUATION _
„A,. <>?- /z
5"1-/23
FIREPLACE(S) _ D ?1 _ 2 ?'-
_ PHONE# 5fz- X?6 -?"s? dyr-f 2°z
ZIPCODE !5_?173
FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RiJLFS 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
Plumbing System Includes: Water Softener Iacvn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orc
Signature of Applicant _
Air Conditioning
Heat Recovery System
Phone #
Fee: $70.00
Phone`# , ?a I S !1 ??1 ` I
Yo comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex X 19 Lowe Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg?or_ N ? 25 Miscellaneous
? 31 New x 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replaceme nt *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation c_
0
Occupancy
6E-3 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 U'(? Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addirion) Plumbing
_ Foundakon ? HVAC
Drain Tile
Roof
Ice & Water
Final Other
?
_
_
Framing
Fire
lac
KR
I
Au T
k
k Fi -
- - -
Pool Ftgs Air/Gas Tests Final
p
e
.
.
est
_
nal Siding Stucco Stone
_
? Insulahon _ Windows (new/replacement)
?
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Bl'iS £ m V?T
f/,4 G ?14-r7 Total
CITY OF EAGAN
- 12483
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN s5 2, Np
BUILDING PERMIT PHONE:454-8100 Receipt u-q
Tobeusedior SF DWG/GAR Est.Value $87.000 Date AUGUST 20 ,1986
SiteAddress 68$ NO HAY LAKE RD Erect ? Occupancy R3
Loc 11 eiock 3 Secisub. OVERHILL FARM Remodel ? zonin9 pn
Parcel No 2ND Repair ? Type of Const Vn-
Addition ? No. Stories
? Name GRAND OAKS DEVEL CO Move ? Lengih 58
; Address 1881 SUNRISE CT Demolish ? Depth 48
° ?i Int Impr. ? Sq. Ft.
Ty EAGAN Phone 452-8934 install ?
a SAME aoorovals Fees
o Name
00 ¢ Address
? Ciry Phone
x
W
Name
F
?o Address
a W City Phone
Assessment _
water & Sew.
Police -
Fire
Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 8/11/86
information is correct and agree to comply with all applicable State of
Minnesota SWtutes and Qty of Eapqn prdinances. APC
Signature of Permitteof f L&&!?E I f
A Building Permit is issued to. GRAND
all work shall be done in accordance with all i
Building Official
var.
Permit 9 -7 7 Y. V U
Surcharge 43.50
Plan Review 197 . 00
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63 . 50
Road Unit 290.00
Tr. PI. 156 . 00
Copies--,, '1. 0 0
Total
VA CO on the express condition that
of MinnespK'Smtytes and City of Eagan Ordinances.
<p
This reQUest void ?/79/??
18 months (rom . P'
?C-4A3075?--„, rl3
U. "I'V1
5' ec, c»erh? l\ Fcz_?-?•-., ?nd? ?? CC
R uest 1]ate
-?s -g Pire No. RouPh-m Insper.tion
Peq iretl?
?
?NOatlv NuwWill Noidy Insoec-
?
?or Wh
R
Yes ?NO en
eatly
-V?Lcensed Electncal ConVactor 1 hereby request inapection of abova
? Owner _ elechical work inslalietl ai.
Street AdCress, Boa or Rout Na, C?t
ecUOn o. Township Name or o. anBe No. Counry
O ant(PRINT)
0- ' ?) V-:s Ph No.
';k `F 3
r Suppber AAdress
ctrical Contracmr I any Na l ?? CuMr;??or' L?cense No,
l 19
hYailm AtlJress ICon(r°actor o Owner Makmg Ing[aila[wnl xr
I ??3? U
onl
AuNorize Sienature IConV?ctor/Ow?? r?"% kmg Installa[L
hone mber
-s`I ? ? Cl
MINNESOTA STpTE BOARD OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOT
GrigBa-Midwey 91tlg. - floom N•191 BE ACGEPTED BY THE STATE BOAflD
1821 Umvers.ty Ave., SL Peol, MN 55106 UNIESS PNOVER INSPECTION FEE IS
PFnnw 16121 2972117 ENClO5ED.
9/,)REQUEST FOR ELECTRICAL INSPECTION ea?wooi-oa
See instruchons for complelirq thi5 fmm on patk oi VbllOw coov.
"K"Below Work Covered by 7his Request
?43075
FAtl Pep. Type of Bmlemg Aooliancea WiraA Equipmenl WveA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Bmldfng Dryer Electnc HeaUn
Commercial Bldy. Furnace Silo UnloBder
Industrial Bldg. Air Corxlitioner Bulk Milk Tank
Parm m«r vei, v m.:, isnt,ivi
t er ueci(y Other Omcr
ompute Inspection Fee Be/ow
k Fea Service EMraneaSrsa k Fee Fanders/Subfeeders b Fea Gircwty
0 to 200 Amps 0 to 30 qm s 0 tn 30 An, s
Above 200 qm 's 31 to 100 Amps 31 to 700 A s
Swimmmg Pool Above 700_Amps Above 100_AmPS
iransiormers Irri ation Fborces Pertial-'Other Pee
Signs Special inspection
TOTA
F
--
Aemarks L.
EE
Roueh-m /
/
Final Da[e
C)7 ?phe Electncxl
Inspector, heroby
certdV that the abave
oecUOn hes baen
ade.
tlns request voiE 18 montln Iram
RESIDENTIAL BUILDING
• Permit Application ?
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWc6on Reouirements RemodeVReoair Reouiremenis OKce Use Onlv
3 registe2d sRe surveys shawirg sq f1, ol lot sq. fl. W house; aiM aN roaFed areas 2 copies ot pWn _ Cert of Survey Recd
(20% maximum lat coverage allowed) 1 set of Eneyy CalcuWtions for hmted addi6on5 Tree Pres Plan Recd
2 copes of plan showmg beam fl window sizes; poured faund design, eta 1 sRe survey for additians 8 decks Trce Pres Not Reqd
1 sel ot Eneryy Calcuktions Adddion - indicate 6arsife sepfk system _ On-sAe Sep6c System
3 copies of Tree Preservation Plan if lal platted after 711193
Rim Joist Detail Optlons selection sheet (bldgs wiN 3 or less unifs
Date?( / ?/ Con truction Cost
Site Address -G
??
(
niUSte # .
U
?A??d? 'PAIJ
?
-
-??--I-r J
?
6
/
Description of Work7 r ,
Multi-Family Bldg _ Y>/ N
c Fireplace(s) ? 0 _ 1 _ 2
Property Owner Telephvne # (4?SI)
Contractor 7`
Address-Q E City M? wP OT b^l '
State 0-1 . 7ip? Telephone #(?'j
?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Eneryy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Telephone # (
Telephone # (
Sewer/WaterContractor Telephone#( , -
r
•q,
2
I hereby apply for a Residential Building Permit and acknowledge that the information is comple e and acc ate;
that the work will be in conformance with the ordinances and codes of the City of ?agan=artd--ihe=St - IvIN
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.
kll, ar Qa -e q c n1 a, n)
2t?Uw-
Applicant's Pnnted ame ApplicanYs Signat e
OFF[CE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - MuIG
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgaze6o) ? 36 Multi Misc.
? 05 03-plex ? 11 1 D-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y a_ N ? 25 Miscellane0us
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement 'DemWition (Entire Bldg) - 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
REQIIIRED INSPECTIONS
_ Footings (new bldg) ` FinaVC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) L
_ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Shtcco Stoue
_ Fireplace _ R.I. _ Air Test Final Windows (new/replacement)
_ Insulation _
_
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review MC/ES SAC
City SAC
Utility Connection Charge
S&W Perm'rt & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
Building Inspector
. • ?? ? ?? ?y?i l ? ?? ?r"3
3?, w
. 1986 BDILDIHG PEOM APPLICATIOH - CITY OF EAGAN
NOYE: ALL CANTRACfORS MOST B& LICBNSSD IiITH THE CITY OF EAGAN
SIAGLE FA14ELY DAELLINGS
INCLUDE 2 SETS OF PLANSv 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DTiSLLIHGS - HESIDS9TIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
EENTAL 09ITS FDR SALE DNITS
OF SDRVEY - CHECB i1ITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
Mx
To Be Used For: Valuation: ?
?
Site Address
Lot 1?1- Bloek 3
Parcel/Sub
Owner
Address
City/Zip Code
Aemodel _
Repair _
Addition ?
Move _
Demolish `
Int.Impr. _
Install _
C,
Date:
Oecupaney ?f?
Zoning
Type of Const
4 of Stories
Length ?
Depth
Sq Ft
Phone APPHOOAL4 FEES
Contractor Assessments Permit "'05!_ -
Water/Sewer Surcharge
Address Police Plan Review 197
Fire SAC 575_
City/Zip Code Engr Water Conn ,
Phone 93 Planner
Council Water Meter
Road Unit ?
G
29b
-? Bldg Off ll Treatment P1
Mch./Engr. APC Parks
Variance Copies
Address TOTAL 22
City/Zip Code
Phone #
Erect 'K
NOTE: ADDHESSES FOR CORNEB LOTS - CONTRACTOR/HOMEOfiNEB HUST DE3IG8ATE NHICH ADDRESS
IS DFSIRED. HO CHANGFS LiII.L HE 9LLOTiED ONCE BUILDING PERMIT IS ISSOED.
Ek7E"Fi1OF: EhIVE_LDPF aVFRraG;E 'Ll' CCiI°IF'L1Tra"fIOtxl
GRFahit_> l]F1;:.;3 liEcVEe.L.C]f='IWf..NT C0MF'ANY
I'ICOI=.L J F1Rk?61 LJ VALIJE I..f X AFiEA
IWr`iX I I°1UM AL.L.UWEi7 Ei'r COI)E
TC]T'nl_ WAI_I_ AI;EA 2294 .11
l CI fF1L RCY[?F FlREcd-1 45::' .026
TC)'f l.}L F}L_I_ Obill=li
Ai:H] f-+.'EI)
!,9Ai.l_ AF:Fi'i
Wl: IJt)UWS
IiUI]F' i
SI_ Ii1F= GL_Fi35
f-1. F:E.PI..+ll: f=
WAl.l, F1-'(-71•IE F-tiik:H
I<TI'I ,71113-i
FIJIJIJI7 r1FaDVf: !_;hiADl=
NE=l' 6Je1L.l.. AFiE:'A
f OTAl. WALL
I-:OOF Fd'iEr;
!>4:YL]"I'f:
f:CIOF F'1±r+hll::
IdE. C I'tCrot-
? n' ':; 4
I :-';
?.?
V l y:"'
.._... .S 11'1
xbti .077 3.Q-4
3V .48 18.72
30 .,_'ci 7.`-
0'":9.4 .041 9.4054
121 .0436 5.4064
+:tFd . E,769 6.4596
1.':';.'_15„ E, .0378 57. 6Ealf,'ti
.1:'. +5' i
t,> C> 0
4..-,. :: . n:;^ ;, CU46A
816.8 .02::1 19.44936)
i l'.'t'f fiL. 1=iClC:)F, ?i?. 49576
TL"11'r'dL FaG11:[EVE:I) 241.7348
t9HR(_ tIV 7 N F:XCEFiS Of=' (:;OPI: 35.35716
"/. I°IAFi('=11'd :[N FXCESS 12.76000
K
?
?
ClTY OF EAGAN
APPLlCATION FOR PERMPT
SEWER AND/OR WATER CONfdECTtON
* 1f'R'A'1T4Yy`XY'1A`XA'1YR'FRREiSZAA'XRltll'A?'hy(?
?*lOTS: PAYMUFi` OF k'EE AT TIb1E pP
* nrPLscATaorr noFS cxrr cowm=
; AerxMrAr, oF rERMIT.
INsrEMoN oF sEWEx nrm/ox vxATER
INS?ATTONs wua. NOr M scHEu-
UI,ID i]NPII', PERMIT HAS BEIId
APPRqVP7). ,
P ease Print
1) PROPERTY ADDRESS: -
LEGAL DESCRSPTION:
IF EXISTING STRL'CiL'RE, DATE OF ORIGINAS. BL?ILDING PERAIIT ISSL'ANCE: . ?
?
(Mon Year
PRESENT 7pNING/PROPOSED L'SE:
q corMMcuw/VMAIL/oFFxcE
r7 IDIDC'STRIAL
n INSTIRUTIO',VAL/GOVERNNMENT
2)
• ? ?'
P,DDRESS:
CITY, STATE, ZIP:
PHONE:
-lpQ.
? R-1 SINGLE FAMILY
q R-2 DCPLEX (1tYo Lfiits)
? R-3 70WNHOT-ISE (Three + Units ) ( Lnits )
? R-4 APARTMENT/CONIDOMINILTI (. Units)
3) u i: a•
NAME:
, ADDRESS:
? CITY, STATE, 22P:
PHONE:
MASTER LZ(ENSE# o?Id 7 iYL ?
? Active
Expired
Not recorded
Staff in1t1a1
4) e_?suVASrTe ? i?•
NA?E:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
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C'ONNE(.Z'SON 1t?' CITY SEWE2 CONNECTION T1? CIfiY WATER m OTF3ER
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6) ? v- a i• Q PLEASE HOLD APPROVED PER141IT EC1R PICK-UP BY ONE OF A&OVE '-----
PLEASE MAIL APPROVM PERMIT To 1, 2, 4, AEpVE .
{Circl one) (y /
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FOR ClTY USE ONLY
PERMIT # ISSUED
7T? / ---f
Pd w/Bldg. Permit
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s
FEES:
$ /d - S-11D
$ ?
P
SEWER PERMIT (INCLt'DE SCRCHARGE)
WATER PERMIT (INCLDDE SORCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ 15,O O $ ACCOONT DEPOSIT - SEWER
$ /S-,O O $ ACCOONT DEPOSIT - WATER
$ '7 C? • C? C? $ . WAC
$ 76 'ol? $ SAC
$ $. TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BEN°FIT/TR('NK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 13 a 7" S? $ c:;71. 0-6 TOTAL`
?olva37
RECEIPT RECEIPT
bOES UTILITY CONNEC TION REQLZRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHI[V PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIST ISSUED BY THE ENGINEERING
. AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY;'
,
TITLE:
DATE :
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HEAT IOSS CALGULATIO
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CITY OF EAGAN ?
3830 PILOT KNOB RD - 55122
651-881-4675
New Construction Requirements
? 3 registered sMe surveys showing sq. ft. of lot, sq. ff. of house
and all roofed areos (20% maximum lof coveraae allowed)
? 2 copies ot plans (show beam 8 w(ndow sizes; poured fnd. destgn; etc.)
? 1 set of energy calculations
? 3 copies of free preservation plan M lot plaMed atter 7/1 /93
? Rim Joist Detail Optlons selectlon sheet (butldinas with 3 or lesz units)
Remodel/Reaair Requirements
2 copies of plan
1 sal of energy calculations for heated addNions
1 sife survey for exlerlor addRions 3 decks
DATE: b t) _ 6A J?? L-07"CONSTRUCTION COST:
ifmuNi•familybldg.,howmanyunits?
DESCRIPTION OF WORK: /A1574L(. Der-G+N~4a)
STREET ADDRESS:
PROPERTY
OWNER
Name:?? ?? ee')-l Phone #:
Street
City
lIaLLO Company: Phone#: 9S2
(area code)
CONTRACTOR
SheetAddress: --,? 1) I? LC-NfiIC, C0?? ucense# 39 D? exp. 3?a aa/
Clty '/j ecd???r State: Zip: fs'by f
ARCHRECi/
ENGINEER Company: Name:
Telephone M: (
Regishafion #:
CHy
State:
Sewerlwater licensed plumber (if installino sewerlwater): Phone #:
Zip:
I hereby acknowledge that I have read this application, state that the fnformation is correct, and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance
Signcture of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No i-_ _-- --
, . ?
Tree Preservation Plan Received _ Yes _ No _ Not Required '' - .-
1%'0 V 1 ? 2C',?
I ?Fr.
BLOCK: 13_ SUBD./P.I.D #: OVeI'hill Farm 24
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
??iaw State: 14? Zip:
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
O 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
VALUATION
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
O 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
O 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
? 37 Demolish (Bidg)• ? 44 Siding
? 38 Demolish (Interior)
` Demolition (Entire Bidg only) permit - Give PCA handout to applicant
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
INSPECTIONS REQUIRED
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OB-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Pibg_Y or _ N
_ Foorings: New Bldg
_ Footings: Deck
_ Footings: Addition
Founda[ion
_ Framing
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppiy & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
_ Insulation
_ FinaVC.O.
_ FinaUNo C.O.
F'veplace: _ z.i.
Pool: _ frgs
Building
au test Final
air/gas tests _ fmal
Engineering
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Windows - new/reptacement
_ Siding
_ Stucco/Stone
Roof: ice & water fmal
Variance
SURVEYOR'S CER1
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(f?L?NISED?.
?]WN WERE TAKEN FROM
FOR OVERHILL FARP1
PREPARED_ BY MINNESOTA
INC., LAST DATED
f'ROJECT NO.
86808
FILE NO.
' FOLDER
800K / PA(3E
JAMES R. H1LL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
Blootnington, Mn. 65431 812-884-3029
GRAND OAKS UEVELOPMEN'F C0.
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-?-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
0 UENOTES IRON MONUMENT FOUND
.K000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED EIEVATION
O?Cx 2U
o?4a??`? / h? 0
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C 94K 10)
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SCALE: 1 INCH = so FEET
PROPOS[D GARAGE FLOOR = 936.3 FEET
PROPOSED LOWES7 FLOOR = M'6 FEET
PROPOSED TOP Of
aLOCK °
J36•? EET
F
I HERE6Y CERTIFY TO GRAND ORKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE [30UNUARIES OF:
Lot 11, Block 3, OVERHILL FARh; SECOPlD ADCITIOfl, according to the
recorded plat thereof, Dakota County, Minnesota. (THIS IEGAL
DESCRIPTION WILL BECOME VALID UPON FILING TNE PLAT OF OVERNiLL
F/1RM SECOND ADDITION.)
NOTE: GRADES SH
THE 6RADING PLAN
SECOND ADDITION,
VALLEY SURVEYORS
MARCN 28, 1986.
AND Of TIiE LOCATION OF A PROPOSED 6UIlDING. IT DOES NOT PURPORT TO SIIOW IMPROVEMENTS.
OR ENCROACIIMFNTS, IF ANY,'TIiEREON. AS SURVEYED BY ME, OR UNDER P1Y UIRECT SUPERVISION,
THIS //t? DAY OF uly , 194'. '
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IFtCATE
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SIGNED: JAME R. HILL, INC. ?
/
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4Y:
li ROLD C. PE7ERSON, LAND SURVEYOR
DIINNESOTA LICENSE N0. 12294
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hROJECT NO. BOOK / PA(3E JqMES R. HILL, INC.
aEBOa Planners / Engineers / Surveyors
FlLE NO. 8200 Humboldt Avenue South
' FO L D E R BfooFnington, Mn. 65431 612-884-3029
EYOR
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OP
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CER'i
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ICAT
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GRANO OAKS DEVELOPMENC C0.
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•-- DENOTES PROPOSED SURFACE DRAINAGE
SCALE: 1 INCIi =
ao
fEET
O
• DENOTES
UENOTES IRON MONUMENT SET
IRON MONUMENT FOUND PROPOSED GARAGE FLOOR a 936,3 FEET
POSED TOPEOF BLOCK = 936
7 FEET
(000.0) DENOTES PROPOSED ELEVATION PRO .
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SIJRVEY OF THE BOUNUARIES OF:
Lot 11, Block 3, OVERHILL FARM. SECOPJD ADCITIOPi, according to the
recorded plat thereof, Dakota County, Minnesota. (THIS LEGAL
DESCRIPTION WILL BECOME VALID UPON FILING THE PLAT OF OVERHILL
FARM SECOND ADDITION.)
°??1?
AND OF 71iE LOCATION OF A PROPOSED IiUILDING. IT DOES NOT PURPORT TO SIIOW IMPROVEMEN7S.
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER P7Y DIRECT SUPERVISION,
THIS ?/'?' DAY OF z7'u /y , 198(?•
THE GRADING PLA?? FOR OUERHILL FARP1
NOTE: GRADES SHOWN WERE TAKEN FROM SIGNED:? R. ;PETERSON, INC.
SECOND ADDITION, PREPARED_ BY MINNESOTA
VALLEY SURVEYORS IWC., LAST DATED ? p?MARCH 28, 1986. ' 8Y: {?fi H ROLD C. LAND SURVEYOR
• PIINNESOTA LICENSE N0: 12294
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126131
Date Issued:08/14/2014
Permit Category:ePermit
Site Address: 688 Hay Lake Rd N
Lot:11 Block: 3 Addition: Overhill Farm 2nd
PID:10-56151-03-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Joan Ciesler
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 -
Kenneth Hirte
688 Hay Lake Rd N
Eagan MN 55123
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(651) 430-1388
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126132
Date Issued:08/14/2014
Permit Category:ePermit
Site Address: 688 Hay Lake Rd N
Lot:11 Block: 3 Addition: Overhill Farm 2nd
PID:10-56151-03-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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: 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 -
Kenneth Hirte
688 Hay Lake Rd N
Eagan MN 55123
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(651) 430-1388
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146734
Date Issued:11/09/2017
Permit Category:ePermit
Site Address: 688 Hay Lake Rd N
Lot:11 Block: 3 Addition: Overhill Farm 2nd
PID:10-56151-03-110
Use:
Description:
Sub Type:Reroof & Siding
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 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: 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 -
Kenneth Hirte
Po Box 2331
Monterey CA 93942
(651) 431-8854
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature