The URL can be used to link to this page

689 Hay Lake Rd N. . . . . . . . r i.- . ,. . _ . . CITY OF EAGAN ??? ? 12443 3?30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 _ PHONE: 454-8100 BUILDING PERMIT ? Receipt # To be used tor SF• 13WG/GAR Est Value $61 ,UOC Date Fstst"+US'1' 13 19 86 SiteAddress 689 N0 Hi1Y LAKZ: qD Erect 9 Occupancy R3 Lot P- Block 4 Sec/Sub. OVERHILL FARM Remodel ? Zoning pfl Parcel No. 2fi1p Repair ? Type of Const U.p Addition ? No. Stories a Name GRAND OAKS JEVI?L CO Move ? l.ength 44 = 1881 SUNQI$$ CT Demolish ? Depth dA o Address Int Impr. ? Sq. Ft city EAGAId Phone 452-8934 Instan ? Assessment Water & Sew. Police Fire Planner 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. Signature of Permittee ' GRA?11P clAWf; IZH`V?'•'f. 01 A 8uilding Permit is issued to: ? all work shall be done in accordance with all Building Official ot Bldg. Off. 0/' tt/ uc APC Var. Date Permit 9 jA° • w Surcharge 30 . SO Plan Review 158.00 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290. U u Tr. PI. 156.00 Copies Total ? ? ` • 0 ? on the express condition that Statutes and City of Eagan Ordinances. -7 1 ? Psrmk Na PermN HWdar Date TNsphone N Plue+wng ? S,?8 d ? H.V.A.C. electric 942 9 6 sonene? InspecUon Dsh Imp- Commenb FooHnpsl ? FooUnysll FoundaUon Framing Roofnq Ra,yh wbg. Rouph Ht9• Insul. 9 (?J Finplacs FMaI Htp. FNuI Plby. Ndy. Finat i ? cwt Oec. Deck Fty. Deck Frmq. Wdl Pr. Dlsp. I . y,# , CONTRACT PRICE Site Address -?I Lot Block y Name ? Addre c City _ MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, ounue. wu_04nn - c rvame Address 3 o city. Phone TYPE OF WORK Forced Air ? M BTU Boiler . M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping OuUets # ? Other FEE S/C: TOTAL• PERMIT # RECEIPT # MN 55121 DATE: 't?. / BLDG. TYPE WORK DESCRIP110N ' Res. New x Mult Add-on - Comm. Repair ' Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU GAS OUTLETS COMM/IND FEE - 136 OF CONTRACT FEE - 6.00 - 1•50 EA. MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 y (ADD $.50 S/C IF PERMIT PRICE GOES ? BEYOND $1,000.00) , - SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN J . I Site Address ?] I LotS - Block PERMIT # PLUMBING PERMIT RECEIPT # GTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ PHONE: 454-8100 a? ? Name c L -: ? Address ? ? C ? y'? ?F ? c City Phone ? Name S 3 Address O CitY -? FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMJM - RESIOENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? SIGNATURE Res. 'N M ult Comm. ? Other - $10.00 - 20.00 - .50 FOR: CITY OF EACaAN v WORK DESCRIPTION New Add-on Repair FIXTURES TOTA? r Closet - $3.00 Tubs - $3.00 -- ' ? ' ?ory - $3•00 G ver - $3•00 71" c en Sink - $3.00 3 • ? d/Bidet - $3.00 dry Tray - $3.00 Drains - $1.50 r Heater - $1.50 ? pool - $3.00 'iping Outlets - $1.50 , _ovnaner - $5.00 _Well - $10.00 _Private Disp. - $10.00 _Rough Openings - $1.50 FEE ? 3 3 L` STATE S/C: GRAND TOTAL• ? . ? ,' ? - CITY OF EAGAN 3830 Pilot Knob Road • - + Eagan, Minnesota 55123 (612) 681-4675 ON RECORD PERMIT TYPE: Permit Number: Date Issued: t; (i i t?? 0.1 .i _s 1 ?1 ' SITE ADDRESS: f,f l. 6 t, I r.?r. r. I . 1111) r 1 h r t k!, N I! f 11krn1 .. hff.) PERMIT SUBTYPE: , . I 11 ,11I 1 tJr, 11 i fllf ? 'OAPKSt ::[f'AftliiE t i r1 TFt1I.II1 fA 11la3'1 Ri t]itlf?F. APPLICANT: TYPE OF WORK: t N 1:t 1 Ri I -1 Permit No. Permit Holder Date Telephone 8 SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing •z?-?? ? % ivvS- 3 ' rl?$'Gd1'p -! Roofing Rough Pibg. Rough Htg. IsuL . ? ? Fireplace Final Htg. Orsat Tesl Frnai Pfbg. Plbg. Inspector - Notiy Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. - 3830 Pilot Krab Road 0?yh P. O. Box 2" 199 PERM?T NO.: ? ? Eagan, Mhi 55121 DATE: y? ? ?rg; F... No. of Units: Ownsr. /lddrcss: Sits Mdi Piumber. 1 MM to sonoly wllU fw CIIY oF iews Orriwwnas. By Dote of Insp.: WEEN No.: *e ee.py wilb ow City .f Ep.¦ COnnlCtiOf1 CfOfoo: ? Ao00un4 DepOSiY: _ ? . . :.? Permit Fee: ? Surcharps: ' Misc. Chorpea: ;, . Totol: - ' Dote Paid: Inrp.: It? CIT?' OF ?AGAN WATU SERM PMR 3&. Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DNTE: irg: . ` No. of Units: ? ress: /1ddress: ?av %).:J :'o -54 ern 7sr`m _ ' - umber: .,!r, b in s: r No.: p: „ . ze: t der No.: /1/ S5 p ?Uws ?yt1 I .. t, p 6- iLir- Igg S1 . ? D qeN !o eawply vio !M Gfy ?? 9 ? ? . 00pd ?. id: metel ?Pa e of Irap.: Inv.: TY OF EAGAN 30 Pilot Knob Road 0. Box 2 .199 igan, MN 55121 Cor+nKtion CJ+oye: 47 -). C, /leaount Deposir. 15. 0013d P.mdt FM: Surdwrpc 1- M1sc. Charpes: To1nl: DoM Pa{d: WATER SERVICE PERMfT PERMIT NO.: D/?TE: . No. of Units: - - t;ran,l {ty'iu CITY OF EAGAN ND 12449 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT • Receiptq To be used for SF.DWG/GAR Est. Value $ 61 ,000 pa1e AUGUST 13 ly 86 SiteAddress 689 NO HAY LAKE RD Erect ? Occupancy R3 Lot $ Block 4 Sec/Sub. OVERHILL FARM Remodel ? Zoning pn Parcel No. ZND Repair ? Type oi Const. Vn Addition ? NO Stories ¢ Name GRAND OAKS DEVEL CO Move ? Length 44 z 1881 SUNRISE CT Demoiish ? Depm4?Q o Address Int Impr. ? Sq. Ft Ciry EAGAN phone 452-8934 Install ? a 0 z? UQ a . Gw F W z5 U W2 Q Name SAME Address City Phone Name Atldress City Phone Assessment Water & Sew. Police - Fire Eng. Planner- Councd- Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 8?11/86 information is correct antl agree to comply with all applicable State of Minnesofa Statutes and Cit of Eagan O di?` jnces. t?Ai.,?/h lQ?-t? Signature ol Permittee-i?(?-//t APC Var. Date Permit $ 316.00 Surcharge 30.50 Plan Review 158. 00 SAC 575.00 Water Conn. 5 0 0. 0 0 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies r,,.,,, 2, 0 9.00 A Building Permit is issued to, on the express condition that all work shall be done in accordance with all applicable te o( Minne?so/Ea Statutes and City of Eagan Ordinances. Building Oniclal 4?1--G???? A, ?a??ys- n9 0 REQUEST FOR ELECTRICAL INSPECTION ? See mshuchons for completing Ihis form on back ot yellow copy "X" Below Work Covered by This Request .a5- ='Ar` EB-00001-08 e Atlo H ep. TypeofBwlding AppliancesWired EqmpmentWired Home Range Temporary Service Duplex Water Heater Electnc HeaM1n Apt Bwlding Dryer Load Managemem Comm.llndustrial Furnace Other (SpeaN) Farm Air Conditioner qher (specdy) Contrector§ Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntrence 5ize Fee # QrwFeeders Fee Swimming Pool 0 to 200 Amps o ta ?00 Amps Translormers Above 200 _ Amps Ahove 100 _ Amps SignS inspectors Use Only. 70TAL [? Irrigation Booms ?` Speciallnspeclion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oaie f certify that the above inspection has been made. F,nai ? • - OFFICE USE ONLY This reques[ voitl 18 monihs fro. V nZ y? 9 9 0L 8, 86m"t" ReQ Flre No flaugh-in InspBCbon Reqmred' ? Ves G No NOTICE: Vou Must Call Electnwl Inspeclor It A Rough-In InspecUOn Is Reqwretl. I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Slreat, Box or Rou[e No Qly SecUOn N. iownship Name orNO Range N. Occupant(PRINT) •? ? Pno e No ?? Power Suppher Atldress EI tncnl Con[ractor (COmpacy ame ConV cla5 Lwense No Matling Atldreas (COntract or O er Making Installation) ? e re w e zetl Sign?u Co ract1 ' IO akm Ins M1 =- MINNESOTA STATE BOARU OF ELECTHICITY mj 5C• yv ? r? /lC? S THIS INSPECTION REQUEST WRL NOT Grigge-Mltlway Bltlg. - Floom S113 - J? J BE ACCEPTED BV THE STATE BOARD S ItQT7 ?n UNLE55 PFOPER INSPECTION FEE IS 1821 Univeraity Ave., St. Paul, MN 55104 TY% +?I. Phone (612) 642-0800 ENCIOSED Th,s request void c) ?, /7 18 months fmm . ? W`305 O L- 4'r lb F-! ?ec , O ? e?r ?? l; Fo.t ? an ?" ?/? GO Reque t Date Fire No. Rou peqPh-,n Insper,bon ? mreA? Beatly Null Notily Insper. 254.1 ?No tor When Ready 'I Df-Licensed Electncal ConVactor 1 hereby requestins0ecbon of ebove 0 Owner eiectrical work installed et: Sireet ACdress. Bon or Route No \ % \l . [? , II/ 1 I`?1 C i `_ ectmn o. Township Name or No. RanBe No. Counry . c upan[ (PHI T) 11 ?6 Phone No. n ? 4??-v wer SuoPlier Lor- A AdGress ? J L e ncal Conbactor IC any Ne?e) T\ Confractor's L¢ense No. ?.t,- ? ` I?_ 0? l 9 s?3 MadinB dJress IContractor or Owner Making Instailationl ? ? Lo GU l3 5 37 Amhor¢ed i 5Wre (Conu ctoJOw Jv1a Installationl Phone Number s? 890- 6 . ' MINNESOTq STpTE BOARD OF ELECT111CITV THIS INSPECTION REQUEST WILL NOT Gri09s-Midwey 81d9. - Aoom N•791 BE ACCEPTED BV THE STATE eOAPD 1821 Universi[y Ave., St Peul, MN 65104 UNLESS PNOPEN INSPECTION FEE IS >Annw 16121 297-2111 ENCLOSEO. 9??qNEQUEST FOR ELECTRICAL INSPECTION Ee-oocxn-oa ' Sea instrucbons for complehng this farm on back ot Vellow cooY. L ?c? 96'7 ?°' am ns n "x" eeloW Work Covered bv This Request Tie4HAdj Xep.I TVPe of Buiidmg I AoDbancea Wired I EquiVment Wired I ice Mi N Fee ServiceEntrenceSixe N Fee Fextlers/5ubfaeders # FPe C?rctiite ? Oro200qm s Oto30Am s Oc0 30Am s Above 200 qmps 31 to 100 Ainps 31 to 100 R s Swimming Pool Above 100_Amp5 Above 700_AmPs Transtormer5 Irrigation [bortis Perual.'Other Fee LJ. I Signs I I ISpecial Inspectro--? n ?5 Nemarks (? ? TOTAL F f) ? 7{ I the Elactnoal . ? InsPector. ?eroby ^arbty Ihet the above Fina? ?7, e ?nspeection has bean ? ? ew mmreduestvoi0 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION ? ?QI CITY OF EAGAN V' 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dweliings. oate (o I I Lli I 05 Site Street Address )0'?hq tJ Uny 1-G&V-?'e Ad Unit # PropertyOwner _?bY\CAld Tte-GA Telephone# ( 651)452 50?3Z- H.P. PIPEWORKS Contractor 3670 DODD ROAD Telephone # (( ) Address ? qe-') Ciry State Zip The Applicant is: _ Owner V Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heate r--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: WaterSoftener ? WaterHeater $ 15.00 _ new , replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total g ?S,S0 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ?AthN 4e.u ApplicanYs Printed ame I l? ?A? Applical9ti's 5ig`nature ; A?r. <> G °WC5 ? ? 'L So S?- ?.qa(eS 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dweliings & mwnhomes/condos when permits are required for each unit Date ? / (? / ?L Site Address 4:7 sA ? a ? kd , ) Unit # Property Owner IJ (3'y1 G U ?^,1Q9 Telephone # ( ?.S 1) Contractor Street Addres??4101NEST LAKE STREET , State (112'824'2656 Zip Ci?, Telephone # ( ) Bond #: Expires: The Applicant is _ Owner Contracror _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional X"Replacement air exchanger airconditioner _New _Replacement other State Surcharge $ 50 Tote, s 0.50 I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without 1,?at the work r'ir accordance with the approv plan in the case of work w quires a review an approval of pl s. J ? m?? lrzi? ?? Applicant's Printed Name Applicant's Si ?') s ?il i? r? LI?? MAY X 9 2005 IU L 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc commerciaUindustrial buildings mul[i-family buildings when separa[e pertnits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (ifapplicable) Previous Tenant Name Property Owner Telephane # ( ) Contractor Street Address City State Zip Telephone ti ( ) Bond Expires: The Applicant is _ Owner _ ConVactor _ Other Work Type New Construction _ Underground Tank _ Install _Remove *"see below _ fnterior Improvement _ Install Piping ` Processed _Gas Nature of Work: '*When instaUing/removing underground tank, cafl for inspection try Fire Marshaf and Plumbing /nspector P¢rIDit Fees: $70.50 Undergmund tank installation/removal 55050 Minrmum (includes State Surcharge) or ContractValue $ x I% _ $ PermitFee • If ep rmit fee is $1,000 or less, add $.50 => $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 en rmit fee $ Totat Fee l hereby apply fbr a Commercia( Mechanica[ Permit and acknowledge that the information is comp7ete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signawre Approved By: , Inspector PERMIT W CITY OF RAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE Permit Num6er. Date Issued: ?y ?</, BUI'LB?NG 021314 06/38/93 SITE ADDRE5S: 689 HAV LAKE RD N LOT: 8 BLOCK: 4 tlVERHILL FARM 2ND P.I.N.: 10-56151-080-04 DESCRIPTION: 61x"iYditi'§. yPermit Type ?uf3.dirxg VYQ?rk Type Eluils3iqg Le44th BuIlaiing WidCh`i, , i • j?rtt 4 J-;-% ? r SF pORGH NEW 13 9 ?4??? u a c ?, REMARKS: SEPARATE ELEC7RICAL PERMIT REQUIRED FEE SUMMARY: VALUATION $6,000 Base Fee $81.00 CtlPTES $2.00 Surcharge $3.00 Total Fee $96.00 5ubtotal $84.00 CONTRACTOR: - pPplicent - ST. l.zC PATIO ENGIOSURE5 INC 15251494 0001676 5120 CEDAR LAKE RD ST l.OUIS PARK MN 85416 (612) 525-1494 OWNER: TEED DDN 689 HAY 4AKE RD N EAGAN MN (612)452-5052 I here&y ackrtawledye that X baue reaA Chts, aFpl;LFat3on and state thaG the information is carrect atrd agree to nomply with alI applicahle SCate af M'n. ; Statutes and City pf EagaR Orditranegs.' L ? ?GU2?? K _ ? ..? - Ifl ?1-Q111.) APP CANT/PER ITEE SIGNA7URE ISSUED 111Y. IGNATU E INSPECTION CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: LoT: e BLOCK: 689 HAY IpKE RD N OVERHILL FARM 2ND PERMIT SUBTYPE: SF PORCH ? RECORD PERMITTYPE: BuiLozNG Permit Number: 021314 Date Issued: 0 6/ 3 0/ 9 3 q APPtICANT: PATIO ENCL05URES INC (612) 525-1494 TYPE OF WORK: NEW Uiii I[t,od i'13, ? r11 8 F3nrTyai.i?.i 1.1 dI?? , t3 un'?;qiiE?l pryr?il? Inba ?AE_i'i r'.i?r•?;?;uJ „•i??n??? ?.ni,?. :?l I,rl,.r?? h' L `!A' ? ; P'--Fi>TP f°-03?J-Hq 0A[ 1011 I 1 i VfSW :;NU f0l? R HInC}: = d . .,? H'JA fVNF ;? i? 4a n1 P'':dN11:t . . ' • ? td.i i'.il y ! 14(I I I ri TUI@ ? ? ? REMARKS: SEPARATE ELECTRICAL PERMI7 REQUIRFD * a M3 CITY OF EAGAN ?? lv ? ?-BUILDING PERMIT APPLf ATf ft? 681-0675 ?J??j? JI1h 't f f 1993 SINGLE & MULTI-FMiILY 2 sets of plans, 3 registered site surveys, 1 cop, ` ergy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of- specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made r lot chan e is re uested once ermit is issued. Date June / 16 /9-1 Yaluation of work $is 4uo uo - Site LOtation: 6a9 P7orth Ha Lake Rnad, Eagan Int #8, Gtand Oaks Develobment STREET s7E i Tenant Name: iO11 " Audrey Teed LOT __ BLOCK _ A? SECT/SU60. /- ai P.I.D. # Descri tion of work: The applicant is: ? Owner 0 Contractor ? Other coesor+be> Name mn & Aex3rev Teed Phone 452-5052 Property LAST FIRST Owner Address esa c,iorrh Hav rake Roaa, _ STREE7 . STE M City F''ga''' State mi ZiP 55123 COmpdny Patio Ehcl sures Inc. Phone 525-1494 Contractor Address s12u ^eaar rake Rr'ad License #0001676 City st rouis Pax'k State aIN Zip 55416 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I bereby acknowledge that I have read this application and state that the information is carrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. < Signature of Applicant: ? 06 } OFFiCE USE ONLY BUILDING PERMIT TYPE 0 01 Residential 0 02 R. Garages 0 03 Two-family ?04 T4wWwmse-s- St, Po QcF-I 05 Multi. Dwellings WORK TYPE .3 ANew 0 9] Addition 0 92 Alterations TYPE OF STRUCTURE 0 101-01/20 1 Family Res. 0 102-03/22 1 Family attached ? 103-02121 2 family (duplex) 0 304-10/23 3& 4 Family 0 105-30/23 5 or more Family 0 213-30 Hotel/Motel GENERAL INFORMATION Occupancy Zoning Const. (Actual) (Allowable) # of Stories APPROVALS Length (?-3 Depth Sq. Ft. On-site sewage On-site well Planning Engineering REQUIRED INSPECTIONS ? Site 13 Wallboard 0 06 Commercial 13 07 Industrial 0 08 Pubtic Works 0 09 Utility 0 10 Schoal 0 93 Remodel 0 94 Repair 0 95 Tenant Finish 0 437 A1t./Add. Non res. 0 438 Alt./Add. Res. Garage 0 645-50 Demo 1-Fam. ' ? 646-50 Oemo Z-Fam. 0 641-50 Oemo 3& 4 Fam. 0 648-50 Demo 5 or more 0 649-50 6emo Other 0 214-30 Other ShelterJBoard 0 324-30 Office/8ank 0 318-30 lunusement/Rec. 0 325-30 Utilities 0 319-30 Alace of Yorship 0 326-30 Schcols/Ed. 0 320-40 lndustrial U 327-30 Retafl/Rest./Whse. 0 321-30 Non-Res. Pk. Gar. 0 326-30 Other Nonres./Sheds 0 322-30 Service Station 0 329 Non bldg. Structure 0 323-30 Fbsp./Institution esi en ia.. Building Variance ;& Footing 151,Fina1 I 3'- 3MWCC System 171_City Water PRY Required Booster Pump Sprinklers r _; 0 11 Other Structure D 12 Demolish 0 13 Fireplace 0 99 Undefined 0 96 Move 0 99 Undefined Assessments J0 Framing ? Insulation ? Draintile ? FirepTace SAC Calculations: ? Descr i pt i on l'? D S4' F'f x L/s-= sAc x T m c. ca X ' rpe?q?''?R 3 0 0 .?-»fl SAC Units 1'- ???? ,? ? V . I l`I ? 1986 BDILDING PERMIT APPLICATIOH - CITY OF EAGAN NOYEs ALL CONfRACPOBS MIJST BS LICSNSSD WITH THE CITY OF EAGAN SIRGLS FANNLLI..Y DAELLINGS INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS HOI.TIPLB DWELLINGS - RBSIDENTIAL RENTAL UEiITS FDE SALE ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORQSY - CHECH WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COlAlERCIAI: INCLUDE 2 SETS OF ARCHITECTURAL & STR[ICTIIRAL 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ' Valuation: Site Address Lot ?5-- Block Z_ a, Parcel/Sub "A Owner Address City/Zip Code Phone Contractor Address City/Zip Code Phone ??1r? Areh./Engr. _ Address City/Zip Code Phone # p PLANS, 4;911/w „„° ? Erect ? Remadel ? Repair Addition ? Move ? Demolish _ Int.Impr. _ Install _ Date: C) - /J(Fk3 Oceupancy /U Zoning Type of Const ?4E of Stories ? tength Depth Sq Ft APPROVALS FEE3 Assessments Permit Water/Sewer Sureharge Police Plan Review Fire SAC Engr Water Comi Planner Water Meter Council Road IInit Bldg Off ? . Treatment P1 APC Parks Varianee Copies TOTAI. NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOB/HOMEOWNEA lIQST DESIGNATEiiHICH ADDRfiSS IS DSSIAED. HO CHANGES WILL BE ALLOiiED ONCS BUILDZAIG PSRMZT IS ISSIIED. , . . ' ' ' _ •'. 71 ? • .EX7EftI0R ENVELOPE AVERAbE 'U' COMPU7ATTQN , .. . '• ' ?"" GkAND OAKS DEVELpPMENT CQPIPANY ° ` ,' nsnnci n'. ARFA " U U X AREA ? kE(lUIFED ' . ? 1. TpTFlL WALL AREA 1800 X'.il 2. TOTAL ROOF`ARFA 1196 X.026 0.096 ACHIEVED AREA U U X AREA A. W I NDDW AREA 186.66 .5 97. :;' f.+. DOOR AREA --19. 8 .077 ---. u646 C. SLIDE GLASS AREA 13.44 .40 6.?512 D. r IREPLACE AREA 0 v F. WAI.L FRAME AREA 1 E34 .041 •'F3 F. NE7 WALL AREA 1164.1 .049 57•04=)Y G. RIM JOIST AREA 119.52 .0436 5.211072 H. FQUND WINDDW AREA U 0 C' I. FOLfND AROVE GRADE 46.48 .135 13.0240 ?. TOTAL WALL AREA 1800 e25026 J. SKYLITE 0 0 C) K. RC]OF FRAME 119.6 .032 3. a272 L. NET ROOF AREA 1076.4 .025 26.91 4. TOTAL ROOF AREA 1146 6 7372 SUM 1. +2. C09E' SUM 3.+4. .2 ,4EJ CTl1' +7F i:AGaN r'A`.:;":'E'ria JS rF_.RMJ:P'A!_ NCIs %3$ rArE . 09i2T:99 "'T'1!_. 0o000 ?Ii„ NAMEe ;EL.f; ,C:,cTi r, s; Wz•nr•Ei_Ir!c :i;i?:l0 000i 689 F'.=V :': h'17 N 111.25 2'. ;5 9001 689 HFlY LJ; OD Pd 2-5C . L Tr,i:a. Fi2Reip1; FlnU!!o1;,, ..i3.75 V 11 'r"47E, :JSER Ii: JAN 9b?\ '_ 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Conslrucfion ReaulremeMS Remodel/Renah ReoulremeMs ? 3 reghfered sNe surveya showing sq. M. of lot, sq. M. W house 2 copfea of plon and 211 roofed arsas (20% maximum lot coveraae allowed) 7 set of energy calculaHons lor heafed addiNons ? 4 copies of plans (show beam 6 wlndow ahea; poured Ind. design; dc.) 1 stle survey for aderlor addNbns a decW ? 1 set of energy caleulaNOnt ? 3 coplea of hee preservallon plan N lof plaMed afler 7/7/93 DATE: q CONSTRUCTION COST: DESCRIPTION OF WORK: M?5e ,?;Pa% `' STREET ADDRESS: 619 /1/ tk 0 _ `/ 1 J LpT: ?_ BLOCK: SUBD./P.I.D.#: / l?vC?(n 1i ? 1l??&V? ? PROPERTY OWNER Name: Tt°Pl ron aPhone #: Las1 Finf Street City State: Zip: Gompany: ?3?FMFIf?(i & H?Md[D?f ?n?n «., Phone #: 41-- ?, ?'s PELSIOR BLyp, ? (area code) ?13/ e--? CONTRACTOR ??MN Sf¢1e Sheet Address: Ucen? # ExP• Cliy State: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Cryy State: Strecf Address: Regisfirafion #: Sewer 8 water licensed plumber re uired for ew conshucflon on : PenCIFy applies when address change and lot change Is requesfed once permit is issued. Zip: Zip: I heieby aeknowledge that I have read thls application, sfafe thaf the IMormaNon B correct, and agree to comply wRh all oppllcabl Stat@ of Mlnnesoto Statutes and Clty ot Eagan Ordlnances. 7 Signafure W Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes SGti [Mz No ^ No - Not Required 4S?" ??f 'V ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex Q 14 Apartments Q 19 Lower Leve! O 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/5offits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg' ? 41 Wood Stove ? 45 Fre Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof '`:i.-- PCA har.do_t ,o a po!; c: n! fcr d3molitior perm:t GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq, ft. sq. ft. sq. ft. Footprint sq. ft. Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License (NC/ES SAC . City SAC Water Conn. Water Meter Acct. Deposit SM/ Permit 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units °k SAC q? ? I CITY OF EAGA6V APPLlCATtON FOR PERMIT SEWER ANDlOR WATER CONNECTfON *R7PF: PAYMF:W OF FEE AT TIME OF nrPZacATIoN noE:s Wr oorsriWM APPROVAL OF PERNSIT. INSPFXTION OF SESM AND/OR FTAM12 jNSTAiT.ATTONS WII,L NOP BE S(?ED" C7LED ONdII. PERMIT HAS BFM1Q APPROVID. . 1) PROPERTY ADDRESS: Lz4_? LEGAL DESCRIPTION: Lot B o k Su divssion or ax Parce ID IF EXISTING SIRCCIL'RE, DATE pF pgIGINAL BUI117ING PERMIT ISSC'ANCE: ' } ? Y ear PRFSENf ZONING/PROPOSID t?SE: (Nbn M C'ChtiME2CIAL/F2EI'AII,/OFFICE r7 INDC'STRIAL C7 INuTI'!(,'TIONAL/GOVE2*ffa4T ? R-1 SIWmE EAMILY Q R-2 DCPLEX (ltao Pnits) F7 R-3 7TYr7NiOUSE (Three + Units) ( [7nits) ? R^4 APARTNIENT/CODIDONIINIIINI ( . Units ) 2) NP.ME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) u i: ?• NAME: . ADDRESS: ? CITY, STATE, 2IP: PHONE: _v,rti v , . - t. rlwlwccJ iLLCetlJe: ACt1Ve p? Expired vL /'l.' Not recorded MASTER LICE:VSE# o?/L17 /y /P Tal 4) 0_06 aY:VNo? ig I'll NAP7E: ADDRESS: CITY. STATE, ZIP: PHONE: 5} ? v ,• , e a: • ?• : a ?? a. as ?CONNECTION 1O CITY SEWEE2 iCONNECPION TO CITY WATII2 ? OTiIEFt_. ?r..? 6) ? m• ?- ''• ? PLF.ASE HOLD APPROVID PEf2NIIT FOR PICK-C'P BY ONE OF ABOVE C] PLEASE MAIL APPROVID PERMIT TO 1, 2, 30 4, pBC7Vg h 4 (Circle one) 7) r " m_ ?? ? ?' a FOR CI1"Y USE ONLY PERMIT # ISSL'ED agZ Pd w/Bldg, permit c $ $ lp 3 $ $ $ $ ?Lj ,Q O $ $ ?S- (Z $ c $ Y /?^ ?F' ? ? n $ $ ?3 --2 Y" , S-D S vV, ")- ZJ TOTAL 6S'S"f 3 7 RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLIC Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBSECT TO THE FOLLOWSNG CONDITIONS: APPROVED BY: TITLE: P FEES; SLQ-S? SEWER PERMIT (INCLUDE SCRCHARGE) WATER PERMIT (INCLUDE SC'RCHARGE) .. $ WATER METER/COPPERHORN/OL'TSIDE READER $ WATER TAP (INCLL'DE CORPORATION STOP) S SEWER TAP $ ACCOLNT DEPOSIT - SEWER $ ACCOONT DEPOSIT - WATER $ WAC $ SAC $ TRL'NK WATER ASSESSMENT S TRL'NK SEWER ASSESSMENT $ LATERAL BENEFIT/TR[.'NK SEWER $ LATERAL BENEFIT/TRCNK WATER $ WATER TREATMENT PLANT SL'RCHARGE $ OTHER: DATE : &// /t 6 ?4eve I of ;?L --` HEAT LOSS CALCULATION -`t?° YEMP. DIFF, G,aomw N.nN ?vGt N dl Qg Sk---ZkVj I Tr"Owmauabn ,' 4Q ckv -- DMIw Wme StrrM ----- ckv -- snd Oowi-Gukpal ad ArM l.. Q1' Ne w40 ?N04 OI M Ne. el L s LMM11t. 4qH A?Y . h. ^ 3 (O ? f5 SC? O Set,- bue+'M ? ?a+- w CoN. Btu Infilention p Glen O OD e.p. w„ll ax o Nw ..P..,n 37 3 Se_ lm. w,u c.irng ,c a 2 0 Fioor 3 Toul Btu. I.I 0 ?RoomI Lw hg MfidM 1 0 INi t a-?-- Windo,ki and Duors -dadc aye and Ar? No w'??n M?ynt M?n? e1 M Ne 01 4 n LwoN /1. N61W ?M . N. r ? 1 - Zc? v Cod. Stu Inl?ltratan / (p0 Gw. / 00 E.p.,..u x ?- K IMn exp. wall V Inl. wall c«?IAO ? a o a F Iwr Tebl 8tu. IXFl.jK ?.hQnpaom jLwqth Iq WidM ? 0 1MY W mAnwn xM Ooon-6adc+a? w?d Iv« y? w.n•n . M.yn? Ne af L L+rM h. A?r . N. 0 ('p1. 9tu Inhltotan ca.. ( So Sva _ EYp. wap c No ltP. vWll Int wall ceil,n, '4)- ?Gf o ibnr Toul Yw. 12(0 06' Windew Sto?m Smh Wdk. la. GiIMp I"r. Fba (> FI Ig :n..p Rooml LwqtA !O WidM b Windowt and Deon-GefkulM od ArM I Me. l IM? N IMw- w 1N. M 1 LMrM 11. 1 ns 11 N 14 ' CoN. Btu ?fl?l?[qt1O11 Gi.. I Gt7 Exp. wU (p g NR qP. wll ZC'? Int. wall c«iim p ? Floor I ZO Tonl Btu. SXFI.i Raom ? Lw h 10 Width ? O ~t Q W indow?? Doors-6?duye md ArM M Ne.a1 L LMr?h. Aw M Coe(. etu IMikration O V riw e¦o. wadi NMt "p. wNl Im. wdl Giiaq 40 Jc /U 00 3 Fba /OO Toul Btu. 511.I L' oomlL. /? Wieah 1C,Q 1Mid?? WGdowt Doon-CractW Od Arm wn. w.? M w.ti.? w.. a aYr e. ww h 3(. ? ? cow. Btu Infihratwn O Glr Etp. wNl Not atP. wll Im. wnlI 45+iin@ ra- X Faor 9 ToLI etu. °FoZ ?l Z o-F ?2 . ~ HEAT 10S5 CALCULATION SU ° YEMP. DIFf. ,otanw N?m? V' ?l vIC,? ? k? ?cJ? I TYOa Cwrbuatbn ?0 .;kY-- OrMr Nam? Strrt _ ckY NM wo Mern M N.ym O? N Ne e1 L ?? lIwM11t. N<ht? A?Y. /? Co8l. Btu Inf dtration G4u Exo. wall 5. X Net a:a. wstl y.-} 17L Int. wall aiung s. ;Xl a v Fwa 7 Wiidow? Stam 5M Wrlb . la. Giliny Ins. Fbor Windows ad Ooort-Cnduo Md ArY N LMM h. ? Cpf. Btu Intikwtion Gls Exp. vwll NR oap. wNl lM. Nqll corng Floor Tou1 Biu. I I'd( ToW 8tu. I FI.= RoomlLwqth Ia- Wid[A ((p Height FI.1 RopnI LwVth Mlfdlh ' t Windows and Duor rGa dc ? and ArM Ne w-mn e/W,yn? er ry ?w we s1 l M LwIM. ?M ArM N. I 2N ? co.f. aa Inlilt.a?wn ?Z- b Glat Exp.vwu dgX Nrt emp. wall s 1n1. wall CiniNn S? 3 rwM Windowt ?nd Doon-Gadcp? Ond ArM -a Total Btu. 0 ?? F ?.I? Z.b?oom t lwqtA I g Wid?h 11 • S/N t Wuwkwn aeM Ooas-Gadc snd Arr ? WM?1? M?yl?? •?? ru+. el NO 01 L L??I?1, ? ./M N. 17 Cpf. Btu Inf dtratan G4.c - E¦a. w.il c7'. 02 Nrt erP. wall Im vwll Cali^9 ( x f , 3 f lax Toul Bw. I 47,y/ Me. aNM MNpn La M ?WY?1. Aw 11 Btu I?ihntion Glat Exp. vqll MO1 ne0. wNl IM. wll Girrq Floor ToulBtu. ? FI.I Ropni Lanoth Widlh t Windows rd Ooaa-Cnckap and IvM ? M wM WiMt IN. M lMwl N. ? .a? liUI IMi1tr?UOn Glas EtP. +eII No wo. wau iM. wNl Gilirq Fbor u Topl Stu. f( `l C??v,??? ? fed ?04 T tLr 1 h??.?-- ?os s 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc single family dwellings & townhomes/condos when permits are required for each unit Date 5 / 3c) / v ? Site Address L a? Unit # t ? O hone # (65/ Tele y wner (!e, Proper p Contractor STANDARD HEATING & AIR CANDITIONING 40 Street Address MINNEAPOLIS, MN 55408 612 824 2656 City State Zip Telep6one # ( ) Bond k: Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to ezisting dwelling unit $ 30.00 furnace _Additional _ Replacement _ New air exchanger ? air conditioner heat pump o±her 50 $ State Surcharge . J!JN 0 F ZOUS ; ;? Total $ ? ..60 I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accueate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a perrm but only an application for a permit, and work is not to start without ermit; that the work ' e in accordance with the appr d plan in the case oflWRy hich requires a review and approval of ns. 4-Z_6_j C-jIC.M.,+A) ApglicanYs Pcinted Name Applicant's Si e 0 n'S TI F I C AT9 GRAND OAKS DEVELOPMENT C0.' #390 ?? f1 . ! . .?••' -N89058'37"?E ?98.00 „ a --Tj ?. ? . I 8? g $ i p' I N . N ac vv- ? 1?y -7 ? -- ? W ? PROPOSED ? Q? a MOUS?E o N 0 N N 22.0/ CD \J ? a /4.0 OAR. I N ? ? 122-00- 22.0 I ? • a? ? -T (qW•O "N89058'37"E 88.00 " ? HAY LAKE ROAD ? SHEET 2 OF 2 SHEET pROJHOT N0. BooK ? PnaR ';JpMES R. MIII.L, INC. . 86813 ' • . Planners / Enplneers / Surveyore p168 N0. . 8100 Numbotdt Avenue eaulh?;'t :• ' FOLDER • aloominoton,Mn. 66431.912-884-3029 R V E Y 0 R' S C E R T 1 F I C A T E GRANU OAKS UEVELOPMEN! C0. #390 NOTE: TFIE LEGAL DESCRIPTION USED ON THIS SURVEY WILL BECOPIE VALID UPON FILING THE PLAT OF OVERHILL FARM SECOND ADDITION. ?- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCIi = 30 fEET O • DENOTES UENOTES IRON MONUMENT SET IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = `?'y?•3 FEET .X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR s OCK = 9375 94? ? FEET FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BL I HEREBY CERTIFY T O GRAND OAKS DEVELOPMENT C0. THA7 THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNUARIES OF: Lot 8, Block 4, OVERHILL FARPi SECOND ADDITION, according to the recorded pla t thereof, Dakota County, Plinnesota. AND OF TFIE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SIiOW IMPROVEMENTS. OR ENCROACHMENTS, IF ANY, TIIEREON. AS SURVEYED BY ME, OR UNOER h9Y DIRECT SUPERVISION, THIS liTi4 DAY OF J u W , 1986, NOTE: GRADES SHOWN WERE TAKEN FROM THE GRADING PLAp FOR OVERHILL FARP1 SECDND ADDITION, PREPARED BY MINNESOTA VALLEY SURVEYORS ItJC., LAST DATED MARCH 28, 1986. ' SHEET 1 CF 2 SHEETS pflOJEC7 NO. 800K / PAOE SIGNED: JAMES R. ILL, INC. r Li BY: HAROLU C. PETERSUN, LAND SURVEYOR D1INNESOTA LICENSE N0: 12294 JAMES R. HILL, INC. 86813 FILE NO, ' FOLDER Planners / Engineers / Surveyors 8200 Humbaldt Avenue South Bloolnington, Mn. 65431 812-884-3029 r oa s cERriF.icArE GRAND OAKS DEVELOPPIENT C0. #.390 _N89*58`37"E 88.00 -`?`'zl•?) in ? . --? ? r- .?? aaarnac£ a utrtm' ?a ? I . EASEIMENT PER PLAT 1 . I L 0 T ? . ? I o S o ?I N o - zz.oo 2z.oo? j'- W I 1 ? I n PROP09ED ? I (Q HOUSE o ? 1'7 I N o N N 8 ? 22.0? o O r-% r\ a (9 4?,?? i a$ ' - O V N GAR. I cn 1 I cn _ N N 22.00- 22.0 _ ?-22A0 I _ , -? (Oi'P° -N89058'37"E 88.00 ? M HAY LAKE ROAD ? SHEET 2 OF 2 SHEETS pROJEC7 N0. aooK / PnaE ';JAMES R. NILL, INC. • 86813 . planners / Enpineere / Surveyore FILB NO. • 8100 Humbotdt Avenue Boulh;;"? s ' FOLOER Bloobin¢ton,Mn. 66431.912-084-3029 I Use BLUE or BLACK Ink r I I For Office Use Permit (JJ -3 1 City of EaEd~ I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: _ ,Z I Phone: (651) 675-5675 I~ j Staff: Fax: (651) 675-5694 L INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: 04118 1 Site Address: (n$4 N • lay -[►4~e. R~ . F`W, MN rJ spa 3 Tenant: Suite RESIDENT ! OWNER Name: DOTIOL~~ W . 1 C'•~d Phone: Gk l , 19(o8 WA 3 /I Address / City / Zip: (6'0 N • t-~ay l..aVe. V~ po ,r UI 551 c - 3 Name: Spiess "P)u,rnbmq License CONTRACTOR Address: 1+e13 CA^r Af¢x1V2 So City: V(j8r\C .5 gc%iS State: -MN Zip: SS ta•7 Phone: 65 L X97 38'S 3 Contact: Scdki Sp 1255 Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: ~n ~~aw ~C ~`IlG Other: Description of work: TRtsknll d I seha*w a rme, '-n ev.4 sAdt, DESCRIPTION FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofea-gan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.clopherstateonecall.om 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 revi and approv I of plans. x a 5 co rf Ski QSS x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date:. Required Inspections: -Under Ground -Rough-In -Final Use BLUE or BLACK Ink r-----------------� I For Office Use � ' � Permit#: ��.J()�� j Clty of �� / �- � � Permit Fee: /�� 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � � Phone: (651)675-5675 I , I Fax: (651)675-5694 i Staff: i 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: , '�� ,.,( /�/ / /�] � Name: �/�� L--�J1 Phone:�lo��C�� `- t �� Resident� /` �/ Q�y�� Address/City/Zip: t�")� �C� ��/ �� ('1 ' Appiicant is: Owner Contractor � � Description ofwork: �` ��VL � Type o�Work t_:. �- �----__ Construction Cost:�t�� J�G E C� Multi-Family Building: (Yes /No n� ,. Company: Pti ��' Contact: /��y7 ��-�� i ,� . d // �+f}tl#�'�C'��?C , Address: � 5�� city: �GL �t P�ii�l le /l/��(/ ' State:�Zip�� Phone:b f�-�S ��'"EYnail:��/�J�A''U�CLi+�tcL�1 e rye��•� «'1 License#: C� `"1 �f 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 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: N�TE�Alans arad su�p�trtrng=aloc�'��r't#��#ha��pu�r�brr�lt�re��onsi�lered tca bs public in�'or'�ratrvrr. PorfiQrrs af ��the�friforma#irtn ri��,�;be�:c1"��+fi�d`a�r�t�r�p�h#ic,�f y�u�prav�al�sp��iffc neaso��,,t1�at wcru�d j�ei��ft th�`�r#"y#c� , �,� a ��n+"�t��'tlre : ar�:"t►`ade°sec,ret�. ��. x �_:� � � , 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.popherstateonecall.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 Code must be completed within 180 days of permit issua e. x �//� Applicant's Printed Name Appli n s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166231 Date Issued:12/21/2020 Permit Category:ePermit Site Address: 689 Hay Lake Rd N Lot:8 Block: 4 Addition: Overhill Farm 2nd PID:10-56151-04-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Donald W Teed 689 Hay Lk Rd N Saint Paul MN 55123--302 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171333 Date Issued:08/11/2021 Permit Category:ePermit Site Address: 689 Hay Lake Rd N Lot:8 Block: 4 Addition: Overhill Farm 2nd PID:10-56151-04-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Donald W Teed 689 Hay Lk Rd N Saint Paul MN 55123--302 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature