692 Hay Lake Rd N
Ito
Use BLUE or BLACK Ink
I I
City of Eatan j
Permit a s. X73 I
~ Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122
; Date Received:
Phone: (651) 675-5675 .AU6 3 0 RECD I
Fax: (651) 675-5694 Staff: j
2010 MECHANICAL PERMIT APPLICATION
A
Date: Site Address: I a-{. lY~
Tenant: ltr 1 Suite
RESIDENT /OWNER Name: 1 y>,G L- in (Suitn U)p Phone: l I d' -3U i'-71 Uq
Address / City / Zip: l(f"I rI eJ Iv cc 3
CONTRACTOR Name: License y5mato-pm
Address: P- l~ W City: nsylI V,
State: Zip: Phone: S2 Lj~ ° I /u wy
Contact:KIMU Ih Email:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: 9/Y Le
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
nder / Above ground Tank L_ Install / Remove)
U
Heat n
When installing/removing tank(s), call for inspection by Fire
PJ~A,~ Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes ~ State Surcharge) i
$90f60 Flr@ repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ e" - TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%u
$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 = $ Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
= $ TOTAL FEE
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.aooherstateonecall.ora
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 ill be in accordance
wi pproved plan in th case of work jh requires a review and approval of
x
Applicanyyt s PAted Name pp Ica t' ign ure
~r'~'G7 a . "~'ra ;~~v .,R < '~oV~ tie a ° ~ ? ~ tC: w,v~'Y'.`~.,
)r °~'r'ITfwrS+t`3sfsrn~iC ...+,_viltt`'S'Jtfi7)d31E~,~. ~r ; ~11' f F a' 5.~'ts1t7R. ;~@, t.. !9 j''C'.
1, yr~ 'i. 't •4' ,E+a
CITY OF EAGAN
12 5 5 5
?
, - „ 3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121
i--
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used far SF DWG/GAR Est value $61, 000 pate S EPTE^iBER 4 ig 86 ?
I
Site Address 692 NQ HAY L AKE 1tD Erect 13K Occupancy R3 ?
Lot 12 Block 3 Sec/Sub OVERHILL FARM 26ifiodel ? Zoning pD
Parcel No. .
Repair ? Type of Const Vri
Addition ? No. Stories
GRA ND OAKS DEVEL CO Move ? Lengm 44
W Name
188 1 SLIfVRI E RD Demolish ? Oepth 4a ?
? Address
° EAGAN 4 5 2 _ Int. Impr. ? Sq. Ft I
City Phone Install ? I ,
o Name SAME Approvals Fees
,°? ? Address Assessment Permit $ 316.00
? cicy Pnone Water & Sew. Surcharge 30.50,
? Police Plan Review 158.00
W W Name Fire SAC 575.00
_? Address
?
Eng.
Water Conn. 50U. ? ?
i W city Pnone Planner Water Meter 63.50
Council Road Unit 290.00
1 hereby acknowledge that I have read this application and state that t he Bldg
Off??s Tr. PI. 156.00
information is correct and agree to comply with all applicable State .
oi
Minnesota Statutes and City of Eagan fJrdinances. APC Parks
?
Si
nature of Permitt Var. Date Copie
$2
089
0
g
ee- , Total ,
.
?
A euilding Permit is issued to: GRAND OAS DEVEL l:O on the express conditlon that
all work shall be done in accordance with all applicable Stai,te ot Minne aota Statutes and City of Eagan Ordinances.
Building OtfiCiel
K
' w.mn No. v.m,n Mad.r on• TNephona M
PlumWnp / A '?? L Ct ? d' IO
H.V.A.G. S?CD
Electric c- 022
43 c-
Sofloner
Inspectlon DaM Insp. Commenb
Footinps I j ?
Foollnys II
Foundatlon
Framinp
RoMinp
Rouph Plbp. O ' -S ?
Rouph Ntq. ?O F
Iraul.
Flroplace
Finel Hty.
FindPlbp.
Bldy. FMaI
Cort. Oce.
Deck Ftp.
Oeck Fnny.
WNI
Pr. Dbp.
L.
CITY AF EAGAN SE1A16t SERVECE PERMIT
3830 Pilot Krwb Rcad
P. O. Box 21199 PERAAIT NO.:
Eagan, MN 55121 OATE:
Zortirtp: No. of Units: ?
Owner:
Addness:
Sits Address: 642 rnrth Nsiv noad 1,12 37C*va_rhi.L' Far^u :I
Ptumber: Va7_,_ay P1U?hi:?-
:
1 qnM io eew* wMh lM CIti ei ypM ConneCtlon Chwme:
OdfmeeM. AccOUnt Deposil:
Wrnrit Fes:
Surdharpe: -
BY Mlsc. CM?oes:
Date ot Insp.: Total:
I rnp.: Datt Poid: -
-?
CITY OF EAGAN V
3830 Pibt Rnob Rosd -
P. O. Box 21199 P
Eagan, MN 55127 c
Zoninp: .
pN,rwr; Cr nd Oa a
Addresx
Siq Add ?; 692 N rth Hay ??
Plurr+bsr. -Vallev Plumh;no
llAeter No.: .?3 7 Ll !Vol??T'`T -
5iu: n'o ?/C 5,8",
Reader No,; DL D O
l pm* b aempll with Riw CkY of Asow
OdiMwoM.
BY C L r?--
ERVICE PERM14
7933
dian Charye: 'Uu = uWPu
rK Deposit: ' 15 _ 0 ps1
. Fee:
)rqe:
Chargm 156 OQnd TP
Paid:
Dote of Insp.: /- ?'- P16
CITY OF EAGAN !?1 p
3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121'v 12555
PHONE: 454-8100
BUILDING PERMIT Receiptn
7o be used for SF DWG/GAR Est. Value $ 61 ,000 Date SEPTEMBER 4 19 86
SiteAddress 692 NO HAY LAKE RD Erect ff Occupancy R3
lot 12 Block 3 Sec/Sub. OVERHILL FARM M)nadel ? Zoning PD
Parcel No Repair ? Type of Const 171
. Addition ? No. Stories
Q GRAND OAKS DEVEL CO Move ? Length 44
Name
W 1881 SUNRISE RD Demolish ? Depth 4R
o Address Int. Impr. ?
452-893
EAGAN ph
Ci
? Sq. Ff
ry one
Install
o SAME Approvals Fees
=
?a Name
Address Assessment Permit $ 316.0!
- city Pnone Water R Sew. Surcharge 30 . 51
158 01
?Q
F
=
Name
? a Address
a w Ciy Phone
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
Mmnesota StaWtes and GiW of Eaqan.6Ydinances. .
Signature of
A 8uilding Permit is issued to: il VxH
all work shall be done in accordance with all
Police
Fire _
Planner
Council
eid9. on. 9/3/86
Var. Date
Plan Review
SAC 575.01
Water Conn. 500.01
Water Meter 63 . 51
Road Unit 290.01
Tr.PI. 156.01
Parks
Copies
Totai $2, 089.01
on the ezpress condition that
and City of Eagan Ordinances.
Building Of(icial
W ?
,
??? / i9. s S?
N?
' ?1986 BIIILDING PSRHIT APPLICATIOH - CITY OF EAGAN
MOTE: ALL CO&TRACTORS M[TST SE LICSNSSD iiITH THE CITY OF EAGAN
SZAGLE FA?IILY DWEI.LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES DF SUROEY, 1 SET OE ENERGY CALCULATIONS
MULTIPLS DiiELLIdiGS - RffiIpENTIAL
INCLUDE 2 SETS OF PLANS, CSR
1 SET OF SNERGY CALCOLATIONS
RENTAL DNITS FOH SALS QNITS
OF SURVEY - CHSCB iiITH BLDG. DfiPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
d?
$2,000 LANDSCAPE BOND "` 5 01:0
To Be Used For: Valuation: tlvm Date:
Site Address /? i-,? lZl ai,.., " OFFICS QSE ONLY
Lot LL Block -t?k Erect ? Oceupancy 3
Remodel Zoning
Parcel/Sub Repair ? Type of Const
L Addition # of Stories
Owner ???u Move Length ?
?!-u =
Demolish Depth
Address Int.Impr. s Sq Ft
Install _
City/Zip Code
Phone 9PPROVAL3 FSES
Contraetor
Address a?1
City/Zip Code
Phone /v5 :,? - 3
Arch./Engr.
Address
City/Zip Code
Phone #
Assessments Permit IV 6
Water/Sewer Sureharge
Police Plan Review T?1571
Fire SAC 05-7 5
Engr Water Conn Sd Q
Ylanner Water Meter Ce?
Couneil Road Unit
Bldg OfP? Treatment P1
APC Parks
Variance Copies
iOTAL
NOTE: 9DDRESSBS FOR CORNEH LOTS - CONTRACTOR/HOHEOiiNER HDST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHAAGES WILL BS ALLOidLED OACE BDILDING PBRMCT IS ISSIIED.°
.? ,;?. ??'`•'.
O7ER'fOR ENVELOPE AVERAGE 'U' COMPU7ATTON
- GRAND OAKS DEVELOPMEN7 COMFANY '?L p AREA U U X AREA
MOD ,,
?
kEC]UIFED '
1. 70TAL WALL AREA 1800 X.11 199
2. T07AL ROOF AREA 1196 X.026 31.096
ACHIEVED AREA U U X AREA
A. WSNDOW AREA 186.66 •5 `??`•=?
B. DOOR AREA 39.8 .077 -,.0646
C. SL.IilE GLASS AREA 13.44 .43 6•,!--=
D. F I REPLACE Ai3EA U 0 0
C. WALL FRAME AREA 1A0 .041 I-"o
F. NET WALL AREA 1164.1 •049 57•0`I=1"
G. RIM JOIST AREA 119.52 .0436 5.21107?
H. FOUND WTNDOW AREA 0 O 0
1. FOUND AEOVE GRADE 46.48 .135 13.024E1
31 TOTAL WALL AREA 5800 10 5.5 026
J. SKYL.ITE 0 0 t)
I;. ROOF FRAME 119.6 .032 S.E1272
L. NET ROOF AREA 1076.4 .025 26.91
4. TOTAL k00F AREA 1146 30.7372
SUM 1.+2.
SUM 3.+4.
229. 096
216.2'9Q
?
-?
''- t;)- 1 6 1 U ?-? c v 1,.< l 1
i-CLV' rV-N S '?) n c`.
jrAaere ( o-F ?
MEAT LOSS CALCULATION -V2---° TEMP. DIFF,
cuaw~ wT. 17 vr.? A tO rVp. coaauaien ,?
C" - Windows Stam SM
DnM Nwm . YMalb . Int.
ShNt GiIMy Iti.
City floor
aM Arr
Ma wN??
ne 1y M?'N'?
e1 n? Ne a
L 1? t1nr1 ?1,
N ena4 •/r
M
3m
? O
'
CoN. Btu
In(dtrauon p
G4u O 91099
E_p. w+ll 13 a c fp5k
Net eap. wall 3
Int. wall
c.iiirig x o Z O
Fb°' 3
Toul Btu.
?FI.I O ?RoomlLoon Ag Width 1 0 INqht Ja?.•
W irdo Nd Duort-Gaelup and Ar?
Ne w?ntn ?yw?
M M OI M Nq e1
L LMrI M.
N •r?
II.
Woor 1
2c? v
Cwt. Btu
InlilSfuan / (pp
Gw. l DD
e,p. w.u x _,J-
NeN eap. vN11
IM. rrll
Cnlan 0 O aZ
rlon. 1 30
TONI 9tu.
1 FL .Qviaoomflwgth ISL WidM?O
Wwkvwa arwl0ows-Gadcw rd Arr
Nn W.nrn w?M? Ne M
L ?"ry. IuM.
?I
? o
CoN. Btu
In/Jrration
G4.s ! SO SlXJ
Eap. wall
fWl ntP, well
Int w11
G??ing ? J q-0
Fbn
7ou1 Bw. 1 1.(e a-S
Window? and Doon-CwCkao? and
?. sM4M MN/n Mo M LwM h. u N
CoN. Btu
Infinraefon
G4a
Erp. wau ? g
!Mt oxP. will 2o
Int, vwll
uirng
Floor I Z,Q
Toul Btu.
?Tk1 hiti:,n Noanllan A 0 WNeh O ?Ni t
Windowt ?Doas-Gadwa and Arw
Na. MI.M
OI Na. "t
? Y LM01111111.
M \ Aw?
.N
CoN. Btu
l1lTlhm[qll Q o
Gls d zilco
Exv wAgi 2p
No ..o. wNl 7
IM. wMl
GilinO 0x / GO 3 ?v
iko• /OD
Tobl 8tu. ?
Svi•I Li oanilw /P- Wldth ? INI
WMwowa Duon-0rkq? and /leN
M? M?
N ?NyM /N. M Lwl M. Mw.
h
3(.
Z
Cw1. sw
In1iWatwn
Glm
Erp. well
Not pP. wsll
Im. wll
Gilirq j.?. X
Fbo. q
Tonl ltu. 1 `fOR 8"F
? z °4- ';L
.-'HEAT LOSS CALCULATION ?U ° TEMP. DIFF.
mom.wm._?Lv??d f.U ??J? T,,,,o Cormrucum MQ
':i"' - wineow. Sto.m snn
Drlw No M. WNb . br.
ShM -•--- Gilirp
Chy -- Floor _
Windowr and Doort-Gaekaemi md 4r
Me wmrn
n1 N
01 ?M
. M.
Co?f• 9tu
Infiltratan ?-
G4u
EMp. wau S, X
Net sxo, wall q 4
Int. vwtl
Giling $. ? >c 1 iWo ;?w
F bw
InL
oao..-d.eww we A...
Ny. N 4" ?MIM? M?. M LM?1 M. ?
?
oo.f. sw
InfiMation
GlM
Exp. well
NM qp. rpll
IM. wNl
Gilirq
Floa
Tohl Btu.
Room I Lw h i Width ((p ?Ni t F I.I Raom I LwptA YWd?h H?ipht
W indowt and Dao?s-GoduWand /ur W:? ...w nr___e.Y.. W Y. . W
Me e1'?M N?MM Ms N LiwYlh.
?.
?. au
Inlihntan o
Gkm
Erp. wll .o?
Nel ewp. well
S
Im.vwll
C«iwv ?? 3 SZG
?k"` ? 3
rota etu. ?? Lo 1 O
j4oom f lwyth 12 WIdTh I l• S INifrt J?
wwr+m ann ono..-d+acao.oe Mm
w„ w?'w?. ' M?M? Na w ?wMh. w
. N.
Cow• BtY
1n}iMratan
G4.s
EMp. wall
NR ftp. wlll
Inl, will
ca00n / )c I , 3
Fbnr
reui ew. I 4/79/-
Caff. Btu
Intfltnfqn
G4M
Erp. wNl
NMt oxp. wNl
IM. well
Giiinp
Fbor
ToUI Btu. I
fl.l Naomll040 Mlieq? NMd,e
_ wwdom meooa.-c„a?ao,.,,eA,,,
K
ow. ik1
l11f 1itfit10I1
GMa
Etp. well
NMt osP. well
Im. wNl
Giiirq
Floor
I) TofalOtu.
43,911 C°6?bnRc--fed- 1oti
2>
r ! h e? d' ?os s
Tf
2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION y?
City Of Eagan Y{P? ? 2-5-
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruction Reauiremenis RemodeUReoair Reauirements fl[R?.
3 regisfered site surveys shaving sq. ft of IoL sq. fl of house; and ell roofed areas 2 copies of plan .49
?•
(20% maximum lot coverage allowed) 1 set M Energy CalculaUons for heated additions y„?; z
2 copies of plan showing 6eam 8 window sizes; poured found tlesign, etc. 1 site survey (or addiGons & decks ?g?:, ??N
9 set of Enei9Y Calculations Add"Non - indicate if onsRe sePtic sYstem
'CZE? '?? .:...>R,
3 copies of Tree Preservation Phan it lot platted after 7l1/93
Rim Jast Detall Options selection sheef (61dgs with 3 or less uniYs
Date "3 l1z:9
Site Address 47
9 l? /4 ?LL Construction Cast d?/?D
a e- UnitJSte #
/
r
Description of Work joea S? e_
Multi-Family Bldg _ Y?N Fireplace(s) _ 0 _ 1 _ 2
?I
Property Owner Telep6one 4 65V
Contractor
A d d r e s s
State /i //7 /y ?
J,t9.n e e-ll/G City /'-c2//77// ?
Zip ,J sb0? '/Telephone
COMPLETE TM15 AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope CalculaGOns Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply £or a Residential Building Permit and aclaiowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernrit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
??/
fe_
Applicant's Printed Name
Applicant's Signature
OFFICE USE ONLY
Sub Types
? 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 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbe_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows(Doors
? 34 R0p18c2mBnt 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footiugs (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ PlumUing
Foundaflon HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final Windows
_ Insulation _
_ Retaining Wall
Approved By:
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
2007 RESIDENTIAL PLUMBING PERmiT aaaLicArioN ls S/?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122 .
651-675-5675
Please complete for modifications to existing residential dwellings.
(P ! ib I 07
Date
Site Street Address Z Unit#
PropertyOwner r vAv`lrN Telephone# (tOG() tslEIv-S1711
hone #(IOQL) ?Z2' SZ? Z-
Tele
p
Contractor
Address 12-.?'r State Zip 'A-5q4 4
The Applicant is: _ Owner Contractor _Other
New _ Refurbished Submit 2 sets of plans and MPC license
Septic System Includes County fee
_ $ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
_
heater at the same time. !f you are installing onlv a water softener and/or wafer
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System A6andonment
Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
I $ 15
00
ater Heater
Water Softener ? IZ .
new ?' replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
D D
State Surcharge $ 50
$
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the intormation is compiece ana accuiate, ula< <l 1G
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, 6ut 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 require to be reviewe nd approved.
??? ,/??,
Applicant's n ted Name ?` Applicant's ' u
SURVEYOR'S
CERTIFICA.TE '
GRAND OAKS DEVELOPMENT C0.
N 2(
? DENOTES PROP05ED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = d FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR FEET
.X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 5 FEET
(000.0) DENOTES PROPOSED ELEYATION PROPOSED TOP OF BLOCK = q 40 't FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A 7RUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARTES OF:
Lct 12, Glock 3, OVERHILL FARP? SECOP;C AbQITIOPl, accordir.n to the recr,rde<'.
rilat thereof, Dakota Ccur.ty, I!inresota. (TF;IS LEf'AL GESCRTPTIOP! G'ILL 6ErOt'E
VALIG UFO'; FILING ^vF THE PL?.T OVER;1IL1_ FF_?fi SECO'lC ,!CpIIIOPJ.)
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS.
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 11TH DAY OF AUCUSi , 1986.
SIGNED: JAM?S R. HILL, INC.
BY:
HAROLD C. PETERSON, LAND SURVEYOR
SHEET 1 Of 2 Sl+.EETS MINNESOTA LICENSE N0: 12294
PROJECT NO, BOOK / PAGE JpMES R. HILL, INC.
06901
FILE NO Planners / Engineers / Surveyors
.
• 8200 Humboldt Avonu* South•
FOLDER Bbomington, Mn, 55431 e12-8e4-3029
I
'S AVEYOR'S CERTIFICATE
O
?
H AY L A KE ROA D,
??. - -
? o
o r-
?-a I i
I
ti ?
ti
a I
I
?
_
o- I
N
~ I
?
i
3
M
N
O
i o
?
,
n
FROJECT NO.
86901
FILE NO,
FOLDER
)WN WERE TAKEN FRaM ,
FOR OVERHILL FARP1
PREPARED' BY MINNESOTA
INC., LAST DA7ED
SH£ET 2 OF 2 SHEETS
BOOK / PAGE JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humbaldt Avenue South
Bloohiington, Mrt. 55439 612-884-3029
(QS3,
N 89°58'37"E
84.98
-- CY35;c
i
----, 0 1
I5
???
o i
N.GAR. O
a.o N C940.D) ?
p 7 22.00
I
/?/ /
? ? PROP?SEj o
I N HOUSE N
/
? 40.00
04o.0) (440,1
?
-,- -
i
I '
? o
a ?
i
3
?
?
I LoT 12
?
N
O
0
O
z
51 ORA/NAGE 5 l1T1LlTyf ?5 /I
L _ _ /?£ASEMENT PER PLAT?
h ?
?-- 85.00 -- c9a?,=.
N 88° 53' 09" W
0
M
N
i
' i--
C?
I
NOTE: GRADES SN_THE GRAQING PLAtJ
SECOND ADDI7ION,
VALLEY SURVEYORS
MARCH_283 1986.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118323
Date Issued:10/30/2013
Permit Category:ePermit
Site Address: 692 Hay Lake Rd N
Lot:12 Block: 3 Addition: Overhill Farm 2nd
PID:10-56151-03-120
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 .
Eva Lewis
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 -
Martin B Gwinup
692 Hay Lake Rd N
Eagan MN 55123
Purpose Driven Restoration Llc
325 Main St NW
Elk River MN 55330
(763) 633-4737
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122491
Date Issued:05/08/2014
Permit Category:ePermit
Site Address: 692 Hay Lake Rd N
Lot:12 Block: 3 Addition: Overhill Farm 2nd
PID:10-56151-03-120
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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: 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 -
Martin B Gwinup
692 Hay Lake Rd N
Eagan MN 55123
(612) 625-1315
Purpose Driven Restoration LLC
325 Main St NW
Elk River MN 55330
(763) 633-4737
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA135895
Date Issued:04/12/2016
Permit Category:ePermit
Site Address: 692 Hay Lake Rd N
Lot:12 Block: 3 Addition: Overhill Farm 2nd
PID:10-56151-03-120
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Dryer
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Martin B Gwinup
692 Hay Lake Rd N
Eagan MN 55123
(612) 309-7164
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178265
Date Issued:08/09/2022
Permit Category:ePermit
Site Address: 692 Hay Lake Rd N
Lot:12 Block: 3 Addition: Overhill Farm 2nd
PID:10-56151-03-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Laura Catherine Mueller
692 Hay Lake Rd N
Eagan MN 55123
Options Exteriors
6340 Industrial Drive Suite 200
Eden Prairie MN 55346
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature