693 Hay Lake Rd N A
?J--E--_j 3830 Pilot Knob Ro d! P.O. Box 2G-
1 9, Eagan, M N 55121 N°.
12350
PHONE: 454-8100 .
BUILDING PERM#1r aece+pt #
7o be used for Sr' D4'7G/GAR Est value $87,000 Date JULY 29 , i 9 86
SiteAddress 693 NO HAY LARE RO Erect L? Occupancy R3
Lot 7 Block 4 Sec/Sub. OVERHILL FA12M Remodel ? 2oning R1
Parcel No ZND Repair ? Type of Const. V1'?_.
. Addition ? No. Stories
W Name GRAND OAKS DEVEL CO Move ? Length 8
1881 SUNRISE CT oemolish ? Depth ?2
3
° Address Int. Impr. ? Sq. Ft
City rA(' AN Phone 452- 934 Install ?
o Name SA14E
=
0 ¢ Address
? City Phone
Q
? W
Name
? ?-y Address
i W City Phone
I hereby acknowledge that I hav
information is correct and egre
Minnesota Statutes and Citv of
Signature
A Building Permit is issued to:
all work shall be done in acco
Building Official
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Permit Y ''?_ • %F" '
Surcharge 43.50
Pfan Review-?197?' 00
ewr 5/7•OQ
Water Conn. ?vv . v
Water Meter ?T.-50
Road Unit 240.00 Tr. PI. 156.00
'
um<<nc Bld
State of 9'
Var. Date I Copies 2 , . 00
Total
on the express condition that
Statutes and City of Eagan Ordinances.
ParmN No. PormN Moldw DNe TMaoone M
Plum4ipy 7 S, y70 ,J,,
H.V.A.C. ??Z-Z
sonener
ImpeeHon Date Irap. Commmb
Footlnpsl ?
Foodnys 11
Foundadon
Framing
Roollnq
Rouqh Piby.
Rouyh Mfp.
Insul.
Fireplace
Final Hiy.
Final Plbp. D-e`
&dy. Final 'e. (,V ,
Ctrl. Occ.
Dack Ftp.
Deck Frmp.
WMI Dperlbe LoeaNon:
Pf. Disp.
ities Di it? uality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
? -
4
kCT PRICE -
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY CF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE _
PHONE: 454-8100
r?• A //, a. A i e .w /,-• - i -
ite ddrPss
Lot Block Sec/Sub ?
m Name
? Address
c City Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond_ M BTII
Vent CFM
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL•
$-
$-
$-
$-
?-
?
?-
BLDG. TYPE WORK DESCRIPTION
Res: New `
M ult 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 - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 SrC IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
4 . . ,
Site Address ?„ 1
Lot 1 Block
y Name
? Addre
c City _
Name ?' / .: ' ? , (
c AddresS
p City Phc
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PHANE 454-8100
Res. _
Mutt. _
Comm.
PERMIT #
RECEIPT #
DATE -
FEES
COMM/IND FEE - 1%OF CONTRACT FEE
MINIMLIM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
- $10.00
- 20.00
- .50
I FOR: CITY OF EAGAN
L
C?? WORK DESCRIPTION
_ New ?
_ Add-on
_ Repair
FIXTURES
v Closet - $3.00
Tubs - $3.00
tory - $3.00
ver - $3.00
en Sink - $3.00
d/Bidet - $3.00
dry Tray - $3.00
• Drains - $1.50
v Heater - $1.50
Ipool - $3.00
Piping Outlets - $1.50
?-
7S
?J J
TOTI?L
$?
c ?-
[ -C
a
O?
73G
_aonener - aa-w
.Well - $10.00
_Private Disp. - $10.00
_Rough Openings - $1.50 `
FEE ? ?I S • ?' ?
STATE S/C: ' S
GRAND TOTAL: 4 ; i ?
CONTRACT PRiCE
Site Address
Lot Block
-
? ?
Name '•
a?
?s
Address
c City ' Phone
Name
Address
O City _ 0 {
- ! Phone
,
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
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
PERMIT 1?
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB FiOAD, EAGAN, MN 55122 DATE:
PHONE: 454•8100
BLDG. TYP,E.- WORK DESCRIPTiON
Sec/Sub Res. ' New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaliBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn ?- -- ? ;
` Softener - $5.00 J
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL: --
CITY OF EAGAN ? SEWKI PLVR
3830 Pilot Knob Road ?. ,
P. O. Box 21199 PERMIT NO.: .
Eagan, MN 55121 DATE:
Zonlrq: No. of Units:
Ownar.
lldd?ess: -
Sih.` ^ddfESS: ' 7 -? .?OIL ? S"1Y LA 8
Plurriber. t:.Llc-n Flumbing
I o/m f0 00111* 1Mkh IM Cky /f tiww
Of Dow
By
Dote of irnp.:
CORMCtl011 Ch0PQe: 4 i 'i _ fi4ip.?
Accour* \/Opositi 1 C !1/lT.7
Pefmt f1ei
5urclwrge:
Misc. Chorqm
Totol:
Dotr Paid:
CITY OF EAGAN WpTU SMyIC E PERMIT
3830 Pilot k.Ab Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: ?
Zonirg: No. of Units:
Owrnr: - c s
Mdmsr.
Site /lddrefs: r.aiCec 1,7
?•
s •-t ` i ' -
Plumber.
AAeter No.: Connection prorQe:
Size: Account Deposit: .
Reoder No.: Perrnit Fee:
I NrN !o oonipig wilh !IM City oF bvw Surchorge: ,
OrdINSam Mlsc. CFwrpas: . ?
By
Dats of Inap.:
CITY OF-SAGAN
3830 Pilot Knob Road
P. 0. Box 21199
Eagan, MN 55121
Zoninp:
Totol: ;t
Dah POid:
WATER SERVICE PERMR
PERMIT NO.:
D/1TE:
No. of Units:
Owner: Grand Oaks
Addross:
Sft Addross: 'n ?"'c,-t ?• f"a<, I.ake Road 1_7 ik?erhill ^ar^- 11-
Plumber.
MeMr No,: a• .? 02 500,
Reoc!'ir No.: B4TOT r???- . ynW •?-; ; i_: -;
1 nn? ro es?PFq wiel? NN C? ef f???,Q oree:
Orli.onac
c ? Dota Paid:
e of IrKp.: Imp.:
/o-/-S6
CITY OF EAGAN
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT ? PHONE: 454-8100
Receipt #
° 12350
7obeusedfor SF DWG/GAR estvawe $87.000 Date JULY 29 ,19 86
SiteAddress 693 NO HAY LAKE RD Erect IN Occupancy R3
Lot 7 Block 4 Sec/Sub. OVERHILL FARM Remodel ? Zoning Rl
Parcel Na ZND Repair ? Type of Const. -V-R
. Addition ? No. Stories
GRAND OAKS DEVEL CO Move ? _Length 58
W
= Name 1881 SUNRISE CT Demolish ? Depth
e Address
EAGAN
452-8934 Int. Impr. ?
? Sq. Ft
Ciry phone Install
o Name SAME Approv.
$a Address ASSeSSment_
:
City phone
Water & Sew.
? ? Police -
w Name Fir
= e
? a address Eng
.
i W City Phone Planner-
Council-
Iherebyacknowledgethatihavereadthisapplicationandstatethatthe gldg.Off . 7/28/86
information is correct and agree to comply with all applicable State ol ,
Minnesota Statutes and C'a>? of Ea rdinances. APC
Signature of Permittee-?'-`-?os4 7C'o? Var. Date
Permit $ 394.00
Surcharge 43.50
Plan Review 197.00
Sa,C 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63 . 50
RoadUnit 290.00
7r. PI. 156.00
Parks
Copies
?
T..1nl t" ?
/'-'?? ? OO
A Building Permit isissued to: iXANU VPIKS "'V L l:V on ihe express condition that
all work shall be done in accor ance with all able S te o inne ta Slatu_?tes a? Ci; of Eagan Ordinances.
Building Official
?-P
cob9(?-7
L r1 ??-l, 5'ee_ . C?t?e_•.? h? l) ?o_r.-.? ?r+?.? L1Pi •6q
fle0 t Osie
?- ? Fve No. R
ooPh-m InsUection
Reawred?
Ready Now?? Will Notify Insoec-
C]
?
' 1 ?es ?No ?or When Peady
? licensed Eleclncal ConVactor 1 hereby requestinspection ot abova
Owner elactrical work installed at:
Slreet Atldress, Box r PouteNo
(
3
Kp
?C G 7
?
,. i
- ?--
ecLOn o. Township Name or No. RanBe No. Cowny
c pam IPflI T) ?
r ?l? Ph ne No. _0
,
Sup her Address
cincal Conirace (? ome-(? pany Name)
IS ?? ? ? 1? ? 1 Comrar,tor's Lmense No.
0 4f
MaJhng AtlJress (COnI ctor or Ownar Makmg Inqtai auoN ???? ^
7lLl / ? Q
Authori eJ fpna[ure IC mra tor10 r ing Installation)
(?
? Phon Number6 36(
'
'
`
?
1? C,?J r
-
6
MINNESOTA STATE BOARD OF ELECTAICITY THIS INSPECTION REQUEST WII.L NOT
Grnggs-Midway e1Cg. - Room N-191 BE ACCEPTEO 9Y THE STATE BOAND
UNlES3 PNOPEH INSPECTION FEE IS
I821 Umversiry Ave., St Peal. MN 55106
Pn..no 16121297-2111 . ENCLOSED.
PWWF-OR ELECTRICAL INSPECTION Ee-oixwi.oa
See ins<ructwns lor compleLne tM1is torm on back of yellow cooV.
? "X" Be/ow Work Covered by 7hls Request
N«AAdal Aeo.l Tvoe ot BmlCma 1 Aoolioncee Wired 1 Equiument Wired I
Water
Apt. duiltlmg , ?ryer Eleclric Heatin?
Commercia? B?tly. Fumace $ilo Unloader
Industnal Bldo. Air CondiLOner Bulk Milk Tenk
p Fee ServiceEntmnm5ize fl Fee Fexdars/5ubfeetlers N Fee Circuits
Q U to 200 qm s 0 to 30 qm s 0 to 30 An!
Above 200 qmpy 31 to 100 qinps 37 to 100 Am
Swinming Pool Above 100_Am s Above 100_Amps
Transformers Irtigationl3ooms Pdrnal-'Other Fee
LSigns iSUecial Inspecuon + 46SIZ1 TOTAL 6E
Remarks X, ,v
1, f?_ A1
in
sDector, eraby
?Ttspsctian theEl vip
ertity tMt the abou
hes been
'rnh request vol0
(?5( 5,'79 \1
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
' City Of Eagan
3830 Pllot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Canstructlon Reauiremenls
3 registe2d sfte smveys shaving sq. ft of lot sq. ft of house; and atl roofed areas
(20% mazimum bt coverage allowed)
2 copies af plan showing beam & window sizas; poured found design, etc.
1 set of Energy CaIwlaUons
3 mpies of Tree Preservatlon Plan'rf lot platted aRer 7/1/93
Rim Joist Detsil Optians seledbn sheet (bldgs with 3 ar less uniLc
?
Date Lt Conatruction Cost
Sit
Add
Q
t ?J
4
0 it/St
#
U
e
ress
o ,
- e
n
" G ' '
?
Description of Work r
?
2 ?
il?To V
d!
.
h'
_ v
?RCI.EV VV
- Lu
•._?_..,.,?
vv?owa-
Multi-Family Bldg
_ Y_ N Fireplace(s) _ 0 (
..
_ 1 _ 2 ?
Property Owner Telephone # (6671) 6g6- g Q E-(p
Contrxc[or I
Address 7 City
State Zip
l)L?f Telephone # (?jsj 1) -1 y' Li -atp?
?
Lig
COMPLETE THIS AREA ONLY IF COMSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category . Residential Ventilafion Category 1 Wwksheet • New Energy Code Worksheet
(J su6mission type) Submitted Submit[ed
• Energy Envelope Calculatfons Submitted
Have you previously constructed a building in Eagan with a similar plan? , Y _
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor .IUL 2 1 2004 Telephone #(
Sewer/Water Contractor 1,,.?, ,:ia I Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building 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 State of MN
5tatutes; 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 appmved plan in the case of wark which requires a review and
approval of plans.
3o\ rC4 PROSO
Applicant's P4ted Name
RemadeVReoair Reouiremems
2 copies ot plan
1 set af Energy Calculetlons for heated addiGons
1 site survey far addNons 6 decks
Addifion - iMicate Honsite sepfic system
Applicant's S e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgaze6o) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
Cl 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Gemolish Foundation ? 45 Fire Repair
[] 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement '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
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Foet:ngs (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final Windows
_ Insulation _
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Bwlding Inspectar
?
?
HOTE: ALL COHTR9CT0
s l. Cu. efii dc-, ?d `? Y19 Q!?-
1986 BOILDIHG PSRMIT APPLICA?ION - CITY OF B9G9N
HQST SE LICHNSED WITH THE CITY OF EAG9H
SINGLS FAlffLY DiiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE Aii&I.LINGS - RESIDENTI6L RIIN'fAL ANTTS FOH SALS ONITS
INCLUDE 2 SETS OF PLANS, CEBTIEICATE OF SQRYSY - CHBCg HITB HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMAiESCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
?
To Be Used For: s ° ' Valuation:
Site Address blaJ
?}
Lot ( Bloek
Parcel/Sub
Qwner ?
Address
City/Zip Code
Phone
Contractor l.SliV1
Address g-p z
City/Zip Code ?
Phone vlra- ^'
Areh./Engr.
Address
City/Zip Code
Phone #
Date: -1- d-A
Erect yC
Remodel
Repair ?
Addition _
Move ?
Demolish _
Int.Impr. _
Install _
Oecupancy Wb_
Zoning
Type of Const "Sm
# oP Stories
Length 5b
Depth 5%
Sq Ft
APPR09AI.S FSES
Assessmenta Permit
Water/Sewer Sureharge 515
Police Plan Review 1
Fire SAC
Engr Water Conn 500
Planner Water Meter
?
Pm6
Council oad Unit ?
Bldg OfP i reatment P1
APC Parks
Variance Copies
T6T9I. ?
NOTEt ADDHBSSES FOR CORNER LOTS - CONTRACTOR/HOMEOBNES MIIST DE3IGNATE HHICH ADDRESS
IS DFSIRED, NO CMGES iTI[.L BE 9LLOWED ONCE BOILDING PEAMIT IS ISSIISD.
.
cz) 144L
COCA
E=kl'E'':PiTOR k_NVEi:L_CJF'f-: F?VEFtii(9L= 'l.J' 1::Gll°IF'U"fF1TSON
Gti(ah1U C)FiF:S I)4=VF:l.OF='I`1E:.IV1" t.:OMt'ANV
1hC1DE:L 3 Fd1=iL;A U UAL.LIE. U X HREfl
MAX.Ii°IUM r-il_t.l)i+lEU Eo Cl'1C1E_
70TF-11... WALL iiE-;Eil '.244 .11 :'.`:,
TO'i'Rl_ RO0F" FaHk=A 952 . U::b "2•1.7
i.C.ll Itl_ F1I._I_ L.!W4.: L 277.092
Al';HIffVF D
UlALI_ HI';I_.A
PJ ):NDCJWS
SJl ll!RS
:aI..IL)G 6l..F1S5
t= 7. RE F'L A1:F=:
W!-1LL FI-'FllME Af';E_'A
R 1 I`t JO f L=iT
F OUraD Ara(JvF BftF>>;E
NE:I- wr-1L L r1REF,
f(il AL. WAl..l..
FtiOl_d" hFiY:f1
51'Y 4.. ). T F:
Ril{lF F=1=±APIf-:
Iie r RL?uF
.._.. .5 i. 1 :L
40 .077 0.08
09 .48 18.72
'; o
.25 .
7.
229.4 .041 9.4054
1::4 .0436 5.4064
84 .0769 6.4596
1523.6 .0379 57.66765
219.2391
95.2 .072 3.0464
,350. 0 .0227 1Q„ 414'I36
1' i'i"i (-"L. I-'tlli lF.r .'? .r <-=5-? a
TOrAL Ar::frtr_Vr:;; 241,7 503
Mi iP:G i hd l hl E,:XCG3B {_tf= GQi!IS i; ;.. 157 J.r.?
., Mi,aku1N 'll'd bk.(:,F[i!S 12.76000
*******************?***.***************
CITY OF EAGAN
CASHIER: SS TERMINAL NO: 775
DATE: 08/15/00 TIME: 15:58:01
ID:
NAME: MICHAEL J TRESO
3210 9001 693 HAY LAKE RD 60.00
3430 9001 693 HAY LAKE RD 2.50
2155 9001 693 HAY LAKE RD 0.50
Total Receipt Amount: 63.00
CR135959
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
qm7
New Conahuctlon Reauirenfenh
CITY OF EACAN
3830 PILOT KNOB RD - 55122
851-881-4875
? J reyletered flfe wneya showiny fq. ft Ot bt, sq. R. of house
and gfi rooted areas (70X maxlmum lot coveraae albwetlf
> 2 copies of plam (show beam Q wlndow alxes; poured 1nd. dealgn; etcJ
a 1 sel of energy cdculallons
> J coplei o1 iree preservallon plcm II lot plaMed otter 7/1/93
DATE:
W
DESCRIPTION OP WORK:
STREET ADDRESS:
LOT: I
PROPERTY
OWNER
COMRACTOR
ARCHITECT/
ENGINEER
BLOCK: H SUBD./P.I.D.l: VYCr?? ?l N''"' 24
,?/ r??/E? Name: ? // lG???L? ? Phone M: c? C? 4 J p
last -' Flat
? Gw
CiN ? A?7 5tate: ZiP: ?`c?? c? ?
rnee?
Company: "Q I 1 Phone #:
(area code)
Sheet Address: Llcertse 1f ExP•
CNy
Rmodel/Reoal ReaulremBMs
e r
43,00
51(ed S j15 f,t
2 coplea of plan
1 set of eneryy calculaHOns fa heated addlH
1 slfe wrvey for extedor additbns & decks
CONSTRUCTION COST:
Stafe:
Company: Name:
Telephone #: (
Sheef Address: Regishatlon #:
City
State:
Sewer/water licensed plumber (N installina sawerMraterPhone
Lp:
Lp:
I hereby acknowledye Ihat I have read this appUcaiion, alate ihat Ihe infortrwHon is cortect, and agree to compy with atl applicable StatE
of Minneaota Statutes and CHy o} Eagnn Ordinances.
Signalure of
OFFICE USE ONLY
Certificates of Survey Recelved _
Tree Preservatton Plan Received _
Yes _ No
Yes - No ,_, Not
AUG 14 2000
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex
? 02 SF Dwelling ? OS 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex O 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
-b<?1 New
? 32 Addition
? 33 Aiteration
? 34 Repair
OFFICE USE ONLY
? 13 16-plex ? 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn. (4-sea.)
8 Deck ? 23 Porch (screened)
? 19 Lower Level ? 24 Stortn Damage
Plbg _Y or_ N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bidg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demoiish (interior) ? 45 Fire Repair
0 42 Demolish (Foundation) 0 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 9 1
No. of Units U
No. of Buildings !
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ?
sq.ft.
i7 sq.ft.
i? Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinkiered
< <.
? 31 ExL Alt - Mul6
O 33 Ext AR - S F
? 36 Mutti
y3y
Engineering Variance
Permit Fee -, . S 0
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
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Valuation:
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CITY OF EAGAN
APPLICATIOIV FOR PERMIT
SEWER AND/OR WATER CONNECTION
NOTw3: PAYMBNP OF F.F.E AT TIME OF
APPT.TCATION DOES NdI'CONMTV1E
APPROVAL OF PERhffT.
INSPDCPION OF SESaM ADID/OR VVUM
rTamrONS WIIS, NOrf BE SCTHED-
ULID UNP]I, PERMLT HAS BETM
AYPI2l3VID.
- - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - -- - - -
P ease Print
"1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
I£ E7QSTING STRL'CIL`RE, DATE OF ORIGYNAL BLILDING pFRMLT ZSSL'ANCE:
1
(Fbn Year)
PRFSE[Jf 7ANING/PROPOSID LSE:
M%4•IEE2CIAI./RE,'!'AIT,/OFF'ICE _
Q IAID[.'STRIAL
n INSTIICTIONAL/GOVII2NMIIV"!'
?4 R-1 SINGLE FAMILY
Q R-2 DLPLEX (Two Lfiits)
R-3 ZUUWNtiOUSE (Three + Units) ( llnits)
? R-4 APARTMEN'P/CO.IDOMZNII,TM ( • Units)
2) ? ' 'v';i??
ADDRFSS:
CITY, STATE, 2IP:
PFIONE:
-d'9.
• 3) ?&c r
NAME:
, ADDRESS:
CZTY, STATE, ZIP:
1 PHONE:
Active
EScpised
Not recorded
-?/ MASTF.E2 LI(ENSE# k
4) .••9•:,?II
NAP1E:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
Staff init.tal
•5) m)(w• ' . aTa?'?• ? , • ?? • oe -'s?njae
CONNE(.TION TO CITY SE4dE12 CONNECPION TO CITy WATER ? pTi-IER '
6) ? v ?• i• ? PLEASE HOi,D APPROVID PFI2MIT FOR PICK-CTP BY ONE OF AWv7E
? PLF.ASE MAII. APPROVED PERMIT 20 1. 2r 4. AHpVE
(Circl one)
»
,-2 7• "P6
;
PERMIT # ISSL'ED
?' s -
Pd w/Bldg. Permit
C
e
s ?0 3-.SZ
$
e
$
/Sc? n
$
/so 0
$ SOD-? o
S S7S.na
$
S
c
FOR CITY USE O(VLY
FEES: -
SEWER PERMIT (INCLUDE SL'RCHARGE)
$ WATER PERMIT (INCLDDE SL'RCHARGE)
$ WATER METER/COPPERAORN/ODTSIDE READER
$ WATER TAP (INCLPDE CORPORATION STOP)
$ SEWER TAP
$ ACCOONT DEPOSIT - SEWER
$ ACCOCNT DEPOSIT - WATER
$ WAC
$ SAC
$ TRL'NK WATER ASSESSMENT
$ TRONK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRt'NK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ O? ?, (1-T7 TOTAL
?4,103
RECEIPT RECEIPT
DOES LTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THE[V A"PERMIT FOR WORK WITHIN P(!BLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION.' LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
r ?7
-7
4,
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•S UqR•VEYOR'S
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C E R T I F 1CA T E GRAND OAKS UEVELOPMEN'f CU. (HC C3
?
NOTE:
THE LEGAL DESCRIPTIODI USED CN THIS
SURVEY WILL BECOP1E VALIG UPON FILIMG -
THE PLAT Of OVERHILL FARM SECOND
ADDITION.
--6---- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCIi = 30 FEET
O
? DENOTES
UENOTES IRON MONUMEN7 SET
IRON MONUMENT FOUND PROPOSED GARFlGE
F100R
- 9 46•3
FEET
.X000.0 DENOTES EXISTING ELEVATIUN pPROPOSED ROPOSED TOPEOF BLOCK = 9 4(O•I FEET
(000.0) DENOTES PROPOSED ELEVATION
I HERE4Y CERTIFY TO GRAND OAKS DEVELOPMCNT C0. 71iAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE aOUNUARIES OF:
Lot 7, Block 4, OVERHILL FARf" SECOPlD ADDITION, acccrding to the
reco rded plat thereof, Dakota County, Plinnesota.
AND OF TIIE LOCATION OF A PROPOSED DUILDING. IT DOES NO7 PURPORT TO SIIOW IMPROVEMENTS.
OR ENCROACIIMFNTS, IF ANY, THEREON. AS SURVEYED 4Y ME; OR UNDER P9Y DIREC7 SUPERVISION,
THIS )t7N DAY OF Jw.y , 1986.
NOTE:. GRADES SHOWN WERE TAKEN FROM
THE GRADING PLAN FOR OVERHILL FARPi •
SECOND ADDITION, PREPARED BY MINNESOTA
VALLEY SURVEYORS INC., LAST DATED
MARCH 28, 1986.
SIGNED: JAMES R/HILL, INC. ^
[iY:
H1IROLU C. PETERSUN, LAPID SURVEYOR
PIINNESOTA LICENSE N0: 12294
PROJECT N0. BOOK / PAGE ,JAMES R. HILL, INC.
86817 •
Planners / Engineers / Surveyors
FlLE NO. 8200 Humboldt Avenue South
' FOLDER Blootnfngton,Mn. 65431 612-8e4-3029
5UR V? Y 0 a1S CER 1 I I' I C ATE GRAPID CAKS CEVELOPMENT C0. H403
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aROJHCT N0, aooK ? pAoE JqMES R. 1-IILL, INC.
86817 Planners / Enpineers / Surveyors
PILH NO. • 8200 Humboldt Avsnus 8aulhFOLDER 13?oomineton,Mn. 65431 .012-0e4•3029
oa's cE RriF.1 cAT E
_ .--------- ?- - .._..
GRAP?D CAKS CEVELOPPlEPIT C0. H403
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pA0JEC7 N0. BOOK / PAGE F22 S I?. I'III.?L., INC. •
?817 Englneers / Surveyor a
P1L8 N0. umboldt Avsnus 8oulh:;;: ?•
' FOLOER • Htoominpton,Mn. 65431 .etx-aea-3029
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA100517
Date Issued: 08/10/2011
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 693 Hay Lake Rd N
Lot: 7 Block: 4 Addition: Overhill Farm 2nd
PID: 10-56151-04-070
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Janet Mason
122 West - 3rd St
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Haler Comfort SN-stems Elzbieta Trejo
122 West 3rd St 693 Hai- Lace Rd N
Hastings NIN 55033 Eagan NIN 55123
(651) 437-0338
I hereby aeknowledae 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 Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA100517
Date Issued: 08/10/2011
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 693 Hay Lake Rd N
Lot: 7 Block: 4 Addition: Overhill Farm 2nd
PID: 10-56151-04-070
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Janet Mason
122 West - 3rd St
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Haler Comfort SN-stems Elzbieta Trejo
122 West 3rd St 693 Hai- Lace Rd N
Hastings NIN 55033 Eagan NIN 55123
(651) 437-0338
I hereby aeknowledae 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 Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Feb 21 2012 10:34PM BRUCKMUELLER PLUMBING INC 6516882160 page 1
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - - -
I Q ~0
of Eapn 1 Permit*:
My (
~ Permit Fee: 4
3830 Pilot Knob Road
I Date Received:
I I
Eagan MN 65122
Phone: (661) 675-5675 I start: I
Fax: (651) 675.6694 ! ----------------J
INFLOW & INFILTRATION PERMIT APPLICATION
t✓ Plumbing / Sewer S Water
Date: Site Address: 6 9 3 NOrflk igc,&4 t-ak-e Pogd • 4La ja n
Tenant: Suite 5:
Name: G i2b1-C,4M Tre U Phone:-6!51- &9U- CE(6(P
RESIDENT I OWNER
Address/City/Zip: 61 l'h a~
r, l OM
-
Name: ar^tl /Y)it ✓er mOfi1J AG. License [1
Address: 3992 P r~nsNlyani~ &e,. city:
CONTRACTOR
State: 1"t%1 Zip: _J ~o? Phone; _ ~~f" e CP Cr Lo -
Contact: 6rIe Or -ffab'~P, Email: /'a ~ m
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK ✓ Sump Pump Repair Repair
Other: Other
Description of work: Grfrlm 13 / m t2 d lSe n e ~/nom
DESCRIPTION Code-
FEES DD
$65.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ 'Permit fees will NOT be reimbursed by the City of Eagan. If you. plan to submit III repair costs for
reimbursement two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaaan.comlinfbw, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU NQ. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. ya w•aooherstateonecall.oro
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.
Appl ants Printed Name Applicant's Signature
{>@otlgpts lrinledr Cirodrt ~Iougki~ln Fne►I
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118924
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 693 Hay Lake Rd N
Lot:7 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-070
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Elzbieta Trejo
693 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:Plumbing
Permit Number:EA140452
Date Issued:12/21/2016
Permit Category:ePermit
Site Address: 693 Hay Lake Rd N
Lot:7 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Elzbieta Trejo
693 Hay Lake Rd N
Eagan MN 55123
(651) 276-6885
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145750
Date Issued:09/25/2017
Permit Category:ePermit
Site Address: 693 Hay Lake Rd N
Lot:7 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-070
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 -
Elzbieta Trejo
693 Hay Lake Rd N
Eagan MN 55123
(651) 276-6885
Capital Construction Llc
406 Gateway Blvd
Burnsville MN 55337
(855) 766-3221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154825
Date Issued:04/15/2019
Permit Category:ePermit
Site Address: 693 Hay Lake Rd N
Lot:7 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Elzbieta Trejo
693 Hay Lake Rd N
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature