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697 Hay Lake Rd N. .. ,. -, ? • . . * CITY OF EAGAN •??1 17090 ,3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121 .y PHONE: 454-8100 P514 E??T'? Receipt # - r x 3--SEASON POitCN Est. Value $9s000 Date SEP 21 , 19$9-- Site Address °Y Lot 6 Block Parcei No. W Name _ o Address Sec/Sub. Phone o Name JEFF BLpCH ?i Address 5143 iJ 14S77i $'[' ? City SAVAG$ Phone 440-2294 bW Name W W o ; Address <W City Phone I hereby acknowlege thai I have read this application and state that 1 in(ormation is correct and agree to comply with all applicable State Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Permitee A Building PeRnit is issued t0:.' JE" BWCK on the express condition that all work shall be done in accwdance wfth applicaGle State of Minnesota Statutes and Ciiy oi Eagan Ordinances. OFFICE USE ONLY oca,pancy - Zoning - (Actual) Const _ (Allowable) M? 16?1? S of Slones?'°?• Length 24 16 De,,h D?cks 24x16 S.F. Total 12 S.F. footprints _ On Site Sewage - On sile well _ MWCC 5ystem _ City Water - PRV Required - Booster Pump _ APPROVALS Planner - Council ? BIdg.Off. - Variance - Bldg. Permit Surcharge Plan Review SAG City SAC, MCWCC Water Conn Waler Meter Acct. Deposit S/W Permil S/W Surcharge Treatment PI Foad Unit Park Ded. Copies TOTAL FEFS 1?•00 ? 4.50 iiZ•50 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspaction Date Insp. Commenis Footings 1 1 S ? 6t/? Foundation ffBfllifl9 G '/7 ! Raofing Fiough Plbg. Rough Hlg. Isul. Fireplace Fnal Htg. Final Pibg. Consl. Meter Plbg. Inspector - Noti(y Plumber En9rJPlan BIAg. Final Deck Ftg. peck Fnal Well Pr. Disp. To be CITY OF EAGAN ; . • 3830.Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . PHON E: 454-8100 :RMIT Receipt # •-11: ?Est.Value ; 3, --"` Date ,19 Site Address y 7 Lot Block " S Parcel No. x Name 3 Address ° City Phone ¢ ,o Name ? ? Address '' • ° ' ? ? x 1-- City Phone 294-5143 Name Address City Phone ition and state that the all applicable 5tate of s. Signature of Permittee A Building Permit is issu on the express condition applicable State of Minn Building . '.? i.f. fl?1., ? i ButcK co , . OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning on sice weu (actuei) consc city weter (Allowable) PRV Required ik of Starles Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES E44. Engr./Assess. Permit Planner Surcharge 1 • ?? •' Council Plan Review BId9. Off. SAC. City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Permit No. Permit Holder Date Telaphone s Plumbing H.V.AC. . Electric Softener Inspection Dats Insp. Cammenta Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace ? Final Htg. Ffnal Plbg. Bldg. Finel Cert. Occ. Temp. LP Deck Ftg. Deck Final wen Pr. Disp. CITY OF EAGAN t n ?? ?•`?. \ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?'? -- - i 2 4 4 0 ?.°? • . v BUILDING PE ?MI'? PHONE: 454-8100 ? ? , F Receipt# To be used tor ? SF DWG/GAR Est. value 573, 000 Date AUGUST 1Y 19 $6 Site Address 697 1dU HAY LAKf: RD Erect Occupancy R3 Lot-6 Block 4 Sec/Sub OVERH ILL T'r Al i.i^. Remodel ? Zoning Pp Parcel No. . 2ND ADD Repair ? Type of Const yg3 Addition ? No. Stories ? GRAi?3D OAKS DEVEL CO Move ? l.ength -? ' = Name 1881 SUNRI A SE CT Demolish ? Depth 52 o ddress ciry r-AGAN Pnone 452-8934 Int. Impr. ? Install O Sq. Ft. Assessment Water & Sew. Police Fire Signature of A Building Permit is issued to: ` all work shall be done in accordance with Building Official Planner of Bidg. Off. "? "`, "• Permit ? jac. vu Surcharge 36.50 Plan Review 176 .00 sAC 575.00 Water Conn. SOU. 00 Water Meter 63 . 50 Road Unit 290 . 00 Tr. Pi. 156.00 Var. Date I Copies , , 00 CO Total on the express condition that and City of Eagan Ordinances. Permk No. Pamiit Holder Date TMephone M f V.A. 9 C SoBener Inapection Date Insp. Commenb FooUngs I Footlnysll Foundatbn Framing RooHng RoughPlbg. Rouyh Hty. . ?- W? ?7.( ? ?' ?! / Insul. _ v.. Firoplace Final Htp. ? 6 Final Plby. 0,? 9- V I& Bidg. Final cert. ooc. a B Deck Ftg. Dack Frmy. Wsll Pr. Disp. MECHANICAL PERMIT ?R?? ? CIT1f OF EAQAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 5S1Y1 ? Site Address Name m Address c City ? Name c Addre O CitY - TYPE OF WORK Forced Air Boiler Unit Heater I Air Cond. M BTU M BTU M BTU ? Vent CFM ' Gas Piping Outlets # Other PERMR FEE: S/C: TOTAL: TYPE New _ Add-on . ReRalr. FEES RES. HVAC 0-100 M BTU ADDITIaNAL 50 M BTU (RES. MVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUY -1 PER PERMIT) COMMAND FEE -196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIYUM RF.SIDENTIAL FEE - ALL ADD-ON 8 REMOOELS PER PERMIT - $24.00 - 6.00 - 1.50 EA. ?i - 12.00 ? - 20.00 ? - .50 FEE) '-. Y r . , - . ' . . r . > - ' „r" n ? . ,.i2`•. • . _ . .. 7 .. '7 3 3 PERMIT # . ' ` y> MECHANI CAL PERMIT ? RECEIPT # " • • TY OF EAGAN G ? '?• ' G CONTRACT PRICE 3830 PILO T KNOB RO PHONE AD, EAGAN, MN 55121 DATE : 454-8100 - Site Address '' TYPE WORK DESCRIPTION BLDG Lot Block ? SeC/Sub - . R t? N m Name es. ew lt Add- M 5 Address ' u on i C R . r epa omm. c City ? ` : Phone p h .. ? er t Name , ' ; , ? • ? FEES ? . c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ` ADDITIONAL 50 M BTU - 6.00 . ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU `'v COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond.- . M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping OuUets # Other FEE SIGNATURE OF PERMITTEE S/C: ToTaL FOR: CITY OF EAGAN . ?-r . ? . . . ? S 7 ?: PERMIT # ' • - PLUMBING PERMIT I I RECEIPT # CITY 4F EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE 454-8100 Site Address bg-l 'V'_ i? L ? BLDG. TYPE _' (? WORK DESCRIPTION ' Lot Block `'? S e?/Sub ? r'??`?'\+y ? c} ?? •f X ? . Res. New m Name Mult Add-on r f ? Address c r ? Comm. Repair y ? City , 1 . Pho ne-?' Other Name ? Address p ciry FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMJM - 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) ? ' +'_ N.Q. FIXTURES 1 Water Closet - $3.00 6TOTAL --Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ?-Laundry Tray - $3.00 -- ? Floor Drains - $1.50 ?• ?? ? Water Heater - $1.50 Whiripool - $3.00 I Gas Piping OuUets -$1.50 7 7 7 c? Softener - $5.00 wen - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 Z FEE STATE S/C • S U GRAND TOTAL: FOR; CITY OF EAGAN CITY a)V EAGAN 3R30 Pilot Knob Rosd P. O. Box 21199 _ Eagen, MN 55121 Iny: . r: C;ra,^.d , tft A dd r c ss: E 97 *;o umbsr. r ?N/o.: 7 9? za: ?/ 8'? ?coclf _ No.: Cl.S N 1.2 't 1 10 te oomply Mril6 11M City oi By \-/ ?? Date of Insp.: 7 Ofc,I~ (0 ' jiG T;, . - DOfe POId: /o - /- A(, m CITY OF EAGAN SEVIIER SERVICE PERMIT 3830 Pilot Knab Rwd P. O. Box 21199 pE?1T NO.: DATE: Eagan, MN 5b121 , ?ing; ' 1 ? No. of Units: -,., Crane ? ..._ Owrwr: ? /1ddrcss: - 2 ,. - }. ? Site /lddrcss: '• 6 ?- T' + ' - i=L° Plumber. I .,me to -, p !, wbh th. cR,?.f e.... connectionaaro.: 4°.?..:.::n.pA Orliw?mom tiooous,c oeno.+t: n' .,: Permit Fw: ....? ' Surdwrpe: g Misc. Q+oro.s: y : Date of Ira Total: p. 'Insp.: Date Pold: CITY OF EAGAN WATER SERVICE PERMff 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 551,21 DATE: Zoninp: No. of Units: ^----- ';rand ?:a k-s Addnm: SiftAddress: : . (. ..r - ? . . _ .. 1 Plumbsr. _ Melrr No.: Cormectlon Charge: " ? Stze: Aoooimt Deposit: , ? . Reodsr No.. Parmit Fae: ' . 1opw h eM* MI& 1M City of EmMa Surthwrpe: - OrllMna?. AAisc. Cl+oross: Totol: t gy Date Paid: Dote of Irqp.: Inup.: WATER SERVICE PERMR . PERMIT NO.: DATE: ? No. of Units: RESIDENTIAL BUILDING PERMIT APPLICATION cinr oF eacnN ? 6W 3830 PILOT KNOB RD - 55122 $?,2t 651•681-4675 J owo NewConstrucUon Reauirements FtemodellReoairReauirements • 3 regislered site surveys shawing sq. ft af bt sq• ft oi howe; ang mofed amm • 2 copies of plan (20% manimum bt coverage albwed) . 1 set of Energy Calalatiore for heated additions • 2 copies of plan showiig beam 8 window sims; poured tound dasgn, etc.) . 1 slle survey fa ezleria additions & dedcs . 1 set ol Energy Calwlatlore • indicate 9 hortie served hy septic system tor add'Nons • 3 copies af Tree Preservation Plan d bt pWtted after 717/93 • Rim Joisl oetaa opsons selectiwi sneet (bldys wim s a less units) DATE V-I 3-0 i JOB SITE ADDRESS L97 AIo . 4A-4 6.Alk'E IF MULTI•FAMILY BUILDING, HOW MANY UNITS? U PROPERTY OWNER .Sosepµ 5TE'FANi _ TYPE OF WORK 57U?.°M t7Rmi%&E 5'lF1IU6GS= TE^ee-fF FIREPLACE(S) _ 0_ 1_ 2 APPUCANT I?&Fo27' ,Qooresnvs, T,uG PHONE# 6,17--22,7-aB4s ADDRESS '331o &J uJAj-7ee Atv ZIPCODE s31o7 PAGER # CELL PHONE # FAX# Cat7 si-7-opop ? NEWESIDENTIAL BUILDING ONLY- flll OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Caiculatlons Submitted _ MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/W ater Contractor. _ Air Conditioning _ Heat Recovery System All above infortna8on must be submitted prior to processing of application. Phone # Fee: $70.00 I hereby acknowledge that I have read this applicafion, state that the informatidn is cortect, and agre? comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. iBy_ Stgnature of Appllcant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Requfred _ Updated 1/07 _ Water Softener _ _ Water Heater _ _ No. of Baths VALU/[ION 7S0o _r-o Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths "r OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg jt 02 SF Dwelling ? OS OEplex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 OS-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex O 11 10-plex O 19 Lower Level -FP 24 Stortn Damage O 06 04-plex 0 12 12-piex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New 0 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 32 Addition O 36 . Move Bldg. El 42 Demolish (FOUndation) O 45 Fire Repair ? 33 Alteratlon O 37 Demolish (Bldg)• ?11 43 Reroof O 46 Windows/Doors ? 34 Replacement 'DemoliUon (Entire Bldg only) - Give PCA handout to applleant Valuation ,56 O °i Occupancy MC/ES Systam 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 W idth REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ RI. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By Building Inspector Base Fee 5urcharge Plan Review MC/ES SAC City SAC W.ater Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total !S3 ..2c ?" 1 /s7, zS` FinaUC.O. _ FinaVNo C.O. _ Plumbing HVAC . BUILDING PERMIT DECK & To be used fOr 4_RReSi CITY OF EAGAN N2 17090 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE:454-8100 Receipt # Value $9,000 Site Address 697 N HAY LAKE RD Lot 6 Block 4 Sec/Sub. OVERHILL FARM 2 Parcel No. wlName JOE & LISA STEFANI ? Address 697 N HAY LAKE RD City EAGAN Phone 681-1734 ?o Name JEFF BLOCH I 8¢ Address 5143 W 145TH S'r i- City SAVAI' F, phone 440-7994 Name _ Address CIty - Phone I hereby acknowlege thatl have read this apphcation and state ihat the information is correct and agree to comply with all applicable State of Mmnesota Slatules and Ciry ot Eagan Qtdnances. J SignaWre of Permitee A Building Permrt is issued to: JEFF BLOCH on Ihe express condihon that all work shall be done in accordance with all applicable State of Mmnesota Statutes and Ciry of Eagan Ordinances. Butldmg Otficial 19$9 OFFICE USE ONLY Occupancy - Zoning _ (AC[ual) Const - (Allowable) - # ol Stonel'brcll 16x12 Length 24x16 oepm Decks ?24ac16 s.F.7otal ?- 6x12 S.F. Footprinls - On Site Sewage _ on sae wen - MWCC System - City water _ PRV Required _ Booster Pump _ Bldg Parmil Surcharge Plan Review SAC, City SAC,MCWCC Water Conn Water Meter ACd Deposil SNV Permit S/W Surcharge Treatment PI FEES APPROVALS Planner _ CWncli Bldg. O(t _ Variance _ 108.00 4.50 Road Unil Park Ded. Copies TOTAI 112.50 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121Np ? 12440 BUILDING PE13MIT ` PHONE: 454-8100 Receiptp To ba used for SF DWG/GAR Est. Value $73,000 Date AUGUST 12 t9 86 SiteAddress 697 NO HAY LAKE RD Erect IN Occupancy R3 Lot-6 Block 4 5ec/Sub OVERHILL FARM Remodel ? Zoning PD Parcel No ZND ADD Repair ? Type of Const. V.*? . Addition ? No. Stories a GRAND OAKS Name DEVEL CO Move ? Length 50 i o Address 1881 SUNRISE CT Demolish ? DepM S 7 t I Ft I ? S ciry EAGAN pnone 452-8934 n mpr q. Install ? ? i o Name- _ SAME Approvala Fees $ ¢ Address ? City Phone .? F w Name -z ? ? Address z < w Ciry Phone I hereby acknowledge that I have read this application and state that the infoimation is correct and agree to comply wiih all applica6le Stata of Minnesota Statutes and Citv ot Eaaan Ocdinences Signature of A Building Permit is issued to: ` all work shall be done in accordance with Building Official c Assessment _ Water & Sew. Police - Fire Eng. Planner- Council _ Btdg.Off. 8i APC Var. Date- ?O Permit $ 352.00 Surcharge 36.50 PlanReview 175.OC SAC 575.OC Water Conn. 500.012 WaterMeter 63.5C Road Unit 290.OC Tr. PI. 156.0( Copies??. 0( Total ? on the ezpress condition that Statutes and City of Eagan Ordinances. CITY OF EAGAN N°_ 'I 4 Z'I 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ---7 -? ?? ??1 BUILDING PERMIT Recelpt# To be usedfor FIREPLACE Est Value $3,000 Date SEPTEMBER 23 19 87 Site Address _ Lot 6 Block Parcel No.- a Name JOE STEFANI I ; Address SAME ° City Phone '0 Name OLSON BRICK CO ? Q Address 5452 VERNON CT ? CityPhone_ A96_5147 w i a z w Name Address CitY _ I hereby acknowledge that I have re d this a ica4on and state that the mformation is correct and ag?o-! rpS?Fp h all applicable State of Minnesota Statutes and GqCoLE anbr i nces. Signature of Perm' e A ewiding Per is issued to: SON BRICK CO on the express condition that all work shall be done in accorda nce wrth all aDPlicable State of Minneso?ta- ?5/1yytutes and City of /a_gan Drdinances BuildingOffiaal 97 NO HAY LAKE RD 4 Sec/Sub. OVERHILL FARM 2 OFFICE USE ONLY On SRe Sewage _ Occupancy MWCCSystem _ Zoning On Site Well _ (ACtual) Const Ciry Water _ (Allowable) PRV Fequired _ # of Stories 8oaster Pump _ Length Dep[h S.F. Totel Footprint S.F. APPROVALS Engr./Assess. Planner Council Bldg. OH. Variance FEES Permit Surcharge Plan Review SAC, City SAC, M WCC Water Conn. Water Meter Road Unit Treatment Pl Parks TOTAL $44.50 1.50 REQUEST FOR ELECTRICAL INSPECTION ea-oowi-os ' See instrLctmns for comOleUng lhis }orm on back of Vellow copy. 66193 "X" Below Work Covered by 7hrs Request V Nev.{AAdI Peu.I Type ol BuilEing I AoDlioncea WireE I EquiVment Wire•f I Electnc Air ConArti p Fae ServiceEntrence5¢e M Fee Fexdes?5ubleeders N Fee Circuits 0 to 200 qmps 0 to 30 qm s 0 tn 30 An s Above 200 qmps 31 to 100 Amps 31 to lU0'Am s Swimming Pool Above 100_Am s Above 100_Amps Transiormers Irriyation Boorris Purtia6'Other Fee Signs Special Inspectmn n^ $O Remarks s?'?J ? T AL FEE Elach feility Ihet the above fnspection has bean maAe. c?-?-- 6q1 d`"????? _ , . ?ci,,•. V ?o ,._ r - . r Thrs requast void 18 months from ? 661 3ti- ` Rpquast Dvte - (J/ 1 Fire No. Rouph-m InsvecUOn Rp"wretl> ,y,/ ?Ready Nuw W Will Notify InsPec- - f?- ?Q Ves ?Np ? ? ?or When Featly ? Licensed Electncal Contractor I hereby reqvasl insDection ot abova ?Ownpr alectncal work installed aP Street Atldress, Boz or Route No. 697 .+/ W,4 44xF-,P? Cny ectmn o. wnshrp Name or No. - N?nge No. Countv 0 OccupantlPRINTI tevf Phone No. Power Suuplier t(e ?cc2 ,?i'L AAdmss ?300 22CMh s; kvn„r/ .r/ Electrical Con[rac[or (Company Name) Contractor's License Nn. MaJine AdJress IConVactor or Owner Makinp Instailation) Authoneetl Signatore (Contractor/Owner Makin9 Installauon) Phone Number MINNESOTq STpTE BOARD OF ELECTflICITV THIS INSPECTION FEQUEST WILL NOT Gri09s-MiOway BIOg. - Room N•191 gE ACCEPTED eY THE STATE BOAND I821 Unmversitv A,e., St. Paul, MN 55104 UNl,E55 P0.0PEfl INSPECTION FEE IS ENC Phone1612I642-O800 LOSED. ; , K,1 G,lvp tFn %AI'k? d -"I i&NT Dao? REQUEST FOR ELECTRICAL INSPECTION ee-ootwt-oa Sea instruchons for compleUne this torm on back of yellow coOY. 43077 "X' ' Below Work Covered by 7his Request Mal AAd ReO. Type oi BuilDing Appliencea Wired Equiyment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtureti ApL Bwldmg Dryer Electnc HeaUn Commerciai 81dg. Furnace Silo Unloade, Industrial BIAg Au Condrtioner Butk Milk Tank Farm Omr. TTPeu v n,ner isucc:?yl 1 P.f S{ICCI y IhCf 01M1I:I Comuute lnsaecUOn Fee Below N Fee ServiceEntrence5ize n iae Fxnders/Subteeders # Fee Cvcarts U to 200 qm s 0 to 30 Am s 0 0 to 30 Am s Above 200 qmps 31 to 700 Amps 31 to 100 AMPS Swimming Pool Above 100_Am s Above 100_Amps Transiormer5 Irngation h3oorcs Partial- Other Fee $igns Special Inspection S ? ?- TOTA F Remarks L. EE ? /,tV- / c i RouBh-in ?y D/??/e?e7.. //y?? I, the ElecVical ? I W/` i l0 Inspector, hareby certify thet the above ingpecUOn has Caen fMS reauest void 18 montln from Thrs repaes[ wid 4l a9` v- ii, 18 rtvnths fc5m . C 43077 L?. r, ? s?G. C,uer-ht ?? Fhn,a??' ?y?d0 APnue Dale Fire No. flo?gh-in InSDer.tion I flequireA? E]fteady Nuw Will Nnlity InsPec- -a?- ? ' es ?NO ror When Ready l?censed Eleclriwl Conlractor 1 hereby repuest insOecHOa ot abova ? Owner electncal wark installatl at: SVeet Address. Boa or Ro re No. ? C? yrj ? ? ? 4 I `? ecuon o. Township Name or No. Hange No. Coumy O cuPant(PNINT) r? A? Phor No. z ?s- 93 P er Supplier Adtlress EI`nl ConVacmr (Com n INa9me?l ?!" M Conhar.lor Liconse No. ? O PCC {?) lJ?.-S?- ?(LI l'_. I -+- hJ , ? Maihne P.dJress (COnVa Aor or Owner Makine Instai lauon) ? ? lV . W 1'?V? ID? J Authonzetl '? ? ture IConh t r Owne ak? Installationl Ph ne Nu ber ? ?y WIL NOT MINNESOTA STATE BOAND OF ELECTNICITY THBE AISCICEPNSPECTITED BYON FEQUEST THE STATE 80ARD Grigea-Midwav Blde. - Raom N-191 1621 Univarsity Ave.. St. Vaul, MN 55704 UNLESS PHOPER INSPECTION FEE IS Dn....e 16121 297Z?111 ENCLOSED. cTt% CITY OF EACAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *KYPF: PAYMhNf OF FEE AT TIME OF aeri.icATIoN noES Wr ooNsriUM APPROVAL OF PIItIOT. INSPDCPION OF SESM AfID/OR FPMM Tntsl'AT.T.ATTONS WIIS+ NfYl BE SCHID- UI,ID ONPIL PEE2MIT HAS SEIN APPROVID. .... ___________.... P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF E7QSTING STRCCIL'RE, DATE OF ORIGINAL BUILDING PERMiT ISSL'ANCE: - ? (hbn Year PRFSENf 7ANING/PROPpSID L'SE: D MNJME2CIAL/RfiTAIL/OFFICE r7 IPIDL'STRIAL, rl INSTI7-'TIONAL/GOVERNMENT ? R-1 SINGI.E FAMILY ? R-2 DUPLEX (Ttao C?nits) ? R-3 TOWNHOL?SE (Three + Units) ( Dnits) q R-4 APARTMEDPf/CODIDOMINIIIM (. Units) 2) ADDRFSS: CITY, STATE, ZIP: PHONE: -d'9 3) u c aNRME: _ ADDRESS: i CITY, STATE, ZIP: PHONE: ? Active Ekpired Not recorded - ol-lr3 / MASTER LICENSE# 7 /lf k St?tial 4) ADD CITY, STATE, ZIP: PHONE: •5) i ? r• , ? a: • nva a ?• : • oo - a• _ O?CONNECPION 1o CITY SEWER P?r CONNE`PION TO CZTY WATER OTHEB ' 6) ? r• r• r ? PLEASE HOLf] APPROVED PMMIT FOR PICFC-' BY ONE OF ABOVE ? PI.EASE MFLLL APPROVID PERPIIT '!t] lr 2r 4. ABOVE (Circle one) 71 i - -.. . FOR CiITY USE oNLY . PERMIT # ZSSL'ED 77&s- 1 Pd w/Bldg.. Permit FEES: $ SEWER PERMIT (INCLUDE SL'RCHARGE) $ WATER PERMIT (INCLDDE SPRCHARGE) $ Z-.J SZ S WATER METER/COPPERHORN/OC'TSIDE READER $ S WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ S " LATERAL BENEFIT/TRL'NK SEIaER $ $ LATERAL BEN°FIT/TRLNK WATER $_ ?c?'7? • Oo $ WATER TREATMENT PLANT Sf!RCHARGE $ $ OTHER; $ /3 $ O--Z) TOTAL 7 3 7 RECEIPT RECEIPT DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MUST BE ISSDED BY THE ENGINEERING DIVISIO ' N. LIST AS A CONDZTION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : f ? u ?-- 1987 BIIILDING PERMIi APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 91?V ,Qo,- h?op „?c?l.a?.?.?GOI INCLDDE 2 SETS OF PLANS, 3 CERTIFICATSS OF SOROEY, 1 SST OF ENERGY C9LCULATIOHS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CH9NGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSDED. MULTIPLE DWELLINGS - RFSIDENTIAL IiVCLUDE 2 SETS OF PLANS, CE9 1 SET OF ENERGY CALCULATIONS CO:IIMERCI6L RENT6L U1TtTS FOR S9LE iTHITS OF SIJ[tVEY - CHECg iiITH BLDG. DEPT., 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: Valuation: Date: Site Address A/ Ld11?? K? Lot 6 Block y- Parcel/Sub ``! ?n.l.•?uY(,? ?,n'1'1 a? Owner Address ?Cj-7 A) U City/Zip Code ? Phone Contractor ?21& Cp Address City/Zip Code -'5'/i)F}'(,{ Phone Arch./Engr. Address City/Zip Code Phone ll On Site Sewage_ Occupancy MWCC System Zoning On Site Well Type of Const City Water _ (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. 9PPROYALS FEES Assessments Permit d S° Water/Sewer Surcharge Police " Plan Review Fire SAC, City Engr SAC, MWCC Planner Water Conn Couneil Water Meter Bldg Off R Road Unit APC Treatment P1 Variance Parks Copies TOT9L ?, ?1? fI ? 7 c/ a? ?r ? 7986 BQILDZNG PSMIY APPLICA7ION - CITY OF EAGAN NOTE: ALL CONTRAC'L08S M[fST BE LICENSED WITH THE CITY OF EAGAH SIAGLE F6lIILY DiiELLIHGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY? 1 SET OF ENERGY CALCULATIONS MOLTIPLfi Dii6LLINGS - RESIDfiNTIAL INCLUDE 2 SETS OF PLANS, CEH' 1 SET OF BNERGY CALCULATIONS COlYRIERCIA2: RENTAL D9ITS FOB SALS DNITS OF SQRV6Y - CHECB WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHZTECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND & STRUCTURAL PLANS, SET OF ? To Be Used For: 4 `-A Valuati4r-?i Date: Site Address ?o 9 7 ')I 44L., L-uZ A6 OFFICE IISE ONLY Block ? 3/?M.y?, Lot 4 Erect Oecupancy gs - a Remodel Zoning PL7 Pareel/Sub _t Repair ? Type of Const Addition # of Stories. Owner Move _ Length Demolish Depth ? Address _ Int.Impr. _ Sq Ft Install _ City/Zip Code Phone APPROVAIS FSE4 Contractor . Address City/Zip Code Phone ? 5?,? ? 0 rJ 3 7 Arch./Engr. _ Address City/Zip Code Phone # Assessments Permit Water/Sewer Sureharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Councilad Unit Bldg Off ,+ Treatment P1 APC Parks Variance Copies TO?AL NOTE: ADDRESSES FOR CORNE@ LOTS - CONTRAC20R/HOMEOiiNEH lIIIST DESIGNATE iIHICH ADDRESS IS DESIRED. NO CHANGES AILL HE ALLOWED ONCE BDILDING PERMIT IS ISSIIED. I._ ?I L1?• ...i . l?? i v L_?.?i ?? ? 1 l._..?Yl_L. ?? LIJI 11 tJ 1 tY ? l l.:l`• faf;AND OAI::S I?E=VEL.1]F'hIEiNT C;OMI'F114Y I-1009L MA1=iT IhII(;lU (1FiFA I.1 VAL_IJE LI X AFi6:A PIAX.IMLIM ALL.IIWED BY CUllE I`OTAL WR4_t_ FahEA 1696 .11 196.56 TC?7'AL.. Fi00F AfiF= A 1300 .026 33.0 TOT AL Ai...l..(7b.iE:D 220,.36 AI'HIEVEI> WALL AI=:FA WINI}OklS 203 „5 101,, i DC1CiRS 40 .077 3, 08 f:,l_IDL= GI..ASS 36 .48 17.28 P'.1F'(l'cf"'LACE= vCi .25 7.5 UlALI._ FRf-iME= AFtEA 169.6 .041 6.9536 Fvlhl ,:rOlfil' 144 .0436 6.2784 r-uuran F1LjOVE: (3RADE 95 .0769 1.3055 h,lE I' WAL. L.. Af;EA 979.4 .0378 36. ?8,-;,`5» T'C17'AL. WAL.L 186.8810 Ft00F Akl'-'A SF.YL_I fE 3 .`i 4 ROOF f- RA1HE: J. 30 . 032 4.16 NFT R[lOF 1170 ,0209 24.336 "fi:il"AL roor 32..496 -roTAi. A_r.HirvEn 219.3770 I"IF11=iCi]:N 1N I::XCE'3S ClF CC)DE: .99290 i riAt,O:iri IN rxc;ESs .4460791 SIIiGLE FAMILY DiiELLIAGS 2 SETS OF PL9N5 3 BSQISTERED SITE SORYEYS i 3ET OF EIiEAGY CALC3. 1989 BvnanPa psxmrr eepucsrioA crrx oF geckN LLINGS'0. lQLTIPLE DIiE 2 9Sl3 OF PLlN3 B£f3ISTfiRED 3IlS SIIBQBSS - (CffiiCE flITH SLDG DIY.) 1 3ET OF B68BGT CALC3. ODI4lERCZAL 2 SETS OF IRCHIlECTURAL i S?HDCPOAAL PLANS t SSf OF SPECIFICATIONS 1 SET OF EIiEBGT CALC3. liULTIPLE DAEI.LINt3S AERT9L 4NIT3 FOB 8lLfi DIITf3 i OF D6ITS iOTEs ADDRES3&S FOE CORNER LOYS - COATRACfOR/HOMEO1iNEH tlOST DESI(3NAlE iiSICB ADDRFSS IS DESIRED. 80 C6At7GE5 WII.L BE iLLOftED ONCE HOILDING PERMIT IS ISSQED.. SENER 8 FATfiA PEAMIi FEES JkiPD 1CC00AT DEPOSIT lSES iiII.L Bfi INCLDDED iiPfH T8E BQII.DINQ PERHIT FEE. PAOCESSIHG TIME BOA SEREA !AD N1TER YERHIT3 IS Ti10 DdYS OIiCE 1 PERMIT HAS HEEti COMPLETED INDICbTIAG A LICENSED YLU!ffiER. PENALTY APPLIFS i1HENt PEAMIT IS NOT PAID FOR IN SAME MONTH IT IS REQ[JESTED. LOT CAANGE IS AEpUESTED ONCE PERMIT IS ISS[TED. £ 3 -SEA6&r4 zlo To Be Used For: aluation: ? Date= "00t7 sste Address OP'FICE 05fi OAL! ict 6 Bloek ? Oecupaneq Fm Parcel/Sub O?mer ?F 't [,' 6F Om - lddress ?r) /\J, W,4 YG?iC? IZ - City/Zip Code f?<Ap-? Phone Contractor rS/ock Addreas S/4/3 ?• City/Zip Code S?qv46,E -<S-3700? 1PPROVAIS Phone Planner Cosmcil lrch./Engr. Bldg. OSf. 9ariaace Address City/Zip Code i?Eual Const Alloxable # of atories Length DW-KS Depth ?y x ?L S.F. Total G Y12 Footprint S.F. PaR LH ; I(o' K I 2' On aite aewage On aite well _ MWCC 3yatem _ City vater _ PRn required _ H003ter Pump _ 1J2O Bldg. Permit IV0.00 Surcharge 4,50 Plan Aeview 3AC, City SAC, HWCC Water Conn Aater Heter Acet. Deposit S/11 Permit 3/fi Suroharge Treatment P1. Aoed Unit Park Ded. Copies SOBTdTAL P=? ty ? Phorie 0 ?A L l.l AT1 O : ? '?.? ? ?'? ? I112- X ?_..._----- - ??"?' " looo 3 6 g"v or?, I oD\O ?- ? , H?jEAT LOSS CALCULATION 10 ° rEMP. DIFF. c a w?. ?7YC,nd' L ? y T? I-eut ?' -- mdwm lterm f? OmIR Warrr. _ waIM. UM. fNrwt ---- Giliry hr. ckv -- fba r- rs•l 11 n?I lvll Nbill H ! WinpowS nd Doorc-Oadc pp wW ArM Me ?M?O??r N?iy Le. N LM~ h. ? ? . U ???<_- ?`rverti. f C:v M MY Inf dtratwn G4u Eap. wall 7 N!t otp. vWll Im. wall G+?irig b S aS f'°°r e?tS ?a o md M. Inf ikntion G1w T i aw. /?33-LV ? I.i 4xi ,.;.-'?. Noon lLo n ws?n .5 &mW whwows rW ouon-Crwuoe ane Arr ? a.an NM" N? N I01101 N. nx I ? (o o$'-z° ?"FO ? tnlihqtion Gw. p >r?p Erp. wNl fl o er0. ?ll DOQ InL wall C?arw 2 X(Z •,S 1. Go0 i bnr 3? Btu. ?y wY? ?• ? W.M Y K ? 4 r poor v 2,c? ? 'lntea.?toe I S b aw 3B Da E.o. won 1?•5 0? Ne aP. wNt IM.wNI Gdin1 '!??. 5 X ( ibo? I Z hu. wirwNws.en ooon-a.dcq..na M. I A wMdmr. M.? M.a.? . wy.e ?? ?w M M M l ?+?Ih. ? el ?S cow. en, Inl?lllition j?p 7 C) Ga.. / Eaa. w.ll Nrl Grp, well 117 rf D Int wall c.??,?a r7? ? a a- iIOCN O Toul Bw. l 337 4 w. ,wrw? 1U1/q IN. M ?rl h. ? 3 1 ? Iniihrqpn O cIM a Lf .? Eso. wNl ? NR o+P. weU `F p_ IM. wll cNiwq 3 3 0 ?- ibor 1 TaYI stu. ? a ? HEAT LOSS Cr?A,L,CULATION TEMP. DIFF. Nome ? YGr vl[Y QG F-SV??rL_ 1 TtlvOOoKniaien _l_?e !,"'u?? n7c,11 v Q I ^._ - ..k. w„m Str«t _ chY Arr Mo w?mn n1 N ??M? M ?Y Ne. M ? lMw h. AA% I ? v ? 15 I 40 ,;? Cod. .{V ?11}Ihf?110n ri Glw Sp Eo. wall •SX 6 01M e,p. wall a Ins. wall c«lcng ?a x a, 4 5 .3 a5 Floor q z- I ? TOUI Blu 7 A00111I Length w+dl?l ? ???t M/IRdOWl Mld DUOf1-CifiCkap alld Afm ' ? eW.sM W. N =ft. . ?w lnhhotqo G1M E¦p. wdl lqx No nn. wall ag Int. wall Ceiim9 / fb"' 8 Toul stu. 'p''Fi.1 s.'Y '• n",tL«Wn 1Lt_SWdtn/6.rNopkop,FS wn+mws arwf Daas-CrSdca . ond Arr n? rw. M M • N 1411 1 Btu ?11??IItilqfl Q 7 -7 (?Q G'+? v0 E¦p.wdl ?c r?g Nw e¦p. wool 3 a- Inl. wall c«lNw Y, SK l?. D a.p Florv a Kv wwdom re" s.r+ wNk . Nr. CwBry Mm Fka and DOen-podiw snd Arr IM. MNwo ?M ?Y?I h. Mr • ?. lkY IMihntion 91049 G4s p /GC0 Exp.owi 9b DIM a0. wa11 6- IM. wNl c.x:a / o. Fbar WW kr No M Mu W. M K ?E yZ v ba I?iM?tion '2 GYr E¦o.VJMI io t NM nco..wll I rh. wdl ' C?lMo K /O. F?.or IO55. Z/U Totd ltu. I g 2 fo SR5 ci.l PAee"l wiM wkdow&e ooa+-o.dw..W kw Ms. «'?' N?qn M?. h a.?. w Tflfiltrmon Glw Estp. wW (Mt ouP. MII IM. wall c.+l:y f? Toul Bw. 3-? rotN bu. 'f,2? CoCn v7 ec--1-e , 34? 5 S 53,395r o4ici' heqt ILsS / 90 7 c;> RESIDENTIAL BUILDING PERMIT APPLICATION d4 ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Canstructlon Reauireme?s RemodallReoair Reauiremenh • 3 reg'stered sile surveys showinp sq. R of lot, sq. ft of house; and all roofed areas • 2 copies of plan (20% mazimum lot covarage allowed) • 7 set of Eneigy Calculatiore for heated additions • 2 copies of plan sFwwing beam 8 window s¢es; poured found design, etc.) • 1 sde survey for eAerior addNOns & decks • 1 set M Energy Calcdations • Indipte N home served by septic system for additions • 3 copies of Tree Preservahon Plan if lol platted after 711193 ?? a p? t"j • Rim Jo'st Defail Options seleclion sheet (bldgs wAh 3 or less untts) DATE JOB SITE ADDRESS IF MULTI-FAMILY BUILDING`,HC PROPERTY OWNER ?/SG TYPE OF WORK___??cx APPLICANT ADDRESS PAGER # 'LACE(S) _ 0 _ 1 _ 2l,V/ PHONE# '7r.? -'d1`!? NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing Systcm Includes: Mechanical Contractor: _ Mechanical System Includcs: Sewer/Water Confractor: _ Air Conditioning Hcat Rewvery System All above information must be submitted prior to procassing of application. Fee: $90.00 Fee: $70.00 FFR 2. 5 7002 I hereby acknowledge that I have read this application, state that the information is cor1rect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin nces. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 _ Water Softener _ Water Hcater _ No. of Baths VALUATION 1 QD .? Phone #: Lawn Sprinkler No. of R.I. Baths Phone # Phone # OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addfion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors O 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Boqster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) Fina]/C.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ pjumbing _ Foundarion HVpC _ Drain Tile pther Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final - FraminB Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ InsulaUon _ Retaining Wall Approved By Base Fee Surch2rge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION SD CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date/dlL116 ?/ Site Street Address A ? c 1?-'azd Unit # Property Owner g4e7 (gLi? Re.9 1 dz' 'Ce__., Telephone # ( ) Addr saor , City J? ?c7u?e?`-r-h Sta e-M-N_ Zip_? The Applicant is: _ Owner 'V Bontractor _Other Alterations to existing dwelling ? Add plumbing fxtures (excludes water softener and/or water heater,C -Jcompl,ete',next _ section if installing these appliances). , 2' I _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) $ 50.00 7 r, ??^ j Other ' Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total 1 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 even a plan is required to be reviewed and appro ed. xU, l(LL Applicant's rint de Name A ic nYs Sign tur 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?$ yzz.o6 6,cc.Aj vv?-?? New Conslruction Reauirements RemodeVReoair Reauirements Office Use Oniv 3 regislered sde surveys showing sq. ft. of lot, sq. fl. ot house; and all roofed areas V 2 copies of plan CeR of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set af Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N. 2 wpies of plan showing beam & window sizes; poured found design, elc. 7 sRe survey for addilions & decks Tree Pres Required _ Y _ N 7setofEnergyCalculations Addifion - indicafeifar-sttesepticsystem On-siteSepticSyslem _Y _N 3 copies of Tree Preservatlon Plan'rf lot platled aNer 711193 Rim Joist Detal Optians seledion sheet (6mldings with 3 or less unAs) Date Construction Cost $? ?1? ? S 000 Site Address (p4 -7 002T1-1 N Aj L-i4 K-= _Z84>i Uoit/Ste # Description of Work 'M1 %1 C,H c1v t p?c, i? lI fr ? I ??I! C 1 9 Multi-Family Bldg _ Y_ N Fireplace(s) 0 - _ 12 2905 ? Property Owner ?C7C. c?- l-1Sf? ST?7ftN ( Telephone 4 (1r517?(m$(1?? 73`? ? Contractor CJL-t-C6-E C i Ty ? ???ci I N C?' Address l`j l O L?tC??1l.?-C ?u-Lt?4k2? City ????lL? State PA T? Zip Z5?SO`E `{' Telephone k(Q,sL ) y(P9 -?09 0,,j COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residentiai Ventilation Category 1 Worksheel • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculalions Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, daTe and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( 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 Statutes; I understand this is not a permit, but only an application for a permit, and work is not to star[ 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. _JE?w\-?? {-?nssc?l ApplicanYs P' ted Name App ' ant's Sig? ure U OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg )K 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 Ot 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 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 Demolish Foundation ? 45 Fire Repair >?_ 33 Alteration rt?f? ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? ? 34 Replacemer? ^DemoliGon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code TT- Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinkiered Type of Const v Q)_ Width REQUIRED I NSPECTIONS _ Footings(new bldg) FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) Plumbing _ Foundation ? HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal _ Pool Ftgs Air/Gas Tests Final ? Framing _ _ Siding Stucco Srone Bri ck Fireplace _ R.I. _ Air Test _ _ Final _ _ _ Windows P_ Insulation _ _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 'l l CA*2-'l 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Koob Road, Eagan MN 55122 Telephone # 651-675-5675 Please enmple[e far. single family dwellings & townhomeslwndos when pemiits are required for each unit WD Date Site Address?`'?1 Q--att t--d' Unit # Property Ownei, . Telep6one # ( ) Contrsctor Street A dressI? City State ' V Zip ? Telep6one # n,/? /^ Bood#: ??q?1? Eapires: / ??/ T6e Applicaot is _ Owner ? Contractor _ Other ? Add-on or alteration to existing dwelling unlt furnace _Additional • J j ? . y _Replacement i$ 30.00 J I air exchanger air conditionerrr?/? New ? other = ufT l? iC 1? L. Replacement?,,J /? ?? ,.{-,? I U (J7 c? (?-i" 1 ? K"L UQ? ??(XX?1' v? D State Sorcharge $ .50 Total 1 hereby apply for a Residential Mechanical Pertnit and ecknowledge that the information is complete and accurate; that tfie work will be in conformance with the ordinances and codes of the City of Eagen 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 acco?dance with the approved plan in the cjse.Ef work which requires a review and approval of plans. Applicant's Printed Name App1Z.''anYs Signature S,i)RVEYOR'S CERTIFICATE NOTE: GRANU OAKS UEVELOPMEN"r C0. H393 THE LEGAL DESCRIPTIOPI USED Ot1 THIS SU.°.VEY WILL BECOME VALID UPON FILIf?G THE PLAT OF Ol'ERHILL FA4!? SECOND ACCITION. 6dIEV1$ED f "_'-----?--?,.. J L ? -=.- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCH = 30 FEET O • DENO7E5 UENOTES IRON MONUMENT SET IRON MONUMENT FOUND PROPOSED GARAGE FLOOR OOR =`170 3 1 = 147 FEET FEET .X000.0 OENOTES EXISTTNG ELEVATION PROPOSED LOWEST PROP05ED TOP OF FL BLOCK . = EET F (000.0) DENOTES PROPOSED ELEVATION I FIEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS I5 A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TFIE DOUNDARIES OF: Lot 6, Block 4, OVERIIILL FARP1 SECOfJD ADDITION, accordinq to t!ie recordee, plat thereof, Dakota County, P1innesota. AND OF TFIE LOCATION OF A PROPOSED DUILDING. IT DOES NOT PURPORT TO SIiOW IMPROVEMENTS. OR ENCROACIIMENTS, IF ANY, TIIEREON. AS SURVEYED QY ME, OR UNDER P1Y DIt2ECT SUPERVISION, T11IS IS'M DAY OF -11.ly , 1986. NOTE: GRADES SHOWN WERE TAKEN FROM SIGNED: JAMES R. HILL, INC. P?4?t"- ThIE GRADING PLAtl FOR OVERHILL FARP1 SECONQ ADDITION, PREPARED. BY MINNESOTA '/ VALLEY SURVEYORS ItdC. , LAST DATED /?MARCH 28, 1986. DY: (Y,? HAROLD C. P[TERSON, LAND SURVEYDR PIINNESOTA LICENSE N0: 12294 SHEET 1 OF 2 SHEETS PAOJECT NO. BOOK / PAQE JAMES R. HILL, INC. 86f315 Planners / Eng(neers / Surveyors FILE NO. 8200 Humboldt Avenue South ' FOLDER 8lootnln8ton,Mn. 65431 612-8e4-3029 5 U-R VEV O F; r 5 CER T( F i C ATE GRAPP. O A1C'S-6?VELOPF9Ef11 #193 N89058'37"E 88.00 qa?_ ---- ,n RAlNAGE 9 UT7LlTY EASEMFJVTJ) I I7PER PLAT ' . . L 0 T _ I 6 I o $ o O' I N I?') N ir, ` q q?, o -- - 4 00 , ?. / O i lLl PHOUSEED w tp M ? ?p• o 24.00 m o N 0 N° aD ? m i m N'O r1 \J 0'n (6 4 33 4.0 Cq7?. d) Y N' ,A??\ ? ? 22.00 -----?'? -- -? -_j r '(^??ry:? ? 5 4 1 ? II W `z' ? M p ? e O ? 1 ? ?- - ? "y4rn?ar ?? -T (-)4N89058'37"E 88.00 ° HAY L A K E ROAD ? SHEET 2 OF 2 SHEETS ' FOLOER N I'ROJEC7 NO. HOOK / PAGE 86815 FILH NO. . ' JAMES R. NILL, INC. nlanners / Encllneers / Surveyora 6200 Ftumboldt Avenue 8oulh: Niootnington, Mn. 65431 .812-884-3020 V E Y 0 R'S C E R T I F ICA T E GRAND OAKS DEVELOPMEN'f CU. N393 NOTE: THE LEC11L DESCRIPTION USED Otl THIS SURVEY bIILL BECOME VALID UPON FILIN'G THE PLAT 0F OVEf;HILL FARt? SECOhD ADQITION. -m*- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCH = 30 FEET O • DENOTES DENOTES IRON MDNUMENT SET IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - `150•3 ' FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR 1 = 142, FEET FEET . (000.0) DENOTES PROPOSED ELEVATION PROPOSEO TOP Of BLOCK = 1;O.g I HEREBY CERTIFY TO GRAND OAKS DEVELOPMEN7 C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNUARIES OF: Lot 6, Block 4, Ol1ERHILL FARP1 SECOND ADDITIOfJ, according to the recorded plat thereof, Dakota County, P1innesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SNOW IMPROVEMENTS. OR ENCROACIIMENTS, IF ANY, TIiEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS I5''? DAY Of Tuly , 1986. NOTE: GRADES SHOWN WERE TAKEN FROM SIGNED: JAMES R. HILL, INC. THE GRADiNG PLAti FOR OVERHILL FARM ? SECOND ADDITION, PREPARED. BY MINNESOTA VALLEY SURVEYORS IIJC., LAST DATEO / a MARCH 28, 1986. BY: HAROLD C. PETERSUN, LAND SURVEYOR SHEET 1 OF 2 •SHEETS PtINNESOTA LICENSE N0: 12294 aRO,,ECr r,o. HOOK / PAQE JqMES R. HILL, INC. 86815 Planners / Engineers / Surveyors FlLE NO. 8200 Humboldt Avenue South ' FOLDER BIaoMington,Mn. 55431 e12-ee4-302e .URUFYOH'S CERTIF,ICATF. GRn(!D OAKS-MELb1'lYC'6. #393 N89°58?37"E 88.00 ar- -fr?5 ? ? AINAG£ B !1TlL?Y EAS£MENTy I-PER PLAT . L 0 T I . 6 I o 8 0 N n` -- ? 4 .00 ? L!J W I-- o P H O SE D a / I-- \ 1 ?? M/ M ? ?P o 2a.00 w o N N cu -°• I w ?; i - c? O r 1 \ J ?'o m 4 33 4.0 (cJSJ. 0) I I ?? GR /° ? ? i n0 _ y i ? z2.oo / y ., M & ia O X ? ? .;.;µM• ,'?'.C; ??? N89°58'37"E 88.00 (9yG D, M HAY LAKE ROA D ? SHEET 2 OF 2 SHEETS N apOJBCT N0. aoox / PnoR ' JpMES R. hIILL, INC. 86815 planners / Enptneers / Surveyors PILB NO. . 8Z00 Humbofd! Avsnu* eauth; ' FO L D ER etootninaton,Mn. 88431., 812-88A- 3029 . V O[l r a7 C E R 1 II' ICA TE 'RAFII? 'J11R??E?iELbpf1E?1T? CC. 0-193 L9N 89°58'3T"E 88.00 TlNAG£ 8 UTJLITY EASEMEMII l I I>pER PLAT ' , . L 0 T I ? 6 ? I ?Q 8 0 N N ?? !7C K O ? ? ?24:c N. c % -- ?'" ? 4 00 /? I P HO SE D N U1 z,yW? O/ / pr M/o 24.00 m o N N 4 m ? m ? m u?i ? r r 1 ?? c6 43.5 4.0 (qy.J. 6) \J O ? n /p \ p GAR. N I / ? 22.00 i ?`??•?. y ? -J (?gv#?,;' ? W:: ??. , M (e.??. u) -? CIN q,? N 89°58' 37"E 88.00 ° HAY LAKE ROAD ? SHEET 2 OF 2 SHEETS aflOJBCT N0. 800K / PACIE • FoLoER ' JAMES R. HILL, 1NC. 86815 FlLk N0. • Planners / Enpineers / Surveyore B200 Numboldt Avenue 8outh; BlooMington, Mn. 88431 .812-884-a029 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA125381 Date Issued:07/22/2014 Permit Category:ePermit Site Address: 697 Hay Lake Rd N Lot:6 Block: 4 Addition: Overhill Farm 2nd PID:10-56151-04-060 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. Samantha Doble 2200 Hwy 13 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joseph C Stefani 697 Hay Lk Rd Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �________________� . I For Office Use � � � Permit#: J �� Clty of ��a� ' (,, .,K/y � � Permit Fee: v� I 3830 Pilot Knob Road � � �� Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff:_ � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name `.� ��C P� �� r � Phone: �,.5 '.,6�1 - ��j� Resident/ " f Owner Address i city i z�p: �cI � ,!� �`=�� L� 1�C' �"� Applicant is: Owner �ontractor = ` � i /: t Description of work: � �� -�C� L �'J`eC°' � 5 �N."C, , �„e,i;n�r,;,,J.�'�,�C -1�cl(7ti v S'' Type of Work Construction Cost: �Z��• �} Multi-Family Building: (Yes /No_� Company: ��c"-�c;�` �'" �Oc� �:^� £' ��c�-.-7�i Contact: �V�,r �� Address: ��G c� �1�1� ,. r'l �'� � Contractor ' � � �r ��: �f� city: � 1 State: /�-� Zip: -S S `�� Phone:76� � �c��`5-�s�' Email: License#:� �y�� Lead Certificate#: /�� i 3'' ��— � 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: NOTE:Plans and supporting documents that you submif are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons thaf would permit the City to � conc/ude fhat the are trade secrefs. 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.aopherstateonecall.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 ermit issuance. X 'r� lG� '� �5 e��' X ,�'''� ��'�, Applicant's Printed Name ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156791 Date Issued:07/18/2019 Permit Category:ePermit Site Address: 697 Hay Lake Rd N Lot:6 Block: 4 Addition: Overhill Farm 2nd PID:10-56151-04-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Joseph C Stefani 697 Hay Lk Rd Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature