700 Hay Lake Rd N? CASH RECEIPT . 0
CITY OF EAGAN
,
3830 PILOT KNOB ROAD
J
? EAGAN, MINNESOTA 55122
DATE 19
weceiveo
FROM c. ? ,? '•
AMOUN7 $
I
[:] CASH
''Q CHECK
T
? J . /
POR -. • . I ? _ .. (
BY
& ooLLwws
,oo
` YVhite-Peyers Copy
Yellow-Posting Copy
Pink-Fiie Copy
Thank You
BLDG. PERMIT ND. ?
01-3210 7 Bl?g?lfern?
? _.
01-3472 ' ' Plan Check
01-3445 Surch./Adm,
01-3446 SAC/Adm.
01-2155 5urcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt. ,i. ? .
20-3716
Water ?
Meter
20-2252 Acct. Dep. 31
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
..?;?,,.. ? ..;..::..?.,..,_?
CITY OF EAGAN -
38V Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
r PHON E: 454-8100
BUILDING PER'MIT Aeceipt #
To be used for • Est Value ' i~' 1A ` Date a ` ,19
Site Address
Lot Block
Parcel No. •
City Phone
nje,.,e
On Site Sewage T Occupancy
MWCC System _ Zoning
On Site Well Type of Const ?
ciry water (Actuat)
(Allowable)
# of Stories
Length -
Depth
S.F. Total
Footprint S.F.
FEES
Name
I have read
A Building Permit is issued to:
all work shall be done in accordance
Building Officfal
Assessmenta PermR ?
Water/Sewer _ Surcharge
Police _ Plan Review ?
Fire _ SAG City
'
Engc _ SAC, MWCC J
Planner _ Water Conn. ?
Council _ Water Meter
Bldg Off. _ Road Unit
APC _ Treatment P1
Variance _ Parks
Copies
TOTAL
state
cu
of
on the expreas condition that
i City of Eagan Ordinances.
Psrmit No. Permit Holdsr Date Telephone s
Plumbing 'lley
?
H.V.A.C.
Electric
?lbl
#??,_
6`42
Softener
Inapection Date Insp. Commenta
Footings I ? ? -d ,? • ?
Footings II
Foundation
Framing 6.s/ ??Z G-3-97-/D
Roofing
Rough Plbg. -,j-?/
Ro gh Htg. a
Isul. ?
Fireplace
Final Htg. 417
Final Plbg. n , .
_ ?.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
PERMIT # ?--
" • • MECHANICAL PERMIT RECEIPT #
'
, CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address i°? : BLDG. TYP WORK DESCRIPTION
Lot ! `? Block J Sec/Sub
Res. New ?
k._
m Name Mult Add-on '
m Address -? Comm. Repair
c City -Phone L Other
FEES
? Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
3
p
C;ry ; ,
?. , .. `Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER P
M
TYPE OF WORK ? (
-
In - 1.50 EA. .:
ER
COMM/IND FEE - 1%OF CONTRACT FEE
Forced Air M BTU -`1 ( G APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU ? - REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GQES
Gas Piping Outlets # ? BEYOND $1,000)
Other $
FEE
S/C: SIGNATURE OF PERMITTEE
TOTAL•
,
FOR: CITY OF EAGAN i
. •
. CONTRACT
Site Address
Lot
m Name _
19 Address
c City
MECHANICAL PERMIT RECEIPT # / ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?/?
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult Add-on
Comm. Repair
Other
FEES
? Name {
.414 RES. HVAC 0-100 M BTU - a24.00 .
c Address -- ADDITIONAL 50 M BTU - 6.00
Phone -
O City
?' (RES. HVAC INCLUDES A/C aN NEW
CONSTRUCTION
.,
'
)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE -{
Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES
Boiler
M BTU TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond.
M BTU "' MINIMUM COMMERCIAL FEE
- - 20.00
STATE SURCHARGE PER PERMIT - .50 '
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # $ BEYOND $1,000)
Other
FEE
'
S/C: y- ? SI R M
EE ?
TOTAL•
F R: CITY OF EAGAN
ti - r ?"?
; ' PERMIT ii ` PLUMBING PERMIT RECEIPT # ?Z7 7 0
' CITY OF EAGAN I
3830 PILQT KNOB ROAD, EAGAN, MN 55122 DATE: j?-?IXb 7 I
CONTRACT PRICE • PHONE: 454•8100 II
i !-i. Block ? Sec/Sub
U... I
? Name V?i?, y. ?il,
?o Address 61. ? • - . ?c i- -
c Ciry 1.. j. Phone
? Name ? ' ?•-?
c Address `+S
p City Phone v
FEES
COMM/IND FEE - 1% OF CONTRACT FEE -
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 SIC IF PERMIT PRICE GOES
OF
FOR: CITY OF EAGAN
BIDG. TYPE WORK DESCRIPTION
,R,,g s. X_ New X
It. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
-_)--Water Closet - $3.00
_I Bath Tubs - $3.00
-`
?_Lavatory - $3.00 L
I Shower - $3.00
-1-Kitchen Sink - $3.00
Urinal/Bidet - S3.00
I_Laundry Tray - $3.00
-1_Floor Drains - $1.50
? Water Heater - 51.50 '
Whirlpool - $3.00
? Gas Piping Outlets - $1.50 ' (MINIMUM - 1 PER PERMIT)
So(tener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE -Jj
STATE S/C:
GRAND TOTAL
4 " a ft
w
/
?
?
Ttr#ifiratt of (Orrupttnry
Citp of eagart
?epttxtmmt vf luilhmg Jitspprtinn
This Certicate issued pursuant ta tTte requirements of Section 306 of the Unifor+n Building
Code certifying t/rat at the time of issuance this structure was in compliance with the varfous
ordirrances of the City regulating building construction or use. For the following.•
?•,? ' 13C?CJE?
uw c?r?on _ Uvi'x! CAR siag. terrait No.
0-W-Y TYP? R3 Zoniug District ' Type Caast V
owner orauaaing (Mu` -.: naarem 4;21 9D IiE '?l`,?! M), ?:;AGQ^:v,.
Bwkhng a,aarm %:?C1 NOn: .. -.,...; iT'J'Li r.o.iiry T.1ky }33, CNEgM ??Att 22.1,
eumns official
POST IN A CONSPICUOUS PLACE
ci'cr oF EaGaN SEW??t SERVICE PERMIT
3830 Pilot Krlob Road `? 9883
i P.O. Box 21168 PEFxM1I ?10.:
? Eagan, MN 35121 DATE: 1
Zoning: r? No. of Units: ?
Owner. Gaks - -
Address:
i 1 agrce to oomply wRh ths City of Eagan Connection Charge: 5? [lOpd`
? Ordinances. ,K a.•?' Account Deposit: 1 5_ 0npti._
Permit Fee: Z ?Z - t)()pd-
? Surcharge:
' By Misc. Charges:
, Date of insp : Total:
? Insp : Date Paid:
?
-- - " s,..,?-?. «y.? . :---m?--?^, . ?ys?.-?,?.?+?.q{.'^;?*"?"'?''•-•T" ,'-?r3.'`?"="'r-^?t
w.
CI'TY OF EAGAN o)?
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
Permit No:_
Meter No: _
Reader No:
Date:
Size:
Date:
3rana Qaks
Owner. ., ` r
SiteAddress: 700 110• !lay L.>kf? 1'.oa? L1 n S:i Cverhill ]`_.rz. II
Conn.Chg: 525•02Rd Zoning: - Rl
Acct. Dep: ' S•'??p4 No. of Units: 1.
Permit Fee: - ? • oanu
Surcharge: " •??'?p<? I agree to comply with the City of Eagan
Tr. Plant • "'`0ati Ordinances.
Metec ?
? Jn a
^
CITY OF EAGAN Permit No:? p9726 Date: 5- l"
3830 Pilot l$npb Road Meter No;,,z.?Z? Size:
P.O. Box 21199 Reader Na; pete;
Eagan, MN 55121 CFO
Ownar
lumber ':1tr:.er P i???+
•onn. Chg: 525 Upna ..?cal 1oca??? Etr--
'cct. Dep: 15 C O`
U it • 1
ermit Fee: 1!1 ?q?
urcharge: agree to compiy with the City of Eagan
. Plant 1"? Ordlnances.
eter. _ '`-:
?,.
isc--
gy
WATER SERYICE PER
CITY OF EAGAN N°_ 13 6 0 8
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
? PHONE:454-8100
BUILDING PEFiMIT Recaipt#
To be used for SF DWG/GAR Es[ Value $74,000 Date mAY lZ ,19 ?
Site Address 700 NO HAY LAKE RD
Lot 14 Block 3 SeGSubOVERHILL FARM 2ND
.
Parcel No
: Name GRAND OAKS DEVEL CO
? Address SO RAY KE RD
o city EAGAN phone 45Z-8934
,o Name SAME
?a Address
c
P City Phone
w W Name
W I City Phone
I hereby aCknowledge that I have read this application and state
that the information is conect and agree to comply with all applicable
State of Minnesota Statutesjpnd Gry ofAagan Ordir}ances
Signature of Permittee -Z-1
A Building Permit is issued to:
all work shall be done in acco
OFFICE USE ONLY
On Site Sewage Occupancy R3
-
-
MWCCSystem R
Zoning R1
On Sde Well Type of Const ?
Ciry Water ? (ACtuaq
(Allowahle) V
# ofStories
Length 59
Depth 46
S.F. Total
Footprint S.F.
APPROVALS
Assessments
Water/Sewer
Police
Fire
En9r.
Planner
Council
Bldg. Oft.
APC
veriance
FEES
_ Permit
_ Surcharge
_ Plan Review
_ SAC, City
_ SAC, MWCC
_ WaterConn.
_ WaterMeter
_ Road Unit
_ Treatment P7
_ Parks
Copies
412.50
?
_Z.IlO
2 6 2
100.00
0
.00
67.00
4n5_n0
1Rn nO
TOTAL $2,357_75
AND OAK EVECCV on the express condition that
with all applicablqfpta of Minnesp3a Statutes and City of Eagan Ordinances
Building Official
61,,21,5' REQUEST FOR ELECTRICAL INSPECTION ' es-ooooi-os
I, See instructions tor completinq this form on back ot Vellow cooV.
DIA,L$ 1 "'1(" Be/ow Woik Covered by 7his Request
AAd o!4j7 Type ol BuilEmg Apobancns WireO Eqmpment WireA
Home Range Temporery ServiCe
Duplex Water Heater Liyhhny Fixtures
Apt. BwlAmg Dryer Electnc HeaUn
Commercial Bldy Fumace Silo Unloader
Industnal Bldg. Air Conditioner Buik Milk Tank
Farm omi,, urri v .mrr Isn,,:irv1
l er Suc,ify thcr OnhL?r
Campute lnspection Fee Below
p Fee ServlceEntranceSize H Fee Feeders/Subiexders H Fee Cvcurts
0 ta 200 Am 5 0 to 30 Amps 3ACID 0 tn 30 An,pEi
Above 200 Amps 31 to 100 Amps -' 31 to 100 qm s
Swimming Pool Above 700_Am s Above 100_P.mps
Transtormers Irngation Booms $L: Partial,'Other Fee
Signs Special Inspectwn $
flemarks TOTAL F
??
flouBh-in ? ?yr ?? I, tha Ela vl
? ?Q'? ?OSpBCIOf, hBrBby
?? cartity thxt the above
Final i/?? ???//?? inspection hes been
(.? ?• mBtle.
TMn reaueat voiC 18 mantM lrom
This requesl voiA
18 npm ? 2
' s(rom //8; I
D ' 2.181.? lzl A3 00
Nequ ?
'/,(
S?
?
? Fire No. Rooph-in Insuection
f?qmretl?
?ReadY Nuw Will NotAy Insper
?or Wh
N
U/
6 zYes ?No en
eatly
Licensed Elec[rical ConVacmr ?
1 hereby reques< inspecLOn ot above
Owner electrical work mstaliad aY
Street Address, Box or Poute No.
7U'J ./) fk, Ciry
ectron o. Township Na or No. HanBe No. Counly
Occupant IPRINTI
662s?i'c.cGf Phone No.
b-`i 3`
Power uppher
? r'q Address
\
f
Electn al Conhactor (COmpany Name) Cnntractnr's License No.
?.s
MaibnO A Jress IConiractor or Owner Makm Instailauonl
76 -? 5" oJ / 3 .??
A.uthor,jzed Sipnamre IConttacto wner Makfng Installatfonl Phone Number
R?90- (03 6v
?? ?
MINNESOTA STATE BOANO Of ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Grigga-MidwaY Bltle• - poom N-191 BE ACCEPTED 9Y THE S7ATE BOAPD
1821 Universitv Ave.. St. Vxul. MN 55704 UNLES$ PNOPEN INSPECTIpN FEE IS
Phone16721642-0800 ENCLOSED.
?? ? T
? .?? , \ /ai ?p ¢(? ?v?' 1987 BIIILDING PERMIT APPLICATIODi - CZTY OF EAGAN
.
\J?i
SINGLE FAMILY DWELLINGS
INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVfiY, 1 SST OF ENERGY CALCOLATIOHS
HDTE: 9DDRESSES FOR CORNBE LOTS - COBTRACTOR/HOMEOWNfiR MDST DESIGAATE W$ICH ADDEESS
IS DESIRED. NO CHANGES NILL BE 9LLOWED ONCB BDILDING PERMIT IS ISSIIED.
MOLTIPLE DTiEI.LINGS - RFSIDENRIAL - RENTAL I1AlITS FOR S6LE QNITS
INCLUDE 2 SETS OF PLANS, CERRIFICATS OF SIIRVSY - CHSCB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATZONS
COt49BRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: S?• Valuation: '?ADQ0 Date:
Site Address ?(Z /l) . 44 4' LfC r?
Lot ? i Block
Parcel/Sub ?
Owner 4fe
On Site Sewage_
MWCC System ?
On Site Well
City Water ?
Address
City/Zip Code
Phone
Contractor /Ye,o-,,va a&,S
Address
City/Zip Code
Phone
Areh./Engr.
Address
City/Zip Code
Phone #
APPROY9LS
Assessments
Water/Sewer
Police
Fi-re
Engr
Planner
Council
Bldg Off
APC
Varianee
Occupancy
2oning
Type of Copst
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
?. I
_-z
?
5Z
?
Permit i Z.?0
Surcharge 37,
Plan Review ZoG. 45
SAC, City I pp
SAC, MWCC 52-5•
Water Conn 525
Water Meter ?
Road Unit 305
Treatment Pl 12f7.
Parks
Copies
TOTAL S 7
25-
, . ' , ?' ` 5?• ? •
-? ? EXiERIOR ENVELDPE AVCRp4E 'U' COMAUTA7TDN
GRAND tlAKS DEVELDPMENT COh1FRNY '
MODEL 4AREA U U X AREA
r .
REQUIFED
1. TOTFlL WALL AREA 1800 X.11 1?9
2. T6TAL F200F ARFA 1196 X.026 31.096
ACHIEVED
AREA U U X AREA
A. W T NDDW AREA 196.66 .5
Fi. DDOR AREA ?9.E1 .077 --..0646
C. SLIilE GLASS AREA 23.44 .40
0. FIREPLACE A'riEA • 4 0
F. WL`,LL FRAMC AREA ifl0 .041 7.: fJ
F. NET WALL AREA 1164.1 .049 57.0,90"
G. RIM JOIST AREA 119•52 .0436 .`,.21I072
H. f=QUND WINDOW AREA 0 0 C)
1. FOUND AEOVE GftAOE 96.48 .135 13.024E3
3. TOTAL-WALL AREA 1800 105.5026
J. SKYLITE 0 0
IC. RODF FRAME ].19.6 .632 3.?272
L. NET ROOF AREA 1076.4 .025 26.91
4. T07AL ROOF AREA 1146 =0.7372
SUM 1.+2.
SIJM 3.+4.
229.u96
2 16.2=9L1
e
GOLD COPY PERMIT RELEASE FORM
PERMIT !I ? 7,? U O? ?
nnnxESS 4c
PICKED UP BY ?-
f' -
r?-__?_,._..
CIT1( OF EAGAiV
APPUCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
P ease Print)
^ ^
1) E'ROPATY ADDRESS: __)0(j U,gy Llc2z
LEGAL DESCRIPTION: L /lf 8 -? ?
. Lot Block Subdiv
NOT?': PAYMEN'f OF Fk:E AT TIlM pg
r,rPLscrazoN noFS Nar CEN$-rITUTE
APPROVAL OF PEEtNIIT.
nvspncrrox oF SEWER AND/tR MxER
nvs-rALLATTONS waa. Nar sE saHgu-
ULID UN'17I, PERMffT AAS BEIN
APPROVID.
?I
ax
IF E}I5'PING SIRCCI[?RE, DATE OF ORIGINAL BUILDING PF.RMIT ISS(,'ANCE: -
PRFSENP ZANING/PROPOSID LTSE: (Nbn ear)
? CMEE[2CIAL/RErAIL/OFFICE ET'R-1 SSNGLE FAMILY
Q IPIDIJSTRIAL M R-2 DOPLF.X (TWo Units)
n INSTITCTIONAL/GpVERNM4,'NT ? R-3 ZDWNEIODSE (Three + Units) ( Lnits)
. ? R-4 APARTMENT/COPIDOMINI[,T1 ( Units )
2) ?
awDREss:_ • 4?S / S V
.q-?s
CITY. S"fATE, ZIP:
PHONE:? -79 i'/
3) ' u ?:?• _
rmME:r L mt, l2 Pc,~ 1.j6-
ADDxFSS:_/ oI A1£44) F LAW!
ciTSC, srATE, zIP:_
PxorE:_Yi v-7y-7 7 MASTER LICENSE# 35 (,r) M S?
4) K@Q• o i?•
NarE: ?H?,ei s A l46 s LTon I.
ADDRFSS: • ' _
CITY, STATE, ZIP:
PHONE:
qd?? of
.
Active
EScpired
Not recorded
sta initiat
•5) ? r• ? 301• • z• : o • ai - ??
? wNrEcrioN z+o czTr sEMa ?,-rioN zn cixY wATEa ? onUU ?
6) '? • •?' ?PLEASE HOLD ApPROyID PEZiMIIT FY)R PICK-OP BY 0NE OF ABOVE
[] PLEASE MAIL APPROVID PERMIT 1n 1, 2, 3, ¢, p,BOVE
(Circle one) "
7) ?.?SLUT? 40' I/ n-?
FOR CITY USE ONLY
PERMIT # ISSUED '- e 7 ? Q
Pd w/Bldg. Permit FEES;
$ lC" SZ?' $ SEWER PERMIT (INCLUDE SURCHARGE):,
$ $ WATER PERMIT ( INCLUDE SLiRCHARGE)
$ 47'oZ% $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
? IS'U U $ ACCOUNT DEPOSIT - SEWER
$ ACCOL'NT DEPOSIT - WATER
$ S Z S O`t' $ WAC
$ (? S ° G $ SAC
$ $ TRPNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TR[!NK WATER
$ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
s n ? $ TO
A
T
L
733
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQUIRE EXCA VATION IN PL'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
Q
NO
DIVISION. LIST
AS A CONDITION.
SUBJECT TO THE FOLLOWING Cb[VDITIONS:
APPROVED BY: Ae?
TITLE:
DATE :
SURVEYOR'S CERTIFICATE ! GRAND OAKS DEVELOPMENT C0. t' 451
? DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = q 51.0 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = q A E.2 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = q51. ¢ FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMEMT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION Of A SUR4EY OF THE BOUNDARIES OF:
Lot 14, Block 3, OVERHILL FARP1 SECOND ADDITIOP!, according to the
recorded plat thereof, Dakota County, Minnesota.
AND OF THE LOCATION OF A I'ROPOSED 6UILDING. IT DOES NOT PURPDRT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURUEYED BY ME, OR UNOER P1Y DIRECT SUPERVISION,
THIS 61):L DAY OF M RY , 1987.
NOTE: GRADES SHOWN WERE TAKEN FROM
THE GRADING PLAti FOR OVERHILL FARh1
SECOND ADDITION, PREPARED ?BY MINNESOTA
VALLEY SURVEYORS 1tJC., LAST DATED
MARCH 28, 1986.
SHEET I OF 2 SHEETS
PROJECT NO. BOOK / PAGE
SIGNED; JAME . HILL, INC.
??
BY: ??:'+?t/f ,.?%"?""?L-
H ROLD C. PETERSON, LAND SURVEYOR
PIINNESOTA LICENSE N0. 12294
JAMES R. HILL, INC.
87293
FILE NO.
FOLDER
Planners / Engineers / Surveyors
8200 Humbotdt Avenuo 8outh•
Bbomington, Mn. 65431 812-884-3029
SURVEYOR'S CERTIFICATE GRAND OAKS DEVELOPMENT #451
HAY
0
M
( 9 49_2
f/
3:
NORTH
M
N
0
0
O
Z
LAKE ROAD
N
, o
M
, -- 84.98 N89°58'37"E - - (9¢4,s)
5 $
? 5 . ,? ? F'?i'• ?',??(. O W>? ? N
>
- - ?_4.. - _ ?., ---- - -
L
26.0
GAR.
o ? ? C95o:1? 0 4 $ -
a ?2 26.0 v ? a N
, t: pROP05£D HOU O
O
52.0 J Z -,- 17
O '
?45a.?) , L_'• ; I I.!
? I Q
ti
LOT {4 I
5
OFAINAGE g U'f1LlTY
EASEMENT PER PLAT C\ ? 1
(956.2) ? ? ? ? ( 955.0)
'- 85.00 N88053'09W -'
I
I ?"I? ,'
t.:
PROJHCT NO.
87293
FILE NO.
FOLDER
SHEET 2 OF 2 SHEETS
BOOK / PAGE JqMES R. HILL, INC.
Planners / Engineers / 5urveyors
8200 Humboldt Avenue South
Btootningfon, Mn. 55431 812-884-3029
Use BLUE or BLACK Ink
14)0~ FOrOfflceUse----------
j Permit
City of E
Permit Fee.
3830 Pilot Knob Road i t
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 i !
Fax: (651) 675-5684 - 1 Staff: 1
I !
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 D1 S-t Site Address _-Unit #
Name: ~i , a.- L LAI_ Phone: ~S1 Z3 L1
Resident/
Owner Address r City f dip. 7 V O fy . w7 6e-- K '
Applicant is: Owner `Contractor
Type of Work Description of work: K("
Construction Cost: /V Multi-Family Building: (Yes / No )
ComPan
Y Contact:_- w1_16 ;
Contractor Address: 1.111 i-r-l City: K L < f (
- -
Zip: ` s 5 L~ t i't Phone: f 7
State:
_2 -2
License L LJ -l L1 _j Lead Certificate
If the project is exempt from lead certification, please explain why (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ^ ~ O4 7.,
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.
MOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they, are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali at (881) 454-4002 for protection against underground utility damage. Gall 48 hours
before you intend to dig to receive locates of underground utilities.
.r
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 pemtit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit t Issuance.
. J y
V V
Applicant's Printed Name AApphcant's -gnature -
Page 1 of 3
Use BLUE or BLACK ink
1 Far Office use
Cif of Ea Perid
I Permit Fee:
3630 Pilot Knob Road' i i
Eagan MN 55122 Date Received: _
Phone: (651) 675-5675 I 1
Fait„ (651) 675-5694 1 Staff:
I 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date I fl ~2 2 I t Site Address 70 O Unit #
C~w~ 1 _ _
Name r Phone 73 L) /bl? 0
Resident!
Owner ` Address i City /Zip: 0
~ ~ l- ~ f Z
Applicant is: Owner ~ Contractor
of Work Description of work:
yp
Construction Cosi: l~ Multi-Family Building: (Yes I No )
Company r r• + ' lit L v # °k> e Contact: + f 4-
s
COntCC>;t~r Address: r,u City:
State: Zip: Phone: ~ Z i-f -7
r
License ° Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILD INg 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: Flans and supporting documents that you submit are considered to be public information. Portions of
the information may be classifW as nun-public if you provide specific reasons that would permit the City to
conclude that they are trade socrets~
CALL BEFORE YOU DIG. Call Gopher State One Gail at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. A y. 7 ~ t at e;t _;f. twq
i hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and cods of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuan
X
Applicant's Printed Name Applicant's Signature
Page 1 of 3