701 Hay Lake Rd N? CASH RECEIPT ?
CITY OF EAGAN
, 3795 PILOT KNOB ROAD
r EAGAN, MINNESOTA 55122
i
DA 7"E ~ 19
?
RECEIVED , 1/_
AMOUNT I$
oo?LARs
,ou
ff
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
`
Thank You
. 66204 BY?? %?
BLDG. PERMIT N0.
01-3210 Bldg. Pe?mi
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
? ReLIDiY & CtUM 'osIIU --- ---- -• --- CITY OF EAGAN 12560
. , 3830 Pilot Knob Roed, P.O. Box 21-199, Eagan, MN 55121 ?°-
BUILDING ?OMIT PHONE: 454-8100 Receipt# ? ?
To be used for Est. Value $661uou Date ?'?'P 1?E`Ni Be:R 3 19 t? b
5ite Address Iu 1 11+v tfh x LttAa xL
Lot 5 Block 4 Sec/Sub, OVERHILL FARM
Parcel No. 2N0 AOa
W Name GRAtiD OAK.ri DFVEL CO
3
I Address 1881 SUtaRISF CT
° City EAGAi1 phone 452-8934
o Name 5A14S
i
? ¢ Address
~ Ciry Phone
?Q
F W
Name
? a Address
i W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Citv of Eaaan Ordinances.
Signature of
A Building Permit is issued to: UINP&lvv v^.%
all work shall be done in accordance with all applicable
Erect 16 Occupancy R3
Remodel ? Zoning pp
Repair ? Type of Const Tiln
Addition ? No. Stories
Move ? Length 50
Demolish ? Depth 4 S
Int. Impr. ? Sq. Fr
Install ?
Assessment _
Water 8 Sew.
Police
Fire
Council
BIdg.Off. 9/3/86
APC
Var.
Surcharge ' j• v V
Pian Review 165.50
SAC 575.00
Water Conn, 500. 00
,
Water Meter 63.50
Road Unit 290.00
Tr. P I. 156.0
Copie , , Jtt4 . 00 ?
Cn
on the express condilion that
3ota Statutes and-Ciry of Eagan Ordinances.
BuildingOflicial!;:: ? c- ' _ --
PormN No. PermN Holder Date TNephone N
MxnbifQ
H.V.A.C. /C U
Eleetrle
• ? ? a.y (? ou?c ???? 8 c?a-v
HOIIMN
Inspaction Dab Inep. Commanb
Foodngs I
FooUnyt il
Foundatbn
Fnminy 4,44
Roofinq
Rouyh Plby.
Rouyh Hfq.
Insul.
Fi.eplece "/o' 6
Final Htg.
Final Plby.
81dy. Final I
CM. Occ.
Dsck Fty. ) ? P? ? ?•
Daek Frmy.
WNI
Pr. Dbp.
?
' Site Address _
Lot Block
,?f •. " ' . . ' '1'4 {' r` Yy1 ° ; :.':.
PERMIT # ?
MECFIANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, NIN 55121 DATE
161 ? ?v. . .. eunue. Arw_2-Inn
m Name
? Address ? c Ciry , Phone
? Name
c Address
O CitY '
? TYPE OF WORK
? Foreed Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
I
BLDG. TYPE WORK DESCRIPTION
Res. ' New -'•
Muft 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 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
I
FEE I
S/C. SIGNATUREOF PERMITTEE
TOTAL•
FOR CITY OF EAGAN
?. MECHANICAL PERMIT ""7 i4 (-1 "7 -7
C1TY OF EAGAN RECEIPT #
??`? ?? ?7
'" ?
3830 PILO T KNOB ROAD, EAGAN, MN 55122 DATE:
'
CONTRACT PRICE: PHONE: 454-8100
Site Address `• ?'? BLDG. TYPE/ WORK DESCRIPTIOM
Lotock Se /Sub V
^ Res
New
,
Mult Add-on V
m Name
G
Comm. Repair
m Address Other
c City Phone
Name FEES
RES. HVAC 0-100 M BTU -$24.00
3 Address N/-?A 4-apcr_- d ADDITIONAL 50 M BTU - 6.00
,
' O City r"'?,:r4 1J Phone CLUDES A/C ON NEW
C
TI
O N S T R U C
O N)
C
AS OUTLETS (MINIMUM
1 PER PERMIT
1
0 EA
a
) -
-
.
,5
TYPE OF WDRK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boil 70WNHaUSE & CdNDOS - RES. RATE APPUES
er M BTU 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 SiC IF PERMIT PRICE GOES
Gas Piping Oudets # $ BEYOND $1,000)
Other $
FEE: 1=''?
S/C: 51 I E ?J ,
TOTAL: 7 f 7
FOR: CITY OF EAGAN
f
4O t?! •
PERMIT #
• • , PLUM8ING PEHMIT RECEIPT #
GTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
COIdTRACT PFIICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Btock Sec/Sub .
Res. New
Name Mult Add-on
?
1 Address _ Comm. Repair
.5
c Ciry Phone Other
TQTAI
.
NO. FIXTURES
? Name Water Closet - $3
00 $
c Address .
Bath Tubs - $3.00
p City Phone Lavatory - $3.00
- $3
Sh
00
ower
.
Kitchen Sink - $3.00
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
p
p
MI
IM
M
RESI Urinal/Bidet -$3.00
Laundry Tray -$3.00
,p
-
DENTIAL FEE _$y
N
U Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20,00 Water Heater -$1.50
STATE SURCHARGE PER PERMIT _ ,?
C ?Nhirlpool -$3.00
(ADD $.50 S/
IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00
wen - $10.00
Private Disp. - $10.00 -
Rough Openings - $1.50
81GNATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRANd TOTAL:
CITY OF EAGAN SEWER SEItVlCE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMfT NO.:
Eagan, MN 55121 DATE:
Zonirp:
No. of llnits:
Ownsr:
Addross:
Site Address:
Plumber.
1 yew to oae/1y wNh tlM tky of lagem
OrdiunwoM.
By
Qcte of Irup.:
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoninp: _
Owner: . ,
Address:
Site Mdress: _
Plumber. -
Meter No..
Site:
Reoder No..
1 agm fo aoR+py? wilb !IM Cily of Eayaw
Ordl"scm
ConMCtlon Chce'pe:
/ltoount Deposit: -
Pennk Fee:
Su?eharps:
Misc. Chorpe=
Total:
Dpft Patd:
WATER SERVICE PERMI4
PERMIT NO.:
D/1TE:
- No. of Units:
Cannection Chorpe:
Account Deposit:
Permtt Fee:
Surchorge:
Mlsc. Charges:
ToRal:
gy Dote Paid:
Date of Insp.: Intp.:
• ';!' . . • r.
?. . w ..
CITY OF EAGAN WATER SERVICE P9tMIT
3830 Pilot Kno6 Road 7978
P. O. Box 21189 PERMIT NO.:
Eegan, MN 55121 D/1TE: 9-29-86
Zonirp; _ R1 No. of Units: I
OwrNr, Gr9nA (1a k-
Add?um
Sft /ddrom 701 No th Hav Lake~Road L5 B4 Qverhill Farm II
p4m*.r Valley Plumbinst
Met?r No.: .3 7? ?L'.Z> 3l Conrnctlon G+aroe: 500.00vd
Sizr ?f8"iPoclT /lcoawrt Depotl+. 15.00vd
67,220 elLiL- permit Fss: 10.00pd
Reoder No.:
I.gn. ft S..* wMh a. GM of MM¦ Surd,aros: . 50pd
Mix. Choroav 156.00ud TP
(1? Total: 63.50nd meter
DM+e Paid:
f Irnp.. //- ,? Imp..
• CASH RECEIPT •
CITY OF EAGAN
, 3830 PILOT KNOB ROAD
, EAGAN, MINN OTA 55?
Ub
UATE ? ? 19
aecsWeo
AMOUNT I$
U
a ooLLqns
?oo
? CASH CK
FOR
FUN? COOE AMOVNT
? 3 0
?
Thank You ?
R2 6 6 9 2 7 White-PeYen CoPY
Yellow-Porting Copy
Pink-File Cqpy
CITY OF EAGAN
- 1 560
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 Np
PFIONE: 454-8100
BUILDING PEfiMIT Receipt#
7obeusadior SF GWG/GAR Est.value $66,000 pH1e SEPTEMBER 3 19 86
SiteAddress 701 NO HAY LAKE RD Erect Occupancv R3
Lot 5 slock 4 Secisub. OVERHILL FARM
Parcel No. 2ND ADD
W Name GRAND OAKS DEVEL CO
o nddress 1881 SUNRISE CT
CiN EAGAN phone 452-8934
io Name_
? a Address
SAME
Phone
Remodel ? Zoning
Repair ? Type of Const, ???-
Addition ? Na. Stories
Move ? Length 50
Demolish ? Depth 48
Int Impr. ? Sq. Ft.
InsTell ?
Aooravals Fees
Assessment.
Water & Sew
w W Name
?
Address
i W City Phone
I hereby acknowledge that I have read thls applicahon and state ihat the
information is correct and agree to comply with all applicable State of
Minnesota Statutes end ity of Ea nprdinances.
i 'I
Signature of Permitteg`
A euilding Permit is issued ro: GRAND AKS 4FJIEL CO
all work shall be tlone in accordance with ell applic le f Minn?`
Building Official
Police -
Fire
Eng.
Planner_
Council
sidg. on. 9/3/86
Var. Date
Permit " "y-"?
Surcharge 33.00
Plan Review 165. 50
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63 . 50
RoadUnit 290•00
rr. PI. 156. 00
Parks
Copies 0
Total '
- on the express condition that
of Eagan Ordinances.
t vola jo//5I ?r?
Irom .
43081
(? 7tiR.?
Reques[ Date Fire No. Rouph-in Inspection
Requrted?
C:]Ready Nov.?I Will Noufy Inspec-
-
Yes ?No 1br When Heady
,?' Licensetl ElectnWl Conlractor I hereby repuest ins0ection of ebove
-
? Owner electncel wark installetl aC
Sereei Add,e s, Boa or Ho re No.
L?? /? I
I z? C
ec"on o. Towrehip Name or No panBe No. Counry
cc oant IPPINT)
S.P.?D ? Phone No.
?
P r Sup0lier Atldress
E ec ncal Contrector pany mel
? ?? `
- ? C???trar.tor's Lmense No.
f ! 4 S S-
,A- _ c.
?
Mailme AtlJress IyCon, raclor or Owner Making 31Z mnl
75
Authonzed g.ature Con aclod er a?km0Ins?tal?lati n)
? Phone Number,
,
??? ?
MINNESOTA STATE BOAflD OF ELECTRICITV THIS INSPECiION flEQUEST WiLL NOT
Griges-Mitlway Bldg. - Noam N-191 BE ACCEPTED 9Y THE STqTE BOAND
7821 University Ave.. St. Paul, MN 55106 UNLESS PqOPER INSPECTION FEE IS
Pn..no 16121 297.2111 ENCLOSED.
?fq-{, REQUEST FOR ELECTRICAL INSPECTION EB-00001.04
III, Sae instructions for comoletinB this form on beck of Vellow coOY ? ?y
C 43081 x?' Below Work Covered by This Request
AA? Pao.1 Tvoe ot Builtlina Aooluancea Wved Equipmenl Wve' 1
Water
I I I I ADt. euiltlmq .- I I Drver 1 I Electne Heatino I
Mi
p Fee ServiceEnbenceSi:e tl Fae Fexders/Subieeders N Fee Gircwts
0 to200qm s 0 to30Am s --75 L 0 M30Am
Above 200 qmps 31 to 700 qmps 37 to 100 Anys
Swimming Pool Above 100-Amps Above 100_/>mPs
Transtormers Irngation Booms c PertiaL'Other Fee
L I I Signs ' I ISpecial InspecLOn ?S Cl?.--s? I TOTAL 5EE
flemerks
L / C?, OJ
°OVy'•-"' ` " I the Electiicel
?j{? G. Inspector, hereEy
? certify that tha above
Final ales ns0ection has been
Tln rlpuest vOiE
This request void (p/?
18 rtwnths fmm .
C 44296/-i..')
? 7
??/G °-z::)
neques[ ual0 - Fne No. Rouph-in InspecLon
fleqwretl? eatly Now 0 W,II Notify, InsPec-
? ?? ?Yes nNo 10r When Featly
? L rensed Electncal ConVac[or I hereby repueat insDecnon of ebov¢
lp"15wner elecVical work installed et:
Street Adtlress. Box or Poute No.
7V/ /Y #o*Y1-,+hE Qd Cny
Z:;q0.4iv
ecuon o. Township Nama or No, ftange No. County
4.Frror•4
I Oc m (PpINT)
O OL) O OA54-e(a Phone No.
Power Supplier Address
Electncal Cnntractor (COmpany N&me) Cnnhar,?or?5 Lmense No.
Mailing Atldress IConVactor or Owner MakinBlnstailavonl
/ 2a 001GA+? !77ri Ss??3
Au ze SignaWre ICOnvactor Owner Makina InstallaLOnl Phone Number
MIIMESOTp STATE BOAND OF ELECTRICITY ? THIS INSPECTION qEQUEST WILL NOT
Giripps•Midway 9109. - Noom N-791 BE ACCEPTED BY THE STqTE BOAHD
UNLESS PFOPEN INSPECTION FEE IS
7821 Univarsity"Ave., St. P.W. MN 55104
Phone 18121 297-2117 ENCLOSED.
(Q1ae?l?9 7 flEQUEST FOR ELECTRICAL INSPECTION ryE'B/-0(0+00l-04
/ Sae instruetions lor compleling ihis form on back of yellow copy.
44296 r'"XX'Velow Work Covered by This Request
Add Xe . Type of emltline APOliancea Wirod Eampment Wired
Home Range Temporary Service
Duplex Water Heater Lightinq Fixtures
Apt. Buildmg Dryer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
Industnal Bldg. Air Condrtioner Bulk Milk T&nk
Farm otnrr peu v thor ISncr.ifvl
? ,r uecity ther Other
Compu[e Inspectron Fee Below
M Fee SarviceEntranceSize !1 Fee Fexders/5u1hleeders b Fee Crtcurts
0 to200qm s Oto30qm?s 0 to30Flm s
Ahove 200 Amps 31 to 700 Ainps 31 to 700 Am
Swinvnin Pool Above 100_Amps Above 700_AmPs
Transformer5 Irrigation Booms Partial•'Other Fee
Signs Special Inspectron 5/n ,SU
TOTq
Nemarks L E
?' ?- - •
Rou9h-in Dmi o I,the Elec cal
?nsPector, hereby
certJy lhat the above
Final /? t' ?^ ^y! speclion has bean
tAb ra0uest volG 10 montM from
,
p QC>1? 1?i5
»a4 Ca, l
x:
r T
? JUN 0 4 2008
2008 RESIDENVAt
Date'7) vyic 3 SiteAddress: 0
Tenant _SCo4 ?`'1 • ? ?? ?J ?
?--- -------,
? Pertnit #: I
I I • ? ?
i Pertnit Fee: w
?
? Date Received: _a ?
? C? ?
? Staff. 1
I
RMIT APPLICATION
I a 4
Suite #:
RESIDENT I OWNfR Name: 'S ofi • I LI [ Y" Phone:
)Ze
);Z
(
-
Address / City / Zip'
O't 54
X
Contractor
Applicant is: _ Owner /
l
TYPE Of WORK Description of work. -2
Construction Cost: Multi-Family Building: (Yes,
CONTRACTOR
I 6
Name: yl f?o ?.JI aLicense#: '2d SLI $/)
Address: / ?7 V d Pc?`\
k
0
? ?'
J So
° `1 J ? )
'
0__
_r
State: !
) Zip:
City:
?
ea ? ir1 ('o ?_jl g ?
3 1` ' 7 C
t
t P
Ph
?SZ ` 2
-
ac
erson.
one:
on
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
^
Energy Code
. Residential Ventilation Category 1 Worksheet • New Energy Cude Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 72 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
Yes _No If yes, date and address oi master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor; Phone:
;,;, NDTE: P/ans and supportlrig documents that yau.submifare considered?t.o be puhlic.7nfarmation Aorh`ons of 1'°'
0 ? ftie informat+oo r?iay be class?ed as iion pub?rc?rf you_ prowde specific ieasons ttiat worrfdpermrf the C?y fo
,;?!i:• ? < ; concludethat.ihe;ar0fradesecre#s
V hereby acknowledge that this information is complete and accurate; that the work will 6e in confortnance 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.
?
x x
ApQlicanYs Printed Name ApplicanYs Signature
Page 1 of 3
,
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 76-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Eut. Alt. - SF
? 02•Plex ? 08-plex p Deck ? Porch (screen/gaze6o/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Bui lding ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
?C] Replacement ? Egress Window ? Water Damage
• Demolition (entire building) - g ive PCA handout to applirant
DESCRIPTION:
Valuation ;3r Occupancy MCES System
Plan Review Code Edition 2o0"2 N1 i1 5AC Units
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of lJnits Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size :
Footings (deck) Final/C.O.
FoaGngs (addiGOn) O Final/No C.O.
Foundation . HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings Air/Gas Tests _ Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _A irTest _ Final Windows
Insulation Retaining Wall
Reviewed By: Building Inspector
----- - --- - --- -- - -------------
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
?ty OfEakan
3830 Pllot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?-----------------
? F?lri7?kr?4 I
j Permit p: ,, '..^i-1 `" /f? V j
? Pwmlt Fee: 197. 2D ?
i r
? oateReoeived:b4 '15'&6 i
I Staff: Via.?'aX- i
i i
2008 RESIDENTIAL BUILDING PERM17 APPLICATfON
oate: q-! S'OR Site Addrass:
Tbnant:
Suite #:
d
RESIOENTlOWNER Name:So-o '}'± a? ? 1 c hi°. S_K?Phone 4251 RoS - y84`7
Addre55lChylZip: 701 ?{. H141
? ?.__14.iC.Y FWEoZpn - mQ • .?
Appllcant is: _ Owner ? Condaetor
TYpE OF WORK Description ot work= .?_A9fri Sp ?a Y 1 r.
_
Constructian Cost: a„?? •CS? Multi•Pamily 8wlding: (Ves _! No ?}
CONTRACTOR Name: ?P' ii Idi n ImbLieense ti: ta5c1D
Adares5' S5,9Tn ? tKl- E•
Cfty: t't F9 YYYQ4-ffn Stflte:
Phone: LpSI ?b $ 389(G _ ContactPerson: LprrH KIaA
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDlNG
_ Minnesota Rules 7670 Cate?ory 1 Minrtesota Rufes 7672
Energy Code . Residential Von0latbn Category I Waiksheet • New Energy GodO WOrk9h¢et
Category sutrmtted subnmed
(4 Submi83i0t1 typf) • Energy Emelope CalculatFons SubmNied
In the last 12 months, has the CRy of Eegan issued a parmit for a slmlWr plan besed on a master plan?
_Yes _No If yes, date and address of master ptan: `
Licensed Plumber: Phone:
MeChanir,al Contractar: Phooe:
Sewer 3 Water Conhactor: Phone:
NOTE: Alans and supportfng dncuPnerfts that you subrnlt an9 cansidertd to bc }iribNe iniomi8ilcrn: POItla'JS of
tfre in?onnat?on may ee c1$saftd as nnmpublic N y0u provldP spftftk teasons tho twould pArnlk the Cky to
cariclWde ihat fhe are tredfe secmb.
I hErebY acknrnvledge Mat this Irdormatbn ig canplBte arN accu2le; Ihat the wor7c xfill 60 in contonnancC v.ith the ordinanege and code9 M the City of
Eagan; lhat I unOBr9tand this is not a pertnll. 4ut Dnly gn Applicalion for a pem+N, and work iQ npt to tarl without a pwmft: that the work will be in
accordanca wlTh Ihe approved pian in the case of xrork whMh requlres a review and apprwal pla
x t-.)G1 &'L? 1? t rW- x
Appllcant's Pri ed kame ApplicanYs ig
Psgs 1 of 3
S
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Fovndation El Orrplex ? 16-plex 75, Acce3SOry Bullding ? Pool
? Single Famfly p 0&pfex C1 Flreplace ? Porch (3-season) 0 Ext. Alt - Multi
? 07 oi_ Plex O 07•piex ? Garsge Q Parch (4-aeason) ? M. Alt. - SF
O 02-Plex ? 08-plex IJ Deck ? porcM1 (screenrgazebdpargda) ? MUltl Mix.
? 03-Plex ? 10.plez C] Lower Level ? Storm Gamage
Ll 04-Plex rJ' 12-plex ? MEscellaneous
WpR1( TYPES
FK- New ? Interior Improvement ? 51din9 Q Demollah Butlding'
O Addition ? Move Bullding ? Reroof ? pemaflsb Imerior
0 Attaratlon ? Flre Repair p Wlndow9 ? Demolish Foundstfon
? ReptacemenY 0 Egress Wlndaw ? Water Demage
" DErtialRlort (amire lwikling) - glve PCA handoUt to applicent
DESCRIPTION:
Veluatlon
7
pccupBnty MCES System
Plan RevFew Code Edifion SAC Units
(25%1007e? } Zontog CkyWeter
Census Cade /?/ 3L?
?T" Stor7es Booster Pump
8 nf Unlts Sqnare Feet PRV
# of Buildings Length Fire Sprlnklers
Type of ConSt, Width
REdUIRED INSPECTIDN5
Footinge (new bidg)
? Footings (deck)
Footings (addttlon)
Foundatlan
? Drain Tile
Roof: Ice & Water _-Flnal
? Freming
Flreplece:_R.I_ _AfrTest _Final
? Msulatlon
Revlewed By:
Sheetrock
FinaVC.O.
- Finaimo C.O.
? HVAC
? Other:
Pool: _FOO6ngs _AIr/Gas Tests ,Final
? Sldiag; _9tucco Laffi _Stone Lath _BriCk
^ Windows
Retelning Wall
Bullding Inspector
RESIDEMfAL FEES:
B
F
I? I?YJ
ase
ee
Surcharge
Plan Revlew r
IZ?C ?(p
MC/ES SAC
City SAG
ufAlty Coneiection Charge
SGW Pennit 8 Surcharge
Treatment Plant
Copies
Total
_ l/7 Z 14 ?Uv
Page 2 of 3
-w -.. v.. ?.iV.JI 111V11
T-506 P@1/01 U.-931
Z21
House
Garage
Statt & Michele Milchesky N Hay Lake Rd
701 N Hay L,a1ce Rd
(0S?-Qa6 - (4?41
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o ITY OF EAGAN,,?,,4
- APPLICATION FOR PERMIT
'I .
' SEWER AND/OR WATER CONNECTION
f***1**f***#*?****??tYfXt**?fk**#*?
F x
F*101E: PAriKFW OF k7M AT TIIM OF ?
F APPLscr.TTON noEES Nom COrszzUM +
F APPROVAL OF PFI2AffT. *
h y
j IN$PFX`PION Or' $EWTZ ANID/Ci WkTE[2 *
?
F INSTAT7.ATTOIIS WIIS+ NO'P HE SCIED-- k
?
; tLn orrrII. PERb= HAs sM »
?
h APPRC3VF9• Y
tY12dS@ YT1IIt)
1) PROPERTY ADDRESS: (J
?, ?
?Q •-
LEGAL DESCRIPTION:
Lot B1 ck Sub ivision or Tax Parcel ID TT_
I£ E7QSTING STRCC7t)RE, DATE OF ORIGINAL B[lILDING pERMTT ISSL'ANCE: '
? (Nbn Year } .
PRESENP ZONING/PROPOSID C'SE:
Ci CO,tiPMECtCIAL/REPAIL/OFFICE ? R-1 SINGLE FAMILY '
Q IAIDCSTRIAL ? R-2 DL'PLEX (Ttao Dnits)
? INSTI'ICTIONAL/00VII2NMENT ? R-3 20WNHOUSE (Three + Units ) ( L?nits ) .
R-4 ApAR7MBNNT/CpPIDpMINIDM ( Units)
2)
NAME:
ADDRESS:
CITY, STATE, ZIP:
• PHONE:
QQt&.n ev. "
- lf 7 _?
?
3) u .?
- NAME:
ADDRESS:
? CZTY, STATE, ZIP:
PHONE:
a a?a- MASTII2 LICENSE# Z/C, 7/u-4
Active
Expixed
Not recorded
St?tial
? 4) •?. • • ??-
' NAME:
' ADDRFSS:
CITY, STATE, ZIP:
PxorE: Z/s a - J?'93 6/
5) ? :? ..• ? r: • ?• : ?? • a. _ ?? --
OPIN'.CTION TO CITY SEWER _Ea-QBNNE)=fON 20 CITY WATER r-3 O= ' .
6) '? ~• •?'• ? PLF,ASE HOID APPROVF9 PERMIT FOR PICK-OP BY ONE OF ABOVE --'- -- '
E MAIL APPRCIVID PERMIT TD 1. 2. 4. ABOVE :
'h ol ( ?, (Circ e one) 7) ??+? ? - /?
/ Q ' ?ie
? ?/ .
FOR CITY USE ONLY
PERMIT # ISSL'ED
l2
Pd w/Bldg. Permit
c
$
FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLODE SL'RCHARGE) .
$ WATER METER/COPPERIiOR[V/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ /S•0- ? $ ACCOONT DEPOSIT - WATER
$ ?0 '" $ WAC
$ 57 S , r-° $ SAC
$ $ TRDNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ /S7o'? v $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ I
3
;2- U ? $ ? ?o a
,
- TOTAL
RECEIPT RE
CEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PI]BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK fVITHIN PDBLIC
Q
NO ROADWAY" MLST BE ISSLED BY THE ENGINEERING
DIVISION
LIS
.
T AS A CONDITION.
SIIBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY: Z2.a_??) Ao-??
TITLE:
DATE: %/7i5/,?, 4
\f?
1986 BOILDING PEIttfIT APPLICAYION - CITY OF EAG6A
HOYS: ALL CONfRACfOHS MQS'f HE LICSliSED iiITH THS CITY OF EAGAN
SIIiGLE FAlff.LY DWELLIIQGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
I+IOLTIPLS Diiffi.LINGS - RffiIDS9TIAL EENTAL QHITS FOH SAGS DBiITS
INCLUDE 2 SETS OF PLANS, CS9'
1 SET OF ENERGY CALCULATIONS
C014ERCI9L
OF SDRVEY - CHECg iIITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OE SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valua
Site Address
Lot ? Bloek 4 c-?rM
l`
Parcel/Sub
Owner
Address .??
City/Zip Code
Phone
Contraetor XyPtg,^,0( (y//Z-]S
Address Cep ? "?? (:q(
City/Zip Code
Phone 75p--n /,3z_
Arch./Engr.
Address
City/Zip Code
Phone li
Dat) Ereet X Occupaney 113
-
Remodel Zoning Tv
-
Repair Type of Const MW
Addition fl of Stories
_
Move Length 5b
Demolish Depth ?
Int.Impr. Sq Ft
Install
9PPROVAIS FESS
,3?
Assessments Permit a
Water/Sewer Surcharge 5:5_
Police Plan Review L6$', s Q
Fire SAC 5'7 5
Engr Water Conn 5;0c)
Planner Water Meter 6, a
Council Road Unit Z 10
Bldg Off Treatment P1 N!?b_
APC Parks
Varianee Copies
TOT3I. 2?/ .-tTX
NOTS: ADDRESSES FOR CORAER LOTS - CONTRACTOR/HOMEOKNER MQST DESIGNATE RHICH ADDRESS
IS D&SIEED. HO CHANGES HILL BE 9LLOTiED ONCE SOILDING PEBMIT IS ISSUED.
'
• 'r" •?.1;.. ?n • .. p
. EX7EkIOR ENVELOPE AVEFAbE 'U' COMPUT ATION
GRAND OAk.S DEVELDPME NT COPIPANY °
MODEL a,-,, AREA ' . U. U X AREA
?
kEQUIFED '
?
1, Tp7FlL WALL AREA 1800 X .11
?. TOTAL RDOF AREA 1196 X. 026 00.096
ACHIEVED
AREA U U X AREf1
A. W I NDOW AREA 196.66 • 5 93•7_'
B. DGOR AREA =9. 8 .077 = . 0 S'}?,
C. SLIDE GLASS AREA 13.44 .48 6.1151:
D. F I REPLACE AitEA 0 v 0
C. WALL FRAPtE AREA 200 .041 7.-,E3
F. NET WALL ARLA 1164.1 .049
G. RIM JOIST AREA 119.52 .0436 5.211072
H. 1=0UhD WTNDpW AREA 0 (D ?-'
I. FpUND AEOVE GRADE 46.48 .135 13.0240
:;. TOTAL-WALL AREA 1800 M5 0w6
J. SKYLITE " 0 0
I:. R00F FkAME 119.6 .0.32 3.8272
L. NET ROOF AREA 1076.4 .025 26.41
4. 70TAL ROOF AREA 1146 ??72
SUM 1.+2. ?.096
SUM 3.+4. /?f'C3.239a
??
7;7
RESIDENTIAL
BUILDINC PERMIT APPLICATION ? 273. as
GTY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canstructlon Reauirements
. 3 registered slte surveys showirig sq fl of lot, sq. ft. of house; and all raofed areas
(20% mazimum lot coverage allowetl)
• 2 copies of plao showing beam & window snes; poured fouiM design, etc.)
• 1 set of Eneqy Calculations
• 3 copies of Tree Preaervahon Plan Nlof platted after 711193
• Rim Joist Detad Options selection sheet (bldgs with 3 or less unils)
DATE g 1 l ?'?02
SITE ADD
TYPE OF
XN
FIRE?LACE(S) _ 0 _ 1 _ 2
APPLICANT EJ L ) 01..
STREETADDRESS LWIn QJ.c 4V-?!-. rA CITYC?L STATEPA/ ZIPSu`WO
TELEPHONE #662-0'iYELI PHONE # IF #/
PROPERTY OWNER I f I,CX_ VV 0-.LPni TELEPHONE #V05, ID K,?
COMPLETE FOR "NEW" RESIDENiIA! BUILDlNGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CATLGORY 1 MINNESOTA RLTLES 7672
(4 submission lype) • Residential VentilaUon Ca[egory 1 Worksheet Submitted . New Energy Code Worksheet Su6mitted
. Energy Envelope Calcula6ons Submitted
Plumbing Contractor. ____
Plumbing system includes:
Mechanical Contractor:
Mechanicalsystem includes:
Sewer/Water Confroctor.
Air Conditioning
Heat Recovery System
&J
IULTI-FAMILY BLDG _Y
Fee: $90.00
Phone #
e@?
d1 "? AUG 2 0 2002
Phone #''i1
I hereby acknowledge that I have read this application, state that the information is-eorrecf and agree to comply
with all applicable State of Minnesota Statutes qnd City of Eagan O03i??
Signature of Applicant OFFICE USE ONLY
? Water Softener
_ Water Heater
No. of Salhs
_ Phone #
Lawn Sprinkler
Nn. of R.I. Baths
RemodeUReoalr Reauirements
. 2 copies af plan
. 1 set af Energy Calculations for heated addi6ons
. 1 site suney for ezterior additiorks & decks
. Indicate If home served by septic system for additions
600 /
VALUATION r (12,0? ?[/?O. ??
Certificates of Survey Received _ Tree Preservation Plan Received , Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3•sea.) ? 31 Ext. Alt - Multi
? 03 01 oS _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doars
O 34 Replacement *Demolition (Entire Bldg only) - G(ve PCA handout to applicant
Valuation Occupancy MC/ES System
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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Foorings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
_ Dram Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
,dv5v0a?s cIERrIF.icArF.
1%a7
?Gk 30I2S(Oa
I ?
RAP'C OAKS DEVELOPMENT C0.
#409
d --N89°58'37"E 88.00 - ~
LO
? 5 r- ? DRAlNAGE 9(1TlllTY ? 5 I
? I EASEMENT PER PLAT
? LOT 5
C? O I ,
N
N
S?
i
1-
w I ` 19.00' 46.0
/ 00 ' w
I OSEO
O PR
?
C
?
S N
HOUS
p '
I N
?l
• ,, ? 28 4.0 p ?
a O .
4
C) I GAR
19.00 22.0 -19_00 - J
?
5 ? , rWn?3; '; 5 $?
?
?-N89°58'37"E 88.00
M H AY LAKE ROAD M
SHEET 2 OF 2 SFiEETS
I'ROJECT N0. aooK i Pnae ' JAMES R. HILL, INC.
86818 •
Planners / EngIneers / Surveyors
FILE NO. 8200 Humbotdt Avenue 8oulh
' FOLDER sloommeton,Mn. 150431 612-8e4-3029
EYOn'S CERTIFICATC
C?10? .
--N89058'37"E 88.00 -
? DRAINAGE B UTlLlTY
I £ASEM£NT PER PLA
I '
.
I 14` ,'
I
0 LOT 5
C.RAf'C?OAKS D[U[LOPP^.ENT C0.
k409 y
?as >
?
a?
N
N ww"o
?--
-19.00' 46.0 i 1 W
? w I
?--
o
PROPOSED
? I N %OUS D1 I O N rl
?.
N °o. 2e.0 °OD O
`i O? ri a.o
(yS7_°) ? a ?O
O y ? GAR.
i
?19.00_;L -19.00
22.
----- -J
/
-
0
1 ? 0
"
--N 8 E 88.0
9°58' 37
m H AY LAKE ROAD °
?- --
",9?j _
pROJECT N0.
86818
FILE N0.
' FOLDER
t
Sf!EET Z OF 2 SFEETS
eoox i PAOE ' JAMES R. 14ILL, INC.
Planners / Enolneers / Surveyora
. 8200 Humboldt Avonue 8outh
81ooMinpton, Mn. 85431 012-884-3029
mw?
.. SUR V E Y 0 R' S C E R T I F I C A T E GRAND OAKS UEVCLOPMEN'f CU. #409
flOTE:
THE LEGAL DESCRIPTION USEQ ON THIS
SURVEY WILL BECOME VALID UPON FILIyG
THE PLAT OF OVERHILL fARP1 SECOND
ADDITION.
IRlEV1$Ep
?
---*-- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCIi = 30 fEET
O
* DENOTES
DENOTES IRON MONUMENT SET
IRON MONUMENT FOUND
PROPOSED GARIIGE
FLOOR
°'i5Z s
FEET
0
X000
DENOTES
EXISTING ELEVATION
PftOPOSED LOWEST
FLOOR
= 9y?•S F
EET
FEET
.
.
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9Sz,7
I HEREDY CERTIFY TO GRAND OAKS DEVELOPMENT C0. TIiAT THIS I5 A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE 40UNDARIES DF:
Lot 5, Block 4, OUERHILL FARM SECOND ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
AND OF THE IOCATIOiV OF A PROPOSED 13UILbING. IT 60ES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROAC}IMENTS, IF ANY, TIiEREUN. A5 SURVEYED BY ME, OR UNDER P1Y DIRECT SUPERVISION,
TIiIS IITN DAY OF Ju?y , 1986.
NOTE: GRADES SHOWN WERE TAKEN FROM SIGNED: JAMES . HILL, INC.
TNE GRADING PLAN FOR OVERHILL FARM
SECOND ADDITION, PREPARED_ BY MINNESOTA
VALLEY SURVEYORS INC., LAS7' DATED
MARCH 28? 1986. ?
SIIEET 1 QF 2 SHE[TS
FflOJECT NO. BOOK / PA(3E
86818
FILE NO,
' FOLDER
J
DY: '
HAROLD C. PE7ERSON, LAhID SURVEYOR
PIINNCSOTA LICENSE N0: 12294
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue &auth
Bloohiington, Mn. 65431 812-884-3029
.Sll.AVgYOR'S CERTIFICATr:
GRAI''C OAKS DEVELOPP1ENT C0.
N,409
N
(e "
'
E 88.00
37
--N89°58
ORAWAGE d UTILlTY ? 5 I
I 5?
I ?
I EASEMENT PER PLAT ` ?
I
_ I Q
LOT 5 0=??
o I
N
?4g.o
C
?
?
-- w? 19:0J
460
^ 19.00' ? 1 w
I
I o PROPOSED
N o %OS N? o N rl
2E10
?
4.0
GAR. ? .
i ' 22.0 -19_00 -'?
!$
? g
g
o.•.c::
?`;07 --N89°58'37"E 88.00
° H AY LAKE ROAD °
Sf!EET 2 OF 2 SF:EETS
I'ROJEGT N0. aooK ? PAaE JAMES R. I'IILLI INC.
66618
•
Planners / EngIneers / Surveyora
FILE NO. 8200 Humboldt Avenue 8outh
' FO L D E R 8lootnin0ton, Mn. 66431 812-884-3029
'S VE Y O R' S C E R T 1 F 1 C A T E GRAND OAKS UEVELOPMENT C0. #409
fIOTE:
THE LEGAL DESCRIPTION USED ON THIS
SURVEY WILL BECOP1E VALID UPON FILING
THE PLAT OF OVERHILL FARP1 SECOND
AODITION.
--s- DENOTES PROPOSED SURFACE DRAINAGE
SCALE:
1 INCIi = 30
FEET
O
• DENOTES
UENOTES IRON MONUMENT SET
IRON MONUMENT FOUND PROPOSED GARAGE FLOOR
' FEET
.X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 949•5 FEET
FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 95z,-7
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF TNE I30UNDARIES OF:
Lot 5, Block 4, OVERHILL FARM SECOND ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
AND OF THE LOCATIOtV OF A PROP05ED BUILDING. IT DOES NOT PURPORT TO SIiOW IMPROVEMENTS.
OR ENCROACHMENTS, IF ANY, TIIEREON. AS SURVEYED BY ME, OR UNDER P9Y DIRECT SUPERVISION,
TI1IS (ITH DAY OF 1986.
NOTE: GRADES SHI
THE GRADIN6 PLAN
SECONp ADDITION,
VALLEY SURVEYORS
MARCH 28, 1986.
)WN WERE TAKEN FROM ?
fOR OVERHILL FARP1 ?
PREPARED_ BY MINNESOTA
ItJC., LAST DATEU
;IGNED: JAMES . HILL, INC.
DY:
HAROLD C. PETER50N, LAND SURVEYOR
PIINNESOTA LICENSE N0: 12294
SIIEET 1 OF 2 SHEETS
PHOJECT N0. BOOK / PAGE
86818
FILE NO.
'FOLDER
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue &outh
Blootnlneton, Mn. 65431 812-884-3029
?
,
6URVgYOa'S
J
,
ERrIFIcArE
fRAP'C OAKS DEVELOPP1ENT C0.
#409
N
?? ?r ??
(? --N89°58`3T"E 88.00 -- l??_
r g? ? DRA/NAGE 9 UTIL/TY ? 5 I
1 £ASEMENT PER PLAT
n 7
l
I
0 LOT 5 ? o
0 I N
N I
O
lG?52,
-
`- Wi ? l9.00' 46.0
/
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OSED
t
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cc(?P?' ?-11189°58'37"E 88.00
M H AY LAKE ROAD M
SF!EET 2 OF 2 ShEETS
pROJECT N0. eooK ? pndII JAMES R. HILL, INC.
.
86818
Planners / EngIneers / Surveyore
FI6E NO. 8200 Humbotdt Avanue Sauth
' FO L D E R Bloominaton, Mn. 56431 812-884-3029
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114373
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 701 Hay Lake Rd N
Lot:5 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Granowski
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 -
Michele L Milchesky
701 Hay Lake Rd N
Eagan MN 55123
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120730
Date Issued:02/26/2014
Permit Category:ePermit
Site Address: 701 Hay Lake Rd N
Lot:5 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. 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 -
Michele L Milchesky
701 Hay Lake Rd N
Eagan MN 55123
(952) 898-4680
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA128167
Date Issued:10/28/2014
Permit Category:ePermit
Site Address: 701 Hay Lake Rd N
Lot:5 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-050
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.
Ashley Orman
130 Plymouth Ave N
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Michele L Milchesky
701 Hay Lake Rd N
Eagan MN 55123
(651) 905-4847
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148426
Date Issued:03/28/2018
Permit Category:ePermit
Site Address: 701 Hay Lake Rd N
Lot:5 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Michele L Milchesky
701 Hay Lake Rd N
Eagan MN 55123
Clear Choice Restoration
2722 Hwy. 694, Suite 100
St. Paul MN 55112
(612) 259-7177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171898
Date Issued:09/07/2021
Permit Category:ePermit
Site Address: 701 Hay Lake Rd N
Lot:5 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Michele L & Scott A Milchesky
701 Hay Lake Rd N
Saint Paul MN 55123--302
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature